ML20054K442

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Public Version of 10CFR50.59 Format or Safety Evaluation & Safety Evaluation Checklist for Lzp Tests/Procedures, Including Procedures LZP-1200-4 Re Classification of Liquid Release
ML20054K442
Person / Time
Site: LaSalle  Constellation icon.png
Issue date: 06/10/1982
From:
COMMONWEALTH EDISON CO.
To:
Shared Package
ML20054K439 List:
References
NUDOCS 8207020089
Download: ML20054K442 (16)


Text

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'f . ATTACHMENT F

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,rtwe. Rav.isaon 19 -

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  • (Page 1 of 2) Apri1 7, 14R?

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10CFR50.59 FORMAT FOR SAFETY EVALUATION STATION [A htLG boa UNIT //2 SYSTEM Pverc-se 9/Gr ATrod TEST / PROCEDURE No [7P1240-4 TEST / PROCEDURE TITLE AN - ,

REVISION I EqulPMENT NAME 12AR 4an es wd Anu Ice k l J<mdi N) (Img EQUlPMENT NUMBER OD lE- KJ,o s, / [ U Dl8 H ,o V /[t)h /f //,or /[r)b/f.// SOP -:

-- mm-mum-am-mm-OL k~n & db C)& uW DESCRIPTION OF TEST / PROCEDURE G A k'? ---9 ,

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- Q Ql..h._ % e K- up-SAFET( EVA!.UATION: Answer ths follcwing questiens with a yes' recsons justifyirg the decision:

- 1, is the pecbebility of en occurrence er the con =equence Sciety Anclysis of Rspert en cecide equipment impermnt to No, scieges "eecause:

previously ow:lueted in ths Finci Yes increased?

D w k p m cle u 1 5 2 m J OL L~A W u tG l 2. Is the poss~oitity fer en accident =c melfunctien Yes ofk a No, differentBec=use:type evolucted in the Finct Sciary Anclysis Repert crected?

SWk (MN ut&W~ LA Lbw JvL. %3 nL Ol defined in the bcsis fer eny Technic:I Specific =rien, reduc =d?

3. Is the mergin cf scfety, c K Na, Because:

1 Yes Dnev d,sa . tab &AXL "A0 )

vAw

  • Note:

Any answer checked "YES" shculd be recorted in :he Annual Report.

to the NRC I

t p.r ecemed 34-- O ,/I m / m.,14 h-kW 8207020089 820628 _ Jg /

PDR ADOCK 05000373 F

PDR hPProsend Sy n ; v

... LAP-820-2 -

Rev.ision jos

_s_ __ _

  1. PPII 7 1982 ATTACHMENT F 21 final o
  • - (Page 2 of 2)

-m .

.;-) SAFETY EVALUATION CHECKLIST (to cyg 3c,33)

TEST / PROCEDURE No. L tP I2co-4 REVl5 ION r e -

t Does this cons:Itu:e a change to precedures as described in Safety Analysis Report?

.!c ( M I

I (2: ( )  !

,--' i;s a :.anga in **c "ac.31021 5:eC1 fica:1Cn

.favcivec?

.s _ . , .-

. .I 'so( ) - r . . . .. .

Ansner .ne felicwing cuestiens diu a 'y".:' :P '5:',

SAfri / E7AL"ATICM:

and ;::vids,s:ecific reas ns justifying :te tscisien:

C  !. .

Is :ne :r:bability of an ec: r snes. :ne ::nsecuence cfas in:.rtvi:::17

ac:ican:, er m1 fun :1:n cf saft:y rels:ac ecut:: tat, increase?

evatus:ad in the Final Safety analysis Ke:cet, .

n A No ,

Jes

{": sa,rhp a ,

, dai- gc A -

.r Is :ne possibill:y f:r an accidan: Or maifuncti:n Of a diffr:n:

2.

['" ^ ty:e man any Ortvicu:1y evalua ad in its Fina! Saft y ;

ly:i1 Re:er c tatad? Yes X_ No .

1 YG, LY Y&

T w & & O. A a.

3.. is :te :::arit of saft:y, as ,.efined Yes in the basis f:r any ~c:--i :1 A.lic .

C Scecification, rtducad?

..)

fddk k g -

C p Any An!ser

  • Yes ( ) I AII An5*.eerT NC (k Recut inO t ? i'3-2 *!uci tar' E270 i 2 :Ory "J.Tr:r..$.51 :n 100:0r7 21
  • 17 ?;r Or!.702. .

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L-Int ".iata 7"00 wdct/Tes C **{ Q7"- :

D 3I*C15t.ati:n 80 ..ee ee o 3er':- ned by [N /%.ra sneuid :e rt: rne i.. ::a f'

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.. .. LAi).82072; I ATTACHMENT F

{* ' - *' Revision 19 ]

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t i

~

(Page 1 of 2} April. 7,'19A?

2n 10CFR50.39 FORMAT FCR SAFETY EVALUATION STATION bd UNIT O SYSTEM FfRS$ TEST / PROCEDURE No LN 8 330- 41 pensemmon er itm4,. roe da.w<r TEST / PROCEDURE TITLE t4Lcetpe At We. 6255 .

REVISION M EqulPMENT NAME

  1. )

EQUIPMENT NUMBER .y

--s.-.--===~ l e_

CESCRIPTION OF TEST / PROCEDURE-W /C/2folh M b W 4 /2 / / / b l~ h C7df hoc /7A I T $//6dAf/]f hSS f/Y#$W ...

and ,, wide sescific SAFETY EVAWATICN: Answer ths following questions with a "yes' er "no",

reasons justifyirg the decisiom Is the prebshility of en occurrence or the corzequence of en cecident, or

[

' - 1.

equipment impcrtent to No, scietyBecause:es previouslyAevolucted u c% Mw in ths, Finci

% Sciety increased? Yes _ <

Qm etc . .

2. Is the possibility icr en cecident er malfunction et Yesa different X No, Bec=use:type than c evoluoted in the Final Sciety Ar. clysis Report created?

oto f

c. p% h,
3. Is the trargin ci sciety, as defined in the basis (cr cny Technicel g, 5:ecificaric

.Y es S No, Secause (7 f __g,;ct$

  • Note: Any answer checked "YES" should be reported in the Annual Recor .
o the NRC

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Fer.crmec :y

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M Das e hf4fil Appreund ty v .

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Rev.i s opn _ ; c.

April 7, 1982 ATTACHMENT F 21 finaf

  • - (Page 2 of 2) -

m .

.;.) ,. g SAFETY EVALUATION CHECKLIST (10 CFR 50.53)

TEST / PROCEDURE No. / ?//3 70->/

- REVISION M -

n. .

p .

Does this conselcute a change to procedures as described in Safety Analysis Report?

lt .le M I

~~~

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m p

s 1 .nanga in == "tennt
.1 I ectficac1:n

.i . . , linvolvec7 .

.l 'to tsA ,. _ . . . . . . .

  • ~:',

Answr the felicwing cues:1cns d12 1 *y'::' :r

.. SAFTr/ DALUAl'ICil:

and pr:vids,s:ecific reascns justi*ying :Me decisien: .

Cs the :r:bability of (n, cecur sncs. es nsecuence of in t.

l , accicane, er .nalfunccien of saf t:y rtla:ad acut::snc, as ;rrit:::!y evalua:ad in Me Final Safaty analysis Re:crt, facrtsse?

l

_Yes W No , M M 0.% */ N E & 'W '

r I:

2. Is de ;cssibill:y fer- an accicantincc:te .caifuncti:n Fina! Saft:7  :( t 4it!far:

lysis

[ ^ ty:e can any ;rtvicusly evalua:

% Eaccr: c 1 stat? Ye1 tic, J @ <

,b e A cSJ k "c:n-1:21 3.. f r ce .-argin of saft:y, as defined in Vthe .'iobasis f:r 2.ny/ ~

l Scecific201:n. riducad? Yes . @6 l ]'

~ .

,4 A<A 1

_ Anv Answ r - Yes ( )

I Alf Answrs No @<}

f-Recue:c inc . tesi ee 7:uclear E.1TOi1 : / C4 M .531*n .

tu: :--:10 m .8u :. mee.

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Int:iz:a 7mewort/ Test

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/4s' Say In!'*ef- ::S '* ! ge m - d 3y /

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[ 1 nual re::r. :: 2: 'IEC.

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I AmCMENT F

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{fage i of 21 Apri l 7, 19 A?.

10CFR50.59 FORMAT FOR SAFETY EVALUATION STATION (d UNIT h SYSTEM N TEST / PROCEDURE No C P/7 / 730 -d 3 TEST / PROCEDURE TITLE hbdD , +) 0 AT EVISION i .

~ '

EqulPMENT NAME

~

EQUIPMENT NUMBER OESCRIPTION OF TEST / PROCEDURE' -

M bra [U.Ad( H,' QAk Mh /

O_ M CO C b Mf SAFdTY EVALIJATION: Answer ths following questions with a "yes' er "no", and gide- sps=

masons Justifying the decisiom .

1. Is the pecbability ci en occurrence or the corcequence of en cecident, or malfunctica of

%gaipment importent to seis es previously ownluated in ths .8inci Safety Anclysis Racert IAA7 , ,Yes No, Because: . g g g%~

u %, .4 Q .

2. Is the possi'aility fer en accident or malfunction of a different type Yesthen V No, any previously Bec=use:  ;

evolucted in the Finci Scisty Anclysis Report enet d7 '

A/# f l

l t

3. Is the mergin er ty, es defined in the basis f=r =ny Technic =1 Specific =rien, redue:d?

Yes No, Secause: Gla. kp pdm  !

i

  • Note: Any answer checked "YES" should be reported in the Annual Recor:.

l

o the NRC l i

N hpg bed 0rfned d

- Approwd ty y-

$hA .ss.blh

. .. . ::..  : - _ . . a .:. . --. u - w.- .. a .

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LAP-320,-2 , ~~

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. _4-_. _._ __ . _ . - . . .

Revisicn 39 A0ril 7. 1982 21 finaf

.. *

  • ATTACHMENT F
  • - (Page 2 of 2) .

.;-) ,.  ;

SAFETY EVALUATION CHECKLIST (10 CFR 50.59)

TEST / PROCEDURE No. 2 M/f 'to -EJ REVISION 'y. A n

y' m

Coes this constitute a change to precedures as described in Safety Analysis Report?

>s I I:: ( ) .!c 9 9

,P 1 ;s a =anga in == acnnte:1 Dec1 fica:icn

.i.. , iinya1sec7 ..

.f fo ()4 T _ . . . . . . . .

Answer the fellcwing cuestiens with a 'ye:' r ' :" .

r-. .

g L., SAFITI DAL'JATIC:l:  ;

and ;r:vids,s;ecific reascns justifying :he itcf sf en:  !

C'  !. .

Is ce :r:bability of an ec: r sces. -he c=nsecuence ofis2n;rsvi:::17

' ac:Manc, er =alfune.ii:n' of saf t:7 rils:se aquf:= tnt.

avalustad in the Final Safety analysis Xe:ce., incrisse? .

Yes N' No , g 3.e M bF t /

f

% o.b : [ tka CO fu.

~~

T

2. Is :he :essibill:y fer in ac:1 dent er maifune:4n :( a dif:tyfar:n: fs

[ ^

type than any Ortvicusly evalua:ad in =a Final Saft:y '

% Reccri crtstad? Yts '>o Ho ,

gY <.>/

(

O

  • w O/

i d j, 1.. !! the ari ni of saft y, as defined in W:he basis f:r any ~ee-i::I' _

t Scecificatica, reducad? Yes No, g I] .

m /7 y -

4,Q: 4 p _ Any An!ser

  • Its ( ) e All Ans*.etrs 30 b l

Recut::: 13 : P! 3!'ic W0 lear" P :ey.:! 2::: / C.:::m.is 1'cn

- - ~

zu=:-~ n-' = ?nt

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l (- ;U C M :*.*.i~n rec 2i'#ed ( ) l l 1- ,I ,

L.

Int:11ta Frt: w urt/Tese b '*lOTI: [03Itren02:103 /

i-

nr ses.ee =1:ue yes' 7tr'Or-ed by

{ [/ c sneui:: :e et::-ne in 22

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' 1:nu11 ::::r~. = 22 .*'RC.

Ca:a h'! - b d

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_ _ _ _ _ . -a- x rO .. w ' -_ . _ . l UP 82022 ,

'. ATTACHMENT F RavisLon 1%

e .,

~

(Page 1 of 2) Apri l 7, ICE 7 70 '

10CFR50.53 FORMAT FOR SAFETY EVALUATION STATION UNIT SYSIEM TEST / PROCEDURE No d8/4570 ,/

ber<.am e wop oc sm.we eer

-TEST / PROCEDURE TITLE Wptoem s .A comt#rtAnow AT W tfTEVISION l EqulPMENT NAME -

l EqulPMENT NUMBER _ _:

? m--

z .m s%86W d b Y b, DESCRIPTION OF TEST / PROCEDURE ^

M& q W-904,c.d-+- Jt)fehoccN& & dovd &-&

nutgs.{ Y <gdd datcu%'nJ%<Y c8eM t

and provide- unific '

SAFifiY EVAL.UATICN: Answer ths fallewing questions with a "yes" er "no",

reasons justifyirg the decisien:

i

'- 1. Is the prei: ability of en occurrence or the cor:equence of en eccident, or m equipment import =nt to safe,ty es previously ewluated in thsmFinct Sciet increased 7 Yes __ X No, Because: , 4M H 4W- .

l Is the possibility fer en cecident or malfuncticn Yes of a different type then cn 1

2. -

evaluated in the Final Sciety Anclysis Report crected?

[

'"k d ? "" 7'f " -

i l

ed in the bcsis fer :ny Technic =t 5:ecific= tion, r:duced?

    • * "y,, '

'a, Sac se:

Q& fW LAW-Any answer cnecked "YES" should ce . ecorted in :he Annual Recort.

1

  • Note:

/'/

o the NRC j ,/

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S//f f], '

E tr70rmCC ; V, - ,

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LAP-820.-2 ', ._

i

__ ' . _ - -". -l - _ _ _ . __ _.. . . _ _ __ . . .

Rev.sion 19

. ADril 7, 1982

  • ATTACHtiENT F 21 fine.i'
  • - (Page 2 of 2)

.;l ,. SAFETY EVALUATION CHECXLIST (10 CFR 30.33) g TEST / PROCEDURE No. 2P//JJO -gf REVISION / -

n s

Does this constitute a change to precedures as described in Safety Analysis Report?

'i We j, Ic: ( ) .!c[

f

-- p s a = anga
n == reenni:2i :ecutca:icn -

.i . . iinvcivee?

'fc k

.l- ,

_ 7 _ . . . .

l SAFET/ E7ALUATIC l; Answer the fellcwing :ues: Tens ni*.h 1 'ys:' :.- ,

L. .

and pr:vidt,s;:ecific reascas justifying the decisten:

C' L. Is ne :r::abili:7 cf pn cc:ur tnca. :. e 5::nsecuence :? Inis :rtvi:::!y

, ac:ican:, er . alfun::1:n of saf t:y rtll:ac equi:.facetsse? snt, evatus:sd in the Final Safa:7 analysis Re:cr:

Wto, J'A*'44. C$W '!* '-

yes f aa. .

.r 3 Is tha ::ssibili:y f:r in accident c'r . aifunctica :( a tif far.n: is

[ ^

2.

ty e : nan any Ortvic**1y evalua:a .

te Fina)

'f e , q0J Safttb y n ly:f Re: r: crtatad? ' as

}

e .

basis f r any ~c:n-i:31 Is the .argin cf safety, as defined in t' 3..

Scee.ifica:ica, rtducad? Yes No, Mg -

'].

f&f Veol .Apa .

[ ,

l' Any An!*.ser

  • Yes ( l e All An:.etrs Mc f' .

RtCuts Ln2 . 221i'e t Ik:I tar" E.25"J i a ::Ty ~;M.S.5 b!n .

Zu!.*':*i ra * !r fM 9:n00.

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a heivM ( }

Ini*.iata Pr":::udit/I ts:

L._. -10 77.:

!.-ci cents:i cn /

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' r Any ins-er :ne u: 'yes' Fer':r ed t' J .

i- ::a ' - '

s..:u t : :e .:: -

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ace.uai et: Ort :: =: ?GC.

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ATTACHMENT F LAP @20 ,

Revisien 19 ,

(f age 1 of 2) April 7, toA?

2n 10CFR50.59 FCRMAT FOR SAFETY EVALUATION STATION [A UNIT SYSTEM //#JJ _ TEST / PROCEDURE No /,,.2/ /JJC Q5'

~

di A's W a f TEST / PROCEDURE TITLE #gIJ REVISION 2-EQUIPMENT NAME EqulPMENT NUMBER

, . . , _ .=_

z. m DESCRIPTION OF TEST / PROCEDURE

/}lffftsj &n h d'Y Y l.

and provide spnili:

SAFETY EVALUATION: Answer ths folicwing questiens with a "yes" er "no",

I reasons justifyirg the decisicm 1, is the pecbability ci en occurrence or the comaquence ci en cccident, o

.- es previously evclucted in ths Finc! Sciety Anclysis Rupert ecpipment imper *cnt to scie Yes No, Because:

it d? ~

M gr h, f

2. Is the possi'aility ict en accident or malfuncticn Yesof a Y different type th=n No, Beccuse:

evolucW in the Finct Sciety Anclysis Report created?

W 01 03 0 f l

3.

Is the mergin ei sefery, es defined in the bcsis fer =ny Technic =( S=ec Yes V No, 34ccuse:

532 gf G 1 *fM h L 1

  • Note: Any answer checked "YES" should be reported in :he Annual Recert.
o the NRC

~

. .:/ n_ =:= /.0 /4 em.=rm=c :x k .Bae e Aprrous4 ty M

f '. I LAP-320-2 '

.b. . . .- . . _

i Rev.sien 19

. ADFII 7. 1982

  • ATTACHMENT F 21 fina0

' - (Page 2 of 2)

SAFETY EVALUATION CHECKLIST (10 CFR 30.39)

.;]

i TEST /?ROCEDURE No. Q)D i))O-pf REVI$10N d -

n '

Does this constitute a change to procedures as described in Safety Analysis Report?

t *

.!c(K I 1 I:: ( )

} ;s 1 : .anga n. == acr.nt:21 S:ecifica:icn -

F

.i . , linrelved?

.l 'r e /M _

a-- - ,

Answer- the f:llowing :uesti ns wi a a *ys:' r ' :' , j SAFri / r/AL"ATIC;I: 1 and ;r:vida,s:ecific reasens justi'ying me incisten: I b Is ce :r:baciti:y of (n ec: r tnes. -Me =nsecuence of 2n ac:ican:, er :r.11! ::: 1:n of saf t:y esit:ac equi::sn:, 55 ;rtvt:::!y evatustad in Me f r.al Safety analysis Re:crt, inertise? .

m

.: yes g  :<a ,

W.."

, l 2.

da '

Is :te ;:essibilIty f:r in ac icant er maifun ifnal:i:n Safe:yOf a :.:!y:is

-if fa-: E:

L' 7 ty;t man any Ortvicusly evalut:Yd'to, in ce Re:cr: : tztad? Yes

,  % ~

Y

5 gy (llh(1, '4 %bu 3.. Is ce =argin cf safety, as defined in Jy. basis f
r any Ic=-i::I _

A lio ,

S ecificati:n, reducad? Yes

].

w .

N

.. l-All Ans ers to

t. .

Anv Ansser - fes ( ) e i o e w . .

  • e. 4 E.aj*Ji Z:::"y !J.7CM.S.51: 0 zut cr- 1: :n far :. tnce. .

.e .e es . ** e e.D #

L-Int *i1*2 P' c=ugrt/Tes:

1 L "10TI:  !.-ole ents:icn m.

J

  • t

-ny Ini'aef* :nt:T3 ' f'!s ' Etr"#:r ed by 7' S.:uid :e .2:: 1 i- 23 N *

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' :nr.ua.i t:Or. :: -: ::RC. I Cata 46.2

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LAP 320$~2- -

ATTACH 9ENT F Ravisien 19

@ age I of 2} April , tc Ah 20 10CFR50.59 FCRMAT F ;R SAFETY EVALUATICN STATION i f /' / 20 ^ O ', L O 1A(, E UNIT O SYSTEM d2M _

TEST /PRCCEDURE No L E /'UC %

C4cn ftgut, CwrnMMEM RUL Ar* 3 TEST / PROCEDURE TITLE Ta t 4e81,, REV1SICH EQUlPMENT NAME

^

EQUIPMENT NUMBER .:

u. -

DESCRIPTION CF TEST /PRCCEDURE OtN. Y % )* Y ALbkcS k (494i .

t-i s SArcif EVALUATICN: Answer ths following questions with a "yes' er "no", an reasons [ustifyire the decision:

I

1. Is the pechobility of en occurrence or the corzequence of i en F.s=eccidenort egipment important toNo, scieges previously ewslueted in ths Final Sc increased? , Yes P @j%

'oecausa: , A /o

2. Is the possi~oility fer en accident or malfunction Yes ciVe No, different Seccuse:typs t evolucted in the Final Saisty Arelysis Report created?

a, , % @ * * -

3.

!s the mergin ei seiery, es defined in the basis fer eny Technie=1 Spe

_Yes  % No, 34couse:

& +&p.

- fa,

  • Note:

Any answer enecked "YES" should be reported in :he Annual Recor:.

to the NRC

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- _ . _ _ _ . . . I . .. .- -.1

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  1. APII 7' 1902 ATTACliMENT F 'l finaf i

- (Fage 2 of 2) -

.;-) ,.  ; SAFETY EVALUATION CHECKLIST 0# CFR 30.33)

TEST /PRCCEOURE No. / / sDo-4

- RC'!!SION 3 "g. < -

Does this constitute a change to procedures

- , as described in Safety Analysis Repert?

l"i  !!c?t<)

1 (2: ( )

r f is 1 ::anga in ec 7tc..ntes! I ecifica:ica -

i.. ,

. linvcisec7 -

.l ro .*%) -

r . . . . . . .

[..

SATITI E'/AL'.!ATIC'l: Ansaer the felicwing uesticas wi21 'yt:' :P ' :' .

and ;::vidt,s;:ecific reascas ' justifying :.'.e Itcisien: l C' L ts ce :r::abilf y cf pn :c: r snes. the ::nsecuence of in ac:icant, er =alfunction of saf te/ eti::ad scuf::a.n,c is ::rtif:u:!y evatus:ac in me Final Safety analysis Re: ort, incrtss e t .

~~1 Yes M Mo.

p-4 go, A w - .

f' Is :he ;cs:ibill y far an'accidant er =aifuncti:n of a -i'far n:

[- ^

2.

ty;:t can any rtvicusly evalua: d in =a Final Saft y Lulysis Re:cr: crentat? Yes No.

n  % - .

E n'q- b'^h' MP Is ce rar ;in of saft:y as defined in the basis f:r Any 74:n510: I 3.. X No.

Scecifics:ica, reducad7 Yes Any Ansser

  • Yes ( )

s w I All Answers lfo ,%

' M-ite:Ut:- 1::: . t ti et T;cita:"

Esqu!2 :: / C;:r:21.LT i ca zu- :r :1-* c .u :r:ces. .

l .

[' .u... .....n 7.e,;.,,e z y L- . ,

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ATTACHMENT F LAP 82022-Revisien 19

'- @ age 1 of 2) April 7, 19A7 D

10CFR50.59 FCRMAT FOR SAFITY EVALUATICN STATION d- M UNIT O SYSTEM MM ,

TEST /PRCCEDURE No G A /J.?C cl)8 vh A Cina Gh-TEST /PROCE URE TITLE A7 . AM d MI REVISdN -

EQUIPMENT NAME e

EqulPMENT NUMBER

- ~ - - - - .: -

1 z-f DESCRIPTION CF TEST / PROCEDURE' YSU lW b 1

,4$ /4 r ) f Act n f s

+Y &

d >% Bu & .

= no", and ,,iwide sereific SAFcTY EVALUATICN: Answer the following questions with a *yes* cr reasons justifyirg the decisicm 1

'.- 1. Is the prebobility of en occurrence or the coresquence of en accident, or m equipment important to sciety es prwviously evelueted in ths Final Sciety A Yes d No, Because:

increased?

, 0 ly

2. Is the possi*aility fer en accident or malfunctico of Yes a different typs then any p evaluated in the Final Saisty Analysis Report created?

p

.df. M AN[-

3. Is the mergin =f sefery, es defined in the basis f=r eny Technic =1 5=ecific=rie

' Yes V No, Sac =use:

g d

}

  • Note: Any answer enecked "YES" should be reported in the Annual Report.
o :he NRC W =4e, -

%-te Perierrnec :y' _ -

f ,/ u. h w a 2, M M

LAP-320-2

.r g,yg,, 9

. April 7, 1982

.. - - ATTAcangny y 21 finM' l

  • - (Page 2 of 2) -

3

.;d ,. SAFETY EVALUATION CHECKLIST

( # /330 - (10 CFR 30~d TEST /PROCECURE No.

- REVI$ ION t-j  !

Does this constitute a change to procedures j as described in Safety Analysis Report?

t. '

J, I : ( ) 10 FJ _

,5 is a manga in == Tecnnt:al 1:ec1 fica:1:n '

invcivec7 3

.s . . ,

.I , en ,.

SAFITI I'/At.'.!ATIC:t: Answer ce fullcwing :vestiens wiu 1 'y'.

. ' :r ' :' ,

an:1 pr:vids,s:ecific reas ns justifying t'.e incisten: l C '

t.

Is ce :r:babili:y cf (n, cccur snes. et ::nsecuence of 2n rtvi:u-ly ac:icant, er ..:alfun :1:n of saft y esta:ad a;uf:. snt. 1.1 evaluated in 2e Final Safaty analysis Re:cet, incrtsse? .

No,

.t

  • _Y es

-- (

UJ/K(M - .

r' Is ce ; ssibility for in ac:ican: er maifune:i:n :( a :(!fut:i: 1 2.

L ^ ty:e can any Ortvicusly avaiuatad n es Fina) Saft y *.: lysis

!fe ,

Racert cr: stat.? Yes a=

t

.S-. gp ' basis f:r any ~c:n-it:I

~

3.. Is ce ::aqin of saft:7. as :f tfined i t."

'f e ,

Scecifica:1:n, rtducad7 Yes

? Anv Ansser

  • Yes ( ) I AllAnswersMc%

l iecut:0 in teti ac 'D;0 lear l

I

' l, Raget a::: f  ;:m.ts1:n l  ; I :: :-- 1: m !ae :rmee. .

t I -

[ .' e=:- :::t:n Receivec ( ) l . ,

L- ,

,=,.

Inttista Pr:cuurt/ Test  !

. W s -

af $3 yS$

n*[ f n$'dW $ f" ET d"~"3td Dy /I l

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O ATTACHMENT F g ; cn 9

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(Page 1 of 2) April 7, 19R7 10CFRSO.53 FCRMAT FCR SAFETY EVALUATION STATION dd da f.f_f UNIT O SYSTEM M MM TEST /PRCCEDURE No (_ ? / / J J 0 - J 2.

Ibsr.nw asur Dwaas, as me TEST / PROCEDURE TITLE 6,f a. Arawu wd'A -

REVISION [

~

EqulPMENT NAME EqulPMENT NUM3ga DESCRIPTION OF TEST / PROCEDURE '

No cde & JU p h&

Aldhoc/

j lc psW '

4.

cd j

= no", and provide- :sseific SAFETY EVA!.UATICN: Answer the following questions with a "yes* cr

~

reasons justifying the decisien:

Is the pechobility of en occurrence or the corzequence of en cecident, or 1

' - 1.

e9:ipawnt importent to sciety as previously ewluated in ths Final Sciety An Yes V No, Because:

increased?

2. !s the possi'aility fer en cecident or rnolfunction eiYes a different T No, type Beecus.3: then any evolvered in the Final Sciety Analysis hport created?

(hk

3. Is the mergin ci sciery, es defined in the basis fer eny Technic =i 5pecifie=rie

_Yes 4 No, Seesuse:

ASO

  • Note: Any answer enecked "YES" should be rescried in the Annual Report.
o the NRC s b

I cUn$

+-n, _ K2x ,,, pk (J

l

- * = - + - ... , , , _ , _

0 i .. .

? - . .

t.Ap.320 2

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g,y;, g 9

j 1

. #0fII 7 I982 l ATTACHMENT F 21 fino.f

~

- (Page 2 of 2) -

m .

.; ) ,. g SAFETY EVALUAil0N CHECKLIST (10 CFR 50.53)

TEST /PRCCEDURE No. 4PfdJo.3L

- REVISION /

n *

. f ,, -

Does this constitute a change to procedures '

, , as described in Safety Analysis Report?

'6 .

I I:: ( )

!c %. -

p I;s 1 :.anga n . : Tecn=te:.! 3:ec1ti:2:1cn

.s..,

. linvolved?

  • e&

's

. .l _-

-- T . . . . . . . .

g SAFET/ I'/ALUATIC*l:

Answer the fell wing :uestiens wi*h t 'y*.:' :r :'.

[..

and pr:vids,s;ecific reascas justifying :he feef sfen: I b' t. Cs :nt :r:babilf:y of (n, cec::r snes. ht ::nsecuence Of in12 ;rtvi:u:!y ac:teanc. cr malfunctica of saf t:y rill:ac equi:= tnt.

svaluated in :ne Final Safaty analysis Re: ort, incrtsse?

.-m Yes T No,

F.. p o ,O r, a r'

,[ 2. Is the :cssibill:7 f:r an acciden cr ma functi:n :( t tiffren:

^ ty;s nan any Ortvicusly evaluatad V No ,

in =e Final 54f t-/ .-:ly:f s Re cre : st:at? Yes M

' ~

-Ou 8

  • g, .

1 3.. Is the = arti n of safety, as defined in :he basis f:r any ~c:nni:

S ecificatten, rtducad? Yes N-No .

a a.wTn .

e AllAns. vert l{ojdl f- _ Anv Anrser

  • Ye(( )

secus:: in t:sive Weisar-

?.eg:!1::: / Can.is f.:n tu:. :--:1-9 m % :. ene?. *l l .

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L-In1tia:a Pr::wcrt/ Test l C **10TI:  !.cIementa:1:n <

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