ML100070004

After Action Report/Improvement Plan, Drill Date - December 03, 2009

ML100070004
Person / Time
Site:	Comanche Peak
Issue date:	12/03/2009
From:	Federal Emergency Management Agency
To:	Office of Nuclear Security and Incident Response
References
Download: ML100070004 (29)

Text

Comanche Peak Nuclear Power Plant After Action Report/

Improvement Plan Drill Date - December 03, 2009 Radiological Emergency Preparedness (REP) Program Published

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Comanche Peak Nuclear Power Plant This page is intentionally blank.

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Comanche Peak Nuclear Power Plant Comanche Peak Nuclear Power Plant After Action Report/Improvement Plan Contents Executive Summary 3 Section 1: Exercise Overview 4 1.1 Exercise Details 4 1.2 Exercise Planning Team Leadership 4 1.3 Participating Organizations 5 Section 2: Exercise Design Summary 6 2.1 Exercise Purpose and Design 6 2.2 Exercise Objectives, Capabilities and Activities 6 2.3 Scenario Summary 6 Section 3: Analysis of Capabilities 7 3.1 Drill Evaluation and Results 7 3.2 Summary Results of Drill Evaluation 7 3.3 Criteria Evaluation Summaries 10 3.3.1 Private Organizations 10 3.3.1.1 Granbury/Hood County Emergency Medical Service 10 Inc.

3.3.1.2 Texas Health Harris Methodist Hospital Cleburne 10 Section 4: Conclusion 12 Appendix A: Drill Evaluators and Team Leaders 13 Appendix B: Acronyms and Abbreviations 14 Appendix C: Exercise Plan 15 1

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Comanche Peak Nuclear Power Plant This page is intentionally blank.

2

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Comanche Peak Nuclear Power Plant EXECUTIVE

SUMMARY

On December 3, 2009, an out-of-sequence medical drill was conducted for the Comanche Peak Nuclear Power Plant (CPNPP), located near Glen Rose, Texas. Personnel from the U.S.

Department of Homeland Security/Federal Emergency Management Agency (DHS/FEMA)

Region VI Office evaluated all activities. The purpose of the drill was to assess the level of preparedness of responders to react to a simulated medical emergency with a radiologically contaminated patient. The previous medical drill at this site was conducted on November 6, 2007.

Personnel from the Texas Department of State Health Services, Granbury/Hood County Emergency Medical Services (EMS), Texas Health Harris Methodist Hospital Cleburne and CPNPP participated in the drill. Cooperation and teamwork of all participants was evident during these drills, and DHS/FEMA Region VI wishes to acknowledge these efforts.

This report contains the final evaluation of this out-of-sequence drill. The participants demonstrated knowledge of their emergency response plans and procedures and adequately implemented them. There were no Deficiencies and one Area Requiring Corrective Action (ARCA) identified and corrected during the drill. No plan issues were identified as a result of the drill.

3

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Comanche Peak Nuclear Power Plant SECTION 1: EXERCISE OVERVIEW 1.1 Exercise Details Exercise Name Comanche Peak Nuclear Power Plant Type of Exercise Drill Exercise Date December 03, 2009 Program Department of Homeland Security/FEMA Radiological Emergency Preparedness Program Scenario Type Radiological Emergency 1.2 Exercise Planning Team Leadership Lisa Hammond RAC Chair FEMA Region VI Technological Hazards Branch Chief 800 North Loop 288 Denton, Texas, 76209 940-898-5199 lisa.hammond@dhs.gov 4

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Comanche Peak Nuclear Power Plant Linda Gee Lead Planner FEMA Region VI Tech. Hazards Program Specialist 800 North Loop 288 Denton, Texas, 76209 940-898-5368 linda.gee@dhs.gov Glenn Corbin State Planner Texas Department of State Health Services State Emergency Planner Radiation Control Program, Environmental Monitoring P. O. Box 149347 Austin, Texas, 78714 512-834-6770 glenn.corbin@dshs.state.tx.us 1.3 Participating Organizations Agencies and organizations of the following jurisdictions participated in the Comanche Peak Nuclear Power Plant drill:

State Jurisdictions Texas Department of State Health Services Texas Division of Emergency Management Private Organizations Texas Health Harris Methodist Hospital Cleburne Granbury/Hood County Emergency Medical Services (EMS), Inc.

Comanche Peak Nuclear Power Plant 5

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Comanche Peak Nuclear Power Plant SECTION 2: EXERCISE DESIGN

SUMMARY

2.1 Exercise Purpose and Design The DHS/FEMA Region VI Office evaluated the drill on December 3, 2009 to assess the capabilities of local emergency preparedness organizations in implementing their Radiological Emergency Response plans and procedures to protect the public health and safety during a radiological emergency involving CPNPP. The purpose of this report is to present the results and findings on the performance of the offsite response organizations during a simulated radiological emergency.

2.2 Exercise Objectives, Capabilities and Activities Exercise objectives and identified Capabilities/REP Criteria selected to be exercised are discussed in the Exercise Plan (EXPLAN), Appendix C.

2.3 Scenario Summary The drill scenario was developed to evaluate the level of preparedness of responders to react to a simulated medical emergency with an injured radiologically contaminated individual. The drill scenario provided for the evaluation of both transportation provider and the hospital.

6

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Comanche Peak Nuclear Power Plant SECTION 3: ANALYSIS OF CAPABILITIES 3.1 Drill Evaluation and Results Contained in this section are the results and findings of the evaluation of all jurisdictions and functional entities that participated in the December 3, 2009 medical drill to test the offsite emergency response capabilities of state and local governments in the 10-mile emergency planning zone (EPZ) surrounding the Comanche Peak Nuclear Power Plant (CPNPP).

Each jurisdiction and functional entity was evaluated on its demonstration of criteria contained in the exercise evaluation areas as outlined in the Federal Register, Vol. 67, No. 80, "FEMA-Radiological Emergency Preparedness: Evaluation Methodology" (April 25, 2002). Detailed information on the exercise evaluation area criteria and the extent of play agreement used in this drill is included as an appendix to this report.

3.2 Summary Results of Drill Evaluation The matrix presented in Table 1 on the following page presents the status of all exercise criteria which were scheduled for demonstration during these drills at all participating jurisdictions and functional entities. Exercise criterion are listed by number and the demonstration status of those criterion are indicated by the use of the following letters:

M - Met (No Deficiency or ARCAs assessed and no unresolved ARCAs from prior exercise)

A - ARCAs assessed or unresolved ARCAs from previous exercises D - Deficiency assessed P - Plan Issue N - Not Demonstrated 7

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Comanche Peak Nuclear Power Plant Table 3.1 - Summary of Drill Evaluation Texas Health Hospital Cleburne Granbury/Hood Co. EMS DATE: 2009-12-03 SITE: Comanche Peak Nuclear Power Plant, TX M: Met, A: ARCA, D: Deficiency, P: Plan Issue, N: Not Demonstrated Emergency Operations Management Mobilization 1a1 Facilities 1b1 Direction and Control 1c1 Communications Equipment 1d1 Equip & Supplies to support operations 1e1 M M Protective Action Decision Making Emergency Worker Exposure Control 2a1 Radiological Assessment and PARs 2b1 Decisions for the Plume Phase -PADs 2b2 PADs for protection of special populations 2c1 Rad Assessment and Decision making for the Ingestion Exposure Pathway 2d1 Rad Assessment and Decision making concerning Relocation, Reentry, and Return 2e1 Protective Action Implementation Implementation of emergency worker exposure control 3a1 M M Implementation of KI decision 3b1 Implementation of protective actions for special populations - EOCs 3c1 Implementation of protective actions for Schools 3c2 Implementation of traffic and access control 3d1 Impediments to evacuation are identified and resolved 3d2 Implementation of ingestion pathway decisions - availability/use of info 3e1 Materials for Ingestion Pathway PADs are available 3e2 Implementation of relocation, re-entry, and return decisions. 3f1 Field Measurement and Analysis Adequate Equipment for Plume Phase Field Measurements 4a1 Field Teams obtain sufficient information 4a2 Field Teams Manage Sample Collection Appropriately 4a3 Post plume phase field measurements and sampling 4b1 Laboratory operations 4c1 Emergency Notification and Public Info Activation of the prompt alert and notification system 5a1 Activation of the prompt alert and notification system - Fast Breaker 5a2 Activation of the prompt alert and notification system - Exception areas 5a3 Emergency information and instructions for the public and the media 5b1 Support Operations/Facilities Mon / decon of evacuees and emergency workers, and registration of evacuees 6a1 Mon / decon of emergency worker equipment 6b1 Temporary care of evacuees 6c1 Transportation and treatment of contaminated injured individuals 6d1 M M 8

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Comanche Peak Nuclear Power Plant 9

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Comanche Peak Nuclear Power Plant 3.3 Criteria Evaluation Summaries 3.3.1 Private Organizations 3.3.1.1 Granbury/Hood County Emergency Medical Service Inc.

a. MET: 1.e.1, 3.a.1, 6.d.1.

b. AREAS REQUIRING CORRECTIVE ACTION: None

c. DEFICIENCY: None

d. PLAN ISSUES: None

e. NOT DEMONSTRATED: None

f. PRIOR ISSUES - RESOLVED: None

g. PRIOR ISSUES - UNRESOLVED: None 3.3.1.2 Texas Health Harris Methodist Hospital Cleburne

a. MET: 1.e.1, 3.a.1, 6.d.1.

b. AREAS REQUIRING CORRECTIVE ACTION: 6.d.1.

ISSUE NO.: 14-09-6d1-A-01 CRITERION: Facility/ORO has the appropriate space, adequate resources, and trained personnel to provide transport, monitoring, decontamination, and medical services to contaminated injured individuals. (NUREG-0654, F.2., H.10., K.5.a.b.,

L.1., 4)

CONDITION: Contaminated clothing was cut away from the patient and pushed up underneath the left side of the patient while the patient was log rolled up onto her left side. The left side of the patient was not surveyed following the removal of contaminated clothing from the patient.

POSSIBLE CAUSE: The staff did not consider the potential for cross contamination from the clothing to the left side of the patient's body as the clothing was being removed.

REFERENCE:

NUREG-0654/FEMA-REP-1, K.5.b.

EFFECT: The patient could have been removed from the REA while still 10

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Comanche Peak Nuclear Power Plant contaminated.

CORRECTIVE ACTION DEMONSTRATED: The drill was stopped, the controller provided instruction indicating the potential for cross contamination as the clothing was removed. The staff then rolled the patient up on her right side, surveyed and decontaminated areas on the left side (underneath), and a clean white sheet was placed under the patient (between the backboard and the stetcher) to facilitate a clean transfer from the REA stetcher to a clean gurney.

c. DEFICIENCY: None

d. PLAN ISSUES: None

e. NOT DEMONSTRATED: None

f. PRIOR ISSUES - RESOLVED: None

g. PRIOR ISSUES - UNRESOLVED: None 11

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Comanche Peak Nuclear Power Plant SECTION 4: CONCLUSION Based on the results of the drill, the offsite radiological emergency response plans and preparedness for the affected local jurisdictions are deemed adequate to provide reasonable assurance that appropriate measures can be taken to protect the health and safety of the public in the event of a radiological emergency. Therefore, 44 CFR Part 350 approval of the offsite radiological emergency response plans and preparedness for the State of Texas site-specific to Comanche Peak Nuclear Power Plant will remain in effect.

12

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Comanche Peak Nuclear Power Plant APPENDIX A: DRILL EVALUATORS AND TEAM LEADERS DATE: 2009-12-03, SITE: Comanche Peak Nuclear Power Plant, TX LOCATION EVALUATOR AGENCY Granbury/Hood County Emergency Medical Service Inc. *Linda Gee DHS/FEMA Texas Health Harris Methodist Hospital Cleburne Scott Flowerday DHS/FEMA Tim Pflieger DHS/FEMA

• Team Leader 13

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Comanche Peak Nuclear Power Plant APPENDIX B: ACRONYMS AND ABBREVIATIONS Acronym Meaning ARCA Area Requiring Corrective Action CPNPP Comanche Peak Nuclear Power Plant DSHS Texas Department of State Health Services ED Emergency Department EMS Emergency Medical Services EMT Emergency Medical Technician EOC Emergency Operations Center EPA Environmental Protection Agency EPZ Emergency Planning Zone IC Incident Commander KI Potassium Iodide MG Merlin Gerin NRC Nuclear Regulatory Commission ORO Offsite Response Organization PPE Personal Protective Equipment RAC Regional Assistance Committee REA Radiation Emergency Area REP Radiological Emergency Preparedness RN Registered Nurse RO Radiological Officer RPT Radiation Protection Technician TLD Thermoluminescent Dosimeter 14

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Comanche Peak Nuclear Power Plant APPENDIX C: EXERCISE PLAN 15

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Comanche Peak Nuclear Power Plant TEXAS HEALTH CLEBURNE MS-1 HOSPITAL DRILL December 3, 2009 1.0 Introduction This drill will verify that the Texas Health - Cleburne Radiological Emergency Area (REA) and personnel assigned to care for contaminated injured patients can meet FEMA MS-1 drill requirements. The drill will also verify that the Granbury/Hood County EMS Ambulance personnel can interface with the MS-1 hospital.

2.0 FEMA Evaluation Criteria 1.e.1: Equipment, maps, displays, dosimetery, potassium iodide (KI) and other supplies are sufficient to support emergency operations. (NUREG-0654, H.,

J.10.a.b.e.f.j.k., 11, K.3.a.)

3.a.1: The offsite response organizations (OROs) issue appropriate dosimetery and procedures, and manage radiological exposure to emergency workers in accordance with the plans and procedures. Emergency workers periodically and at the end of each mission read their dosimeters and record the readings on the appropriate exposure record or chart. (NUREG-0654, K.3.)

6.d.1: The facility/ORO has the appropriate space, adequate resources, and trained personnel to provide transport, monitoring, decontamination, and medical services to contaminated injured individuals. (NUREG-0654, F.2, H.10., K.5.a.b.,

L.1., 4.)

3.0 Guidelines The following guidelines have been developed to instruct drill participants of the extent of play required to fulfill the drill evaluation criteria.

1. Drill lead controller is responsible for conducting the drill per the drill package.

2. Controllers will be assigned as needed to ensure the completion of drill objectives.

3. This is a FEMA evaluated drill. Therefore, prompting/coaching is not permitted.

4. On-the-spot corrections are allowed in accordance with Recommended Initiative 1.5-Correct Issues Immediately (March 31, 2000) 16

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Comanche Peak Nuclear Power Plant

4. The controllers should allow free-play. However, free-play will be stopped under the following conditions:

a. if the action taken would prevent a drill evaluation criterion from being met or is outside the scope of the drill.

b. if the actions are judged to be unsafe or leading to violations of the law.

c. if the actions would degrade systems or equipment, or degrade response to a real emergency.

5. If an actual emergency occurs, the drill will be terminated.

6. All radio and telephone communications will begin and end with THIS IS A DRILL.

7. All signs and postings at the hospital should be marked either FOR TRAINING USE ONLY or DRILL IN PROGRESS.

4.0 Extent of Play These guidelines define the extent of play required to meet an objective and identify planned simulations.

Criterion 1.e.1: Equipment, maps, displays, dosimetery, potassium iodide (KI) and other supplies are sufficient to support emergency operations. (NUREG-0654, H.,

J.10.a.b.e.f. j.k., 11, K.3.a.)

KI will not be carried on the ambulance and is not required at the hospital. The KI for ambulances is stored at the Hood County EOC and would be distributed at that point in the event of the recommendation to do so by the Texas Department of State Health Services (DSHS).

Criterion 3.a.1: The OROs issue appropriate dosimetery and procedures, and manage radiological exposure to emergency workers in accordance with the plans and procedures. Emergency workers periodically and at the end of each mission read their dosimeters and record the readings on the appropriate exposure record or chart.

(NUREG-0654, K.3.)

No exceptions are requested.

Criterion 6.d.1: The facility/ORO has the appropriate space, adequate resources, and trained personnel to provide transport, monitoring, decontamination, and medical services to contaminated injured individuals. (NUREG-0654, F.2, H.10., K.5.a.b., L.1., 4.)

17

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Comanche Peak Nuclear Power Plant The Granbury/Hood County EMS ambulance with driver and EMT or paramedic, two (2) Radiation Protection Technicians (RP Techs) from CPNPP, and the contaminated patient will pre-stage at Buddy Stewart Park (the old soccer fields) in Cleburne.

All decontamination will be demonstrated to the extent necessary to satisfy evaluator concerns. All medical procedures will be simulated except for decontamination of wounds and or abrasions. The Controller will use the decontamination chart and written guidance to guide the decontamination processes.

All injury and contamination levels will be via controller verbal inject from the Injury Map for Medical Controllers (Attachment 4a - Anatomical Charts).

Free play of this activity is not permitted.

5.0 Participants This drill will require the participation of the following agencies:

Texas Health - Cleburne Emergency Room Staff Texas Health - Cleburne Support Staff as needed Granbury/Hood County EMS Ambulance Personnel Texas Department of State Health Services - Radiation Control Program (DSHS-RCP), Medical Facility Liaison Two (2) Radiation Protection Technicians (RP Techs) from CPNPP 6.0 Controller and Role Players A minimum of four (4) controllers will be required for this drill.

One (1) role player victim will be required for this drill 7.0 Initial Conditions While taking a Reactor Coolant System (RCS) sample in a 500 ml container a Chemistry Tech who is under continuing treatment for Diabetes suffers an acute episode which attempting to cap the sample. The Tech becomes disoriented, stumbles, drops the un-capped RCS sample, and then attempts to hold onto the RCS Sample Sink but slips in the spilled liquid. The tech falls, striking her head on the Plexiglas shield, cutting her forehead above the right eyebrow, and breaking the shield. While falling to the floor the Tech looses consciousness due to the combination of the injury and a diabetic coma. During the fall the Tech catches her right upper arm on the broken shield lacerating her arm. The Tech falls into a puddle of the spilled sample striking her head on the concrete floor and becomes contaminated. The Tech was alone and she is unconscious on the floor for approximately 5 minutes before being discovered by another Technician entering the sample area. The Tech is found unconscious, lying on her back with blood coming from a laceration to their head and a pool of blood near their upper right 18arm.

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Comanche Peak Nuclear Power Plant 8.0 Narrative Summary The CPNPP ambulance is found to have a flat tire. Therefore, Granbury/Hood County EMS is contacted. The injured Tech is evaluated by CPNPP Chemistry Technicians trained in First Aid. They know the history of the injured technician having diabetes and that this particular technician had earlier stated that she had not eaten breakfast due to sleeping past her alarm. CPNPP Radiation Protection (RP) has been notified and confirms that the patient is contaminated with low level gamma contamination. Two (2)

RP Technicians are notified to prepare for one (1) RP Tech (1) to be transported with the ambulance and the second RP Tech (2) to be immediately dispatched to the hospital. The Granbury/Hood County EMS ambulance arrives and the patient is evaluated and loaded for transport. The site personnel provide known information to the ambulance paramedics upon their arrival onsite. The patient is loaded onto the ambulance while still unconscious. Prior to departure from the Protected Area (PA) the ambulance crew calls the Lake Granbury Medical Center (LGMC) and finds out that the ER is blocked out with a multi-car accident. The ambulance personnel then contact Texas Health - Cleburne and notify them of the contaminated patient with head and arm lacerations. The injured Chemistry Tech regains consciousness after initial treatment with an IV bolus of D50, and responds to the EMTs questions. The Tech complains of head and neck pain and injury to her arm. The patient is now conscious and is complaining about her injuries and suspects that they are contaminated due to the presence of the RP Tech in the ambulance.

Texas Health - Cleburne activates their Radiation Emergency Area (REA). According to Texas Health - Cleburne and CPNPP procedures a Radiation Protection Technician (RP Tech) will be dispatched to the hospital ahead of the ambulance while another RP Tech will accompany the injured/contaminated patient in the ambulance.

9.0 Time Line 1000 Drill begins (Notification to Texas Health - Cleburne received from CPNPP Control Room [Message Number 1])

1030 RP Tech arrives at Texas Health - Cleburne to assist in preparing the REA while patient data is transmitted to Texas Health - Cleburne from the Ambulance en-route [Message Number 2]) from CPNPP.

1045 Ambulance arrives at Texas Health - Cleburne 1115 Drill terminates 1130 Critique 1200 Activities Concluded 19

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Comanche Peak Nuclear Power Plant 10.0 Facility Addresses/Locations:

Buddy Stewart Park Located just West of the Hospital on the Access Road to US 67.

The Ambulance Location will be near the river under the trees on the West side of the park in Cleburne, TX.

Texas Health - Cleburne Emergency Room - REA 201 Walls Drive Cleburne, TX 76033 Texas Health Cleburne Buddy Stewart Park 20

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Comanche Peak Nuclear Power Plant MEDICAL INFORMATION FOR CONTROLLERS INITIAL ENROUTE HOSPITAL Blood Pressure 90/40 110/70 120/84 Respiration 10rpm 16 16 Pulse 120 98 88 Breathing Snoring Normal Normal Skin Condition Pale, cool, moist Pale, cool, dry Dry, warm Blood Glucose Level 29 180 140 Consciousness Unconscious and Disoriented/confused Oriented and unresponsive conversive Pupils Equal, reactive Equal, reactive Equal, reactive Significant injury Laceration on right forehead above the right eye, and a laceration on the upper right arm.

21

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Comanche Peak Nuclear Power Plant INJURY MAP FOR MEDICAL CONTROLLERS LACERATION ABRASION ABRASION LACERATION BRUISE ABRASION 22

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Comanche Peak Nuclear Power Plant CONTAMINATION MAP FOR RADIOLOGICAL CONTROLLER (ALL READINGS ARE ABOVE BACKGROUND)

INJURED AREA A

500 COUNTS B

1000 COUNTS C 500 COUNTS D

500 COUNTS E

1200 COUNTS 23 8

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Comanche Peak Nuclear Power Plant CONTAMINATION MAP ADDITIONAL INFORMATION FOR RADIOLOGICAL CONTROLLER (Page Two - Texas Health MS-1 Drill)

INSTRUCTIONS FOR PROVIDING DECONTAMINATION LEVELS (Letters below correspond to Anatomical Chart on preceding page)

A. Allow the decontamination on the right forehead to be completed as follows:

1. After the first attempt, 400 cpm remain

2. After the second attempt, the reading should be background B. Allow the decontamination of the right arm to be completed as follows:

1. After the first attempt, 600 cpm remain

2. After the second attempt, the reading should be background C. Allow the decontamination of the right forearm to be completed in one effort.

D. Allow the decontamination of the right wrist to be completed in one effort.

E. Allow the decontamination of the right calf (back of leg) to be completed as follows:

1. After the first attempt, 900 cpm remain

2. After the second attempt, 500 cpm remain

3. After the third attempt, the reading should be background.

24

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Comanche Peak Nuclear Power Plant MS-1 Hospital Drill December 3, 2009 MESSAGE 1 TIME: 1000 FROM: CPNPP Control Room TO: Texas Health Cleburne Emergency Room TEXT:

THIS IS A DRILL!

THIS IS THE COMANCHE PEAK NUCLEAR POWER PLANT CONTROL ROOM. A POSSIBLY CONTAMINATED INJURED PATIENT IS BEING TRANSPORTED TO YOUR FACILITY BY GRANBURY/HOOD COUNTY EMS AMBULANCE.

THE PATIENT IS RADIOLOGICALLY CONTAMINATED. PLEASE ACTIVATE YOUR RADIATION EMERGENCY AREA FOR RECEIPT OF THE PATIENT.

MY CALL BACK NUMBER IS 682-936-9100.

THE AMBULANCE WILL CONTACT YOUR FACILITY WHEN EN-ROUTE. A RADIOLOGICAL PROTECTION TECHNICIAN IS EN-ROUTE TO THE HOSPITAL TO ASSIST YOU WITH PREPARATION FOR RECEIPT OF THE PATIENT. ANOTHER RADIOLOGICAL PROTECTION TECHNICIAN WILL BE ACCOMPANYING THE PATIENT ON THE AMBULANCE.

PLEASE GIVE ME YOUR NAME FOR THE LOG.

THANK YOU.

THIS IS A DRILL.

25

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Comanche Peak Nuclear Power Plant MS-1 Hospital Drill December 3, 2009 MESSAGE 2 TIME: 1025 FROM: Granbury/Hood County EMS Ambulance TO: Texas Health - Cleburne Emergency Room TEXT:

THIS IS A DRILL!

THIS IS GRANBURY/HOOD COUNTY EMS EN-ROUTE TO YOUR FACILITY WITH A FEMALE PATIENT APPROXIMATELY 28 YEARS OF AGE WHO EXPERIENCE A DIABETIC COMA AND HAS LACERATIONS TO HER FOREHEAD AND UPPER RIGHT ARM, BRUSES AND ABRASIONS. THIS PATIENT IS ALSO RADIOLOGICALLY CONTAMINATED.

PATIENT VITAL SIGNS ARE AS FOLLOWS:

Vital Sign ENROUTE DATA Blood Pressure 110/70 Respiration 16 Pulse 98 Consciousness Disoriented/confused OUR ETA IS 20 MINUTES.

THIS IS A DRILL!

26

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Comanche Peak Nuclear Power Plant This page is intentionally blank.

27