ML13003A255

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SNCV061-RPT-01, Ver 1.0, Vogtle Unit 1 Seismic Walkdown Report for Resolution of Fukushima Near-Term Task Force Recommendation 2.3: Seismic. Part 12 of 20
ML13003A255
Person / Time
Site: Vogtle Southern Nuclear icon.png
Issue date: 11/26/2012
From: Volodarsky D
Southern Nuclear Operating Co
To:
Office of Nuclear Reactor Regulation
References
NL-12-2270 SNCV061-RPT-01, Ver 1.0
Download: ML13003A255 (42)
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Text

ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-01, VERSION 1.0 Status: 'U-Seismic Walkdown Checklist (SWC)Equipment ID No. I- Z'40 -6`001'- V0 Equip. class0'2 ýtz -. Equipment Description QA._AfSA 4fr __cr Location:

Bldg. k Floor El. Z-dz-o Room, Area __Manufacturer, Model, Etc. (optional but recommended)

LrUA61I4" -7d", 3 ' ' ,.Instructions.for Completing Checklist This check-ist may be used to document the results of the Seismic Walkdown of an, item of equipment on the SWEL. The space below each of the following questions may be used to record theresults~ofjudgments and.findings.Additional space is provided at the.end of this checklist for documenting other comments.AUnLho~raie

1. Is the anchorage conIfiguration verification required (i.e., is the item one, NE]of the 50% of SWEL items requiring such verificatiOn)?
2. :Is the anchorage free of bent, broken, missing or lo0se hardware?

NEI U] N/AD, 3. Is the anchorage free of corrosion that is, more than mild surface, y NEI UO N/AD oxidation?

4.. Is the anchorage free of 'visible cracks in the concrete near the anchors? NEI U[] N/AD 5. Is the anchorage configuration consistent withplant documentation?

Y ND UD N/AD (Note:This questionhonly applies if the item is one of the 50% for" which an anchorage confiEgurtion verification is required.)

6. Based on the above anchorage evaluations, is'the anchorage free'of potentially adverse seismic conditions?
XNO UD Enter the equipment class.name from Appendix B: Classes of Equipinent.

<C-3 PAGE 420 of 668 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-01, VERSION 1.0 Sheet 2 of:2 Seismic Walkdown Checklist (SWC,)Equipment'ID No.-.______________

Equipt Class'2 51____ "4:-.A .../Equipment Description P& Ar 4< <r7 /{ -/ '[:g Intcraction i.Effects 7. Are soft targets free from impact by nearby equipment or structures?

NQ Uf-], N/Af-8. Are overhead equipment, distribution systems, ceilingti's and lightingý Y 1 NEI UOJ N/AO and masonryeblockwalls not li.ke lytocolldps onto thequipfnient?

-9. Do attached lines haveadequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equ ipmenkt free, of potentially, adverseseismic interaction effects?Y/NEI UE, N/AE1 Y-ýNO 1112 Other AdverseC 6nditions 11. Have you looked for and found no othier'seismi-:nooditions that could NEI Uf aad- ersely affect the safety Iimcion h equltihent?

"ýCoTrn ýn m tsý (Additional pages may be added as necessary)

H k. I $71.Evaluated~by:.

Date: -Z8,- 20'-<C-41>PAGE 421 of 668 ACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-01, VERSION*PAGE 422 of 668 9 ACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-01, VERSION .0 PAGE 423 of 668 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-01, VERSION 1.0 Sheet Status:* Ni U Solismic WWlkOwn Check~is~t (SWC)EquipwiletITDXN.

P"0 Equip.CIass'2 QVfI~ J.Equipireyt Dscriptionl D"SQ TrwnOI sr Puxmf o fcation: Bldg. FloorE RoomArea RA4 -, Manufacturer, Model$ Etc. (optional but'reconunendeci) 2Vn Pn l'Aips: Instructions for Completing Checklist This checklist may beused to document the, resultszofthe Seismic Walkdown of an item of equipment on the SWEL. The space below each of the following questions may be used to record the results of judgnents and findings.

Additional space is provided at, the end of this checklist for documenting other comments.Anchwora*Q

1. is the anchorage configuration verification required (i.e., is the item one Y0 NW of the 50% of SWEL items requiring such verification)?

Y;OULJ N/AIs the anchorage free of bent, broken, inissing or loose hardware?3. Is the anchorage free of corrsion that is morte tan mild surface oxidation?

150 U N/AX g/ 15/a OI~-4, Is theanIchorage free of visible cracks in the concrete ncarýte, anchors? Yn] NO1 U0 N/AV 5. Is the anchorage configuration consistent with plant documentationr?(Note: This qcuestioii only applies if the item is one of tieo50% for, whichý an anchoragedonfiguration verification is required.)

6. Basetfon the above anch~age evd'4 ations, isthe anchorage freeof potentially adverse seismic conditions?

YO NO, tU N/AM-"'yioun U 2 Enterth6 equipmedt class naine froriiAppendix B; Clamss ofF~qulprent.

PAGE 424 of 668 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-01, VERSION 1.0 She6t 2 of 2 S~eismic Walkdown Checklist (SWC)Equipment~lD No. -t04 : 4 3 Equip. cl _)Equipment Description Aes~l 0ý 0;1 T--h5e ____Interaction Effects 7, Are soft targets free froraiirhpact by nearby equipment or structures?

N. Arcoverhead equipment, distribution systems, ceiling tiles and lighting, and masonry block walls not likelyto collapse onto the equipment?

9. Do attached lines have adequate fleiibility to avoid damage?10. Based on the above seismic interaction.evalugtionsis equipment free.of potentially adverse seismic interaction effects?Y5Z/NIr UMI 'N,/An Y ZNEI UM N/AF7I Y&¥ UE1 N/A[C Y NJUD Other Adverse Cýonditions i1. Have you lookcjd :o7randfonod no other conditiostsa, t couldtthesafcty of the .equiprriuit?

A4b ..Y NE U Comments (Additioaial~pages may be added as .necessaryI Evaluated by; j ' t 'D't: ___________

'~' I5Z0f~-4 C;A>PAGE 425 of 668

  • ACHMENT 3: SEISMIC WALKDOWN CHECKLISTS 0 NO. SNCVO61-RPT-01, VERSIONS.1i2403 P4 003 DIESEL FUEL OIL STORAGE TANK pump 03 TRN B PAGE 426 of 668 07ACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-01, VERSION*.PAGE 427 of 668 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-01, VERSION 1.0 Sheet 1 of 2$Status: U//a Seismic Walkdown Checklist (SWC)Equipment ID No. .0/ o3 1 'Equip Class" 2__ e 7v , Equipment 47'R R Z__,__ ________Location:

Bldg. -- _ .Floor EL O' Room, Area ._______......._, ManufacturerModel, Etc. (optional, but reconimneded)

Insiructions, for Completing Checklist This checklist may beused to document.the results of the Seismic WalkdowVn-pfari item of equipment on the SWEL. The space below each of the following.questions:iTay be used to record:tle resulis ofudgments and findings.

Additional space is provided this checklist for documciitibg other comments.Anchorage 1. Is the configuration verification requiredi(ie., is the: item 6hen of the 50% of SWEL items requirh'ig su~ch ve'rificatiOb)?

YX N1J 2. Is the anchoraige fee 0f bent, broken, missing Or loose hardware?3, Is the anchorage -fiee of corrosion that is more than mild'surface oxidation?

4. is the anchoragep f o of visible c#~cksin:thfe concrete near the ancho-rs., 5. Isýthe anchorage config~nr4ioiconSýitent With plant:documentation?(NKte;T Jfhis question.only applies if tthe item is one of the 50% ft r which an anchorageconfiguration verification is:required.)

7X.4AAQ/0-0 0-Uel /3 0 YA'NE] UEJ N/AF1ýY~f NEI Uf]j N/AEI YfX3 NEI LIED N/AFJ 6. Based on the above anchorage evaluation., is the~anchorage free of YN NL1 UE]J potentially adverse seismic conditions?

.12 Enter the eqAipneat-class name fvo zA2penix %:).Classes ofih!uipmint

< C3>PAGE 428 of 668 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-01, VERSION 1.0 Sheet.2 of 2 SeismicWalkdown Checklist (SWC)*q iCls, pa: .... .. -7'Interaction Effects 7. Are soft targets free from impact by nearby equipment or str uctures? Y%> NCI UC N/AC]&JOT 4.. .pr J~Cx0-4 'j~ -Sr C -So'*'3 l 8., A.re overhead equipment, distribution systems, ceiling tiles and and masony block walls not likely to, collapse onto the.equipment?

9. Do-attached lines haye adequate flexi .ility to avoid damage?10; Based oni above seis-mic interaction.eyalu a ions, is equip.m[no free ,of potentialjy Advdmer seismic~interactiofi effetcs?.YXNC UC N/ACO, C) NO C N!AC11 YV NEIUC Other Adverse Conditionsi I H. Have you looked foi'.idd found'no other seismiic conditions thatcould adversely aftect tbe.saf&ty functions of the equipment?

Y% NEI.UC Comrnentsý(Additional pages'may be added' as necessaryl)

Evaluated by: _J¶b~~_ Date:_____ ~1 /t' VO1~ dR~'----------

A. C4>PAGE 429 of 668 ACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-01, VERSIOONO PAGE 430 of 668 3 ATTACHMENT 3: SEISMIC WALKIDOWN CHECKLISTS NO. SNCV061-RPT-01, VERSION .0 PAGE 431 of 668 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-01, VERSION 1.0 Ztieet j. 0i:Z Status:Q U Seismic Walkdown Checklist (SWC)EquipmentlDNo.

i-)q , P,- I3 Equip. Equipment Description.

-._I -.PAIL -Eocation:

Bldg. _ýU Floor El. 2Z0.-0'" Room, Area _ lN .k Manufacturer, Model, Etc. (optional but recommended)

Instructions for Completing Checklist This checklist may be used to document the results of the Seismic.Walkdown of an item of equipment on the SW, .The space below eachio0f the following questionts'may be used to record the results ofjudgmaents and fihdings.

Additional space is provided at the end oftlis checklist for documenting other comments;AnchoraeJ 1,. is the anchorage configuration verification re uired (i.e., is the item one of the 50% of SWEL iterns equiring :such verification)?

YEJ NE 2. Ils the anchorage free of bent, broken,, missing or loose hardware?3. stheanchorage free of, crrosion that is more than .ild surface oxidlation?

4. Is the anchorage free of visible cracks in, the conirete near the anchors?5. Isthle anchorage configuration consistent with plantdocumentatibn?(Note: This question only, applies ifte item is one of the 50% for which an anchorage:

c6nfiguration verification is required.)

6. Based on the abovyearichorage evaluations, is the anchorage free:of potentially adverse seismi con~ditions?

YE ND UC N/AC YE INE PD N/AE YEI NDC -U[ N/AC1 YE NO"UC N/AE]YC NIE (, E~ nter thc'e(ljý1iirent clast rname from Appendix B:. Clhsse~ bfEqo~ipnien

< C-3 PAGE 432 of 668 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-01, VERSION 1.0 Sheet,2 of 2 Seismic:Walkdown Checklist.(SWC)

Equipment IDNo P 5-0&:G3 Equip. Class'2 2 0.Equipment Descrition

_Y... i C I 2, C PiL.1nteracfion.Effect§ 5(4c %115/:t'i&)

7. Are soft, targets free, fom impact by nearby equipment or structures?
8. Areverhead equipment, distribution systems beilingi tiles and lighting;, and masonry blockwalls not likely to collapseontio theequipment?
9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic interaction effects?YE NE UI-E N/A[]3 YEI NEI UE1 N/AE]YEI NE UE N/A[l YEI NO JE]Other AdverseConditibns

.1,1. Have.you looked for andfound no otfierseimic conditions that could UE3, adyersely-affect the safety of the equipment?, ,

  • CO A , 4- 4', , ,*Comments (Additionalpages:may be added as necessary)"T. 'a Eyahlated by:-/ e l.v ~IASIC a: 2 ~$T~ ~-. 6~i c~.Dae to-ý<, C4 >PAGE 433 of 668 tA CHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-01, VERSION .00 PAGE 434 of 668 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-01, VERSION 1.0 a!I ii I i!I I I PAGE 435 of 668 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-01, VERSION 1.0 0 I PAGE 436 of 668 ACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-01, VERSION .0 K PAGE 437 of 668 ACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-01, VERSIONOO PAGE 438 of 668 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-01, VERSION 1.0 PAGE 439 of 668 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-01, VERSION 1.0 Sheet lof 2 Status" Y0 N U Seismic Walkdown Checklist (SWC)Equipment ID No.. 2 O3-Th--o" Equip. C!assa .1 5 1 4 x Equipment Description D o, V' o _____Location:

Bldg. P Floor'El.

220' Room, Area -___...Manufacturer, Model,. Etc. (optional~but recommended)

C.%t 1 le] .,'I Instructions for Completi g :.Cecklist This checklist may be used to document the resultsofthe Seis "ic Walkdown of an item of cquiime-t on the SWEL., The space below each of the questions may be iused to record thexrsults ofjudgments and findings.

Additional space is provided:

at the end of this checklist for documenting other comments., Anchorage, 1, Is the anchorage configuration verification'Tequircd (i-., is: the item on.e Y'-EN of the 50% of SWE[.,items requiring schver"ifeation)?

-2, Isthe anchorage free of bent, broken, missing o'r P6.os hardware?-3.. Is the anchorage free of corrosion that Js, more than mild surface, oIx'idation?, 4. 4I the anchorage free of vIisible cracks in the concrete.

near the anchors?'c"Fe. +, 4..J, £4i .wi/~l 5. Is the anchorage configuraiion consistent with plant docunenjat ion?(Note: This que sion only appies, if e-item is one of the 500%f fr which an anchorage configuration verification is required.)

6. Baie;d:6n the above anchorage evahiiations;.is the.anchorage free of poteniially adverse seiimic conditi ons?An407 4 'aqi,)v .I. .NEI UEJ N/AE Y&INEI UE1 b/AE ,YE NE E IN/AgýYE. NE, UjE*:N/AK YV.NEI UEnEnter the equipment class narne.from'Appendix B; Ciases f Equipmeht.

es pC.uine>PAGE 440 of 668 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-01, VERSION 1.0 Sheet 2 of 2 Seismic, Walkdown' Checklist (MWC), Ei4uipment ID No. -23 Equip C1l~Equipment Description 91's~t rnýd o'.1yTh¶Intractidon Effects 7. Are soft tgits fr ee from impact by feiarby ecqipmeInt or structures?

YN 8.e. Aeoverhead equipment, distributJion systens, ceiling tiles and lighting, and masonir block walls not likely to collapse onto the equipmenit?

9. Do attachedl lines haye adequate flexibility to avoid darhage? NyO i ý(kxlvt om. , :4 10 ao .... N ? ti'uC UEi N/AC NC UtC N/AC NC3 tC N/ACl CUCJ 10 Basedd on the above eiswic intefaction evaluations, is equipmuntfree of"potentially' adverse 6cismic interaction effects?Yj" Other Adverse Conditions
11. llave you looked forandfound.no other seismic conditions that could YW NCI C a0mmrsely afdfdctihl pafeay funetiotes of the eqsiprent?
Cornments;..Additionat pages may be added~as necessary):

Evaluated by .Date-: (3 .2.0f2 g /sý< C:-A )PAGE 441 of 668 fTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-01, VERSIO .0 PAGE 442 of 668 9 TACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-01, VERSIONO 20 PAGE 443 of 668 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-01, VERSION 1.0 Sheet 1 of .:2 Status: N U Seismic Walkdown Checklist (SWC)Equipment I) No. E/ Equip. Class'2 7__._Equipment Description

.S'W /=,Orj/Location:

Bldg. I/VS6c1 FloorEl. .i Room, Area a / L.--T Manufacturer, Model, Etc.j..pptional but recornrnended)

Instructions for Completiig Checklist This checklist inay be, sed to documcnt the resuits of the Seismic Walkdown 6f an item 0feqlijipmenton the SWEL. The space below edch of the following questions may be usedto record the results ofjjudgments and findings ,AdditionaF sPace is provided at the end of this checklist fi)r'documenting other coimments.

AnchoraXie

'I. I1the anclhorage configuration verification.

required.'(i.e., is the item one of the 50% of SWEL items requiring such Y;KNEO 2. Is1te anchorage free of bent;,broken, miiSsing or loose hardware?3. Is thepAnchorage free of corrosion thatlis more than mild surface oxidation?

4. IstI th , >nchorage frieobf visible cracks ijh.the concfrte near ie anchrors?5. Is anchorage configuration consistent w'ith plantidocumentatibdh (Note: This question only applies if the-item is eneof the 50% for which an anchorage configuration verification is required.)
6. Based on the aboveanchorage evaluations, i ihezanchorage free of`potentiailly adverse seismic YKINE] JE1 N/AD Y4, NEI UEr NiAE1 Y< .N UEJ N/AEl YNEN UE NA h~et as emefrom Apendix &: Clasks of fquipmcnr, C< 3'>PAGE 444 of 668 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-01, VERSION 1.0 Sheet 2 of 2 Seismic:Walkdown Checklist (SWC)Equiipment ID No., //... y/64ft'1 Equip. Class" 2 iA'Equipment Dcscri ptiori / W/S'V M LET7/rRA/ ,ZZ14 V1 Interaction Effects 7. Are soft- targets free from impact by nearby equipment or structuires?

YW"-NE] U0 N;AI2 8. Are overhead equipment, distribution~systemsi ceiling tiles and lighting, Y ,NE UE N/AE]and nasonrybiock walls not likely to coilapse ontothe equipment?

9. Do attached lineslhave adequate flexibiilfy to avoid damage?10. Based on the above seismic ilieractibn evaluations,'is equipmnenttfree ofpotentially adverse seismic interactionf effects?YV4NE UN N/AO Other Adverse Conditions
11. Have yo.6lodked,fr andd found no other sdigmic donditions that could Y " NF UE]adverselyaffect the safety functionsof the equipment?

Comments (Additional pages may beadded as fi&lessary)

No (omrn 4 51.Evaluated by: Y-- Date: A' z~' ?~'/2.~<0C4 >PAGE 445 of 668 ACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-01, VERSION.0 PAGE 446 of 668 9 ACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-01, VERSIONOO TURN PAGE 447 of 668

  • ACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-01, VERSIONOO PAGE 448 of 668 A ATTACHMENT 3: SEISMIC WALKIDOWN CHECKLISTS NO. SNCV061-RPT-01, VERSION .00 PAGE 449 of 668 9 ACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-01, VERSIONPO PAGE 450 of 668 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-01, VERSION 1.0 Sheet 1 of2 N U Seismic Watkdown Checklist (SWC)Eqipniient iD No. t SL-1(6Z(6 Equip. Class .....f .. , ... 4../Equipment Description Vrt0,1, a ,QOW 5wx-/_16 6,k) -a Ar LO Location:

Bldg. a3r, .Floor El. Tho Room, Area )I I5 Manufa.ctuer, Model, Etc. (optional but recommended)

ýa ' -j c lInsti'uctiohis for Comple~tiiig:Checklis~t list may be used to documnent the results of the Seismic Walkdown of0an item of equipmeit on the SWEL. The space below eachlof the following questionsmay be used'to record the results of judgments and findings.

Additional space is provided at the end of this checklist for documenting other comments.Anchorage i. isfilie antcorage.configuiration vefificatibo required (i e., is the item one YE N of the.50%Of SNVEL items requiring such verification)?

2. Is the anchorage1free ofbunt, broken; missing or loose hardware?3. Is the: anchorage free of corrosion that is motrehan mijldsurface oxid~atio:n?
4. Is the anchorage:f6ce of yisible cracks in the concrete near the anchors?*5. Is the anchorage configuration consistent with plant documentation?(Note: Th is qUestion only applies if t..he ite is one .5~he,5'0%

for whiclvan anchorage confi'gu'iation verification is required.)

6.. Bahed.6 o the above antihbrage e.valuations.,is the anichorge fiveb of potentially adverse, seismic conditions?

Yg"NE] bE N/AEj Y] NE UEI N/AEF" NEI E N/AE YEI NEJ UE] N,/AxV Y NET IE1 12E r the qmoiprnenýt.

CIZSIlas~na e om Appcnidix B:Classe~sotf Ec,,uiprnnit.t

~< C-3`>PAGE 451 of 668 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-01, VERSION 1.0 Sheet 2,of2 Seismic Walkdown Checklist (SWC)EquipmentliD"No.

f -' 'Equf-.,Clmss 1 2 , C 4 f(Equipment.

Description < r40 SW'.rtc# 6.:rt Ite interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?

8. Are overhead cquipment, distribution systemis, ceiling tiles and lighting, and masonry block walls not likely to collapseonto the equipmcnt?
9. Do"uttahed lineslkbe-adcqjate flexibility-to avoid damage?10. Based on- the above seismic interaction evaluation§,.:is equipment free of potentially advcrseý,seisnic interaetiofi effects?YANQ UC N/AC Y NEI UO N/A V'ý NCI UC N/AC YýNE UC1 Other Adverse Conditions
11. Have you looked ,for and found no other seismic conditions that could Nn. U0.adversely affectthe safety functions ofithe equipment?

Comments (ýAdditionmil pags may be added a0,necessary.)

Evaluited by': Date: ~ l(~r.I< >PAGE 452 of 668 97ACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-01, VERSION*PAGE 453 of 668 A ATTACHMENT 3: SEISMIC WALKIDOWN CHECKLISTS 0 NO. SNCV061-RPT-01, VERSION 1.0 II a~ t PAGE 454 of 668 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-01, VERSION 1.0 Sheet 1: of 2, Status:KYN U SeismicWalkdown Checklist (SWC)EquipmentID No. I -F ' -Equip. Class 1: m}quipnicnt Description -k-~ 'A~Z Location:

Bldg. F t-_ FloorEl.

Room, Area o Manufacturer, Model, Etc.. (optional but recommended)

Instructions for Completing Checklist This.checklist may, qa used to document the results of the Seismic Walkdown of an item ofequipment on the SWEL. The space beloW each of the following questionsjmay be used to record the results ofjudgmsents and findings.

Additional space is provided at the end of this checklist for documenting other- comments.Anchoroy-e

1. Is thieanchorage configuration verification required (i.e., is the-item one Yg'NE'of the 50% of SWEL items requiring such verificatiin)?
2. aiichorage free of bent, broken, missing or-loose hardware?3. Is the-anchorage free bf cOrosion that is more than mild surface oxidation?
4. Is~the anchorage free~of visible cracks in the concrete near the anchors?5. E the anchorage configuration consistentwithplant documentation?

,(Nte:This question only applies if the item is one of the 5.0% for.which an anchoragecbrinfigufatioin'vetification is required.):

y NK] u;0 NIAE]ygN1 UUJ N/ALT]Y[ IJFT] N/An]'X NEI UEt- j)RX zW%14 i:

  • P 4j q S 14 q~~ S '. z,/e .x; S, o/2Pf 0 3j I ~r5 c OPA,A)31 ia.2ý6. Based ontheabove anmchofage evaluatibns, is the anchorage free of potentially adverse seismic conditions?.

YRNEJ, UEI i 2 Lter~the equipm~ent~class name from iA~ppedix 8:1 GsesofEquipmeit.

< C-3 )>PAGE 455 of 668 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-01, VERSION 1.0 Sheet 2 of 2 SeismicWalkdown Checklist (SWC)Equipment ID No. .- ý- Equip; Class't iTh EquipmentDescription Interaction Effects.7. Are soft targets free from impact by nearby equipment or structures?

YX NCD UD N/AD 8. Are overhead equipifient, distribution systems, ceiling tiles and lighting, YXND VU' and masonry block walls notlikely to collapse onto the equipment?

.90 Do attached tines'have adequate flexibility to avoid'damage?

10. Based on the above seisinicz.iateraction evaluations, is equipment free of potentially
ad'verse
seismic .ipteraction effectS?Y ND[ UD N/AD YANEI UD Other Adverse Conditions.
11. Hlave you looked for and fouind ad other seismic conditions that could ND UD ,adversely affect, the safety functions of the equipment?

Comments l pages may be added as necessary)

Evaluated by: Date: .<C-4 >'PAGE 456 of 668 NO. SNCV061-RPT-01, VERSIONO.I

  • 'ACHMENT 3: SEISMIC WALKDOWN CHECKLISTS PAGE 457 of 668 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-01, VERSION 1.0 Sheet 1 6f.2'Status: ( N U Seismic:Walkddwn Checklist (SWC): EquipfiaentJIDNo.

u Ft Equip. Class'2 i1

'Zac-k Equipment Description Fla f FUot'Q:

4 Location:.

Bldg. /)'X Floor El )ilia3" Room, Area R ...Manufacturer, Model, Etc. (optional but recommended) 6 r" : ..,.a Instructions for'Completing Checklist This checklist may be used to document thcresults of the Seismic Walkdown.of an item of equipment on the SWEL. The space below each of the following questionsmay be used to record the results of judgments and findings.

Additional space is provided at the end of this checklist for documenting other comments..Ahchorage

1. Is the:anchorage configuration verification required (i.e., is the:item :one YOE of the 50% of SWEL items requiring such verification)?

2.ý Is the anchorage free of bent, brokeh, misning or loose hardware?)

3. Isthe anchorage free of corrosion thatis niore than mild surface,.oxidation?
4. Is the anchorage free of visible cracks in the concrete near the anchors?5%. Is the anchorageco.ifiguration consistent with PLanrt docupfentation?(Note: This question only applies if the item is one of the 50%,for whi chan anchoragc configuration verification is required.)

Noi- UA: S!M.6. 'Based on the above afnciorage evaluations, is the~anchorage fre.e of potentially adverse, scismic conditions?

0~N UE N/AE-x'gf NE UE, NAE YI- NEý POE N/AE(YE NEI UEJ Entiner the equipnmentcdass ,iarni fromn Ao'ppemix B-: Cltassas of Equipment.

6 C3 PAGE 458 of 668 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-01, VERSION 1.0 Sheet 2 of 2.Seismnic Walkdown Checklist. (SWC)z Equi'pinebt IDNo. T-o 7 Equ Iip'.'Class'2

~Equipmen1t Desc~ription FloW h~pii/F Interaction Effects: 7. Are soft.fargets fee from impact by nearby~equipmentor stuctures?

8,. Areoverhead equipment, distribution-systems, ceiling tiles and lighting, and masonry block walls not likely t6collapse onto the cquipment?

.9:, Do attachedlines have adequate flexibility to avoid damage?10. Based on the above seismic.interaction.evaluations, is.equipmeni free of potentially adverse seismic interaction effects?Y N[ UE1 N/AE]Y0 NEI U[-] N/A--Y0 U NI UNEA 4 NE7 Ul]Other Adverse Conditions, 11. Hav&,'yoM looked for and found mio otheoreismic conditions that could UE)adversely affect ihetsalety.functiions offthe equipment?

Comiients (Additihijl pagem.nay be ýidded as neccssdiiN) tN ... ...., ..... .Date: (ýf (2 Evaluated by:,~26kz~ ~%~?t4~ ~t-~ p,~ g~s;~& 7'8- /4 ~O/7'< C-4 >PAGE 459 of 668 TACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-01, VERSIONOO PAGE 460 of 668

  • ACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-01, VERSION .0 II PAGE 461 of 668
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