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{{Adams
#REDIRECT [[NL-12-2271, SNCV061-RPT-02, Ver. 1.0, Seismic Walkdown Report for Resolution of Fukushima Near-Term Task Force Recommendation 2.3: Seismic, Part 10 of 14]]
| number = ML12355A043
| issue date = 11/26/2012
| title = SNCV061-RPT-02, Ver. 1.0, Seismic Walkdown Report for Resolution of Fukushima Near-Term Task Force Recommendation 2.3: Seismic, Part 10 of 14
| author name = Volodarsky D
| author affiliation = Southern Nuclear Operating Co, Inc
| addressee name =
| addressee affiliation = NRC/NRR
| docket = 05000425
| license number =
| contact person =
| case reference number = NL-12-2271
| document report number = SNCV061-RPT-02, Ver 1.0
| document type = Report, Technical
| page count = 50
}}
 
=Text=
{{#Wiki_filter:ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-02, VERSION 1.0 Sheet 1 of 2 Status:(n N U Seismic Walkdown Checklist (SWC)Equipment ID No. 2- ,' 71 SO Equip. Classu --,-, V W ...) Aov)_Equipment Description R.D. , OIZAiL. ,-C t b. Location:
Bldg. F P46 Floor El. 200' Room, Area R AOL Manufacturer, Model, Etc. (optional but recommended)
Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SWEL. The space below each of the following questions may be used to record the results ofjudgments and findings.
Additional space is provided at the end of this checklist for documenting other comments.Anchorate I. Is the anchorage configuration verification required (i.e., is the item one YO Ng of the 50% of SWEL items requiring such verification)?
: 2. Is the anchorage free of bent, broken, missing or loose hardware?3. Is the anchorage free of corrosion that is more than mild surface oxidation?
Y% NO UD N/AQ YX NO UJO N/AD 4. Is the anchorage free of visible cracks in the concrete near the anchors?5. Is the anchorage configuration consistent with plant documentation?(Note: This question only applies if the item is one of the 50% for which an anchorage configuration verification is required.)
P40-T It 5o"/0 s~aAP4t....
: 6. Based on the above anchorage evaluations, is the anchorage free of potentially adverse seismic conditions?
YO NO UO N/A$YO NO UO N/AX YfNO UDI 12 Enter the equipment class name from Appendix B: Classes of Equipment.
<C-3 >PAGE 341 of 433 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-02, VERSION 1.0 Sheet 2 of 2 Seismic Walkdown Checklist (SWC)Equipment ID No. ' Y-I IS0 Equip. Class.' ... o i V IV")Equipment Description 9t.dk4' (Oalai , , o Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?
: 8. Are overhead equipment, distribution systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?
: 9. Do attached lines have adcquate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic interaction effects?YN NO] U N/AD Y&#xfd;NE Ur N/AO Y&#xfd;iN1 NU- N/AD YX ND U-1 Other Adverse Conditions
: 11. Have you looked for and found no other seismic conditions that could Y 'NE 1 adversely affect the safety functions of the equipment?
Comments (Additional pages may be added as necessary)
Evaluated by: Evalatedby.....)
~ ate .&.~( c~&..........
....PAGE 342 of 433 A ATTACHMENT 3: SEISMIC WALKIDOWN CHECKLISTS 0 NO. SNCV061-RPT-02, VERSION 1.0 V.-PAGE 343 of 433 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-02, VERSION 1.0 Sheet I of 2 Status: OJN U Seismic Walkdown Checklist (SWC)Equipment IDNo, 2-1-6H -902-0 Equip. Class1 2 
-1,,, /-Equipment Description le-, 0, 94 Y rf Ak" 3. 1-e. .Location:
Bldg. P4 .Floor El. 22& Room, Area /, /02..Manufacturer, Model, Etc. (optional but recommended)
,1'1.Mr E r/". 0/.Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SWEL. The space below each of the following questions may be used to record the results of judgments and findings.
Additional space is provided at the end of this checklist for documenting other comments.Anchorage 1. Is the anchorage configuration verification required (i.e., is the item one Y[] NX'of the 50% of SWEL items requiring such verification)?
: 2. Is the anchorage free of bent, broken, missing or loose hardware?3. Is the anchorage free of corrosion that is more than mild surface oxidation?
: 4. Is the anchorage free of visible cracks in the concrete near tie anchors?5. Is the anchorage configuration consistent with plant documentation?(Note: This question only applies if the item is one of the 50% for which an anchorage configuration verification is required.)
/_ 1,Ale 1W04,'^,'z-re0
:t,.. 7-,eU t-t &-- e 7-6. Based on the above anchorage evaluations, is the anchorage free of potentially adverse seismic conditions?
YE] NL] UE] N/AE YE] NE] UC- N/AM YE] NE] UE] N/A-YEI NE] UE] N/Am(Y5&#xfd;NEI UE]Enter the equipment class name from.Appendix B; Classes of Equipment.
&#xfd;<C-3 >PAGE 344 of 433 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-02, VERSION 1.0 Sheet 2 of 2 Seismic Walkdown Checklist (SWC)Equipmont]]DNo.
21-// 511 29-0 Equip. Class U 1-1rAV&'1P749v
-e4As5l'y Equipment Description
/z0, 1)14,K p4 'wt 3 L-e/1 .-Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?
YJ Nn UD N/AD 8. Are overhead equipment, distribution systems, ceiling tiles and lighting, YK NEI UI N/AD and masonry block walls not likely to collapse onto the equipment?
: 9. Do attached lines have adequate flexibility to avoid damage? YI( ND UD N/AD 10. Based on the above seismic interaction evaluations, is equipment free Yi NDI UD of potentially adverse seismic interaction effects? I\Other Adverse Conditions
: 11. Have you looked for and found no other seismic conditions that could YA, ND UD adversely affect the safety functions of the equipment?
Comments (Additional pages may be added as necessary)
: 2. ,_3 A( Aa, Evaluatedby:.C.
\4D A*lz t~VL ' ioe P4,Qk ate:-< C.4 >PAGE 345 of 433 9 ACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-02, VERSIONOO ,I PAGE 346 of 433 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-02, VERSION 1.0 Sheet 1 of 2 s# U Seismic Walkdown Checklist (SWC)Equipment ID No. 2 T/1 , Equip. Class", Equipment Description car" 4 ./ /I'J k a flA4.eij [a.Location:
Bldg. tCJT 00f5, Floor El. 1,-0/ Room, Area A'_, b Manufacturer, Model, Etc. (optional but tecommended)
Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SWEL. The space below each of the following questions may be used to record the results ofjudgments and findings.
Additional space is provided at the end of this checklist for documenting other comments.Anchorae 1. Is the anchorage configuration verification required (i.e., is the item one YL" N[I of the 50% of SWEL items requiring such verification)?
: 2. Is the anchorage free of bent, broken, missing or loose hardware?3. Is the anchorage free of corrosion that is more than mild surface oxidation?
: 4. Is the anchorage free of visible cracks in the concrete near the anchors?5. Is the anchorage configuration consistent with plant documentation?(Note: This question only applies if the item is one of the 50% for which an anchorage configuration verification is required.)
: 6. Based on the above anchorage evaluations, is the anchorage free of potentially adverse seismic conditions?
Y[EI NO UO NX/A Y[9 N[C UU1 N/AC YNCE UEC N/AD YdNC UC N/AC YV~NE] UD 2 Enter the equipmcni class name from Appendix B: Classes of Equipment.
< C-3 >PAGE 347 of 433 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-02, VERSION 1.0 Sheet 2 of 2 Seismic Walkdown Checklist (SWC)Equipment ID No. 2 LzT- k11 I -Equip. Class" Equipment Description s Sr Al I Le -les 44 Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?
YX IP.,vj /~y/A* to6erat ,'-', ( -. , //8. Are overhead equipment, distribution syste ceiling tiles and lighting, Y13"1'and masonry block walls not likely to collapse onto the equipment?
4'e-VjA.-
7 /M'k.q[VWUE] N/AQ 0u U[3 N/Am 9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic interaction effects?fc11 7f&'. 7 AAc YMNf-] UE- N/ACI YCI NIE&#xfd;U1 Other Adverse Conditions
: 11. Have you looked for and found no other seismic conditions that could Y9?N-1 U'-adversely affect the safety fimctions of the equipment?
Comments (Additional pages may be added as necessary)
Date: e414 -el"X7&#xfd;<C-4 >PAGE 348 of 433 OACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-02, VERSION .010 PAGE 349 of 433 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-02, VERSION 1.0 Sheet 1 of 2 Starus:c9 N U Seismic Walkdown Checklist (SWC)EquipmentlDNo.
2 l 5V 3004- Equip. Class 2 2 0 (0"fk)/EquipmentDescription Mqan 5tfom Son d/ Ad 1- Location:
Bldg. AfUb Floor El. 01 Room, Area __1___Manufacturer, Model, Etc. (optional but recommended)
Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SWEL. The space below each of the following questions may be used to record the results of judgments and findings.
Additional space is provided at the end of this checklist for documenting other comments.Anchorage 1. Is the anchorage configuration verification required (i.e., is the item one of the 50% of SWEL. items requiring such verification)?
L;-P pjV Ivve.2. Is the anchorage free of bent, broken, missing or loose hardware?3. Is the anchorage free of corrosion that is more than mild surface oxidation?
: 4. Is the anchorage free of visible cracks in the concrete near the anchors?5. Is the anchorage configuration consistent with plantdocumentation?(Note: This question only applies if the item is one of the 50% for which an anchorage configuration verification is required.)
: 6. Based on the above anchorage evaluations, is the anchorage free of potentially adverse seismic conditions?
YCE NI;(YE NEI ULE N/Akf YO NO UC NiAV YO NE UE] N/Ao" YE NEI UE] N/Az" Y&#xfd;(NE UE 12 Enter dhe equipment class utine from Appendix B: Classes of Equipment,< C-3 >" PAGE 350 of 433 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-02, VERSION 1.0 Sheet 2 of 2 Seismic Walkdown Checklist (SWC)Equipment IDNo. ___________-
Equip.Class 2 ,0 o0fk Equipment Description .m Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?
: 8. Are overhead equipment, distribution systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?
: 9. Do attached lines have adequate flexibility to avoid damage?10, Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic interaction effects?Y& NEI U1 N/AEJ Yg NEI U- N/AO YO NO UO N/A,&#xfd;" Y&#xfd;(NO" 1J[Other Adverse Conditions
: 11. Have you looked for and found no other seismic conditions that could YK No UE-adversely affect the safety functions of the equipment?
Comments (Additional pages may be added as necessary)
AJON&Evaluated by lqq/%/ w W14 I .wk, Date:< C-4 A>PAGE 351 of 433 9 ACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-02, VERSION .0 PAGE 352 of 433 9 ACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-02, VERSION .040 PAGE 353 of 433 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-02, VERSION 1.0 Sheet I of 2 Status: (DN U Seismic Walkdown Checklist (SWC)Equipment ID No. Z -P- 3 C't,0 Equip. Class 1 2 f -Equipment Description t &#xfd;t C77;-Z,, : m w -L Location:
Bldg.. -,4,"/ Floor El. 1 -" Room, Area i /0,3 Manufacturer, Model, Etc. (optional but recommended)
Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SWEL. The space below each of the following questions may be used to record the results of judgments and findings.
Additional space is provided at the end of this checklist for documenting other comments.Anc horage i. Is the anchorage configuration verification required (i.e., is the item one YE] N9 of the 50% of SWEL items requiring such verification)?
: 2. Is the anchorage free of bent, broken, missing or loose hardware?3. Is the anchorage free of corrosion that is more than mild surface oxidation?
: 4. Is the anchorage free of visible cracks in the. concrete near the anchors?5. Is the anchorage configuration consistent with plant documentation?(Note: This question only applies if the item is one of the 50% for which an anchorage configuration verification is required.)
: 6. Based on the above anchorage evaluations, is the anchorage free of potentially advcrse seismic conditions?
Y95'1U1--
N/ACI Y.NE] UC] N/AC" YE]NE UO N/A[ f YI- N40 UL J N/A/u'rj Enter the equipment class name from Appendix B: Classes f Equipment,<C-3>PAGE 354 of 433 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-02, VERSION 1.0 Sheet 2 of 2 Seismic Walkdown Checklist (SWC)Equipment ID No. 2 -Pr3 co-, Equip. Class'u/op Equipment Description S4 I P-/. e-,d,/ -byV 7AJ Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?
: 8. Are overhead equipment, distribution systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?
: 9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic interaction effects?YU f"U' N/AD]Y0NDE UD' N/AD Y O E N/AD YU-NOU Other Adverse Conditions
: 11. Have you looked for and found no other seismic conditions that could adversely affect the safety functions of the equipment?
YF3-<0D rJ0-J Comments (Additional pages may be added as necessary)
Evaluated by- 6J.... .) 7 I "/Date: ' /< C-4>PAGE 355 of 433
*ACHMENT 3: SEISMIC WALKDOWN CHECKLISTS S SO NO. SNCV061-RPT-02, VERSION 1.0 PAGE 356 of 433 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-02, VERSION 1.0 Sheet I of 2 Status: Y& ( U Seismic Walkdown Checklist (SWC)Equipment IDNo. Equp. Class'2 040r)EquipmentDescription A r \Jq6vh- q &ql)- __Location:
Bldg. Arib Floor Fl. ,.t5 Room, Area _-,,_ __.Manufacturer, Model, Etc. (optional but recommended)
Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SWEL; The space below each of the following questions may be used to record the results ofjudgrcents and findings, Additional space is.provided at the end of this checklist for documenting other comments.Anchorage 1. Is the anchorage configuration verification required (i.e,, is the item one of the 50% of SWEL items requiring such verification)?
YO Ni 2. Is the anchorage free of bent, broken, missing or loose hardware?3.. Is the anchorage free of corrosion that is more than mild surface oxidation?
: 4. Is the anchorage free of visible cracks in the concrete near the anchors?5. Is the anchorage configuration consistent with plant documentation?(Note! This question only applies if the item is one of the 50% for which an anchorage configuration verification is required.)
: 6. Based on the above anchorage evaluations, is the anchorage free of poltently adverse peismi conditions?
YE NE UE N/Ag YE NE UE N/Aw YE NEI UE N/Ax YE NEI UE1 N/Aw Y<NO UE3"2Enter the equipmentc cas& namne from Appendix B: Classes of Zquipm-nt.
< C-3 >PAGE 357 of 433 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-02, VERSION 1.0 Sheet 2 of 2 Seismic Walkdown Checklist (SWC)Equipment ID No. ) --30o Equip. CjasS120 0A4(1 k Equipment Description A4Mds. 4 lkf V4Itt S" C Interaction Effects 7. Are soft targets free from impact by neat-by equipment or structures?
Yrl N ' U0 N/AD Cko h15~ky 4,d. 4,.&#xfd; C-~ -O4 1L 4/Qf0 t(CA- 2+3 8. Are overhead equipment, distribution systems, ceiling tiles and lighting, NEI UD] N/A[]and masonry block walls not likely to collapse onto the equipment?
: 9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic interaction effects?YV NE UD N/AD3 YD N' U0 Other Adverse Conditions
: 11. Rave you looked for and found no other seismic conditions that could Y /N0 UI-0 adversely affect the safety functions of the equipment?
Comments (Additional pages may be added as necessary) 55CE .2-W5 3004- RIK. A-0 WALA f~t5(W Evlae '- *J1 44 v1AO$ - 44 ~p ~~e%~e/Date: 1 z12-.g i0~-<C-4 >-PAGE 358 of 433 9 ACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-02, VERSION00 C PAGE 359 of 433 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-02, VERSION 1.0 PAGE 360 of 433 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-02, VERSION 1.0 Sheet 1 of 2 Status:.5 N U Seismic Walkdown Checklist (SWC)Equipment ID No, 2- -K 53000) Equip. Class 2/J_Equipment Description S6 1 P O Location:
Bldg. Ax ,"Oj Floor El. -1V450f Room, Area , t L Manufacturer, Model, Etc. (optional but reconmmended)
Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SWEL. The space below each of the following questions may be used to record the results of judgments and findings.
Additional space is provided at the end of this checklist for documenting other comments.rAnh2e 30 [  1. Is the anchorage configuration verification required (i.e., is the item one of the 50% of SWEL items requiring such verification)?
: 2. Is the anchorage free of bent, broken, missing or loose hardware?3. Is the anchorage free of corrosion that is more than mild surface oxidation?
: 4. Is the anchorage free of visible cracks in the concrete near the anchors?5. Is the anchorage configuration consistent with plant documentation?(Note: This question only applies if the item is one of the 50% for which an anchorage configuration verification is required,)
: 6. Based on the above anchorage evaluations, is the anchorage free of potentially adverse seismic conditions?
YNiNE] UEJ N/A-]YE NE] Ul N/AU Y[] NO UO N/A'$, Y NEI UE]/2 Enter the equipment class name from Appendix B: Classes of" Equpmenrt.
< C-3 >PAGE 361 of 433 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-02, VERSION 1.0 Sheet 2 of 2 Seismic Walkdown Checklist (SWC)EquipmentIDNo.
Z-4 Ooo Equip. Class'2  ... -... .. .Equipment Description I<6 .Pl tffS4,t f" A/RL/ C.OWf1,L4 Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?
Y&#xfd;NO U[] N/AUJ 8. Are overhead equipment, distribution systems, ceiling tiles and lighting, NEI U- N/AD and masonry block walls not likely to collapse onto the equipment?
: 9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment fiee of potentially adverse seismic interaction effects?NOj UO N/AD Y4 NO U-Other Adverse Conditions
: 11. Have you looked for and found no other seismic conditions that could Y ND U'.adversely affect the safety functions of the equipment?
Comments (Additional pages may be added as necessary)
Evaluated by: e,-7 Iii2, .&#xfd; Q / ..i-- Y .&sect;(Date: t < C-4 >PAGE 362 of 433
* ACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-02, VERSION .0~MI~PAGE 363 of 433 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-02, VERSION 1.0 Sheet 1 of 2 Status:@ N U Seismic Walkdown Checklist (SWC)Equipment ID No. 2 TL. t3.o Equip. Class 2 " --,-x --x' .-Equipment Description C t IC_. Z , A/C u-,'-- .'u..Location:
Bldg. Cc- Floor'EL.
2,o-o" Room, Area -. 32S Manufacturer, Model, Etc. (optional but recommended)
.) , Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SWEL. The space below each of the following questions may be used to record the results of judgments and findings.
Additional space is provided at the end of this checklist for documenting other comments.Anchorage 1. Is the anchorage configuration verification required (i.e., is the item one YE N5: of the 50% of SWEL items requiring such verification)?
: 2. Is the anchorage free of bent, broken, missing or loose hardware?
YM NE] UI-E N/AE]3. Is the anchorage free of corrosion that is more than mild surface YX NEI UE N/AE]oxidation?
: 4. Is the anchorage free of visible cracks in the concrete near the anchors? Y1 NE] UE] N/AE]5. Is the anchorage configuration consistent with plant documentation?
YE] NE] UE] N/A4 (Note: This question only applies if the item is one of the 50% for /which an anchorage configuration verification is required.)
: 6. Based on the above anchorage evaluations, is the anchorage free of '/r' NE] UE]potentially adverse seismic conditions?
7-12 Enter the equipment class name from Appendix B: Classes of Equipment.
<C-3 >PAGE 364 of 433 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-02, VERSION 1.0 Sheet 2 of 2 Seismic Walkdown Checklist (SWC)Equipment ID No. 2-vi,- 1 "5 C.Equip. Class" 2  -Equipment Description C.i, v o A Z.-x U,.t-L k%~ cX Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?
Y; NE] Uli- N/AE]8. Are overhead equipment, distribution systems, ceiling tiles and lighting, Yb' NEI UF] N/AE]and masonry block walls not likely to collapse onto the equipment?
_ t( , 9. Do attached lines have adequate flexibility to avoid damage?YV NE]'I Ul N/AE]10, Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic interaction effects?Other Adverse Conditions
: 11. Have you looked for. and found no other seismic conditions that could NE UE]adversely affect the safety functions of the equipment?
Comments (Additional pages may be added as necessary)
Evaluated by: k / &#xfd; Date:______
,~ 'C&#xfd;'//'_//z
-e, &#xfd; Z_<C-4 >PAGE 365 of 433 9 ACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-02, VERSION .0 PAGE 366 of 433 9 ACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-02, VERSION .04P PAGE 367 of 433 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-02, VERSION 1.0 Sheet 1 of 2 Stams: DfN U Seismic Walkdown Checklist (SWC)Equipment ID No. 12 -T15 -1133 Equip. Class" 11 (1 '6 4 WIL I Equipment Description C_ S. ();t r -F o ViA r Location:
Bldg. FloorEl. 2t60--0 Room,Area
' 5 4.S,$ '1 'f(Z Manufacturer, Model, Etc. (optional but recommended) 9,/Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SWEL. The space below each of the following questions may be used to record the results of judgments and findings.
Additional space is provided at the end of this checklist for documenting other comments.Anchorage 1. Is the anchorage configuration verification required (i.e., is the item one of the 50% of SWEL items requiring such verification)?
Y4NO 2. Is the anchorage free of bent, broken, missing or loose hardware?3. Is the anchorage free of corrosion that is more than mild surface oxidation?
: 4. Is the anchorage free of visible cracks in the concrete near the anchors?5. Is the anchorage configuration consistent with plant documentation?(Note: This question only applies if the item is one of the 50% for which an anchorage configuration verification is required.)
: 6. Based on the above anchorage evaluations, is the anchorage free of potentially adverse seismic conditions?
Y'N" U- N/AOl YA N1O UO N/AC1 Y NE] I[TO N/A]YKANnN Un N/AC-4NO UEI" Enter the equipment class name from Appendix B: Classes of Equipment, PAGE 368 of 433 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-02, VERSION 1.0 Sheet 2 of 2 Seismic Walkdown Checklist (SWC)Equipment ID No. _-___________
Equip. Class 1 2......l. r Fquipment Description COCK' c~kr km. Ven+ Fita Codmflkr..................
Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?
Y&#xfd;NO UO N/AC 8. Are ovethead equipment, distribution systems, ceiling tiles and lighting, Y NC UE' N/A-and masonry block walls not likely to collapse onto the equipment?
: 9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic interaction effects?NFI UO N/AC Y, No UO Other Adverse Conditions
: 11. Have you looked for and found no other seismic conditions that could NO UO adversely affect the safety functions of the equipment?
Comments (Additional pages may be added as necessary)J C- L Evaluated by: , _.i..i--'-, qtf XV/Date: Z-0 z.CCS 02 CI<C-4 >'PAGE 369 of 433 ACHMENT 3: SEISMIC WALKDOWN CHECKLISTS 0 NO. SNCV061-RPT-02, VERSIO 9.N PAGE 370 of 433 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-02, VERSION 1.0 Sheet I of 2 Status:0 N U Seismic Walkdown Checklist (SWC)EquipmentIDNo.
;Z-T&#xfd;50'5-61 Equip. Class'2  L(Ttfhja .t ,Amor)Equipment Description Di'SeJ 0 tbiUfi, .I -'rq;11 tpr &#xb6;:  Location:
Bldg. 1'urd TOA Floor El. Room, Area e" 04 ,11 Manufacturer, Model, Etc. (optional but recommended)_
Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SWEL. The space below each. of the following questions may be used to record the results of judgments and findings.
Additional space is provided at the end of this checklist for documenting other comments.Anchorage 1. Is the anchorage configuration verification required (i.e., is the item one YOI NO of the 50% of SWEL items requiring such verification)?
: 2. Is the anchorage free of bent, broken, missing or loose hardware?3. Is the anchorage free of corrosion that is more than mild surface oxidation?
: 4. Is the anchorage free of visible cracks in the concrete near the anchors?5. IS the anchorage configuration consistent with plant documentation?(Note: This question only applies if the item is one of the 50% for which an anchorage configuration verification is required.)
: 6. Based on the above anchorage evaluations, is the anchorage free of potentially adverse seismic conditions?
Y4 NO UO] N/A-]Y)gINI U- N/AD Y Nn U] N/AD YE NEI U-N/A Y) NEI Ul]12 Enter the equipment class nmne from Appendix B: Classes of Equipment.
< C-3 >PAGE 371 of 433 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-02, VERSION 1.0 Sheet 2 of 2 Seismic. Walkdown Checklist (SWC)Equipment ID No. -X' 5 Equip. Class" (tr50r Equipment Description D;,d Plv4,( & unA.I TdA Pr ran ,idrohr Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures? N] UI] N/AE]8. Are overhead equipment, distribution systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?
: 9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic interaction effects?Y' NCI UC] N/ACI YW NCI UC] N/AC]YVNn] UC]Other Adverse Conditions
: 11. Have you looked for and found no other seismic conditions that could YV NCi UC]adversely affect the safety functions of the equipment?
Comments (Additional pages may be added as necessary)
Date: C&#xfd; 5- 2LhZDl1..< C-4 )PAGE 372 of 433 9 ACHMENT 3: SEISMIC WALKDOWN CHECKLISTS 0 NO. SNCV061-RPT-02, VERSION 1.0 PAGE 373 of 433 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-02, VERSION 1.0 Sheet 1 of 2 Status: N U Seismic Walkdown Checklist (SWC)Equipment ID No. 2- TI6H Y-P; Equip. Class-2 il SeiSO')Equipment Description N$(C4 Fo'0.J( (CA D T'h " -ratn o FA- CoFen -wlvr Location:
Bldg. Tvn1kdT"A FloorEl.. 0' Room, Area @Nf(SLw  Manufacturer, Model, Etc. (optional but recommended)
Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SWEL. The. space below each of the following questions may be used to record the results ofjudgments and findings.
Additional space is provided at the end of this checklist for documenting other comments.Anchorage 1. Is the anchorage configuration verification required (i.e., is the item one of the 50% of SWEL items requiring such verification)?
~7* C~-~'~2. Is the anchorage free of bent, broken, missing or loose hardware?3. Is the anchorage free of corrosion that is more than mild surface oxidation?
: 4. Is the anchorage free of visible cracks in the concrete near the anchors?5. Is the anchorage configuration consistent with plant documentation?(Note: This question only applies if the item is one of the 50% for which an anchorage configuration verification is required.)
: 6. Based on the above anchorage evaluations, is the anchorage free of potentially adverse seismic conditions?
Y* Nn UE N/AE NETEN!AE YNE UO N/AE YE NE U- N/TIE YNO UO2"2 Enter the equipment class name from Appendix B: Classes of Equipment.
< C-3>PAGE 374 of 433 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-02, VERSION 1.0 Sheet 2 of 2 Seismic Walkdown Checklist (SWC)Equipment ID No. D-T JIA -22,51 Equip.
DM At 5trLorS)Equipment Description ISW T"vitr 041g T I -Trctn Pt- Fan Con+rvoler Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?
1 N1 U0 N/A0 S. Are overhead equipment, distribution systems, ceiling tiles and lighting, Y NE U N/A and masonry block walls not likely to collapse onto the equipment?
: 9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic interaction effects?Y4 NEI UC- N/ACl YV NEI Ut Other Adverse Conditions
: 11. Have you looked for and found no other seismic conditions that could NCI UC-]adversely affect the safety functions of the.equipment?
Comments (Additional pages may be added as necessary)
Evaluated by: _ -S;1~~7 Date: ./< C-4 >-PAGE 375 of 433 9 ACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-02, VERSIONRO4 PAGE 376 of 433 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-02, VERSION 1.0 Sheet 1 of 2 Status -N U Seismic Walkdown Checklist (SWC)EquipmentID No. --TV-11 61 5, Equip. Class'2 "-,A*a 1 tr-O/o'- 4 ' /a-.J 1'r-/J (-ivl Equipment Description 1 5f.Yrijl ':/Z c,' /' ) 4.2o.'TXl
: t. V .'Location:
Bldg. LaGIt1O 4 Floor El. UO f-cl Room, Area 739T Manufacturer, Model, Etc, (optional but recommended)
Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SWEL. The space below each of the following questions may be used to record the results ofjudgments and findings.
Additional space is provided at the end of this checklist for documenting other comments.Anchorage I. Is the anchorage configuration verification required (i.e., is the item one YE]of the 50% of SWEL items requiring such verification)?
: 2. Is the anchorage free of bent, broken, missing or loose hardware?3. Is the anchorage free of corrosion that is more than mild surface oxidation?
: 4. Is the anchorage free of visible cracks in the concrete near the anchors?5. Is the anchorage configuration consistent with plant documentation?(Note: This question only applies if the item is one of the 50% for which an anchorage configuration verification is required.)
: 6. Based on the above anchorage evaluations, is the anchorage free of potentially adverse seismic conditions?
Y[ NE UD NIAJXjj YE NE UE N!AX/YE NE. UE N/Aj YE NE UE/1-NEU"Enter the equipment class name from Appendix B: Classes of Equipment.
<C-3 >PAGE 377 of 433 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-02, VERSION 1.0 Sheet 2 of 2 Seismic Walkdown Checklist (SWC)Equipment ID No. 2-- T1/- /f? 7s- Equip. Class" 1 6,1. S 5 e Equipment Description AIS. e-W TO"F &#xa3;S.JF, AL c-,z4t , & cO, ,, 6 ,4 V Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures? NO] U .N/AD 8. Are overhead equipment, distribution systems, ceiling tiles and lighting, NEI UO N/A]and masonry block walls not likely to collapse onto the equipment?/
: 9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic interaction effects?Y4$INEI UO N/Al]Y IS NEI UE]Other Adverse Conditions tI. Have you looked for and.bund no other seismic conditions that. could IqA. NE] UE]adversely affect tile safety functions of the equipment?
Comments (Additional pages may be added as necessary)
~ ., i2_Evaluated by 2-V4 Date: PAGE 378 of 433 9 ACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-02, VERSION .00 PAGE 379 of 433 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-02, VERSION 1.0 Seismic Walkdown Checklist (SWC)Equipment ID No. 2--TV 1,0"5' Equip. Class'2  oqqr)Equipment Description P6' O0 r,'_ -6/Sheet 1 of 2 Status:O N U Location:
Bldg. PG Floor El. .Z2.0'I Room, Area P- 103 , Nfar P,, i 93 coluts 1- 1'Manufacturer, Model, Etc. (optional but recommended)
Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SWEL. The space below each of the following questions may be used to record the results ofjudgments and findings.
Additional space is provided at the end of this checklist for documenting other comments.Anchorage 1. Is the anchorage configuration verification required (i.e., is the item one of the 50% of SWEL items requiring such verification)?
YO X 2. Is the anchorage free of bent, broken, missing or loose hardware?3. Is the anchorage free of corrosion that is more than mild surface oxidation?
: 4. Is the anchorage free of visible cracks in the concrete near the anchors?5. Is the anchorage configuration consistent with plant documentation?(Note: This question only applies if the item is one of the 50% for which an anchorage configuration verification is required.)
: 6. Based on the above anchorage evaluations, is the anchorage free of potentially adverse seismic conditions?
YJ NO UC N/AC YWN NO UOI N/ACl Y&#xfd;NC UC N/AC YC NC UC N/AVi%/NC uC Enter the equipment class name from Appendix B; Classes of Equipment.
< C-3 >PAGE 380 of 433 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-02, VERSION 1.0 Sheet 2 of 2 Seismic Walkdown Checklist (SWC)EquipmentlDNo.
&#xfd; ij2-cJ&#xfd;5-Equip. Class" 2&#xfd; (0.444r)Equipment Description P0& 0 L's:a i4rf -13 Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?
: 8. Are overhead equipment, distribution systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?
: 9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic interaction effects?Y ND UCD N/AD Y ND UD N/AD YII/ND U[ N/AD YEi/NV UE3 Other Adverse Conditions
: 11. Have you looked for and found no other seismic conditions that could YnVN-I U13 adverscly affect the safety functions of the equipment?
Comments (Additional pages may be added as necessary)
/Vo a(f Evaluated by:.P4R~rr~< C-4Q 1>Date: PAGE 381 of 433 9 ACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-02, VERSION .00 OUTSIDE AIR INTAKE FO 13 PAGE 382 of 433 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-02, VERSION 1.0 Sheet I of 2 Status:@M N U Seismic Walkdown Checklist (SWC)EquipmentIDNo.
2-Ty- (tI47 Equip. Class" 2 5--.ar; I?Equipment Description
/'OA 4) ~f-f POA rtl-i/ 1 1 Location:
Bldg. 6OW"I0L Floor El. Z&',, Room, Area 3o Manufacturer, Model, Etc. (optional but recommended)
Tp1ose, (.,lro [s Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SWEL. The space below each of the following questions may be used to record the results ofjudgments and findings.
Additional space is provided at the end of this checklist for documenting other comments.Anchorage 1. Is the anchorage configuration verification required (i.e., is the item one of the 50% of SWEL items requiring such verification)?
YE- Nol 2. Is the anchorage free of bent, broken, missing or loose hardware?3. Is the anchorage free of corrosion that is more than mild surface oxidation?
: 4. Is the anchorage free of visible cracks in the concretenear the anchors?5. Is the anchorage configuration consistent with plant documentation?(Note: This question only applies if the item is one of the 50% for which an anchorage configuration verification is required.)
: 6. Based on the above anchorage evaluations, is the anchorage free of potentially adverse seismic conditions?
Y -UI-- N/AE-YX NO UrJ N/AllNEI- UO- N/All YO NE UE N/Ak YXNEI UE 12 Enter the equipment class name from Appendix B: Classes of Equipment.
< C-3 >PAGE 383 of 433 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-02, VERSION 1.0 Sheet 2 of 2 Seismic Walkdown Checklist (SWC)Equipment ID No. 2- T' -I- 75 Equip. Class" 2  -e.-7 -a Equipment Description CQJ t(/ EA4V- FA g "l"V -I I (:' 7 ,e-, -Cf/C.~. r H/Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?
: 8. Are overhead equipment, distribution systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?
: 9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic interaction effects?Y$kN[" U-' N/AUl Yt NE UC N/AC y NC- UI- N/AC YVNEI UC]Other Adverse Conditions
: 11. Have you looked for and found no other seismic conditions that could YX1 NC UC-adversely affect the safety functions of the equipment?
Comments (Additional pages may be added as necessary) po ! .$v cJ7 Evaluated by: A-i /jAK05 Dove-k- Date: Si4.- zo(z&#xfd;Ilq617-&#xfd;<C-4 >PAGE 384 of 433 A ATTACHMENT 3: SEISMIC WALKIDOWN CHECKLISTS 0 0 NO. SNCV061-RPT-02, VERSION 1.0 PAGE 385 of 433 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-02, VERSION 1.0 Sheet 1 of 2 Status: ON U Seismic Walkdown Checklist (SWC)Equipment ID No. -- 120V-PN-001 Equip. Class" ?-p1-C/"ss
" Equipment Description Pu.M A Location:
Bldg. I 4 IJX(. FloorEl. I Room, Area _1905_Manufacturer, Model, Etc. (optional but recommended)
GoY, O{S Punfrp, TJ- c.Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SWEL. The space below each of the following questions may be used to record the results ofjudgments and findings.
Additional space is provided at the end of this checklist for documenting other comments.Anchorage 1. Is the anchorage configuration verification required (i.e., is the item one Ybi" NEI of the 50% of SWEL items requiring such verification)?
: 2. Is the anchorage free of bent, broken, missing or loose hardware?3. Is the anchorage free of corrosion that is more than mild surface oxidation?
: 4. Is the anchorage free of visible cracks in the concrete near the anchors?5. Is the anchorage configuration consistent with plant documentation?(Note: This question only applies if the item is one of the 50% for which an anchorage configuration verification is required.)
2.4((oA-i9oZ-OoOO(o
&Vc. 10.0.6. Based on the above anchorage evaluations, is the anchorage free of potentially adverse seismic conditions?
Yo' NEI UII N/AC-Y"NI- UC1 N/AC]YC'NC- U- N/AC YOND UC- N/AC1 Yf NEI UC]12 Enter the equipment class name from Appendix B: Classes of Equipment.
<C-3 >PAGE 386 of 433 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-02, VERSION 1.0 Sheet 2 of 2 Seismic Walkdown Checklist (SWC)EquipmentlDNo.
Z- IZv' -P6-o Equip. Class'2-/rt."/,/,A.,A
-I/eq; 5 Equipment Description c... i P"r Am? A Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?
9NOUlD N/AD 8. Are overhead equipment, distribution systems, ceiling tiles and lighting, Y NDI U N/AD and masonry block walls not likely to collapse onto the equipment?
: 9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic interaction effects?Ykf NEI UD N/AD YXNDE UO Other Adverse Conditions
: 1. Have you looked for and found no other seismic conditions that could ND UD]adversely affect the safety functions of the equipment?
,\Comments (Additional pages may be added as necessary)
No C(t01tAYJ5, A Evaluated by: -,j pJlnt$0 Date:&#xfd;/.q I/lot)< C-4 >PAGE 387 of 433 9 ACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-02, VERSION .04P 2-1206.P6-001_M01 PAGE 388 of 433 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-02, VERSION 1.0 PAGE 389 of 433
* ACHMENT 3: SEISMIC WALKDOWN CHECKLISTS 0 NO. SNCVO61-RPT-02, VERSION .PAGE 390 of 433}}

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