ML23032A443

Rulemaking - Proposed Rule - Draft NRC Form 361S, Part 53 Plant Event Notification Worksheet Risk-Informed, Technology-Inclusive Regulatory Framework for Advanced Reactors (Part 53)

ML23032A443
Person / Time
Issue date:	10/30/2024
From:	Office of Nuclear Material Safety and Safeguards
To:
References
DRAFT Form 361S, Part 53, NRC-2019-0062, RIN 3150-AK31
Download: ML23032A443 (1)

Text

NRC FORM 361S (MM-DD-YYYY)

U.S. NUCLEAR REGULATORY COMMISSION OPERATIONS CENTER Estimated burden per response to comply with this voluntary collection request: 30 minutes. The information provided will be used for evaluation of licensee event description, facility status and for input to the public website. Send comments regarding burden estimate to the FOIA, Library, and Information Collections Branch (T-6 A10M), U.S. Nuclear Regulatory Commission, Washington, DC 20555-0001, or by email to Infocollects.Resource@nrc.gov, and the OMB reviewer at: OMB Office of Information and Regulatory Affairs, (3150-0238), Attn:

Desk Officer for the Nuclear Regulatory Commission, 725 17th Street NW, Washington, DC 20503. The NRC may not conduct or sponsor, and a person is not required to respond to, a collection of information unless the document requesting or requiring the collection displays a currently valid OMB control number.

EXPIRES: (MM/DD/YYYY)

APPROVED BY OMB: NO. 3150-0238 PART 53 PLANT EVENT NOTIFICATION WORKSHEET NRC FORM 361S (MM-DD-YYYY)

Page of Continued on next page EN #

NRC OPERATIONS TELEPHONE NUMBERS: PRIMARY - 301-816-5100 or 800-532-3469, BACKUPS - [1st ] 301-951-0550 or 800-449-3694,

[2nd] 301-415-0550 and [3rd] 301-415-0553. Licensees who maintain their own ETS are provided these telephone numbers.

FAX - 301-816-5151, EMAIL - hoo.hoc@nrc.gov Notification Time Name of Caller/Title Unit Facility or Organization Call Back #

Event Date Event Time & Zone Power/Mode (At Time of Event)

Power/Mode (At Time of Notification)

EVENT CLASSIFICATION 1-HR. NON-EMERGENCY 10 CFR 53.1630(b)(1)

GENERAL EMERGENCY SITE AREA EMERGENCY ALERT UNUSUAL EVENT 53.1630 NON-EMERGENCY (see next columns) 10 CFR 73 MATERIAL/EXPOSURE FITNESS FOR DUTY OTHER UNSPECIFIED REQMT.

(see last column)

INFORMATION ONLY GEN/AAEC SIT/AAEC ALE/AAEC UNU/AAEC D????

B????

HFIT TS Deviation (i) TS Required S/D (iii) Safety-Related (SR) Standby Cooling System Actuation (ii) RPS Actuation (scram)

(v) Offsite Notification (i)(A) Degraded Condition (i)(B) Unanalyzed Condition (ii) Safety-Related (SR)

System Actuation Invalid Specified System Actuation 4-HR. NON-EMERGENCY 10 CFR 53.1630(b)(2) 8-HR. NON-EMERGENCY 10 CFR 53.1630(b)(3) 60-DAY OPTIONAL 10 CFR 53.1640(a)(1)

OTHER UNSPECIFIED REQUIREMENT (IDENTIFY)

Event Description (Include: Systems affected, actuations and their initiating signals, causes, effect of event on plant, actions taken or planned, etc.) (Continue on Page 2)

NOTIFICATIONS NRC RESIDENT YES NO WILL BE STATE(s)

LOCAL OTHER GOV AGENCIES MEDIA/PRESS RELEASE Anything Unusual or not understood?

Did all systems function as required?

Mode of operations until corrected (if applicable)

Yes (Explain above)

No Yes No (Explain above)

Additional Information continued on next page?

Yes No (iv) Rad Release within Plant (iii) Unfulfilled Safety Function (iv) Offsite Medical (v) Loss Comm/Asmt/Response NONR NONR

NRC FORM 361S (MM-DD-YYYY)

U.S. NUCLEAR REGULATORY COMMISSION OPERATIONS CENTER PART 53 PLANT EVENT NOTIFICATION WORKSHEET (Continued)

NRC FORM 361S (MM-DD-YYYY)

Page of EN #

Liquid Release Gaseous Release Unplanned Release Planned Release Ongoing Terminated Monitored Unmonitored Offsite Release T.S. Exceeded RM Alarms Areas Evacuated Personnel Exposed or Contaminated Offsite Protection Actions Recommended

• State release path in description Release Rate (Ci/sec)

% T.S. Limit HOO Guide Total Activity (Ci)

% T.S. Limit HOO Guide Noble Gas 0.1 Ci/sec 1000 Ci Iodine 10 Ci/sec 0.01 Ci Particulate 1 Ci/sec 1 mCi Liquid (excluding tritium and dissolved noble gas) 10 Ci/min 0.1 Ci Liquid (tritium) 0.2 Ci/min 5 Ci TOTAL Plant Stack Condenser/Air Ejector Main Steam Line SG Blowdown Other RAD Monitor Readings Alarm Setpoints

% T.S. Limit (If applicable)

RCS OR SG TUBE LEAKS: CHECK OR FILL IN APPLICABLE ITEMS: (specific details/explanations should be covered in event description)

Location of the Leak (e.g., SG #, valve, pipe, etc.)

Leak Rate Units: gpm/gpd T. S. Limits Sudden or Long-Term Development Leak Start Date Time Coolant Activity and Units:

Primary Secondary List of Safety Related Equipment not Operational RADIOLOGICAL RELEASES: CHECK OR FILL IN APPLICABLE ITEMS (specific details/explanations should be covered in event description)

Event Description (Include: Systems affected, actuations and their initiating signals, causes, effect of event on plant, actions taken or planned, etc.) (Continued from Page 1)