ML20148N355
| ML20148N355 | |
| Person / Time | |
|---|---|
| Site: | Cook  |
| Issue date: | 10/02/1978 |
| From: | Sammons R INDIANA MICHIGAN POWER CO. |
| To: | |
| Shared Package | |
| ML20148N330 | List: |
| References | |
| NUDOCS 7811270080 | |
| Download: ML20148N355 (5) | |
Text
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(1) C/R No. 1 -I ci a 8 -53)
DONALD C. COOK (2) Date
/ 0 7 f Time d 9/ 5 NUCLEAR PLANT (3) Category A B C D asd d ed By 8
CONDITION REPORT (5) LER/AE0 No.
V LER DUE BT Z-f not re/une) f0 oferdig To:
Plant Manager AM by /o-9 7g, // f%
a sp or (6)
Item Reported On (7) Plant Conditions
- Unit #1 Mode
/
'% Power Level #d g,h
%h Unit #2 Mode
/
% Power Level c/ 7
/
(8)
Description of Condition / Event Date(/-22-7f Event Time /30 0 Unit Affected //L
$i0 ah /50'.W U c
&Y l
(
) Additional Pages Reported By (9)
Corrective Act on aken Initiated JO No. Y N.3 3 W
Y lU o-j By m_
(10) Off-Site Notification Made By N/A-(Complete Telephone Records & Attach)
(
) AEPSC
(
)I&M
(
)NRC
(
) Michigan Not Apnlicable (11) Investigation Assigned To E.4, Em4GF6'eA4 (12) QA Findings f ecumu h k (13) Investigation Report
/
(%)AdditionalPages Completed By
-woway (14) Preventive Action Taken mp cup.ca4 w.sedac, Jag m val.
Aam pm.cuinouay 2n.remos
+o maiah s rmwa+ -eed ve 63 rp.2
(
) Additional Pages -
Dept. Head Approval d8/
d 42T'[F (15) PNSRC Review:
Date Meeting Mo.
PNSRC Secretary l
Comtr.ents :
(16) QA Classification (17) Distribution:
l Plant Mgr., Asst. Plant Mgr., QA Supv., PNSRC Secretary, AEPSC Mgr. QA, Dept. Head Orig. Dept.
7811270C60 FORM NO. PMP 703D.RPT.001-1
l CONDITION REPORTS INSTRUCTIONS FOR USE 1.
Condition Report No. - assigned by Q.A. Supervisor, Duty Staff Supervisor, Plant Manager or Assistant Plant Manager.
2.
Date and Time - completed by originator.
3.
Category - Assigned by. Plant Manager, Assistant Plant Manager, Operations Superintendent or Duty Staff Supervisor.
4.
Classified By - signat'sre of classifier.
5.
LER/AE0 No. - assigned by-Q. A. Supervisor - after review of Condition Report by PNSRC.
Date LER/ Report'is due.
6.
Item Reported On - completed by originator.
7.
Plant Condition - completed by originator.
8.
Description of Condition - completed by originator.'
9.
Corrective Action - completed by whoever takes the action.
NOTE:
1.
Corrective Action is the action taken to 1) restore the system, component or structure to a normal condition or 2) place the plant in a safe and stable condition until permanent corrective action can be identi-fied and accomplished.
2.
If a Job Order was written, provide the number.
3.
If no corrective action was required, enter NA and sign it.
s 10.
Off-Site Notification - completed by classifier.
If not applicable, the' classifier should enter his initials in that block.
11.
Investigation Assignment - completed by the classifier.
- l 12.
QA Findings - trend development, completed by the QA Department.
13.
Investigation Report - completed by individual conducting investigation.
~
14.
Preventive Action Taken - completed by individual who completes the s'
preventive action.
NOTE:
Preventive action is that action taken in addition to the Corrective Action Taken, to identify the root cause of the condition and the measures taken to prevent recurrence of the condition.
15.
PNSRC Review - completed by PNSRC.
16.
QA Classification - upon ccmpletion will be classified by QA Cepartment.
17.
D'istribution - made by QA Sucervisor or Duty Staff Supervisor a) after completion through item 12, b) by QA Supervisor after original is reviewed by PNSRC.
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DONALD C. COOK PLANT aL No.
AcetN!.O. No, M
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- Requested By Date -
Time Limit 7 d orPeference e
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! Supv. Appv.
1 Dept. Hd.
6 Time Limit Starts 9-A 9 W It 4ooo g CLASSIFICATION:
. WORK TO BE PERFORMED BY:
n ee rs/ ele-As e d'4 f A'e/sar.r,
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g 24 Hourl l
Regular Maint. l l
Tech. N 5 Load Reduction' l l
Other l l
.SOE Approval Required to Start l lYes RNo
' [ Outage l
IHot- [
Cold -
Condition Report Submitted l lYes gNo. '
- Description W $6
$0
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Dept. Appv.
[.b Issued To
- Coordinate With-t Yes No Number ~
Permits
, Number Flow Diagram Ref.
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Clearance y/#
a.
Procedure Reauired
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Weld, Grind, Burn
/I 4.
Check With RP Section for RWP: Permit issued l lYes Number
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s
- m.,
' Check With Chje'Section for Rework: Permit issued l - lYes o
Number (N)-System l lYes QNo v
Other Instructions g
s.m a
ce c1
[ SOE Approval Service Hour / Operation Counter in &
OA N
bMm-Description of Work Done k S3 9 h31 v
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Supplemental J.O. Submitted I LY.es-b sy:
Retest required l l Yes l Mo Performed o o
'ed by:
SOE Notified of Work Completion L
Tech Spec Time Limit:
o
! bg g
I fe I'% 1 Start Time
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Work Performed By ~)lm t' Date Completed
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Date
/ F V'w
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' 'M i ~ / /
Job Completed, e
i[ Verified,
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Work Area Inspected By 9eturned to 33 s
Post Job Order Review Performed w5th Consideration Time
/b3 Given to NPRD ndition Report, Data History Date M C C' M N and Adequate umentation By WN" /
Form No. PMI 2290-1 w
l DONALD C. COOK NUCLEAR PLANT Instruction or Procedure Temporary Sheet
^
This temporary sheet applies to SHEE N O.
instruction or Procedure
/ t. 7~// / 4 03 d I/t /#.0 $ 0 l
Revision No. 3
/
D The following change (
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new requirement ( %)
shall be instituted effective (Date) ll-3 'N b
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l This change should be made a permanent revision to the Instruction or Procedure:
YES ONO O NOT KNOWN, additional review required Expiration Date:
_ // - %Y7
. Standard Dist. List No.:
9 Orignator:
[MMe-Distribution:
httnagenent Staff: A. N>
o Senior Reactor Operator:
PNSRC Dite Plant hivuger Date Form No. 4330-lMPCO REv1 SED 7/78 CANARY - ORIGINATOR COPY Fi RM NO. PMI 2010-4 REV. 2
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