ML17075A173

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Revision 010 to Emergency Radiological Equipment Maintenance and Inspection (Ref. 6.2), RPM 4.8.5
ML17075A173
Person / Time
Site: Millstone  Dominion icon.png
Issue date: 03/02/2017
From:
Dominion Nuclear Connecticut
To:
Document Control Desk, Office of Nuclear Reactor Regulation
References
RPM 4.8.5, Rev 010
Download: ML17075A173 (19)
v • d • e


Text

T!PCK02 PASSPORT DOCUME'-.

To DOCUMENT CONTROL DESK.

Facility MP Department .TRANSMITTAL Address U.S. NUCLEAR REGULATORY COMMISSION DOCUMENT CONTROL DESK (0140)

WASHINGTON, DC 20555-0001 Page: 1 From. CONTROLLED DOCUMENTS Date/Time 03/01/17 0,8: 53 111 Trans No. 000159347 Transmittal Group Id: 1710251 To~al Items: 00004 Item Facility Type Sub Document Number I Title Sheet Revision Doc Date Copy# Media Copies

  • 0001 MP PROC HP RPM 4.8.5 010 p 01 EMERGENCY RADIOLOGICAL EQUIPMENT MAINTENANCE INSPECTION ]REF. 6.2!
  • 0002 MP PROC HP RPM 4.8.5-001 009 p 01 EMERGENCY RESPONSE FACILITY READINESS CHECK REPORT
  • 0003 MP PROC HP RPM 4.8.5-013A 010 p 01 EMERGENCY OPERATIONS FACILITY SPARE RMT KIT
  • 0004 MP PROC HP RPM 4.8.5-029 001 p 01 BUILDING 532 OVER WATER MONITORING LOCKER Please check the appropriate response and ret~rn form to NDS Bldg 475/3 Millstone Power Station or Fax to 860-440-2057.

§ All documents received.

Documents noted above not received (identify those not received) .

I no longer require distribution of these documents.*

Date: Signature: ~~---,~~~~~~~~~~~~~~~~~~~~~

    • ~

Technical Procedure Approval "5~D- . * * . AD*AA*100

  • Attachm~nt 2 Page 1* of 1 fil#J" om1n10n"' ' . . .

lh ons for completing this form are included in AD-AA-100.

1. edure Number 2. Revision 3. Change Type & No. 4.Page 5. Effecti'?: Oat (!toot approval date)

RPM 4.8.5 010 1 of 03tCJZ I I

6. Procedure Title 7. Expiration Date Emergency Radiological Equipment Maintenance and Inspection [Ref. 6.2]
8. Type of Request D New Procedure ~ Revision D Deletion D Vendor Procedure Change: D Minor Revision D OTO - Permanent Revision Required D OTO - No Permanent Revision Required
9. Has a Condition Report (CR) Been Submitted? 0Yes ~No CR No.:

~ 0. Reason and Description of Change The Spare RMT Kit, formerly located in the EOF, was moved to Building 532 where the Over Water Monitoring Locker is located. The information in RPM 4.8.5-013A, "Emergency Operations Facility Spare RMT Kit," was subsumed into RPM 4.8.5-029, "Building 532, Over Water Monitoring Locker," allowing RPM 4.8.5-013A to be superseded. In this procedure, RPM 4.8.5-013A was removed from the Table of Contents.

14. Does this change involve a Temporary Modification that affects nuclear safety as documented in CM-AA-TCC-204? 0Yes0 No
15. Does this procedure require a 50.59 / 72.48 Evaluation (Form No. 730947)? 0Yes0 No a

.16. Is this a "Special Test" procedure, an EPIP procedure or FCA, a FSG, an EOP, required by RP-AA-274, or is it an ICCE designated D Yes0 No procedure that requires a 50.59 / 72.48 Screen (Form No. 730943)?

  • .Change of Intent Checklist
  • If "Yes" to any of the following questions,_Cognizant Management "B" approval required. Check.item 30 .

.'. * *

  • If "No" to all of the following questions, Cognizant Manage'ment "A" approval required. Check item 31. * .- . *
17. A new procedure or procedure deletion? 0Yes0 No 1l 1ange or addition to any of the following:

_Purpose D Acceptance Criteria or Tolerances D "Level of Use" 0Yes0 No D Initial Conditions D Scalin_g or Setpoints D System/Component As-Left Condition(s) 0The method for meeting a commitment D Reactivity Management

19. *A change that adds or deletes a subsection, deletes a step verification (IV, CV, or PC), adds an alternative method for performing a task, 0Yes0 No involves a less conservative method for performing a task, or affects equipment qualification?

20 A change that decreases personnel safety or fire protection effectiveness? 0Yes0 No

21. A change that modifies, relocates, deletes, or adds a hold point? (Review by the QIC or certified discipline QC Level II/Ill Inspector is required. For OTOs and MRs, QIC or Level II/Ill Inspector initial here .) 0Yes0 No
22. A change to CAUTION or WARNING statements? This does not include adding CAUTION or WARNING statements. 0Yes0 No
23. A change to a procedure marked "Infrequently Conducted or Complex Test or Evolution"? Oves0No
24. Requestor/Writer (Printed Name) 25. Date 26. Reviewed By (Printed Name) 27. Date Paul G. Tardift/ Jean B. Olsen 11/02/2016 N/A If FSRC approval is required for a Procedure Change, it is not necessary for SRO to approve the Procedure Change. Place N/A in blocks 35 and 36.
32. Required Approval Authority (Print Name) 33. Signature) 34. Date Michael C. Wynn 2/ l. / 17
35. SRO Approval For Changes (Print Name) 36. SRO Approval For Changes (Signature) 37. Date NIA .

38 Site Vice President Approval, If Required (Print Name) 39. Site Vice President Approval, If Required (Signature) 40 . Date

._ NIA

  • N The individual s posting a new or revised document to EDMS are responsible for ensuring Nuclear E-Forms is updated.

4 lear E-Forms Updated for Site(s)? 42. Nuclear E-Forms Updated Print Name/Signature 43. Date u 1V1P* 0 NA 0 SU ~ N/A Key: FSRC-Facility_Safety Review Committee; EPIP-Emergency*Plan Implementing Procedures; EOP-Emerg.ency*oper.ating*

Procedure; OTO-One Time Only; MR-Minor Revision; ICCE-lnfrequently Conducted or Complex Evolutions; FCA-Fire Contingency Action; FSGs-FLEX Support Guideline; SRO-Senior Reactor Operator; QIC-Quality Inspection Coordinator; CFAM-Corporate Functional Area Manager Form No. 7306B2(Feb 2016)

MILLSTONE POWER STATION HEALTH PHYSICS OPERATIONS PROCEDURE Emergency Radiological Equipment Maintenance and Inspection [Ref. 6.2]

RPM 4.8.5 Rev. 010 Approval Date: 02/02/17 Effective Date: 03/02/17 Level of Use Information

Millstone All Units Health Physics Operations Procedure Emergency Radiological Equipment Maintenance and Inspection [Ref. 6.2]

TABLE OF CONTENTS

1. PURPOSE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
2. PREREQUISITES .............................................. 4
3. PRECAUTIONS ................................................ 4
4. INSTRUCTIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 4.1 Inventory Package Preparation..................... . . . . . . . . . . 5 4.2 Kit or Locker Inventories [Ref. 6.8 and 6.10] . . . . . . . . . . . . . . . . . . . 5 4.3 Equipment Restoration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 4.4 Documentation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
5. REVIEW AND SIGNOFF . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
6. REFERENCES ................................................. 9
7.

SUMMARY

OF CHANGES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 ATTACHMENTS AND FORMS RPM 4.8.5-001, "Emergency Response Facility Readiness Check Report" RPM 4.8.5-003, "Emergency Operations Facility, Team 3" RPM 4.8.5-004, "Emergency Operations Facility, Team 4" RPM 4.8.5-005, "Emergency Operations Facility, Team 5" RPM 4.8.5-009, "Emergency Operations Facility" RPM 4.8.5-011, "Unit 2 Control Room" RPM 4.8.5-015, "Unit 2 Personnel Decon Room Emergency Personnel Decon Kit" RPM 4.8.5-016, "SAP" RPM 4.8.5-019, "OCA Checkpoint and Off-Site Emergency Responder Dosimetry" RPM 4.8.5-020, "Unit 3 Control Room" RPM 4.8.5-021, "Technical Support Center Locker" RPM 4.8.5-022A, "Technical Support Center TSC Kit" RPM 4.8.5-022B, "OSC Assembly Area Kit and Locker Building 475, 1st floor" RPM4.8.5 Level of Use STOP THINK ACT REVIEW Rev. 010 Information 1of10

ATTACHMENTS AND FORMS, CONT'D RPM 4.8.5-024, "Unit 3 Personnel Decon Room Emergency Personnel Decon Kit" RPM 4.8.5-025, "NAP" RPM 4.8.5-027, "Security Station Emergency Dose Rate Equipment" RPM 4.8.5-029, "Building 532, Over Water Monitoring Locker and Spare RMT Kit"I RPM4.8.5 Level of Use STOP THINK ACT REVIEW Rev. 010 Information 2of 10

1. PURPOSE 1.1 Objective This procedure ensures that the emergency radiological monitoring and protection equipment and other specified supplies at the Emergency Response Facilities are available when needed. It also ensures that the equipment is found in appropriate quantities, and is maintained in its proper operating condition, as required by Unit 2 Technical Specification 6.12 and Unit 3 Technical Specification 6.8.4 (b).

1.2 Discussion This procedure is provided to ensure that:

" The minimum quantity of equipment is found at the locations specified on the inventory forms. [Ref. 6.7 and 6.9]

  • Radiological equipment is found to be in satisfactory working condition.
  • Respiratory equipment has been inspected using guidance from RP-AA-163, "Inspection and Inventory of Respiratory Protection Equipment."

Inventory seals are placed on kits by the Calibration Laboratory Technicians solely as an indication to them if the kits have been broken open between inventories.

1.3 Frequency This procedure is to be completed in first, second, third, and fourth quarter of each year. The intent is to be as consistent as possible in the time frame of each inspection; avoid scheduling in January of the first quarter and June of the second quarter. This procedure shall also be completed on a post drill and on an as needed basis. [Ref. 6. 7 and Ref. 6.8]

RPM 4.8.5 Level of Use STOP THINK ACT REVIEW Rev. 010 Information 3of10

2. PREREQUISITES 2.1 General NIA 2.2 Documents 2.2.1 RP-AA-163, "Inspection and Inventory of Respiratory Protection Equipment" 2.3 Responsibilities 2.3.1 Supervisor EC&I approves and makes changes to RPM 4.8.5-001through4.8.5-029.

2.3.2 Emergency Preparedness Specialist approves changes to RPM 4.8.5-001through4.8.5-029. [Ref. 6.7]

2.4 Definitions 2.4.1 Emergency Response Facility (ERF)- Facilities containing emergency equipment (including radiological monitoring and protection equipment) which are activated in the event of an incident class ALERT or above classification. The station ERFs include:

  • Emergency Operations Facility
  • Control Rooms
  • North Access Point Assembly Area
  • South Access Point Assembly Area 2.4.2 EC&I - Exposure Control and Instrumentation
3. PRECAUTIONS NIA RPM4.8.?

Level of Use STOP THINK ACT REVIEW Rev. 010 Information 4of10

4. INSTRUCTIONS 4.1 Inventory Package Preparation 4.1.l RECORD the following on RPM 4.8.5-001:
  • Date
  • Reason for Inventory
  • Kits to be Inventoried 4.1.2 For each kit or locker tb be inventoried, SELECT and DATE the corresponding form from RPM 4.8.5-003 through 4.8.5-028.

4.2 Kit or Locker Inventories [Ref. 6.8 and 6.10]

4.2.l SELECT a kit or locker and PERFORM inventory as follows:

  • CHECK and RECORD quantity found.
  • Where indicated on form, RECORD instrument serial numbers and calibration due dates.
  • IF kit or locker contains potassium iodide tablets, silver zeolite cartridges, or emergency lantern batteries AND items will expire prior to the next quarterly inventory, REPLACE items and RECORD expiration date where indicated on form.
  • REPLACE the following on dates indicated on form:
  • Batteries
  • Finger rings
  • IF kit or locker contains respirators, Refer To RP-AA-163, "Inspection and Inventory of Respiratory Protection
  • Equipment," and ENSURE respiratory equipment tags are correct and RECORD inspection date where indicated on form.

RPM4.8.5 Level of Use STOP THINK ACT REVIEW Rev. 010 Information 5of10

  • IF kit or locker contains equipment with batteries or sources, ENSURE the following:
  • Calibration due dates are current
  • Battery condition is satisfactory

.. Source response is satisfactory

  • IF any equipment is found missing OR is removed, RECORD the following information on RPM 4.8.5-001:
  • Kit and, if applicable, section title
  • Description of deficiency
  • Actions to be taken to correct deficiency 4.3 Equipment Restoration 4.3.1 WHEN all items have been checked, RESTORE equipment as follows:
a. ENSURE all Ludlum 177 meters are on and plugged in.
b. ENSURE all equipment other than Ludlum 177 meters are off.
c. PLACE stop watches in "RUN" mode to relieve spring tension.
d. REPLACE equipment neatly in storage location.

4.3.2 RESTORE any missing or removed equipment within 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br />.

[Ref. 6.10]

4.3.3 IF any equipment can not be restored within 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br />, NOTIFY Supervisor EC&I.

RPM4.8.5 Level of Use STOP THINK ACT REVIEW Rev. 010 Information 6of10

4.3.4 IF any missing or removed items are restored prior to sending RPM 4.8.5-001 to Supervisor EC&I, PERFORM the following:

a. RECORD date deficiency was corrected on RPM 4.8.5-001.
b. RECORD date equipment was returned on the applicable kit or locker inventory form.
c. RECORD quantity of equipment returned on applicable kit or locker inventory form.

4.4 Documentation 4.4.1 RECORD any inventory comments on RPM 4.8.5-001.

4.4.2 SIGN and DATE completed kit or locker inventory form.

4.4.3 IF there are more kits or lockers to be inventoried, Go To Section 4.2.

4.4.4 WHEN all kits or lockers have been inventoried, SIGN and DATE RPM 4.8.5-001.

4.4.5 COMPILE completed kit or locker inventory form(s) and RP~ 4.8.5-001 and SUBMIT package to Supervisor EC&I for review.

Supervisor 4.4.6 REVIEW RPM 4.8.5-001 and inventory forms for inventory EC&I deficiencies.

4.4.7 WHEN any missing or removed item is restored, PERFORM the following:

a. RECORD date deficiency was corrected on RPM 4.8.5-001.
b. RECORD date equipment was returned on the applicable kit or locker inventory form.
c. RECORD quantity of equipment returned on applicable kit or locker inventory form.

RPM4.8.5 Level of Use STOP THINK ACT REVIEW Rev. 010 Information 7of10

d. IF missing or removed item will take greater than 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br /> to resolve, NOTIFY EP of the following:
  • the discrepancy
  • the compensatory actions
  • the date when the item will be restored 4.4.8 REVIEW and SIGN inventory form(s).

4.4.9 REVIEW and SIGN RPM 4.8.5-001.

4.4.10 SEND a copy of RPM 4.8.5-001 to Station Emergency Preparedness Specialist. [Ref. 6. 7 and 6.8]

4.4.11 SEND inventory forms to HP Calibration Laboratory to be filed.

Calibration 4.4.12 Refer To the following and MAINTAIN original inventory forms Technician and RPM 4.8.5-001 as instructed:

  • RM-AA-101, "Record Creation, Transmittal and Retrieval"
  • Health Physics Nuclear Records Retention Schedule (NRRS)

RPM4.8.5 Level of Use STOP THINK ACT REVIEW Rev. 010 Information 8of10

5. REVIEW AND SIGNOFF 5.1 The review and signoff for this procedure is located on RPM 4.8.5-001 through 4.8.5-029, of this procedure.
6. REFERENCES 6.1 NUREG-0654, FEME-REP-1, Rev. 1, "Criteria for Preparation and Evaluation of Radiological Emergency Response Plans and Preparedness in Support of Nuclear Power Plants,Section II, Part H 6.2 NUREG-0737, "Supplement 1 to NUREG-0737 - Requirements for Emergency Response Capability (Generic Letter No. 82-33), dated December 17, 1982.

6.3 Millstone Nuclear Power Station Emergency Plan, Appendix E, "Emergency Equipment," Rev.17, June 1995.

6.4 EPPCR-94-22, "Emergency Planning and Health Physics Improvements" 6.5 EPPCR-95-05, "Silver Zeolite Cartridges" 6.6 EP-95-023, "Operational Support Center Change, T. J. Dembek dated January 6, 1995.

  • 6.7 NOV VIO 50-245, 336, 423/97-81-02 and CR M3-97-4483 6.8 NU Letter A02567, Combined Inspection No. 50-245; 50-336; 50-423, "MNPS, Unit Nos. 1, 2, & 3 Response to Notice of Violation, dated September 18, 1982, specifies frequencies of inventories, operations checks, change out and replacement schedule for items having limited shelf life. It also specifies replacement for instruments taken for calibration and collectively states that finger rings will be provided in the on-site emergency monitoring team kits and at the EOF 6.9 NU Letter, dated 12/27/76. Emergency Plan equipment is on an inventory list.

6.10 NU Letter, dated 12/27/76. Emergency Plan equipment is replaced in a timely manner.

6.11 Unit 2 Technical Specification 6.12 6.12 Unit 3 Technical Specification 6.8.4(b)

RPM4.8.5 Level of Use STOP THINK ACT REVIEW Rev. 010 Information 9of10

6.13 Memo EP-98-127, "Implementation of Millstone Emergency Plan Revision #24," from Mark White to Millstone HP Management Personnel 6.14 VSNRCEmergency Preparedness Position (EPPOS 1) on Emergency Plan and Implementing Procedures Changes 6.15 MP-HP0-99081, "Closure of NR 99006430-01," from A. S. Klotz to H. W Siegrist, dated May 21, 1999.

7.

SUMMARY

OF CHANGES 7.1 The Spare RMT Kit, formerly located in the EOF, was moved to Building 532 where the Over Water Monitoring Locker is located. The information in RPM 4.8.5-013A, "Emergency Operations Facility Spare RMT Kit,"

was subsumed into RPM 4.8.5-029, "Building 532, Over Water Monitoring Locker," allowing RPM 4.8.5-013A to be superseded. In this procedure, RPM 4.8.5-013A was removed from the Table of Contents.

7.2 RPM 4.8.5-001 was also revised to reflect this revision.

RPM4.8.5 Level of Use STOP THINK ACT REVIEW Rev. 010 Information 10of10

technical Procedure Approval Ir ions for..completing this form are included in AD-AA-100.

1. ;edure Number 2. Revision 3. Change Type & No. 4.Page 5. ~3~'7i' (If not approval date)

RPM 4.8.5-001 009 1 of

6. Procedure Title 7. Expiration Date Emergency Response Facility Readiness Check Report
8. Type of Request D New Procedure D Revision l:8J Deletion D Vendor Procedure Change: D Minor Revision D OTO - Permanent Revision Required D OTO - No Permanent Revision Required
9. Has a Condition Report (CR) Been Submitted? 0Yes l:8J No CR. No.:

. 10. Reason and Description of Change RPM 4.8.5-013Ahas been superseded by RPM 4.8.5-029. RPM _4._8.5-001 was revised to reflect this deletion

14. Does this change involve a Temporary Modification that affects nuclear safety as documented in CM-AA-TCC-204? D Yes l:8J No
15. Does this procedure require a 50.59 / 72.48 Evaluation (Form No. 730947)? D Yes l:8J No
16. Is this a "Special Test" procedure, an EPIP procedure or a FCA, a FSG, an EOP, required by RP-AA-274, or is it an ICCE designated procedure that requires a 50.59 / 72.48 Screen (Form No. 730943)?

D Yes l:8J No

17. A new procedure or procedure deletion? D Yes l:8J No hange or addition to any of the following:

_Purpose D Acceptance Criteria or Tolerances D "Level of Use" D Yes l:8J No D Initial Conditions D Scaling or Setpoints 0 System/Component As-Left Condition(s)

D The method for meeting a commitment D Reactivity Management a

19. A change that adds or deletes subsection, deletes a step verification (IV, CV, or PC), adds an alternative method for performing a task, D Yes l:8J No involves a less conservative method for performing a task, or affects equipment qualification?

20 A change that decreases personnel safety or fire protection effectiveness? D Yes l:8J No

21. A change that modifies, relocates, deletes, or adds a hold point? (Review by the QIC or certified discipline QC Level 111111 Inspector is required. For OTOs and MRs, QIC or Level 11/111 Inspector Initial here .) D Yes l:8J: No
22. A change to CAUTION or WARNING statements? This does not include adding CAUTION or WARNING statements. D Yes l:8J No
23. A change to a procedure marked "Infrequently Conducted or Complex Test or Evolution"? D Yes l:8J No
24. Requestor/Writer (Printed Name) 25. Date 26. Reviewed By (Printed Name) 27. Date Paul G. Tardift I Jean B. Olsen 11/02/2016 NIA If FSRC approval is required for a Procedure Change, it is not necessary for SRO to approve the Procedure Change. Place N/A in blocks 35 and 36 .

.32. Required Approval Authority (Print Name)

Michael C. Wynn

35. SRO Approval For Change_s (Print Name) 36. SRO Approval For Changes (Signature) 37. Date N/A 08 Site Vice President Approval, If Required (Print Name) 39. Site \fice President Approval, If Required (Signature) 40. Date N/A clear E-Forms Updated for Site(s)? 42. Nuclear E-Forms Updated Print Name/Signature 43. Date u MP 0 NA 0 SU [8J N/A Key: FSRC-Facility Safety Review Committee; EPIP-Emergency Plan Implementing Procedures; EOP-Eitiergenc*Y Operating:*=*:*.': . .  :;*.=~:

Procedure; OTO-One Time Only; MR-Minor Revision; ICCE-lnfrequently Conducted or Complex Evolutions; FCA-Fire Contingency Action; FSGs-FLEX S1,1pport Guideline; SRO-Senior Reactor Operator; QIC-Quality Inspection Coordinator; CF.AM-Corporate Functional Area Manager Form No. 730682(Feb 2016)

~ .--------0-2/-02-/1_7_ _ _ _ _ _ _ 03-/0-2/_1_7- - -

Approval Date Effective Date Emergency Response Facility Readiness Check Report Date: - - - - - Reason for Inventory: O Quarterly O Post Drill O Other: - - - - -

Form vFor Kits To Be Kit Or Locker To Be Inventoried No. Inventoried All NIA Emergency Operations Facility, Team 3 3 Emergency Operations Facility, Team 4 4 Emergency Operations Facility, Team 5 5 Emergency Operations Facility 9 Unit 2 Control Room 11 Unit 2 Personnel Decon Room Emergency Personnel Decon Kit 15 SAP 16 OCA Checkpoint and Off-Site Emergency Responder Dosimetry 19 Unit 3 Control Room 20 Technical Support Center 21 Technical Support Center TSC Kit 22A OSC Assembly Area, Building 475, 1st Floor 22B Unit 3 Personnel Decon Room Emergency Personnel Decon Kit 24 NAP 25 Security Station Emergency Dose Rate Equipment 27 Building 532, Over Water Monitoring Locker and Spare RMT Kit 29 Kit I Locker Section Title Description of Deficiency Actions to be Taken to Correct Deficiency Date Corrected I Completed By: _ _ _ _ _ _ _ _ _ _ _ _ _ _ Date: _ _ _ _ _ _ _ _ __

Reviewed By: Date: _ _ _ _ _ _ _ _ __

RPM 4.8.5-001 Rev. 009 Page 1of1

Technical Procedure Approval tions for completing this form are included in AD-AA-100.

cedure Number 2. Revision 3. Change Type & No. 4.Page 5. Effecyve D~teJ.!f not approval date)

RPM 4.8.5-013A 010 1 of 1Y3!62///

6. Procedure Title 7. Expiration Date Emergency Operations Facility Spare RMT Kit
8. Type of Request D New Procedure 0 Revision D Deletion D Vendor Procedure Change: D Minor Revision D OTO - Permanent Revision Required D OTO - No Permanent Revision Required
9. Has a Condition Report (CR) Been Submitted? 0Yes 0No CR No.:
10. Reason and Description of Change The Spare RMT Kit, formerly located in the EOF, was moved to Building 532 where the Over Water Monitoring Locker is located. The information in RPM 4.8.5-013A, "Emergency Operations Facility Spare RMT Kit," was subsumed into RPM 4.8.5-029, "Building 532, Over Water Monitoring Locker," allowing RPM 4.8.5-013A to be superseded. In this procedure, RPM 4.8.5-013A was removed from the Table of Contents.
14. Does this change involve a Temporary Modification that affects nuclear safety as documented in CM-AA-TCC-204? 0Yes0 No
15. Does this procedure require a 50.59 I 72.48 Evaluation (Form No. 730947)? 0Yes0 No
16. Is this a "Special Test" procedure, an EPIP procedure or a FCA, a FSG, an EOP, required by RP-AA-274, or is it an ICCE designated 0Yes0 No procedure that requires a 50.59 I 72.48 Screen (Form No. 730943)?

. Change of Intent Checklist .

  • If '!Yes" to any a-
  • ~..,
  • _.,. '"'.," "* I f- ~

of the-following

  • " questions,

" '0-*

.Cognizant Management "B" approval required. Check item 30. .:. , ** .'- *::,...,

... ~ ~ f * .-.: * -*" ..-..._ *Ir 4 <, ~ - * ~ .... o - * ~ ...~ ... * .. .._ *~**.*

    • . *. ., * * * \ . If. "No" to all of the following questions; Cognizant Management "A" approval required. Check"item 31. .* * *
17. A new procedure or procedure del_etion? 0Yes0 No
hange or addition to any of the following

I Purpose 0 Acceptance Criteria ~rToierances 0 "Level of Use" D Yes0 No D Initial Conditions D s"caling or Setpoints 0 System/Component As-Left Condition(s) 0 The method for meeting a commitment D Reactivity Management

19. A change that adds or deletes a subsection, deletes a step verification (IV, CV, or PC), adds an alternative method for performing a task, involves a less conservative method for performing a task, or affects equipment qualification?

D Yes0 No 20 A change that decreases personnel safety or fire protection effectiveness? D Yes 0 Nci

21. A change that modifies, relocates; deletes, or adds a hold point? (Review by the QI C or certified discipline QC Level 111111 Inspector is required. For OTOs and MRs, QIC or Level II/Ill Inspector initial here .)

D Yes0 No

22. A change to CAUTION or WARNING statements? This does not include adding CAUTION or WARNING statements. D Yes0 No
23. A change to* a procedure marked "Infrequently Conducted or Complex Test or Evolution"? D Yes0 No
24. Requestor/Writer (Printed Name) 25. Date 26. Reviewed By (Printed Name) 27. Date Paul G. Tardift I Jean B. Olsen 11 /02/2016 N/A If FSRC approval is required for a Procedure.Change, it is not necessary for SRO to approve the Procedure Change. Place N/A in blocks 35 and 36.

D

32. Required Approval Authority (Print Name) 33. 34. Date Michael C. Wynn )_ 2 II7
35. SRO Approval For Changes (Print Name) 36. SRO Approval For Changes (Signature) 37. Date N/A 38 Site Vice President Approval, If Required (Print Name) 39. Site Vice President Approval, If Required (Signature) 40. Date N/A 1clear E-Forms Updated for Site(s)? 42. Nuclear E-F.orms Updated Print Name/Signature 43. Date u MP 0 NA 0 SU ~ N/A Key: FSRC-Facility Safety Review Committee; EPIP-Emergency Plan Implementing Procedures; EDP-Emergency Operating Procedure; OTO-One Time Only; MR-Minor Revision; !CCE-lnfrequently Conducted or Complex Evolutions; FCA-Fire Contingency Action; FSGs-FLEX Support Guideline; SRO-Senior Reactor Operator; QIC-Quality Inspection Coordinator; CFAM-CorP.orate Functional Area Manager Form No. 730682(Feb 2016)

rf3chnical Procedure Apprqval

  • Dominion° lr.istructions for completing this form are included in AD-AA-100.
  • 1 cedure Nuniber 2. Revision 3.Change Type & No. 4.Page 5. Effectiye Dqte Jjf not approval date)

RPM 4.8.5-029 001 1 of 0310'2-t/7

6. Procedure Title 1 7. Expiration Date Building 532, Over Water Monitoring Locker CU1.d tefetTS CU"~ k.-i+-
8. Type of Request 0 New Procedure D Revision ~ Deletion 0 Vendor Procedure Change: 0 Minor Revision 0 OTO - Permanent Revision Required 0 OTO - No Permanent Revision Required
9. Has a Condition Report (CR) Been Submitted? OYes ~No CR No.:

1o. Reason and Description of Change The Spare RMT Kit, formerly located in the EOF, was moved to Building 532 where the Over Water Monitoring Locker is located. The information in RPM 4.8.S-013A, "Emergency Operations Facility SpareRMT Kit," was subsumed into RPM 4.8.5-029, "Building 532, Over Water Monitoring Locker," allowing RPM 4.8.5-013A to be superseded.

14. Does this change involve a Temporary Modification that affects nuclear safety as documented in CM-AA-TCC-204? 0Yes~ No
15. Does this procedure require a 50.59 / 72.48 Evaluation (Form No. 730947)? 0Yes~ No
16. Is this a "Special Test" procedure, an EPIP procedure or a FCA, a FSG, an EOP, required by RP-AA-274, or is it an ICCE designated 0Yes~ No procedure that requires a 50.59 / 72.48 Screen (Form No. 730943)?

Change of Intent Checklist

  • If "Yes" to any of the following questions, Cognizant Management "B". approyal r~quired. Clieck item 30. * : . *.
  • If "No" to' all of the following questions,' Cognizant Management "A:' approval required. Check item 31. . * ~
17. A new pr.ocedure or procedure deletion? 0Yes0 No 1" /1 ~1-iange or addition to any of the following:

Purpose D Acceptance Criteria or Tolerances D "Level of Use" 0Yes0 No d Initial Conditions D Scaling or Setpoints D System/Component As-Left Condition(s) 0 The method for meeting a commitment D Reactivity Management

19. A change that adds or deletes a subsection, deletes a step verification (IV, CV, or PC}, adds an alternative method for performing a task, 0Yes0 No involves a less conservative method for performing a task, or affects equipment qualification?

20 A change that decreases personnel safety or fire protection effectiveness? 0Yes0 No 21-,* A change that modifies, relocates, deletes, or adds a hold point? (Review by the QIC or certified discipline QC Level 11/111 Inspector is 0Yes0 No requiFed. For OTOs and MRs, QIC or Level 11/111 Inspector initial here .)

22. A change to CAUTION or WARNING statements? This does not include adding CAUTION or WARNING statements. 0Yes0 No
23. A change to a procedure marked "Infrequently Conducted or Complex Test or Evolution"? 0Yes0 No
24. Requestor/Writer {Printed Name} 25. Date 26. Reviewed By (Printed Name) 27. Date Paul G. Tardift/ Jean B. Olsen 11/02/2016 N/A If FSRC approval is required for a Procedure Change, it is not necessary for SRO to approve the Procedure Change. Place NIA in blocks 35 and 36.
32. Required Approval Authority (Print Name) 33. Required Approval Authority (Signature) 34. Date

~-***

Michael C. Wynn j../:2 17

35. SRO Approval For Changes (Print Name) 36. SRO Approval For Changes (Signature) 37. Date N/A 38 Site Vice President Approval, If Required (Print Name) 39. Site Vice President Approval, If Required (Signature) 40. Date NIA .

NOTE: The individual s posting a new or revised document to EDMS are responsible for ensurin Nuclear E-Forms is updated.

4 tear E-Forms Updated for Site(s)? 42. Nuclear E-Forms Updated Print Name/Signature 43. Date llP *ONA 0 SU ~NIA Key: FSRC-Facility Safety Review Committee; EPIP-Emergency Plan Implementing Procedures; EOP-Ernergency Operating._ ---

. Procedure; OTO-One Time Only; MR-Minor Revision; ICCE-lnfrequently Conducted or Complex Evolutions; FCA-Fire Contingency Action; FSGs-FLEX Support Guideline; SRO-Senior Reactor Operator; QIC-Quality Inspection Coordinator; CFAM~CorE!.orate Functional Area .Manager Form No. 730682(Feb 2016)

)

02/02/17 03/02/17 Approval Date Effective Date Building 532, Over Water Monitoring Locker and Spare RMT Kit I Quantity Returned Item Description Required As Found Quantity Date Over Water Monitoring Locker Respirators with Charcoal Cartridges 6 Date Inspection Due:

Complete set of PCs 6 All Weather Suit 2 Flashlight 2 Source Plaque 1 Spare Batteries for Flashlights 2 sets Emergency Lantern (Expiration Date: ) 1 Quantity Returned Item Description Required As Found Quantity Date Spare RMT Kit Ludlum 2241- 2 or equivalent 1 Serial No. Date Due R0-2A or Equivalent 1 Serial No. Date Due ASP-1/HP-270 or Equivalent 1 Serial No. Date Due Portable Air Sampler (12 Volts) 1 Serial No. Date Due Batteries, Spares For Survey Meters and Dosimeter Charger 4 Sets Batteries Replaced (4th quarter)

Dosimeters (Low Range) Date Due 2 Dosimeters (High Range) Date Due 2 Dosimeter Charger - Batteries Replaced (4th quarter) 1 TLD Badges (Replace Semi-annually) Date Due 2 Stopwatch 1 Forceps .1 Smears (Pkg of 25) 1 Filters, Particulate (Pkg of 50) 1 Bags, Clear Plastic 4x6 12 RPM 4.8.5-029 Rev. 001 Page 1of2

Quantity Returned Item Description Required As Found Quantity Date Bags, Clear Plastic 6x12 6 Duct Tape, roll 1 Silver Zeolite Cartridges 4 Expiration Date:

Calculator, (Solar Powered) 1 Disposable Gloves (Pairs) 6 Coin Envelopes 12 Rain Gear (Sets) 2 Ballpoint Pens 2 Markers,. Felt Tip 2 Screwdriver 1 Stapler 1 Box of Staples 1 Scissors 1 Clipboard With Paper 1 Spare Team EPP Notebook 1 Map of Sample Locations 1 Pkg of Potassium Iodide Tablets (Expiration Date: ) 1 Inventoried By:

Reviewed By:

RPM 4.8.5-029 Rev. 001 Page 2of2

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