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                'INDIANAS. MICHIGA DOCUMENT DONALD C. COOK NUCLEAR PLANT
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PMP EPP INDEX 0
INDIANA 5 MICHIGAN PO'!ER CQt'!PAHY DONALD C. COOK HUCLM~'R PLANT PLANT MANAGER PROCEDURE Index Identification                Ti tl e              Revision Ho. Comments Number                                            And Date PMP 2081 EPP.025  Activation  and Operation    of  Revision  0 the Emergency  News  Source        4-1-81 (ENS) (An Emergency Operations Faci  lity)
EPP.026  Use of Stable Iodine for          Revision 0 Thyroid Blocking During a          12-31-81 Radiation Emergency
 
INDIANA 8 iWICHIGAif ECECTBIC COI&#xc3;PANY DONALD C. COOK NUCLEAR PLANT PROCEDURE COVER SHEET Procedure No. PMP 2081 EPP.026 Revision No. 0 TITLE      USE OF STABLE      IODINE FOR THYROID BLOCKING DURING A RADIATION EMERGENCY SCOPE OF REVISION JP,N  151982 SIGNATURES ORIGINAL        Rev. I          REV. 2        Rev. 3 PREPARED BY QUALITY ASSURANCE REVIEW INTERFACING DEPARTMENT HEAD CONCURRENCE DEPARTMENT HEAD APPROVAL.                            /V. A..
PLANT NUCLEAR SAFETY COMMITTEE PLANT MANAGER APPROVAL DATE OF ISSUE                      12-31-81 Form No. PMl 2010.1 - azv. 2
 
0 4
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2081 EPP.026 LIST OF EFFECTIVE PAGES Pa e Numbers                                    Revision Number and Oate Page 1 of 3                                      Revision  0  12-31-81 Page 2 of 3                                      Revision  0 31-81 Page 3 of 3 CHECKLIST A                          Revision  0 31-81
 
PMP 2081  EPP.026 INDIANA AND MICHIGAN ELECTRIC COMPANY DONALD C. COOK NUCLEAR PLANT USE OF STABLE IODINE FOR THYROID BLOCKING DURING'  RADIATION EMERGENCY 1 .0 OB J ECTIVES 1.1      The  objective of this procedure-is to provide the mechanism and criteria for    recommending usage of Potassium Iodide as a thy-roid-blocking agent in a radiation emergency.
2.0  RESPONSIBILITIES 2.1      The  Plant Manager is responsible for confirming the need for and for  recommending the use of Potassium Iodide as a thyroid-blocking agent.
2.2      The Plant Radiation Protection Supervisor is responsible for providing adequate supplies of Potassium Iodide and for inven-tory  and replacement  as needed.
3.0  APPLICABILITY 3.1      This procedure is applicable whenever a measured or calculated Iodine dose to the thyroid of. an individual is likely to meet or 5
exceed 10- vc/cc of airborne I-131 or 10 Rem dose to the thyroid.
4.0  INSTRUCTIONS 4.1      Upon  notification by the Plant Manager that use of Potassium Iodide as a thyroid-blocking'gent is anticipated, the Radiation Protection Director shall designate when and who shall receive      ,
Iodine thyroid-blocking.
4.2      The  On-Site Emergency Coordinator shall notify the Berrien County Sheriff's Department and the Michigan State Police of the intended usage of Iodine thyroid-blocking for designated emergency personnel.
NOTE:    Phone numbers for all personnel are contained in Appendix A of these Fmergency Plan Procedures. Storage locations and quantities of Potassium Iodide tablets are specified in 12 THP 6010.RAD.222, Emergency Station Inventory.
Page 1 of  3 Revision',  12-31-81
 
PMP  2081 EPP.026 4.3 Dispence one (1) 130  mg Potassium Iodide tablet to each indi-vidual that could be expected to enter a High-Level Radio-Iodine Environment as indicated in step 3.1. The dosage of one table per day should be continued for ten (10) days, unless otherwise directed.
4.4 Records shall be maintained on all individuals who have been issued/or have taken Potassium Iodide tablets. Utilize Check-list  A to document those individuals that were issued the tab-lets.
NOTE:    Potassium Iodide tablets may be taken up to four (4) hours after an exposure and 'still result in a 508 re-duction in Iodine uptake.
Page 2  of 3 Revision 0, 12-31-01
 
CKLIST A PMP  2081  EPP.026 USE OF STABLE IODINE FOR THYROID BLOCKING DURING A RADIATION EMERGENCY TABLETS ISSUED TO:
NAME:
SOCIAL SECURITY NO:
DATE AND TIME ISSUED FOR USE'SSUE AUTHORIZED BY:
DATE AND TIME FIRST TABLET TAKEN:
NOTICE:  ONCE THE USE OF POTASSIUM IODIDE TABLETS HAS STARTED, ONE (1) TAB-LET SHOULD BE TAKEN EACH DAY FOR TEN (10) DAYS, UNLESS NOTIFIED OTHERWISE.
RECEIPT OF POTASSIUM IODIDE TABLETS ACKNOWLEDGED:
SIGNATURE Page 3  of 3 Revision 0, 12-31-81
 
0  t h.
P P
A E
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Revision as of 06:39, 29 October 2019

Public Version of Emergency Plan Procedure PMP 2081 EPP.026, Revision 0, Use of Stable Iodine for Thyroid Blocking During Radiation Emergency.
ML17319B177
Person / Time
Site: Cook  American Electric Power icon.png
Issue date: 01/15/1982
From:
INDIANA MICHIGAN POWER CO. (FORMERLY INDIANA & MICHIG
To:
Shared Package
ML17319B176 List:
References
PMP-2081-EPP.02, PMP-2081-EPP.2, NUDOCS 8202030035
Download: ML17319B177 (11)


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'INDIANAS. MICHIGA DOCUMENT DONALD C. COOK NUCLEAR PLANT

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PMP EPP INDEX 0

INDIANA 5 MICHIGAN PO'!ER CQt'!PAHY DONALD C. COOK HUCLM~'R PLANT PLANT MANAGER PROCEDURE Index Identification Ti tl e Revision Ho. Comments Number And Date PMP 2081 EPP.025 Activation and Operation of Revision 0 the Emergency News Source 4-1-81 (ENS) (An Emergency Operations Faci lity)

EPP.026 Use of Stable Iodine for Revision 0 Thyroid Blocking During a 12-31-81 Radiation Emergency

INDIANA 8 iWICHIGAif ECECTBIC COIÃPANY DONALD C. COOK NUCLEAR PLANT PROCEDURE COVER SHEET Procedure No. PMP 2081 EPP.026 Revision No. 0 TITLE USE OF STABLE IODINE FOR THYROID BLOCKING DURING A RADIATION EMERGENCY SCOPE OF REVISION JP,N 151982 SIGNATURES ORIGINAL Rev. I REV. 2 Rev. 3 PREPARED BY QUALITY ASSURANCE REVIEW INTERFACING DEPARTMENT HEAD CONCURRENCE DEPARTMENT HEAD APPROVAL. /V. A..

PLANT NUCLEAR SAFETY COMMITTEE PLANT MANAGER APPROVAL DATE OF ISSUE 12-31-81 Form No. PMl 2010.1 - azv. 2

0 4

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2081 EPP.026 LIST OF EFFECTIVE PAGES Pa e Numbers Revision Number and Oate Page 1 of 3 Revision 0 12-31-81 Page 2 of 3 Revision 0 31-81 Page 3 of 3 CHECKLIST A Revision 0 31-81

PMP 2081 EPP.026 INDIANA AND MICHIGAN ELECTRIC COMPANY DONALD C. COOK NUCLEAR PLANT USE OF STABLE IODINE FOR THYROID BLOCKING DURING' RADIATION EMERGENCY 1 .0 OB J ECTIVES 1.1 The objective of this procedure-is to provide the mechanism and criteria for recommending usage of Potassium Iodide as a thy-roid-blocking agent in a radiation emergency.

2.0 RESPONSIBILITIES 2.1 The Plant Manager is responsible for confirming the need for and for recommending the use of Potassium Iodide as a thyroid-blocking agent.

2.2 The Plant Radiation Protection Supervisor is responsible for providing adequate supplies of Potassium Iodide and for inven-tory and replacement as needed.

3.0 APPLICABILITY 3.1 This procedure is applicable whenever a measured or calculated Iodine dose to the thyroid of. an individual is likely to meet or 5

exceed 10- vc/cc of airborne I-131 or 10 Rem dose to the thyroid.

4.0 INSTRUCTIONS 4.1 Upon notification by the Plant Manager that use of Potassium Iodide as a thyroid-blocking'gent is anticipated, the Radiation Protection Director shall designate when and who shall receive ,

Iodine thyroid-blocking.

4.2 The On-Site Emergency Coordinator shall notify the Berrien County Sheriff's Department and the Michigan State Police of the intended usage of Iodine thyroid-blocking for designated emergency personnel.

NOTE: Phone numbers for all personnel are contained in Appendix A of these Fmergency Plan Procedures. Storage locations and quantities of Potassium Iodide tablets are specified in 12 THP 6010.RAD.222, Emergency Station Inventory.

Page 1 of 3 Revision', 12-31-81

PMP 2081 EPP.026 4.3 Dispence one (1) 130 mg Potassium Iodide tablet to each indi-vidual that could be expected to enter a High-Level Radio-Iodine Environment as indicated in step 3.1. The dosage of one table per day should be continued for ten (10) days, unless otherwise directed.

4.4 Records shall be maintained on all individuals who have been issued/or have taken Potassium Iodide tablets. Utilize Check-list A to document those individuals that were issued the tab-lets.

NOTE: Potassium Iodide tablets may be taken up to four (4) hours after an exposure and 'still result in a 508 re-duction in Iodine uptake.

Page 2 of 3 Revision 0, 12-31-01

CKLIST A PMP 2081 EPP.026 USE OF STABLE IODINE FOR THYROID BLOCKING DURING A RADIATION EMERGENCY TABLETS ISSUED TO:

NAME:

SOCIAL SECURITY NO:

DATE AND TIME ISSUED FOR USE'SSUE AUTHORIZED BY:

DATE AND TIME FIRST TABLET TAKEN:

NOTICE: ONCE THE USE OF POTASSIUM IODIDE TABLETS HAS STARTED, ONE (1) TAB-LET SHOULD BE TAKEN EACH DAY FOR TEN (10) DAYS, UNLESS NOTIFIED OTHERWISE.

RECEIPT OF POTASSIUM IODIDE TABLETS ACKNOWLEDGED:

SIGNATURE Page 3 of 3 Revision 0, 12-31-81

0 t h.

P P

A E

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