ML20136C699

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Work Request Approval for Calibr & Installation of Probes for Reactor Coolant Pump
ML20136C699
Person / Time
Site: Three Mile Island Constellation icon.png
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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-I COPY MADE ON OF DOCUMENT PROVIDED BT METROPOLI, TAN, EDISON COMPANY.4 J

Supervisor, Document Control, NRC 9

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&WORK 7*9REQUES'l APPROVAL TMI Nuclear Station Unit No.

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. Work Request No.

W.0] Account No. . , /v < , "

NPRO Forrn Reg'd A. Priority / E' J

Items 1 throuch 5 comoleted bv cricinator ,

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1. System:

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2. Component (name & numberl ' l' i ' ele .e-

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3. Describe malfunction and cause el rnalfunction (il known) or modification d : sired.

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4. Oriainator:

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5. Oricinat$'s Sucervisor's Sianature . 'e . -
6. 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

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c) Environment Comply w.'.;, ..m P.vfM!cn2 i d) Nuclear set ferth ir, ,P KW o.d S n. vi.ldi 0\A^,ml Met Ed Se.faty Mariuol -

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Post Maintenante Testing required and Acceptance Crit:ria. I're/>. r

14. Estimated manhours to perform j,ob: E p t ~ t.;... . U ,. .i n . .,u/ a tar 'e IC e/ M ll 0ll q we.ukl.q w.yo.at u}e v' W " '*~

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15. Maintenance Foreman Assigned: s'/ /

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O C Dept. review, if required in item No. 8 QC Supervisor . < h 1

17. Date V/e/>&

Supervisor of Maintenance approval to commence work: (T F % .t w x (

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Shilt Foreman's approval to commence work '; l

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b Irntialif Shift Foreman O /bY Ta9ains Appocation reo.

l signature is not required saciaison war = eermit No. -

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19. Comments on work performed: ,

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fietest met acceptance criteria

, Work Performed by date/ time Yes //

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Work Reviewed . Maintenance Foreman's Signature i4. 6 y' '

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t -Werk completed i

and component aligned for testing.

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k initialif S.F. signature is not re:;uired.

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i 21. Shitt Foreman's Signature ~

' Testing comp!cted and component released f or normat use. Date i

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Initial if S.F. signature is not required.

' ' * " .,*,' -.m y l 22. , Shit t Foreman's Signature l .I Quality Control Departn'ent review of work and testin c mpleted (GC work only). ,

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l burve+88 nre Report No. /S / 7

23. OC Department Date form has been signed off as required. Machinery history entr ,

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- P 10.r7 ~ Tlireo Mila Island Nue! ear Station g,g, ,g j tj/ SIDE 1 Figers 10013 hacadure Charda P.e;uart tio.2-M Mi

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2. Eccornmended Revision (include pas nams.5, par.sr.p'h ,,umwes, and u mt wordinfo r .,m-.mr$d ches Armh w r.on.t sheetsif nec j S
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3. . Reeson fcr Revision .,

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A. (2) Dces Revisinn replace a TCN7 I I Yes'I 'I no .

(b) If "yss" indican thsTCN Number '

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5. R::cmmendsd bkd,M.,.w3# Date 2/0/Y 6. Sup:rvisor's Signatur ,f $YM b-Dar -3' /#

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This Section drne:1edd by Precedure Ccordinater b, s .

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7. (a) is precedure on fluc!asr Safsty Rc!ated Prc:edure List? trec. A.P.1ootg.nedix D)

If "yas", chan;e'iWaviiwed b'y ,PORC and a flodear Sala:/. L.!2f yes i I no Evaluati:n is prepared (side 2 cf this form). !! "no", only Da;2rtment Head reviewis reqdir:d.

(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.--) l l y2s l no B. Raview (k'minist :ive, Chemistry and Health Physics Prc::dures may require ap;reval ef both Unit 1 and Unit 2 )

Unit 1 Ur:it 2 - --

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Chairm:n of PORC '7 I/ Data - Chairman of PORQW'//w'ACar2_7//d/')f i

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  • t10TE: If 7 (a) or 7 (b) cre 'f[at, dnii Superiptan/pt must;;;tcva evaluatico on th:'oth/ side of thi:i:rm.
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"t!OTE: f.1.0.A. cpproval required only en cartain Administr'ative Pd:cdureslimd in Enc!csura 7 of AP 1C21. l II. Ch:.n ,e Fntered  :

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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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2. theteer S2fety Evat6ation 7 ] )g3 Does the ateched precedura changa: .
  • (a) incressa tha probability of occurrence or the consan.uen:c3 of an accidant er malf.metion cf .

equipment imp crtant to ssf ety? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . p5 l l nn { !

  • (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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no, sut) why by filling in the "Dat:ils of .......

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(b) hava a significant adverse eff ect an ty r. viro pment? . . . . . . . . . . . . . . . . . .. . . .. . . . . yas y no I

! (c) involve a significant envirenmsnbi m. .:r or question ne pravhsly reviewar ~1d '

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! 4. Unit Euprintend:nt reques:3PORC' review l l Checkif YES.

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!.OTE: Th Evdoition "Accompaayin' J a PCR" rvabation and appront ch:ib may b Id!L?<-d a t anytina.

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