ML20215H030

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Revised Emergency Plan Implementing Procedures,Including Rev 2 to 6415-IMP-1300.06. Addl Assistance & Notification & Rev 1 to 6415-IMP-1300.16, Contaminated Injuries. Updated Table of Contents Encl
ML20215H030
Person / Time
Site: Three Mile Island  Constellation icon.png
Issue date: 06/15/1987
From: Bevelacqua J, Nelson M, Potts W
GENERAL PUBLIC UTILITIES CORP.
To:
References
PROC-870615-01, NUDOCS 8706230490
Download: ML20215H030 (46)
v • d • e


Text

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Number Nuclear WI Emergency Plan Implementing Procedure 6415-IMP-1300.06 Title Revisgn 7'M,1

-- Additional Assistance and Notification 2 Applicability / Scope Responsible Office All TMI-I and TMI-2 Emergency Response Personnel i Responsible for Offsite Notification and Emergency Call-out  ; 6415 This document isimportant to safety B Yes D No Effective Date List of Effective Pages Page Revision Page Revision Page Revision Page Revision 1.0 2 E6-1 2 2.0 2 E7-1 2 3.0 2 E7-2 2 4.0 2 E7-3 2 El-1 2 E8-1 2 El-2 2 E8-2 2 El-3 2 E8-3 2 E2-1 2 E8-4 E2-2 2 E9-1 Q E2-3 2 E10-1 E3-1 2 E11 -

E3-2 E3-3 2

2 g

E3 4 2 m E3-5 2 j i E3-6 2 v' E3-7 2 E3-8 2 O s AN higUure Concurring organization Element Date originator (MdN Emergency Planner 062787 l RTR 5/2.9 b 7 Concurr 8([b Nff,6_ y)] [,/Jk#n[ ISR d2m

& / ('t h k [ [1 m PRG slt lE7 9 v Q d%

v r SRG 6/3/87 1

_ Q_7M Manager, Plant Operations, TMI-2 g -9. s ;

f; y $M g@h Site Operations Director TMI-2 c/g/g y 5

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Approved by TMI Emergency Preparedness Manager 6

[f7 l h l [( f l' 8706230490 87064 DR ADOCK0500jDR q) b A 1 u 2 84 1.0 \, Document ID: 1758d

I Y' THI Emergency Number 64i5-IMe-1300.06 Nuclear elan Implementin9 erocedure

' Revision No.

Title - 2 ,

{ ) Additional Assistance and Notification 1.0 PURPOSE To provide the Emergency Director with a directory of additional emergency response ptrsonnel, organizations and agencies by organizational duties, responsibilities and disciplines.  ;

2.0 ' APPLICABILITY / SCOPE This procedure applies to all TMI Emergency Response personnel of the On-shift, Initial Response, and Emergency Support Organizations responsible for Emergency Off-site notifications and call-outs.

3.0 DEFINITIONS None 4.0 RESPONSIBILITIES g 4.1 The Emergency Dir a r the Eme port Director is responsible for i ng this edu brough the communicators at the ECC and

. .. 5 . 0 PROCEDURE

! ) eclaration of any class of

(' 5.1 This procedure shall m ed with phone n bers needed for onsite and emergency when addi g offsite emergenc 1 e.

5.2 As requeste mergencyJ)4 or r Emergency Support Director.

5.3 In the a declare r at TMI that requires additional emer r nse perso n nizations or agencies, the following s be taken:

Determine the discipline, personnel, or equipment needed for the l class of emergency declared.

5.3.2 Refer to Enclosure 1, 2, or 3 to find the appropriate disci-pline, choose the personnel, organization or agency wanted and telephone number of that organization.

5.3.3 Emergency telephone numbers for the NRC are listed in Enclosure 4.

5.3.4 If problems are encountered with emergency telephones, direct the ECC Communications Coordinator to report the problem as outlined in Enclosure 5, Telephone and Pager Trouble Reporting f Procedure. l V f l

N71050 (06-86) f 2.0 1758d

TMI Ernergency Number Nuclear Pian Impiementing prociciare 6415-IMP-1300.06 Revision No.

  • Title Additional Assistance and Notification 2 q

5.3.5 If helicopter transportation is required, refer to Enclosure 7, Emergency Aviation Support Instructions.

~

5.4 When called party answers, provide the following message:

THIS IS AT THREE MILE ISLAND NUCLEAR STATION UNIT l (name/ title) 1 or 2 WE HAVE DECLARED A AT HOURS.

(Type of emergency) (time)

THI REQUESTS YOUR ASSISTANCE AS FOLLOWS: (State an stance required using the INP0 Emergency Resources Manual located it 1 or 2 Shift Supervisor's Office). m fR\ >/

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fn1 A\ W hVM /MT7 mW v  %\

V 5.4.1 Id w ting probl ve brief description of problem. I I

5.4.2 Ide y necessar s 1/equipgnt needed and request N ance.

ass  !

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used by the assisting I 5.4.3 Identify o umber t t ca organi all bac , a ropriate.

5.4.4 B on n ormation ' in rom the RAC or EAC, provide a oach rou sponding organizations so that sure to the be minimized.

5.5 If ssistance is ed, repeat 5.3 and 5.4 as needed.

6.0 REFE S_

6.1 I Emergency Resources Manual 7.0 ATTACHMENTS 7.1 Enclosure 1 - Unit 1 Onsite Emergency Response Directory 7.2 Enclosure 2 - Unit 2 Onsite Emergency Response Directory 7.3 Enclosure 3 - Offsite Emergency Response Directory 7.4 Enclosure 4 - Emergency Telephone Numbers for NRC Notification 7.5 Enclosure 5 - Telephone and Pager Trouble Reporting Procedure

[V]

N71050 (06-86)

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' Number THI E.mergency Nu3 lear pian Implementing.erocedure 6415-IMP-1300.06 Revision No.

e- Title g

Additional Assistance and Notification 2 7.6 Enclosure 6 - Emergency High Speed Telecopier Numbers 7.7 Enciqsure 7 - Emergency Aviation Support Instructions t

v o 9 o

G N71050 (06 86) 4.0 1758d

TMI Emergency Number i Nuclear Pian Implementin9 erocedure 6415-IMe-1300.06

' Revision No.

Title 2

{ ) Additional Assistance and Notification ENCLOSURE 1

_. UNIT 1 ONSITE EMERGENCY RESPONSE DIRECTORY NOTE: Numbers prefixed with 948 are site extensions.

WORK PHONE NO.

OPERATIONS Operations and Maintenance Director, TMI-1 948-8005 I

948-8506 Operations Director, THI-1 48-8015 EMERGENCY CONTROL CENTER'(CONTRO M )

Shift Supervisor's Off 948-8069 D 948-8070 948-8071

,-s. \

c 9-944-0839 l

'G Control Room - Console Control Room - Shift 948-8069 948-8070 948-8071 ,

Contro Dose Assessmen ) 948-8069 948-8070 948-8071 9-944-0839 Control Room Computer Area 948-8525

,/ ,.

(- )

N71050 (06-86) ,

1758d

  • Number ,

TMI Emergency Nuslear Plan Irplementing Procedure 6415-IMP-1300.06 Revision No.

Title 2

j p Additional Assistance and Notification ENCLOSURE 1 (Cont'd)

OPERATIONS SUPPQRT CENTER OSC Coordinator 948-8082 GRCSS.ad Con Coordinator 948-8010 948-8456 Radiological Controls Technicians 948-8102 48-8083 TECHNICAL SUPPORT CENTER TSC Coordinator and Engine 948-8773 948-8774 INSTRUMENT SHOP ,

Shop Area 948-8214

(" Offices i 948-8072 948-8073 Q

0 948-8074 948-8213 TMI e 9-948-1120 66-1120 SECURITY DEPARTMENT Duty Sergeant / Corporal 948-4253 Secondary Alarm Station (SAS) 948-8040 Central Alarm Station (CAS) 948-8039 Processing Center 948-8038 North Gate 948-8445 c.s

/ )

\v/ Security Manager, THI-1 948-8037 N71050 (06 86)

El-2 1758d L .. .

Number

~

TMI Emergency Nu21 ear eian impiementing erocedure s4is-1Me-i300.Os  !

Revision No.

, Title Additional Assistance and Notification 2 1 ENCLOSURE 1 (Cont'd)

TRANSPORTATION DEPARTMENT 948-8187 948-8298 NOTE: Requests for buses for employee transportation should be' coordinated through the Group Leader Admin. Support at the EOF a 657-2368 or through the Public Affairs Manager at 948-8740.

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"3 Number THI Etnergency NM3l$$7 Plan Implementing Procedure 6415-IMP-1300.06

, J~ Title Revision No.

Additional Assistance and Notification 2 ENCLOSURE 2

,, UNIT 2 ONSITE EMERGENCY RESPONSE DIRECTORY NOTE: Numbers prefixed with 948 are site extensions.

OPERATIONS WORK PHONE NUMBER Unit 2 Office of the Director 948-8400 948-8401 Unit 2 Site Operations Director 48-8885 l Manager Plant Operations, TMI-2 948-8128 EMERGENCYCONTROLCENTER(CONTROLA@E)

Shift Supervisor's Off 948-8068 Control Room Cons D 948-8066 l 948-8067 Control Room-Shift Foreman 948-8066 948-8067 Control Room-Dos -

e 948-8066 948-8067 Control . m ter Area 948-8067 OPERATION P CENTER OSC C nator 948-8092 Radiological Controls Technicians 948-8092 948-8217 948-8218 N71050 (04B6)

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Number TMI Emergency Nuclear eian Impiementino erocedure 64i5-ise-i3*.06

  • Revision No.

Title Additional Assistance and Notification 2 ENCLOSURE 2 (Cont'd)

RECOVERY TECHNICAL SUPPORT CENTER (UNIT 2) 948-8981 TECHNICAL SUPPORT CENTER TSC Coordinator 948-8066 Engineers 948-8067 UNIT 2 INSTRUMENT SHOP Lab Area 948-8274 Offices 948-8155 Q

948-8272 SITE SAFETY D 948-8052 KEDICAL DEPARTMENT C First Aid 948-8450

. Nurse 948-8089 KAINTENANCE (During n 1 g hours Building 42 948-8241 Buildt 948-8020 SECURITY T T Duty S eant/ Corporal 948-8594 Processing Center - Unit 2 948-8447 South Gate 948-8446 Security Manager, TMI-2 948-8626

. NOTE: Requests for, buses for employee transportation should be coordinated 2

through the Group Leader Admin. Support at the EOF at 657-2368 or through the Public Affairs Manager at 948-8740.

N71050 (06-86)

E2-2 17580 J

Number THI Emergency Nuclear eian Impiementing erocedure 641s-IMe-1300.0s Revision No.

Title 2

Additional Assistance and Notification ENCLOSURE 2 (Cont'd)-

TRANSPORTATION DEPARTMENT 948-8187 948-8298 WAREHOUSES Harehouse 1 948-8210 Harehouse 2 8-8292 SUBSTATIONS

_ . t_ _ < ,,_ e 500 KV g . 4._

72-368 i

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s-o 9 N71050 (06-86)

E2-3 1758d

Number

~

TMI Ejnergency Nuclear pian Impiementing procedure 64i5-IMe-1300.06 Revision No.

. Title Additional Assistance and Notification 2 ENCLOSURE 3

_- 0FFSITE EMERGENCY RESPONSE DIRECTORY EMERGENCY OPERATIONS FACILITY (COMMERCE PARK, HARRISBURG) f General Numbers 9-657-0471, 948-8966 Admin. Support 9-657-2368, 9-657-2435, 9- 7-2739 Chemistry -

0564 l Tech. Functions Area 9 7-0471 ANNEX TO THE EMERGENCY OPERATIONS LITY (CRAWFOR[L ID W l Second Floor irst Flo 9-944-3668 MC and 9-944-6558 9-944-2972 Rad Con i

r~) 9-944-2922 ENVIRONMENTAL ASSESSMENT C0fL R (COMM d P MK, ARRISBURG) l ,

General No. 9-540-4507 Gary Baker 9-540-4504 Willia ., 9-540-4516 Bev G 9-540-4517 PARSIPPANY T HNICAL FUNCTIONS CENTER l Group Leader Technical Support 9-1-201-316-7394 9-1-201-316-7396 Commercial Number 9-1-201-316-7991 N71050 (06-06)

E3-1 1758d

Number TMI Emergency Nuclear eian Impiementin9 erocedure 6415-IMP-3300.06 Revision No.

Title I Additional Assistance and Notification 2 ENCLOSURE 3 (Cont'd)

POLICE -

Pennsylvania State Police (24 Hours) 9-787-7777 Pennsylvania State Police Helicopters (0815-1615) (M-F) 9-783-5511 9-944-7149

-783-1691 Police Forces in York County (24 Hours) -843-51.11 .

FIRE

<O nt 9-911 or 9-236-7976 Londonderry Township Fi A e Middletown Fire De including g 9-911 or 9-944-6344 Union Hose

( ) Rescue Hose Company, No.

Liberty Fire Compa O Bainbridge Fire D t ancaster .) j-1-653-2046

(

York Co e partments (business line) 9-1-843-5111 (emergency line) 9-1-854-5571  ;

AMBULANg Londonderry Township Vol. Ambulance 9-911 or 9-236-7976 Middletown Ambulance Service 9-911 or 9-944-6344 Bainbridge Ambulance Service (Lancaster Co.) 9-1-426-2177 STATION MEDICAL CONSULTANT Dr. H1111am Albright III General 9-939-7831

^

Dr. Cheryl Opalack 9-948-8880 (V}

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(

' Number TMI Emergency Nuslear Pian Implementing Procedure 6415-IMe-1300.06 Revision No.

Title q g Additional Assistance and Notification 2 ENCLOSURE 3 (Cont'd)

HOSPITALS --

Hershey Medical Center (Emergency Room) 9-531-8333 Harrisburg General Hospital General 9-782-3131 Emergency Room 9-782-3297 Senior Attending Physician On-Du 9-782-3321 METROPOLITAN EDISON COMPANY AND GENERAL PUBLIC UTILITIES MAN  !(k W

'V Met-Ed - Corporate Safety Dir tor (0800-1700) 1-215-921-6227 Met-Ed - Div. Safety Dire -1700) -

e 9-1-215-921-6024 Home 9-1-215-373-0307 Met-Ed - Dispat eb on (24 rs) 9-1-272-1281

(' Duty H (, Ask for Dispatcher

'~'

Met-Ed - EC & M Foreman e n 9-944-5111 9-944-4644 General Pub 11

- 1700 9-1-201-263-6500 after 1700 9-1-201-263-6111 GOVERNMENTAL NCIES v

Dept. of Energy (24 Hours) 9-1-516-282-2200 NRC - Office of I and E, Region 1 (24 Hours) 9-1-215-337-5000 NRC - Middletown Office 9-948-1150 PA Dept. of Env. Res. (BRP) 9-787-2480 EPA - Region III Office (24 Hours) Emergency No. 9-1-215-597-9898 ,

Civil Defense Organization (24 Hours)

! ) 9-783-8150

(_/ Pennsylvania Emergency Management Agency N71050 (06-86)

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TMI Einergency Nuclear pian impiementin9 erocedure 64i5-1Me-i3*.a Revision No.

y I I , Additional Assistance and Notification 2 ENCLOSURE 3 (Cont'd)

Bureus of Radiation erotection (nights, weekends)

Mr. T. Gerusky Home 9-763-9041.

Mr. W. Dornsife Home 9-652-6304 Dauphin Co. 9-911 or 9-236-7976 9-236-7977 Lancaster Co. (24 Hours) 9-1-299-8373 York Co. 9-1-854-5571 Cumberland Co. O 9-238-9676 9-243-4121 9-532-8878 Lebanon Co. 630) i 9-1-272-7621

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9-1-272-2054 9-1-272-2296 (After ho W ends) 9-1-272-2025 U.S. Coast rd trisburg, e al) 9-782-3737 (Nigh , s) (24 Hours) 9-1-212-668-7055 KETEOROLOGIC ORMATION C/

National Weather Service (NWS) 9-782-3927 NWS Chief Meteorologist (24 hrs.) 9-782-2287 PA. Bureau of Air Ouality Control 9-787-4324 (Susquehanna) River Forecast Center 9-782-2291 9-234-6812 f%,

V N71050 (06-86)

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Number TMI Emergency Nuclear eian Impiementing Procedure 64iS-IsP-i300.06

  • Revision No.

Title .

Additional Assistance and Notification 2

( )

ENCLOSURE 3 (Cont'd)

GPU NUCLEAR COMEANY CONSULTANTS Radiation Management Corp. Emergencies: (24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br />) 9-1-215-243-2990 (24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br />) 9-1-215-841-5141 Offices: (0830-1700) 9-1-215-537-0672 Porter Consultants Inc. Office: (0900-1700) 1-215-896-5353

'4 Hours: -1 15-649-4751 Pickard, Lowe and Garrick Assoc. Washington, D.C. 202-659-1122 Gilbert Commonwealth Inc., eQi PA 9-1-215-775-2600 (Formerly Gilbert Associ s Teledyne Isotopes, , NH g 9-1-201-664-7070 Burns and Roe, P NJ 9-1-201-265-2000

[ 1 HPR Associates Inc. Washingt- 9-1-202-659-2320 Institute of Nuclear Po @ ons (INP (24 hour2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br />s-Emergency) 9-1-404-953-0904 9-1-404-953-0922 er -Telecopi 0 00 Hours) 9-1-404-953-7549/9208 Babcot 1 ox Onsite (Rick Onsite 8264 Home 9-533-8438 Beeper 9-782-1011 Babcock and Wilcox, Lynchburg, VA. Jim Cuve11er Work 9-1-804-847-3341 (B and W phone) 78-3341 Home 9-1-804-299-5252 Ken Barclay Work 9-1-804-385-2289 '

Home 9-1-804-525-2262

/~N 9-1-301-964-5042 i i Hittman (Subsidiary of Westinghouse) l J

l N71050 (06-86) 17580

[ E3-5

' Number THI Emergency Nuclear

Title 2

{ ) Additional Assistance and Notification ENCLOSURE 3 (Cont'd) i l

Electric Rower Research Institute (EPRI) i Hilliam Layman 9-1-415-855-2013 l Home 9-1-415-941-8973 EPRI Security 9-1-415-855-2321 Atomic Industrial Forum (AIF) 9 -301-654-9260 l 01-986-1535 CHEM-NUCLEAR SYSTEMS, INC.

Barnwell (after hours) 8-'-803-259-1782/1783 O

Corporate (after ho . y 9-1-803-256-0450 Marketing Repre - ive, Dave Pr ly, 9-1-203-677-0457 cial Ne s- i

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Emergency Contact Nature of Business Q

1. Transportatio g oner 9-1-803-259-1781 Extension 159
2. Billi s M. Brinkley 9-1-803-259-1781 Extension 176 l
3. 11 tion J. Jeffrey 9-1-803-256-0450 l Extension 302 j D mineralization L. Sears 9-1-803-256-0450 l Extension 325 Decontamination )
4. Engineering Start-up and Training R. Soto 9-1-803-256-0450 Extension 371
5. New Business Farmington, CT Office G. Benda 9-1-807, 256-0450 Entension 347
6. Shipment Questions or Discrepancies J. Zawacki 9-1-803-259-1781 v ) Extension 105 N71050 (0&B6)

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Number TMI Emergency Nu21 ear eian Impiementin9 erocedure 6415-IMP-1300.06

  • Revision No.

Title 2

{ } Additional Assistance and Notification ENCLOSURE 3 (Cont'd)

7. Undef-ined Farmington, CT Office G. Benda 9-1-803-256-0450 Extension 347 DOWNSTREAM RIVER WATER USERS Brunner Island (PP and L) (24 Hours) 9-1-266-3691 Wrightsville Water Company 9-1-252-3711 or Mr. Bill Linum (Water Co. V.P.) 9-564-7094 Columbia Water Company Plant Hours) 9-1-684-2712 Lancaster Water Company r 9-1-684-5056 Safe Harbor Water a , nc. 9-1-872-5441 9-1-872-4697 I ( 9-1-872-5442 C )/ 9-1-872-4698 Q

9-1-872-5443 Holtwood Gene on 9-1-284-4101 Chester u ity (Exec. e 9-1-215-876-8185 (24 Hours Ans. Svc.) 9-1-215-876-8181 Balti ater and Waste Water Maintenance Mr. Hudson (Bus.. Hrs.) 9-1-301-396-1277 (Weekends, Holidays) (24 Hours) 9-1-301-396-5352 Emergency Room (Mr. Rolla Jones) (24 Hours) 9-1-301-396-5352 or Water facilities Division (Pumping and Purification) 9-1-301-396-0287 Walter Koterwas 9-1-301-396-0292

/ York Haven Power Station 9-1-266-3654

k. 9-1-266-3655 i

N71050 (06-86)

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Number TMI Emergency Nu21 ear eian Impiementin9 erocedure 6435-1MP-i300.06 a Revision No.

Title 2

{ } ' Additional Assistance and Notification ENCLOSURE 3 (Cont'd)

OTHER

~

Ronson Aviation (Helicopter Service) 9-1-(609)771-9500 Harrisburg International Airport Control Tower 9-944-4502 Middletown Line Department 8535 or 9-944-4644 Lebanon Company Office (Business Hours) 9-1-272-5661 (Weekends, Holidays) 1-272-1281 Capital Trailways Bus Company -233-7673 Conrail Railroad Train Moveme Coordinator (24 9-657-5413 0 9-657-5414 (Err ency) 9-657-3042 Insurance - Amer uclear Insu s 9-1-203-677-7305

( \ l or 9-1-800-243-3172

%-) vice (NO S) 9-1-813-796-1879 Nuclear Operations Main 9-1-813-796-2264 UTILITIES Pennsylvani nd Light, t PA 9-l'-215-770-5151 Philad ctric - Peach (Gen.) 9-1-456-7014 (Operations Dept.) Ext 4423 or 4223 ,

i Baltimore Gas and Electric 9-1-301-234-5000 Calvert Cliffs Site 9-1-301-260-4600 Dusquesne Light / Beaver Valley (Control Rm.) 9-1-412-643-8002 9-1-412-393-5102 Nine Mlle Point Unit 1 (Business Hours) 9-1-315-343-2110 (Control Room) 9-1-315-342-3046 4 'N

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~ Number l THI E.mergency Nuslear eian impiementins erocedure 6415-1Me-1300.06 Revision No.

Title 2 q l l Additional Assistance and Notification

)

l ENCLOSURE 3 (Cont'd) l Power Authority State of NY (James A. Fitzpatrick Plant)

J (General) 9-1-315-342-3840 Control Room Ext. 6666 or 6665 i

Oyster Creek (Control Room) 9-1-609-971-4666 (Main Gate Desk at Guard House) 9 09-971-4950

-935-6000 Salem Nuclear Station m

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V N71050 (06 86)

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{

Number TMI Emergency Nu21 ear

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eian Implementing erocedure 6415-IMP-1300.0s Revision No.

. Title 2

Additional Assistance and Notification ENCLOSURE 4

_. EMERGENCY TELEPHONE NUMBERS FOR NRC NOTIFICATION TELEPHONE SYSTEM TELEPHONE NUMBER

1. Emergency Notification System (Lift Receiver from Cradle) to NRC Operations Center
2. Commercial Telephone System to 9-1-202/951-0550 NRC Operations Center (via Bethesda Central Office)
3. Commercial Telephone System to 9 -

NRC Operations Center 9-1 2 259 (via Silver-Spring Central Office) 1 1 -8893

4. Health Physics Network - ECC/OSC 9 - 10 2 ECC/OS -0383 F NRC A 52-1552
5. Commercial Tele ys. m 9-1-301/492-7000 to NRC Operator

/ 'N (via Bethesda Cent Office j

^' -1120 or dial 66-1120

6. THI Site Office g NOTE: Refer to the n e Staff n List in the Shift Supervisor' L ff e for spec' NR rsonnel home, office, and beeper O

o V

N71050 (06-86)

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l THI Einergency Number Nuclear eian Impiementing procedure 64is-IMe-1300.06 Title Revision No.  ;

Additional Assistance and Notification 2 ENCLOSURE.5

_. TELEPHONE AND PAGER TROUBLE REPORTING PROCEDURE ALL ML-8000 TELEPHONE TROUBLE CALLS ARE TO BE REPORTED TO GARY HORNBERGER, TMI ,

COMMUNICATIONS SPECIALIST FROM 7:00 A.M. to 3:00 P.M. AT EXTENSION 8734.

AFTER 3:00 P.M. CALL HINKELS AND McC0Y AT 9-1-800-992-1326.

1. When reporting ML-8000 telephone trouble, please provide the following information:
a. Name of person who reported trouble.
b. The location in which the trouble was encountered. '
c. The name and number of the circuit in trouble - TMI Notification Line, DLM-6).
d. A brief description 6 uble tha s untered.
2. For Commerical Telepho a s and M o 1 ger problems, contact the TMI Operator by dialing ., b Operator act the Communications Supervisor.

,- s 3. For Dictaphone Veri . Record '

, conta j ictaphone Co. at 9-652-0770.

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j N71050 (0&B6)

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I THI Emergency Number  ;

Nuslear eian Impiementsn9 erocedure 64i5-Ise-1300.06 Title Revision No.

Additional Assistance and Notification 2 ENCLOSURE 6

_. EMERGENCY HIGH SPEED TELECOPIER NUMBERS Onsite Emergency Response Facilities Unit'l ECC (Shift Supervisor's Office) 948-8779 Unit 1 TSC 948-8780 Unit 2 ECC (Shift Supervisor's Office) 948-8122 Unit 2 TSC 948-8352 Unit 2 Recovery Technical Support Center (RTSC) 948-8821 1

Environmental Assessment Comman EACC) 9-540-4511 Emergency Operations Facill ) 9-657-3509 Parsippany Technical F n nter (P C) 76-86-7874 or  !

l n i 9-1-201-316-7874 j k,. -- )

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N71050 (06 86)

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~ Number TMI Ejnergency Nu;1 ear _ eian Impiementing eroceeure 6415-IMP-i300.06 Revision No.

Title 2

{ ) Additional Assistance and Notification ENCLOSURE 7

_. EMERGENCY AVIATION SUPPORT INSTRUCTIONS 1.0 PURPOSE l '.1 This Enclosure identifies those personnel, by title, authorized to make emergency aviation support arrangements and provides the specific details for proper aircraft utilization during THI-1 and THI-2 emergencies.

2.0 APPLICABILITY / SCOPE 2.1 This Enclosure applies to movement of emergency ai' r transport material and/or personnel during emergency condi 3.0 DEFINITIONS None 4.0 PROCEDURE.

4.1 Contact the ion upport te one number: 9-1-(609)-771-9500).

Identify yours by title m Record e name and date and time of

[,_ ') the person con cted: I

\ /

L' Time and Date b //

4.2 Describe f the e viation support needed. (e.g., pick up GPU nt in Pa transport to TMI).

4.3 Us ropriate Atta to provide the Aviation Support Contractor h ocation of the pi up and destination sites.

4. Record the location and cargo to be picked up, as well as the estimated time of arrival at the pick up site.

(Location)

(Cargo)

(Estimated Time of Arrival) r~

V N71050 (06-86)

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i Number TMI E.mergency Nuslear eian Impiementing erocedure 641s-Ise-i300.06 Revision No.

. Title Additional Assistance and Notification 2 ENCLOSURE 7 (Cont'd) 4.3.1 Record the destination of the cargo from Step 4.3.1 and estimated time of arrival.

(Destination) l (Estimated Time of Arrival) 4.4 Arrangements have been made to deliver the cargo to ick up site by the estimated arrival time.

4.5 Arrangements have been made to pick up the ca t destination by the estimated arrival time.

4.6 for additional emerg ion sup -

r t Steps 4.1 through 4.5 utilizing EPIP 6 P1 .05, Com RR s and Recordkeeping, Attachment III and Co i dt p Logsheet.

4.7 Upon compi l' o ergent la equirements, notify the aviation services cont or to te m ices. cord the name of the

/N individual an he time f ificati  !

V Date/ Time 5.0 RESPONSIBILITIES 5.1 The fo ersonnel u ed to request emergency aviation I sup. as ermined b h gency Director (Senior person on shift) org -

c Support Dir -

ift Foreman, TMI-1 or THI-2

b. TMI Emergency Preparedness Manager
c. GPUN Manager of Emergency Preparedness
d. Group Leader Administrative Support

6.0 REFERENCES

6.1 6415-IMP-1300.05 - Communications and Recordkeeping l

Q.,) 1 N71050 (06-86)

E7-2 1758d

i TMI. Emergency Number Nu:; lear eian Impiementing erocedure 64is-IMe-13oo.os Revision No, Title Additional Assistance and Notification 2 -)

l ENCLOSURE 7 (Cont'd) l l

7.0 ATTACHMENTS 7.1 Attachment I - Three Mile Island Aviation Facility Information 7.2 Attachment II - Oyster Creek Aviation Facility Information 7.3 Attachment III - Parsippany Aviation Facility Information 7.4 Attachment IV - Reading Aviation Facility Information m ,

v-o 9 o

G N71050 (06-85)

E7-3 1758d

TMI Emergency Number Nu21 ear eian implementing erocedure- 84is_IMr_i300.06 Revision No.

c Title Additional Assistance and Notification 2 ATTACHMENT I Three Mile Island Aviation Facility Information

1. Airports
a. Harrisburg. International Airport, able to handle both airplanes and helicopters, located in Middletown, PA. ,
b. Capital City Airport, able to handle both airplanes and helicopters, located in New Cumberland on the West shore of the Sus ehanna River.
2. Heliports
a. On TMI - An onsite heliport on TMI has been as Site Number 20920.0llH and is equipped with marker ligh , ck and will be manned by Site Protect fficer if oper mitments permit when in use. The helipor avel sur a7 ximately 300 feet elevation and is in sburg I tid 1 Airport's surface to 6000 feet control zon
b. Alternate H rt ennsylv la Police Department Headquarters.

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l } Additional Assistance and Notification 2 ATTACHMENT I (Cont'd)

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' Number THI Emergency Nu21 ear eian Impiementing erocedure 6415-Ise- u w.Os Revision No, j Title '

q g Additional Assistance and Notification 2 ATTACHMENT I (Cont'd)

The following ptocedures have been established and should be employed for each request.

During normal business hours, 8:15_am to 4:15 pm, Monday-Friday, telephone contact ,

shall be established with the Pennsylvania State Police Aviat$on Division Headquarters, at (717) 783-5511, 783-5517, or 783-5520. During otner than normal l ,

business hours, weekends and holidays, contact Pennsylvania State Police Troop H, j Headquarters, at (717) 787-7777. In addition to providing the estimated time of )

arrival at the heliport, provide the type of aircraft and color a request to have the landing lights activated, if necessary. Should the aircraf equired to remain on the pad for any length of time, they should be park side to allow for normal operations to continue. In the event of helipor n during an l emergency other areas within the Pennsylvania State Polic 3 complex would i possibly serve as an alternative em ency landing sit , h wever, would be acceptable only through prearran .

The Pennsylvania State Polici ve a Unic a ation, however State Police aircraft can be contacted, iF ry via r M q co nications if repeated aperations are required r frequen ba established with the Aviation Jivision or Troop H, H. rters perso .

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E8-3 1758d

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' THI Emergency Number Nuslear Pian imp iementing erocedure 641s-IMe-1300.oe Revision No.

. Title p- Additional Assistance and Notification 2 Q)

ATTACHMENT I (Cont'd)

Directions from the Pennsylvania State Police Headquarters Heliport to the Emergency Operations faciT1ty (EOF), Commerce Park, Harrisburg.

From Pennsylvania State Police Headquarters Heliport go south on the access road to 1 Elmerton Avenue. Turn left (east) on to Elmerton Avenue and proceed to the traffic l light at the North Progress Avenue and Elmerton Avenue intersection. Turn left (north) on to North Progress Avenue and proceed through the traffic light on North -

Progress Avenue at the Industrial Park and I-81 interchange for approximately one fourth (1/4) mile. When the road narrows to two (2) lanes turn ri ht onto Interstate Drive, The EOF is located on the left at 2574 Interstate Drive, erce Park.

i .3 1

I ' COM4ERCE PARK g E EVE l ROF ARK I URG, PA. 8 TE ORIVE ) ,

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c t o As a USTRIAL PARK

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NORTH PROGRESS AVENUE U

ERTH AND HELIPORT ELMERTON AVENUE ed N71050 (00 86)

E8-4 1758d L i

Number THI Emergency Nuclear eian Impiementing eroceeure 84i5-IMe-1300.os Revision No.

Title 2

{ ) Additional Assistance and Notification ATTACHMENT II Oyster Creek Aviation Facility Information

1. Airports
a. Miller Air Park located west of Toms River on Pinewald-Keswick Road.
2. Heliports Onsite heliport is designated as FAA Site Number H-205 d is equipped a.

with wind sock but no lights.

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O Qp r N71050 (06-86)

E9-1 1758d

' NwnW TMI Emergency Nualear pian Impiementing Procedure 6415-IMP-1300.06 Revision No.

- Title 2

Additional Assistance and Notification ATTACHMENT III Parsippany Aviation Facility Information

1. Airports
a. Morristown Airport - located near the GPU Parsippany Headquarters is able to handle both airplanes and helicopters.
2. Heliports None in the immediate vicinity.

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N71050 (06-86)

E10-1 1758d

  • Nuder TMI E.mergency Nu:: lear eian impiementing procedure 64is_1Me-i300.os Revision No.

Title Additional Assistance and Notification 2

{ }

ATTACHMENT IV l

_. Reading Aviation Facility Information

1. Airports
a. Reading Municipal Airport located near the GeV Reading Headquarters and  !

able to handle both airplanes and helicopters, j

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2. Heliports None in the immediate vicinity.  !

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N71050 (06 86)

E11-1 1758d

j( .

Number

v. ,.

Nuclear TMI Emergency Plan Inplementing Procedure 6415-IMP-1300.16

} Title Revision No " f' u

'~'

Contaminated injuries 1 Applicability / Scope Responsible Office l i

All TMI' Personnel 6415 l This document isimportant to safety R Yes O No Effective Date 06/15/87 1 List of Effective Pages 4 Page' Revision Page Revision Page Revision Page Revision 1.0 1 2.0 1 3.0 1 4.0 1 5.0 1 6.0 1 El-1 1 ,

El-2 1 E2-1 E2-2 1

1 Q

E2-3 1 D

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A S re Concurring Organization Element Date Originator j k e M Whitehead h ) Sr. Emeraency Planner 4-7-87 Concur' b Eherts /s/ RTR 4-7-87

.[D. Brown /s/ ISR 4-14-87 J.J. Bevelacqua /s/ SRG 6-3-87 M.A. Nelson /s/ PRG 4-30-87 C.A. Kuhns /s/ Manager, Rad Con TMI-1 6-1-87 g Aba , Rad Con Director 6'98)

[ j d l) & [ Q h V

Site Operations Director, TMI-2 gg/g7

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's Appr ved by g[M M TMI Emergency Preparedness Manager 6[9/g 7 j ~ < < < '

y 4000105i 2 84 1.0 Document ID: 1769d

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Number nn  ;

Nuclear THI cmergency Pian Imolementing Prnendure Ad18i TMp_13nn 16 1

-(

's/ Title Revision No.'

i Contaminated Injuries i i

1.0 PURPOSE 1.1 To define the conditions where personnel who become ill or injured and contaminated or potentially contaminated with radioactive material Tii-excess of guidelines, will be removed from site to Milton S. Hershey Medical Center (HMC), Hershey, PA. and/or to the Harrisburg Hospital, Harrisburg, PA.

1.2 To further define the steps involved in notifying arrisburg Hospital to allow time for preparation of the Rad rgency Area (REA) to receive the injured personnel.

1.3 To provide for several veis of treatmen the severity of the injury (s) and the de contaminatt .

NOTE: All p e ing injur ness in a radiologically con a na ea or i n dioactive material shall be c otentially nated until proven otherwise.

2.0 APPLICABILITY /S 0 3  ;

() All THI Personnel 3.0 DEflNITIONS O None 4.0 RESPONSIBILIT 4.1 T. t pervisor/Sh eman/ Emergency Director is responsible for

, 1 mentation of th ocedure. The Group Radiological Contrcls up sor (GRCS)/ Rad. Assessment Coordinator has responsibility for 5.2.4, 5.2.7 and 5.2.8.4 and Attachment 1. Specific ponsibilities during TMI-2 RB entries are listed in Attachment 2, 5.0 PROCEDURE 5.1 Implementation Criteria 5.1.1 Personnel are injured in a radiologically controlled area and must be transported off-site for medical observation / treatment before being surveyed for contamination.

5.1.2 Personnel are injured or'ill and have, or have the potential for, radioactive contamination on their clothing or skin and must be transported off-site for medical observation / treatment before decontamination can occur.

N71050 (0&b6) 2.0 1769d

e 5

Number ENuclear Title 1,ggim"Prdeere 6

,gS;;se-13oo16 i 1

Contaminated Iniuries 5.2 Emergency Actions i 5.2.5 The Shift Supervisor / Shift Foreman / Emergency Director and Group 1 Radiological Controls Supervisor shall be notified immediately ,

upon discovery of the injured personnel.

NOTE: The following steps may be performed concurrently.

The Shift Supervisor / Shift Foreman /Emergenc . rector, upon 5.2.1.1 notification of injured personnel, shall:

a. Notify Site Medical Personnel a Site Medical Personnel are unavailable, t ervisor/ Shift Foreman e gency Director i first aid admin >

the inj r1 personnel,

b. I , the 5 t p sor/ Shift Foreman / Emergency L

should pr cal /First Aid personnel with a p ingre /e oute for access and patient ansfer. Te ifI pervis / Shift Foreman / Emergency rector kultwith lological Controls for this

/3 route if C/ .

c. En irst Al di sonnel evaluate the ,

determi n of medical treatment beyond l vided b rsonnel, and that Radiological sit r diological condition of the victim ]

015 eval  ;

injury o dioactive contamination), and that j both grou heir assessment back to him. ]

NOTE: hment 1 is a checklist for Radiological actions.

d. If off-site medical assistance is required, the Shift l Supervisor / Shift Foreman / Emergency Director (or his designee) will notify Dauphin Co. EOC by dialing 9-911 and i repeating Message #1 from Attachment 2.
e. Call Security Central Alarm Station at Extension 8039, 8040 I to inform them of off-site medical assistance arrival so that they can direct off-site medical personnel tc- the injured person. The Shift Supervisor / Shift Foreman /Emer-gency Director shall initiate the requirements of 6415-IMP-1300.19 " Emergency Dosimetry / Security Badge Issuance". l (D
) '

I N71050 (06 00) 3.0 1769d

_ a

Number

, NUCl88r TMI Emergency Plan Implementina Procedure 6415-IMP-1300.16 Revision No.

Me 1

Contaminated Iniuries

f. If appropriate, declare an Unusual Event, in accordance with 6410/6420-IMP-1300.01 and perform actions as required in Step 5.2.8 below.

5,2.1.2 The Shift Superviscr/ Shift Foreman / Emergency Director shall direct personnel with minor injuries, not requiring more medical attention than site first aid, to the decon facility for decon-tamination and treatment of the 1, jury, per Step 5.2.4.

The Shift Supervisor / Shift Foreman / Emerge ector shall, 5.2.2 d Radiological with concurrence of the available site m Controls personnel, have the victim t utside of the radiologically controlled area, if t nd contamination levels will al w movement, for f atment and surveys.

5,2,3 To prevent h ble sp c mination, the Shift rector should consider Supers h oreman/E havin aminated cuation route announced on t appropriat 5.2.4 injury all ,R logical ontrols personnel shall

/ as the de ation e ure and/or radioactive V

4 contaminati n p removal t e individual from site.

5.2.5 All in rring in a ol ically contaminated area sha c ered po ontaminated until monitored and ce ed.

5.2.6 Sh t Supe r  : Foreman / Emergency Director shall, f concurre available site medical staff, order the

' ured perso -site for more extensive medical treatinent.  :

l

.2. If the injured person is contaminated, or potentiP.lly contaminated, a Radiological Controls Technician will be dispatched to the hospital to provide Radiological Controls as needed.

NOTE: By agreements with the Hilton S. Hershey Medhal Center (HMC) Hershey, PA and Harrisburg Hospital, Harrisburg, PA, all contaminated persons wita injuries too severe to be treated on-site shall be sent to HMC and/or Harrisburg Hospital for decontamination and treatment.

5.2.8 The Shift Supervisor / Shift Foreman / Emergency Director shall perform the following steps in the event an injured and con-taminated or potentially contaminated person (s) is to be fq transported to HMC or Harrisburg Hospital.

N71050 (0&BC) 4.0 1769d

1 3 t .  !,

i- .

~

e > Nuclear THI Emergency eian Imolementina Procedure 6415-IMP-1300.16 Title Revision No.

Contaminated Iniurie3 1 l

-5.2.8.1 If an emergency classification is not already in effect, the )

Shift Supervisor / Shift Foreman shall assume the duties of the ];

Emergency Director.

I The Emergency Director shall implement the requirements of 1 5.2.8.2' Procedure 6410/6420-IMP-1300.01, if not already declared, and request ambulance service from the Dauphin County Emergency Operations Center, as needed, for off-site assistance. Request from Dauphin County, the Hospital to which t individual is to be taken.

5.2.8.3 The Emergency Director or his design the appropriate hospital, and using Me s Attachment 2, alert the hos al of the arriva ( jured patient.

If contact t / Harris sp cannot be made by teleph the messa the Dauphin County EOC by dia r by usi e fication Line in the Control

,m 5.2.8.4 Pe' s) decon i e all rec ve whole body counting in

( ) act ante wi- 0-ADM-4 . b2 Decontamination of V' Personnel. l 5.3 Final Conditio 5.3.1 . ) has b er into the bioassay program for countin 0-ADM-4025.01.

5.3 vi,: tie (s) Os,e , ransported to the hospital, and has been mitted or re h e' and all radioactive waste /used protective clothing has bee emoved to TMI.

The Radiological Controls Technician (s) who accompanied the victim (s) to the hospital has coordinated the Radiation Safety actions at the emergency room. The Hospital Health Physicist has relieved the Radiological Controls Technician (s).

5.3.4 The Radiation Emergency Area and ambulance (s) used for trans-portation of the victim (s) has been surveyed and cleared or decontaminated and cleared by the TMI Radiological Controls Technician (s).

5.3.5 The Unusual Event has been closed out by the Emergency Director.

6.0 REFERENCES

6.1 6415-IMP-1300.19, Emergency Dosimetry / Security Badge Issuance 6.2 6410-IMP-1300.01, Event Classification (Unit 1)

N71050 (06 86) 5.0 1769d

Number

^

Nuclear TMI Emergency eian Imolementina Procedure 6415-IMP-1300.16.

Title Revision No.

Contaminated Iniuries 1 6.3 6420-1MP-1300.01, Event Classification (Unit 2) 6.4 91002 ADM-4330.02, Decontamination of Personnel (Unit 1) 6.5 9200-ADM-4330.02, Decontamination of Personnel (Unit 2)

.7 . 0 ATTACHMENfS 7.I' Attachment 1 Radiological Controls Checklist for Con ' nated Injured Persons 7.2 Attachment 2, Messages to Dauphin County and t _

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o LJ N71050 (06B6) 6.0 1769d

Number Nuclear TMI Emergency Plan Imolementina Procedure 6415-IMP-1300.16 G D Contamlnted Injuries Revision No.

1 l ATTACHMENT 1 RADIOLOGICAL CONTROLS CHECKLIST FOR CONTAMINATED INJURED PERSONS NOTE: The following actions should be performd or considered vh11e handling a contaminated injured person. Thesc actions must not interfere with proper medical treatment of the person.

Check

1. Prevent contamination spread from the injured pers r persons / areas by; lining the stretcher, wrappi m with a blanket, providing P.C.'s to stretcher bearer ,, the transfer path, etc.
2. Ensure the ambulance been is A LD they must enter a TLD requirsd area. O
3. Limit cont the ambula D crew by lining the ambulance with plastic an id P.C.'s ' th w.
4. The technicia hat acc e victi the hospital should have a

[V radiation survey met Lab and in Site Am a

)

r and an 11 ambu nce p ce kit (located at Rad Con nnel should retain their dosimetry until t the ho 1 al he Rad Con Tech.

5. If possible e c ntaminat d lation levels enroute to the hospital.

i

6. If a i ab second Rat Co should be sent to follow the ambulance t al to assist monitoring and decontamination as needed.
7. on ival at the hospital and subsequently, the Rad Con Tech should  !

dically update the Control Room with current status.

8. Ensure that TLDs (if issued) are collected from the ambulance crew before the crew is released.
9. If possible, have the ambulance crew standby in the ambulance until both are surveyed and released or, with the Emergency Director's permission, i have the ambulance return to TMI for survey and decontamination as neces-sary. Any material that is above release limits but less than 0.5 mR/hr should be securely sealed in plastic, marked " Radioactive", and returned to the site. Material greater than 0.5 mR/hr should not be transported without consulting with a representative of TMI Waste Disposal Group.

Inform the Control Room of the status of the ambulance.

i 10. Rad Con Technician (s) at the hospital should coordinate the Radiation V' Safety actions in the Emergency Room with the attending physician.

N71050 (0&B6)

El-1 1769d

Number ENuclear Title 1,g!,g; mag /c!*,"re e;is-;se-13oo'6 1

Contaminated injuries ATTACHMENT 1 (Cont'd)

11. When possible, turn over Radiation Safety responsibilities to the Hospital Health Physicist. Remain at the hospital until the individual is admitted or released.
12. Survey the path traveled by the ambulance personnel and the individual.

i

13. .Before leaving the hospital, ensure that'all radioactiv drash and used P.C.'s have been collected and that a thorough surve emergency room and adjacent areas as appilcable has @tehospital pleted.
14. Ensure that the Control Room is informed of t . f O

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i N71050 (0686)

El-2 1769d k

i l

< Nuclear TMI Emergency eian Implementina Procedure 6415-IMP-1300.16 Title Revision No.

Contaminated Iniurles 1 ATTACHMENT 2

~

MESSAGES TO DAUPHIN COUNTY AND THE HOSPITAL Message #1 To: Dauphin County Emergency Operations Center Dial 9-911 "This is _ at THI Nuclear Statto equest an Name/ Title Ambulance and Medic to be dispatched to Thr nd. He have (potentially) conta a@ rsonnel w h 1 owing injuries: (Brief description of s- _

m o N9 As p o U "

M a v est v

Please advise ht- his indi 1 ould go to HMC or to Harrisburg Hospital."

i Message #2 O -

l To: C) Charge Nurse, Emergency Room, Dial 9-531-8333 Harrisburg Hospital) Senior Attending Physician on Duty, al 9-782-3321 "This is at TMI Nuclear Station acting as(for) the Name/ Title Emergency Director. TMI is transferring a (potentially) contaminated j patient with injuries to Hershey Medical Center /Harrisburg Hospital i

(circle one). The Radiation Emergency Area should be prepared to receive the patient."

(Cont'd next page)

N71050 (0&86)

E2-1 1769d

. Nuclear 1st emergency eian Implementina Procedure 6415-IMP-1300.16 Title Revision No.

1 Contaminated Iniuries ATTACHMENT 2 (Cont'd)

Please take down the following information:

Patient's Name(s):

Nature of injury (s): _

Contamination levels (if known): f)

/dk d%"

Approx. Dose Ra t at o e:

n /) mrem /hr

/3 Estimated Arriva . A Method of Transport _ b Additional His . _ h sD AV My tiW' -

Thi for HMC ONLY Please rovide me with the following information either now or upon verification of this message:

Will HMC Health Physics Personnel be available in the Emergency Room?

Yes/No (inform TMI Rad Con of Response)

Name and title of person receiving this call

/

Name/ Title Time t

V) (Cont'd next page)

N71050 (0686)

E2-2 1769d

I

('s Nuclear 18I Emer9ency eian Implementina Procedure "L6415-IMP-1300.16 i Title Revision No.

Contaminated Iniuries 1 ATTACHMENT 2 (Cont'd)

Please acknowledge and verify'this message by calling back at 948-8069(8070/8071) (Unit 1) or 948-8066(8067/8068) (Unit 2) and ask for (circle appropriate number) the Emergency Director."

(If contact with the hospital cannot be made by te relay the message through the Dauphin County EOC by diali by using the Notification Line in the Control Room).

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E2-3 1769d

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34 PROCEDURE I N S T R U C T 1 0 f1 MEMO UNIT 1 Pa0CEDURES et. . sQ RETURN TO: Betty Nash b M.f [.C, PROCEDURE DISTRIBUTION CONTROL ROOM 130 UNIT 2 ADMIN. BLDG. Date 0-/8Vf Picase update your procedure file with the attached. procedures listed below, destroy the superseded procedures, and post your Master Procedure Index accordingly. Also please sign the acknowledgment.at the bottom of this memo and return to Betty Nash, Room 130, Procedures Distribution Control, Unit 2 Admin. Bldg. as shown above.

Rev. PCR No. No. Instructions / Comments Procedure No.

  1. s?q#f$$~$ cR /~C7 91-dd/A l)1 1Ne] T L$n w 0 A -

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ADDITIONAL INSTRUCTIONS / COMMENTS j

(

I hereby acknowledge receipt of the items above and have complied with the instructions. .,

l (Ext. No.) (Date) /

(Signature) A0000453 3/82 p! kg a o 1-0193B/IM l

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