ML15210A259

After Action Report/Improvement Plan, Drill Date - April 23, 2015, Radiological Emergency Preparedness (REP) Program

ML15210A259
Person / Time
Site:	Peach Bottom
Issue date:	07/22/2015
From:	Tierney M US Dept of Homeland Security, Federal Emergency Management Agency
To:	Document Control Desk, Office of Nuclear Security and Incident Response
References
Download: ML15210A259 (55)

Text

U.S. Department of Homeland Security Region III One Independence Mall, 6th Floor 615 Chestnut Street Philadelphia, PA 19106-4404 vAR~h 0

FEMA JUL 2 2 2015 Nuclear Regulatory Commission Headquarters Office of Nuclear Security and Incident Response Document Control Desk U.S. Nuclear Regulatory Commission Washington, D.C. 20555-0001 To Whom It May Concern:

Enclosed is the final After Action Report/Improvement Plan for the Peach Bottom Atomic Power Station (PBAPS) Medical Services Drill held on April 23, 2015.

There were no Deficiencies, Areas Requiring Corrective Action (ARCAs), or Planning Issues identified as a result of this exercise. Also, there were no outstanding ARCAs or Planning Issues from previous exercises.

Based on the results of the exercise and a review of the offsite radiological emergency response plans and procedures submitted, Federal Emergency Management Agency Region III has determined they are adequate (meet the planning and preparedness standards of NUREG-0654/FEMA-REP-1, Revision 1, November 1980, as referenced in 44 CFR 350.5) and there is reasonable assurance they can be implemented, as demonstrated during this exercise.

If you have any further questions, please contact me or the Peach Bottom Atomic Power Station Project Officer, Michael E. Shuler, Sr. at (215) 931-5526.

Sincerely, IMar nn Tierney gional Administrator Enclosure www.fema.gov

Peach Bottom Atomic Power Station After Action Report/

Improvement Plan Drill Date - April 23, 2015 Radiological Emergency Preparedness (REP) Program

~JFEMA Published July 01, 2015

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After Action Report/Improvement Plan Peach Bottom Atomic Power Station Peach Bottom Atomic Power Station After Action Report/Improvement Plan Published July 01, 2015 Contents Executive Summary 3

Section 1: Exercise Overview 4

1.1 Exercise Details 4

1.2 Exercise Planning Team Leadership 4

1.3 Participating Organizations 6

Section 2: Exercise Design Summary 7

2.1 Exercise Purpose and Design 7

2.2 Exercise Objectives, Capabilities and Activities 11 2.3 Scenario Summary 12 Section 3: Analysis of Capabilities 13 3.1 Drill Evaluation and Results 13 3.2 Summary Results of Drill Evaluation 13 3.3 Criteria Evaluation Summaries 16 3.3.1 Risk Jurisdictions 16 3.3.1.1 Lancaster County, Ephrata Community Hospital 16 3.3.1.2 Lancaster County Ephrata Community Ambulance 16 Association Section 4: Conclusion 17 Appendix A: Drill Evaluators and Team Leaders 18 Appendix B: Acronyms and Abbreviations 19 Appendix C: Exercise Plan 20 1

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After Action Report/Improvement Plan Peach Bottom Atomic Power Station EXECUTIVE

SUMMARY

On April 23, 2015, a Medical Services (MS-I) Drill was evaluated for the 10-mile Plume exposure pathway, Emergency Planning Zone (EPZ) around the Peach Bottom Atomic Power Station (PBAPS) by the Department of Homeland Security (DHS), Federal Emergency Management Agency (FEMA) Region II. The most recent prior MS-1 drill for this site was conducted on April 10, 2013 (Maryland).

The purpose of the Peach Bottom MS-1 drill was to assess the State and local offsite response organization preparedness in responding to a radiological medical emergency. The drill was held in accordance with FEMA's policies and guidance concerning the exercise of State and local Radiological Emergency Response Plans (RERP) and procedures.

FEMA wishes to acknowledge the efforts of the many individuals in the Commonwealth of Pennsylvania, Lancaster County Emergency Managment Agency (LEMA), Ephrata Community Hospital and the Ephrata Community Ambulance Association who were evaluated during this exercise.

Protecting the public health and safety is the full-time job of some of the exercise participants and an additional assigned responsibility for others. Still others have willingly sought this responsibility as volunteers providing vital emergency services twenty four (24) hours a day to the communities of which they live. Cooperation and teamwork of all the participants was observed during this drill.

This report contains the final evaluation of the MS-1 drill. The Commonwealth of Pennsylvania and local organizations demonstrated knowledge of their emergency response plans and procedures and adequately implemented them. There were no Deficiencies, Areas Requiring Corrective Action (ARCA), or Planning issues.

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After Action Report/Improvement Plan Peach Bottom Atomic Power Station SECTION 1: EXERCISE OVERVIEW 1.1 Exercise Details Exercise Name Peach Bottom Atomic Power Station Type of Exercise Drill Exercise Date April 23, 2015 Program Department of Homeland Security/FEMA Radiological Emergency Preparedness Program Scenario Type Radiological Emergency 1.2 Exercise Planning Team Leadership Michael E. Shuler, Sr Project Officer/ Site Specialist Federal Emergency Management Agency (FEMA)

Technological Hazards Program Specialist One Independence Mall 615 Chestnut Street, Sixth Floor Philadelphia, Pennsylvania, 19106 215-931-5526 michael.shuler@dhs.gov David Smyth Exercise Planning Team Pennsylvania Emergency Management Agency (PEMA)

MS-1 Coordinator 4

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After Action Report/Improvement Plan Peach Bottom Atomic Power Station 2605 Interstate Drive Harrisburg, Pennsylvania, 17110 717-651-2136 dsmyth@pa.gov Laurin Fleming Exercise Planning Team Pennsylvania Emergency Management Agency (PEMA)

Emergency Management Specialist 2605 Interstate Drive Harrisburg, Pennsylvania, 17110 717-651-2116 laufleming@pa.gov Jerry Beaver Exercise Planning Team Exelon Nuclear Offsite Emergency Preparedness Coordinator P.O. Box 480 Middletown, Pennsylvania, 17057 717-948-8700 jerry.beaver@exeloncorp.com Randall Gockley Exercise Planning Team Lancaster Emergency Management Agency (LEMA)

EMA Coordinator P.O. Box 219 Manheim, Pennsylvania, 17545 717-664-1200 rgockley@lancema.us 5

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After Action Report/Improvement Plan Peach Bottom Atomic Power Station 1.3 Participating Organizations Agencies and organizations of the following jurisdictions participated in the Peach Bottom Atomic Power Station drill:

State Jurisdictions Pennsylvania Emerency Management Agency Risk Jurisdictions Lancaster Emergency Management Agency Private Organizations Ephrata Community Hospital Ephrata Community Ambulance Association Federal Jurisdictions Federal Emergency Management Agency 6

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After Action Report/Improvement Plan Peach Bottom Atomic Power Station SECTION 2: EXERCISE DESIGN

SUMMARY

2.1 Exercise Purpose and Design On December 7, 1979, the President directed the Federal Emergency Management Agency (FEMA) to assume the lead responsibility for all off-site nuclear planning and response.

FEMA's activities were conducted pursuant to 44 Code of Federal Regulations (CFR) Parts 350, 351 and 352. These regulations are a key element in the Radiological Emergency Preparedness (REP) Program that was established following the Three Mile Island Nuclear Station accident in March 1979.

44 CFR 350 establishes the policies and procedures for FEMA's initial and continued approval of State and local governments' radiological emergency planning and preparedness for commercial nuclear power plants. This approval is contingent, in part, on State and local government participation in joint exercises with licensees. FEMA's responsibilities in radiological emergency planning for fixed nuclear facilities include the following:

A. Taking the lead in offsite emergency planning and in the review and evaluation of Radiological Emergency Response Plans (RERPs) and procedures developed by State and local governments; B. Determining whether such plans and procedures can be implemented on the basis of observation and evaluation of exercises of the plans and procedures conducted by State and local governments; C. Responding to requests by the U.S. Nuclear Regulatory Commission (NRC) pursuant to the Memorandum of Understanding between the NRC and FEMA dated June 17, 1993 (Federal Register, Vol. 58, No. 176, September 14, 1993; and D. Coordinating the activities of the following Federal agencies with responsibilities in the radiological emergency planning process:

- U.S. Department of Commerce,

- U.S. Nuclear Regulatory Commission,

- U.S. Environmental Protection Agency,

- U.S. Department of Energy, 7

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After Action Report/Improvement Plan Peach Bottom Atomic Power Station

- U.S. Department of Health and Human Services,

- U.S. Department of Transportation,

- U.S. Department of Agriculture,

- U.S. Department of the Interior, and

- U.S. Food and Drug Administration.

Representatives of these agencies serve on the Region III Radiological Assistance Committee (RAC), which is chaired by FEMA. A REP Medical Services drill was conducted April 23, 2015, to assess the capabilities of State and local emergency preparedness organizations in implementing their RERPs and procedures to protect the public health and safety during a radiological emergency involving Peach Bottom Atomic Power Station. The purpose of this exercise report is to present the drill results and findings on the performance of the off-site response organizations (OROs) during a simulated radiological emergency involving a contaminated injured individual.

The findings presented in this report are based on the evaluations of the Federal evaluator team, with final determinations made by the FEMA Region III Radiological Assistance Committee (RAC) Chairperson and approved by FEMA Headquarters. These reports are provided to the NRC and participating States. State and local governments utilize the findings contained in these reports for the purposes of planning, training, and improving emergency response capabilities.

The criteria utilized in the FEMA evaluation process are contained in the following:

A. NUREG-0654/FEMA-REP-1, Rev. 1, "Criteria for Preparation and Evaluation of Radiological Emergency Response Plans and Preparedness in Support of Nuclear Power Plants," November 1980; B. Radiological Emergency Preparedness Program Manual, January 2015 Section 1 of this report, entitled "Exercise Overview", presents the "Exercise Planning Team" and the "Participating Organizations".

Section 2 is titled "Exercise Design Summary", and includes the "Purpose and Design",

"Exercise Objectives, Capabilities, and Activities", and the "Scenario Summary".

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After Action Report/Improvement Plan Peach Bottom Atomic Power Station Section 3 of this report, entitled "Analysis of Capabilities", presents detailed "Drill Evaluation and Results" information on the demonstration for each jurisdiction or functional entity evaluated in a jurisdiction-based, issue-only format (Criteria Evaluation Summaries).

Section 4, "Conclusion", is a description of the Region's overall assessment of the capabilities of the participating organizations. It also presents information on planning issues if any were identified.

This section also contains:

(1) Descriptions of all Deficiencies, Areas Requiring Corrective Action (ARCA), and Planning Issues assessed during this exercise, including recommended corrective actions and the State and local governments' schedule of corrective actions for each identified exercise issue; (2) Descriptions of ARCAs and Planning Issues assessed during previous exercises and resolved at this exercise, including the corrective action demonstrated, as well as ARCAs or Planning Issues assessed during previous exercises and scheduled for demonstration at this exercise which remain unresolved.

The final section of the report is comprised of the appendices, which present the following supplementary information, Drill Evaluators and Team Leaders, Acronyms and Abbreviations, and Exercise Plan as required.

The following is a basic description of the plume exposure Emergency Planning Zone (EPZ):

Exelon Nuclear owns and operates the Peach Bottom Atomic Power Station (PBAPS). The station consists of one 40-megawatt (MW), high-temperature, gas-cooled reactor (Unit 1),

decommissioned in October 1974, and two operating boiling water reactors (Units 2 and 3) rated at 1,065 MW per unit. The operating licenses for the facility were granted in October 1973 (Unit

2) and July 1974 (Unit 3); commercial operation began at the site in July 1974 (Unit 2) and December 1974 (Unit 3).

The coordinates of the plant site are 39'45'32" north (latitude) by 76'16'9" west (longitude).

The site consists of 620 acres located on the west shore of Conowingo Pond, a reservoir formed by the backwater of the Conowingo Dam on the Susquehanna River. The site is primarily in Peach Bottom Township, York County, Pennsylvania; a small portion of the property lies in 9

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After Action Report/Improvement Plan Peach Bottom Atomic Power Station Lancaster County in southeastern Pennsylvania near the mouth of Rock Run Creek. The minimum exclusion distance (distance from the center point of the reactor vessel to the site area boundary) specified for the PBAPS is 2,700 feet. Exelon Nuclear owns all the land within the exclusion area; there are no private residences on site.

The plant is located about 38 miles north-northeast of Baltimore, Maryland; 45 miles southeast of Harrisburg, Pennsylvania; and 20 miles south-southeast of Lancaster, Pennsylvania. The nearest communities are Delta, Pennsylvania, and Cardiff, Maryland, which are located approximately four and five miles west-southwest of the site, respectively. There are 97 sirens providing coverage for the 10-mile EPZ; 65 are in Pennsylvania. Soils of the Manor-Glenelg Association predominate in the site area. These soils, which are generally underlain by schist or phyllite, are shallow to moderately deep and are found on moderate to very steep slopes. The general topography of the site is hilly, with elevations ranging from 110 feet to over 460 feet above mean sea level (MSL); the plant is 116 feet above MSL.

The site is characterized by broad ridge tops and steep hillsides along the river. The climate in this area of York County is mild but humid. Prevailing winds are from the west. The average rainfall is approximately 40.5 inches, and the average annual temperature is 52.8' Fahrenheit.

The area in the immediate vicinity of the plant is mostly agricultural. There are no commercial airports within a 10-mile radius. The closest major airport is in Harrisburg, about 50 miles northwest of the site. A smaller airport servicing commuter and private aircraft is located in Lancaster, about 25 miles north of the site. No public highways pass through the plant, and no major arterial highways pass near it. Access to the plant is by two roads: one, from the nearby town of Delta, leads to the decommissioned Unit 1 area and Information Center; the other passes north of Delta and enters the plant area near Units 2 and 3.

The 10-mile EPZ for PBAPS, with a total risk population of approximately 57,645, covers the following jurisdictions:

Commonwealth of Pennsylvania Chester County West Nottingham Township Lancaster County 10

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After Action Report/Improvement Plan Peach Bottom Atomic Power Station Dnimore Township East Drumore Township Fulton Township Little Britain Township Martic Township Providence Township Quarryville Borough York County Delta Borough Peach Bottom Township Fawn Township Fawn Grove Borough Lower Chanceford Township Cecil County (Maryland)

Harford County (Maryland) 2.2 Exercise Objectives, Capabilities and Activities The Peach Bottom Atomic Power Station 2015 Medical Services drill evaluated by the Federal Emergency Management Agency was designed to demonstrate the capabilities of State and local emergency management agencies to technically assess the extent of the radiological impact from a contaminated injured individual, including transport and receipt at a hospital.

The demonstration included the ability to:

A. Respond to a radiation medical emergency following the procedures of Lancaster County Emergency Management (LEMA), Ephrata Community Ambulance Association Medical Services (EMS), and Ephrata Community Hospital.

B. Implement timely and accurate communications between the hospital and offsite response agencies. (Telephones will be used in lieu of radios whenever possible to limit the potential misinterpretation of the drill as an actual event.)

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After Action Report/Improvement Plan Peach Bottom Atomic Power Station C. Establish correct priorities and appropriate techniques in EMS, transportation of patients and pre-hospital and hospital emergency care of radioactively contaminated patients.

D. Initiate inter-agency cooperation between Ephrata Community Ambulance Association and Ephrata Community Hospital.

2.3 Scenario Summary The exercise scenario for this Medical Services Drill consisted of simulated notifications of escalating emergency classification levels at the Peach Bottom Atomic Power Station (PBAPS) from Site Area Emergency (SAE) to General Emergency (GE). Subsequent to an airborne release of radiological material the plant declared a General Emergency.

During the incident an emergency worker tripped over a fire hose landing hard on his hands and knees. The victim was conscious and complaining of pain in his right wrist. The victim had a small laceration on both knees and hands. Ephrata Community Ambulance Association was dispatched to the scene to provide medical support and transport to the nearest MS-1 Hospital.

Upon arrival at Ephrata Commuity Hospital, the medical treatment team and a radiation safety representative met the Emergency Medical Services (EMS) team at the exterior entrance to the Radiological Emergency Area (REA). The hospital's medical team assessed the patient's condition and surveyed the victim for radiological contamination. Initial contamination levels included: 1000 counts per minute (cpm); on both right and left palms and 1200 cpm on both pant legs.

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After Action Report/Improvement Plan Peach Bottom Atomic Power Station SECTION 3: ANALYSIS OF CAPABILITIES 3.1 Drill Evaluation and Results Contained in this section are the results and findings of the evaluations of all jurisdictions and locations that participated in the April 23, 2015, Medical Services Radiological Emergency Preparedness (REP) Drill. The drill was conducted to demonstrate the ability of the Offsite Response Organizations to respond to a potentially contaminated injured person associated with the Peach Bottom Atomic Power Station.

Each jurisdiction and functional entity was evaluated on the.basis of its demonstration of the appropriate Exercise Evaluation Area Criteria contained in the REP Program Manual. Detailed information on the exercise evaluation area criteria and the Extent-of-Play agreement are found in Appendix B.

The drill was conducted and evaluated in accordance with the Radiological Emergency Preparedness Program Manual and NUREG 0654. The Evaluation Criteria included:

1.e. 1 Equipment and supplies to support operations 3.a. 1 Implementation of emergency worker exposure control 6.d. 1 Transportation and treatment of contaminated injured individuals The drill successfully demonstrated the response capabilities.of the participants (except as may be noted in Section 3.2, Summary Results of Drill Evaluation, and Section 3.3, Criteria Evaluation Summaries).

3.2 Summary Results of Drill Evaluation The matrix presented in Table 3.1, on the following pages, presents the status of the exercise evaluation area criteria from the REP Program Manual that was scheduled for demonstration during this drill by all participating jurisdictions and functional entities. Drill evaluation area criteria are listed by number and the demonstration status of the criteria is indicated by the use of the following letters:

(D) Deficiency: an observed or identified inadequacy of organizational performance in an drill that could cause a finding that offsite emergency preparedness is not adequate to provide 13

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After Action Report/Improvement Plan Peach Bottom Atomic Power Station reasonable assurance that appropriate protective measures can be taken in the event of a radiological emergency to protect the health and safety of the public living in the vicinity of a nuclear power plant.

(A) Area Requiring Corrective Action (ARCA): an observed or identified inadequacy of organizational performance in an exercise that is not considered, by itself, to adversely impact public health and safety.

(P) Plan Issue: an observed or identified inadequacy in the ORO's emergency plan or implementing procedures, rather than in the ORO's performance. Plan Issues are not exercise issues and are required to be corrected through the revision of the appropriate plans or procedures during the next annual plan review and update, submitted for FEMA review, and reported in the State Annual Letter of Certification.

(N) Not Demonstrated: term applied to the status of a REP exercise Evaluation Area Criterion indicating that the ORO, for a justifiable reason, did not demonstrate the Evaluation Area Criterion, as required in the extent-of-play agreement or at the two -year or eight-year interval required in the FEMA REP Program Manual.

(M) Met: status of a REP exercise Evaluation Area Criterion indicating that the participating ORO demonstrated all demonstration criteria for the Evaluation Area Criterion to the level required in the extent of-of-play agreement with no Deficiencies or ARCAs assessed in the current exercise and no unresolved prior ARCAs.

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After Action Report/Improvement Plan Peach Bottom Atomic Power Station Table 3.1 - Summary of Drill Evaluation DATE: 2015-04-23 SITE: Peach Bottom Atomic Power Station, PA U

U M: Met, A: ARCA, D: Deficiency, P: Plan Issue, N: Not Demonstrated Emergency Operations Management Mobilization 1 al Facilities IbI Direction and Control Ici Communications Equipment Id 1 Equipment and Supplies to Support Operations lel M

M Protective Action Decision Making Emergency Worker Exposure Control Decisions 2al Accident Assessment and PARs for the Emergency Event 2b1 PAD decision-making process and coordination for the General Public 2b2 PADs for disabilities & access/functional needs people 2cl Radiological Assessment & Decision-making for Ingestion Pathway 2d1 Radiological Assessment & Decision-making for Relocation/Reentry/Retum 2el Protective Action Implementation Implementation of Emergency Worker Exposure Control 3al M

M Implementation of KI PAD for Institutionalized Individuals/Public 3b1 Implementation of PADs for disabilities & access/functional needs people 3c1 Implementation of PADs for Schools 3c2 Implementation of Traffic & Access Control 3d1 Impediments to Evacuation,

3d2 Availability & use of Commodity & Resource Information 3el Preprinted Materials for Implementing PADs for Commodities & Resources 3e2 Implementation of Relocation/Reentry/Return Decisions 3fl Field Measurement and Analysis RESERVED 4al Field Team Management 4a2 Plume Phase Field Measurement, Handling, & Analyses 4a3 Post Plume Phase Field Measurements & Sampling 4b 1 Laboratory Operations 4c1 Emergency Notification and Public-Info Activation of the Prompt Alert & Notification System 5al RESERVED 5a2 Activation of the Back-up ANS 5a3 Activation of the Exception Area ANS 5a4 Emergency Information & Instructions for the Public/Media 5b1 Support Olierations/Facilities Monitoring, Decontamination, & Registration of Evacuees 6al Monitoring/Decontamination of Emergency Workers/Equipment/Vehicles 6b 1 Temporary Care of Evacuees 6cl Transportation/Treatment of Contaminated Injured Individuals 6d1 M

M 15

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After Action Report/Improvement Plan Peach Bottom Atomic Power Station 3.3 Criteria Evaluation Summaries 3.3.1 Risk Jurisdictions 3.3.1.1 Lancaster County, Ephrata Community Hospital In summary, the status of DHS/FEMA criteria for this location is as follows:

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

b. AREAS REQUIRING CORRECTIVE ACTION: None

c.

DEFICIENCY: None

d. PLAN ISSUES: None

e.

NOT DEMONSTRATED: None

f.

PRIOR ISSUES - RESOLVED: None

g.

PRIOR ISSUES - UNRESOLVED: None 3.3.1.2 Lancaster County Ephrata Community Ambulance Association In summary, the status of DHS/FEMA criteria for this location is as follows:

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

b. AREAS REQUIRING CORRECTIVE ACTION: None

c.

DEFICIENCY: None

d. PLAN ISSUES: None

e. NOT DEMONSTRATED: None

f. PRIOR ISSUES - RESOLVED: None

g. PRIOR ISSUES - UNRESOLVED: None 16

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After Action Report/Improvement Plan Peach Bottom Atomic Power Station SECTION 4: CONCLUSION The Commonwealth of Pennsylvania and local jurisdictions, except where noted in this report demonstrated knowledge of their Radiological Emergency Response Plans (RERP) and procedures were adequately implemented during the Peach Bottom Atomic Power Station, Medical Services Drill evaluated on April 23, 2015.

Two (2) Federal Emergency Management Agency (FEMA) evaluators provided analyses of six evaluation criteria. These analyses resulted in a determination of no Areas Requiring Corrective Action (ARCA), no new Planning Issues, and no unresolved issues.

"Based on the results of the exercise and a review of the offsite radiological emergency response plans and procedures submitted, FEMA Region HII has determined they are adequate (meet the planning and preparedness standards of NUREG-0654/FEMA-REP-1, Revision 1, November 1980, as referenced in 44 CFR 350.5) and there is reasonable assurance they can be implemented, as demonstrated during this exercise."

An After Action Implementation Plan (IP) will not be developed as part of this report.

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After Action Report/Improvement Plan Peach Bottom Atomic Power Station APPENDIX A: DRILL EVALUATORS AND TEAM LEADERS The following is the list of Evaluators and Team Leader for the Peach Bottom Atomic Power Station 2015 Medical Services Drill evaluated on April 23, 2015. The following constitutes the managing staff for the drill evaluation:

" Thomas Scardino, DHS/ FEMA, Radiological Assistance Committee (RAC) Chairperson

" Michael E. Shuler, Sr., DHS/ FEMA, Project Officer and Site Specialist

" Robert Neff, DHS/ FEMA, Technological Hazards Program Specialist, Evaluator DATE: 2015-04-23, SITE: Peach Bottom Atomic Power Station, PA LOCATION EVALUATOR AGENC Lancaster County, Ephrata Community Hospital

• Michael Shuler FEMA RIII Lancaster County Ephrata Community Ambulance Association Robert Neff FEMA RTII

• Team Leader~

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After Action Report/Improvement Plan Peach Bottom Atomic Power Station APPENDIX B: ACRONYMS AND ABBREVIATIONS ARCA Area Requiring Corrective Action EMT Emergency Medical Technician EPZ Emergency Planning Zone FEMA Federal Emergency Management Agency PBAPS Peach Bottom Atomic Power Station PPE Personal Protection Equipment REA Radiation Emergency Area REP Radiological Emergency Preparedness RERP Radiological Emergency Response Plans 19

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After Action Report/Improvement Plan Peach Bottom Atomic Power Station APPENDIX C: EXERCISE PLAN The enclosed Exercise Plan was created as an overall tool for facilitation and implementation of the Peach Bottom Atomic Power Station 2015 Medical Services drill and to integrate the concepts and policies of the Homeland Security Exercise Evaluation Program with the Radiological Emergency Preparedness Program Exercise Methodology.

The Exercise Plan was originally drafted by the Pennsylvania Emergency Management Agency (PEMA) and published by the Federal Emergency Management Agency as an independent document and is annexed here. The Peach Bottom Atomic Power Station Extent of Play was negotiated and agreed upon by FEMA Region III, and PEMA. The Extent of Play (EoP) is included as an Appendix of the Exercise Plan.

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After Action Report/Improvement Plan Peach Bottom Atomic Power Station Exercise Plan 2015 Peach Bottom Atomic Power Station Medical Services Exercise FEMA EVALUATED MEDICAL SERVICES EXERCISE (MS-i)

U.S. DEPARTMENT OF HOMELAND SECURITY EPHRATA COMMUNITY HOSPITAL Exercise Date: April 23, 2015 Date Published: April 16, 2015 21

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After Action Report/Improvement Plan Exercise Plan Peach Bottom Atomic Power Station Medical Services Exercise This page is intentionally left blank.

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After Action Report/Improvement Plan Peach Bottom Atomic Power Station Exercise Plan Medical Services Exercise PREFACE The 2015 Peach Bottom Atomic Power Station Medical Services Exercise (MS-i) is sponsored by Pennsylvania Emergency Management Agency (PEMA) and the Federal Emergency Management Agency (FEMA). This Exercise Plan (ExPlan) was produced with input, advice, and assistance from the Exercise Planning Team (EPT), which followed the guidance set forth in the Federal Emergency Management Agency (FEMA), Homeland Security Exercise and Evaluation Program (HSEEP).

The ExPlan gives officials, observers, media personnel, and players from participating organizations the information necessary to observe or participate in a nuclear power plant accident response exercise focusing on participants emergency response plans, policies, and procedures as they pertain to this type of event. The information in this document is current as of the date of publication and is subject to change as dictated by the EPT.

The 2015 Peach Bottom Atomic Power Station Medical Services Exercise is an unclassified exercise. The control of information is based more on public sensitivity regarding the nature of the exercise than on the actual exercise content. Some exercise material is intended for the exclusive use of exercise planners, Controllers, and Evaluators, but Players may view other materials deemed necessary to their performance. The ExPlan may be viewed by all exercise participants, but the Controller and Evaluator (C/E) Handbook is a restricted document intended for Controllers and Evaluators only.

All exercise participants should use appropriate guidelines to ensure the proper control of information within their areas of expertise and to protect this material in accordance with current jurisdictional directives. Public release of exercise materials to third parties is at the discretion of Department of Homeland Security (DHS) and the EPT.

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After Action Report/Improvement Plan Peach Bottom Atomic Power Station Exercise Plan Medical Services Exercise HANDLING INSTRUCTIONS

1. The title of this document is 2015 Peach Bottom Atomic Power Station Medical Services Exercise Plan (ExPlan).

2. The information gathered in this ExPlan is unclassified, For Official Use Only (FOUO) and should be handled as sensitive information not to be disclosed. This document should be safeguarded, handled, transmitted, and stored in accordance with appropriate security directives.

Reproduction of this document, in whole or in part, without prior approval from the Exercise Planning Director is prohibited.

3. At a minimum, the attached materials will be disseminated only on a need-to-know basis and when unattended, will be stored in a locked container or area offering sufficient protection against theft, compromise, inadvertent access, and unauthorized disclosure.

4. For more information, please consult the following point of contact (POC):

Federal POC(s):

Michael E. Shuler, Sr.

Project Officer & Site Specialist Federal Emergency Management Agency 615 Chestnut Street Philadelphia, PA 19106-4404 215-931-5526 Michael. Shuler@,fema.dhs. gov State/ORO POC(s):

David Smyth, MS-I Coordinator Pennsylvania Emergency Management Agency 2605 Interstate Drive Harrisburg, Pennsylvania 17110 717.651.2136 dsmyth@pa.gov Laurin Fleming, Lead Controller/Site Specialist Emergency Management Specialist Bureau of Strategic Operational Planning Pennsylvania Emergency Management Agency 2605 Interstate Drive Harrisburg, PA 17110 717-651-2119 laufleming@pa.gov 24

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After Action Report/Improvement Plan Peach Bottom Atomic Power Station Exercise Plan Medical Services Exercise TABLE OF CONTENTS Exercise Plan Peach Bottom Atomic Power Station FEMA Evaluated MS-1 Exercise U.S. DEPARTMENT OF HOMELAND SECURITY Preface..............................................................................................................

23 Handling Instructions...................................................................................

24 C hapter 1: G eneral Inform ation....................................................................

27 Introduction..................................................................................

27 Confidentiality...........................................................................................................................

27 Purpose.......................................................................................................................................

27 Core Capabilities........................................................................................................................

28 Exercise Objectives....................................................................................................................

29 Outstanding Issues.....................................................................................................................

29 C hapter 2: Exercise Logistics......................................................................

30 Exercise Sum m ary.....................................................................................................................

30 General..................................................................................................................................

30 A ssum ptions..........................................................................................................................

30 Constructs and Constraints................................................................................................

30 Exercise Participants..........................................................................................................

31 Exercise Tools.......................................................................................................

32 Controller and Evaluator Handbook...............................................................................

32 M aster Scenario Events List..............................................................................................

32 Exercise Im plem entation.....................................................................................................

32 Exercise Play.........................................................................................................................

32 Exercise Rules.......................................................................................................................

32 Safety Requirem ents - General.........................................................................................

33 Exercise Setup.......................................................................................................................

33 Accident Reporting and Real Em ergencies..........................................................................

33 Site Access.................................................................................................................................

34 Security..................................................................................................................................

34 Observer Coordination....................................................................................................

34 Parking and Directions.....................................................................................................

34 Restroom Facilities............................................................................................................

34 Exercise Identification.........................................................................................................

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After Action Report/Improvement Plan Peach Bottom Atomic Power Station Exercise Plan Medical Services Exercise Com m unications Plan..........................................................................................................

35 Exercise Start, Suspension, and Term ination Instructions...............................................

35 Player Com m unication......................................................................................................

35 Player Briefing......................................................................................................................

35 External Affairs.....................................................................................................................

35 C hapter 3: Player G uidelines.......................................................................

36 Exercise Staff..............................................................................................................................

36 Exercise Director..................................................................................................................

36 Trusted A gents............................................

.......................................................................... 36 Lead Controller.....................................................................................................................

36 Controllers.............................................................................................................................

36 Lead Evaluator......................................................................................................................

37 Evaluators.............................................................................................................................

37 Player Instructions.....................................................................................................................

37 Before the Exercise..........................................................................................................

37 During the Exercise.........................................................................................................

37 Following the Exercise.....................................................................................................

38 Sim ulation Guidelines..........................................................................................................

38 Chapter 4: Evaluation and Post-Exercise Activities...................................

39 Exercise D ocum entation.......................................................................................................

39 Debriefing..................................................................................................................................

39 Exercise Evaluation Hotwash..................................................

39 Participants and Public/M edia Briefings.............................................................................

39 After Action Report...................................................................................................................

39 After A ction Conference and Im provem ent Plan................................................................

.. 39 After A ction Conference........................................................................................................

40 Im provem ent Plan.....................................................................................................................

40 A ppendix A : Exercise Schedule..................................................................

41 Appendix B: Extent of Play Information.........................

42 26

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Peach Bottom Atomic Power Station Exercise Plan Medical Services Exercise CHAPTER 1: GENERAL INFORMATION Introduction The 2015 Peach Bottom Atomic Power Station Medical Services Exercise (MS-i) is a Functional Exercise (FE) designed to establish a learning environment for players to exercise emergency response plans, policies, and procedures as they pertain to Nuclear Power Plant accidents. A Functional Exercise is a complex event that requires detailed planning. To conduct an effective exercise, subject matter experts (SMEs) and local representatives from numerous agencies have taken part in the planning process and will take part in exercise conduct and evaluation.

This Exercise Plan (ExPlan) was produced at the direction of the Federal Emergency Management Agency (FEMA) with the input, advice, and assistance of the Commonwealth of Pennsylvania and the Lancaster Emergency Management Agency (LEMA). The 2015 Peach Bottom Atomic Power Station Medical Services Exercise (MS-i) is evidence of the growing partnership between State and local jurisdictions for response to the threats our Nation and communities face.

Confidentiality The 2015 Peach Bottom Atomic Power Station Medical Services Exercise is an unclassified exercise. The control of information is based more on public sensitivity regarding the nature of the exercise than on the actual exercise content. Some exercise material is intended for the exclusive use of exercise planners, controllers, and evaluators, but players may view other materials deemed necessary to their performance. This Exercise Plan may be viewed by all exercise participants, but the Controller and Evaluator (CE) Handbook is a restricted document intended for controllers and evaluators only.

All exercise participants should use appropriate guidelines to ensure the proper control of information within their areas of expertise and protect this material in accordance with current Federal, State and Local directives.

Public release of exercise materials to third parties is at the discretion of the Pennsylvania Emergency Management Agency (PEMA) and the Exercise Planning Team.

Purpose The purpose of this exercise is to evaluate player actions against current response plans and procedures for a nuclear power plant-related incident, and to comply with the requirements of 44 CFR 350 and the guidelines of NUREG 0654/FEMA-REP-1. Exercise planners utilized the elements described in the 67 FR 20580 (April 25, 2002) and Radiological Emergency Preparedness Program (REPP) Manual (January 2015) to develop this exercise.

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Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Peach Bottom Atomic Power Station Exercise Plan Medical Services Exercise The objective of the Pennsylvania Emergency Management Agency and local jurisdictions is to demonstrate reasonable assurance that the public can be protected during a nuclear power plant emergency.

Core Capabilities The establishment of the National Preparedness Priorities have steered the focus of homeland security toward a capabilities-based planning approach. Capabilities-based planning focuses on planning under uncertainty, since the next danger or disaster can never be forecast with complete accuracy. Therefore, capabilities-based planning takes an all-hazards approach to planning and preparation which builds capabilities that can be applied to a wide variety of incidents. States and Urban Areas use capabilities-based planning to identify a baseline assessment of their homeland security efforts by comparing their current capabilities against the Core Capabilities List (CCL) and the critical tasks of the Universal Task List (UTL). This approach identifies gaps in current capabilities and focuses efforts on identifying and developing priority capabilities and tasks for the jurisdiction. These priority capabilities are articulated in the jurisdiction's homeland security strategy and Multi-Year Training and Exercise Plan (TEP), of which this exercise is a component of.

The capabilities listed below have been selected by the Exercise Planning Team from the priority capabilities identified in Commonwealth of Pennsylvania Multi-Year TEP and the FEMA Radiological Emergency Preparedness Program Manual (January 2015), Exercise Evaluation Criteria. These capabilities provide the foundation for development of the exercise objectives and scenario, as the purpose of this exercise is to measure and validate performance of these capabilities and their associated critical tasks.

• Operational Communications

" Public Health and Medical Services

" Critical Transportation

• Public and Private Services and Resources

• Operational Coordination

" Public Information and Warning

• On-scene Security and Protection

• Environmental Response/Health and Safety

" Mass Care Services

• Supply Chain Integrity and Security

• Economic Recovery 28

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Peach Bottom Atomic Power Station Exercise Plan Medical Services Exercise Exercise Objectives The Emergency Preparedness Evaluation Areas - the elements and sub elements - for this exercise are those that are required to be demonstrated in every MS-1 Exercise, per 67 FR 20580 (April 25, 2002) and the Radiological Exercise Preparedness Program (REPP) manual (January 2015). Appendix B, Extent of Play, shows the emergency preparedness elements that are required to be demonstrated in the 2015 Peach Bottom Atomic Power Station Medical Services Exercise, along with the level of demonstration that will be displayed in the exercise (i.e, fully demonstrated limited demonstration, simulated, Out Of Sequence interviews, not demonstrated).

The objective of this exercise is to demonstrate reasonable assurance that the health and safety of the public can be protected, through successful demonstration of tasks identified in Appendix B.

Outstanding Issues There were no Deficiencies, Areas Requiring Corrective Action (ARCAs) or Planning Issues identified from the prior exercise.

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Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Peach Bottom Atomic Power Station Exercise Plan Medical Services Exercise CHAPTER 2: EXERCISE LOGISTICS Exercise Summary General The 2015 Peach Bottom Atomic Power Station Medical Services Exercise is designed to establish a learning environment for players to exercise their plans and procedures for responding to a radiological incident. The 2015 Peach Bottom Atomic Power Station Medical Services Exercise will be conducted on April 23, 2015. Exercise play is scheduled for four (4) hours or until the Lead Controller determines that the exercise objectives have been met at each venue.

Assumptions Assumptions constitute the implied factual foundation for the exercise and, hence, are assumed to be present before the start of the exercise. The following general assumptions apply to the 2015 Peach Bottom Atomic Power Station Medical Services Exercise:

" The exercise will be graded against the REP criteria. Elements outside the scope of the REP criteria will not be graded.

• This exercise will be conducted in a no-fault learning environment wherein systems and processes, not individuals, will be evaluated.

• Exercise simulation will be realistic and plausible, containing sufficient detail from which to respond.

• Exercise players will react to the information and situations as they are presented, in the same manner as if this had been a real event.

Constructs and Constraints Constructs are exercise devices designed to enhance or improve exercise realism. Alternatively, constraints are exercise limitations that may detract from exercise realism. Constraints may be the inadvertent result of a faulty construct or may pertain to financial and staffing issues.

Although there are a number of constructs and constraints (also known as exercise artificialities) for any exercise, the EPT recognizes and accepts the following as necessary:

" Exercise communication and coordination will be limited to the participating exercise venues.

" Communication methods may include Telephone, Mobile Telephone, radio, and other method made available for players to use during the exercise.

• Out-of-Sequence play is allowed.

• Certain simulations are allowed.

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Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Peach Bottom Atomic Power Station Exercise Plan Medical Services Exercise The participating agencies may need to balance exercise play with real-world emergencies. It is understood that real-world emergencies will take priority.

Exercise Participants The following are the categories of participants involved in this exercise; note that the term "participant" refers to all categories listed below, not just those playing in the exercise:

• Players. Players are agency personnel who have an active role in responding to the simulated emergency and perform their regular roles and responsibilities during the exercise. Players initiate actions that will respond to6 and mitigate the simulated emergency.

" Controllers. Controllers set up and operate the exercise site; plan and manage exercise play; act in the roles of response individuals and agencies not playing in the exercise.

Controllers direct the pace of exercise play and routinely include members from the exercise planning team. They provide key data to players and may prompt or initiate certain player actions to ensure exercise continuity.

" Evaluators. Evaluators are chosen to evaluate and provide feedback on a designated functional area of the exercise. They are chosen based on their expertise in the functional area(s) they have been assigned to review during the exercise and their familiarity with local emergency response procedures. Evaluators assess and document participants performance against established emergency plans and exercise evaluation criteria, in accordance with HSEEP standards and within the bounds of REP Program guidance and regulations. They are typically chosen from amongst planning committee members or the agencies/organizations that are participating in the exercise. FEMA Evaluators will not serve as Controllers.

" Actors. Actors are exercise participants who act or simulate specific roles during exercise play. They are typically volunteers who have been recruited to play the role of victims or other bystanders.

• Observers. Observers visit or view selected segments of the exercise. Local Observers do not play in the exercise, and do not perform any control or evaluation functions. Local Observers will view the exercise from a designated observation area and will be asked to remain within the observation area during the exercise. PEMA observers may be present at selected locations as assigned by the Lead Controller. VIPs or other visitors will be handled by each agency or location (Municipal EOC, County EOC, etc.) according to those agencies' policies and procedures.

• Media Personnel. Some media personnel may be present as observers pending approval by the Pennsylvania Emergency Management Agency (PEMA).

• Support Staff. Exercise support staff includes individuals who are assigned administrative and logistical support tasks during the exercise (i.e. registration, catering, etc).

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Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Peach Bottom Atomic Power Station Exercise Plan Medical Services Exercise Exercise Tools Controller and Evaluator Handbook The 2015 Peach Bottom Atomic Power Station Medical Services Exercise C/E Handbook is designed to help exercise Controllers and Evaluators conduct and evaluate an effective exercise.

This Handbook also enables Controllers and Evaluators to understand their roles and responsibilities in exercise execution and evaluation.

Master Scenario Events List The MSEL outlines benchmarks, as well as injects that drive exercise play. It also details realistic input to the exercise players as well as information expected to emanate from simulated organizations (i.e., those nonparticipating organizations, agencies, and individuals who would usually respond to the situation). An inject will include several items of information, such as inject time, intended recipient, responsible controller, inject type, a short description of the event, and the expected player action.

For the 2015 Peach Bottom Atomic Power Station Medical Services Exercise the MSEL will not be used.

Exercise Implementation Exercise Play Exercise play will begin at approximately 08:30 with a situation update going to each participating venue. Play will proceed according to the events outlined in the scenario, in accordance with established plans and procedures. The exercise will conclude upon the completion of operations and attainment of the exercise objectives, as determined by the Lead Controller.

Exercise Rules The following are the general rules that govern exercise play:

" Real-world emergency actions take priority over exercise actions.

• Exercise participants will comply with real-world response procedures, unless otherwise directed by control staff.

• All communications (written, radio, telephone, etc.) made during the exercise will begin and end with the phrase, "This is an exercise."

Exercise participants placing telephone calls or initiating radio communication must identify the organization, agency, office, and/or individual with whom they wish to speak.

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Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Peach Bottom Atomic Power Station Exercise Plan Medical Services Exercise Safety Requirements General Exercise participant safety takes priority over exercise events. Although the organizations involved in the 2015 Peach Bottom Atomic Power Station Medical Services Exercise come from, various response agencies, they share the basic responsibility for ensuring a safe environment for all personnel involved in the exercise. In addition, aspects of an emergency response are dangerous. Professional health and safety ethics should guide all participants to operate in their assigned roles in the safest manner possible. The following general requirements apply to the exercise:

• An exercise Safety Controller will be identified and be responsible for participant safety.

• All exercise controllers, evaluators, and staff will serve as safety observers while the exercise activities are underway. Any safety concerns must be immediately reported to the Safety Controller.

• Participants will be responsible for their own and each other's safety during the exercise.

It is the responsibility of all persons associated with the exercise to stop play if, in their opinion, a real safety problem exists. Once the problem is corrected, exercise play can be restarted.

• All organizations will comply with their respective environmental, health, and safety plans and procedures, as well as the appropriate Federal, State, and local environmental health and safety regulations.

Exercise Setup Exercise setup involves the pre-staging and dispersal of exercise materials; including registration materials, documentation, signage, and other equipment as appropriate.

Accident Reporting and Real Emergencies

• Anyone observing a participant who is seriously ill or injured will first advise the nearest controller to call 911,and state "This is not an Exercise" prior to explaining the injury or illness then if possible, renders aid, provided the aid does not exceed his or her training.

• The controller who is made aware of a real emergency will initiate the broadcast "This Is Not An Exercise'" on the controller radio network or telephone, providing the following information to the Lead Controller and Exercise Director:

o Venue/function o Location within the venue/function o Condition o Requirements 33

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Peach Bottom Atomic Power Station Exercise Plan Medical Services Exercise

• If the nature of the emergency requires a suspension of the exercise at the venue/function, all exercise activities at that facility will immediately cease. Exercise play may resume at that venue/function once the "Real-World Emergency" situation has been addressed.

• Exercise play at other venue/functions should not cease if one venue/function has declared a "Real-World Emergency" unless they are reliant on the affected venue.

0 If a real emergency occurs that affects the entire exercise, the exercise may be suspended or terminated at the discretion of the Exercise Director and Lead Controller.

Site Access Security To prevent confusion and interruption of the exercise, access to the exercise sites will be limited to exercise participants only. Players should advise their venue's controller or evaluator if an unauthorized person is present. Each organization should follow its internal security procedures, augmented as necessary to comply with exercise requirements.

Observer Coordination Each organization with observers will coordinate with the Lead Controller or Exercise Director for access to the exercise site. Observers will be escorted to an observation area for orientation and conduct of the exercise. All observers will be asked to remain within the designated observation area during the exercise. Exercise Director and/or the Observer Controller will be present to explain the exercise program and answer questions for the observers during the exercise.

Parking and Directions Parking information and directions to each venue area are available from the facility through the Lead Controller.

Restroom Facilities Restroom facilities will be available at each venue.

Exercise Identification Players, Controllers and Evaluators will display the agency issued Identification badges while the exercise is in play.

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Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Peach Bottom Atomic Power Station Exercise Plan Medical Services Exercise Communications Plan Exercise Start, Suspension, and Termination Instructions The exercise is scheduled to run for four (4) hours or until the Lead Controller after consultation with the Lead Evaluator determines that the exercise objectives have been met. The Lead Controller will announce the exercise suspension or termination.

statmen, "TIS S ANEECIE" Player Communication Players will use routine, in-place agency communication systems. Additional communication assets may be made available as the exercise progresses. The need to maintain capability for a real-world response may preclude the use of certain communication channels or systems that would usually be available for an actual emergency incident. In no instance will exercise communication interfere with real-world emergency communications. Each venue will coordinate its own internal communication networks and channels.

The primary means of communication among, Controllers, and the venues will be telephone.

Player Briefing Controllers/Evaluators may be required to read specific scenario details to the participants to begin exercise play. They may also have technical handouts or other materials to give to players in order to better orient them to the exercise environment.

External Affairs Any participation by actual media shall be coordinated through the PEMA Press Office.

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Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Peach Bottom Atomic Power Station Exercise Plan Medical Services Exercise CHAPTER 3: PLAYER GUIDELINES Exercise Staff Exercise Director The Exercise Director has the overall responsibility for planning, coordinating, and overseeing all exercise functions. The Exercise Director for the. 2015 Peach Bottom Atomic Power Station Medical Services Exercise is the Lead Controller who will manage the exercise activities and maintain a close dialogue with the Controllers regarding the status of play and the achievement of the exercise design objectives.

Trusted Agents Trusted agents are exercise planners and participants who are responsible for developing the Scenario and the Master Scenario Events List (MSEL). These documents are restricted and are not available to other members of the Exercise Planning Team, Players, or other Participants.

The trusted agents for the 2015 Peach Bottom Atomic Power Station MS-1 Exercise include the Exercise Director, Lead Controller, Peach Bottom Atomic Power Station, and the Lancaster County Emergency Management Agency.

Lead Controller The Lead Controller is responsible for the overall organization of the 2015 Peach Bottom Atomic Power Station MS-1 Exercise. The Lead Controller monitors exercise progress and coordinates decisions regarding deviations or significant changes to the scenario caused by unexpected developments during play. The Lead Controller monitors actions by individual Controllers and ensures they implement all designated and modified actions at the appropriate time. The Lead Controller debriefs the Controllers after the exercise and oversees the setup and takedown of the exercise.

Controllers At least one controller will be onsite with every facility participating in the exercise. The Lead Facility Controller at each location will coordinate any changes that impact the scenario or affect other areas of play through the Lead Controller. The individual controllers issue exercise materials to players as required and monitor the exercise timeline. Controllers also provide injects to the players as described in the scenario.

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Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Peach Bottom Atomic Power Station Exercise Plan Medical Services Exercise Lead Evaluator The Lead Evaluator is responsible for the overall evaluation of the 2015 Peach Bottom Atomic Power Station MS-1 Exercise. The Lead Evaluator monitors exercise progress and stays in contact with the Lead Controller regarding changes to the exercise during play. The Lead Evaluator monitors actions of individual Evaluators and ensures they are tracking progress of the players in accordance with the Overview of Play. The Lead Evaluator debriefs the evaluators after the exercise and oversees the entire evaluation and After Action process. The Lead Evaluator will be the FEMA Project Officer/Site Specialist.

Evaluators Evaluators work under the direction of the Lead Evaluator, and as a team with Controllers.

Evaluators are SMEs who record events that take place during the exercise and assess/submit documentation for review and inclusion in the After Action Report (AAR). Evaluators should refrain from any direct interaction with the players during exercise play except with the facilitation of a Controller for clarification of issues or during scheduled interviews.

Player Instructions Before the Exercise

" Review the appropriate emergency plans, procedures, and exercise support documents.

" Be at the appropriate site at least 30 minutes before the start of the exercise. Wear appropriate uniform/identification badge.

" If you gain knowledge of the scenario before the exercise, notify a controller so that appropriate actions can be taken to ensure a valid evaluation.

" Read your Player Information Handout, which includes information on exercise safety.

" Please sign in.

During the Exercise

• Respond to the exercise events and information as if the emergency were real, unless otherwise directed by an exercise controller.

" Controllers will only give you information they are specifically directed to disseminate.

You are expected to obtain other necessary information through existing emergency information channels.

• Do not engage in personal conversations with controllers, evaluators, observers, or media personnel while the exercise is in progress. If you are asked an exercise-related question, give a short, concise answer. If you are busy and cannot immediately respond, indicate so, but report back with an answer at the earliest time possible.

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Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Peach Bottom Atomic Power Station Exercise Plan Medical Services Exercise

• If you do not understand the scope of the exercise or if you are uncertain about an organization's or agency's participation in an exercise, ask a controller.

• Parts of the scenario may seem implausible. Recognize that the exercise has objectives to satisfy and may require the incorporation of unrealistic aspects. Note that every effort has been made by the trusted agents to balance realism with safety and the creation of an effective learning and evaluation environment.

• All exercise communication will begin and end with the phrase "This is an exercise."

This is a precaution taken so anyone overhearing the conversation will not mistake the exercise play for a real-world emergency.

• When communicating with any venue, identify the organization, agency, office, and/or individual with which you want to speak.

• Verbalize out loud when taking an action. This will ensure that evaluators are made aware of critical actions as they occur.

• Maintain a log of your activities. Many times, this log may include documentation of activities missed by a controller or evaluator.

Following the Exercise

• At the end of the exercise at your facility, participate in the Hotwash with the controllers and evaluators.

• Provide all rosters, sign in sheets, logs, messages, notes or materials generated from the exercise to your controller or evaluator for review and inclusion in the After Action Report (AAR).

Simulation Guidelines Because the 2015 Peach Bottom Atomic Power Station MS-1 Exercise is of limited duration and scope, the physical description of what would fully occur at the incident sites and surrounding areas will be relayed to the Players by Simulators or Controllers.

If a real emergency occurs during the exercise, the exercise at your respective venue may be suspended or terminated at the discretion of the controller(s) at each venue. If a real emergency occurs, say "Real-World Emergency" and notify the nearest Controller and Evaluator.

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Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Peach Bottom Atomic Power Station Exercise Plan Medical Services Exercise CHAPTER 4: EVALUATION AND POST-EXERCISE ACTIVITIES Exercise Documentation The goal of the 2015 Peach Bottom Atomic Power Station MS-I Exercise is to comprehensively exercise and evaluate the OROs' plans and capabilities as they pertain to a potential nuclear power plant incident. After the exercise, data collected by Controllers, Evaluators, and Players will be used to identify strengths and areas for improvement in the context of the exercise design objectives.

Debriefing Immediately following the completion of exercise play, Controllers will facilitate a debrief with Players from their assigned location. The debriefing is an opportunity for Players to voice their opinions on the exercise and their own performance. At this time, Evaluators can also seek clarification on certain actions and what prompted Players to take them. The debriefing should not last more than 30 minutes. Evaluators should take notes during the debriefing and include these observations in their analysis.

Exercise Evaluation Hotwash Controllers, Evaluators, and selected exercise participants will attend a facilitated Controller/Evaluator/Player Hotwash on April 23, 2015 at 1115 at the Ephrata Community Hospital. During the Hotwash these individuals will discuss their observations of the exercise in an open environment to clarify actions taken during the exercise.

Participants and PubliclMedia Briefings Participants and Public/Media Briefings are not routinely facilitated subsequent to MS-1 Exercises. Questions about exercise activities and results will be referred to the PEMA P1O and FEMA External Affairs Office.

After Action Report The AAR is the culmination of the exercise. It is a written report outlining the strengths and areas for improvement identified during the exercise. The AAR will include the timeline, executive summary, scenario description, mission outcomes, and capability analysis. The AAR will be drafted by a core group of individuals from the exercise planning team.

After Action Conference and Improvement Plan The improvement process represents the comprehensive, continuing preparedness effort of which the 2015 Peach Bottom Atomic Power Station MS-1 Exercise is a part. The lessons learned and recommendations from the AAR will be incorporated into the Improvement Plan (IP), if required.

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Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Peach Bottom Atomic Power Station Exercise Plan Medical Services Exercise After Action Conference The After Action Conference (AAC), tentatively scheduled for May 23, 2015 is a forum for jurisdiction officials to hear the results of the evaluation analysis, validate the findings and recommendations in the draft AAR, and begin development of the IP (if required). The After Action Conference will be conducted via conference call.

Improvement Plan The Improvement Plan (IP) identifies how recommendations will be addressed, including what actions will be taken, who is responsible, and the timeline for completion. It is created by key stakeholders from the 2015 Peach Bottom Atomic Power Station MS-1 Exercise participating agency officials during the AAC.

40

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Peach Bottom Atomic Power Station Exercise Plan Medical Services Exercise APPENDIX A: EXERCISE SCHEDULE Table A.1 MS-1 Exercise Schedule Time S

1e2*l d

Actiity April 23, 2015 0830 Exercise Staff Assembly Exercise Briefing 0900 Exercise Participants Begin Exercise 0930 Ephrata Community Ambulance Begin EMS Portion 1000 (Approx.)

Ephrata Community Hospital Receives Patient from EMS 1115 (Approx.)

Exercise Staff Assembly Exercise Debriefmg/Hotwash 41

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Peach Bottom Atomic Power Station Exercise Plan Medical Services Exercise APPENDIX B: EXTENT OF PLAY INFORMATION PEACH BOTTOM ATOMIC POWER STATION EPHARATA COMMUNITY HOSPITAL EXERCISE April 23, 2015 Method of Operation

1.

The power station and its personnel will not play as active role in the facilitation of this exercise. The plant's simulated events, radiation releases, and emergency classifications will be injected by off-site controllers. A pre-approved scenario will be used.

2.

The Pennsylvania Emergency Management Agency (PEMA), PEMA Central Area Office and the Bureau of Radiation Protection will not be activated as part of this exercise. The Exercise Coordinator will provide pre-exercise coordination and observe exercise activities.

3.

Peach Bottom Atomic Power Station and Three Mile Island will participate as Controllers in this exercise.

4.

Lancaster County Emergency Management Agency will provide pre-exercise coordination, participate in this exercise as the county communications coordinator and observe exercise activities

5.

Controllers will be supplied by the Pennsylvania Emergency Management Agency (PEMA). Controllers are not players and will provide injects and information to initiate and stimulate exercise play by providing radiological readings during the monitoring of personnel. Live radioactive sources will only be used to perform operational checks of radiological monitoring instruments.

6.

PEMA staff and qualified county emergency management personnel will be assigned to key locations for the purpose of. observing, noting response actions and conditions, and recording observations for future use. Observers will not take an active part in the proceedings, but will interact with staff members to the extent necessary to fulfill their observer responsibilities. Coaching of players is not permitted, except as appropriate to provide training to participants awaiting a re-demonstration.

7.

Department of Homeland Security (DHS) Federal Emergency Management Agency (FEMA), Radiological Emergency Preparedness Program (REPP) Evaluators: FEMA Evaluators will be present at designated demonstration locations.

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Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Peach Bottom Atomic Power Station Exercise Plan Medical Services Exercise

8.

Exercise activities are scheduled to commence on or about 0830, April 23, 2015 and continue until the participants have completed the exercise objectives and demonstrated the Exercise Evaluation Criteria.

9.

Participants and agencies will Stand Down when the Controllers have confirmed with the evaluators that all evaluation criteria have been demonstrated and when the State and County Observers are satisfied that the Objectives have been met.

10.

An emergency plan is drafted to address the generally expected conditions of an emergency. Not everything in the emergency plan may be applicable for a given scenario. The main purpose of an emergency plan is to assemble sufficient expertise and officials so as to properly react to the events as they occur. The responders should not be so tied to a plan that they cannot take actions that are more protective of the public.

Therefore, if, by not following the plan, the responders protect the public equally as well as provided in the plan, it should be noted for possible modification of the plan, but not classified as a negative incident. Furthermore, if, by following the plan there is a failure to protect the public health and safety, it should be noted so that the plan can be modified and the appropriate negative assessment corrected.

11.

During the exercise any activity that is not satisfactorily demonstrated may be re-demonstrated by the participants during the exercise, provided it does not negatively interfere with the exercise. Refresher training may be provided by the players, observers, and/or controllers. Re-demonstrations will be negotiated between the players, observers, controllers, and evaluators. It is permissible to extend the demonstration window, within reason, to accommodate the re-demonstration. Activities corrected from a re-demonstration will be so noted.

Obiectives A.

Demonstrate the ability to respond to a radiation medical emergency following the procedures of Lancaster County Emergency Management Agency, Ephrata Community Ambulance Association and Ephrata Community Hospital.

B.

Demonstrate timely and accurate communications between the hospital and offsite response agencies. (Telephones will be used in lieu of radios whenever possible to limit the potential misinterpretation of the exercise as an actual event.)

C.

Demonstrate correct priorities and appropriate techniques in Emergency Medical Services (EMS), transportation of patients and pre-hospital and hospital emergency care of radioactively contaminated patients.

D.

Demonstrate inter-agency cooperation between the Ambulance Company/EMS and the Hospital.

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Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Peach Bottom Atomic Power Station Exercise Plan Medical Services Exercise PEACH BOTTOM ATOMIC POWER STATION EPHRATA COMMUNITY HOSPITAL MEDICAL SERVICES EXERCISE Extent of Play Agreement Evaluation Area 1-Emergency Operations Management Sub-Element i.e-Equipment and Supplies to Support Operations Intent This sub-element derives from NUREG-0654, which provides that Offsite Response Organizations (ORO) have emergency equipment and supplies adequate to support the emergency response.

Criterion 1.e.1: Equipment, maps, displays, dosimetry, potassium iodide (KI), and other supplies are sufficient to support emergency operations. (NUREG-0654FEMA-REP-1, H.7,10; 1.7,8,9; J.10.a, b, e, J.11; K.3.a, K.5.b).

ASSESSMENT/EXTENT OF PLAY Assessment of this Demonstration Criterion is accomplished primarily through a baseline evaluation and subsequent periodic inspections.

A particular facility's equipment and supplies must be sufficient and consistent with that facility's assigned role in the ORO's emergency operations plans. Use of maps and other displays is encouraged. For non-facility-based operations, the equipment and supplies must be sufficient and consistent with the assigned operational role. At locations where traffic and access control personnel are deployed, appropriate equipment (e.g., vehicles, barriers, traffic cones, and signs) must be available, or their availability described.

Specific equipment and supplies that must be demonstrated under this criterion include KI inventories, dosimetry, and monitoring equipment, as follows:

KI: Responsible OROs must demonstrate the capability to maintain inventories of KI sufficient for use by: (1) emergency workers; (2) institutionalized individuals, as indicated in capacity lists for facilities; and (3) where stipulated by the plans/procedures, members of the general public (including transients) within the plume pathway EPZ. In addition, OROs must demonstrate provisions to make KI available to specialized response teams (e.g., civil support team, Special Weapons and Tactics Teams, urban search and rescue, bomb squads, HAZMAT, or other ancillary groups) as identified in plans/procedures).

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Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Peach Bottom Atomic Power Station Exercise Plan Medical Services Exercise The plans/procedures must include the forms to be used for documenting emergency worker ingestion of KI, as well as a mechanism for identifying emergency workers that have declined KI in advance. Consider carefully the placement of emergency workers that have declined KI in advance.

ORO quantities of dosimetry and KI available and storage locations(s) will be confirmed by physical inspection at the storage location(s) or through documentation of current inventory submitted during the exercise, provided in the ALC submission, and/or verified during an SAV.

Available supplies of KI must be within the expiration date indicated on KI bottles or blister packs. As an alternative, the ORO may produce a letter from a certified private or State laboratory indicating that the KI supply remains potent, in accordance with U.S. Pharmacopoeia standards.

Dosimetry: Sufficient quantities of appropriate direct-reading and permanent record dosimetry and dosimeter chargers must be available for issuance to all emergency workers who will be dispatched to perform an ORO mission. In addition, OROs must demonstrate provisions to make dosimetry available to specialized response teams (e.g., civil support team, Special Weapons and Tactics Teams, urban search and rescue, bomb squads, HAZMAT, or other ancillary groups) as identified in plans/procedures).

Appropriate direct-reading dosimetry must allow an individual(s) to read the administrative reporting limits and maximum exposure limits contained in the ORO's plans/procedures.

Direct-reading dosimeters must be zeroed or operationally checked prior to issuance. The dosimeters must be inspected for electrical leakage at least annually and replaced when necessary. Civil Defense Victoreen Model 138s (CD V-138s) (0-200 mR), due to their documented history of electrical leakage problems, must be inspected for electrical leakage at least quarterly and replaced when necessary. This leakage testing will be verified during the exercise, through documentation submitted in the ALC and/or through an SAV.

Operational checks and testing of electronic dosimeters must be in accordance with the manufacturer's instructions and be verified during the exercise, through documentation submitted in the ALC and/or through an SAV.

Monitoring Instruments: All instruments must be inspected, inventoried, and operationally checked before each use. Instruments must be calibrated in accordance with the manufacturer's recommendations. Unmodified CDV-700 series instruments and other instruments without a manufacturer's recommendation must be calibrated annually. Modified CDV-700 instruments must be calibrated in accordance with the recommendation of the modification manufacturer.

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Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Peach Bottom Atomic Power Station Exercise Plan Medical Services Exercise A label indicating such calibration must be on each instrument or calibrated frequency can be verified by other means. In addition, instruments being used to measure activity must have a sticker-affixed to their sides indicating the effective range of the readings. The range of readings documentation specifies the acceptable range of readings that the meter should indicate when it is response-checked using a standard test source.

For FMTs, the instruments must be capable of measuring gamma exposure rates and detecting beta radiation. These instruments must be capable of measuring a range of activity and exposure, including radiological protection/exposure control of team members and detection of activity on air sample collection media, consistent with the intended use of the instrument and the ORO's plans/procedures. An appropriate radioactive check source must be used to verify proper operational response for each low-range radiation measurement instrument (less than 1R/hr) and for high-range instruments when available. If a source is not available for a high-range instrument, a procedure must exist to operationally test the instrument before entering an area where only a high-range instrument can make useful readings.

In areas where portal monitors are used, the OROs must set up and operationally check the monitor(s). The monitor(s) must conform to the standards set forth in the Contamination Monitoring Standard for a Portal Monitor Used for Emergency Response, FEMA-REP-21 (March 1995) or in accordance with the manufacturer's recommendations.

All activities must be based on the ORO's plans/procedures and completed as they would be in an actual emergency, unless noted above or otherwise specified in the Extent-of-Play Agreement.

State Negotiated Extent of Play:

In accordance with PEMA standard operating procedures ambulance crews operating outside the 10 mile Emergency Planning Zone are considered 'Category C" emergency workers; therefore, they are only required to implement protective measures consistent with protection against blood-borne pathogens; i.e., long sleeved garments, trousers, impermeable gloves, and surgical masks. Ambulance "Category C" emergency workers are not issued dosimetry or KI unless they are tasked to enter the 10 mile EPZ. At that time, the county will issue what is needed.

Hospital personnel are also considered "Category C" emergency workers and will conform to PEMA Standard Operating Procedure (SOP) protective measures at minimum. Direct Reading Dosimeters may be issued individually; however, an Area Kit will be established in the Radiation Emergency Area (REA). Individual PRDs will be issued by the hospital. Radiological Survey Instruments are calibrated per manufactures recommendations.

Outstanding Issues:

None 46

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Peach Bottom Atomic Power Station Exercise Plan Medical Services Exercise Evaluation Area 3-Protective Action Implementation Sub-Element 3.a-Implementation of Emergency Worker Exposure Control INTENT This Sub-element is-derived from NUJREG0654/FEMA-REP-1, which requires that OROs have the capability to provide for the following: distribution, use, collection, and processing of direct-reading dosimetry and permanent record dosimetry; reading of direct-reading dosimetry by emergency workers at appropriate frequencies; maintaining a radiation dose record for each emergency worker; establishing a decision chain or authorization procedure for emergency workers to incur radiation exposures in excess of the PAGs, and the capability to provide KI for emergency workers, always applying the "as low as is reasonably achievable" principle as appropriate.

Criterion 3.a.l: The OROs issue appropriate dosimetry, KI, and procedures, and manage radiological exposure to emergency workers in accordance with the plans/procedures.

Emergency workers periodically and at the end of each mission read their dosimeters and record the readings on the appropriate exposure record or chart. OROs maintain appropriate record-keeping of the administration of KI to emergency workers. (NUREG-0654/FEMA-REP-1, K.3.a, b; K.4)

ASSESSMENT/EXTENT OF PLAY Assessment of this Demonstration Criterion may be accomplished during a biennial or tabletop exercise. Other means may include drills, seminars or training activities that would fully demonstrate technical proficiency.

OROs must demonstrate the capability to provide emergency workers (including supplemental resources) with the appropriate direct-reading and permanent record dosimetry, dosimeter chargers, KI, and instructions on the use of these items. For evaluation purposes, appropriate direct-reading dosimetry is defined as dosimetry that allows an individual(s) to read the administrative reporting limits that are pre-established at a level low enough to consider subsequent calculation of TEDE and maximum exposure limits, for those emergency workers involved in lifesaving activities, contained in the ORO's plans/procedures.

Each emergency worker must have basic knowledge of radiation exposure limits as specified in the ORO's plans/procedures. If supplemental resources are used, they must be provided with just-in-time training to ensure basic knowledge of radiation exposure control. Emergency workers must demonstrate procedures to monitor and record dosimeter readings and manage radiological exposure control.

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Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Peach Bottom Atomic Power Station Exercise Plan Medical Services Exercise During a plume phase exercise, emergency workers must demonstrate the procedures to be followed when administrative exposure limits and turn-back values are reached. The emergency worker must report accumulated exposures during the exercise as indicated in the plans/procedures. OROs must demonstrate the actions described in the plans/procedures by determining whether to replace the worker, authorize the worker to incur additional exposures, or take other actions. If exercise play does not require emergency workers to seek authorizations for additional exposure, evaluators must interview at least two workers to determine their knowledge of whom to contact in case authorization is needed, and at what exposure levels. Workers may use any available resources (e.g., written procedures and/or coworkers) in providing responses.

Although it is desirable for all emergency workers to each have a direct-reading dosimeter, there may be situations where team members will be in close proximity to each other during the entire mission. In such cases, adequate control of exposure can be achieved for all team members using one direct-reading dosimeter worn by the team leader. Emergency workers assigned to low-exposure rate fixed facilities (e.g., EOCs and communications center within the EPZ, reception centers, and counting laboratories) may have individual direct-reading dosimeters or they may be monitored using group dosimetry (i.e., direct-reading dosimeters strategically placed in the work area). Each team member must still have his or her own permanent record dosimetry. Individuals authorized by the ORO to reenter an evacuated area during the plume (emergency) phase, must be limited to the lowest radiological exposure commensurate with completing their missions.

OROs may have administrative limits lower than EPA-400-R-92-001 dose limits for emergency workers performing various services (e.g., lifesaving, protection of valuable property, all activities). OROs must ensure that the process used to seek authorization for exceeding dose limits does not negatively impact the capability to respond to an incident where lifesaving and/or protection of valuable property may require an urgent response.

OROs must demonstrate the capability to accomplish distribution of KI to emergency workers consistent with decisions made. OROs must have the capability to develop and maintain lists of emergency workers who have ingested KI, including documentation of the date(s) and time(s) they did so. Ingestion of KI recommended by the designated ORO health official is voluntary.

For evaluation purposes, the actual ingestion of KI shall not be performed. OROs must demonstrate the capability to formulate and disseminate instructions on using KI for those advised to take it. Emergency workers must demonstrate basic knowledge of procedures for using KI whether or not the scenario drives the implementation of KI use. This can be accomplished by an interview with the evaluator.

All activities must be based on the ORO's plans/procedures and completed as they would be in an actual emergency, unless noted above or otherwise specified in the Extent-of-Play Agreement.

48

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Peach Bottom Atomic Power Station Exercise Plan Medical Services Exercise State Negotiated Extent of Play:

Radiological briefings will be provided to address exposure limits and procedures to replace personnel approaching limits and how permission to exceed limits is obtained. At any time, players may ask other players or supervisors to clarify radiological information. In Pennsylvania, emergency workers outside the EPZ do not have turn-back values. Standard issue of dosimetry and potassium iodide for each category of emergency worker is as follows:

Category A: 1 PRD, 1 DRD, and 1 unit of KI Category B: 1 PRD and 1 unit of KI Category C: 1 PRD All locations that have dosimetry equipment indicated within their Radiological Emergency Response Plan (RERP) will make the dosimetry equipment (and KI, as appropriate) available for inspection by the Federal Evaluator. In order to demonstrate an understanding of the use of the dosimetry equipment, KI and associated forms; the location need only remove and distribute/issue a maximum of six (6) units of dosimetry from their inventory. Simulation PRDs with mock serial numbers may be used.

Outstanding Issues:

None Evaluation Area 6-Support Operation/ Facilities Sub-Element 6.d-Transportation and Treatment of Contaminated Injured Individuals INTENT This Sub-element is derived from NUREG-0654/FEMA-REP-1, which requires that OROs have the capability to transport contaminated injured individuals to medical facilities with the capability to provide medical services.

Criterion 6.d.l: The facility/ORO has the appropriate space, adequate resources, and trained personnel to provide transport, monitoring, decontamination, and medical services to contaminated injured individuals. (NUREG0654/FEMA-REP-1, F.2; H.10; K.5.a, b; L.1, 4)

ASSESSMENT/EXTENT OF PLAY Assessment of this Demonstration Criterion may be accomplished during a biennial exercise, an actual event, or drills. FEMA has determined that these capabilities have been enhanced and consistently demonstrated as adequate; therefore, offsite medical services drills need only be evaluated biennially.

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Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Peach Bottom Atomic Power Station Exercise Plan Medical Services Exercise FEMA will, at the request of the involved ORO, continue to evaluate the drills on an annual basis. If more than two medical facilities and transportation providers are designated as primary or backup, they are also evaluated biennially.

Monitoring, decontamination, and contamination control efforts must not delay urgent medical care for the victim.

OROs must demonstrate the capability to transport contaminated injured individuals to medical facilities.

An ambulance must be used for response to the victim. However, to avoid taking an ambulance out of service for an extended time, OROs may use any vehicle (e.g., car, truck, or van) to transport the victim to the medical facility. It is allowable for an ambulance to demonstrate up to the point of departure for the medical facility and then have a non-specialized vehicle transport the "victim(s)" to the medical facility. This option is used in areas where removing an ambulance from service to drive a great distance (over an hour) for a drill would not be in the best interests of the community.

Normal communications between the ambulance/dispatcher and the receiving medical facility must be demonstrated. If a substitute vehicle is used for transport to the medical facility, this communication must occur before releasing the ambulance from the drill. This communication would include reporting radiation monitoring results, if available. In addition, the ambulance crew must demonstrate, by interview, knowledge of where the ambulance and crew would be monitored and decontaminated, if required, or whom to contact for such information.

Monitoring of the victim may be performed before transport or en route, or may be deferred to the medical facility. Contaminated injured individuals transported to medical facilities are monitored as soon as possible to assure that everyone (ambulance and medical facility) is aware of the medical and radiological status of the individual(s). However, if an ambulance defers monitoring to the medical facility, then the ambulance crew presumes that the patient(s) is contaminated and demonstrate appropriate contamination controls until the patient(s) is monitored. Before using monitoring instruments, the monitor(s) must demonstrate the process of checking the instrument(s) for proper operation. All monitoring activities must be completed as they would be in an actual emergency. Appropriate contamination control measures must be demonstrated before and during transport and at the receiving medical facility.

The medical facility must demonstrate the capability to activate and set up a radiological emergency area for treatment. Medical facilities are expected to have at least one trained physician and one trained nurse to perform and supervise treatment of contaminated injured individuals. Equipment and supplies must be available for treatment of contaminated injured individuals.

50

Unclassified Radiological Emergency Preparedness Program (REP)

After Action Report/Improvement Plan Peach Bottom Atomic Power Station Exercise Plan Medical Services Exercise The medical facility must demonstrate the capability to make decisions on the need for decontamination of the individual, follow appropriate decontamination procedures, and maintain records of all survey measurements and samples taken. All procedures for collection and analysis of samples and decontamination of the individual must be demonstrated or described to the evaluator. Waste water from decontamination operations must be handled according to facility plans/procedures.

All activities must be based on the ORO's plans/procedures and completed as they would be in an actual emergency, unless noted above or otherwise specified in the Extent-of-Play Agreement.

State Negotiated Extent of Play:

Demonstrate that the facility has the appropriate space, adequate resources and trained personnel to provide monitoring, decontamination and medical services to contaminated/injured individuals.

Demonstrate the ability to transport contaminated/injured individuals while using ALARA principles.

The Ambulance Service will pick-up a pre-staged simulated contaminated/injured victim.

Outstanding Issues:

None 51

Unclassified Radiological Emergency Preparedness Program (REP)

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