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| number = ML16041A268 | | number = ML16041A268 | ||
| issue date = 01/26/2016 | | issue date = 01/26/2016 | ||
| title = | | title = Revision 9 EP-290001, Nuclear Plant Event Notification Form | ||
| author name = | | author name = | ||
| author affiliation = DTE Electric Company | | author affiliation = DTE Electric Company | ||
Line 16: | Line 16: | ||
=Text= | =Text= | ||
{{#Wiki_filter:DETROIT EDISON -FERMI 2 AUTOMATED RECORD MANAGEMENT DISTRIBUTION CONTROL LIST 01/26/16 To: 00935 US NRC DOCUMENT CNTRL DESK | {{#Wiki_filter:DETROIT EDISON - FERMI 2 AUTOMATED RECORD MANAGEMENT DISTRIBUTION CONTROL LIST 01/26/16 To: 00935 US NRC PAGE 1 DOCUMENT CNTRL DESK WASHINGTON, DC 20555 Media: 8 1/2 X 11 Number Cnt Issue DTC Dcc. Serial Number Page Rev Copies Lvi Date Sec Status TPEPT EP-290001 9 1 ST 01/26/16 AFC Please destroy or mark all revised, superseded, or cancelled documents as such. CONTROLLED stamps must be voided by lining through and initialing. | ||
Detroit Edison EF2, C/O Info Mgmt 140 NOC, 6400 North Dixie Highway, Newport MI 48166. (734) 586-4338 OR (734) 586-4061 for questions or concerns.Ref: e58683 NUCLEAR PLANT EVENT NOTIFICATION FORM Communicate lines1.-6 verbally. | Detroit Edison EF2, C/O Info Mgmt 140 NOC, 6400 North Dixie Highway, Newport MI 48166. (734) 586-4338 OR (734) 586-4061 for questions or concerns. | ||
Plant Message Number Calling From: El Control Room El TSC LI EOF LI Other_____ | Ref: e58683 | ||
Call Back Telephone Number: _______________ | |||
NUCLEAR PLANT EVENT NOTIFICATION FORM Communicate lines1.-6 verbally. | |||
[']E Unusual Event El Alert El Site Area Emergency El General Emergency El Termination ( | : 1. El Actual Event (Initial Notifications) | ||
: 4. Reason for Classification | El Drill Plant C~ontact Information P2. | ||
[] Abnormal Rad Level/Rad Effluents El Fission Product Barrier Degradation Fermi IC Number: _ ____Fermi IC Number:_____ | Nuclear Power Plant: Fermi 2 Plant Communicator: Plant Message Number Calling From: El Control Room El TSC LI EOF LI Other_____ | ||
El Hazards and Other Conditions Affecting Plant Safety El System Malfunction Fermi IC Number: ______Fermi IC Number: | Call Back Telephone Number: _______________ | ||
: 6. E None Recommend the following protective actions: Implement the State of Michigan K! plan. All other areas monitor and prepare.Evacuation of Area(s): El 1 El 2 El 3 El 4 El 5 In-Place Shelter of Area(s): El 1 El 2 El 3 El 4 El 5 Clear Lake Area(s): El 6 El 7 PAR based on Dose Calculations*: | 3. | ||
El YES El NO pARs are beyond 10 Miles*: El YES El NO*TDF pg 2 | [']E Unusual Event El Alert El Current Classification Site Area Emergency El General Emergency El Termination (TDFpg.]1 Required) | ||
From ______to _______Wind Speed (MPH):______ | This classification was declared at: Date: _______ Time:_________ | ||
Stability Class: __ _Precipitation: | : 4. Reason for Classification | ||
El Yes El No Approved:______________ | [] Abnormal Rad Level/Rad Effluents El Fission Product Barrier Degradation Fermi IC Number: _ ____Fermi IC Number:_____ | ||
____________ | El Hazards and Other Conditions Affecting Plant Safety El System Malfunction Fermi IC Number: ______Fermi IC Number: _____ | ||
El Independent Spent Fuel Storage Installation El Cold Shutdown / Refueling System Malfunction Fermi IC Number: ______Fermi IC Number: _____ | |||
_________E Auto-Dial Wayne County _______________________________E Auto-Dial Michigan State Police/SEOC | : 5. Radiological Release in Progress Due to Event El Yes El No | ||
_________ | : 6. Protective Action Recommendations | ||
_____________ | : 6. E None Recommend the following protective actions: Implement the State of Michigan K! plan. All other areas monitor and prepare. | ||
__________E Auto-Dial NRC Operations Center Province of Ontario (Canada) _________ | Evacuation of Area(s): El 1 El 2 El 3 El 4 El 5 In-Place Shelter of Area(s): El 1 El 2 El 3 El 4 El 5 Clear Lake Area(s): El 6 El 7 PAR based on Dose Calculations*: El YES El NO pARs are beyond 10 Miles*: El YES El NO | ||
_____________ | *TDF pg 2 requiredand a conference call with the ORO must be complete within 15 minutes of "notification" by this form. | ||
__________E Auto-Dial A. Nuclear Information | Meteorological Data NOTE: The TPCS "Straight Line Plume Plot" is the preferred source. | ||
_____________________ | Wind Direction (degrees): From ______to _______Wind Speed (MPH):______ | ||
Stability Class: __ _Precipitation: El Yes El No Approved:______________ ____________ __ ____ | |||
Detroit Edison EF2, C/O Info Mgmt 140 NOC, 6400 North Dixie Highway, Newport MI 48166. (734) 586-4338 OR (734) 586-4061 for questions or concerns.Ref: e58683 NUCLEAR PLANT EVENT NOTIFICATION FORM Communicate lines1.-6 verbally. | Signature Print Name Date Time SEOC Functional El Yes El No If Yes, DO NOT call counties. | ||
Plant Message Number Calling From: El Control Room El TSC LI EOF LI Other_____ | Notifications Time Contacted Name Telephone No. or Select Auto-Dial Monroe County ______________________ _________E Auto-Dial Wayne County _______________________________E Auto-Dial Michigan State Police/SEOC _________ _____________ __________E Auto-Dial NRC Operations Center Province of Ontario (Canada) _________ _____________ __________E Auto-Dial S | ||
Call Back Telephone Number: _______________ | A. Nuclear Information a ____________________ _____________________ | ||
DTC: TPEPT DSN: EP-290001 Rev. 9 P1/1 IP: I File: 1703.10 Issued:flL621 File: 0926.09 lIP: I | |||
[']E Unusual Event El Alert El Site Area Emergency El General Emergency El Termination ( | |||
: 4. Reason for Classification | DETROIT EDISON - FERMI 2 AUTOMATED RECORD MANAGEMENT DISTRIBUTION CONTROL LIST 01/26/16 To: 00935 US NRC PAGE 1 DOCUMENT CNTRL DESK WASHINGTON, DC 20555 Media: 8 1/2 X 11 Number Cnt Issue DTC Dcc. Serial Number Page Rev Copies Lvi Date Sec Status TPEPT EP-290001 9 1 ST 01/26/16 AFC Please destroy or mark all revised, superseded, or cancelled documents as such. CONTROLLED stamps must be voided by lining through and initialing. | ||
[] Abnormal Rad Level/Rad Effluents El Fission Product Barrier Degradation Fermi IC Number: _ ____Fermi IC Number:_____ | Detroit Edison EF2, C/O Info Mgmt 140 NOC, 6400 North Dixie Highway, Newport MI 48166. (734) 586-4338 OR (734) 586-4061 for questions or concerns. | ||
El Hazards and Other Conditions Affecting Plant Safety El System Malfunction Fermi IC Number: ______Fermi IC Number: | Ref: e58683 | ||
: 6. E None Recommend the following protective actions: Implement the State of Michigan K! plan. All other areas monitor and prepare.Evacuation of Area(s): El 1 El 2 El 3 El 4 El 5 In-Place Shelter of Area(s): El 1 El 2 El 3 El 4 El 5 Clear Lake Area(s): El 6 El 7 PAR based on Dose Calculations*: | |||
El YES El NO pARs are beyond 10 Miles*: El YES El NO*TDF pg 2 | NUCLEAR PLANT EVENT NOTIFICATION FORM Communicate lines1.-6 verbally. | ||
From ______to _______Wind Speed (MPH):______ | : 1. El Actual Event (Initial Notifications) | ||
Stability Class: __ _Precipitation: | El Drill Plant C~ontact Information P2. | ||
El Yes El No Approved:______________ | Nuclear Power Plant: Fermi 2 Plant Communicator: Plant Message Number Calling From: El Control Room El TSC LI EOF LI Other_____ | ||
____________ | Call Back Telephone Number: _______________ | ||
3. | |||
_________E Auto-Dial Wayne County _______________________________E Auto-Dial Michigan State Police/SEOC | [']E Unusual Event El Alert El Current Classification Site Area Emergency El General Emergency El Termination (TDFpg.]1 Required) | ||
_________ | This classification was declared at: Date: _______ Time:_________ | ||
_____________ | : 4. Reason for Classification | ||
__________E Auto-Dial NRC Operations Center Province of Ontario (Canada) _________ | [] Abnormal Rad Level/Rad Effluents El Fission Product Barrier Degradation Fermi IC Number: _ ____Fermi IC Number:_____ | ||
_____________ | El Hazards and Other Conditions Affecting Plant Safety El System Malfunction Fermi IC Number: ______Fermi IC Number: _____ | ||
__________E Auto-Dial A. Nuclear Information | El Independent Spent Fuel Storage Installation El Cold Shutdown / Refueling System Malfunction Fermi IC Number: ______Fermi IC Number: _____ | ||
_____________________ | : 5. Radiological Release in Progress Due to Event El Yes El No | ||
: 6. Protective Action Recommendations | |||
: 6. E None Recommend the following protective actions: Implement the State of Michigan K! plan. All other areas monitor and prepare. | |||
Evacuation of Area(s): El 1 El 2 El 3 El 4 El 5 In-Place Shelter of Area(s): El 1 El 2 El 3 El 4 El 5 Clear Lake Area(s): El 6 El 7 PAR based on Dose Calculations*: El YES El NO pARs are beyond 10 Miles*: El YES El NO | |||
*TDF pg 2 requiredand a conference call with the ORO must be complete within 15 minutes of "notification" by this form. | |||
Meteorological Data NOTE: The TPCS "Straight Line Plume Plot" is the preferred source. | |||
Wind Direction (degrees): From ______to _______Wind Speed (MPH):______ | |||
Stability Class: __ _Precipitation: El Yes El No Approved:______________ ____________ __ ____ | |||
Signature Print Name Date Time SEOC Functional El Yes El No If Yes, DO NOT call counties. | |||
Notifications Time Contacted Name Telephone No. or Select Auto-Dial Monroe County ______________________ _________E Auto-Dial Wayne County _______________________________E Auto-Dial Michigan State Police/SEOC _________ _____________ __________E Auto-Dial NRC Operations Center Province of Ontario (Canada) _________ _____________ __________E Auto-Dial S | |||
A. Nuclear Information a ____________________ _____________________ | |||
DTC: TPEPT DSN: EP-290001 Rev. 9 P1/1 IP: I File: 1703.10 Issued:flL621 File: 0926.09 lIP: I}} |
Latest revision as of 06:22, 5 February 2020
ML16041A268 | |
Person / Time | |
---|---|
Site: | Fermi ![]() |
Issue date: | 01/26/2016 |
From: | DTE Electric Company |
To: | Document Control Desk, Office of Nuclear Reactor Regulation |
References | |
EP-290001, Rev 9 | |
Download: ML16041A268 (2) | |
Text
DETROIT EDISON - FERMI 2 AUTOMATED RECORD MANAGEMENT DISTRIBUTION CONTROL LIST 01/26/16 To: 00935 US NRC PAGE 1 DOCUMENT CNTRL DESK WASHINGTON, DC 20555 Media: 8 1/2 X 11 Number Cnt Issue DTC Dcc. Serial Number Page Rev Copies Lvi Date Sec Status TPEPT EP-290001 9 1 ST 01/26/16 AFC Please destroy or mark all revised, superseded, or cancelled documents as such. CONTROLLED stamps must be voided by lining through and initialing.
Detroit Edison EF2, C/O Info Mgmt 140 NOC, 6400 North Dixie Highway, Newport MI 48166. (734) 586-4338 OR (734) 586-4061 for questions or concerns.
Ref: e58683
NUCLEAR PLANT EVENT NOTIFICATION FORM Communicate lines1.-6 verbally.
- 1. El Actual Event (Initial Notifications)
El Drill Plant C~ontact Information P2.
Nuclear Power Plant: Fermi 2 Plant Communicator: Plant Message Number Calling From: El Control Room El TSC LI EOF LI Other_____
Call Back Telephone Number: _______________
3.
[']E Unusual Event El Alert El Current Classification Site Area Emergency El General Emergency El Termination (TDFpg.]1 Required)
This classification was declared at: Date: _______ Time:_________
- 4. Reason for Classification
[] Abnormal Rad Level/Rad Effluents El Fission Product Barrier Degradation Fermi IC Number: _ ____Fermi IC Number:_____
El Hazards and Other Conditions Affecting Plant Safety El System Malfunction Fermi IC Number: ______Fermi IC Number: _____
El Independent Spent Fuel Storage Installation El Cold Shutdown / Refueling System Malfunction Fermi IC Number: ______Fermi IC Number: _____
- 5. Radiological Release in Progress Due to Event El Yes El No
- 6. Protective Action Recommendations
- 6. E None Recommend the following protective actions: Implement the State of Michigan K! plan. All other areas monitor and prepare.
Evacuation of Area(s): El 1 El 2 El 3 El 4 El 5 In-Place Shelter of Area(s): El 1 El 2 El 3 El 4 El 5 Clear Lake Area(s): El 6 El 7 PAR based on Dose Calculations*: El YES El NO pARs are beyond 10 Miles*: El YES El NO
- TDF pg 2 requiredand a conference call with the ORO must be complete within 15 minutes of "notification" by this form.
Meteorological Data NOTE: The TPCS "Straight Line Plume Plot" is the preferred source.
Wind Direction (degrees): From ______to _______Wind Speed (MPH):______
Stability Class: __ _Precipitation: El Yes El No Approved:______________ ____________ __ ____
Signature Print Name Date Time SEOC Functional El Yes El No If Yes, DO NOT call counties.
Notifications Time Contacted Name Telephone No. or Select Auto-Dial Monroe County ______________________ _________E Auto-Dial Wayne County _______________________________E Auto-Dial Michigan State Police/SEOC _________ _____________ __________E Auto-Dial NRC Operations Center Province of Ontario (Canada) _________ _____________ __________E Auto-Dial S
A. Nuclear Information a ____________________ _____________________
DTC: TPEPT DSN: EP-290001 Rev. 9 P1/1 IP: I File: 1703.10 Issued:flL621 File: 0926.09 lIP: I
DETROIT EDISON - FERMI 2 AUTOMATED RECORD MANAGEMENT DISTRIBUTION CONTROL LIST 01/26/16 To: 00935 US NRC PAGE 1 DOCUMENT CNTRL DESK WASHINGTON, DC 20555 Media: 8 1/2 X 11 Number Cnt Issue DTC Dcc. Serial Number Page Rev Copies Lvi Date Sec Status TPEPT EP-290001 9 1 ST 01/26/16 AFC Please destroy or mark all revised, superseded, or cancelled documents as such. CONTROLLED stamps must be voided by lining through and initialing.
Detroit Edison EF2, C/O Info Mgmt 140 NOC, 6400 North Dixie Highway, Newport MI 48166. (734) 586-4338 OR (734) 586-4061 for questions or concerns.
Ref: e58683
NUCLEAR PLANT EVENT NOTIFICATION FORM Communicate lines1.-6 verbally.
- 1. El Actual Event (Initial Notifications)
El Drill Plant C~ontact Information P2.
Nuclear Power Plant: Fermi 2 Plant Communicator: Plant Message Number Calling From: El Control Room El TSC LI EOF LI Other_____
Call Back Telephone Number: _______________
3.
[']E Unusual Event El Alert El Current Classification Site Area Emergency El General Emergency El Termination (TDFpg.]1 Required)
This classification was declared at: Date: _______ Time:_________
- 4. Reason for Classification
[] Abnormal Rad Level/Rad Effluents El Fission Product Barrier Degradation Fermi IC Number: _ ____Fermi IC Number:_____
El Hazards and Other Conditions Affecting Plant Safety El System Malfunction Fermi IC Number: ______Fermi IC Number: _____
El Independent Spent Fuel Storage Installation El Cold Shutdown / Refueling System Malfunction Fermi IC Number: ______Fermi IC Number: _____
- 5. Radiological Release in Progress Due to Event El Yes El No
- 6. Protective Action Recommendations
- 6. E None Recommend the following protective actions: Implement the State of Michigan K! plan. All other areas monitor and prepare.
Evacuation of Area(s): El 1 El 2 El 3 El 4 El 5 In-Place Shelter of Area(s): El 1 El 2 El 3 El 4 El 5 Clear Lake Area(s): El 6 El 7 PAR based on Dose Calculations*: El YES El NO pARs are beyond 10 Miles*: El YES El NO
- TDF pg 2 requiredand a conference call with the ORO must be complete within 15 minutes of "notification" by this form.
Meteorological Data NOTE: The TPCS "Straight Line Plume Plot" is the preferred source.
Wind Direction (degrees): From ______to _______Wind Speed (MPH):______
Stability Class: __ _Precipitation: El Yes El No Approved:______________ ____________ __ ____
Signature Print Name Date Time SEOC Functional El Yes El No If Yes, DO NOT call counties.
Notifications Time Contacted Name Telephone No. or Select Auto-Dial Monroe County ______________________ _________E Auto-Dial Wayne County _______________________________E Auto-Dial Michigan State Police/SEOC _________ _____________ __________E Auto-Dial NRC Operations Center Province of Ontario (Canada) _________ _____________ __________E Auto-Dial S
A. Nuclear Information a ____________________ _____________________
DTC: TPEPT DSN: EP-290001 Rev. 9 P1/1 IP: I File: 1703.10 Issued:flL621 File: 0926.09 lIP: I