ML20136C699
| ML20136C699 | |
| Person / Time | |
|---|---|
| Site: | Crane |
| Issue date: | 05/16/1978 |
| From: | Barry D, Mary Bennett, Toole R METROPOLITAN EDISON CO. |
| To: | |
| References | |
| PROB-780516, TM-0966, TM-966, NUDOCS 7910010527 | |
| Download: ML20136C699 (10) | |
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- l TMI DOCUMENTS 4
DOCUMENT NO:
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COPY MADE ON OF DOCUMENT PROVIDED BT
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Supervisor, Document Control, NRC 9
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WORK REQUES'l APPROVAL TMI Nuclear Station T' '
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~4 Unit No.
Work Request No.
NPRO Forrn Reg'd A.
Priority
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J Items 1 throuch 5 comoleted bv cricinator h '. -
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System:
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Component (name & numberl
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Describe malfunction and cause el rnalfunction (il known) or modification d : sired.
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Oriainator:
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Does work repiesent a change or modification to an existing system or component?
If yes, an approved change modificatien is required per AP 1021.
C/M No.
Yes No,-
7a.
Does work require an RWP Yes No 7b. Is an approved procedure required to minimize personnel exposure.
Yes No Sa.
Is work on a QC component as defined in G P 1008.
Yes 1M No Bb. If Ba is yes does work have an effect en Nuclear Safety? If 8b is yes, PO RC reviewed Superintendent approved must be used.
Yes <'
No 9.
Agreement that a PO RC reviewed, Superintendent approved procedure is not required f or this work because it has no ef fect on nuclear safety. (Applies only if Ba isYe: and 8b is No).
Unit Supenntendent Date 10a. Is the system on the EnvironmentalImpact listin AP 1026 Yes No /
10b. If 10a is Yes, is an approved procedure required to limit environmental impact Yes No 10c. Aycement that 10b is No. (Required only if 10a *s Yes).
Unit Superinico,nt/Supeevisor ol Operanoni Date 11.
Plant status or prerequisite conrhtions required f or wort C e, ce d.J j c w m
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- 12. Limits and Precautions:
a) Personnel b) Equiprnent 3
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c) Environment Comply w.'.;,..m P.vfM!cn2 d) Nuclear set ferth ir,
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Met Ed Se.faty Mariuol 13.
Post Maintenante Testing required and Acceptance Crit:ria. I're/>. r p t ~ t.;.... U,..i n..,u/ a tar 0ll q we.ukl. w.yo.at u}e v' W
- 14. Estimated manhours to perform j,ob: E IC e/ M ll
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- 15. Maintenance Foreman Assigned:
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O C Dept. review, if required in item No. 8 1
QC Supervisor.
h Date V/e/>&
17.
Supervisor of Maintenance approval to commence work: (T F %.t w x (
Date u /r ij- /
18.
Shilt Foreman's approval to commence work ';
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l signature is not required saciaison war = eermit No.
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- 19. Comments on work performed:
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i fietest met acceptance criteria Yes
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Work Performed by date/ time Work Reviewed. Maintenance Foreman's Signature i4. 6 y'
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-Werk completed and component aligned for testing.
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k initialif S.F. signature is not re:;uired.
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Testing comp!cted and component released f or normat use.
Shitt Foreman's Signature
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Quality Control Departn'ent review of work and testin c mpleted (GC work only).
Date Shit t Foreman's Signature l
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l burve+88 nre Report No.
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OC Department form has been signed off as required. Machinery history entr Date tl.
Actsae Mannours edpereurm 600 4.!
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Supervisor of Appienance Signature Date i.
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SIDE 1 tio.2-M Mi Figers 10013 hacadure Charda P.e;uart g 4 4s/dt sc 4 A i
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(2) Dces Revisinn replace a TCN7 I
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(a) is precedure on fluc!asr Safsty Rc!ated Prc:edure List?
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If "yas", chan;e'iWaviiwed b'y,PORC and a flodear Sala:/.
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(b) !:pr:cadura en Envir:nmanblImpactPrecedure Li:t?
tr e A.P.1 col. Ap;=ndia D lf "yas", an Envir:ntnenbl Impact Evaluation must ha pre;ared (s:e,2 of th's Fer.--)
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Raview (k'minist :ive, Chemistry and Health Physics Prc::dures may require ap;reval ef both Unit 1 and Unit 2 )
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aeuman cm "t!OTE: f.1.0.A. cpproval required only en cartain Administr'ative Pd:cdureslimd in Enc!csura 7 of AP 1C21.
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"EVALU ATION" A? 1001 Three f. lite Island Nuclear Setian SIE 2 l
Fi ure 10014 Nuclear Safety / Environmental lmp:t Eva!uation i
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theteer S2fety Evat6ation 7 ] )g3 Does the ateched precedura changa:
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- (b) creats tha po::ibility fer an accident or malfunction of a different typ2 th:n any cniuntad previou:!y in the safety ansty:Is repo.-t?......................................... ye; no l q
'(c) rDduC8 th8 margin cf safety as defin8d in th3 basis for any t?chnical 3pccification?........ y2s [_j no y Debits DI EvalualI3n (F.rplaim why answen to ettvo questions ste "no".
ch s:'ditional pxf s t! required.)
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Dots the ctuched precadura change:
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(if 3 (e) is"yas", answer questions (b) and (c) and fillin " Details ! En'M'.
no, sut) why by filling in the "Dat:ils of
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........ yes O no l l!
l (b) hava a significant adverse eff ect an ty r. viro pment?........................... yas y no I ji (c) involve a significant envirenmsnbi m..:r or question ne pravhsly reviewar ~1d '
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Unit Euprintend:nt reques:3PORC' review l l Checkif YES.
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Appent Eva'uation Acccmpnying PCR Evaluation Accompanyin;TC.'l
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