ML16041A268: Difference between revisions
StriderTol (talk | contribs) (Created page by program invented by StriderTol) |
StriderTol (talk | contribs) (Created page by program invented by StriderTol) |
||
| (4 intermediate revisions by the same user not shown) | |||
| Line 2: | Line 2: | ||
| 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 | {{#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Number Page Rev Copies Lvi Date Sec Status TPEPT EP-290001 9 1 ST 01/26/16 AFC Please destroy or mark all revised, superseded, or cancelled documents as such.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. | 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 | Ref: e58683 | ||
(Initial Notifications) | |||
Plant Message | NUCLEAR PLANT EVENT NOTIFICATION FORM Communicate lines1.-6 verbally. | ||
Call Back Telephone Number: _______________ | : 1. El Actual Event (Initial Notifications) | ||
El Drill Plant C~ontact Information P2. | |||
[']E Unusual Event El Alert El Site Area Emergency El General Emergency El Termination ( | Nuclear Power Plant: Fermi 2 Plant Communicator: Plant Message Number Calling From: El Control Room El TSC LI EOF LI Other_____ | ||
This classification was declared at: Date: _______ Time:_________ | Call Back Telephone Number: _______________ | ||
: 4. Reason for Classification | 3. | ||
[] Abnormal Rad Level/Rad Effluents El Fission Product Barrier Degradation Fermi IC Number: _ ____Fermi IC Number:_____ | [']E Unusual Event El Alert El Current Classification Site Area Emergency El General Emergency El Termination (TDFpg.]1 Required) | ||
El Hazards and Other Conditions Affecting Plant Safety El System Malfunction Fermi IC Number: ______Fermi IC Number: | This classification was declared at: Date: _______ Time:_________ | ||
/ Refueling System Malfunction Fermi IC Number: ______Fermi IC Number: | : 4. Reason for Classification | ||
: 6. E | [] Abnormal Rad Level/Rad Effluents El Fission Product Barrier Degradation Fermi IC Number: _ ____Fermi IC Number:_____ | ||
Implement the State of Michigan K! plan. All other areas monitor and prepare.Evacuation of Area(s): | El Hazards and Other Conditions Affecting Plant Safety El System Malfunction Fermi IC Number: ______Fermi IC Number: _____ | ||
El 1 El 2 El 3 El 4 El | El Independent Spent Fuel Storage Installation El Cold Shutdown / Refueling System Malfunction Fermi IC Number: ______Fermi IC Number: _____ | ||
El 1 El 2 El 3 El 4 El | : 5. Radiological Release in Progress Due to Event El Yes El No | ||
El 6 El | : 6. Protective Action Recommendations | ||
El YES El | : 6. E None Recommend the following protective actions: Implement the State of Michigan K! plan. All other areas monitor and prepare. | ||
From ______to | 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 | ||
_______Wind Speed (MPH):______ | *TDF pg 2 requiredand a conference call with the ORO must be complete within 15 minutes of "notification" by this form. | ||
Stability Class: __ _Precipitation: | Meteorological Data NOTE: The TPCS "Straight Line Plume Plot" is the preferred source. | ||
El Yes El | 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 ______________________ | 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 | ||
_________E Auto-Dial Wayne County _______________________________E Auto-Dial Michigan State Police/SEOC | 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 Auto-Dial NRC Operations | 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 | ||
__________E Auto-Dial A. Nuclear Information | |||
_____________________ | NUCLEAR PLANT EVENT NOTIFICATION FORM Communicate lines1.-6 verbally. | ||
: 1. El Actual Event (Initial Notifications) | |||
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 Drill Plant C~ontact Information P2. | ||
Ref: e58683 NUCLEAR PLANT EVENT NOTIFICATION | Nuclear Power Plant: Fermi 2 Plant Communicator: Plant Message Number Calling From: El Control Room El TSC LI EOF LI Other_____ | ||
(Initial Notifications) | Call Back Telephone Number: _______________ | ||
Plant Message | 3. | ||
Call Back Telephone Number: _______________ | [']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:_________ | |||
[']E Unusual Event El Alert El Site Area Emergency El General Emergency El Termination ( | : 4. Reason for Classification | ||
This classification was declared at: Date: _______ Time:_________ | [] Abnormal Rad Level/Rad Effluents El Fission Product Barrier Degradation Fermi IC Number: _ ____Fermi IC Number:_____ | ||
: 4. Reason for Classification | El Hazards and Other Conditions Affecting Plant Safety El System Malfunction Fermi IC Number: ______Fermi IC Number: _____ | ||
[] Abnormal Rad Level/Rad Effluents El Fission Product Barrier Degradation Fermi IC Number: _ ____Fermi IC Number:_____ | El Independent Spent Fuel Storage Installation El Cold Shutdown / Refueling System Malfunction Fermi IC Number: ______Fermi IC Number: _____ | ||
El Hazards and Other Conditions Affecting Plant Safety El System Malfunction Fermi IC Number: ______Fermi IC Number: | : 5. Radiological Release in Progress Due to Event El Yes El No | ||
/ Refueling System Malfunction Fermi IC Number: ______Fermi IC Number: | : 6. Protective Action Recommendations | ||
: 6. E | : 6. E None Recommend the following protective actions: Implement the State of Michigan K! plan. All other areas monitor and prepare. | ||
Implement the State of Michigan K! plan. All other areas monitor and prepare.Evacuation of Area(s): | 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 | ||
El 1 El 2 El 3 El 4 El | *TDF pg 2 requiredand a conference call with the ORO must be complete within 15 minutes of "notification" by this form. | ||
El 1 El 2 El 3 El 4 El | Meteorological Data NOTE: The TPCS "Straight Line Plume Plot" is the preferred source. | ||
El 6 El | Wind Direction (degrees): From ______to _______Wind Speed (MPH):______ | ||
El YES El | Stability Class: __ _Precipitation: El Yes El No Approved:______________ ____________ __ ____ | ||
From ______to | Signature Print Name Date Time SEOC Functional El Yes El No If Yes, DO NOT call counties. | ||
_______Wind Speed (MPH):______ | 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 | ||
Stability Class: __ _Precipitation: | A. Nuclear Information a ____________________ _____________________ | ||
El Yes El | DTC: TPEPT DSN: EP-290001 Rev. 9 P1/1 IP: I File: 1703.10 Issued:flL621 File: 0926.09 lIP: I}} | ||
____________ | |||
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 | |||
_________ | |||
_____________ | |||
__________E Auto-Dial A. Nuclear Information | |||
_____________________ | |||
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