ML20028D357
| ML20028D357 | |
| Person / Time | |
|---|---|
| Site: | Davis Besse  |
| Issue date: | 12/22/1982 |
| From: | Murray T TOLEDO EDISON CO. |
| To: | |
| Shared Package | |
| ML20028D353 | List: |
| References | |
| HP-1602.01-01, HP-1602.01-1, NUDOCS 8301190025 | |
| Download: ML20028D357 (26) | |
Text
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l l THE TOLEDO EDISON COMPANY DAVIS-BESSE NUCLEAR POWER STATION EMERGENCY PLAN SUPPORTING PIOCEDURES REVISION INDEX I
PAGE REVISION PROCEDURES REVISION TEMPORARY MODIFICATIONS l 1 6 HP 1602.01 11 Il HP 1604.01 HP 1604.02 AD 1827.01 0
3 3
AD 1827.02 9 AD 1827.03 1 AD 1827.04 2 I AD 1827.05 2 I l AD 1827.06 AD 1827.07 AD 1827.08 2
2 1
T-6605 I ;
AD 1827.09 AD 1827.10 AD 1827.11 1
12 3
T-6491 T-6833 AD 1827.12 I
9 AD 1827.13 5 3
AD 1850.06 0 1
l ADMINISTRATIVE MEMORANDUMS REVISION 1
l No. 37 ECS Pager and Telephone Ntzbers 28 E No. 38 First Aid Team 11 No. 39 Fire Brigade 13 l h No. 41 Emergency Duty Officer (EDO) 25 g No. 42 Radiation Monitoring Teams (RMT) 18 l
I Revisien 160
( )
December, 1982
' 8301190025 830113 PDR ADOCK 05000346 PDR
HP 1602.01 Davis-Besse Nuclear Power Station
)
Unit No. 1 ll Health Physics Procedure HP 1602.01 E Extarnal Personnel Radiation Exposure Monitoring
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Record of Approval and Changes Prept. red by Ron Scott and John Tapley 11/28/73 Date p Submitted by D.K. Briden 5/17/74
) Section Head Date Recommended by Jack Evans --
5/17/74 ~
SRB Chairman Date QA Approved NA 1908 Manager of Quality Assurance Date Approved by Jack Evans .
5/17/74 Station Superintendent Date I Revision No.
1 ~ 06 SRB Recommendation Date 2NITF QA Approved Date NA AUB ,
Sta . Supt.
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- 1. PURPOSE 1.1 This procedure describes the monitoring and recording of external personnel radiation exposure and the monitoring for personnel contamination.
- 2. REFERENCES 2.1 Health Physics Procedures - Guides and Limits for Radia-tion Exposure, HP 1601.01.
I 2.2 Title 10 CER Part 20 (Standards for Protection Against Radiation).
2.3 FSAR, Section 12.3 (Health Physics).
(TS) 2.4 Technical Specifications Section 6.10.2 (Station Operat ing Records).
2.5 American National Standards INSI N13.6 - 1966 (R1972),
Practice for Occupational Radiation Exposure Records System.
2.6 AD 1808.08 Access Control 2.7 HP 1601.03 Radiation Exposure Permits 11 2.8 NRC Kegulatory Guide 8-14, Personnel Neutron Dosi:aeters
- 3. EQUIPMENT REQUIRED 3.1 Thermoluminescent dosimeters (TLD's) 3.2 Self-reading pocket dosimeters 3.3 Dosimeter chaigers 3.4 Neutron sensitive dosimeters 3.5 Health physics personnel contamination monitoring equip-ment 3.5.1 Portal nonitors 3.5.2 Hand and foot counters 3.5.3 Hand-held friskers
- 4. DATA SHEETS REQUIRED 4.1 NRC Form 4 (Attachment 1)
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2 H" 1602.01.10 4.2 NRC Form 5 (Attachment 2) 4.3 Radiation Exposure Record, ED 6458 (Attachment 3) 4.4 Dosimeter Record, ED 6547 (Attachment 4) 4.5 Visitors TLD Log (Attachment 5) 4.6 Temporary TLD Exposure Record (Attachaert 6) 4.7 Extremity Badge Log (Attachment 7) .
4.8 Toledo Edison Ter.porary TLD Issue (Attachment 8) 4.9 Current Radiation Exposure Record (Attachment 9) 4.10 Dosimeter Record for Neutron Calculation (Attachment 10)
- 5. PRECAUTIONS AND SAFETY i 5.1 TLD's and self-reading dosimeters must be protected against loss or damage. Report any loss or damage to the Chemistry and Health Physics Section immediately. Badges and dosimeters must not be removed from the site.
5.2 Care should be exercised not to jar, or drop pocket dosi-meters as false readings may be obtained. Dropping a dosimeter discharges the electroscope which may give an off scale reading indicative of a high exposure dose.
Return a pocket dosimeter to the Health Physics Monitor Room immediately when an offscale reading is observed. An estimate of the dose received will be made and the dosi-meter rezercoed.
! 6. PROCEDURE l
l 6.1 Thermoluminescent Dosimeter Badges (for beta and gamma dosimetry) l NOTE: For neutron dosimetry, see Section 6.1.5.
l 6.1.1 Personnel assigned to the station and any person likely to receive a dose in any calendar quarter in excess of 25 percent of the quarterly dose limit for whole body, extremities, or skin of ,
whole body shall be given a " permanent" or 2
" temporary" TLD Badge.
10 1. Any individual likely to receive an exposure to his extremities in excess of 5 times his
! whole body exposure, his extremities shall be monitored if a significant dose is expected.
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3 HP 1602.01.10 10 2. Special attention must be given to nonuniform 1 radiation fields so that the region of body (head, chest, or gonadal are.) is monitored, whichever receives the highest exposure.
- 3. Personnel with " permanent" TLD badges will pick up their badges at the gate office upon I entering the station and return them to the gate office when leaving the station. Badges are supplied by the Chemistry and Health Physica Sectica.
- 4. Personnel with " temporary" TLD badges will pick up their badges at the entrance to RACA whenever entering RACA or any other REP controlled area. They will return them to
, the RACA entrance whenever leaving RACA or any other REP controlled area. Temporary TLD's are issued by Chemistry and Health Physics personnel at the beginning of each month or whener:er needed.
NOTE: A self-reading dosimeter or an alternate means of estimating I ~ ')' personnel exposure approved by L;'- the Chemist & Health Physicist or his designee may be sub-stituted for a TLD.
10 5. For personnel issued permanent TLD's, the j following must be done by Chemistry & Health Physics personnel.
(1) An NRC Form 4 (Attachment 1) must be com-pleted as instructed on the form.
(2) Past radiation exposure records must be obtained before the quarterly uhole body exposure is permitted to exceed 1.25 Rem.
(3) A radiation exposure record must be kept l
I (NRC Form 5, Attachment 2). This record shall be updated quarterly from monthly TLD readouts. This record must be pre-l g served indefinitely and the data reported I
g annually within the first calendar quarter to the NRC as required in 10 CFR i
20.401 and 20 407.
j (4) Upon termination of employment or work, or in the event or overexposure, the NRC and the individual must be furnished a I
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4 HP 1602.01.9 report of personnel exposure as required in 10 CFR 20.405, 20.408, and 20.409.
j Upon request, the individual must be I furnished a report of his exposure.
6.1.2 Other persons required ta enter RACA shall be issued a " visitor" or " temporary" TLD badge. For these persons, the following applies:
- 1. Continuing visitors, contractors, and other utility personnel not assigned to DBNPS who g will be entering known radiation areas shall g be issued a " temporary" TLD badge hv the Chemistry and Health Physics Section. "Tempor-l ary" TLD badges are to be aad monthly.
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- 2. " Temporary" TLD's shall be issued the first time as individual enters RACA for the cur-
! rent calendar month. Attachment Nos. 6
! 9 and 8, " Temporary TLD Issue Log"and " Toledo Edison Temporary TLD Issue Report", shall be filled out for each Temporary TLD as it is issued. The Temporary TLD will be removed
! from use at the end of each month. These individuals requiring a Temporary TLD shall have Chemistry and Health Physics re-issue them a new Temporary TLD each month.
9 3. Attachment No. 8 shall contain all required Attachment 9 information and is to be updated from monthly TLD readouts with each indi-vidual's monthly exposure recorded. This l record must be preserved indefinitely and the 3 1 data reported annually within the first I calendar quarter to the NRC as required in 10 l
CFR 20.401 and 20.407.
- 4. Upon termination of erployment or w rk, or in the event of overexposure, the NRC and the l individual must be furnished a report of 5 personnel exposure as required in 10 CFR 20.405, 20.408, and 20.409. Upon request, 3 the individual must be furnished a report of g his exposure.
- 5. Visitors who are at DBNPS for only a few days and who will be entaring RACA, shall be iss ed a " visiter's" TLD. The visitor's TLD will be issued at the entrance to RACA the first time the visitor enters RACA and returned to the RACA entrance when ex. ting.
I 5 HP 1602.01.11 I NOTE: Persons wearing a " VISITOR" TLD badge and have completed RCT may enter RACA unescorted.
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i I 11 Those persons who do not have current RCT training wust be escorted by an individual who has current training.
This does not remove necessity for escorts for security reasons.
- 6. When " visitor" TLD is issued, the visitor E shall supply the information requested in 3 Attachment 5, Visitor's TLD Log. The
" visitor" TLD badge may be reusec by another visitor unless a radiation exposure is known or suspected. If an exposure is suspected, the " visitor's" badge is to be retained for readout (ie., a net exposure on self-reading dosimeter in excess of 20 MREM).
- 7. The visitor's TLD's shall be read out monthly and the dose recorded according to TLD badge number only.
CAUTION: Individuals who have " visitor"
) TLD badges should receive ld essentially no dose; the Chemistry and Health Physics Section should be notified when visitors will be allowed to enter radiation areas to determine whether a
" permanent" or " temporary" TLD badge should be issued. Under no circumstances should " visitor" badged individuals be permit-ted to receive a dose in any calendar quarter in excess of 25% of the quarterly dose limit for the whole body.
- 8. Individuals using Visitor TLD's being being escorted are not required to sign in on an REP. The escort is responsible to verbally inform his visitor (s) of the conditions and health physics requirements I in the area. The dosimeter readings 2nd times are entered on the Visitor Badge-Record Sheet (Attachment 5).
6.1.3 Personnel shall wear the TLD badge on the front 1
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I 6 hP 1602.01.,11 of the body between the knee and head so that an accurate measurement of whole body dose can be made.
11 NOTE: The whole body includes the area of the body from the top of the head to the knees. The TLD should be worn in that region of the whole body which is likely to receive the highest dose.
A. When worn in an area of contamination or high contamination, the TLD badge should be worn in the g pocket of the coveralls e,o that it is protected 3 from contamination.
NOTE: If the work area has higher radiation levels which require checking the dosimeter frequently, place dosimetry in a plastic bag.
B. TLD badges must be secured so that there is no chance for loss.
6.1.4 Extremity TLD's shall be used when specified as a requirement on a Radiation Exposure Permit (REL . They 11 should be worn on the hand or foot which is likely to receive the highest radiation dose. They should be worn so that the TLD is not shielded by the hand or foot.
NOTE: If extremity monitoring is to be provided then the Extremity Monitoring Log Sheet (Attachment 7) must be filled out and l placed in the Temporary Badge Issue book a for that month.
6.1.5 Neutron Dosimetry 11 1. Neutron whole body doses should be limited to 300 mrems per quarter.
- 2. There are three methods which can be used to assign personnel exposures from neutrons:
(1) Multiply the self-reading dosimeter reading times five (5); or (2) Multiply the time exposed to neutrons times the neutron dose rate determined from the measurement of a Neutron -
Rem-Counter; or
7- HP 1602.01.11 (3) Use the integrated neutron dose deter- ,
mined with the RASCAL Neutron Rem-Counter. '
- 3. When working ira areas where there is a potential for neutron exposures, each individ-11 ual is to sign in on Attachment 10 (Dosimeter Record for Neutron Calculation). Send the I completed Attachment 10 to the Health Physics Supervisor to ensure that the individual's neutron exposure is added to hi exposure record.
6.2 Self-Reading Dosimeters I 6.2.1 The self-reading dosimeter is used as a day-b;-day indication of personnel gamma exposure so that exposure guide values given in HP 1601.01 will not be inadvertently exceeded. In the event that a TLD badge is lost or damaged, the dosimeter readings are used to replace the lost TLD badge official records.
6.2.2 All personnel entering RACA shall wear a self-reading dosimet.".r. Personnel are to wear the dosimeter in close proximity to the TLD badge.
6.2.3 Persons requiring access to the Radiation Acceas Control Area (RACA) shall be issued a self-reading pocket dosimeter for which they shall be respoasible. These dosimeters shall be located in a rack outside of the entrance to the RACA.
6.2.4 Before entering the RACA, personnel may "zero" their own dosimeter by inserting it in the dosimeter charger and adjusted the control until the hairline is on zero.
NOTE: After the dosimeter is removed from the I charger, the zero position should be checked because the hairline may shift its position when the dosimeter is g removed from the charger. If this hap-pens, the dosimeter should be replaced in g
the charger and adjusted below zero to compensate for the shift.
C.2.5 At the end of each work day when the RACA was ent.ered, "permatant and temporary" TLD badge wearers shall read their dosimeter and record the radiation dose received on their Radiation l Exposure Record, ED 6458 (Attachment 3).
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I 8 HP 1602.01.,10
- 1. The Radiation Exposure Record is signed the first time an entry is made for each month.
- 2. An individual's daily dose is recorded in the g
" Daily" column next to the number correspond- g ing to the day of the month.
- 3. The " Daily' dose _s added to the accumulated l
whole-body exposure and recorded in the
" Quarter" column.
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- 4. Radiation Exposure Record cards are admin-istered by the C&HP Section. When the t monthly TLD results are received, the cards l will be corrected.
(1) When the dose for the " running total .
calendar quarter" from TLD results ex-ceeds 300 mrem, the current Radiation l Exposure Record card shall be corrected to agree with the TLD record.
(2) Corrected entries are made on the card by Chemistry and Health Physics personnel who will initial and date any correc-tions.
(3) In addition, a log shall be maintained recording the monthly TLD vs. self-read-ing dosimeter values when the dose for the " running total calendar quarter" from TLD results exceeds 300 mrem.
- 5. The C&HP Section will provide assistance in zeroing dosimeters, readings, and recording exposures.
l 6.2.6 Four models of the self-reading dosimeter are
! used. Selected according to REP requirements.
10 1. 0-200 or 0-500 mR range - for normal use
- 2. 0-lR range - dosimeter used for entering highradiation areas l
- 3. 0-5R range - dosimeter used when the quar-
! terly dose is approached for a single exposure ,
- 4. 0-100R range - dosimeter for lifesaving
I 9 HP 1602.01.10 I NOTE: The 0-IR and higher dosimeters are used only on a planned basis.
6.2.7 Personnel zero their own dosimeters before entering the RACA when the reading is greater 10 than 20% (40 mR for 0-200 mR, and 100 mR for I 0-500) of full scale. On the Dosimeter Record ED 6547 (Attachment 4), enter the information required. The issuance and use of the Dosimeter Record is covered in HP 1601.03, Radiation Expo-I sure Permits.
6.2.8 Personnel will periodically check the reading (exposure) on their dosimeters during tic course of a day. When working in a high radiation area, personnel shall check their aosimeter readings (exposures) before entering, during I occupancy, and upon leaving the area.
10 6.2.9 If at any time during the course of a day, a 0-I 200 or 0-500 mR range dosimeter exceeds 80% of the full scale reading (160 mR for 0-200 mR range, or 400 mR for 0-500 mR range), the wearer I shall return to the Health Physics Monitor Room
[g- to have C&HP personnel record the dc.:e, check his quarterly accumdated dose, and rezero the dosimeter before re-entering the RACA.
I 6.2.10 If at any time a personnel dosimeter is found to be off scale, a _ead-out of the individual's TLD E Badge is required before an individ>tal is
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allcwed to return to RACA, unless the chemist &
HP or his designee determines that the off scale reading is not due to over exposure.
6.2.11 Personnel who are vorking in contaminated areas shall not read dosneters by holding with con-taminaL_d gloves. Gleves shall be removed care-fullf or tican gloves placed on over contam-l inated gloves before handling personnel dosi-i I meter. A second in'.ividual who is known to have
" clean" non-contaminated gloves may read other persons' dosimetars in order to determine exposures.
6.2.12 Every effort should be made to prevent contam-inatiou of personal dosimeters. When it is I known or suspected that they have become ton-taminated, t hey shall be delivered to C&HP Section for surveying and de-contamination if U necessary.
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I 10 HP 1602.01.10 6.2.13 Whenever personal dosimeters are lost or damaged, the individual shall immediately leave the RACA and notify C&HP Section. A reasonable estimate of .he dose received by the lost or damaged dosimeters will be made for record purpose.
1 6.3 Friskers l
l 10 6.3.1 The NRC and INPO guideline for personnel con-l tamination is 5000 dpm/100 cm2 . A frisker is g the only type of person el monitor capable of g detecting contamination at 5000 dpm (nr 500 cpm as read from the rate meter). Anyone leaving a Contamination or High Contamination Area must frisk as described in this section before leaving RACA.
6 . 3 . 2. Count-rate meters (friskers) will be installed in locations in the station where monitoring for personnel contamination is deemed necessary. g The monitors will be set up and the alarm point g set by the Chemistry and Health Physics Section.
The alarm secting and range selection switch must not ba changed by personnel using the monitor. Personnel other than Chemistry & HP should use only the volume control and the reset button.
6.3.3 Approach to probe (detector) of the unic with the hands, but don't pick it up until the hands are moved slowly near the probe (as close to the probe as possible without touching it). If the alarm sounds, de-contaminate the hands before touching the probe.
6.3.4 Once hitds are shown to be free from contamina-tion, pick up the probe.
6.3.5 Survey the rest of the body by passing the probe slowly over the body. Make an thorough survey 10 of the bottoms of shoes, elbows, knees, face, and rear.
A. If no increase in the clicking rate is heard, no significant contamination is present.
1 B. If clicking rate increases, survey that area even more carefully. If the alarm does not l sound, no significant contamination is pre- E sent.
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11 11 HP 1692.01.11 I C. If the alarm sounds, contamination is present and must be removed. Put on the clean gloves or shoe covers provided if the hands or feet I are contaminated. Reset the alarm. Go to decontamination area and decontaminate until clean. Seek assistance from Chemistry & HP if necessary. Restrict movements until the source of contamination is dcterminri and cleaned up.
I NOTE: Persons must not leave the RACA with contamination on their bodies, clothing, or equipment.
6.4 Hand and Foot Monitor I 6.4.1 A beta gamma hand and foot monitor, located at the Radiation Access Control Area at Door 415, will provide a means of detecting the presence I
and general location of contamination on hands and shoes. After removing protective clothing and washing hands, the hand and foot monitor shall be used before leaving the Radiation f',_x Access Control Area at Door 415.
b 6.4.2 To use the hand and foot monitor, stand on the I front apron anu plase hands in the slots pro-vided. i 6.4.3 Wait for the time period indicated on the mon-I itor. If there is no alarm response, the hands and shoe bottoms may be considered free of contamination.
6.4.4 If there is an alarm response, observe the various meters to determine which hand or foot has the high count rate. Proceed as in Part C 11 of Section 6.3.5. Reset the alarm.
l 6.4.5 A hand-held frisker is located on the side of the unit to detect contamination on clothing and localized areas cf the body. Use it as des-cribed in step 6.3.
6.5 Pcrtal Monitor 6.5.1 A portal monitor (walk-thru) containing eight detector channels provides complete head to foot monitoring for beta g?mma contamination detec-tion. All personnel must pass through the portal
12 HP 1602.01.11 monitor as they exit the RACA through Door 415 and as they pass through the gate office when leaving the station.
6.5.2 Cater the portal monitor and stand for the pre-determined count time. If at the end of the counting time, there has been no alarm response, no contamination is present.
6.5.3 If the alarm sounds, contamination is present.
Observe the various meters to determine the general location of the contanination. Proceed 11 as in Part C in Section 6.3.5. Reset the alarm.
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13 HP 1602.01.3 ATTACHMENT 1
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'. Ele a u & muctsam asGutaf 0Av Canauisss0m eZ .7,
OCCUPATIONAL EXTERNAL RADIATION EXPOSURE HISTO 9Y
.,---8..
I 1. NAME (PRINT - LAST, FIRST, AND MIDDLEI i0e ntiescariose
- 2. 50CIAL SECURITY NO.
t 1 OATE OF BIRTH (MONik54Y. YE AR) 4. Auf IN FULL YE ARS IN) occuparuwat a mmsume *asvious mesromv
- s. PaEvious EMPLovutmTS 1mv0LvpeG G OAftSOFSWPLovutmi F PE A90$ 07 E XPOsunt a wMott 3007 e escon00RCALCutafE0 AAQsais0N (RPO5unt-LIST MAMG ANO ff AOM-Tol tasul gems (nT ONil A00af 5$0s EMPLOYER I
ID .
ICL M(MARILS II. ACCUkdLATED OCCU*ATsONAL DOSE
. TOTAL I .
I 11 CALCJLATIONS - PE RMISSIBLE OCSE WHOLE 800Y:
(Al PERMI5518LE ACCUMULATED DOSE = StN-181
. REM 12 CERTIFICATION I CERTi yt THAT THE EXPOSURE Mf5TOmv Lt511tD IN COLUMN 5 5. 6. AND F 15 COARECT AN3 COMPLETE TO TME BEST CF MY KNOwtECGE AND SELIEF.
I (8) TOTAL EXPOSUMe TO OATE . MEM EMPLOY EE'S $3GNATURE DATE (F ROM ITEM 111 IC) UNUSE O PART OP . REM la. NAME OF LsCEN5t t PERMISSIBLE ACCUMtJiATED DOSE (A-83 f
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I' Page 1 of 2
14 HP 1602.01.7 ATTACHMENT 1 INSTRUCTIONS FOR PREPARATION OF NRC FORM 4 Th.s form or a clear and legtpe record containing all me of tra ind.v. dual as casculated under Secuan 20.102. Dose rs ea be geven ne rent a informatiori required on gnes form must be preoared by each licenue of the Nuciear megulatory Commission eno. oursuant to " Dos to tre whole body
- eall be damed to m-Seenon 21108, procuws to escose an noevioual to a radiation ciude any done to the wno6e eody, gonads, acuve done a escess of the amounts speedied m Paragraon 20.101(al blood forming organs, head and trunk, or lens et of the ergueations in Part 20. ' Standards for Proteccon Against eye.
R adiacon.' 10 CFft The recuirement for cornoietio t of this
- form es conta.ned in Secoori 20.f02 of that requeateon Tne meermation contamed m seus form s useet for estimating tne frem 9. Af ter esce entry a stem 8 indicate in item 9 ensemas accumulated occupational dow of the individual for whetaer dose as obtained from recoros or caecu-lated en accordance with Section 21102.
wncm the form es comoieted. 1 secarate Form NRC a snait be item.10. Self espiariatory, completect for each inomoud t,, he e=ooied to a rad *4 tion dose in escese of the semets Decifie6 en Paragrar.m 20.101(at of Part 20 of the Commesmon s requistions
- Listed beeow by item are
- Total Accumulated Occupenonal Does (Yfhose Body) metructions and addeconal informanon directiv portment to com.
pleung this form: te> n 11., The total for the whole body is obtamed bv su*n.
mation of all values m Item 8.
Ideneficaban Caraffwtion item 1. Self ee': anatory.
Item 2. Seifanotanatory asceDt that if indedual nas no item 12. Upon comoieteen of the report. the empiovee must se.ial secunty nurneer. me word "ve" snad be certity mat the informanon e Cuiumns 5. 6. ano 7 enerted. is accurate and comoiste to e, nest of his know-liene 1 Seif esofanatory. ledge. The date is the date of hes tegnature.
fem 4. Enter tne age in full yeart This es called "N" when used a calculaung tae Permisshae Oose. N is'eauas e to me numeer of years of age of the momdual on his last turthday-
, Casculeteens .
hem G De le m accumulated occupational duae W Oasupeconal Esposure each ednndual and TN pern=smose dose under Paragraon 20.10f(bn are ootained Dv carry'n*3 out the following steot 4e value for N sr'ould be item 5. List the name and address of each Fefvious em- taken from item 4. Subtract 18 feom N ano nivit -
osover and the aed ess of emp6ovment. Start witn psy the difference av 5 rom. (For enamoie. Jonn the most recent ornolover w1 worn bacs. Smith, age 32. N = 32. P A0 = 5(3218) = 70 rem.)
Enter total poosure to date from stem i f Suo-include only those periods of empiovment since tract (b) from fa) and enter the difference uncer ce e.gnteene t>rtnday envolving occupananas ic). The vasue m (c) reoresents the unused part of emoceure to radiacon. Fer cenods of self4mpioy. the permisse*3 accumuisted dose. This waive for men . mwrt the word "self empioved." permenneae dose is to be carned forwara to Form item 6. G.ve the dites of eacn emonovment i,sted in item 5. NRC.S. " Current Occupational Enternal boianon Itam 7. List penods dunnt which occuoaconaf exoosure Esponsre e nie Bodyl."
to radiation occurred.
leem 8. List the dose recorded for each pened of encosure item f 4. Seif-esplanatory.
from the records of preveous occucanonal enconsre
- the esses somaeos sie men ** of sneeseienes eenemaea PRIVACY ACT STATEMENT -
fme fossoming steismene se fwrme-e to mehe* eases Pueo aat to 5 u $ . 552adet 131. eaartee mio saw tre weeen 3 of me Pr== v Nt of etFa sputu Lao 93 5791,t. S natermaeonie maintained in a swsum of une aspee,infon=ation is she Pevesareewaarory Comenismen en Form NRC4 entribed et a0 rooersa Aetteer a%3aa IEJctseer t. t9751.
aie Eaerge Act of 195a. as samaese ta2 U $.C. 2CT3. 2C92. 2095. 2H L
- 1. AUT**O#tTV secuaas $3. 63.65. 31. to3. toa,16itee, aae 161 lot of es a z
, easer is 50 CF A Port 20.
2133. 213a. 220Itst. aas 220tiese iao sumor tv ers sehetting ime nacia escunce The ir.tormanwi .e unee av ee N RC in ses e swassen oe tne r,sn se radiation emeee,re suoceree of som aren new hesaw s scen
- 2. PeiNOPAL PuePOSE 854
- . seeressag ses assutary repoasseihew to monitor ane too,iate ene we'ety ane eemm ersetices e t caof se n hesawes
- kte's 8e V8" The esta seemse am
% rei ene seatterm encomere eenerisace ames eveen e* hce==eees one arneag heensees men.a eeen tves Data en veer esponere to re s i 6esen eQuess.
The saf ormation vaev es were to aroeiee can to staar Feeeres **e $ race agencies wieeswee in memtarwie anotar weaskeung Ihe infor*eaea 3 floutsNE v5f3 pcInde reteivee De saepeeweis eme60ees as reestion eerhers en a secr%aent er gesvison erv thessa and espeture recevee ey morosored Itsey also te costlee9e to en sessooriese IederW.Srete, or lecW egaarv en ene event Se megemaDon enescases a osoiation er casree of an somsaistrasse er sweem erocee*at st is eenea-4 tie 4Ubl(R Ov5CLO5u a l e5 MANDAT04v CR voLUNTARV AND EFFECT ON IN0tvs0UAL CF Not ee ?vtOING e
gery that yea, heemet me reseested saformation. sectuging social sees itir nu mesess the licensee ermestet te esente to a reeeDen note ia escots of vae eniguan geecar.est in r0CFA to foires F e ivre to octasa e 15e reeee"'d satormsoon Taie eac e sees isv numeer is see to essere bedere grves nssig tscf eneaiisee aiey asheect the lacesswe te eMarcessment aceoa .fi a Eertisace s mera to CF 4 40 6o1ance of eersons on anom esta is meatmas e
ese NaC r sier a,esesiesaemer not e,eiset is t=e come esace s om.sar aemes er ewewn maang ene arge ans E sv5Wu MANAGEP!S) ANO AOCAESS Owerter. Cfhee e' Magecomeat IMermanen aae Program Ceawee 1 Wasaiagtei. O C. 20555 lAS. Plascleer Repsk: ery C.
O I
~~ I
a 15 HP 1602.01.7 ATTACHMENT 2
=._,.
=.-
setra se u & asuCLEAn nasutAfony coesmisasoM es - m.T I CURRENT OCCUPATIONAL EXTERNAL RADIATION EXPOSURE se. i,.no.r. on 8.ca I
IDE NTIFICATION
- 1. NAME IFRtN1 i Last, fun and maldkl 150CIAL SEWRm NO. ,
4 MSMEOE UCINEEE
~10 ATE OF 81RTH (*1ontr osy. yeert
- 7. METHOD OF MONATORING (.$. Foest daoge =
I 5. DOSE RECORCED FOR (Scafy* Yrnoie noev:
sken of swhow tmdy;at hones and forern%
fest and ankistl
=.
& WHOLE 800Y DOSE STATUS (remi F 8; Pocket Chamber - PC: Calculations . Casr.)
X CR GAMMA l N ElJTFitW5.- _
PETA 11 RUNNING TOTAL FOR I A PERICO OF EXPOSURE (From -Tol i/CRCAMMA DOSE FOR THE PERICO (rem) 1(L BETA 11. N EUTRON 11 TOTAL CALEND AR QU ARTE71 laem)
I ..
,) '
I .
I l
I ListTive ACCuuutAT E D COSE
_ . _ ... _ . ..... = ..... .. = .A... p .-. ._ _ . - . _ r. == ==-.
, . 1. 2
T 16 dP 1602.01.7 i
The creewation and safekeaome of tms form or e rsear and legible items 9 Self emotanatory. The waives se to tw pwen en tem record contenmg sie me iniormation reen. ore 6.w tais form is te 10 and Asa enessurements are to ne mwarete t in ene test
- 13. metnoe known ano m accorosace witn Paragraian 23 44cl d oure,act to Section 20 40t of "Standares for Protaceton -
where calculatione are maoe to netermine cose. a coin, os maireast Aga Aar. tion.^10 CF R 20. as a current recorn of occu nationai eacn cacuianons is to se enantainen m consuni: tiron ..ita emiernas rad asse e=oosur es. Such a eec ara *ust tse meetained enes record. in siv esw eene tae cow for a cae=,
for eacn inoenum tar wnom versonnes mnnita en is rectuirea m;wter isless INan 10's d sne wah.e spee.fien in Para arape unoer Section 20 202. Note mat 4 woMate Form NRC $ is to De 20.10of t taa ,i. tne onrase."ies enan IC*. niev oe entere=t in es terns esposure to a 11 ene whoie twov. iseu sa e.
used for reco,r i
<2 an.s=en ieus of cro.w io.,ie. ,m r.ieties ma rma,msm , teet med oeiow. n.o a of e.me ,.u,neno,ios .I ,e.s gm. . and ,i t f o, e se Aod es u posure ams ,=or sa c ~mirio m od
.e ,e estructiori,s -roi< any -e.ttnn e -a.remsree m. to mis to m. and so.tionannfor-s tes
. rect,t,edpe irieniiec osming o,e,so. f t o 13. Tne running toi, s to ne maintaeaec on me ous.s of Paragraan 23 Jial i41 **e8 ces caneness lesnaticamen ca,4,ena,ar cuarte..~a
. te o.eno,. No e.re. c,a~e.ee ne a,e m.:. fn mis a- itinom, i,ern ouar non oom orood ne-s e.
iord. weit if e.,e.es.matory.wcu S
oe,. wot,,...
it oriet o itv none ~,t,ory al . no socam sn. ion eimorte c.eot. iO. ii arid 12.
veomeAoumuined oom mlione ro.v.
M g:=;; NOTE: If the licensee choows to keea tPe momdual's Oesopesenat Espemare excesure ecow met permitted m Paragrasa 2010 han, tie-s 14 througn 18 neea not be comoteteo. riowever. in tnat ens lemm 5. " Dom to the whoie boov" seast tw commed to include any the tots anose nooy cose for eacn ta encar overter recorcea done to me wnose boo , ganaos. actwo escoa formino in item 13 f or trem 12 et overtersy cases are entered m item organs need ano fn,nk. or sees of cre. tJnies toe tenses 12)anound not onceed I t,4 rem.
of the eyes are protecteo wem eve spietos. dose recorood m wnole boov cose snouto ir.civos me cose couveres H an Mndual es esoowd undF me pNpwisions of Parsomm 20101 inrougn a tpue eeuwment setorcer navme a enicaness of (b). comenete Items 14 tnrougri 18 at ene eno of each catenaar 300 me cma or less. When tne eenses of .r.e eyes are ore cuaw and waea me sent is inea. e Vaives en item 13 wnen a me totted witn eye iniends naving a tissue emanaient thicuness middle of a calencar ouarter, ana values in stem 18.must be Orcugnt of atleast ruu mqicmJ. case recorood as wnoie coav dose twware to met smet f ari eacn omswidum.
snould include the cow ceim.: N3 mroues a tissue eauervent li'" 14- E at' 0 evious totas accumuistea dose freen ore sonorter Manng a trick. em oe 1.000 mgicm2 or iem. vicus'c'"o'se r'ecords for the inomidwas le a from 1:em 16 Dos recorded as now to tpe skin of me who.e nody nands of Form AEC 5 or N AC $ or trem 11 o,Uarm AtC 4 and forearms, or fut and anales eouin metuce tne cose orNRdi. The term occusananas rad anon oose
- re h4J by the anonviduas must ce enteres m inis item.
detreered mrougn a tqaae ecumaient ansoraer nawing e anciuoing any occucanonas cow rece=eo from sources thickness of 7 mg/ cme or less Tne cose to Ine sk.n of of raciation net 1.cened Dv sne Comenmon. H rne tne sinose acov. naada ano forearms or teet and anmies - -
erid=scuas was reeous to sources of racianon not snould be recorded en senspa rorms unless tne cose to incensed DV Ine Comn' moon nurnee say wencar t.arter those oats et the buov nas Mn metuned as cose to the af ter corpoieting Germ AEC.4 or 4 AC 4 ene oersonsei onese boov on a form maintaned for recoromg whose Dody monstonag souior eat was not worn av me memdust esposare, it should be assamed that tne enawwas recewers a av e item 6. This etsm need be cometered oniv venen the sPeet es used of 1 1/4 rems curmq esca men ca encar cuarter.
to record ecose body emoosures aad *ne licensee es item 15. 13 tot empoeng tha indmoduas unoer me provisions o* Paragraan Enterstem from me 12 totas catenaarcoses of cuarrerev cuarter arescie trarnmitem.em entered I 121 20.101M waech sitows un to 3 rems oer ouarter to tne and the case cesvenng the ene of me caseanar awacir wncie eody. Enter in mis item sne unuseo part cd per- en wn.cn t*) two was recensrmo*t. SCP e beens witm mis recori tract 18 from N ano must y me m"erence nv s rem ltem 7. Indicate tne memed usee for monitarme the mdividual's te g.. Jonn $ mein, ege 32. a.. = 32. P AD * $(32= 16) -
voe of rathreon to wnica ne sa emoosed 70 rem.4 esposure to eacn t.s avties. Acereviations may oe uses. Determiae the unused part of the FAO by weerart.ng e the ccn u of n item 18.
Item 8. Down r* twed over a cer.vid et ies unen a camaner querwe stem 16 trwn lee n 2. Tne unused eart or tne e40 rees not tw seowarmv eatered on ene rarm erovised mat is ' net portion of h Literwne Accumuisted Dese ror me licenise meinea as a current recora of me cases rece=e8 tne moivicham rarriammg at tne eno of es senoa try the +ndividual wnica nave not es wet oeen en.tarea on e t covered by this sheet d orm. The perece of esootre snouto specify e e cav tre -
measur ement of tnat e=oosure was amticeo ano ene osv on u nicn it was terminated. For enempie it anov owarterty toe -ened of eso:sur e for tne 6rst news coenaararecuarwe entered,o f is 2 m gnt ce ea=en es runn.ng +rtyn A4cnaav. January 1. th62. mroson Fr asy starta 40 19 30, ano would be ied.cateo in mis etem as Jan. 'l. I962 n/ar.M.
1962. It weekly cones are eatereo Monday mommg. January 1,1907.a tism esoge issuedano picano up Enday January 5,1962. wouso se erwcataa en sen. t, t 962.Jas B.
1942.
MIVACY ACTSTATEMt4T Neimeae se i U S C. 552asel (31 =aacwe mie sea av oct ea 3 of t** Prasev Act et 197e (Pweiss Les 93 571n. t*e tese=mg seawmeat a t=re,taed to adedveis m me, meermeiga re one Naciear peguieterv Commessaa en Fwm e N AC 5. The me remien is mentaine* in a s nem as receres engaeme n aaC 27 aae m a 40 f eesem As, ster a5344 iocieser 1.19 75L
- 1. At,TMO#ify h,ceesat l3. 63. ES. s t.103. toa.14 f tW. sad 181 ten of tae Atomic E nerov Act et 1954. as ameasse 842 U.3 C. 2073.2393. L95. 2111,23 It3e 22011Ean ??O11o11 fu awaeat, ter setienmg te, wcia secwitv someer s 10 CFR titre 20 The efeceae ea it uses ty the N AC m Ps e#a8Wat'en el the rise el rae'at.o. eseeWre aneciaies mita the teceawd SCtml, and sa
- 2. PAINCIPaL PU# POSE (5) The ease sermets a mesa aglW comeanica et eem c w.
eseressmg ds sta#esary resism.emtv to meader aae **;uiste ene istory ses#eaem practices et dsaceawet Data ea vow espesare to ras.ation g ava.sasse te veu esca rent ses leag term es.usare eensrimaco emeag evees et liceawes saa a* eat hceawes e thia rett type veer weiett Yne imemetisa me, se und a prov.ee data to ema f eseem ed Staw ageates naveswee a mea. form, anser e.a.at.ag red.ac.ee eneesure 1 RoufittustS e t retened av saamensis ==>ieves asese.aties mehers en a permaaeat er teaserarv esos saa emeasure rece=ee av men. sered wiers The me rmetica may assa o a
Mciewsle ta ap eleeWia'* f efle'ai $.am. er tecW agencW in the twat the alermettga s eistes e s'ematien er Getentief ogMaga of law sad as fat cegree of seemistanse se t=eit,ia' Crecaeiab It is .eiieararv
- 4. VfMITNf A D'.$CLCSUAE #3 Ma40ATORY a 04 VOLU'sTARY A40 (FFECT 04 IN0iviouAL OF 407 aerwaa 4 menorrms 4 pounes wea=r 10 Cf 4 20 202 f e4** eto se se may miar ct tae hcoare to ea'arcemem actea e acssence aim 10 CF R 2 etat to i* came..eace es pas. a,ms . eirunes ameg e, .ge f e s w..se a, aer .s i,see se s.,e c .t naC .
a =c a. .e-is- -e a.inte. ee -s,s sa .aem e,a .s m.insa. nee
,s. u $ n ies, neo,icerv Co-iseoa.
s sysitu ma=Actaci a=0 A00erss :imi . Oitice et usaageinem iae-maica e er ,r- C womegsea 0C 2 MSS I
l Page 2 of 2
17 HP 1602.01.0 ATTACIIMENT 3 I
~* --
- I RADIATION EXPOSURE RECORD ToTat esT. wMosa eOav execsuRE cRucs so sees 04y
0"**' ^***""*"**
NAME. TLD B ADGE N O.
Tad From Front I scceAL sec. No. Mo*gTM VSAR TLD II sues RvisoR C 2nd. Mo.
O 1st. Mo. O 3rd. Mo. ,,
l TOTAL EST. WHOLE BODY EXPOSURE fen MREMI
- Y 19 l o.u, 4 o m. Am ....a Assumus eed owener Cow 20 l 1 21 2 22 I 3 D l 4 24 5 25 8 3 7 77 .
8 ?F l '
. a j to 30 W 11 31 12 i
Nov.fr He:Ith P%.cs when GOO.1200. and 13 2500 YRDI for tar taust:ce has teen rescr.ec. ,
i EMPLQvtE SIGt4 A1URE l
ts l .
kbEf!
I Front I
i iI I
O
18 HP 1602.01.0 ATTACHMENT 4 ,
DAVIS BESSE NUCLEAR POWER STATION REPec.
P AGE NO. UNIT NO.
DOSLMETER RECORD E o ss47-i Oi O2 Os CESCRIPTION TLD DOSIMETER aan s^ms oATE o"' uvueER
,,, 3 I
- I I
I g
l I
l I
e
-M R E MAR KS _
B e
9 4 b w OCN.Ow W i
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M T S
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w D M g n
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T u R O
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3 .
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A 2 N 1
3 M o DSN R ED E
n L G 7 TWS N S I
n A u
Y R E E I GB m D
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A P M uA ~
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- EB
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T w A
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N E D SA T I
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S R EA 8R 0 S O yt I P VM Aus A Ds s D
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22 HP 1602.01.9 9 ATTACHMENT 8 TOLEDO EDISON TEMPORARY TLD ISSUE RECORD NAME (Last, First, Middle)
S.S. No.
Birth Date Home Mailing Address Company Date of GOT-2 Completion Current Quarterly Exposure MREM (actual or estimated)
Lifetime Exposure MREM (actual or estimated)
Security Badge Number I hereby certify the above information is correct and accurate to the best of my knowledge.
l Signature Date Temporary TLD Issued # Issued By I
I
~
I e- -
b 23 HP 1602.01.9 I 9 CLARE k RADIATION EX7CSIRI RICCRD ATTACg:* 9 Isoc ALsacumeTv no.
- i. Naus iP nmT . L,.s es, t .as messie.
e
- s. MAME QF LICENstE i CATE 08 SomiM iMeana, osv. rws ,
I Gacy stace a, A p ,
Address I s. *woLe ecoy = cst r.utinco os Moseron No i p a.e,.
's.pcss naconoto son isow ve nae = ooev; F 8; Pocset Chemtiec - PC. Cauwasheas - Cate.1 I
$7ATUS s,emi anon sa =cew boev: or naaen and foreset xencAMuA_" L stTA it.D _
set mad eamint
" Whole Body Ntutmoss Calculation CCSE FCR THE PERICO (remJ 31 RUNNeNG TOTAL som S.PEPadt*oFEXPC5URE TLD I
CALENDAR CUA RTE R M'em - Tel No. 11. NEUT RON 11 TQT AL tremi t.x0RCAMMA to.3 ETA
~*
1/1/ to 1/31/ $
2/1/ to 2/28/
I ,
3/1/ to 3/31/
4/1/ to 4/30/
' S/1/ t o S / 317 I
I F]
I /
6/1/ to 6/30/
- 7/1/ to 7/31/ t b# 8/1/ to 8/31/ l 8
- 9/1/ to 9/30/
- 10/1/ to 10/31/
I ~ 11/ 1 / to 11/30/
___12 /1/ t o 12 /31!
1 I
i i ! !
i e
I I .
i,s e (IIVE ACCU'.lu L 4 I f C $'i 6 I et pegwoowS f 9f at y me at tetag Quattlett 9084 4 Tof at aCCwaswtatt9 9054 emme sp. pe nsa a&&. ame te:Se emme is vowtap past ge po seneseesg astwemwh4f t S Oma me e
e W-
"*= $
,.ee-. # -> --, e'
= .
. s 24 IIP 1602.01.9 9 ATTACICENT 10 DAVIS SESSE NUCLEAR POWER STATION . . _ . .-- . . .
etwace vutre siaa DO so..SIMETER a2 RECORD FOR NEUTRON CALCULATION
_ _ _ _ _- _ _ - - . "3'""""""N'%.r
__...__ ! . .O t men.
C2 .03.. .
iiE DossutTEn at AoihGS semi aswiset oosassme DAtt out out i NAMt SADGI Ntt CALC l 40 NO in m l t I i I
I l
l 9
1-.
l I e
- Evato sv tuttato em asconos cAtcutartoor l Daft C&MP FOReuAN DATE ihiliAL DAf t C&MP SUPtavlSiON END
-