Text

IP-EP-115, Revision 26, Emergency Plan Forms
	ML11140A146
Person / Time
Site:	Indian Point
Issue date:	05/27/2010
From:	Glander L; Entergy Nuclear Operations
To:	; Office of Nuclear Reactor Regulation
References
	FOIA/PA-2011-0181, FOIA/PA-2011-0262 IP-EP-115, Rev 26
	Download: ML11140A146 (89)
	v • d • e

{{#Wiki_filter:Emergency Plan Forms Prepared by: Lori Glander 0 Print Name S-/Z-/k Date Date Approval: Brian Sullivan Print Name Effective Date: May 27, 2010 IP-EP-115 (Emergency Plan Forms) R26.doc O aeOnt with t Freedom of hfmgfo Ad. ox-w/ ,on9s.. FOINPA 7r cx

IPEC NON-QUALITY RELATED -EP-115 Revision 26 EMERGENCY PLAN PROCEDURE IP IMPLEMENTING 1fley PROCEDURES REFERENCE USE Page 2 of 7 Table of Contents Section Page 1.0 P U R P O S E.................................................................................................. .. 3

2.0 REFERENCES

3 3.0 DEFINITIONS............................................................................................... 3 4.0 RESPONSIBILITIES...................................................................................... 3 5.0 DETAILS................................................................................................... 3 5.1 Use of Forms..................................................................................... 3 5.2 Control of Forms................................................................................. 3 5.3 Method of Placing Forms in this Procedure........................................ 3 6.0 INTERFACES............................................. 4 7.0 R E C O R D S.................................... 4.................................... 4 8.0 REQUIREMENTS AND COMMITMENTS.................................................... 4 9.0 ATTACHMENTS................................................................................. 4 9.1 Current List of Effective Forms...................................................... 5

IPEC NON-QUALITY RELATED IP-EP-115 Revision 26 EMERGENCY PLAN PROCEDURE IMPLEMENTING Efgy PROCEDURES REFERENCE USE Page 3 of 7 1.0 PURPOSE This procedure controls Forms used by the Emergency Response Organization during emergencies.

2.0 REFERENCES

Indian Point Energy Center Emergency Plan 3.0 DEFINITIONS NONE 4.0 RESPONSIBILITIES 4.1 The Emergency Planning Department is responsible for maintaining forms used by the Emergency Response Organization in accordance with this procedure. 5.0 DETAILS 5.1 Use of Forms 5.1.1 The Implementing Procedure that calls for a form to be completed controls the actual use of forms. 5.1.2 Any needed instructions for form completion will either be on the form itself or in the procedure calling for its use. 5.2 Control of Forms 5.2.1 Forms are numbered sequentially as the need for them is defined by other implementing procedures. 5.2.2 Form numbers will be formatted as "Form EP-n Rev x", where n is the sequential number of the form and x is the current revision of the form. 5.3 Method of Placing Forms in this Procedure 5.3.1 Forms are attached as addendums to this procedure. They will appear formatted in the end use format. There will be no annotation on the addendums or actual forms showing addendum number or procedure page number. 5.3.2 Attachment 9.1, Current List of Effective Forms will list all effective forms and the number of pages in each form.

IPEC NON-QUALTY RELATED IP-EP-115 Revision 26 EMERGENCY PLAN PROCEDURE IMPLEMENTING PROCEDURES REFERENCE USE Page 4 of _7 6.0 INTERFACES.1, Current List of Effective Forms contains interfacing documents to each form. 7.0 RECORDS Forms become official records when completed during a declared emergency. 8.0 REQUIREMENTS AND COMMITMENT CROSS-REFERENCE None 9.0 ATTACHMENTS.1 -Current List of Effective Forms 0 .1 Current List of Effective Forms Sheet 1 of 3 Form Current Form Title Interfacing Number Revision (number of pages if > 1) Procedures EP-1 Rev. 3 NYS Radiological Emergency Data Form, Part 1 IP-EP-250 (1 page) IP-EP-210 EP-2 Rev. 3 NYS Radiological Emergency Data Form, Part 2 IP-EP-250 1 (1 page) IP-EP-210 EP-3 Rev. 13 CCR NUE Notification Checklist IP-EP-250 (2 pages, used back to back) IP-EP-210 EP-4 Rev. 12 CCR Initial Notification Checklist-Alert/SAE/GE IP-EP-250 (2 pages, used back to back) IP-EP-210 EP-5 Rev. 10 Upgrade / Update Notification Alert/SAE/GE Checklist IP-EP-250 (2 pages, used back to back) IP-EP-210 1 Emergency Exposure Authorizations (2 pages, used back IP-EP-250 EP-6 Rev.2 to back) IP-EP-230 EP-7 Rev. 3 EOF Staffing IP-EP-250 EP-8 Rev. 0 Recovery Issues / Strategies Form IP-EP-610 IP-EP-250 EP-9 Rev. 2 Essential Information Checklist IP-EP-210 IP-EP-260 IP-EP-250 EP-10 Rev. 1 ERO Log Sheet IP-EP-220 IPEC Manual Dose Assessment Worksheet I IP-EP-310 EP-1 1 Rev. 1 Estimating Containment Activity via R-25 / 26 (2 pages) EP-12 Rev. 1 Estimated Total Population Dose (8 pages) IP-EP-620 EP-13 Rev, 5 Manual Dose Assessment Worksheet (2 pages) IP-EP-310 .EP-14 Rev. 0 EOF Check Point Sign-In Log.(2 pages, used back to back) IP-EP-250 E P-15 Rev. 0 .Response Check For Radioactive Airborne Concentration IP-EP-330

IPEC NON-QUALITY RELATED. IP-EP-115 Revision 26 A~ te ,PLMETNEMERGENCY PLAN PROCEDURE ,-P15 Rv=nZ Entergy PROCEDURES REFERENCE USE Page 6 of 7.1 Current List of Effective Forms Sheet 2 of 3 Form Current Form Title Interfacing Nu-mber t Revision (number of pages if > 1) Procedures EP-16 Rev. 0 Determination Of Radioactive Airborne Concentration IP-EP-330 EP-1 7 Rev. 3 IP-2 Manual Determination of Release Rate IP-EP-310 EP-18 Rev. 2 IP-3 Manual Determination of Release Rate IP-EP-310 I IPEC Manual Dose Assessment Worksheet Back Calculating Release Rate from Field Data EP-20 Rev. 2 Turnover Sheet IP-EP-250 EP-22 Rev 0 Media Briefing Issues Form IP-EP-260 EP-23 Rev. 1 JIC Staffing Form IP-EP-260 EP-25 Rev. 3 Written Statement Distribution Checklist (2 pages) IP-EP-260 EP-26 Rev. 3 Information Distribution Guide IP-EP-260 EP-27 Rev. 1 Media Monitoring Form IP-EP-260 EP-28 Rev. 1 Joint Information Center Fax Cover Sheet IP-EP-260 EP-29 Rev. 1 Individual Exposure Tracking Log IP-EP-250 EP-30 Rev. 2 Monitoring Team Survey Data IP-EP-250 E3IP-EP-320 EP-31 Rev. 1 Monitoring Team Sample Data IP-EP-250 TIP-EP-320 EP-32 Rev. 2 Determination of Radioactive Airborne Concentrations IP-EP-250 EP-33 Rev, 0 Media Inquiry Log IP-EP-260 EP-34 Rev. 1 Courtesy Call Guide IP-EP-260 EP-35 Rev. 2 JIC Briefing Summary / Talking Points IP-EP-260 EP-3 R. 2 Primary-ERO Activation Checklist IP-EP-130 ~EP-37j Rev. 5 Backup - ERO Activation Checklist IP-EP-130 EP-38 Rev. 1 Emergency Team Briefing Form (2 pages, Back to Back) IP-EP-230 EP-39 Rev. 0 Task Assignment Log IP-EP-230 EP-40 Rev. 0 Emergency Radiation Work Permit IP-EP-230

IPEC NON-QUALITY RELATED IP-EP-115 Revision 26 A~~nt EMERGENCY PLANIPE NTG PROCEDUREIPP-1 Reion2 PROCEDURES REFERENCE USE Page 7 of 7.1 Current List of Effective Forms Sheet 3 of 3 Form Current Form Title Interfacing Number Revision (number of pages if > 1) Procedures EP-41 Rev. 3 Normal IPEC OSC Staffing IP-EP-230 EP-42 Rev. 0 ERO Tracking Log IP-EP-230 EP-43 Rev. 2 Onsite ERO Shift Rosters IP-EP-230 EP-44 Rev. 2 IPEC OSC Guidelines IP-EP-230 EP-45 Rev, 2 Assembly Area Coordinator Instructions IP-EP-230 EP-46 Rev. 3 Normal IPEC TSC Staffing IP-EP-220 IP-EP-230 EP-47 Rev. 0 Accountability Roster IP-EP-430 ~IP-EP-2430 EP-48 Rev. 0 EOF Security Sign in Log IP-EP-240 IP-EP-250 EP-49 Rev. 0 - Containment Discharge Worksheet IP-EP-250 IP-EP-310 EP-50 Rev. 1 Surface Contamination Check IP-EP-320 EP-53

Rev. 0 Unit 2 Plant Parameters - 42a IP-EP-210 IP-EP-220 EP-54 Rev. 0 Unit 2 Equipment Status - 42b IP-EP-210 IP-EP-210 EP-55 Rev. 1 Unit 2 Radiological Data - 42c IP-EP-220 EP-56 Rev. 1 Communications Message Form IP-EP-220 IP-EP-210 EP-57 Rev. 0 Unit 3 Plant Parameters - 31a IP-EP-220 IP-EP-220 EP-58 Rev Unit 3 Radiological Data - 31b IP-EP-220 EP-59 Rev. 0 Unit 3 Equipment Status - 31c IP-EP-210 IP-EP-220 EP-60 Rev. 0 Security Area Route Alerting IP-EP-240 EP-61 Rev, 0 Decontamination Survey Sheet IP-EP-350 EP-62 Rev. 0 Vehicle Contamination check IP-EP-350 NRC 361 12-2000 Reactor Plant Event Notification Worksheet (NRC Form)

IP-EP-130

New York State Indian Point Energy Center RADIOLOGICAL EMERGENCY DATA FORM - PART 1 Notification # This is the Indian Point Energy Center with a Part 1 Notification on: Reactor Status: This is an: EXERCISE ACTUAL EMERGENCY at: UNIT 2 UNIT 3 BOTH UNITS Unit 2 Operational (Date)_ (Time) (24 hr clock) Shutdown 3 Operational (Date) (Time) _(24 hr clock) Shutdown

2.

The Emergency A. Unusual Event B. Alert C. Site Area Emergency ,Cl assification is: D. General Emergency E. Emergency Terminated This Emergency Classification declared on: __ at (Date) (Time 24 hr clock)

3.

EAL#:

4.

Release of Radioactive Materials due to the Classified Event: A. No Release B. Release BELOW Federal limits To Atmosphere TO Water C. Release ABOVE Federal limits To Atmosphere To Water D. Unmonitored release requiring evaluation 5j Wind Speed: Meters/Sec at elevation 10 meters

7.

Wind Direction: (From) Degrees at elevation 10 meters Stability Class: A B C D E F G The following Protective Actions are recommended to be implemented as soon as practicable: A. NO NEED for PROTECTIVE ACTIONS outside the site boundary B. EVACUATE and IMPLEMENT the Ki PLAN for the following Sectors C. SHELTER-IN-PLACE and IMPLEMENT the KI PLAN for the following Sectors All remaining Areas MONITOR the EMERGENCY ALERT SYSTEM 2 miles around 5-miles downwind 5 miles around 10-miles downwind Entire EPZ in the following Sectors: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 NOTE: OFFSITE AUTHORITIES SHOULD CONSIDER SHELTER-IN-PLACE + TAKE KI IF EVACUATION IS NOT FEASIBLE 9-Reported by - Communicator: Telephone # (Communicator's Name)

o.

Emergency Director Approval: Date/Time: (Dire.ctor' Name) Page 1 of 1 Form EP-1, Rev 3

New York State Radiological Emergency Data Form Indian Point Energy Center Part II - Radiological Assessment Data This is an: A. Exercise B. Actual Emergency

11. Message transmitted at:

Date: Time: Location / Facility transmitted from:

12.

General release information: A, Event Release started Date Time: B. Event Release expected to end Date: Time: C. Event Release ended: Date: Time: D. Reactor Shutdown: N/A OR Datei Time.- Meteorological Data As of Date: _ Time: E. Wind Speed meters/second At elevation: meters F. Wind Direction: degrees At elevation: meters G. Stability class (Pasquill):A B C D E F G

13.

Atmospheric release information: As of Date Time A. Release from: 0 Ground 0 Elevated D. Noble gas release rate: Cil/sec B. Iodine/Noble gas ratio: E. Iodine release rate Ci/sec (Assumed OR Acual) C. Total release rate: Ci/sec F. Particulate release rate Cil/sec

14.

Waterborne release information: As of Date Time A. Volume of release gallons C. Radiolnuclides in release: B. Total concentration: ._Ci/mi D. Total activity released Ci

15.

Dose calculations (based on a release duration of hours) Calculation is based on (circle one): A. In plant measurements B. Field Measurements C. Assumed source term Table below applies to (circle one) A. Atmospheric release B. Waterborne release DOSE DISTANCE Xp/Q TEDE (Rem) TODE (Rem) Site Boundary 2 Miles 5 Miles 10 Miles Miles

16.

Field measurement of dose rates or surface contamination/deposition: Mile/Sector OR Time of Dose Rate (mR/hr) OR .Mile/Degrees Location OR Sampling Point Reading Contamination (pCi/rn2) Emergency Director Review and Approval: Page I of 1 Form EP-2, Rev 3

Control Room NUE Notification Checklist NOTE PERFORM ONLY CIRCLED ITEMS FOR NUE PERIODIC UPDATE NOTIFICATIONS I. C t n jt's Contro. Rýnal ýRooiatd_ I'm theni ol'cl,'assl' tion, time, IAtS4 and brief description. "Attention all personnel an NUE has been declared. Staffing of facilities tislis not) required"

b.

If staf~ing of facilities (EOFIOSCfIrScIJIC/AEOI:) is required. state the t'ollowing: "The following facilities are required to be staffed: ( (fill in with appropriate ithcilitics.) --- yS aea dC u tis 0 h n1 iucso lsii ain - to beI wIce by Ilsl ooliitliao of De igf 3 Pick tip the RECS handset When ýoj hear the me.sage "Welcome in Wave. PleiLe enter session ID". Depress the "'7" buotin on the key pad. 5 IF you did not hear the.above message after picking up handset THEN hang tip. wait 5 seconds and repeat steps 3 and 4. AFTER 3 unsuccessful attempts. ad% ise the Enmergency Director and PROCEED to step 7. You will hear t.n toneom wait 5 s*conds and State "This is to report an event at Indian Point Energy Center. Standby for roll call." 1IF unable to contact any station via RECS THEN use L.ocal Government Radio (I.GR'i (instructions step 23). IF I..GR is unavailable, THEN use (ite audio conference bridge (instructions step 24) to contact the Countlic Lind Statc. IF audio confcrence bridge is unavailable. THEN contact Counties and State via the numbers on Form LP-5 Page 3 of"3 using a commercial telephone. enter tine you are starting the initial roll call ii the space provided below. Initiate roll call by asking "(location title) are you on the line?" tor each of'the Ibllowing stations, stopping after each name is read to allow station to identify itself. Check off"Initial Roll Call" for each location as they answer the roll call: Location RInitial Roll Call Time Initial Roll Call Started rlime acknowledged receipt of New York State 0 Email or FAX %Westcheiter County0 0 Peekskill (:It 0 Time Call Completed Rovklund County 0 t)rangc County 0 Puimim County 0 West Point 0-. 0 Sate, 'An emergency has been declared at the Indian Point Energy Center. A Part I Notification N has been sent to you via .Email and FAX." .1\\Announce, 'New York State, do you acknowledge receipt ofan Email or FAX from IPEC" fIF NYS docs not acknowledge, THEN ask Westchester County for ;icknuwledgement as the backupj. Mark time in box abov,.. II'neither location acknowledgcs receipt. proceed to step 13. 12 Announce "IF ny location did not receive Email or FAX or additional Information is required, contact _ lff! h il jŽ JLr ý for assistance." NYS a t(b)(7)(F) or Westchester Countya In the evn.c. that thieceectronic Email or FAX ofthe Part I Notification Form fails: FAX a haord copy of the Iltrm via conventional FAX inachine to all locations and (WAX #s programnted in FAX) or see page 3 of 3 olf-ornm EP-5 verbally read the Pan I Notification tu all paries. b End nutilleation hy saving :*Indian Point out at (timie)". nttter time in the space provided ahove. NOTE PERFORM ONLY CIRCLED ITEMS FOR NUE PERIODIC UPDATE NOTIFICATIONS K'opýtaty nfohray on Page I of 2 Form.EP-3 Rev 13 QK PN_

Control Room NUE Notification Checklist I II 15 The Shi It Manger (Eniergency Di'rector) determines i I' Emergency Rc.spons Organization mobili,zauion is ncded or if fEmergency Response Or*anization should receive E'venr Notification only. Perform or direct notification by one of'the following as appropriate: F" &

l. Entcrgcncv Rcsponse Organization mobilizattion is necdvd. THEN use Envelope A "IPEC ALL ERO Mobilization" envelope to mobilize the ERO.

jF event notification only. T1M use Envelope B "IPEC ALL RO Event Notification" etivelope to corntact ALL ERO members to notitfv them of the event. IFALL Eniergency Response Organivation mobilization is needed for a Security Event. IM use Envelope C "IPEC ALL ERO Mobiliation to Backup Locations" envelope to mobilize the FRO. IF Partial Emergency Response Organization mohilization is needed for TSC/OSC activation only,THEN IusC Envelope 0 "IPEC "TSCJOSC Mobilization" envelope to mobilize specific FRO members. IF Partial Emergency Response Organi4ition mobilization is needed for TSCIOSC/EOF activation only, THEN use Envelope E "IPEC TSC/OSC/EOF Mlobiliz-ation" envelope to mobilize specific 1'RO tncntbers 16 Notify Security Shifh Supcnisor oft he a ftected unit and datdtime of NUE classification. CalCAS atb)(7)(F) r,.. and request to speak to SSS or leave a mei.ssage. -I V 17 Call Indian Point Comutunications Rcpreselnative a

a.

Read the following stateente to individual answering or into answcring machine: -This Is the Unit _ Control Room, an Unusual Event was declared at (time) on Emergency Action Level number " (FA L)

b.

If individual answers THEN obtain and enter natt ofindividtl contacted:_ Notify NRC: (.it) lie iniliowd wilhin I hoor ofelassificafion) (Within 155 minutes if required by O.A011-SEC-1 Tilm

18.

FitLkdurinanoatna.BwoKi,hotrs TFIEN notify the ufceted Unit(s) NRC Resident spctor 18 (b)(7)(F) tctdun(*NC.sdn n,:cr I F during olf-hoUrs 3-M call the NRC Senior Resident Inspector using phone numbers provided in the Emergency Telephone Director), Provide the Inspector with Date'Time of NUE classification, EAL., 'i and brief defription of'event.

39.

Contact NRC by calling main number listed on ENS phone. tF main number does not work THENI use I ", 2' or 3'j bckup number, or region 4 alternate number listed.) lnlbrm them that this is a 50.72 notification and provide dicm with Dutctliimc of eiergency classification, I3Al It and briof description of event. Completc NRC Form 361. if requested. 2 Record any Comments: Date and sign this Ibm D.ate: T 1 ignature:

22.

n lntbmn the Shift Manager that you have completed NUE notilfcations 23 Use of Local Government Radio (L;R) A. Depress "L(R" select call button on Zeiron panel and depress tite transmit buttnn. Transmnit the following: -This Is to report ano_:enLax. IllanPninLEnerv center. Stand hy for roll call". Return to Step S and notify Westchestcr (ounty offthe. event via phone m) (lb)(7)IF)

24.

'Use of Conference Bri ge: A. Cal (b)(F Ltit State and CO'unty Warning Points and EOe's to call into the Ba*kup Conlntrence Bridge. NC) >li'r steps B. '. and D yoil will he aske.d fbr a contirmation oftthe numbers You entered. B. You Will hear: "Thisis the remote activation module. Please enter vour company ID numbervfollo~r r ouk sign." Ente (b)(7)f) C. Yo'*u wvill hea:;r: "'Pleo.*, enwr your er.eorio ucrivsioo Io.*saswnrdffloiud by tha pt.nd sign" Enteu .) (-- I.). You will hear "Tositartit. scenario, eter IDJilulwed by the pound sign, or press pound toe, formore m ption" Enteb7F Y01tt will hear "71t listen tn the current scenario messagepres.s I, to re-record the scenario m,.essage press 2, s.trtA'e scenario press.", to return to the main menu press pound: Press 3 F. AFTER you hear: "The scenario is building" IIANG U P THE PHONE G. lisingt a regular tultsnnea~ l itto the conference bridge number hy dialing the ,)%ii 7 will b sked tt etteran access code cntIe 'ou will hcthe host onthis

tffrenct.

N i II. ,I\\F:'TER th tones:... te,th, ollowing: "This is to report an event at the Indian Point iEnergy Center. Stand by for roll 'all," L I. to step 8__ ýropr/eta(y,nfnmati/n Page 2 of 2 Form EP-3 Rev 13

0].,. COR Initiall Notification Chbcklist - Alert"SAE/GE If the Shift Manager does n.ot feel it is~safe-to.refocate.persýbhel at this time, DO.-NOT sound the Site Assembly Alarm or 0 - 00:"--' ~ i ".0 0 0-I-I Cota

c. p oi s C R o. ", ýafd *ifo*

em sýii 'tion, ttim.e. A d e b y a .rief d A "'.n.' i* *I. Contac o'*pp-sit u-nit's? CoEntrol] Roo a nd] inor th e o fJo. cimssif[- icition , fie.* E. andT brTi-(( ief d[ rip[; on.' l[-I IT (b)(7)(F)

2.

Coordinate the following with the opposite unit Control Room:

a.

Sounding of the Site Assembly Alarm for 10 seconds atnd; b, Announce the Iollowing message over both Unit's P.A. systcms three (3) times: "Attention all personnel a (Alen/$S1e Area Emergency/General Emergency) has been declared. All E.sential Personnel report to your assigned emergency response facility. All other personnel report to the Energy Education Center or Generation Support Building."

3.

The Shift Manger (E(mergcncy Director) determines whar type of Ermergency Response Orpnization mobilization is needed utilizing the appropriate cnvelope:

a.

IF a Security Event, THEN use Envelope C "IPEC ALL ERO Mobilization to Backup Locations"

b.

Otherwise, use Envelope A "IPEC ALL ERO Mobilizatlpn" i""" A..1i: k 'uptheRECS handsett 5 Wbnyou hear the messageWelcomric to Wave-Please enter session ID". Depress the "..button on the key pad.

6.

IF you did not hear the above message after picking up hand.4e THEN hang up. wail 5 seconds and repeat steps 4 and 5. AFTER 3 unsuccessful attempts, advise the Emergency Director and PROCEED to step 8.

7. You will hear two tones, wuit 5 seconds and State "This is to report an event at Indian Point Energy Center. Standby for roll calL"

8.

IF unable to contact any station via PECS THEN use Local Governmnent Radio (LGR) (instructions step 24). IF LGR is unavailable, THEN use the audio conference bridge (instructions step 25) to contact the Counlies and State.. IF audio conference bridge is unavailable, THEN contact Counties and State via the numbers on Form EP-5 Page 3 of 3 using u commercial telephone.

9.

Enter time you OTC starting the initial roll call in the space provided below. J0hi~iiitc rdiil 6611.b -iskin.g.'locb dfie) aie:,ou on the'i.ne?". forcauch-of-the-following stations; stopping after each name is read'to allow station it identify itrlf. hieck off"Initial Roll Call" for each location as they answer the roll call: Initial Location Roll Call Time initial. Roll Call NeWYO* State Time acknowledged receipt of

tartid* :

Email or flx. ~~I X I] ,Westc~h6.sler Co'unty 0______ Peekskill City 0 Time Call Completed Rockland County 0 Orange County 0 Putnam County Q West Point 11 I I. State. "An emergency has been declared at the Indian Point Energy Center. A Part I Notification #__ has been sent to you via Email and Fax."

12. Announce, "New York State, do you acknowledge receipt of an Email or Fax from IPEC," IlFNYS does not acknowladg4 THEN ask Westchester Countybr ucknowldgcrit as the backup'j. Mark time in box on page I. If neither,cknowledges n.rcipt, proceed to wep 14.

13. Anno*nce "IF any location did not receive Email or Fax or additional Information is required, contact (fJll in with onctiedow) for assistance" NYS-A~b)jj(

or Westchester County P/olietaý,nf 7*m n Page 1 of 2 Form EP-4 Rev 12

CCR Initial Notification Checklist - Alert/SAE/GE

14. In the evunt that the dcctrooic FAX or F'mail of the Pan I Notillcation Form rails:

I FAX a hard copy (f the form via conei'tionad FAX machine toall lotittis. (nuimucrs prcpmgnrumed in IA-X) rr see page3 013 ofFonn EP-5 Verbally read the Pan I Notileition to all parties

15. End notification by sa.ying ",Indian Point out at (time)". I-rnter tnie it the space provided above.

16. Notify Security Shifl Supervisor of lhe alffeced utnit mid date/ime ot.&cVSA/GF ela.iliewion, id r.aquest t' spa)"7 a SSS or leave a mnKsagc.

17. Call Indian Point Communictijons Rep nsenuitiev

_fT "E,

a. Read the following statement to individual aniwcring or ijto an.wcing machine: -This is the Unit-Control Room. and (Alert/Site Ares EmergencylGeneril Emergency) was declared at (time) on Emergency Action Level number

b. Ifindividual auswers THEN obtain mid enter namer of individual contacted:

[A-Notif IS. I (t o bedinintmate wor hin I hours E notfy tlas stfectedn unitiiinR15 mtidnutes Insetoured1)OA 1-E -)Tm 18ý. _IF"ii is during ret~mini work'inhouirs THEN notify th., affected unit(s) NRC Resident Inspector (b)(7)(F) IF during off-hours THEN call the NMC Senior Resident Inspector using phone nurnbers provided in the E.!mergencyv elephone D)irectory Provide the Inspector with Daterrime of emergency classification. EAL M and brief description of event,

19. Contact NRC by calling main number listed on ENS phone. (IF main tnumber does not work I=

useo I", 2,d or 3' backup number. or region 4 alternate number listed.) Inform them that this is a 50.72 notilicution and provide thctnwith I)ateTime of emergency classification. UAIL N and bricf description of event. Complete NRC Form 361. ifrequested.

20. Record any Comments:

2 1. Date and sign this form Date:

22. Inform the Shift Manager that you have completed emergency notifications Signalurc:

Noi4 N, NYSC IO NEI

23. Notify the following via telephone (additional numbers may be in Emergency Telephone Directory). Provide the facility, classification.

date/time of the classification, brief event description, and any other info requested. Update with each classification change. (b)(7)(F) K K

24. Use of Local Government Radio (LGR):

A.: )epres's "LGR" select call button on Zetron panel and depress the Iransmit button. 'lransmit the following: "This is to repoitan-eyrnt a _P_ y Center. Stand by for roll call". Return to Step I I and notify Westchester County of the event via phone. (t (b)(7)(F)

25. Use of Conference Bridge:

The folloria.I State and Counts Warning Points trnd E, OC~s to call into the Bc:wkup Conference,ridue. A. C ()7(i`U N 7 "3r,*1slcpI c '* n ti.d D you .sil bIIhe asked for a conFirmation or the numbers you entered._d"

13. You will hear:

This is the remote netivalion module. Please emer your compayO, I) number followed blp the pound sign." 'Ente (b-(7)(F) C. You will hear: "Please enterrour.senorio octiv tion pf.sswordfouliced bhy the pntindsignt,rinte 1). You will hear: "To slurt a s'eenario. enter the scezario ID followed byv the pound sign, orpres.vpound alone for more options.," Enter*l(F] E. You will hear: "To li/vten to the currenl seenario message press 1, to re-record the scenario me*saRe pres" 2, start the stenario press.3, to telto'rn to themain menu press pound" Press 3 F. yF'ER.you hear: "The scenarlo is building" HANG UP TIE PHONE G. Using a regular telephone call into the cunlkrcncc bridge number by dialing the following: .o A; te will hh e af ed tcn T inter ain accesp o .in eentache Indian will be the host ofrthis ron lrncc. 1-I. Af"TER t11v tones: State [lie folowiring: "T'his is to reporit. n event iat the Indian Point Energy Ccnter. Standby for roll call." L~euit tp9 rN~ K or,/Ijaryýfo rh Page 2 of 2 Form EP-4 Rev 12

UpgradelUpdate Notification - Alert/SAE/GE Checklist r Note If the Shift Manager does not feel it is safe to relocate personnel at this time DO NOT sound the Site Assembly Alarm or call for personnel to report to the Assembly Areas. Upgrade notiticalio*s shall be made within 15 minutes of classilication change. Periodic Update Notilications should be done approximately every 30 minutes or more r'requent when conditions change. Use the CCR AlckrtSAIU(;E Initial Notirication Checklist (Form EP-4) For upgrade from NUE to Alert. I. If t Site Area Emergency or General anr.i l d initial accunbilit has not been completed TiEN: Cal*lho"nafTecedunsj control roon (b)(7)(F) nd Security Shift Supervisor at (b)(7)(F) Ind inl-orm t ndnor have both control roomns sound the fite i ssembl. Alarms.

2.

If the emergency cLtssMfication changes THEN perform the ibllowing: it. A.nnonce (orhave both CCRs announce.) th applicabla message ovvr Ihe P.A. systesn. th ree 0.) t me.: "Attention all personnel a (Situ.1reu EntergetilG'eneral Einerg*nt.y) has been declared." OR if the classification is terminated THEN announce: "Attention all personnel the emergencv has been terminated"

3.

PKik tip the RECS handset

4.

When you hear the message "Welcomei to Wavc. Plea,, enter session ID", )D.press the "' button on the key pad.

5.

IF you did not hear the above message after pickinlg tup handset TIIEN hang tpp, wait 5 seconds and repeal steps 3 and 4. AFTER 3 unsuccessrul attempts. advise ihe Enertgcncy Director and PROCEED to step 7.

6.

You will hir two tone-, wait 5 secon*-w ad Sntte "'rhis is to report an event at Indian Point Energy Center. Standby for roll call."

7.

IF unable to contact any station via RECS THEN use Local Government Radio (I.GR) (instructions step 21). IF LGR is unavailable, TIIEN use the audio conference bridge (instructions step 22) to contact the CountiCs and State. IF audio conference bridge is unavailable. THEN contact Counlies and State via the numbers on Form EP-5 Page 3 of3 using a commercial telephone. X1. Enter time you are starting the initial roll call in the space provided below.

9.

Initiate roll call by asking (/ocation title) are you on the line?" for ctah of the following stations, stopping after each name is read to allow stalion to identify itse l. Check ofT lInitial Roll Call" fbr each location as they answer the roll call: Initial loa',tion Roll Call Time Initial Roll Call New York Sut*. l Time acknowledged receipt of Started Email or fax Westchester County 0 Peek'skill C'ity 03 lTime Rockland County 0 Call Completed R~lt onI-Onutg, County 03 Nutimon County 0-West Point 0

10. State, "An emergency has been declared at the Indian Point Energy Center. A Part I Notification N__ has been sent to you via Email and FAX."

I1. Announce. "New York State, do you acknowledge receipt of an Email or FAX from IPEC." fIF NYS does not acknowledge. THEN ask Westchester County for acknomicdege11cni as the hackupl. Mark time in m*ix above. If'neither location acknowledgcs receipt. proceed to step 13.

12.

Afnnounce "IF any location did not receive Email or FAX or additional information is required, contact..Jfi1!/in wL*_..lh lo*). for assistance." N .*S at or Westchester County a (b)(7)(F)

13.

In the event that the electronic Email or FAX ofthe Part I Notificatinon Form rn1ils: FAX a hard copy oifthc form via convenoional FAX machine to all locations and (FAX 4s programmed in FAX. ) or '*e page 3 of 3 of Form EP-5 vcrhallv read the Part I Notification to all panies.

14.

End nolificahion by saving "indian Point out at (time)". Enclr time in the space provided above. P(op~et

4,

ýo atifn Page 1 of 3 Form EP-5 Rev 10

UpgradelUpdate Notification - Alert/SAE/GE Checklist NOTE USE THE CCR A LERTISAE1GE INITIAL NOTIFICATION CHECKLIST (FORM EP-4) FOR UPGRADE FROM NUE TO ALERT.

15. L ii-normal workin hours THEN notil\\, theif.lTected unit(s) NRC Resident Inspector IF during otffhours TI-EN call the NRC Senior Resident Inspector uLsing, phone numbers provided in the Emeergency telephone Directory Provide the Inspector with I)al;'rihnc of classilicat ion. EAi. 9 and brief description of event.

16, Contact NRC by calling main number listed on ENS phone, (IF main number does no1 ,vork IlIEN use I1. 2? or 3`1 backup number. or Region 4 alternate numher listed.) Inform thent that this is a 50.72 notification and provide them with Date/i'ime of emergency classification. ,\\I.. Con_# and brielfdescription of event. Copnlere NRC Form 361, il'rctlestcd. Nniiv AN-NYI.S. IN10. f:I

17.

Notitv' the tollowing via telephone tadditional numbers nay be in Emergency Telephone Directory). Provide the facility. classification, date/time of the chlssification, brief event description and any other info requested. Update with each cl.s sification change. l57 R(ecord any Comments:

19. Date Wid sign this foirm Date:

Signtutre: haeeorlted enncraintey notifietittions

20. Inform the Shift Manazer that you Date:

I Signature: 1 hav*,;omDlctttd cmcroencY nOlifiCtdiOnS Use of Allernale NofiliwafionNicitiods I 21. Use of Local Government Radio ([.GR): A. D _press "LnR" select call button ttn Zetron panel and depress lhe transmit button. Transmit the following: "This is to report an In~lannP~in1.nrawv-Conter. Stand by for roll call". Rtturn to Step 8 and nonifv\\ Wcstchester CoUtnLy ofthc event via phone a (I)(7)(F) (b)(7)(F) 22.' Use of Conference Bridge: 'l'.Cjall .N State and County Warning Points and EOC'" to call into the Btackup Conerenceli Bridge. NOE : lIr steps B. C. and D you will be asked for a continnation of the nunibcrs you entered. B. Ydu will tear: "Thuis is the remote activatdio nodule. please enter your company IDnum&ber followed by the pound sign." Entef(b)(7)(F) C. YoLt will hear: "Poase enter your s.enario dcetiwjtueid pasword follned ny the poutd sgn'" Ente lfb)(7*)*(F) I). y il har: "To swa r a scenario, e nter the rcenarlo 10 followed by the pound sign, or press pou d aloneýformnore options. Enter Ii. "'ouwillhor: "To listen to the current scenerio message press I. to-re-record the scenlarlo message prexs 2, start the scenario press 3, to return to the main menu press pound" Press 3

r.

AFTFR you hear: "Theecenariols building" HANG UP TlE PHONE G. Usin retLarjeffqhone call into the conference bridge numbcr bh, klnitnte IbIllowing: 1(b)(7)(F ou,.Will hr askcel to enter an access code. eneb7)(F) ou will he the host of'this conference. HI. Al-R t e tones:J .laic the following: "This is to report an even aft' tIndian Point Energ3' Center. Standby for roll calL." I. Re'urtm to slLp, K P opri eja r/ n f1.,na tife Page 2 of 3 Form EP-5 Rev 10

0

0.

0** Upgrade/Update Notification-AlertJSAEIGE Checklist CCounq'/State Agency Contact Numbers for usC with Commercial Telephone / FAX System. A. Dial the Waminwg Point numbers below and transmit "This is to report that an event has been declared at Indian Point Energy Center. The Part I formii has been sent via Email and Fax". Place timie first aency is conlacted in "Time Initial Roll Call Staned" box on Page lofapplicable checklist B. Once last call is completed enter time in "Time Final Roll Call Compleled" box on Page I of applicahle checklist. C. Return to applicable checklist to complete notifications: t Stel) 15 - Initial NUE Checklist

Step 19-Update NUE Checklist s Step 16-. Initial AtertiSAE/GE Checklist
Step 15... UpgradevUpdate Alert)SAEUGE Checklist Warning Point Warning Point FAX Location KPim Nuimber E MOC Phone Number i

EOC FAX (b)(7)(F) New York Slate Westchester County Peekskill City Oranige County Putnam County Rockland Counly West Point1 P0 1e~y inf~i, Page 3 of 3 Form EP-5 Rev 10

EMERGENCY EXPOSURES AUTHORIZATION NAME: SOCIAL SECURITY NO.: AGE: Reason for exposure in excess of 5 Rem': (include tasks to be performed) ESTIMATE OF PLANNED DOSE AUTHORIZED EMERGENCY DOSE WHOLE BODY REM REM EXTREMITY REM REM THYROID REM REM I have volunteered to perform the task(s) during which I will receive the emergency Exposure, and I understand the potential consequences of the proposed emergency from the attached summary. Individual to Receive Exposure: Date: (Signature) EPM/POM Or Emergency Director Approval: Date: (Signature) WARNING Emergency worker exposure limits are NOT TO BE APPLIED to minors or Fertile women Emergency Exposure Guidelines:

1.

All Emergency Exposures shall be authorized by the Emergency Director (ED) or Emergency Plant Manager (EPM) / Plant Operations Manager (POM).

2.

All individuals may be authorized up to 5 Rem per declared emergency. This is exposure for a given emergency event historical occupational exposure is not totaled into this limit.

3.

Volunteers may be authorized up to 10 Rem to protect valuable property.

4.

Volunteers may be authorized up to 25 Rem for life saving or the protection of large populations.

5.

Individuals may volunteer to receive greater than 25 Rem to save a life.

6.

Procedures allow for the ED or EPM I POM to give a blanket authorization of up to 5 Rem emergency exposure for Alert or higher classifications. These authorization should be documented in position logs. 7-Any emergency exposure greater than 5 Rem Whole Body, 50 Rem Extremities or 50 Rem Skin of Whole Body, shall be authorized on a individual basis for a specific task.

8.

All emergency exposures are voluntary. - For higher doses individuals over the age of 45 are preferable.

9.

Individuals shall be briefed that these exposures may increase their chances of cancer during their lifetime.

10. For any expected or actual Thyroid Exposure > 5 Rem CDE, the issuance of KI should be considered. The ED or EPM / POM authorize the use of KI Page 1 of 2 Form EP-6 Rev 2

EMERGENCY EXPOSURES AUTHORIZATION Effects From High Levels Of Radiation Exposure Radiation injury depends on numerous factors such as the type of radiation, the parts of the body exposed, the rate and duration of exposure, the number of exposures, and the age and sex of the irradiated person. There are short and long term effects from high levels of radiation exposure. Short Term Effects: Whole Body Effects: 15 to 50 Rem - No symptoms, blood test may show some slight changes. 50 to 200 Rem - Some nausea, vomiting, and slight decrease in blood count, no deaths expected. 200 to 450 Rem - Most have nausea, vomiting, and feel flu symptoms. Most have hair loss, infection likely, 10-50% deaths. 450 to 600 Rem - Flu, bleeding from mouth and throat, infections likely, 50-90% deaths. 600 to 1000 Rem-Symptoms worse than above, 90-100% deaths. Radiation Injury to the Skin: Less than 1000 Rem - First degree thermal bum (similar to sunburn) 1000 Rem to 5000 Rem - Blisters form and break open (Similar to scalding or chemical burn) Over 5000 Rem - Ulceration and major skin damage Potential Long Term Effects: Based on information from the National Research Council (BEIR V). Cancer Probability: The normal chance of contracting fatal cancer for a group of people with no radiation exposure in the United States is 20%.If this group of people were exposed to 100 Rem, the chance of any person contracting fatal cancer would increase to 28%. Genetic Effects: A 100 Rem exposure to radiation is estimated to increase the chance of a genetic effect from 0.25% for the average person with no radiation exposure to 0.5% Fertility Effects: An exposure to the gonads of 250 Rem may cause reduced fertility, and an exposure of 600 Rem may cause permanent sterility. Cateracts: (Cloudiness or darkening in the lens of the eyes.) 200 Rem to the eyes may cause cataracts (ICRP 41). Page 2 of 2 Form EP-6 Rev 2

EOF Staffing No. I Positions 1 Emergency Director 1 ED Technical Advisor 1* Offsite Radiological Manager 1" Offsite Communicator 1 EOFManager 2** ~Dose Assessor 1 Field Team Coordinator 6 Field Monitoring Team Members 1 Admin & Logistics Manager 3 EOF Clerical Staff 1 Lead Offsite Liaison 1 State Liaison 1 Westchester County Liaison 1 Rockland County Liaison 1 Orange County Liaison 1 Putnam County Liaison 1 IT Support 1 Information Liaison 1 i ICP Minimum Staffing for facility activation Only one Dose Assessor required if determination is made there is limited offsite radiological concerns for event. Sheet I of 1 Form EP-7 Rev 3

Recovery Issue / Strategies Form Area Owner Safety Rel. Prior Duration Man-hours Description of Issue Resources Needed Use this form to document major items to be addressed during Recovery. Area: Onsite / Offsite / Public Information Owner: Responsible individual or organization Safety Related: Yes or No Priority: 1 = Immediate (24 hr.) 2 = Short Term (1 Week) 3 = Intermediate (1 Month) 4 = Long Term (> 1 Month) Duration: Estimated Calendar Duration Man-hours: Estimated Total Project Hours Sheet 1 of 1 Form EP-8 Rev 0

Essential Information Checklist Affected or Lead Unit: 0 Unit 2 0 Unit 3 0 Both Status of Other Unit: 03 At Power 0 Shutdown 0 See other Unit Checklist Emergency Classification: Reactor: 03 At Power 0 Tripped Time: EAL #: 0 Unusual Event RCS: C3 Alert Temp: IF Pressure: PSIG O3 Site Area Emergency RVLIS I Pressurizer Level: O3 General Emergency Subcooling: Last Offstite Notification Completed Method of Core Cooling; 0 SIG 0] Safety Injection 0 RHR Electrical Power Supply: 0 138 KV 0 13.8 KV 03 # Diesel Generators Event

Description:

Major Equipment Problems: Current Priorities: High Med Low U No Release E3 Release Security Issues: E3 Liquid 0 Gaseous Release Status: Fission Product Barrier Status U In Progress [ Expected Barrier Intact Challenged Lost J Filtered EU Unfiltered Fuel Clad C Q J Q Monitored U Unmonitored RCS U U3 U D Controlled U Uncontrolled Containment U U U Date :/Time This Checklist was Other: completed. / Form EP-9 Rev 2

Emergency Response Organization Log Sheet ERO Position: Date: Name: Time Significant Events, Information or Communications Signature: Page __ of__ Form EP-1O Rev 1

IPEC Manual Dose Assessment Worksheet Estimating Containment Activity via R-25 126 Radiological Data R-25 / 26 Reading Rem/hr Dose Conversion Factor (.01cc) / (R/hr) (from table below) h Time after Shutdown (hrs.) Dose Conversion Factor (.Cl/cc) / (RFhr) < 1000 Rem/hr > 1000 Rem/hr (Gap Release) (Fuel Overheat I Melt Release) 0 0.04 0.03 4 0.12 0.07 8 0.17 0.1 12 0.2 0.13 16 0.22 0.14 20 0.25 0.17 24 0-27 0.18 Vapor Containment Activity Calculation X X 7.4 E+10 cc = R-25 / 26 I Dose Containment Total VC Activity (pCi) Reading (R/hr) Conversion Volume I I Factor Sheet 1 of 2 Form EP-1 i Rev. 1

IPEC Manual Dose Assessment Worksheet Estimating Containment Activity via R-25 1 26 Containment Data Containment Pressure psig Estimated Leak Rate (cc/sec) - cm2 (see table below) Estimated Leak Area Cm2 (leak area = 72 ) Leak Rate per Cm 2 VC Pressure Leak Rate (cc/sec) VC Pressure Leak Rate (cclsec) 1.0 8.34E+03 18.0 1.93E+04 1.5 9.96E+03 20.0 1.95E+04 2.0 1.12E+04 22.5 1.97E+04 2,5 1.22E+04 25.0 1.99E+04 3.0 1.31E+04 27.5 2.01E+04 4.0 1.44E+04 30.0 2.03E+04 5.0 1.55E+04 32.5 2.04E+04 6.0 1.63E+04 35.0 2.06E+04 .7.0 1.69E+04 37.5 2.07E+04 8.0 1,74E+04 40.0 2.08E+04 9.0 1.78E+04 42.5 2.1OE+04 10.0 1.81E+04 45.5 2.11E+04 12.0 1.86E+04 47.5 2.12E+04 14.0 1.89E+04 50.0 2.13E+04 16.0 1.91E+04 Vapor Containment Release Rate Calculation x X1 x 1,E0 VC Activity L eak Rate Leak Area Conversion VC Release Rate (aCiUCC) (from Table) (Cm

2)

L Factor I(Ci/sec) Sheet 2 of 2 Form EP-1 1 Rev. I

ESTIMATED TOTAL POPULATION DOSE Sheet I of 8 .j. SectorfZone Ref. TLD mrem Zone Corr. Factor (1) Interpreted mrem (2) Modifier (3) i Population (4) Est. WB Rem 1-109 1- .4 183 1-5 1.332 1-3 _14-009_ 1-10 182 2-5 1.716 I i ETR OAS 2-8 ____4____ ___0 2-10 1.235 _2-3......... 314_ 2-4 j661 2-5 g1.716 2-7 R SECTOR TOTALS: 2-8 340 2-9A 29, ___838 210 1.235 (1) Zone in question correction factor (Attachment 2 procedure IP-EP-820 or calculated from formula at bottom of Attachment2 and XuIQ values) (2) Multiply TLD mrem by Zone Correction Factor (3) If no evacuation, modifier is 1.0 (4) 2000 Census Form EP-12 Rev I

Sector/Zone 3-1 3-5 3-6 ESTIMATED TOTAL POPULATION DOSE Sheet 2 of 8 TLD mrem Zone Corr. Factor (1) Interpreted mrem (2) Modifier (3) Population (4) Est WB Rem '1------------ I 17 17 4-- 1 I---- 3439 F +- F 77TZ V L L9774. 4.510 F i-------------- P 7 0T73 2973 3.823 3-7 3-4 3-9 3-10 S. __3,356 . 1.760 1.196, i .1,097 SECTOR TOTALS:" 7 P ~4 4 4

1 4-1 4-+/-2 4-3 4-4 4-5 7

--I--.- 4, -{2.178 4-9 4-10 7-T* 7: 3.683 2,473 4,797 -44 6.936 ~'~~1 1- .4------. 6,915 ___________________-.______ I .....,.:,,4 ! :ii!t'*: :* :**'*'. ":**"z SECTOR TOTALS: o., (1) (2) (3) (4) Zone in question correction factor (Attachment 2 procedure IP-EP-620 or calculated from formula at bottom of Attachment2 and Xu1Q values) Multiply TI.D mrem by Zone Correction Factor If no evacuation, modifier is 1.0 2000 Census Form EP-12 Rev 1

ESTIMATED TOTAL POPULATION DOSE Sheet 3 of 8 Sectorizone TLD mrem Zone Carr. Factor (1) Interpreted mrem (2) Modifier (3) Population (4) Est WB Rem 5.-I _334 _-2... 313 5-3 ~ 1 ______i---24 5-4 4-J,-_950 I I 5-5 594 5-6 620 5-7 I -1 1- ~ ~1.545 ______ 5-8 _______________1,355 5.9_-______ _9 3.224 1,__ 5-10 I 3,426 6-1 __251 6-2__ __192 757 I 6-4 i 656 6-5 g18-9 18 +/- 304 6-7 6, 1 6-8 __319 6-9 ý 626 6-10 2.113 - T~iI7 __________SECTOR TOTALS: 213___ - ;*!,:!; I.i .*!' :i!!,;*.: __._____-__.____________-_ I (1) Zone in question correction factor (Attachment 2 procedure IP-EP-620 or calculated from formula at bottom of Attachment2 and XuIQ values) (2) Multiply TLD mrem by Zone Correction Factor (3) If no evacuation, modifier is 1.0 (4) 2000 Census Form EP-12 Rev I

ESTIMATED TOTAL POPULATION DOSE Sheet 4 of 8 Sector/Zone T TLD mrem Ratio Corr. Factor (1) Interpreted mrem (2) Modifier (3) Population (4) Est. WB Rem 7-2 922 7-3 tt1.543 2,490 7-5 694 7-- 4,590 7-7 2,630 I 3,004 7.9 10.085 7-10 6,9001 i ,.SECTOR TOTALS: 8-4 _168 8-5lf 217 8-6 _0 8-7 90 8-8 _0 8-9 3,864 8-10 9.817 -.i: _ _ _ _ _ _ _ _ _ _ _ _ _ { S E C T O R T O T A L S:._,'_ _._' (1) (2) (3) (4) Zone in question correction factor (Attachment 2 procedure IP-EP-620 or calculated from formula at bottom of Attachment2 and Xu/Q values) Multiply TLD mrem by Zone Correction Factor If no evacuation, modifier Is 1.0 2000 Census Form EP-12 Rev I

ESTIMATED TOTAL POPULATION DOSE Sheet 5 of 8 Sector/Zone f TLD mrem Zone Corr. Factor (1) Interpreted mrem (2) Modifier (3) Population (4) Es. WB Rem

9.

68 9-2 541 9-3 .0 1 9-4 0 9-5 1,229 9-_ _5,661 j 9-7 i _92___ 942 __8 4.716 " :7,829 9-10 7,358 1 SECTOR TOTALS: 101 _.52 10-2 1 604 10-3 t _*420 10-4 __12.853 10-5 o,10.9oo 10-6 -5.970 10-7 3,378___ 10-8 ['t "'i 3.778 10-9 I_6.101 10-10 1 10,856 .it.',, ~ 4ý{ SECTOR TOTALS: (1) (21 (3) (4) Zone in question correction factor (Attachment 2 procedure IP-EP-620 or calculated from formula at bottom of Attachment2 and XuIQ values) Multiply TLD mrem by Zone Correction Factor If no evacuation, modifier Is 1.0 2000 Census Form EP-12 Rev I

0 r ESTIMATED TOTAL POPULATION DOSE Sheet 6 of a SectorlZone TID mrem ZoeCorr. Factor (1) Interpreted mrem (2) Modifier (3) Population 14) Est. WB Rem 11-2 __0 1- ~~~2,115 _114 I______ __2,486 11 ~~~~3.853 _________ 11-7 [_________ 4,496 11-8___ ___3.090 11-9 __ 1. 1 1,388 11-10 I2,955 SS k 12-0.'s.,~ SCO OAS 12-4.57------------------ 1217 48 _12-134___________I________________I-12-9 0 Q10ii 51 '~ ______a 12~~" SETO 1TOTALS:____ 1-________ (1) (2) (3) (4) Zone in question correction factor (Attachment 2 procedure IP-EP-620 or calculated from formula at bottom of Attachment2 and Xu/Q values) Multiply TLD mrem by Zone Correction Factor If no evacuation, modifier is 1.0 2000 Census Form EP-12 Rev I

ESTIMATED TOTAL POPULATION DOSE Sheet 7 of 8 St 13 ectorlZone TLD mrem Zone Corr. Factor (1) Interpreted mrem (2) Modifier (3) Population (4) Est. WB Rem 1_ 0 E0 1-2 __I 295 i 3 154 j 0 13-5 13-6 13-107 0 0 4 0 0 + 4-0 -4 4 0 20 ~ SECTOR TOTALS: 1 1.' 14-0~~ 14-2 -0 14-3 19______ 14-4 1 0 14-5 0 -0_ 1486 _II I 0 21 14-9. I 217_____ 14-10 j 1,633 - i~-~+i,",-,-'A SCTOR TOTALS: (1) (2) (3) (4) Zone in question correction factor (Attachment 2 procedure IP-EP-620 or calculated from formula at bottom of Attachment2 and Xu/Q values) Multiply TLID mrtem by Zone Correction Factor If no evacuation, modifier is 1.0 2000 Census Form EP-12 Rev I

a ESTIMATED TOTAL POPULATION DOSE Sheet 8 of 8 Sector/Zone TLD mrem Zone Corr. Factor (1) Interpreted mrem (2) Modifier (3) Population (4) Est. WB Rem 15-1 1'_.._0 15-2 0 15-3 1 60 154 i0t 15-5 192 15-6_ 0 15-7 _0 15-8 _______0 1 i* 1*.. 15-10

1,204 SECTOR TOTALS.

";--1 ;* S *" -: -- >*'" i -_.-_,, -__.......,_,_,__.......__,_ 16-2 i0. 16-3 16-4

1.

I 0 16-5 __842 16-6 I

734 t6-7 5!-

16-8 _ 0 16-9 1) 0 16-10 0 I ,,,:*::*i""*. -,:*,-***;ii;**:

i--'i* **-: ::i 4*

.~,. ~.-,~*~ w SECTOR TOTALS: ____F_______ A ir________________________ (1) (2) (3) (4) Zone In question correction factor (Attachment 2 procedure IP-EP-620 or calculated from formula at bottom of Attachment2 and Xu/Q values) Multiply TLD mrem by Zone Correction Factor If no evacuation, modifier Is 1.0 2000 Census Form EP-12 Rev 1

I I Manual Dose Assessment Worksheet - TEDE I (Date: 'Time Name:I Meteorology Wind Direction (from): A iiown-in Sector: WS = Wind Speed (mFsec): Pasquill Category: 1A Q B DC Q D EJ E D F Q G I TEDE - Whole Body Dose (1) Obtain KI value from table below. (2) Constant for MSL & SGBD is 3.3E+05, for all others use 3.3E+03 (Constant includes Iodine CEDE) K1 Whole Body @ Time After Shutdown K2 Thyroid (Child) for Noble Gas. DDE For Iodine CDE TAS =hours. 4.7E+5 0 -1.5 Hours Iodine Mix __8.0E+8 2.8E+5 1.-2.5 Hours -1 131 26 2.3E+5 2.5 - 3.5 Hours 1-132 1.5E+7 2,0E+5 3.5 - 4.5 Hours 1-133 4.4E+8 1.7E+5 4.5-6.5 Hours 1-4 1.2E+5 6.5-12.5 Hours 1-135 1 7.6E+7 5.8E+4 > 12.5 Hours NOTE: Particulate Dose Conversion Factor (DCF) for TEDE is 2.7E+07. This DCF should be used during dose assessment only if significant particulates are identified in the release (E.G., FSB Accident). Control Room Staff need not consider particulates. Page 1 of 2 Form EP-13 Rev 5:

Manual Dose Assessment Worksheet CDE - Thyroid Exposure Calculation's. Date: Time Name: Meteoroy _og_ Wind Direction Downwind Sector. WS Wind Speed (m/sec): (from): Pasquill Category: A B 00C D [ E O F [ G NOTES: For Less Than 24 hours use Iodine Mix K2 (8.0 E+8) For Greater Than 24 hours, only use 1-131 K2 value when using isotopic analysis. (2.6 E+9) Isotope 1-131 (or Total Mix) CDE - Thyroid Exposure Release Duration (RD)* = hrs. RR(I-131 oCrotal) X K2 - B __ Cl. 1 Col. 2 Cal. 3 Cl. 4 Col. 5 Col. 6 Col. 2 x 3 x 4 S1 Dose Distance XuIQ B Dose Rate (mrem) (from tables) WS (above) (mrem/hr) (DR X RD) (m/sec) (DR___RD) Site Boundary X X( + ) .2 Mile X X + 5Mile' X X( )=. + 1 OMile X X( +

,If the projected Release Duration (RD) is not known use four hours as a default value.

Form EP-13 Rev. 5 Page 2 of 2

EOF Check Point Sign In Log EOF Registration Assistant: Date: F(print name) TI Time Time Print Name ~ ,In Out In 1 Out Organization Indian Pt. FFD0 Yes: Q-No: Ll [] Other Ji Indian Pt. FFD* Yes: Li No: ci Ll Other Ui Indian Pt. FFD* Yes: Li No: Qi Other U-Indian Pt. FFD' Yes: ci No: ci Other Ui Indian Pt. FFD0 Yes: J No: Ji ci Other ci Indian Pt. FFD-Yes: [] No: Qi _ _ Other U] Indian Pt. FFD* Yes: D] No: Q Ui Other [] Indian Pt. FFD0 Yes: ci No: I [] Other [D Indian Pt. FFD0 Yes: [ No: [ [] Other Ui Indian Pt. FFD* Yes: c No-c ci Other Ui Indian Pt. FFD0 Yes: U No: J J-Other ci Indian Pt, FFD* Yes: U No: [ [] Other D-Indian Pt. FFD0 Yes: D No: ci Other If NO, THEN report to EOF Manager for further evaluation. Page 1 of 2 Form EP-14 Rev 0

EOF Check Point Sign In Log EOF Check Point instructions: 1.0 Set up a EOF Checkpoint at the entrance to the EOF. NOTES: IF there is any question if an individual should be allowed to enter the EOF THEN request clearance from the Emergency Director or the EOF Manager. Individuals entering the EOF during emergencies must be screened in accordance IPEC Fitness for Duty procedures. The Emergency Director may authorize individuals not meeting these requirements into the EOF. 1.1 Have all individuals entering EOF complete sign in log. 1.2. Request the Admin & Logistics Manager draft someone to take sign in log around to individuals who may have entered facility before check point was set up. 2.0 Allow only the following personnel into the EOF: A. Indian Point Emergency Response Organization Personnel, as listed in the Emergency Telephone Directory, B. Indian Point Corporate Officers, C. State and County Officials, D. Federal Officials from the Nuclear Regulatory Commission and Federal Emergency Management Agency; E. Individuals authorized by the Emergency Director or the EOF Manager. NOTE: IF individuals are only going to another room within the Buchanan Service Center (offices across the hall or men's rest room) THEN it is not necessary to log them in and out each time they leave the EOF. 3.0 Maintain a "EOF Check Point Sign in Log" complete with names of all personnel within the EOF. Page 2 of 2 Form EP-14 Rev 0

0 RESPONSE CHECK FOR RADIOACTIVE AIRBORNE CONCENTRATION INSTRUMENT TYPE: IGAMMA SOURCE: MODEL NO. SERIAL NO. CAL. DUE DATE: IDENTIFICATION NO.: ACCEPTABLE RANGE:

Background

Source Tech. Date Time Source I Total a Suc Net Circuit Source Remarks TOTAL COUNT COUNTS/ Counts COUNT COUNTS/ Counts Check Check I COUNTS TIME MIN. TIME MIN. MIN. MIN. LOGGED BY: DATE: (Technician) Form EP-15 Rev 0

O DETERMINATION OF RADIOACTIVE AIRBORNE CONCENTRATION" 0 L1 Breathing L3 General Area COUNTER DATA:

1. BETA COUNTER Serial No.

MDC Button Source Response

2. CHARCOAL MODEL NO. MS-2 Serial No.

MDC Battery Test

3. AIR SAMPLER MODEL Serial No.

3600 Cycle Test (AC only RM-14) SAMPLE TIME COUNT DATE TYPE COUNT TOTAL T GROSS BACKGROUND NET COUNT CORR. ACTIVITY COUNTED AND NUMBER STARTED COUNTS (MINUTE) CPM CPM CPM EFF. FACTIS A uCilcc DAC BY SILVER ZEOLITE BETA PART. GAMMA CHAR. SILVER ZEOLITE BETA PART. GAMMA CHAR. SILVER ZEOLITE BETA PART. GAMMA F CHAR. Form EP-16 Rev 0

IP-2 Manual Determination of Release Rate Determine Noble Gas & Radioiodine Release Rates Date. Time: Name: Plant Vent Release Rate Calculations (use only one vent monitoring method) R-27 X X 4.7E-04 Wide Range (Tic" Vent CFMr" (-' ,tant) (NGRR Ci/secl R-44 X X 4.7E-04 Low I Mid Range (C1rcc) (Plant Vent CFM) (Constant) (NGRR C9/se)" Vent Contact X X X 4.7E-04 = Reading fmtF/hr) (Coi.. l:0too') Clfvlt Br,. CFM)* (CnsanI) NGRR C:ilc) Time After TAS (hr) Factor TAS (hr) Factor Shutdown __E!0 - 2 2.8E-04 6 - 8 4.9E-04 Conversion 2-4 3.4E-04 8-12 6.1E-04 Factors for,, Contact Reading 4-6 4.1E-04 12-24 7.6E-04 Plant Vent Chemistry X 4.7E-04 Sampie (PCCC) Pia7nvt (ConstanVen c.TT*NG---hec) Air Ejector (AE) Air Ejector X X 4.7E-04 = R e.45 (pci' (AC CFM)' I onstant) _Main Steam Line (MSL) R-28, R-29 X 2.7E-03 X X 4.9 E-06 = R-30. R-31 cPhil j (Ms1.Con.* Faio,) (1hhr.1l... ic,,.s*.,) -r

(N.KR ih*)

Steam Generator Blowdown (SGBD__ Chemistry _X X 6.3E-05 = Sam ple (1: C)(GP, lC,,,) i (N.iR Ci,.cl Total Noble Gas Release Rate: Total NGRR Add Plant Vent + AE + MSL + SGBD Ci/sec Determine Radioiodine Release Rate (RR) In Curies/Second

1. MSLNGRR + SGBDNGRR =

X 1.OE-02 = 2 Plant Vent NG RR + AE NG RR X 1.OE-04 = Total Radioiodine Release Rate (Add 1 + 2 to Obtain) Total IRR (Ci/sec) If actual flow rate is unavailable, use 60,000 cfm if actual flow rate is unavailable, use 20 cfm If actual value is unavailable, use 300 GPM Steam Generator Atmospheric Flow rate Steam Generator Safety Flow rate

22 Auxiliary Feed water Pump 3.50 E+5 Ibm / hr I atmospheric 7.60 E+5 Ibm I hr I safety 2.5 x 10' Ibm ) hr Page 1 of 1 Form EP-17 Rev 3

IP-3 Manual Determination of Release Rate Determine Noble Gas & Radioiodine Release Rates Date: I Time: [Name: Plant Vent Release Rate Calculations (use only one vent monitoring method) R-27 fX 1.0E-06 Wide Range j(NGRR Cilsec R-14 X X 4.7E-04 = Low I Mid Range ( -PC*cc) (plant Vent CFM" (Conntant) (NGRR Ci/sec) Vent Contact X X X 4.7E-04 = Reading (mm,,.nd m,,) IPN,, Vent 1 ,,oaVei CF ,c-R, CAn) (Contact / 6 Ft) Time After TAS (hr) Co, Factor l ft TAS (hr) contc Factor ef Shutdown 0-2 6.0E-04 I 2.5E-03 6-12 2.8E-03 9.5E-03 Conversion 2 -4 .12E-03 3.8E-03 12 -24 5.5E-03 1.6E-02 Factors for 4 -6 1.6E-03 5.5E-03 24 - 2 Wk 6.5E-03 2.OE-02 Contact-Reading .E0 Plant Vent X X 4.7E-04 Chemistry (l ( Sample ( Th n-"- F r (ConstantN Air Ejector (AE) Air Ejector X X 4.7E-04 = R-15 (Pcecl) AEF °(Co~ns-ta-m)et '(NGRR Cl/sec) Main Steam Line (MSL) R-62A, R-62B YX X 3.2 E-06 = R-62C. R-62D l

~l*

T.*,*.. c.... G' ~~~ Steam Generator Blowdown.(GBD) Chemistry L......X X 6.3E-05 = Sam ple

\\'c,

,c,,,,w', (.4GRR Ci/gc) Total Noble Gas Release Rate: Total NGRR Add Plant Vent + AE + MSL + SGBD Ci/sec Determine Radioiodine Release Rate (RR) In CurieslSecond 1..MSLNGRR= X 1.OE-02 =

2. Plant Vent NG RR + AE NG RR

= X 1.0E-04 = Total Radioiodine Release Rate (Add 1 + 2 to Obtain) Total IRR (Ci/sec) = If actual flow rate is unavailable. use 70.000 cfm If actual flow rate is unavailable, use 20 cfm If actual value is unavailable, use 300 GPM Steam Generator Atmospheric Flow rate Steam Generator Safety Flow rate 32 Auxiliary Feed water Pump Flow rate 6.30 E+5 Ibm I hr I atmospheric 5.50 E+5 Ibm I hr / safety 4.00 E+4 Ibm/hf. Page 1 of 1 Form EP-18 Rev 2

IPEC Manual Dose Assessment Worksheet Back Calculating Release Rate from Field Data Administrative Data Field Reading Location [Field Reading Mileage Miles SFieldReadingSector j 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 Meteorology 1 Wind Speed (at time of release) [ meters/sec xP / Radiological Data Field Reading (clsd window or Reuter Stokes) mrem I hr Noble Gas DCF (from table below) (mrlhr) I (,Ci/cc) Time after Shutdown (hrs.) Dose Conversion Factor (mrlhr) I (pCi/cc) 0-1.5 4.70 E+5 1.5-2.5 2.80 E+5 2.5 - 3.5 2.30 E+5 3.5-4.5 2.00 E+5 4.5-6.5 1.70 E+5 6.5-12.5 1.20 E+5 > 12.5 5.80 E+4 Release Rate Calculation ( x x ) = Field Wind X, / Q Noble Gas NGRR (Citsec) Reading Speed DCF (mr/hr) (m/sec) She f1FomE-9Rv Sheet 1 of 1 Form EP-19 Rev 0

Turnover Sheet Date: Time: Outgoing: Relieving: Discuss the following items:

1. Emergency Classification: Q GE

[ SAE Alert [ Unusual Event EAL:

2. Initiating Event:

3. Current Status of:

A. Personnel Safety: B. Plant Safety: C. Release of Non-Essential Personnel: D. Accountability: Missing Persons: Search and Rescue: E: Radiological Conditions: F. JIC Actions: G. OSC/TSC Status: H. CSC (WPO): I. Offsite Actions (ie: schools, facility activation, PARs, etc.)

5. Status of Offsite Notifications:

0 None 0 NYSEMO / Counties 0 NRC (headquarters and Residents J INPO L3 ANI

6. Corrective Actions:

Teams Out: . Actions Underway: Priorities: S. Actions that need to be Initiated:

9. Prognosis:

Page 1 of I Form EP-20, Rev 1

Media Briefing Issues Form Time Noted: Noted By: Type of Issue: L Incorrect Information Q Additional Information Needed DI Clarification Requested J Unanswered Question Issue: Type of Resolution: Q Provide Information to Media Rep. J Include in Written Statement D Include in Next Media Briefing t Brief Spokesperson(s) Q Other Resolution Details: Page I or I Form EP-22, Rev 0

IS IN B.T., ... Sý . W hK an ugýý% IN li i n "W 71i: -gý g t P nI" Shift Time Time 2n' Shift Time Time Po-tio Name (print) Arrived Departed Name (print) Arrived Departed JIG Director Cornpan Spokeern v-I TechnicalAdvisbr. JIC News Releasbe Writer I Radiological Advisor i-1 Corn. Rep. Corporate Liaison j Government Liaison Logistics Manager Dooumnenter 1 __I___ ~ 1 4-- -- Media Room Liaison Enteigy IT Support Support Services Staff Media Monitoring Coor AV Production Manage AV I Graphics Support Date: Shaded positions entail d. r___ ~i___ 2 Staff I functions that are required for activation Page 1 of 1 Form EP-23 Rev. 1

Written Statement Distribution Checklist Follow each step below as assigned, Some steps are concurrent, as noted by the numbering. Logistics Manager is Statement Number: [ to confirm all steps are completed at conclusion. Step JIC Position i Completed By (Print) Responsible Detail Description and Time 1 Logistics Obtain "APPROVED WRITTEN STATEMENT/NEWS Manager RELEASE" from JIC Writer and start distribution process: o Have Company Spokesperson initial on back, notify Documenter of approval time o Start a Written Statement Distribution Checklist and Fax Distribution Sheet in Position Binder. Q Record Statement Number above Q Give Original statement with Distribution Checklist and Fax Distribution sheet to Support Services Staff to make initial copies. 2 Assigned Q Make 2 copies of statement Support (- Provide Support Services Staff with 2 copies Services Staff (one for further copying and one for fax Person distribution described below) Q Provide original initialed copy back to Logistics I Manager 3a Support Services Staff Make 25+ copies of final written statement/news releases and coordinate distribution with other Support Services Staff as follows: o 1 Copy to NYS Public Inquiry Coordinator L 12+ Copies to the Media Room Liaison for media (Coordinate number needed with Media Room Liaison. Copies to Media may take priority depending on timing.) o 2 Copies to Media Monitoring Room Personnel 0 8 Copies to Entergy Work Room U 1 Copy to Entergy JIC Government Liaison U 1 Copy Lo Entergy Corporate Liaison Z Upon completion, provide this Distribution Checklist to Logistics Manager Page 1 of 2 Form EP-25 Rev. 3

Written Statement Distribution Checklist Follow each step below as.assigned. Logistics Manager is to.confirm Statement Number: all steps are completed. -3b Support Concurrently, ensure statement is faxed to locations Service Staff i indicated on the Fax Distribution Form. DO NOT SEND FAX DISTRIBUTION FORM IN OUT-GOING FAX TRANSMISSION, Include Fax Cover Sheet 0i Complete fax distribution to media on fax machine E3 Complete fax distribution to other emergency facilities and other Entergy locations. E3 (follow Fax Distribution Form) E3 Review Fax Confirmation sheets to ensure they state that all transmissions were successfully completed (the text of the confirmation will read OK) Upon completion, provide fax confirmation sheet(s) to Logistics Manager 4 Logistics Provide original (initialed) statement; fax Manager confirmation(s); and this Distribution Checklist to JIC Sane Documenter for log keeping Page 2 of 2 Form EP-25 Rev. 3

Information Distribution Guide (Follow the prioritv order noted) order fr ds I Distribution Type of Information Recipient (follow order for distribution, if possible) Completed By (Print) Plant Status, including Entergy Work Room PICS or EDDS data 3 JIC Technical Advisor sheets, Forms and plant parameters EJ Company Spokesperson (received via email or Ui JIC Director fax or from/via JIC Technical Advisor) 0 Radiological Advisor Q JIC Documenter 0 State PIO (Radiological Data Forms, Part 1 and 2 ONLY) U NRC (if present) E3 FEMA (if present) Written Statements, Follow Written Statement Distribution Checklist including news releases form All Other Information Request distribution instructions from the Received (via fax or Logistics Manager and/or JIC Director otherwise) Page 1 of 1 Form EP-26 Rev. 3

MEDIA MONITORING FORM Type of call: (Public Inquiry) (Professional Inquiry) (Media Inquiry) (Media Monitor Report) Date of call/broadcast: Time of call/broadcast: Name of responder/monitor: Media Name/Location: Caller's/Reporter's name: Phone: ()_ Question(s) asked/Inaccurate Information: Response given/Correct Information and Source: Is call back required: (_ Yes (. No Call Back Number If yes,.call back completed at: By: Was the call referred: (___) Yes (. No If yes, to whom? Further action required: (_) Yes () No Was this action completed? (_) Yes (___ No By: Reported to Public Inquiry Coordinator at: Public Inquiry Coordinator Notes: Return completed form to JIC Government Liaison Page 1 of 1 Form EP-27 Rev. 1

Joint Information Center Fax Cover Sheet FROM: DATE: TIME: Number of Pages (including cover):. U WIRE SERVICES AP/NYC AP/WESTCHESTER CNN REUTERS AMERICA GANNET SUBURBAN NEWS/tVHITE PLAINS BLOOMBERG NEWSWIRE NEW YORK TIMES NEWS SERVICE IP EOF OR U IP AEOF U ENTERGY MEDIA RELATIONS ULOCAL OFFICIALS U* Other 0 Page 1 of 1 Form EP-28 Rev. 1

S Individual Exposure Tracking Log Name: TLD # KI Issued: Employee Date: Time: Initial Exposure Limit: WBC U TRNG U PHY RESP 0 SCBA Available Time Emergency Location I Team I Times Exposure of Dosimeter Exposure (mrem) Reading Reading (mrem) Team: Time Out: Time In: Team: Time Out: Time In: Team: Time Out: T Time In: Team:, Time Out: Time In: Team:] i Time Out: NOTES:

1. Use this form to track individuals exposure of ERO members dispatched from EOF/OSC/TSC and 2,

Initial Exposure Limit will be normal occupational limit or 1000 mrem emergency limit for duration of emergency. ED or EPM may authorize more exposure.

3.

If Form is filled transfer Name, TLD # and remaining available exposure to new form and staple this completed form to it. Form EP-29 Rev 1

MONITORING TEAM SURVEY DATA LOG Team Name: Date: Team Member Names: Count Rate Meter, Model#: E-140N Serial#: Ion Chamber, Model#* R-02 Serial#: SURVEY LOCATION TIME ow CW (OW-CW) SR(SectorlMile, (HH:MM) (CPM) (mR/hr) (mR/hr) X2 REMARKS (Secor/Mle,(mradlhr) Street/Intersection/mi. to Int.) [1] [2][4) [3] [3] I3M = j= NOTES: [11 [2] [3] [41 24-hr clock E-140N, Count Rate Meter data. RO-2, Ion Chamber data. 1000 CPM = 0,1mR/hr (OW) Form EP-30, Rev. 2

Monitoring Team Sample Data Team Name: Team Member Names: Sample Location: Sector: Mile: County: Atlas Key Map # Street: Nearest Intersect: Date: Grid: Mi. to Intersect.: Air Sampling: Air Sampler, Model #: H-809V-1 Serial #: Particulate Filter: Y N Iodine (C): Y N Iodine (AgZ): Y N Sampling Start: Time (HH:MM): Flow (CFM): Sampling Stop: Time (HH:MM): Flow (CFM): Duration (MM) Average Flow (CFM):_ Sample Volume (CF): Air Sample Counting: Count Rate Meter, Model #: E-140NIRM14 Serial #: Time: Part Filter, Bkgd (CPM): Gross (CPM): Net (CPM):_ Iodine (C), Bkgd (CPM): Gross (CPM): Net (CPM): iodine (AgZ), Bkgd (CPM): Gross (CPM): -Net (CPM): Form EP-31, Rev. 1

Determination of Radioactive Airborne Concentrations VCilcc (AJB)= Net CPM x I.OE-09

2.2 x Vol x Eff. x CCF Where: Vol() is in liters ( Liters = 28.32 x FT1)

Efficiency(2) is 0.1 for particulate, 0.0034 for iodine CCF(3 is.95 for Charcoal, 1.0 for AgZ / Paper Calculated by: Time: Sample Location: -I Particulate 1" Iodine Sample Time: Team: Sample Net CPM Constant A A1 X 1.OE-09 Sample Volume Efficiency I Constant CCF in Literst1 (2) (3) B X X 2.2 X E pCilcc= A B =T pCi/cc j Calculated by: Time: Sample Location: E Particulate Iodine Sample Time: Team: TT

Sample Net CPM Constant A,0,.::.;*i.-%*i..-,.;-....

X 1.0 E -0 9.........*............'.......... Sample Volume Efficiency Constant 1 CCF in Liters('* (2) (3) B ' X X 2.2 X PCi/cc =A/B =j. pCi/cc Calculated by: Time: Form EP-32, Rev 2

MEDIA INQUIRY LOG DATE: NAME OF REPORTER: AFFILIATED WITH: PHONE NUMBER: INQUIRY: TIME:

RESPONSE

RESPONSE PROVIDED BY: COMMENTS: Form EP-33 Rev. 0

Courtesy Call Guide

1. EVENT

SUMMARY

Indicate Emergency Classification Level (ECL), EAL/Time Unusual Event . Alert Site Area Emergency General Emergency Plant StatusilnformationlRadiological Conditions (notes):

2. Script for Courtesy Calls "Hi, my name is I'm representing the Indian Point Energy Center as a Communications Representative.

I'm calling to inform you that... This is all the information that I have at this point. Entergy will be issuing a news release regarding the event (give timeframe, e.g. within the next 30 minutes). Should I continue to call you at this number if I need to contact you again?" Name of Corn Rep:. Time Calls Completed: Form EP-34 Rev. I

BRIEFING # TIME: Start: Indian Point declared as a JIC BRIEFING

SUMMARY

/ TALKING POINTS DATE:

End: Energy Center declared a at (time). The event was result of PLANT STATUS/EVENT INFORMATION: RESPONSE (SITE, CORPORATE): IP2: IP3: Site: T Il W ..RADIOLOGICAL CONDITIONS: KEY MESSAGESIEMPATHY: RADIOLOGICAL CONDITIONS: KEY MESSAGES/EMPATHY: GRAPHICS NEEDED: QUESTIONS REQUIRING FOLLOW-UP: RUMORS TO ADDRESS: Form EP-35 Rev. 2

Primary - ERO Activation Checklist Dialogic Notification System Activation

1. Verify that the Shift Manager has determined that ERO mobilization or notification is needed.

2.

Turn on Control Room Pagers. NOTE: for steps #4, #5, and #6 you will be asked for a confirmation of the numbers you entered.

4. You will hear. '"This is the remote activation module, Please enter your E)7)(F) 1._

company ID number followed by the pound (#) sign."

5. You will hear: "Please enter your scenario activation password followed by the # sign"

]

6.

You will hear: "To start a scenario, enter the scenario ID followed by the # sign, or press pound alone for more options."

7. You will hear: "To listen to the current scenario message press 1, to re-record the scenario message press 2, to start the scenario press 3, to return to the main menu press #"

_E - PRE SS 3 ] 8, AFTER you hear: "Scenario Is building" HANG UP THE PHONE. HANG UPJ

9.

Enter the time you completed Dialogic activation. T Time: NOTE: Continue on with offsite notifications while waiting for verification of pager activation.

10. Verify the notification system successfully activated by either Control Room pager activating.

IF neither pager activates within 5 minutes, THEN go to Step 13.

11. Inform the Shift Manager that you have completed ERO activation or notification.

12. Date and sign this form when complete.

I Date: signature: ContinueO.NLYjifCiontr-ol Room Pagers Did Not Activate.

14. IF Security pager activated THEN go to step 11.

15. IF Security pager did not activate THEN repeat steps 3 through 8 a second time.

iF during the 2rd attempt, on step 8, you hear: "The scenario Is currently active. Do you wish to stop the scenario?" THEN L Press: 6 You will then hear: "To start a scenario press 1, to stop a scenario press 2, to check scenario information press 3, to enter a different scenario activation password press 4, to end this call press pound (#)" I 16 IF a Control Room or Security pager does not sound after the 2nd attempt THEN activate the Backup Notification System per Form EP-37, Backup - Emergency Response Organization Activation Checklist located in the folder presently being used. ,_ý_ta-l n oraati n Page 1 of 1 Form EP-36 Rev. 2 T I-(-. (

Backup - ERO Activation Checklist BackOp Notification System Activation .1 Use the Backup Notifcation System ONLY if the Primary Dialogic System fails to activate. [2, Verify Control Room -Pagers ON. (b)(7)(F) NOTE: for steps 4, 5, and 6 you will be asked for a confirmation of the numbers you entered.

4. You will hear: "This Is the remote activation module. Please enter your company 1D number (b)(7)(F) followed by the-pound sign."

iL I j ,5. You will hear: "Plaese enter your scenario activation password followed by the pound sign"

6.

You will hear: "To start a scenario, enter the scenario ID followed by the pound sign, or press pound alone for more options."

7.

You will hear. To listen to the current scenario message press 1, to re-record the scenario message press 2, to start the scenario press 3, to return to the main menu press pound" [PRESS 3

8.

AFTER you hear: "The scenario is building" HANG UP THE PHONE. HANG UP

9.

Enter the time you completed Dialogic activation. Time: NOTE: Continue on with offsite notifications while waiting for verification of pager activation.

10. Verify the Backup notification system successfully activated by either Control Room pager activating. IF neither pager activates within 5 minutes, THEN go to Step 13.

11. Inform the Shift Manager that you have completed ERO activation or notification.

12. Date and sign this form when complete.

Date: Signature: Co tthe NLY If Control Room Pagers Did Not Activate. 137 b) (7) (F)

14. IF= Security pager activated ITH.EN go to step 11.

15. IF Security pager did not activate THEN repeat steps 3 through 8 a second time.

If during the 2ro attempt, on step 8, you hear: 'The scenario Is currently active. - Press 6 Do you wish to stop the scenario?" THEN You will then hear 'To start a scenario press 1, to stop a scenario press 2, to check scenario information press 3, to enter a different scenario activation password press 4, to end this call press pound" Press #

16. IF a Control Room or Security pager does not sound after the 2 ro attempt THEN activate ERO pagers using Microsoft Oullook.-E-mail as follows: Create a new.message and lype In the following address:

a. Type in the pager event code from the label of the envelope being used.(b)(7)F)

b. Type in the emergency classification (NUE, Alert, SAE, GE)

c.

Type in Report to Facility or Reportto Backup Facility.

d.

Send message. Verify pagers activate (approx. 3-5 min). If not activated, call Security at 5330 and ask if their pager activated. If pagers did not activate, recheck address and resend. Lo "a!! Page I of1 Form EPý-37 Rev. 5 t (,.,

Team Number: Emergency Team Briefing Form Lead Briefer: Date: Location of Work: ol I&C U-Rad Q-Main Time: EO Ops 0 Chem C3 Sec Task: Expected Hazard: Attach any additional supporting documentation Tools, Keys, Equipment andlor Supplies: Name/ Avail Dose Name/ Avail Dose Team Members: Designate one member as the Team Leader Rad. Brief: EO Complete El N/A Estimated Dose: Contact Numbers,:. ERWP: El N/A or Primary Method(s) of Communications: El Radio O Phone E Other: Recommended Route to Work: Time Release to Field: Expected Duration: Status / Debrief Items: r-Completed Debriefer: Page I of 2 Form EP-38 Rev 1

Emergency Team Briefing Form

Team Dispatch Guidelines:

1. Do they know the Scope of Job & Approximate Duration L

2. Technical Briefing Complete, including scope of job L

3. Radiological Briefing Complete, L

4. Do they have HP Coverage, if needed L

5. Tell them their Available Dose, available dose on form L

6. Tell them about non-radiological Safety Issues, electrical, confined space, lighting, chemical, falls, fire, other work in area, running equipment.

L

7. Assign and tell team their Team Number and list it on form L3

8. Do they know the Location of Job and Route, is it listed on form L3

9. Do they have their Tools, Needed Keys and/or Parts L3

10.

Give them Coordinators Phone Numbers Li

11. Tell them to Report Back Every 20 - 30 Minutes L

12. Have them perform a Radio Check when they get in the field L

13. Provide t.eam leader with copy of Team Briefing form Li W Team Check-in Guidelines: (completed by Team Coordinator) 1.

Ensure All Team Members Returned L

2.

Record Dose Received Li

3.

Ask about Job Status Li

4.

Have them Return Radio to Charger Li

5. Tell them to Report to Lead Coordinator for Debriefing Li Team Debriefina Guidelines: (completed by Lead Coordinator)

Yes

1.

Are there any outstanding safety issues to address? Li

2.

Were any Non-Quality or Non-Standard Parts used? Li

3.

Were any Temporary Facility Changes made? Li

4.

Was any excess torque or force applied to components? Li

5.

Was any valve position or equipment status changed? L)

6.

Was any work performed which would normally require follow-up Testing Li SAttach further details as needed to ensure outstanding issues can be addressed during Recovery Phase. Page 2 of 2 Page 2of 2Form EP-38 Revi 0

Task Assignment Log Task Description I Lead Coordinator Date/ Time Date/ Time Assigned Competed Priority Lead Coordinator Priority Lead Coordinator Priority Lead Coordinator Priority Lead Coordinator Priority Lead Coordinator Priorities: High (H): The mission is necessary to protect the immediate health and safety of the public and/or plant personnel. Medium (M): Any task that requires action by the OSC and should be worked on at the immediate time period, but does not fit the criteria of a health and safety of the public related mission. Low (L): Any mission which can be worked on when resources permit. Sheet I of I Form EP-39 Rev 0 Sheet I of 1 Form EP-39 Rev 0

Emergency Radiation Work Permit ERWP Number: Written By: Date: Approved By: (RP Coordinator) Work Area: Radiation Readings: 'l Based on recent survey (post emergency) SurveyTime: rl Based on Old Surveys & Plant Conditions (update as soon as possible) High General Area Reading: mR/Hr Updates: mR/Hr mRIHr High Equipment Contact Readings: 1 mR/Hr On: Surface Contamination Levels: DPM/1 00CM2 DPMI1 00CM2 Internal System Contamination Expected: El Yes El No Airborne Levels*: El Yes El No

Attach Sample Results -- Consider giving KI prior to dispatching teams IF thyroid dose is expected to be > 25 Rem Recommended Respirator Protection:

To be Worn When: Dosimetry Required: El TLD 03 SRD Range(s) E' Alarming Set At: Recommended Protective Clothing: Hold Radiation Limit: mR/Hr mrem Turn Back Radiation Limit: mR/Hr mrem RP Technician Required: El No El Until on location (survey) El Self Monitoring [ Continuously " To Open System Other Instructions: Sheet 1 of 1 Form EP-40 Rev 0

Normal IPEC OSC Staffing At least 2 individuals shall be members of the First Aid Team No. Positions Number Number Called Present Needed 1 OSC Manager 1 Team Coordinator 2 Accountability Clerks 1 Rad Protection Team Leader 1 Chemistry Team Leader 1 Operations Team Leader 1 Maintenance Team Leader 1 Security Team Leader 1 I&C Team Leader 2 I&C Technicians 1 Chemistry Technician 2 Electrical Technicians 2 Mechanical Technicians 4 HP Technicians [Operations Personnel Other 21 Total number of individuals assigned to OSC OSC Manager should enter number of each positions needed based on event. Sheet 1 of 1 Form EP-41 Rev 3 I

Team Coordinator: Team Location l Time I Due Task Out I Back .ERO Tracking. Log Date: Time In Team Member Names Avail. Exposure Dose Rec New Avail Exposure Job Status + 4 -I 4 Lead Coordinator -.,----------...I 4 4 + Lead Coordinator Lead Coordinator I J: I-Lead Coordinator I. I 1 1-1 a ___________________________________ ~ I.~~.~____ NOTES-

1. Use this form (or similar electronic spreadsheet) to track individuals located outside the TSC/OSC Complex, CR or Security Posts

2.

Individual emergency exposures should be tracked on Individual Exposure Tracking Log (Form EP-29). .Sheet 1 of 1 Form EP-42, Rev 0 .Sheet 1 of 1 Form EP-42, Rev C

Onsite ERO Shift Rosters EOF POSITION Shift 1 Individual(s) Shift 2 Individual(s) Emergency Director EOF Manager ORM Dose Assessor ED Technical Advisor EOF Information Liaison Offsite Communicator Field Team Communicator Equipment Operator EOF Lead Offsite Liaison State EOC Technical Liaison Westchester EOC Technical Liaison Putnam EOC Technical Liaison Rockland EOC Technical Liaison Orange EOC Technical Liaison Admin and Logistics Manager Offsite Field Monitoring Teams .~L._ EOF Admin Support (3) Page 1 of 5 Form EP-43 Rev 2

Onsite ERO Shift Rosters TSC f 1 'i POSITION Shift I Individual(s) Shift 2 Individual(s) Emergency Plan Manager TSC Manager t Technical Assessment Coordinator Operations Advisor Reactor Engineer Mechanical Engineer Elec / I&C Engineer SAMG Evaluator TSC IT Support _ _t TSC Communicator TSC Clerical Staff (2) Others ___._--'4I Page 2 of 5 Form EP-43 Rev 2

Onsite ERO Shift Rosters osc POSITION Shift I Individual(s) Shift 2 Individual(s) OSC Manager Team Coordinator I Operations Team Leader RP Team Leader Maintenance Team Leader I&C Team Leader Security Team Leader Accountability Clerk HP Technicians. Chemistry Team Leader Chemistry Technicians I&C Planner I I&C Technicians Form EP-43 Rev I Page 3 of 5

Onsite ERO Shift Rosters osc POSITION Shift I Individual(s) Shift 2 Individual(s) Mechanical Supervisor Mechanical Planner Electrical Planner Mechanical / Electrical Technicians Material Storekeeper

Others,

~ ~ 1I Notes:

1. Call the EOF Admin Staff and or Fax them the EOF Section of this form to obtain names of individuals filling EOF positions on the first shift

2. Call individuals filling Misc. positions outside the EOF,TSC or OSC

3. With the Support of the facility clerical staffs use Emergency Telephone Book to call in individuals to fill second shift.

Page 4 of 5 Form EP-43 Rev 2

On~itA FRO Shift Ro~tAr~ CCR ERO Shift........ POSITION Shift I Individual(s) Shift 2 Individual(s) Plant Operations Manager CCR Facility Communicator CCR Admin Support Others Notes: Notes: Page 5 of 5 Form EP-43 Rev 2

IPEC OSC Guidelines General Guidelines BE CAREFUL

1. Always ensure you card into the Accountability Card Reader or sign in on an Accountability Roster when you arrive at the Operations Support Center.

2. Maintain a quiet professional manner throughout the event.

3. Pay attention to the facility briefings and maintain awareness of conditions and events.

4. DO NOT leave the TSC/OSC Complex without checking out with the Team Coordinator. or the Accountability Clerk NOTE: The restrooms at the top of the stairs are still within the TSC/OSC Complex, but you should inform a coworker when going there.

Team Dispatch WORK SAFE

1.

When selected to perfbrm a task in the field, receive job briefing from the Team Leader (Operations, Maintenance, I&C or Radiation Protection) for your assigned task.. IF the job involves possible radiological exposures THEN the Radiation Protection Coordinator or an HP Supervisor will provide a you with a radiological briefing. These hrief.f should be conducted in one of the briefing rooms. The Lead Coordinator will give you the Team Briefing Form when you are being dispatched after completion of briefing.

2. ALWAYS check out with the Team Coordinator prior to leaving TSC/OSC Complex to perform a task

- Always take a radio and test it before going out into the field unless directed otherwise by the [eam Coordinator. Give the Team Coordinator the Team Briefing Form when you are checking out.

3. Maintain communications with the Team Coordinator while in the field. Report any unexpected conditions or events immediately.

4. ALWAYS check in with the Team Coordinator and report any expos-ure you received IMMEDIATELY upon your return to the TSC/OSC Complex after performing a task.

REPORT any safety concerns which may be important for future work or to teams currently in the field The Team Coordinator will return the Team Briefing Form to you after you have checked in with. him/her.

5. Report to the Lead Briefer (Operations, Maintenance, L&C or Radiation Protection) for a de-briefing adfer you have completed checking in with the Team Coordinator. Report:

Status of the assigned task Any deviations taken from normal work practices or quality control processes Any follow-up task(s) you feel are needed to ensure assignment goal is completed

6. After the tcam de-briefing return to the pool area and await further assignment. Brief other Technicians in the pool on tasks you performed and conditions in the field.

Page 1 of I Form. EP-44 Rev 2

Assembly Area Coordinator Instructions Instructions Notes

1. Review any special instructions with OSC Manager and insure you have a full understanding of priorities Record OSC Manager Contact Number:

2.

Assume the duties of the Energy Education Center (EEC) or Generation Support Building (GSB) Assembly Area Coordinator. (or Indian Point Training Center (IPTC) Assembly Area Coordinator if needed). A. Report to the EEC or GSB (or IPTC if needed) B. Establish telephone communications with the OSC Manager,

i.

Call the OSC Manager to inform them you are in place, provide them with phone number at your location. ii.. Draft an individual to remain at phone and communicate messages to you as necessary. iii. In the EEC, set up, or direct assistance to set up, the PA System, stored in the security area behind the access control desk. In the IPTC, ensure that the installed PA System is working.

3.

Draft at least 3 Management personnel to assist in controlling personnel located at the Assembly Area. Have them direct assembled personnel to form groups by disciplines and stand by for further information and instructions.

4.

Do not allow personnel to leave the Assembly Area until you have verified with the OSC Manager that there has been no release of Radioactive Materials.

5.

Periodically (-every 30 min) contact the OSC Manager for brief overview of events and plant conditions.

6.

Periodically (-every 30 min) brief personnel in the Assembly Area on events and plant conditions.

7.

Locate and dispatch additional personnel to respond inside the Protected Area or to the EOF as needed.

8.

When directed by the OSC Manager either: A. Dismiss Individuals from the Site B. Release individuals back to work C. Direct individuals to a designated location (on or offsite)

9. IF directed by Offsite Radiological Manager (ORM), distribute KI to personnel in the assembly areas.

10. When all personnel have departed from the Assembly Area A. Return Portable PA System to it's storage location.

B. Return Assembly Area Phone to it's storage location. C. Document any problems with equipment, personnel or procedures observed during event. Page I of 11 Form EP-45, Rev 2

Normal IPEC TSC Staffing Number Number 1 Called Positions Present Needed I Emergency Plant Manager 1 TSC Manager 1 Technical Assessment Coordinator 1 Operations Advisor Reactor Engineer Electrical/ I&C Engineer 1 Mechanical Engineer 1 TSC IT Support 1 TSC Communicator 2 TSC Clerical Support 1 SAMG Evaluator 10 Total number of individuals assigned to TSC TSC Manager should enter number of each position needed based on event. Sheet 1 of 1 Form EP-46 Rev 3

Accountability Roster Facility: El TSC / OSC Complex Unit: . []Unit 2 0 Unit 3 EQ Control Room El Command Guard House Security Print Name Location Verified to Badge # (Last / First) (If known) be ok (*/) Accountability checked by: (Signature) on at (Date) (Time) EP-47 Rev 0

EOF Security Sign In Log Security Officer: Date:* (print name) Time Time Print Name ~n I Out In I Out Organization Indian Pt. State [ County NRC FEMA Other _ Indian Pt. State 1 County O NRC 0 FEMA [ Other [] Indian Pt. 0 State 0 County [ NRC 0 FEMA 0 Other [ Indian Pt. 0 State 0 County O NRC 0 FEMA 0 Other Q Indian Pt. Q State U County U] NRC U FEMA Q Other [] Indian Pt. D State Q' County U0 NRC Q FEMA 0 Other E3 Indian Pt. 0l State D County Q NRC U FEMA U Other [] Indian Pt. 0 State Q County [0 NRC D FEMA 0 Other O Indian Pt. D State County 0 NRC 0 FEMA U Other J0 Indian Pt. U State D County U_0 NRC U FEMA J Other U] Indian Pt. Q State 0 County J] NRC 03 FEMA 0 Other 0 Indian Pt. U State 0] County D0 NRC [ FEMA 0 Other J0 Indian Pt. U State 0J County [] NRC 0 FEMA D Other Form EP-48 Rev 0

Containment Discharge Worksheet Time: Name: Date: VC Activities Noble Gas Particulates Radioiodines pCi/ccI Estimated Begin Release Time: hr. Estimated End Release Time hr. Estimated Release Duration: hrs. Estimated Plant Vent Flow Rate CFM Estimated Plant Vent Noble Gas Reading LCi/CC Estimated Release Rate Noble Gas Ci/sec Radioiodines Ci/sec Particulates Cl/sec Wind Speed m/s Wind Direction Degrees Pasquill Category (A-G) Forecasted Weather: Projected Exposure: TEDE - Whole Body (REM) TODE - Thyroid (REM) S.B 2 Mile 5 Mile 10 Mile Emergency Director Concurrence_ Received Print Name Nuclear Regulatory Commission 1 Concurrence Q Received Print Name Notifications: NYS Westchester LI Rockland Putnam Orange Page 1 of 2 Form EP-49 Rev. 0

Containment Discharge Worksheet Date: Time: Name: Date @ Start of Release: Time @ Start of Release: Date @ End of Release: Time @ End of Release: Release Duration: hrs. Total Volume Released: ft3 Average Reading - Plant Vent Monitor for the Release LtCi/cc Total Release Noble Gas Curies Radioiodines Curies Particulates Curies Plant Vent Samples Isotope [Ci/cc Time of Sample Isotope I UCi/cc Time of Sample

KIt, H.---- i-

____H -I----------.--- '---~~17 I _ _ _ _ Page 2 of 2 Form EP-49 Rev. 0

0 SURFACE CONTAMINATION CHECK Date Instr. Model Instr. Number Field Team Member "~~ ~ "-i ...S E R "ki:i N. .T.- LOCATION tIME URFAC S SME:BKGD

KGD SMEAR EQUIVALENS CPM CPM CPthD.iOc Form EP-50. Rev 1

Multiply the smear CPM by 10 to ascertain equivalent DPMIIOOcm 2

Unit 2 Equipment Status - 42B Parameter Time Parameter Time Offslte Pwr. Avail 138KV Service Water Pumps

21 13.8KV
22 6900 Volt BUS NO. 1
23 BUS NO. 2
24 BUS NO. 3
25 BUS NO. 4
26 BUS NO. 5 Circ Water Pumps
21 BUS NO. 6
22 480 Volt BUS NO. 2A
23 BUS NO. 3A
24 BUS NO. SA
25 BUS NO. 6A
26 Emergency DIGs
21 Condensate Pumps
21
22
22
23
23 Gas Turbines GT-1 Comp Cool Heat Exch
21 GT-2
22 GT-3 RHR Heat Exch.
21 SIS Pumps

.9.

21
22
22 Fan Cooler Units
21
23
22 RHR Pumps
21
23
22
24 Charging Pumps
21
25
22
23 VC Isol. Phase A (YIN)

Rx Coolant Pumps

21 VC Isol. Phase B (YIN)
22 VC Isol. Vent.

(YIN)

23
24 Exceptions Component Cool Pumps
21
22
23 Hi Hd SIS Flow
21 (GPM)

Aux Comp Cool Pumps

21
22 (GPM)
22
23 (GPM)

Aux Feed Water Pumps

21
24 (GPM)
22 Lo Hd SIS Flow
21 (GPM)
23
22 (GPM)

Cont Spray Pumps

21
23 (GPM)
22
24 (GPM)

Recir Pumps

21 Accumulator Level
21 ( %
22
22(

% )

23( %
24( %

S = Stand By 0 = Operating OS = Out of Service Form EP-54, Rev 0

Unit 2 Radiological Data 42C

"'. Pameter.. '"."Time TimeTime ime Time Time Time R-5987 MCC 98' mRIhr R-1 CCR mR/hr R-2 VC 80' mRlhr R-4 Charging Pump mR/hr R-5 F.S.B.

mR/hr R-6 Sample Room mR/hr R-7 VC Seal Table mR/hr R-41 VC Part. pCilcc R-42 VC Gas ýICIlcc R-43 Vent Part. 1pCilcc R-44 Vent Gas i+/-CI/cc, R-44 VENT 1-131 1+/-Cilcc R-45 Air Ejector 1iCilcc R-46 F.C. Water i.LClIcc R-47 Comp. Coot.l Cilcc R-48 Liq. Waste tLCiicc R-49 SIG B.D. 1gCi/cc R-53 F.C. Water j.Cilcc R-25 VC Hi-Rge. RJhr R-26 VC Hi-Rge. R/hr R-27 Vent Monitor ICi/cc R-27 Vent Flow Rate CFM R-27 Vent Disch. Rate jLCi/sec R-28 Main Steam Rad Mon.CPM R-29 Main Steam Rad Mon.CPM R-30 Main Steam Rad Mon.CPM R-31 Main Steam Rad Mon.CPM Vent Flow Rate CFM Main Steam Exh. Lbs/hr Air Ejector (meas. Value) CFM Wind Speed rn/sec Wind Direction (0,365) Pasquill Category (A-G) Manual entry in EDDS & Proteus Form EP-55, Rev 1

Communications Message Form Route To: From: J--_. Emergency Director (ED) To: Plant Operations Manager (POM) Date: U_ Emergency Plant Manager (EPM) T - Offsite Radiological Manager (ORM) Time: L] TSC Manager e e OSC Manager Message:J Other: Signature: Comments: Form EP-56, Rev. 1

Unit 3 Plant Parameters - 31A _Time r Time Time Monitor Units Status IncoreTIC Time Avg DegF I _ Highest CET DegF RCL Avg Tave DegF RCL Hot Avg T DegF RCS Pressure Loop I PSIG RCS Pressure Loop 4 PSIG RCS Sat Mar Low DegF CET Temp Sat Max DegF,, RCP Running Pzr Lvi 112131 Ave PCT Charging Pump Disc GPM SG # 31 WR LvI PCT SG # 32 WR Lvi PCT SG # 33 WR Lvi PCT SG # 34 WR Lvi PCT SG A Stm P PSIG T SG B Stm P PSIG I SG C Stm P PSIG SG D Stm P PSIG Cnmt P 1/2/3 Avg PSIG Aux FD to SG # 31 GPM Aux FD to SG #32 GPM Aux FD to SG # 33 GPM Aux FD to SG #.34 GPM CST Lvi LT-1128 FT CST LvI LT-1128a FT Cnmt Avg Temp DegF Cnmt Sump LT-1255 FT Cnmt Sump LT-1256 FT Recirc Sump LT-1251 FT Recirc Sump LT-1252 FT RWST Lvi FT.. CSAT Lvi FT Cnmt H2 Conc A PCT Cnmt H2 Conc B RVLIS Dyn Head Lvi A ] POT RVLIS Dyn Head Lvi A PCT RVLIS Full Rng A PCT RVLIS Full Rng B PCT SrcRng Det N31 1 CPS Src Rng Det N32__ CPS Int Rng Det N35 AMPS tnt Rng Det N36 AMPS High D* M Power Rng Det Avg PCT t O_S = Out of Service S = Out of Scan U = Bad Data / Out of Range X = Out of Alarm A = Alarm Form EP-57, Rev. 0

Unit 3 Radiological Data - 31B i:ii. i Tim e,, I Tim., Tim e Monitor Units Status i R-021"' mRThrim Tee R-02 mR/hr R-04 mR/hr R-05 mR/hr R-06 mR/hr I R-07 mR/hr R-08 mR/hr R-11 pCi/cc R-12 *_ Ci/cc I R-14 pCi/cc R-15 p.Ci/cc R-16A PCi/cc R-16B pCi/cc R-17A pCi/ml R-17B pCi/ml R-18 pCi/cc R-19 4.Ci/cc

R-23 pCi/cc R-25 R/hr R-26 R/hr R-27 pCi/sec Y9051A KCFM R-59 LuCi/cc f

R-62A pCi/cc j 1 R-62B pCi/cc R-62D pCitcC R-63A uCi/cc R-63B pCi/cc R-64 mR/hr R-65 mR/hr R-66 mR/hr { R-467 mRIhr R-68 mR/hr R.69 mR/hr i R-70 mR/hr OS = Out of Service S = Out of Scan U = Bad Data / Out of Range X = Out of Alarm Form EP-58, Rev. 1

Unit 3 Equipment Status - 31C I Time Time Time Time TimeI Bus Bus Reactor L-31-i RHR: 31 Coolant 32-4 Pumps 32 Pumps 33-3 CCW 31 HXs 34-2 (gpm) 31 31-2A H2 31-2A Emer. 32-6A RcmBnrs 32-6A DIGs 33-5A 31-5A Offsite 138 Fan 32-2A Power Cooler (Kv) 13.8 Units 33-5A GT-1 34-3A Gas GT-2 _35-6A Turbines GT-3 Aux 31-3A 31-5A Bir Feed 32 SiS 32-2A Pump 33-6A Pumps 33-6A Cnmt 31-5A Spray 31 Pumps 32-6A High Head 32 Charging 31-5A S IS F lo w 3 3rg n P u m 3 2-3A gm) 33 Pump 32-3A (gp3) Breakers 3HA 1 33-6A RHR 32-3A Comp 315A Pumps 32-6A Cooling 3Z-2A Pumps ______ 1 _______Pumps Recirc 313A..P p 33-6A Pumps 32-6A Aux 31-5A 31 Comp _32-6A. Low Head 32 Cooling 33-5A SIS Flow Pumps (gpm) 133 34-6A 34_ App R DIG 31 Accumr 32 3 Level 33 i-(p c t) _'_33_ I31-5A ____________j___ I Service 3-A Water 33-6A Pumps 34-5A 35-3A I i .36-6Ai 0 On = Equipment Operating, Off = Off / Available, OS = Out of Service Form EP-59, Rev. 0

Security Route Alerting (b)(7)(F) R v S--.....-~Form EP-60, Rev. 0

DECONTAMINATION SURVEY SHEET SURVEYSKIN/CLOTHING (cross out one) Sheet 1 of 2 (JOB COMPLETED BY H.P. TECH) Name Denote Contaminated Areas Numerically In Date/Time !~rntrn tLI fl=razn Wiol Whole Body 2 4 5 Time* CPM mrad/hr Time -L CPM mrad/hr Time -L L CPM mrad/hr Time ILT CPM mradlhr CPM mradlhr TimeL CPM mrad~thr Time CPM mrad/hr ,6 Method of Decon (* Indicate Applicable Letter) A. Soap & Water shower B. Soap Shampoo C. Water Flush D. Tape Lift E. Soap & Water Wash F. 50% Cornmeal/50% Detergent Paste G. Meter Type/Serial No./Calib Due Date/Probe Type Meter. Type/Serial No./Calib Due Date/Probe Type Health Physics, Medical and Supervisory Personnel Present or Consulted During Decon. Remarks I understand the decontamination results and the actions required of me (if any) to complete this investigation. Individual / Date Hot Particle Detected ,:: NO Z YES If yes, initial simplified Dose Assessment mRad Decon Performed by H.P. Technician Reviewed by: R. P. Supervisor 0 EP-61 R 0

DECONTAMINATION SURVEY SHEET Sheet 2 of 2 9.1.4 BODY ORFICES & SKIN DECONTAMINATION RECORDS Name: (Last) (First) (Initial) (Social Security Number) (Date) (Time of Contaminat How & where it occurred Max. Initial Contam. Levels - With Anti-C Body Odfices - Swabs or Smears - Counting Instr. Technician Without Anti-Used 1 2 3 4 5 TimeI CPMI Time CPM Time CPM Time CPM Time CPM Eye Ear Nose Mouth Other Time Decontamination Skin Area Decontamination Agents Contamination Level Skin Step Begins Contaminated Used After Decontamination Condition Time Decontamination Completed: Decontamination Done by: EP-61 R 0

Vehicle Contamination Check Sheet 1 of 1 Date: Technician: Vehicle Lic. Plate Number: Instr. Model: Instr. Number: LOCATION 10.0 TI SURFACE SM CAR CD SMCAR + BKGD I BKGD CPM SMCAR EQUIV. T CPM CPM DPMIIOOcm 2 111 1 __________ _________f.- 1* ~ ~ ~ ___________I_ _ ___ r I _______________I I I 1 Form EP-62, Rev 0

PAGE 1 OF 2 w C FACSIMILE of NRC FORM 361 (12-2000) U.S. NUCLEAR REGULATORY COMMISSION OPERATIONS CENTER REACTOR PLANT EVENT. NOTIFICATION WORKSHEET EN# 1' aeb 0C) 7 XF)Aj~IC nXy MER:PRIMA0Y(b)( 7)(F) ie ~ T 'VOde M~~n -NOTIFICATION TIME FACILITY OR ORGANIZATION UNIT NAME OF CALLER CALL BACK 4 EVENT TIME & Zone EVENT DATE. POWER/MODE BEFORE POWER/MODE AFTER EVENT CLASSIFICATIONS 1-Hr. Non-Emergency 10 CFR 50.72(b)(1) (v)(A) Safe S/D Capability AINA GENERAL EMERGENCY GENiAAEC TS DevlaVon ADEV (v)(B) RHR Capabilfty AINB SITE AREA-EMERGENCY SIT/AAEC 4-Hr. Non-Emergency 10 CFR 50.72(b)(2) (v)(C) Control of Rao Release AINC ALERT. ALEIAAEC (i) TS Required S10 ASHU (v)(D) Accident Mitigation AIND UNUSUAL EVENT UNU/AAEC (W)(A) ECCS Discharge to RCS ACCS (xii) Offsite Medical AMED 50.72 NON-EMERGENCY (see next columns) (iv)(6) RPS ACluation (scram) ARPS (xlii) LosS CornnVAsmtrResD ACOM PHYSICAL SECURITY (73.71) DODD (xi) Offsite Notification APRE 60-Day Optional 10 CFR I 50.73(a)(1) MATERIAL/EXPOSURE E??37 8-Hr. Non-Emergency 10 CFR 50.72(b)(3) invalid Specified System Actuation AINV FITNESS FOR DUTY HFIT (1i)(A) Degraded Condition ADEG Other Unspecified Requirement ___o _Idntitty) OTHER UNSPECIFIED REOMT. (see last column) (il((B) Unanslyzed Condition AUNA NONR INFORMATION ONLY NNF (iv)(A) Specified Syslem Actuation AESF NONR DESCRIPTION Inciude" Systems affected, actuations and their initiaiing signals. causes, effect of event on plant. Actions taken or planned, etc. (Continued on back) NOTIFICA7IONS YES i NO WILL BE ANYTHING UNUSUAL OR I YES (Explain above) i NO OA. NOT UiNDERSTOOD? NRC RESIDENT .STAIEs DID ALL SYSTEMS ' Y LOCAL FUNCTION AS REQUlIliED? i YES NO (Explain above) OTHER GOV AGENCIES ODE OF OPERATION /5 MAED E R R E UNTIL CORRECTED RESTART OATFE ADDITIONAL INFO ON BACK MEDIAIPRESS RELEASE YEIIN F.YES NO FACSIMILME nflNRC FORM (122ij.2i 0 I.

ADDITIONAL. INFORMATION PAGE 2 OF 2 RADIOLOGICAL RELEASES: CHECK OR FILL IN APPLICABLE ITEMS (specific deteils/explanallon should be covered in the event descrption)o LIQUID RELEASE TGASEOUS RELEASE UNPLANNED RELEASE7. PL -NNEfl OEEST NGOING FTERMINATEDJ MONITORED iUNOITORED OFFSITE RELEASE T S. EXCE.DED R-ALARMS i AREAS ._I EVACUATED PERSONNEL EXPOSED OR CONTAMINATED OFFSflE PROTECTIVE ACTIONS RECOMMENDED State rme~,e pe r,.- descrption Release Rate (Cilsec) % T. S. Limit HOD GUIDE To(lActivit ) 1% T. S. Limit J HOO GUIDE Noble Gas CI0.'1 "_s-__ 1000 Ci Iodine 10 uCi/sec 0.01 Ci Particulate 1 uCilsec I01 MCI Liquid (excluding trltlum 10 uCi/min i 0-1 Ci and dissolved noble Qases) Liquid (triltium) 02 Ci0tmin ,_5 CI Total Activity. ___J PLANT CONDENSERJAIR EJECTOR MAIN STEAM LINE SG _LOWDOWN T OTHER RAD MONITOR READINGS F ALARM SETPOINTS % T. S. LIMIT (if appicable) RCS OR SG TUBE LEAKS: CHECK OR FILL IN APPLICABLE ITEMS. (s2 eclflc detalls/explanations should be covered in event descrpton. LOCATION OF THE LFAK Ne.g.. S* iA, pee,.et.) LEAK Rate UNITS: g;n/gpd T.S, LIMITS SUDDENORLONG-TERM DEVELOPMENT LEAK START DATE TIME COOLANT ACTIVITY PRIMARY SECONDARY AND UNITS: LIST OF SAFETY RELATED EQUIPMENT NOT OPERATIONAL EVENT DESCRIPTION (Continued from front)}}

ML11140A146

Text

2.0 REFERENCES

2.0 REFERENCES

Description:

Background

RESPONSE

SUMMARY

SUMMARY

Navigation menu

Search