ML11112A037

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After Action Report/Improvement Plan, Radiological Emergency Preparedness Program
ML11112A037
Person / Time
Site: San Onofre  Southern California Edison icon.png
Issue date: 09/13/2010
From:
Federal Emergency Management Agency
To:
NRC/FSME, NRC Region 4
References
Download: ML11112A037 (29)
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Text

San Onofre Nuclear Generating Station After Action Report/Improvement Plan Drill Date - June 16, 2010 Radiological Emergency Preparedness (REP) Program Y FEMA PublishedSeptember 13, 2010

Urnrla~fZed Rad-ological Emergency Preparedness Program (REP)

AIher Action Reportflmprovement Plan San Onofre Nuclear Gen.rating Station This page is intentionally blank.

Unchissiged Rad.Iolgica Emuergenc IPtared&ie's Pogram (REP)

Afer Action RPortl*mpoverment Pan San onofre Nuclear Generating Station San Onofre Nuclear Generating Station After Action Report/Improvement Plan PublishedSeptember 13, 2010 Contents Executive Summary iii Section 1: Exercise Overview 1.1 Exercise Details 1 1.2 Exercise Planning Team Leadership 1 1.3 Participating Organizations 2 Section 2: Exercise Design Summary 2.1 Exercise Purpose and Design 3 2.2 Exercise Objectives, Capabilities and Activities 3 2.3 Scenario Summary 4 Section 3: Analysis of Capabilities 3.1 Drill Evaluation and Results 5 3.2 Summary Results of Drill Evaluation 5 3.3 Criteria Evaluation Summaries 8 3.3.1 Risk Jurisdictions 3.3.1.1 Orange County Fire Authority 9 3.3.2 Private Organizations 3.3.2.1 Mission Hospital of Laguna Beach 9 Section 4: Conclusion 11 Appendix A: Acronyms and Abbreviations 12 Appendix B: Drill Evaluators 13 Appendix C: Extent-of-Play 14

Unclassi..,e Radiological Emer~gency Preparediiess Pr~gram (R-EP)

After Action Report/Improvement Plan Ss Onofe.Nuclear Generating Station EXECUTIV*EV

SUMMARY

The U.S. Department of Homeland Security's Federal Emergency Managemem Agency, (FEMA)

National Preparedness Division - Technological Hazards Branch in Region IX evaluated an off-site medical services drill at the Mission Hospital of Laguna-Beach on June 16, 2010 in the Plume Exposure Pathway Emergency Planning Zone (EPZ) around the San Onofre Nuclear Generating Station (SONGS). The purpose of the drill was to assess the level of state and local preparedness in response to a radiological emergency. This chill was held in accordance with FEMA's policies mid guidance concerning the exercise of state and local Radiological Emergency Response Plans (RERP) and procedures.

The most recent biennial exercise at SONGS was conducted on September 23, 2009,. The previous medical selvices drill was conducted on..,September.28, 2006, at the South Coast Medical Center, prior to its acquisition by the Mission Hospital Regional Medical Center.

FEMA wishes to acknowledge the efforts of the many individuals who participt:ied in this exercise.

Protecting the public health and safety is the fi.iil-tiine job of some of the exercise partiFipants.

and additional assigned responsibility for others. Still others have willingly sought this responsibility by volunteering to provide vital emergency services to their communities.

Cooperation and teamwork of all the participants were evident during this drill.

This report contains the final evaluation of the drill. The organizations except where noted in this report, demonstrated knowledge of their emergency response plans and procedures and adequately implemented them. One Area Requiring Corrective Action (ARCA) was identified and successfully re-demonstrated during this drill. No ARCAs remain uncorrected from previous drills. . ..:-, ... ,

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Uhcasi~ied Radiological Em-geucyPrepareineass Progp (REP)

After Action Report/Improvement Plan San Onofre Nuclear Generating Station SECTION 1:XEiERCISE.ý OVERVIEW 1.1 Exercise Details, Exercis e' Name'-

San Onofre Nuclea'r Generating Station Medical Services Drill Type ofExercise

]Drill.

Exercise Date June 16, 2010 Pfrogram Department of Honielajid Sdec'uri/FEMA Radiolog'ical Emergency Preparedness Program --

Scenario Typef-,, ,

Radiological Emergency 1.2 Exercise Planining*'Tea Leader'ship Richard Garcia - .

Emergency Planning Coordinator Southern California Edison - San Onofre Nuclear Generating Station Richard.A.Garcia@sce.com Rhonda Rithmire Safety Manager Mission Hospital Rhonda.rithmnie@stjoe.org Richard Echavarria Senior Site Specialist - Radiological Emergency Preparedness Program FEMA Region IX Richard.echavarria@dhs.gov I

U;oalassiled Ra lialogical Emer~gency Preparedness Program (REP)

After Action Report/iMprovement Plan $ar( Onrfre Nuclear Generating Statiom 1.3 Participating Organizations The following agencies and organizations participated in the San Onofre Nuclear Generating Station drill:

Risk Jurisdictions "

Orange County Fire Authority -

Private Organizations Mission Hospitai of Laguna Beach "

Southern California Edison - San Onofre Nuclear Generating Station 2

UncTassilied Radiological Emergency Preparedneis Pxogiaai (RP)

After Action Rapirwlmproven*nt Plah San Onofre Nuclear Generating Station SECTION 2: EXERCISE DESIGN

SUMMARY

2.1 Exercise Purpose and Design FEMA Region IX evaluated the medical services drill on June 16, 2010, to assess the capabilities of local emergency preparedness organizations in implementing their RERPs. and procedures to protect the public health and safety during a radiological emergency involving.SONGS. The purpose of this report is to present the results and findings on the performance of the Qff-site Response Organizations (OROs) during a simulated radiological emergency.

2.2 Exercise Objectives, Capabilities and Activities The exercise evaluation area criteria, contained in the FEMA Federal Register Notice, "Radiological Emergency Preparedness Exercise Evaluation Methodology," dated August 25, 2002 represent a functional translation of the planning standards and evaluation criteria of NUREG-0654/FEMA-REP- 1, Rev. 1, "Criteria for the Preparation and Evaluation of Radiological Emergency Response Plans and Preparedness in Support of Nuclear Power Plants,"

November 1980.

The objectives of this exercise are as follows:

Criterion i.e. 1: Equipment and Supplies to Support Operations - Demonstrate that equipment, maps, displays, dosimetry, potassium iodide (KI), and other supplies are sufficient to support emergency operations. (NUREG-0654, H.7, 10; J. 10.a, b, e; J. 11; K.3.a)

Criterion 3.a. 1: Implementation of Emergency Worker Exposure Control - OROs issue appropriate dosimetry and procedures, and manage radiological exposure to emergency workers in accordance with the plans and procedures. Demonstrate that 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.a, b)

Criterion 6.d. 1: Transportation and Treatment of Contaminated Injured Individuals - 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

UvaclassifieJ P2Atioln.i.ca Emergency Prcparness.Program (PER)

After Action Rcportflmprovememt Plan Sza Oofire Nuclear Generating Station 2.3 Screrario Summary This section contains a summary of the simulated secpenceg9f events used as the basis for invoking emergency response actions by OROs during the SONGS medical services drill on June 16, 2010, submitted toFEMA by the state-0ofCaliformii and SONGS'-,

Unit 3 is in day 37 of the refuieling outage. At 8:15 am, a loud crash and an individual screaming emanates from the Unit 3 Penetration Building Room 209. Upon investigation, workers find an individual lying in water that may be contaminated. The individual is bleeding and has significant injuries to the face and anns.

4

Undaksified Radiological Emrgntaiy Preparedums Progra (REP)

After Action Repot mprovimnt Plan San Onofre Nuclear Generating Station SECTION 3: ANALYSIS OF CAPABILITIES 3.1 Dri Evaluation and Re:s-u*hs Contained in this section are the results and findings of the evaluation of all jurisdictions and functional entities that participated in the June 16, 2010 medical services drill to test the off-site emergency response capabilities of state and local governments in the EPZ surrounding SONGS.

Each'jUiiridiction and functional entity was evsaluated on the basis of its demonstration of criteria delineatedin the exercise evaluation ýareas as outlined in the August 2002, Interim REP Program Manual. Detailed information on the extent-of-play agreement used in this exercise is found in' Appendix C of this report.

3.2 Summary Results of Drill Evaluation The matrix illustrated in Table 3.1, presents the status of all exercise evaluation area criteria that were scheduled for demonstration during this exercise by all participating jurisdictions and functional entities. Exercise criteria are listed by number and the demonstration status is indicated by the use of the following letters:

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

D - Deficiency assessed A - ARCAs assessed or unresolved ARCAs from prior exercises N - Not Demonstrated (Reason explained in Appendix C, extent-of-play agreement)

Presented below are definitions of the terms used in this section relative to criteria demonstration status.

  • Met - Listing of the demonstrated exercise evaluation area criteria under which no Deficiencies or ARCAs were assessed during this exercise and under which no ARCAs assessed during prior exercises remain unresolved.
  • Deficiency - Listing of the demonstrated exercise evaluation area criteria under which one or more Deficiencies were assessed during this exercise. Included is a description of each Deficiency and recommended corrective actions.

5

TUnclassifie, RA:I,ological.Emergency Preparedness Pragvraw. (REP)~

Ater Action R.eport/lmprovemnent Plan Sa7 Onofie.Nuclear Cenerating Station "AreaRequiring Corrective, Action Listing of the .4empnstratedexercise eva!uation area criteria under which one or more ARCAs were assessed during the current exercise.

Included is a description of the ARCAs assessed during this exetcise and the reconnuended corrective actions to be dem.onstratedbefore or during the next medical services drill. . .. * - - -

Not Demonstrated - Listing of the.exercize evaluationarea criteria that were scheduled to be demonstrated during t*his exercise, but were not, demonstrated and the reason they were not demonstrated.

" Prior Issue - Resolved - Descriptions of issues assessed during previous exercises that were resolved in this exercise and the corrective actions demonstrated.

" Prior Issue - Unresolved - Descriptions of issues assessed during prior exercises that were not resolved in this exercise. Included are the reasons the issues remain unresolved and recoimnended corrective actions to be demonstrated before or during the next medical services dhill.

The following are classifications of the three types of issues that are discussed in this report:

A Deficiency is defined in the FEMA Interim REP Program Manual, August 2002 as "...an observed or identified inadequacy of organizational performance in an exercise that could cause a finding that off-site emergency preparedness is not adequate to provide reasonable assurance that appropriate protective measures can be taken in the event of a radiological emergency to protect the health and safety of the public living in the vicinity of a nuclear power plant."

An ARCA is defined in the FEMA Interim REP Program Manual, August 2002 as "...an observed or identified inadequacy of organizational performance in an exercise that is not considered, by itself, to adversely impact public health and safety."

FEMA has developed a standardized system for numbering issues. This system is used to achieve consistency in ntunbering exercise issues among FEMA Regions and site specific exercise reports within each Region. It is also used to expedite tracking of exercise issues on a nationwide basis.

The identifying number for Deficiencies and ARCAs includes the following elements, with each element separated by a hyphen (-).

6

U..clia~sed Radiologica Enm gencyPrrpatrdris Program (REP)

After Action Reprt/Imrovement Plan San Onofre Nuclear Gmmttag Station

  • Plant Site Identifier L"Alxvo'odgit imnmbefrcorresponding to'the Utility Billable Plant Site Codes.-
  • Exercise Year - The last tWO digits' of the' year the exercise was conducted,.

- EvaluatiOn Area Criterion -A letter-and number corresponding to the criteria in the FEMA REP Exercise Evaluation Methodology.

-IssueClassification Identifier -`(D ='Deficiency;,-A 'ARCA)

. Exercise Issue Identification Number 'A separate two digiftindexing number assigned to each issue identified in the exercise.

7

Unclassified Radiological Fmergency Preparedness Program (REP)

After Action Report/Improvement Plan San Onofre Nuclear Generating Station Table 3.1 - Sunmmary of Drill Evaluation DATE: 2010-06-16 SITE: San Onofre Nuclear Generating Station, CA * . ,

A: ARCA. D: Deficiency, M: Met, N: Not Demonstrated Emergency Operations Management Mobilization J.ai__

Facilities lbl Direction and Control Ic _I Communications Equipment Idl Equip & Supplies to support operations .' Iel M M Protective Action Decision Making .___

Emergency Worker Exposure Control 2a1 Radiological Assessment and PARs '. 2bl Decisions for the Plume Phase -PADs 2b2 PADs for protection of special populations .2c Rad Assessment and Decision making for the Ingestion Exposure Pathway 2dl Rad Assessment and Decision making concerning relocation, re-ntmlyand return 2el Protective Action Implementation Implementation of emergency worker exposure control 3al M M Implementation of KI decision 3bl Implementation of protective actions for special populatiens - EOCs ' 36 Implementation of protective actions for schools 3c2 Implementation of traffic and access control 3dl Impediments to evacuation are identified and resolved 3d2 Implementation of ingestion pathway decisions - availability/use of info 3e1 Materials for Ingestion Pathway PADs are av'ailable .. .. - k I- 3e2 Implementation of relocation, re-entry, and return decisions. . 3f1 Field Measurement and Analysis Adequate equipment for plume phase field measurements 4al' Field Teams obtain sufficient information 4a2 Field Thatisn mnange skimple collection appropriately 4a3 __,__.__'_

Post pbu,.me phase-field measurements and sampling. . 4b 1 Labo: ory operations _ _7. 4cl Emt gency Notification and Public Info Activation of the prompt-alert an] tiolifizationsystemx  :>.: .:: ..- . ";

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;' mandregistration of evacuees 6a 1 Mon / decon of emergency worker equipment 6bl Temporary care of evacuees 6cl1-Transportation and treatment of contaminated injured individuals 6d1 M M 8

Uncla.isified Radiiological Emerency Preparedness Prgram (REP)

A~fter!Action Reportflmprovemeint Plan San' Onofre Nuclear Generating: Station 3,3CrteiaEvaluation Suirniaries" '

3.3 Criteria Vv 6 Sulnigte" 32.31 Yisk Jurisdictions 3.3.1.1 'Orange CountyFire Authority a.. iMiET: 1.e.1, 3.a.:1, 6:d.i .... .... . ....... ... 7 7

b. AREASREQUIRING CORRECTIVE ACTION: None

--. c. -DEFICIENCY: None-. ..........

d. NOT DEMONSTRATED: None
e. PRIOR ISSUES UI.REISOLVED. ..None_ .....-. .
f. -PRIOR ISSUTS-UNRESOL'VENo-S3.3.2 Private Organizations 3.3.2.1.Mission Hospital of Laguna-Beach'.-.

a; M ET' l.e. 1, 3 .a:l;6.d1.. .... .. ... ...... ............-

b. ARA-EURIGCRETIVE ACTIQN: -6,d~l ISSUE-NO.:-5l-10-6dl-A-2.

CRITERION: Facility/OROhas the appropriatespace,-adequate resources; and trained

. per~qnnel to provide ITanpormonitoring,. decontamination, and mediall services to,:-ý

  • contaminated injured individuals. (NURE&06543 F.2; H1-0; K.5.a, b; Lli, 4)

.CONMITION: Chux w er e placed to a-bsorb any overflowing. saline solution generted,.

diming decontaniiuation.activcities... Some saline:solution dripped.onto'tle floor whii, rinsing the contaminated left arm.- The nurse was not aware of this and continued decontamination efforts while walking on the potentially-contaminItfI.or'..

POSSIBLE CAUSE: Failure to use caution during dec6nfaminationl activities,

REFERENCE:

NUREG-0654, F.2; H.10; K:.5-.a b;L.1, 4 EFFECT: Unnecessary spread of coniamination.

CORRECTIVE ACTION DEMONSTRATED: The exercise was stopped; the controller explained what happened and provided contamination control training and the exercise 9

Unclassied Radiological Emergency Preparedness Program (REP)

After Action ReportImprovement Plan San Onofre Nuclear Generating Station resumed. The area on the floor was successfiully decontaminated by the SONGS HP, and the nurse simulated changing her booiies after her booties were surveyed and found contaminated.

c. DEFICIENCY: None
d. NOT DEMONSTRATED: None
e. PRIOR ISSUES - RESOLVED:. None
f. PRIOR ISSUES - UNRESOLVED: None

". ,* , ) . .. . ... ,.- , " ,-. . " . _,

10

.. Uncla~ic ied Radiological E-egency Preparedness Program (REP)

After Action Report/flprovenent Plan San Onofre Nuclear Generating Station SECTION.4: CONCLUSION A medical services drill was conducted at the Mission Hospital of Laguna Beach on June 16, 2010, to assess the capabilities of state and local emergency preparedness organizations in implementing their RERPs and procedures to protect the public health and safety during a radiological emergency involving SONGS. The purpose of this exercise report is to present -the exercise results and findings on the performance of the OROs during a simulated radiol0gicial emergency.

The findings presented in this report are based on the evaluations of the federal evaluation team, with final determinations made by the FEMA Region IX Regional Assistance Committee Chairperson and approved by the Regional Administrator.

No deficiencies were identified during this exercise for the state of California or Orange County.

One ARCA was identified and successfully re-demonstrated during the drill.

Based on the evaluation of the June 16, 2010, medical services drill, the off-site radiological emergency response plans for the state of California and the affected local jurisdictions site-specific to SONGS can be implemented, and are adequate to provide reasonable assurance that appropriate measures can be taken offsite to protect the health and safety of the public in the event of a radiological emergency at SONGS.

11

Unciassi nes)

Ridi4-logscpJ Emergency Preparedlness Program (REP)

After Actior'. ReportImpi-avement Plau SwatOt'ofte Nuclear Generating Station APPENDIX A:, ACRON.YIS AND ABBREVIATIONS Acr2_nnym Meaning ARCA Area Requiring CoiTecfive Action EPZ I Emergency Plamiing Zone..

FEMA Federal Emergency Management Agency KI Potassium Iodide ORO Off-site Response Organization REP Radiological Emergency Preparedness RERP Radiological Emergency Response Plans SONGS San Onofre Nuclear Generating Station 12

UnclassifiedA Radýiologica Emegency.P-epa-edness Prog-a'(REP)

Aftei Action Repwtfh ovmineut Plan San Onofre Nuclear Geneating Station APPENDLX B: RILL EVALUATORS DATE:2010-06-16, SITE: SAN ONOFRE NUCLEAR GENERATING STATION, CA LOCATION EVALUATOR AGENCY Orange County Fire Authority . Brad McRee 'ICF, Mission Hospital of Laguna Beach -' .*Daryl'Thome ICF Katherine Nishihara FEMA RIX

  • Team Leader Site Specialist: Katherine Nishihara Senior Site Specialist: Richard Echavarria 13

Unclassified Radiological Emergency Prepar-dness Program (REP)

Afier Actton Report/Improvarient Plan San. Onofre Nuclear Generating Station APPENDIX C: EXTENT-OF-PLAY The summary presented in tfis appendix is a compilation of exercise scenario materals submitted by the state of California and SONGS. This appendix contains the extent-of-play agreement prepared by the state of California and approved by FEMA Region IX to provide evaluators wi'th guidance on.expected actual demo t of eZvaluation area ctritia.

.1

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14

Umdawifid Rmdilcic Em-g-cy Prtdne P-o~am (REP)

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I ft IV 4a1 mm I '.1 * ~ I ~ J Mo.dicný Lmergency Plan Exercise June 16, 2010 San Onofre Nuclear Generating Station Mission Hospital of Laguna Beach Orange County Fire Authority SAN ONOFRE NUCLEAR GENERATING STATl ON Page 1 ZUIU 1OUN05 MWSIorl "OSpIJIUICAFMkiC5IE)XSCE. d*C(AprnI 14, 201U) 15

Unclassfie.d Radiological Emiergency Preparednetss Program (REP)

,AfterAction RepoIfmprowvent Plan Sark Onofre Nuclear Generating Station

-MEDICAL EMERGENCY PLAN EXERCISE June 16.2010

,Thble of Contents Exerci*e Objectives ... :.................. ................... ......... ........... . ............. .. 3 Extent of Play ..... ..................... ........................ ..........  ; ............ ..... 3 Exercise Support Staff .................................... ................... ..... .............................  :............................... 3 S e q ue nce of Eve nts .. ........................ ............. ....................................................................................................... 4 S u m m eary .g ........... ... ................ ........ "............. ....... .......... :.......... I............... .... .*...:,....... I ...... :..... ...... ........... :................ 4 Instructions to Exercise Controllers .......................................................... ................. ............................. 5 C ue Ca rd 1....... . .................. . . ..................

............................... ....., ..................... ..................... ................. 6 Cue Card 2 ......................... ................................................... w......... 7 Cue Card 3 ................. ............................. ......................................................... ........ .................

C ue Ca rd 4 ............................................................. ............................................................................... ............... 9 Pa tie n t Da ta ......................... ;..... . ................................................... ........... ................................. ........... 10 0..............

SONGS Survey Datt. ...................... ..... ................................................ 10 Responsre Record .................................. .................. . .............. .............................................:. ...... - ....... 11 Ex e rcise E valuation ....................... . ............................................... ........................................................................ 12 Participant Comment Sheet ................................................................................................................................... 14 SAN ONOFRE NUCLEAR GENERATING STATION Pane 2 2010 SONCG Mreson Hospitol OCFAMedi.ol Exercse.doc-(April t4, 2010) 16

Alter A.tio RM.oUhJpirove t Plan o~gca Ee nci 1 5 poam San Onoiite Nuclea Gemxratuag Stat on MEDICAL EMERGENGY PLAN EXERCISE - June 16, 2010 Extrcise1Extent.ot Play Extent of Play On June 16th from 8:00 am to 12:00 prm,Mission Hospital of Laguna Beach and Orange County Fire Authority will conduct their Contaminated Injury Exercise. All activities associated with exercise will be based on existing plans, procedures, equipment and supplies needed to support an actual medical emergency.

No other Emergency Response Facilities or Reception Centers will be activated. Exercise Controllers will simulate radiological briefings for exercise participants. Play may be interrupted by an actual emergency. Attempts will be made to

  • resume play at the end of the actual emergency. It play is unable to resume, the remaining portions of the exercise may
  • be demonstrated via interview with a designated representativo of Mission Hospital of Laguna Beach and Orange County Fire Authority.

During the exercise, if a participant performs an evaluated activity unsatisfactorily, the FEMA Evaluator, after consultation with the Exercise Controller, will provide another opportunity for the participant to re-demonstrate the activity. Appropriate training may be given to the participant prior to the re-demonstration. If the activity is re-demonstrated satisfactorily, the issue would be documented in the exercise report that it was corrected during the exercise.

Onsite Exercise Objectives

1. Demonstrate the ability of San Onofre Firefighters to respond to a radiation medical emergency.
2. Demonstrate the ability of San Onofre Health Physics personnel to respond to a radiation medical emergency.
3. Demonstrate the ability of San Onofre Security Officers to respond to a radiation medical emergency.

Offsite Exercise Objectives The listed Exercise Evaluation Areas are taken from FEMA's Interim Radiological Emergency Preparedness Program (REP) Manual dated August 2002.

Criterion 1.e.1 - Equipment and Supplies to Support Operations Mission Hospital of Laguna Beach and Orange County Fire Authority have the appropiate equipment, maps, displays, dosimetry, potassium iodide (KI), and other supplies that are sufficient to support emergency operabons. (NUREG-0654,H., J.10.a.b.e.f~j.k., 11, K3.a.)

Criterion 3.a.1 . Implementation of Emergency Worker Exposure Control Mission Hospital of Laguna Beach and Orange County Fire Authority issues appropriate dosimetry and procedures, and manages 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.)

Criterion 6.d. 1 - Transportation and Treatment of Contaminated Injured Individuals Mission Hospital of Laguna Beach and Orange County Fire Authority has the appropriate space, adequate resources. and trained personnel to provide transport, monitoring, decontamination, and medical services to contaminated injured individuals. (NUREG-C654,F.2, H.10., K.5.a.b., LI., 4.)

Exercise Support Staff Role Staging Location Cell Phone Richard Garcia Offsite Lead Controller Hospital (949) 606-2968 Raymond Reece Onsite Lead Controller SONGS (949) 291-3230 Sandy Sewell Health Physices Controller SONGS (949) 292-7911 Dan CleavemgerAmbulance Controller OCFA Fire Station 50 (626) 827-6191 Jeff Games Firefighter Controller Dispatch (760) 685-1576 Robert Pazden Dispatch Controller Dispatch (949) 36M-6555 Jenn Shaver Hospital Controller SONGS (949) 933-3972 Michael Glew Security Controller SONGS (949) 940-6194

.SAN ONOFRE NUCLEAR GENERATING STATION . . '":": R age 3 2010 SONGS MN~sionHospitml OCFAMedical Exeraged.ýo (April 14, 2010) 17

Uncla.-ified Radiological Emergency, Preiparedness Program (REP)

Aft.e Action Reportflmprovement Plan San Onofre Nucleaw Generating Statioa MEDICAL EMERGENCY PLAN EXERCISE -, -":1.:.' .. June 16,2010

'Sequence of Events 1 0745 Flrefiohter Controller Pre Exercise Review Pre. Eijerncse Conditions Dispatch Controller Conditions Health Physices Controtler Security Controller 0815 Ambulance Controller Hospital.Controller-2 0815 HP Controller Initiate Condtions Initiate on-site notification 3 -0815 HP Controller Evaluate Response On-site response conducted in Firefighter Controller to Incident accordance with procedures Dispatch Controller

-0930 Ambulance Controller Off-site responsb conducted in Hospital Controller accordance with procedures

-0900 Onsite Lead Cont-oller v Terminfiate Exercise Exercise Objectives Satisfied

-1100 Onsite Lead Controner -

Supjmary INITIAL CONDITIONS . .

Unit 3 ic in day 37 of tho rofuoting outogo. At 8:15 oa, a loud, orach and "an ihdiviqdual ocroqmiJng.orranqatoc from tho Unit 3 Penetration Building Room 209. Upon investigation, workers find an iqdividual layingin water that.may be contaminated. The individual is bleeding and has sighificant injuries to the fa6e and.. ani..s. .

  • X.RCISE TERMINATION .

The Exercise will be closed out at SONGS when patient is transported off-site. This should occur at approximately 9:00 a.m.

The Exercise will be closed out at the hospital when the patient has been decontaminated and transported:out of the, emergency room and the affected staff successfully egresses from the contaminated area. This should occur at approximately 11:00 a.m. at the hospital. .

Upon termination, debriefings will be conducted at SONGS and the hospital by Exercise controllers All activities associated with the Exercise should be completed by 12:00 p.m.

SAN ONOFRE NUCLEAR GENERATING STATION Page 4 20!0S0riG.SV5Sv0o H.0-pital 0CFAMed~c2! E~rs~nn- Ai14,.20101 18

Uzsclad~iitied Racriotogncal Emergency Pi~epredness'Programr (REP)

After Action Repo*-iprovement gian San Onofre Nucle Ginerating Station MEDICALEMERGENCY PLAN EXERCISE, . June 16, 2010 Instrudions to Ekercise Controllers BEFORTHE-FXE-A SE . . ...

1. Review the information contained in this document.
2. Review procedures to be implemented by participants you will be observing.
3. Note any additional information you will need to give the participants, including props and other staging materials.

Identify this information to the Exercise Coordinator as early as possible.

1. Give participants Exercise conditions and patient status only when they take appropriate steps to EARN the information..
2. Record the actions of Exercise participants on the Response Record. Try to record an OBSERVAT'ION every 2 to 3 minutes: Do not attempt to evaluat.pla'erperf-rmance atthis lime. Notethetol11wing:
a. Time at which personnel arrive.
b. Information flow between Exercise participants.
c. Plan implementation.
d. Actions takenin response to Exercise scenario.
e. Use of "THIS IS A DRILL' with all communications.
3. Check with an Exercise Coordinator ifany problems arise, especially if:
a. Timing or cue cards or responses Is In question.

b.-' Response to Exercis6 corditions'are different than expected.

c. Questions arise about how far to carry Exercise responses.
d. Participant has transmitted information via radio or phone that deviates from the Exercise scenario, 4.. Remind any Exercise observers not to interfere with participants, Their questions should be directed to Exercise 4controllers only.

AFTER THE EXERCISE

1. Debrief Exercise participants in your area Immediately after the Exercise This may be done alone G:rwith other controllers. The following specific items should be discussed:
a. Brief review of the sequence of events and the Exercise summary
b. Statement of any objectives applicable to your area, and preliminary results
c. Brief description of any Exercise response dceficiancies
d. Request for participant response to the items above
2. Collect Participant Comments.
3. Complete the Exercise Evaluation as soon as possible. Explain any unsatisfactory areas and any actions that worked well or were particularly successful.
4. Turn in completed Evaluations, Participant Comments, and collected Exercise materials. log sheets, etc., to the Exercise Coordinator after the Exercise.
5. Attend the controllers debriefing immediately after the Exercise.

-SAN ONOFRE NUCLEAR GENERATING STATION .. Page 5 201a SONGS MIV,'on Hopi~tal OcFA Medical Exercit.do¢ (Apri 14, 20)cr 19

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan San Onofire Nuclear Generating Staticn MEDICAL EMERGENCY PLAN EXERCISE June 16, 2010 Cue Card "i TIME: 0745 CONTROLLERS: Firefighter Controller, HP Controller, Ambulance Controller TIME: 0830 CONTROLLERS: Hospital Controller CONTROLLER INSTRUCTIONS:

Have participants fill out attendnnce sheets to document their. participation in the Exercise..

2 Provide the following information to the Exercise participants ..Ensure they understand-these guidelines for Exercise conduct.

a. Follow your plans and procedures as ifthis were a real event.
b. Observe all normal satety and administrative controls.
c. Assume all instruments and equipment works normally, unless told otherwise by a controller.
d. Describe all actions and communications to the contrblli"ob'ervinj .,ourý e'spcnse.
e. Check with a controller before communicating on the phone or radio.
r. Obtain information on siiulated conditions from a CWrtroller it notavailable from"figlns or other props.
g. Include the statement 'THIS IS A DRILL," in all communications.
h. Mark logs, forms, and notes, etc. with the word "Exercise'.
i. Encourage players to get information from other participants as appropriate.
j. After the Exercise, complete the Exercise Participant Comment form and remaineat Exercise locations for debrietino by Exercise controllers. All Earcisematerials (f6rms. Iobs: n-'etes'etc.) are to be provided to the Exercise controllers at that time.
3. Inform all players that for the Exercise, Unit 3isin day 37 of th'6tofuoling outage.*

SAN ONOFRE NUCLEAR GENERATING STATION Page 6 20

Uiiclaiified Ratdiological Eniergeancy ]epredes~ýP~rogram (REP)

After Ariion Rip ovement Plan San Onofre Nuclear Generating Station MEDICAL EMERGENCY PLAN EXERCISE . . June 16, 2010 Cue Card 2 TIME: 0815 LOCATION/ CONTROLLER: Firefighter Controller, HP Controller LOCATION Building G48

1. All Health Physics Technicians will be prestaged at Building G48. Direct one of the prestaged technician to call the Fire Department Dspatch Office at 86011 and provide the following information; "Helpi We have a serious injury at the Unt 3 Penetration Room 109. A valve blew, and the individual fell off a ladder. He is breeding and has slgniflcantinjuries to the arms, You need to get here quLcki
2.
  • After the phone c.;l is made, the technicianshould begin to render first aid to the victim..
3. Direct the remaining Heallh Physics Technicians to respond to the area 5 minutes after the call to dispatch is complete.

DISPATCH OFFICE CONTROLLER4INSTUCTION$ -

1.. !t is anticipated that by, proce.dure Dispatch wil initiate following onsite notifications;

  • Firetlgnters o Security ..--
  • Health Physics

- 0 , Operations

-:,rany of the atbove Is not notirped, corect the situation aridlnute this in the response record.

2. Because Pre-outage conditions prevent the Exercise from being held in the actual locations, direct the firefighters to respond to the Practical, Factors.Lab-in Building,48.,.... -. .-
3. When the individual is determined to be transported offsite, Ensure Dispatch notifies Orange County Fire Authority Dispatch (714.538.3501) and Mission Hospital of Laguna Beach (949.499.7193), informing them a contaminated patient requires transportation from SONGS and treatment at Mission Hospital of Laguna Beach.
4. Contact the Ambulance Controller to let him know the Dispatch Center has been contacted.

Contingency, If Orange County Fire Authority Is unable to respond due to an actual emergency, SONGS Firefighters will transport the patient to the hospital.

SAN ONOFRE NUCLEAR GENERATING STATION . i. . .! . Paqe 7 2010 SONCS Misonv Hoepital OCFA Medical Exerose.doc (Apnl 14, 2010) 21

Tuncassifeeit RdologicalEinmrgency Patjparedness Prcogrct-n (PYPri Afttr Action Repcit/Impoovement Plan S.-n Onofre Nclear Generating Station MEDICAL EMERGENCY PLAN EXERCISE June 13. 2010 Cue Card 3 TIME: After 0815 LOCATION/CONTROLLERS: Firefighter Controller, HP Controller, Hospital Controller CONTROLLER INSTRUCTIONS:

1. Refer to the Patients Data section for Radiological, and Medical conditions.
2. In the Emergency Room, monitor all communicatbons and action, closely following the actions below;
a. Area setup according to plan
b. Dosimetry issued
c. Protective clothing donned.
d. Ambulance and ambulance responders are montored prior to release.
e. Oral and nasal swags are taken and surveyed.
f. Patient is treated and decontaminated.
g. All contaminated materials are properly handled.
h. Record any prompting in the response record.

SAN ONOFRE NUCLEAR GENERATING STATION .Page 8 2010 SONCS Mon NoHpiml OC*A M.d.l E.......d-Appil 14, .0101) 22

Unclassified Ma&diW..ka Emegency Prepaxednessi Prog-a (REP)

After Action Reparv(Jmprovernent Plan San Onofire Nuclear Generating Station

  • MEDICAL EMERGENCY PLAN. EXERCISE.. .June .16:-2010 Cue"Card 4 TIME: SONGS -0900 Hospital-1100 LOCATIONICMMTROLLERS: Onsite Lead Control&r and Offafe Lead Contromer CONTROLLER INSTRUCTIONS:
1. When all objectives have been fulfilled, inform the players that the Exercise has been terminated.
2. Pass out Exercise comments sheets to al players and instruct themlto remain in the area for a debriefing.

S",J ONOFRE NUCLEAR GENERATING STATION Pane 9 2010 SONGS Mi-ion Hoepital OCFA Medical Exeagse.doc (Ap~il 14, =0lO) 23

Unclassified Radiological Emergency Preparedness Program (REP')

After Action Report[Improvemeant Plan San Onofre Nuclear Generating Station MEDICAL EMERGENCY PLAN EXERCISE June 16. 2010 Patient Data Radiological Data

1. Initial Conditions Back Face Arms 3. After First Decon Back Face Arms Closed window (mR/hr) 3.0. 0. o.1 Closed window (mR/hr) 0,5 0.0 0.0 Open window (mRlhr) 3.0 0.2 0.2 Open window (mRfir) 0.5 0.1 0.0 Direct frisk (cpm) 9000 600 500 Direct frisk (cpmn) 1500 300 40 Contamination (.pnf1ooo.n} 600 400 300 Contamination (CPM/100m,) 40 40 40
2. Outer Clothing Removal Back Face Arms 4. After Second Decon Back Face Arms Closed window (mR/hr) 3.0 0.1 0.1 Closed window (mR/hr) 0.0 0.0 0.0 Open window (mRlhr) 3.0 0.2 0.2 Open window (mRFhr) 0.0 0.0 0.0 Direct frisk (cpm) 9000 600 500 Direct frisk (cpm) 40 40 40 Contamination (opm0lo0crn1) 600 400 300 Contamination (cpm./1oomi) 40 40 40
1. "Body" values are areas normally cov$-ed by outer clothirg.-:-
2. Contamination values are for swabs or wipes used on the patient.
3. All cpm values are gross values. For the Exercise, 40 cpm is considered baokground.
4. Levels may be modified up or down to account for the quality of decontamination techniques.

Medical Data Pulse BP Respiratory Pain Visual Cues Initial Evaluation by SOFD 150 Weak W0/40 22 Shallow 10/10 Employee skin flushed with Left Len diaphoresis, wet clothes, Subsequent E~aluations by 155 Weak 72/48 22 Shallow 10/10 abdominal pain, dizziness, and a SOFD Left Leg laceration to the right arm During Tiansport 160 Weak 76/50 22 Shallow 10/10 Left Legi Initial Hospital Evaluation 152 Weak 78/52 26 Shallow 10110 Fracture to left ulna.

Left Leg With Treatment 101 Weak 102/62 20 Shallow 6/10 Left Leg Survey Location TBD Closed window (mR/hr) 5.0-5.4 Open window (mR/hr) 6-8 Direct frisk (cpm) 18,000 - 19,000 2

Contamination (cpm/100cm ) 6,000 - 15,000 Air Sample Filter {cpm) 60 Air Sample Charcoal Cartridge (cpm) 50

1. All cpm values are gross values. For the Exercise, 40 cpm is considered background.
2. Contamination and radiation levels inside and outside of the area may be modified up or down to account for the quality of contamination control.

SAN ONOFRE NUCLEAR GENERATING STATION Page 10 24

Ulnkhified Rafdilog~icial Ent-gency Prepardnes Progra (REP)

After Action RqmMmyrovement Pbm San Onoft Nuclea dinesting Station

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