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{{#Wiki_filter:Engineering Report No. PNPS-CS-12-00001, Rev. 0Attachment IPage I1 of 19Attachment ISeismic Walkdown Engineer Training Certificates W'NS Sc~smic~af=ral ICertificate ofCompletion David SmallTraining on Near TermTask ForceICECRecommendation 2.3-Plant Seismic Walkdowns Ju lI I19. 2012Robert K. Kassawara EPRI Manager,ti~uctutal Reliability
& Integrity CCDC-CCD30 PNPS Pc~ec ev'tcu *Te_(xmv Lzi-,1=122I1--Certificate ofCompletion Jeffrey KalbTraining on NearTerm Task ForceRecommendation 2.3-Plant Seismic Walkdowns CDGDCCCc0CdC-0:CDI LIl IN 9. 20 1 2DateRobert K. Kassawara EPRI Manager.Struclural Reliatility
& Irntegfty CDCA)0 Le. i fNP. 3J ENERCONExcet/ence--Every project.
Every day.Certificate of Completion is hereby granted toLaura Maclayfor successful completion of mTRAINING ON NEAR TERM TASK FORCE :RECOMMENDATION 2.3CDPLANT SEISMIC WALKDOWNS 0Awarded:
7/26/2012 in Mt. Arlington, NJ o"1zC,,"13°6C,,Kenneth WhitmoreCertified Seismic Walkdown Engineer 1 _U o°Alexandria, VA -6/20/2012 cc aCD 0 T&? mbr fo:r NPSENERCONExcellence-Every project.
Every dayCertificate of Completion is hereby granted toGary Swederfor successful completion of mTRAINING ON NEAR TERM TASK FORCE CCD"aRECOMMENDATION 2.3PLANT SEISMIC WALKDOWNS 0Awarded:
9/13/2012 in Mt Arlington NJ 0-0zAlex SmerchCertified Seismic Walkdown Engineer Certified Seismic Walkdown Engineer a oPalo Alto, CA -6/13/2012 Palo Alto, CA -6/13/2012 CD oSo=CnD CD Evee~zv, WutAo.Ak "AE N E R C 0 NExceilence--Evety project.
Every dayCertificate of Completion is hereby granted toHalie Arozfor successful completion ofTRAINING ON NEAR TERM TASK FORCERECOMMENDATION 2.3PLANT SEISMIC WALKDOWNS Awarded:
9/13/2012 in Mt. Arlington, NJmCDCD(D'D0zz-UC',CD0(0 CDCh = 53'-0/ Kevi,;,(Bessell Cer tified Seismic Walkdown EngineerPalo Alto, CA -6/13/2012 Alex SmerchCertified Seismic Walkdown EngineerPalo Alto, CA -6/13/2012
~iF ~ -~~*Not jkclc+yjPI~ia r--a iaq iLiCertificate of Completion Kenneth WhitmoreTraining on Near Term Task ForceRecommendation 2.3-Plant Seismic Walkdowns
~it'11II~CD(D(00z0zC-)0a) 0-0June 21, 2012DateRobert K. KasmwaruEPRI Manager,stru.UMtda ReSa~bdk
& kft*~(070 Ene~vTý'rWV)P-C (r(. CAIeA1 OR IuNot irc t-vaiwd1v4 Iiv-, PMP~s UiJ k2&-,v1Certificate ofCompletion Kevin BessellTraining on Near Term Task ForceRecommendation 2.3Plant Seismic Walkdowns JuLIC 13, 2012OateRobert K. Kassawara EPRI Manager,Stfuctural Reliabihty
& Integrity 0-4,0Ier~ E-1 ELECTRIC POWERar aI~ 'RESEARCH INSTITUTE Certificate of Completion Alex SmerchTraining on Near Term Task ForceRecommendation 2.3-Plant Seismic Walkdowns Q) CD0.M<C (D0.<CD)June 13, 2012DateRobedt K. Kessawara EPRI Maager.stuctuiu Reriabdity
& integlity CD o0 CDMC2.CDCDccCD'a0zz000 Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J1 of J134Attachment JForm 9.6: Deferred Seismic Walkdown Checklists (SWCs)SWCs Added:SWELl-001, SWELl-002, SWELl-003, SWELl-004, SWELl-023, SWELl-034, SWELl-083, SWELl-084, SWELl-095, SWELl-096, SWELl-097, SWELl-098, SWELl -099, SWELl-100 SWEL2-003, SWEL2-004, SWEL2-005, SWEL2-006, SWEL2-007, SWEL2-008, SWEL2-009, SWEL2-01 0, SWEL2-01 1, SWEL2-012, SWEL2-013, SWEL2-014, SWEL2-015, SWEL2-016 Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J2 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet I of 4Status: YZ NF-] U--1Seismic Walkdown Checklist (SWC) SWELl- 001Equipment ID No. A0203-2A Equip. Class, Pneumatic-Operated Valves (07)Equipment Description Steamline A Isolation ValveLocation:
Bldg. RB Floor El. 23 Room, Area STM TNLManufacturer, 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 theSWEL. The space below each of the following questions may be used to record the results of judgments andfindings.
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 oneof the 50% of SWEL items requiring such verification)?
Y[-] NE2. Is the anchorage free of bent, broken, missing or loose hardware?
: 3. Is the anchorage free of corrosion that is more than mild surfaceoxidation?
: 4. Is the anchorage free of visible cracks in the concrete near theanchors?YD] NEIl UEl NIAZYLI NEIl UEI N/AZYLI N[:] U[:] NIAZ' Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J3 of J 134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 2 of 4Status: YZ NF] U-Seismic Walkdown Checklist (SWC) SWELl- 001Equipment ID No. A0203-2A Equip. Class Pneumatic-Operated Valves (07)Equipment Description Steamline A Isolation Valve5. Is the anchorage configuration consistent with plant documentation?
Y[-I NiJ U[i N/AE(Note: This question only applies if the item is one of the 50% for whichan anchorage configuration verification is required.)
: 6. Based on the above anchorage evaluations, is the anchorage free of YM NE-] U[-]potentially adverse seismic conditions?
Interaction Effects7. 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 freeof potentially adverse seismic interaction effects?Y[ NE] U-1 N/A[]YZ N] urE] N/Ar]YE NEI UE- N/A[-]Y[ N[:] UE Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J4 of J 134Ar-ACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 3 of 4Status: YN! NI-- UF-Seismic Walkdown Checklist (SWC) SWELl- 001Equipment ID No. A0203-2A Equip. Class Pneumatic-Operated Valves (07)Equipment Description Steamline A Isolation ValveOther Adverse Conditions
: 11. Have you looked for and found no other seismic conditions that could Y[ N[- UF-Ladversely affect the safety functions of the equipment?
Comments (Additional pages may be added as necessary)
Scaffolding around valve for maintenance during RFO 19, appropriately tagged, ref scaffolding log#13-129.
Will be removed per WO 304506-15, scheduled for 5/2/13 per Asset Suite.No equipment label found on valve. Verified correct equipment based on drawing M33, A0203-2A isEast-most MSIV in Steam Tunnel.Area walk-by is AWC-035.Evaluated by: 11--XaA3S.Al( ~ 1LA'Date: U/1. i/LZL..;sI~ffF tkri alWj, Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J5 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 4 of 4Status: Y[J Nr-1 UL]Seismic Walkdown Checklist (SWC) SWELl- 001Equipment ID No. A0203-2A Equip. Class Pneumatic-Operated Valves (07)Equipment Description Steamline A Isolation ValvePhotographs Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J6 of J 134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet I of 4Status: YZ NFi]- UF1Seismic Walkdown Checklist (SWC) SWELl- 002Equipment ID No. RV9085E Equip. Class, Pneumatic-Operated Valves (07)Equipment Description Stmline A Accum T220E ReliefLocation:
Bldg. RB Floor El. 23 Room, Area STM TNLManufacturer, 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 theSWEL. The space below each of the following questions may be used to record the results of judgments andfindings.
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 YEI NZof 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 surfaceoxidation?
: 4. Is the anchorage free of visible cracks in the concrete near theanchors?Y[ll Nil] U[l] N/ANY[I- NE- U[-] N/AEYE[1 NEll U-] N/AN' Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J7 of J134Ar-ACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 2 of 4Status: YE NFI- UI-ISeismic Walkdown Checklist (SWC) SWELl- 002Equipment ID No. RV9085E Equip. Class Pneumatic-Operated Valves(07)
Equipment Description Stmline A Accum T220E Relief5. Is the anchorage configuration consistent with plant documentation?
Y-] Nil U-I N/A[(Note: This question only applies if the item is one of the 50% for whichan anchorage configuration verification is required.)
: 6. Based on the above anchorage evaluations, is the anchorage free of YN NE] UI-potentially adverse seismic conditions?
Interaction Effects7. 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 freeof potentially adverse seismic interaction effects?Y[J NE] UE] N/AE]YZ NE-] U] N/AE]YE] NE] U[r] N/A[Y[ NEI u-]
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J8 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 3 of 4Status: YE N--I U-IISeismic Walkdown Checklist (SWC) SWELl- 002Equipment ID No. RV9085E Equip. Class Pneumatic-Operated Valves (07)Equipment Description Stmline A Accum T220E ReliefOther Adverse Conditions
: 11. Have you looked for and found no other seismic conditions that could YN NEil UI-]adversely affect the safety functions of the equipment?
Comments
.(Additional pages may be added as necessary)
Area walk-by is A WC-035Evaluated by: Ul)vt,; , N<1 I- I IDate: I-. ~1 --TXI C, 1. A&#xfd;tjjj t3-7 IF V5 KA LB Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J9 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 4 of 4Status: YE N-- U[--Seismic Walkdown Checklist (SWC) SWELl- 002Equipment ID No. RV9085E Equip. Class Pneumatic-Operated Valves (07)Equipment Description Stmline A Accum T220E ReliefPhotographs Engineering Report No. PNPS-CS-12-OOOO1, Rev. 1Attachment JPage J10 of J134ATTACHMENT 9.6SEISMIC WALKDOWN CHECKLIST FORMSheet 1 of 5Status: Y[ Nr-] Ur-]Seismic Walkdown Checklist (SWC) SWELl- 003Equipment ID No. SV-203-2A-2 Equip. Class, Motor-Operated
& Solenoid-Operated Valves (08)Equipment Description AC Solenoid Stmline A Isol VlvLocation:
Bldg. RB Floor El. 23 RManufacturer, Model, Etc. (optional but recommended) oom, Area STM TNLInstructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on theSWEL The space below each of the following questions may be used to record the results of judgments andfindings.
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 oneof the 50% of SWEL items requiring such verification)?
YLI NZ2. Is the anchorage free of bent, broken, missing or loose hardware?
: 3. Is the anchorage free of corrosion that is more than mild surfaceoxidation?
: 4. Is the anchorage free of visible cracks in the concrete near theanchors?YLI NEI Ui- N/AZYE-I NEIr U-] N/AZYEIl NEI Ul N/AZ' Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-OOOO1, Rev. 1Attachment JPage J1i1 of J134ATTACHMENT 9.6SEISMIC WALKDOWN CHECKLIST FORMSheet 2 of 5Status: YZ N-- U-Seismic Walkdown Checklist (SWC) SWELl- 003Equipment ID No. SV-203-2A-2 Equip. Class Motor-Operated
& Solenoid-Operated Valves (08)Equipment Description AC Solenoid Stmline A Isol Vlv5. Is the anchorage configuration consistent with plant documentation?
Yr-- Nr- U[-I N/A[(Note: This question only applies if the item is one of the 50% for whichan anchorage configuration verification is required.)
: 6. Based on the above anchorage evaluations, is the anchorage free of YN NEI U-potentially adverse seismic conditions?
Interaction Effects7. 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 freeof potentially adverse seismic interaction effects?YN ND Ur- N/ADYZ NDI U[-D N/ADYS NO ur N/ADYN ND-1UD Engineering Report No. PNPS-CS-12-OOOO1, Rev. 1Attachment JPage J12 of J134ATTACHMENT 9.6SEISMIC WALKDOWN CHECKLIST FORMSheet 3 of 5Status: YE NnI UL-Seismic Walkdown Checklist (SWC) SWELl- 003Equipment ID No. SV-203-2A-2 Equip. Class Motor-Operated
& Solenoid-Operated Valves (08)Equipment Description AC Solenoid Stmline A Isol VlvOther Adverse Conditions
: 11. Have you looked for and found no other seismic conditions that couldadversely affect the safety functions of the equipment?
YN NO ULComments (Additional pages may be added as necessary)
Area walk-by is A WC-035Evaluated by: DpvJ,x, Q~IDate:batrr' +fIq/j3'Trrr VM ~PAPU-Ir Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J13 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 4 of 5Status: YZ NF] UrIISeismic Walkdown Checklist (SWC) SWELl- 003Equipment ID No. SV-203-2A-2 Equip. Class Motor-Operated
& Solenoid-Operated Valves (08)Equipment Description AC Solenoid Stmline A Isol VlvPhotographs Note:Note:
Engineering Report No. PNPS-CS-12-O0001, Rev. 1Attachment JPage J14 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 5 of 5Status: YM N[--I URISeismic Walkdown Checklist (SWC) SWELl- 003Equipment ID No. SV-203-2A-2 Equip. Class Motor-Operated
& Solenoid-Operated Valves (08)Equipment Description AC Solenoid Stmline A Isol Vlv Engineering Report No. PNPS-CS-12-OOOO1, Rev. 1Attachment JPage J15 of J134ATTACHMENT 9.6SEISMIC WALKDOWN CHECKLIST FORMSheet I of 5Status: YE ND ULISeismic Walkdown Checklist (SWC) SWELl- 004Equipment ID No. SV-203-2A-1 Equip. Class' Motor-Operated
& Solenoid-Operated Valves (08)Equipment Description DC Solenoid Stm/ine A Isol VlvLocation:
Bldg. RB Floor El. 23 RManufacturer, Model, Etc. (optional but recommended) oom, Area STM TNLInstructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on theSWEL. The space below each of the following questions may be used to record the results of judgments andfindings.
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 oneof the 50% of SWEL items requiring such verification)?
Y-J NE2. Is the anchorage free of bent, broken, missing or loose hardware?
: 3. Is the anchorage free of corrosion that is more than mild surfaceoxidation?
: 4. Is the anchorage free of visible cracks in the concrete near theanchors?YE] N[] U[:] N/A[YE] NEI ui-] N/AZY[-] NO-] ur-] N/AZI Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-OOOO1, Rev. 1Attachment JPage J16 of J134ATTACHMENT 9.6SEISMIC WALKDOWN CHECKLIST FORMSheet 2 of 5Status: YE NnI- U-ISeismic Walkdown Checklist (SWC) SWELl- 004Equipment ID No. SV-203-2A-1
-Equip. Class Motor-Operated
& Solenoid-Operated Valves (08)Equipment Description DC Solenoid Stmline A Isol Vlv5. Is the anchorage configuration consistent with plant documentation?
YEI NE] UI- N/AE(Note: This question only applies if the item is one of the 50% for whichan anchorage configuration verification is required.)
: 6. Based on the above anchorage evaluations, is the anchorage free of YN NEI UI-potentially adverse seismic conditions?
Interaction Effects7. 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 freeof potentially adverse seismic interaction effects?YE NI] UE] N/A[-]YE NEi U-] N/AE]Y[J NEI UF] N/AE]YM N] U-]
Engineering Report No. PNPS-CS-12-OOOO1, Rev. 1Attachment JPage J1 7 of J1 34ATTACHMENT 9.6SEISMIC WALKDOWN CHECKLIST FORMSheet 3 of 5Status: YZ NF-] UL-Seismic Walkdown Checklist (SWC) SWELl- 004Equipment ID No. SV-203-2A-1 Equip. Class Motor-Operated
& Solenoid-Operated Valves (08)Equipment Description DC Solenoid Stmline A Isol VlvOther Adverse Conditions
: 11. Have you looked for and found no other seismic conditions that could YE NEil U[iadversely affect the safety functions of the equipment?
Comments (Additional pages may be added as necessary)
Area walk-by is A WC-035EvaluMed bry, U-,&#xfd; -st-AEvalualedbV Date;Dato; IfI191il-f-&#xfd;t-f f- QS qq kU7D Im 4'r 4/)q ) o Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J18 of J134ATTACHMENT 9.6SEISMIC WALKDOWN CHECKLIST FORMSheet 4 of 5Status: YE ND] UD]Seismic Walkdown Checklist (SWC) SWELl- 004Equipment ID No. SV-203-2A-1 Equip. Class Motor-Operated
& Solenoid-Operated Valves (08)Equipment Description DC Solenoid Stmline A Isol VlvPhotographs Note:Note:
Engineering Report No. PNPS-CS-12-OOOQ1, Rev. 1Attachment JPage J19 of J134ATTACHMENT 9.6SEISMIC WALKDOWN CHECKLIST FORMSheet 5 of 5Status: YE NF U--Seismic Walkdown Checklist (SWC) SWELl- 004Equipment ID No. SV-203-2A-1 Equip. Class Motor-Operated
& Solenoid-Operated Valves (08)Equipment Description DC Solenoid Stmline A Isol VlvNote:Note:
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J20 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 1 of 5Status: YE NF- UF--Seismic Walkdown Checklist (SWC) SWELl- 023Equipment ID No. M01201-2 Equip. Class, Motor-Operated
& Solenoid-Operated Valves (08)Equipment Description RWCU Suction Line Isolation Location:
Bldg. RB Floor El. 41' Room, Area DWManufacturer, 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 theSWEL. The space below each of the following questions may be used to record the results of judgments andfindings.
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 oneof the 50% of SWEL items requiring such verification)?
YE]- NE2. Is the anchorage free of bent, broken, missing or loose hardware?
: 3. Is the anchorage free of corrosion that is more than mild surfaceoxidation?
: 4. Is the anchorage free of visible cracks in the concrete near theanchors?YE] NEr] U-- N/AEY[-] NE] u[-] N/A[Y[-] N[:] U- N/A[I Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-OOOO1, Rev. 1Attachment JPage J21 ofJl134ATTACHMENT 9.6SEISMIC WALKDOWN CHECKLIST FORMSheet 2 of 5Status: YE NFI- UI-Seismic Walkdown Checklist (SWC) SWELl- 023Equipment ID No. M01201-2 Equip. Class Motor-Operated
& Solenoid-Operated Valves (08)Equipment Description RWCU Suction Line Isolation
: 5. Is the anchorage configuration consistent with plant documentation?
YII N[I U[I N/AE(Note: This question only applies if the item is one of the 50% for whichan anchorage configuration verification is required.)
: 6. Based on the above anchorage evaluations, is the anchorage free of YE NEIl U[-potentially adverse seismic conditions?
Interaction Effects7. Are soft targets free from impact by nearby equipment or structures?
Valve! actuator assembly is very robust8. Are overhead equipment, distribution
: systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?
Relatively few items in overhead at this location9. Do attached lines have adequate flexibility to avoid damage?90 degree bend in conduit provides good flexibility
: 10. Based on the above seismic interaction evaluations, is equipment freeof potentially adverse seismic interaction effects?Lead shielding hanging adjacent to valve is well supported by Recirc.Riser. This lead is removed during the operating cycle.YZI NIZ Ur1 N/AZYZ NEIr u-I N/AL]YZ N[-I U[-] N/Ar-YZ NF- U-Engineering Report No. PNPS-CS-12-OOOO1, Rev. 1Attachment JPage J22 of J 134ATTACHMENT 9.6SEISMIC WALKDOWN CHECKLIST FORMSheet 3 of 5Status: YZ NEI ULiISeismic Walkdown Checklist (SWC) SWELl- 023Equipment ID No. M01201-2 Equip. Class Motor-Operated
& Solenoid-Operated Valves (08)Equipment Description RWCU Suction Line Isolation Other Adverse Conditions
: 11. Have you looked for and found no other seismic conditions that could YI NF UrLadversely affect the safety functions of the equipment?
Comments (Additional pages may be added as necessary)
Body of valve covered by lead shielding at time of inspection.
Area walk-by is AWC-037Evaloaled by- I&a y ASW,&ILAL~i1Date: Lt1-3/-&r~r vlka _ 4 V-f~rE,- 4/Z3113 Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J23 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 4 of 5Status: YE N-I UrISeismic Walkdown Checklist (SWC) SWELl- 023Equipment ID No. M01201-2 Equip. Class Motor-Operated
& Solenoid-Operated Valves (08)Equipment Description RWCU Suction Line Isolation Photographs Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J24 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 5 of 5Status: YE NI I UIISeismic Walkdown Checklist (SWC) SWELl- 023Equipment ID No. M01201-2 Equip. Class Motor-Operated
& Solenoid-Operated Valves (08)Equipment Description RWCU Suction Line Isolation Note:Note:
Engineering Report No. PNPS-CS-12-OOOO1, Rev. 1Attachment JPage J25 of J 134ATTACHMENT 9.6SEISMIC WALKDOWN CHECKLIST FORMSheet I of 5Status: YN NFI- UI-Seismic Walkdown Checklist (SWC) SWELl- 034Equipment ID No. M01301-16 Equip. Class, Motor-Operated
& Solenoid-Operated Valves (08)Equipment Description RCIC Stream Line Isolation V/vLocation:
Bldg. RB Floor El. 41 RManufacturer, Model, Etc. (optional but recommended) oom, Area DWInstructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on theSWEL The space below each of the following questions may be used to record the results of judgments andfindings.
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 oneof the 50% of SWEL items requiring such verification)?
YnI NO2. Is the anchorage free of bent, broken, missing or loose hardware?
: 3. Is the anchorage free of corrosion that is more than mild surfaceoxidation?
: 4. Is the anchorage free of visible cracks in the concrete near theanchors?YEr- N[] U[] N/AZYO- N[] u-] N/ASYI-] NE] U-] N/A[I Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-OQOO1, Rev. 1Attachment JPage J26 of J 134ATTACHMENT 9.6SEISMIC WALKDOWN CHECKLIST FORMSheet 2 of 5Status: YM NnI- U-ISeismic Walkdown Checklist (SWC) SWELl- 034Equipment ID No. M01301-16 Equip. Class Motor-Operated
& Solenoid-Operated Valves (08)Equipment Description RCIC Stream Line Isolation Vlv5. Is the anchorage configuration consistent with plant documentation?
YrI Nil u[-I N/A(Note: This question only applies if the item is one of the 50% for whichan anchorage configuration verification is required.)
: 6. Based on the above anchorage evaluations, is the anchorage free of Y[ NI- UL--potentially adverse seismic conditions?
Interaction Effects7. Are soft targets free from impact by nearby equipment or structures?
Nothing threatening the I" flex conduits, acceptable
: 8. Are overhead equipment, distribution
: systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?
Lights well supported by rigid conduit9. Do attached lines have adequate flexibility to avoid damage?1" flex conduits have adequate bend/ loop10. Based on the above seismic interaction evaluations, is equipment freeof potentially adverse seismic interaction effects?YN Nil U[- N/A[-]Y[ N-I U-] N/Al-]Y[ N[]l UJl N/A--]YN NEI U-I Engineering Report No. PNPS-CS-12-OOOO1, Rev. IAttachment JPage J27 of J 134ATTACHMENT 9.6SEISMIC WALKDOWN CHECKLIST FORMSheet 3 of 5Status: YE Nn U--Seismic Walkdown Checklist (SWC) SWELl- 034Equipment ID No. M01301-16 Equip. Class Motor-Operated
& Solenoid-Operated Valves (08)Equipment Description RCIC Stream Line Isolation VlvOther Adverse Conditions
: 11. Have you looked for and found no other seismic conditions that couldadversely affect the safety functions of the equipment?
YN NE] UL1Comments
.(Additional pages may be added as necessary)
Area walk-by is AWC-037~')_'LJLEvaluated by: q." hDate:0()A1>_.,-___.__a 1~ I ~ 1 Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J28 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 4 of 5Status: YE NFIl U[]Seismic Walkdown Checklist (SWC) SWELl- 034Equipment ID No. M01301-16 Equip. Class Motor-Operated
& Solenoid-Operated Valves (08)Equipment Description RCIC Stream Line Isolation VlvPhotographs Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J29 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 5 of 5Status: YZ NFI Ur-]Seismic Walkdown Checklist (SWC) SWELl- 034Equipment ID No. M01301-16 Equip,. Class Motor-Operated
& Solenoid-Operated Valves (08)Equipment Description RCIC Stream Line Isolation VlvNote: Note:
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J30 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 1 of 4Status: YE NR U--Seismic Walkdown Checklist (SWC) SWEL2- 003Equipment ID No. 19-HO-159 Equip. Classi Other (0)Equipment Description Spent Fuel Pool and cavity drainsLocation:
Bldg. RB Floor El. 74' Room, Area SFPHxManufacturer, 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 theSWEL. The space below each of the following questions may be used to record the results of judgments andfindings.
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 oneof the 50% of SWEL items requiring such verification)?
YE-I NO2. Is the anchorage free of bent, broken, missing or loose hardware?
: 3. Is the anchorage free of corrosion that is more than mild surfaceoxidation?
: 4. Is the anchorage free of visible cracks in the concrete near theanchors?YE- NDJ U[-] N/AOY[-- NiD ULi N/A[Yr-] NE] U[- WAN/II Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J31 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 2 of 4Status: YE NE] UE]Seismic Walkdown Checklist (SWC) SWEL2- 003Equipment ID No. 19-HO-159 Equip. Class2 Other (0)Equipment Description Spent Fuel Pool and cavity drains5. Is the anchorage configuration consistent with plant documentation?
YOI NO- ur-- N/A[E(Note: This question only applies if the item is one of the 50% for whichan anchorage configuration verification is required.)
: 6. Based on the above anchorage evaluations, is the anchorage free of YE N-] UF-potentially adverse seismic conditions?
Interaction Effects7. 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 freeof potentially adverse seismic interaction effects?Y[E] NEI UE] N/A[YN NE] UE] N/AE]YE-] NE] UE] N/A[YN NE] U--2 Enter the equipment class name from Appendix 13: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J32 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 3 of 4Status: Y[ NI-- UI-Seismic Walkdown Checklist (SWC) SWEL2- 003Equipment ID No. 19-HO-159 Equip. Class3 Other (0)Equipment Description Spent Fuel Pool and cavity drainsOther Adverse Conditions
: 11. Have you looked for and found no other seismic conditions that could Y[ N[:] U[i]adversely affect the safety functions of the equipment?
Comments (Additional pages may be added as necessary)
Area walk-by is A WC-034/0"--j 14Evaluated bV:Date: 7h 3I~Wr~4127 j 3LI,. (, k#3 Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J33 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 4 of 4Status: YE NF-] UL-ISeismic Walkdown Checklist (SWC) SWEL2- 003Equipment ID No. 19-HO-159 Equip. Class4 Other (0)Equipment Description Spent Fuel Pool and cavity drainsPhotographs 4 Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J34 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 1 of 4Status: YZ NEI U-ISeismic Walkdown Checklist (SWC) SWEL2- 004Equipment ID No. 19-HO-160 Equip. Class, Other(O)Equipment Description Spent Fuel Pool and cavity drainsLocation:
Bldg. RB Floor El. 74' Room, Area SFPHxManufacturer, 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 theSWEL. The space below each of the following questions may be used to record the results of judgments andfindings.
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 oneof the 50% of SWEL items requiring such verification)?
Y[I NE2. Is the anchorage free of bent, broken, missing or loose hardware?
: 3. Is the anchorage free of corrosion that is more than mild surfaceoxidation?
: 4. Is the anchorage free of visible cracks in the concrete near theanchors?Y[-- NEI- ur] N/AZY[-] NI-] U[ N/A[Y[-I NE]I ULI N/AZI Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J35 of J 134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 2 of 4Status: YZ NFI U[]Seismic Walkdown Checklist (SWC) SWEL2- 004Equipment ID No. 19-HO-160 Equip. Class2 Other (0)Equipment Description Spent Fuel Pool and cavity drains5. Is the anchorage configuration consistent with plant documentation?
YEI NEI UrL N/AO(Note: This question only applies if the item is one of the 50% for whichan anchorage configuration verification is required.)
: 6. Based on the above anchorage evaluations, is the anchorage free of YZ NEi Ur-potentially adverse seismic conditions?
Interaction Effects7. 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 freeof potentially adverse seismic interaction effects?YEI N-- U[-] N/A[YO NE] UE] N/A--YE] NE] UE] N/A[Y[ NEI UF]2 Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J36 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 3 of 4Status: Y[ NEI Ur-Seismic Walkdown Checklist (SWC) SWEL2- 004Equipment ID No. 19-HO-160 Equip. Class3 Other(0)Equipment Description Spent Fuel Pool and cavity drainsOther Adverse Conditions
: 11. Have you looked for and found no other seismic conditions that could YN NE] UE-adversely affect the safety functions of the equipment?
Comments (Additional pages may be added as necessary)
Radiation shielding on line below is well secured to piping, therefore acceptable.
Area walk-by is AWC-034Evaluated by,,L'UfQJJA4AJZ69P--Date: 1/27 -Dfre, /71~/ I3 Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J37 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 4 of 4Status: YE N-- Uf--iSeismic Walkdown Checklist (SWC) SWEL2- 004Equipment ID No. 19-HO-160 Equip. Classw Other (0)Equipment Description Spent Fuel Pool and cavity drainsPhotographs 4 Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J38 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet I of 4Status: YE NI-- U[-IISeismic Walkdown Checklist (SWC) SWEL2- 005-Equipment ID No. 19-HO-161 Equip. Class, Other(0)Equipment Description Spent Fuel Pool and cavity drainsLocation:
Bldg. RB Floor El. 74' Room, Area SFPHxManufacturer, 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 theSWEL. The space below each of the following questions may be used to record the results of judgments andfindings.
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 oneof the 50% of SWEL items requiring such verification)?
Y[:] NEI2. Is the anchorage free of bent, broken, missing or loose hardware?
: 3. Is the anchorage free of corrosion that is more than mild surfaceoxidation?
: 4. Is the anchorage free of visible cracks in the concrete near theanchors?Y[-] N[:] Ur] N/AZY[-] N[] ul-] N/AZYEI NEil U[-- N/AZI Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J39 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 2 of 4Status: YIZ NFI U-ISeismic Walkdown Checklist (SWC) SWEL2- 005Equipment ID No. 19-HO-161 Equip. Class2 Other (0)Equipment Description Spent Fuel Pool and cavity drains5. Is the anchorage configuration consistent with plant documentation?
YrI NDI U-- N/A[(Note: This question only applies if the item is one of the 50% for whichan anchorage configuration verification is required.)
: 6. Based on the above anchorage evaluations, is the anchorage free of YZ N[-] U--]potentially adverse seismic conditions?
Interaction Effects7. 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 freeof potentially adverse seismic interaction effects?Y[-D N[-- U[-] N/AEY9 N[-D ur-D N/AD-IY[-] ND] U[] NWASYN ND] u-2 Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J40 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 3 of 4Status: YE Nn UI-Seismic Walkdown Checklist (SWC) SWEL2- 005Equipment ID No. 19-HO-161 Equip. Class3 Other (0)Equipment Description Spent Fuel Pool and cavity drainsOther Adverse Conditions
: 11. Have you looked for and found no other seismic conditions that could YM NiD URiadversely affect the safety functions of the equipment?
Comments
.(Additional pages may be added as necessary)
Area Walk-by is AWC-0340--) I-VEvaluated by.rz * ... ._-WDate. ;-z/m3 Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J41 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 4 of 4Status: YZ NF] Ur--Seismic Walkdown Checklist (SWC) SWEL2- 005Equipment ID No. 19-HO-161 Equip. Class4 Other (0)Equipment Description Spent Fuel Pool and cavity drainsPhotographs Note:Note:4 Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J42 of J 134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 1 of 5Status: Y[ Nr-I U-ISeismic Walkdown Checklist (SWC) SWEL2- 006Equipment ID No. 19-HO-162 Equip. Class, Other(O)Equipment Description Spent Fuel Pool and cavity drainsLocation:
Bldg. RB Floor El. 74' Room, Area SFPHxManufacturer, 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 theSWEL. The space below each of the following questions may be used to record the results of judgments andfindings.
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 oneof the 50% of SWEL items requiring such verification)?
Y[- NE2. Is the anchorage free of bent, broken, missing or loose hardware?
: 3. Is the anchorage free of corrosion that is more than mild surfaceoxidation?
: 4. Is the anchorage free of visible cracks in the concrete near theanchors?Y[-] Nil U[-] N/ASYE] Nr-] Ur- N/AEY[:] NF-O U[- N/A[I Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J43 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 2 of 5Status: YE NF] U--Seismic Walkdown Checklist (SWC) SWEL2- 006Equipment ID No. 19-HO-162 Equip. Class2 Other (0)Equipment Description Spent Fuel Pool and cavity drains5. Is the anchorage configuration consistent with plant documentation?
Y[-] NF-7 Ur N/AE(Note: This question only applies if the item is one of the 50% for whichan anchorage configuration verification is required.)
: 6. Based on the above anchorage evaluations, is the anchorage free of YE NEIr Ur-7potentially adverse seismic conditions?
Interaction Effects7. 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 freeof potentially adverse seismic interaction effects?YFZ NO U[Z N/AEYE NrO uO N/ADYO NEJ ULDl N/A[YE NO UD2 Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J44 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 3 of 5Status: YZ NFI- UF-]Seismic Walkdown Checklist (SWC) SWEL2- 006Equipment ID No. 19-HO-162 Equip. Class3 Other (0)Equipment Description Spent Fuel Pool and cavity drainsOther Adverse Conditions
: 11. Have you looked for and found no other seismic conditions that could YZ Nil U-Iadversely affect the safety functions of the equipment?
Comments
.(Additional pages may be added as necessary)
Area walk-by is on AWC-034;3j__VIEvaluated by:Date-2: ZoJJ 0, 6ILUi 13 Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J45 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 4 of 5Status: YE NEI-- U[ISeismic Walkdown Checklist (SWC) SWEL2- 006Equipment ID No. 19-HO-162 Equip. Class4 Other (0)Equipment Description Spent Fuel Pool and cavity drainsPhotographs Note:Note:4 Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J46 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 5 of 5Status: YN NEIl U--Seismic Walkdown Checklist (SWC) SWEL2- 006Equipment ID No. 19-HO-162 Equip. Classw Other(O)Equipment Description Spent Fuel Pool and cavity drainsNote:5 Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J47 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 1 of 5Status: YE NFIl U[]Seismic Walkdown Checklist (SWC) SWEL2- 007Equipment ID No. 19-HO-163 Equip. Class' Other(O)Equipment Description Spent Fuel Pool and cavity drainsLocation:
Bldg. RB Floor El. 74' Room, Area SPFHxManufacturer, 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 theSWEL. The space below each of the following questions may be used to record the results of judgments andfindings.
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 oneof the 50% of SWEL items requiring such verification)?
Yr-- NZ2. Is the anchorage free of bent, broken, missing or loose hardware?
: 3. Is the anchorage free of corrosion that is more than mild surfaceoxidation?
: 4. Is the anchorage free of visible cracks in the concrete near theanchors?YDI NEI UED NIAIYD- NDI U[- N/AZYE-I NDI ur- N/AEIEnter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J48 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 2 of 5Status: YE NE] URI-Seismic Walkdown Checklist (SWC) SWEL2- 007Equipment ID No. 19-HO-163 Equip. Class2 Other (0)Equipment Description Spent Fuel Pool and cavity drains5. Is the anchorage configuration consistent with plant documentation?
YI-- N[i UI] N/AN(Note: This question only applies if the item is one of the 50% for whichan anchorage configuration verification is required.)
: 6. Based on the above anchorage evaluations, is the anchorage free of YI N-] urE]potentially adverse seismic conditions?
Interaction Effects7. 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 freeof potentially adverse seismic interaction effects?YE] NED] UE] N/A[DYE N[-] U[-I] N/A-IYE-] NEI] UE N/AZY[ NE] Ur2 Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J49 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 3 of 5Status: YM N-- U[Seismic Walkdown Checklist (SWC) SWEL2- 007Equipment ID No. 19-HO-163 Equip. Class3 Other (0)Equipment Description Spent Fuel Pool and cavity drainsOther Adverse Conditions
: 11. Have you looked for and found no other seismic conditions that could YN NEI UF-1Iadversely affect the safety functions of the equipment?
Comments (Additional pages may be added as necessary)
Area walk-by is A WC-034.Evaluated by:Date:QJ I. /djU-*Fr .Z- 71)3I I, j3 Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J50 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 4 of 5Status: YM NR U-Seismic Walkdown Checklist (SWC) SWEL2- 007Equipment ID No. 19-HO-163 Equip. Class4 Other (0)Equipment Description Spent Fuel Pool and cavity drainsPhotographs 4 Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J51 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 5 of 5Status: YE NIl-- Ur-]Seismic Walkdown Checklist (SWC) SWEL2- 007Equipment ID No. 19-HO-163 Equip. Classw Other (0)Equipment Description Spent Fuel Pool and cavity drainsNote:MiUM~.5 Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J52 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 1 of 4Status: YE NI-] ULIISeismic Walkdown Checklist (SWC) SWEL2- 008Equipment ID No. 19-HO-164 Equip. Classi Other (0)Equipment Description Spent Fuel Pool and cavity drainsLocation:
Bldg. RB Floor El. 74' Room, Area SFPHxManufacturer, 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 theSWEL. The space below each of the following questions may be used to record the results of judgments andfindings.
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 oneof the 50% of SWEL items requiring such verification)?
YE-] NN2. Is the anchorage free of bent, broken, missing or loose hardware?
: 3. Is the anchorage free of corrosion that is more than mild surfaceoxidation?
: 4. Is the anchorage free of visible cracks in the concrete near theanchors?YF-I N[il u--] N/AZY[-I NRl ul-l N/AZYll NEIJ UEJ N/A[I Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J53 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 2 of 4Status: YZ NF- U--Seismic Walkdown Checklist (SWC) SWEL2- 008Equipment ID No. 19-HO-164 Equip. Class2 Other (0)Equipment Description Spent Fuel Pool and cavity drains5. Is the anchorage configuration consistent with plant documentation?
Y[I- NEI UL- N/AE(Note: This question only applies if the item is one of the 50% for whichan anchorage configuration verification is required.)
: 6. Based on the above anchorage evaluations, is the anchorage free of Y[ NE] UE]potentially adverse seismic conditions?
Interaction Effects7. 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 freeof potentially adverse seismic interaction effects?YEI NEI uE] N/A[YE NE] uE] N/AE]YEI NEi uE] N/A[Y[ NE] UE]2 Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J54 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 3 of 4Status: YZ NFI] UI--Seismic Walkdown Checklist (SWC) SWEL2- 008Equipment ID No. 19-HO-164 Equip. Class3 Other (0)Equipment Description Spent Fuel Pool and cavity drainsOther Adverse Conditions
: 11. Have you looked for and found no other seismic conditions that could YZ NR Ur-]adversely affect the safety functions of the equipment?
Comments (Additional pages may be added as necessary)
Piece of black duct tape on valve body is acceptable Area walk-by is A WC-0346)jX VEvaluated by:.Date:94g(L.iJLF DT'FrrI2aJ 3 Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J55 of J 134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 4 of 4Status: YE! NFI] U[---Seismic Walkdown Checklist (SWC) SWEL2- 008Equipment ID No. 19-HO-164 Equip. Class4 Other (0)Equipment Description Spent Fuel Pool and cavity drainsPhotographs 4 Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J56 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 1 of 5Status: YO NF] UI-Seismic Walkdown Checklist (SWC) SWEL2- 009Equipment ID No. 19-HO-170 Equip. Class, Other (0)Equipment Description Spent Fuel Pool and cavity drainsLocation:
Bldg. RB Floor El. 23' Room, Area DrywellManufacturer, 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 theSWEL. The space below each of the following questions may be used to record the results of judgments andfindings.
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 oneof the 50% of SWEL items requiring such verification)?
Y[I NZ2. Is the anchorage free of bent, broken, missing or loose hardware?
: 3. Is the anchorage free of corrosion that is more than mild surfaceoxidation?
: 4. Is the anchorage free of visible cracks in the concrete near theanchors?Y[-- N[i UL-] N/AZY[- NEI] UE1 N/A[Y-I N[ll U-] N/AE' Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J57 of J 134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 2 of 5Status: YZ NF] UL--Seismic Walkdown Checklist (SWC) SWEL2- 009Equipment ID No. 19-HO-170 Equip. Class2 Other (0)Equipment Description Spent Fuel Pool and cavity drains5. Is the anchorage configuration consistent with plant documentation?
YE] NF- UI- N/A[(Note: This question only applies if the item is one of the 50% for whichan anchorage configuration verification is required.)
: 6. Based on the above anchorage evaluations, is the anchorage free of Y[ NEI U-ilpotentially adverse seismic conditions?
Interaction Effects7. 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 freeof potentially adverse seismic interaction effects?Yr-- NEI urE] N/ANY[ NF] u[-] N/AL]YEI NEIl u[] N/AsYN N-] U]2 Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J58 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 3 of 5Status: YE Nn U--Seismic Walkdown Checklist (SWC) SWEL2- 009Equipment ID No. 19-HO-170 Equip. Class3 Other (0)Equipment Description Spent Fuel Pool and cavity drainsOther Adverse Conditions
: 11. Have you looked for and found no other seismic conditions that could YE NE:] Ur-1adversely affect the safety functions of the equipment?
Comments (Additional pages may be added as necessary)
Area walk-by is AWC-036Evaluated by; D4XJ -.11k,~J 4~~'//-s~V A th'WijDate-.42:1-bol,: 4/i ..sV V3 Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J59 of J134ATrACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 4 of 5Status: YE Nij1 UE--Seismic Walkdown Checklist (SWC) SWEL2- 009Equipment ID No. 19-HO-170 Equip. Class4 Other (0)Equipment Description Spent Fuel Pool and cavity drainsPhotographs 4 Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J60 of J 134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 5 of 5Status: YZ NOi UL]Seismic Walkdown Checklist (SWC) SWEL2- 009Equipment ID No. 19-HO-170 Equip. Class5 Other (0)Equipment Description Spent Fuel Pool and cavity drainsNote: Note:5 Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J61 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 1 of 5Status: YE ND ULISeismic Walkdown Checklist (SWC) SWEL2- 010Equipment ID No. 19-HO-171 Equip. Class' Other(0)Equipment Description Spent Fuel Pool and cavity drainsLocation:
Bldg. RB Floor El. 23' Room, Area DrywellManufacturer, 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 theSWEL. The space below each of the following questions may be used to record the results of judgments andfindings.
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 oneof the 50% of SWEL items requiring such verification)?
YE] NO2. Is the anchorage free of bent, broken, missing or loose hardware?
: 3. Is the anchorage free of corrosion that is more than mild surfaceoxidation?
: 4. Is the anchorage free of visible cracks in the concrete near theanchors?Y[-] N[-I Ul] N/AOYE[ NE-] UrI N/AOY[-] NE] U[-L N/AOIEnter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J62 of J 134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 2 of 5Status: YE NF] Ur-7Seismic Walkdown Checklist (SWC) SWEL2- 010Equipment ID No. 19-HO-171 Equip. Class2 Other (0)Equipment Description Spent Fuel Pool and cavity drains5. Is the anchorage configuration consistent with plant documentation?
Y[I No Ur7 N/AE(Note: This question only applies if the item is one of the 50% for whichan anchorage configuration verification is required.)
: 6. Based on the above anchorage evaluations, is the anchorage free of YE Nn] ULpotentially adverse seismic conditions?
Interaction Effects7. 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 freeof potentially adverse seismic interaction effects?Scaffold 13-134 approximately 2' away from valve (green tagged).Verified in scaffold log that this is an approved seismic scaffold and wasremoved 5-1-13.Y[ NE-] UE] N/ADYZ N[E u--] N/AL]YE] NE] urE] N/ANY NE-I Uil2 Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J63 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 3 of 5Status: YE NF] UL-Seismic Walkdown Checklist (SWC) SWEL2- 010Equipment ID No. 19-HO-171 Equip. Class3 Other(0)Equipment Description Spent Fuel Pool and cavity drainsOther Adverse Conditions
: 11. Have you looked for and found no other seismic conditions that could YE NE] UL-adversely affect the safety functions of the equipment?
Identified that 1" pipe above 19-HO-171 was missing a pipe strap.Initiated CR-PNP-2013-3020 and work request 306569* to have strapinstalled.
Walkdown team agreed that this does not pose a seismicinteraction hazard based on the short unsupported length of the pipeand very low mass (no valves or fittings).
*WR 306569 actioned to WO 349452Comments
.(Additional pages may be added as necessary)
Area walk-by is AWC-036flu-Jf1Date: L1z3/i3Evalualed by-.StfKAL-B-P q kt&#xfd;-b"n : ______1 __3 Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J64 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 4 of 5Status: YE NEI UI--Seismic Walkdown Checklist (SWC) SWEL2- 010Equipment ID No. 19-HQ-171 Equip. Class4 Other(0)Equipment Description Spent Fuel Pool and cavity drainsPhotographs Note:Note:4 Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J65 of J 134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 5 of 5Status: YN NDI ULISeismic Walkdown Checklist (SWC) SWEL2- 010Equipment ID No. 19-HO-171 Equip. Class5 Other (0)Equipment Description Spent Fuel Pool and cavity drainsNote:5 Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J66 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet I of 4Status: YE NRI- UI-Seismic Walkdown Checklist (SWC) SWEL2- 011Equipment ID No. 19-HO-172 Equip. Class' Other (0)Equipment Description Spent Fuel Pool and cavity drainsLocation:
Bldg. RB Floor El. 74' Room, Area General Area NorthManufacturer, 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 theSWEL. The space below each of the following questions may be used to record the results of judgments andfindings.
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 oneof the 50% of SWEL items requiring such verification)?
YFI NZ2. Is the anchorage free of bent, broken, missing or loose hardware?
: 3. Is the anchorage free of corrosion that is more than mild surfaceoxidation?
: 4. Is the anchorage free of visible cracks in the concrete near theanchors?Y[-D NEI UL] N/AZYO] N1 UL-] N/A]YEI NEI UF- N/A[' Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J67 of J 134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 2 of 4Status: YE Nr- UI-Seismic Walkdown Checklist (SWC) SWEL2- 011Equipment ID No. 19-HO-172 Equip. Classw Other (0)Equipment Description Spent Fuel Pool and cavity drains5. Is the anchorage configuration consistent with plant documentation?
YEi- NEI U[] N/A[(Note: This question only applies if the item is one of the 50% for whichan anchorage configuration verification is required.)
: 6. Based on the above anchorage evaluations, is the anchorage free of YE NDl U[-Dpotentially adverse seismic conditions?
Interaction Effects7. 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 freeof potentially adverse seismic interaction effects?YD- NDI U-I N/A[Y[ NEI uE- N/AD1YDI NDI UD- N/A[YN NEI Ur2 Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J68 of J 134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 3 of 4Status: YN U-Seismic Walkdown Checklist (SWC) SWEL2- 011Equipment ID No. 19-HO-172 Equip. Class3 Other (0)Equipment Description Spent Fuel Pool and cavity drainsOther Adverse Conditions
: 11. Have you looked for and found no other seismic conditions that could Y[ NRI UFIadversely affect the safety functions of the equipment?
Comments
.(Additional pages may be added as necessary)
Area walk-by is AWC-033e")/ -- j A--AIUvaRIat d hv:QIJLA&#xfd;2ff-
.Date: /2 27Zt~AW ____ ___IU I I j3 Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J69 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 4 of 4Status: YZ NR U--Seismic Walkdown Checklist (SWC) SWEL2- 011Equipment ID No. 19-HO-172 Equip. Class4 Other (0)Equipment Description Spent Fuel Pool and cavity drainsPhotographs 4 Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J70 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet I of 4Status: YZ N-] ULISeismic Walkdown Checklist (SWC) SWEL2- 012Equipment ID No. 19-HO-173 Equip. Class, Other(O)Equipment Description Spent Fuel Pool and cavity drainsLocation:
Bldg. RB Floor El. 74' Room, Area General Area NorthManufacturer, 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 theSWEL. The space below each of the following questions may be used to record the results of judgments andfindings.
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 oneof the 50% of SWEL items requiring such verification)?
YE] NZ2. Is the anchorage free of bent, broken, missing or loose hardware?
: 3. Is the anchorage free of corrosion that is more than mild surfaceoxidation?
: 4. Is the anchorage free of visible cracks in the concrete near theanchors?YE:] NE-] uE N/A[YE] NE] uE-] N/AOYE] NE- UE] N/As' Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J71 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 2 of 4Status: YE NI UL-]Seismic Walkdown Checklist (SWC) SWEL2- 012Equipment ID No. 19-HO-173 Equip. Class2 Other (0)Equipment Description Spent Fuel Pool and cavity drains5. Is the anchorage configuration consistent with plant documentation?
YE] NE] Ui N/AN(Note: This question only applies if the item is one of the 50% for whichan anchorage configuration verification is required.)
: 6. Based on the above anchorage evaluations, is the anchorage free of Y[ Nil Ur-1potentially adverse seismic conditions?
Interaction Effects7. 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 freeof potentially adverse seismic interaction effects?YLI NEI urE N/AZYO NEi UEI N/AD--YD-- NDI U-I N/A[YZ NF] Ur2 Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J72 of J 134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 3 of 4Status: YE N[-] UFI-Seismic Walkdown Checklist (SWC) SWEL2- 012Equipment ID No. 19-HO-173 Equip. Class3 Other (0)Equipment Description Spent Fuel Pool and cavity drainsOther Adverse Conditions
: 11. Have you looked for and found no other seismic conditions that could YO NEI UrIadversely affect the safety functions of the equipment?
Comments (Additional pages may be added as necessary)
Area walk-by is AWC-033.11w 141Evaluated by:Date: 2-.12"7LA14 A.bwrit "__7/771_13 i-I i )3 Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J73 of J1 34ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 4 of 4Status: Y[ NE] U[-ISeismic Walkdown Checklist (SWC) SWEL2- 012Equipment ID No. 19-HO-173 Equip. Class4 Other (0)Equipment Description Spent Fuel Pool and cavity drainsPhotographs 4 Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J74 of Ji134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 1 of 4Status: YE N--] U--Seismic Walkdown Checklist (SWC) SWEL2- 013Equipment ID No. 19-HO-177 Equip. Class, Other (0)Equipment Description Spent Fuel Pool and cavity drainsLocation:
Bldg. RB Floor El. 74' Room, Area SFPHxManufacturer, 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 theSWEL. The space below each of the following questions may be used to record the results of judgments andfindings.
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 oneof the 50% of SWEL items requiring such verification)?
YF- NO2. Is the anchorage free of bent, broken, missing or loose hardware?
: 3. Is the anchorage free of corrosion that is more than mild surfaceoxidation?
: 4. Is the anchorage free of visible cracks in the concrete near theanchors?Yr-] NFI UL] N/A[YEI- NEI U--i N/AZY[-] NEI Ur- N/A[I Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J75 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 2 of 4Status: YZ NEIl UDSeismic Walkdown Checklist (SWC) SWEL2- 013Equipment ID No. 19-HO-177 Equip. Class2 Other (0)Equipment Description Spent Fuel Pool and cavity drains5. Is the anchorage configuration consistent with plant documentation?
Yr- Nn Ur N/AZ(Note: This question only applies if the item is one of the 50% for whichan anchorage configuration verification is required.)
: 6. Based on the above anchorage evaluations, is the anchorage free of Y[A NEI UI-potentially adverse seismic conditions?
Interaction Effects7. 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 freeof potentially adverse seismic interaction effects?YEr NEI UD-] N/AZYE N[- U-i N/AD-Yr-- N[-- UD- N/AZYE ND-- uD--2 Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J76 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 3 of 4Status: YE NnIl UDSeismic Walkdown Checklist (SWC) SWEL2- 013Equipment ID No. 19-HO-177 Equip. Class3 Other (0)Equipment Description Spent Fuel Pool and cavity drainsOther Adverse Conditions
: 11. Have you looked for and found no other seismic conditions that could Y[ N[-I U-IIadversely affect the safety functions of the equipment?
Comments (Additional pages may be added as necessary)
Area walk-by is AWC-0349~J1w'AEvaluated by:Date: 2-1 /! 13 Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J77 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 4 of 4Status: YZ NEI Ur-Seismic Walkdown Checklist (SWC) SWEL2- 013Equipment ID No. 19-HO-177
-Equip. Class4 Other(O)Equipment Description Spent Fuel Pool and cavity drainsPhotographs 4 Enter the equipment class name from Appendix B: Classes of Equipment.}}

Revision as of 13:02, 4 July 2018

PNPS-CS-12-00001, Rev. 1, Pilgrim Station Seismic Walkdown Submittal Report for Resolution of Fukushima Near-Term Task Force Recommendation 2.3: Seismic, Attachment I, Page I1 of I9 Through Attachment J, Page J77 of J134
ML13232A141
Person / Time
Site: Pilgrim
Issue date: 06/17/2013
From: Maclay L
Entergy Nuclear Operations
To:
Office of Nuclear Reactor Regulation
References
2.13.056 PNPS-CS-12-00001, Rev 1
Download: ML13232A141 (86)


Text

Engineering Report No. PNPS-CS-12-00001, Rev. 0Attachment IPage I1 of 19Attachment ISeismic Walkdown Engineer Training Certificates W'NS Sc~smic~af=ral ICertificate ofCompletion David SmallTraining on Near TermTask ForceICECRecommendation 2.3-Plant Seismic Walkdowns Ju lI I19. 2012Robert K. Kassawara EPRI Manager,ti~uctutal Reliability

& Integrity CCDC-CCD30 PNPS Pc~ec ev'tcu *Te_(xmv Lzi-,1=122I1--Certificate ofCompletion Jeffrey KalbTraining on NearTerm Task ForceRecommendation 2.3-Plant Seismic Walkdowns CDGDCCCc0CdC-0:CDI LIl IN 9. 20 1 2DateRobert K. Kassawara EPRI Manager.Struclural Reliatility

& Irntegfty CDCA)0 Le. i fNP. 3J ENERCONExcet/ence--Every project.

Every day.Certificate of Completion is hereby granted toLaura Maclayfor successful completion of mTRAINING ON NEAR TERM TASK FORCE :RECOMMENDATION 2.3CDPLANT SEISMIC WALKDOWNS 0Awarded:

7/26/2012 in Mt. Arlington, NJ o"1zC,,"13°6C,,Kenneth WhitmoreCertified Seismic Walkdown Engineer 1 _U o°Alexandria, VA -6/20/2012 cc aCD 0 T&? mbr fo:r NPSENERCONExcellence-Every project.

Every dayCertificate of Completion is hereby granted toGary Swederfor successful completion of mTRAINING ON NEAR TERM TASK FORCE CCD"aRECOMMENDATION 2.3PLANT SEISMIC WALKDOWNS 0Awarded:

9/13/2012 in Mt Arlington NJ 0-0zAlex SmerchCertified Seismic Walkdown Engineer Certified Seismic Walkdown Engineer a oPalo Alto, CA -6/13/2012 Palo Alto, CA -6/13/2012 CD oSo=CnD CD Evee~zv, WutAo.Ak "AE N E R C 0 NExceilence--Evety project.

Every dayCertificate of Completion is hereby granted toHalie Arozfor successful completion ofTRAINING ON NEAR TERM TASK FORCERECOMMENDATION 2.3PLANT SEISMIC WALKDOWNS Awarded:

9/13/2012 in Mt. Arlington, NJmCDCD(D'D0zz-UC',CD0(0 CDCh = 53'-0/ Kevi,;,(Bessell Cer tified Seismic Walkdown EngineerPalo Alto, CA -6/13/2012 Alex SmerchCertified Seismic Walkdown EngineerPalo Alto, CA -6/13/2012

~iF ~ -~~*Not jkclc+yjPI~ia r--a iaq iLiCertificate of Completion Kenneth WhitmoreTraining on Near Term Task ForceRecommendation 2.3-Plant Seismic Walkdowns

~it'11II~CD(D(00z0zC-)0a) 0-0June 21, 2012DateRobert K. KasmwaruEPRI Manager,stru.UMtda ReSa~bdk

& kft*~(070 Ene~vTý'rWV)P-C (r(. CAIeA1 OR IuNot irc t-vaiwd1v4 Iiv-, PMP~s UiJ k2&-,v1Certificate ofCompletion Kevin BessellTraining on Near Term Task ForceRecommendation 2.3Plant Seismic Walkdowns JuLIC 13, 2012OateRobert K. Kassawara EPRI Manager,Stfuctural Reliabihty

& Integrity 0-4,0Ier~ E-1 ELECTRIC POWERar aI~ 'RESEARCH INSTITUTE Certificate of Completion Alex SmerchTraining on Near Term Task ForceRecommendation 2.3-Plant Seismic Walkdowns Q) CD0.M<C (D0.<CD)June 13, 2012DateRobedt K. Kessawara EPRI Maager.stuctuiu Reriabdity

& integlity CD o0 CDMC2.CDCDccCD'a0zz000 Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J1 of J134Attachment JForm 9.6: Deferred Seismic Walkdown Checklists (SWCs)SWCs Added:SWELl-001, SWELl-002, SWELl-003, SWELl-004, SWELl-023, SWELl-034, SWELl-083, SWELl-084, SWELl-095, SWELl-096, SWELl-097, SWELl-098, SWELl -099, SWELl-100 SWEL2-003, SWEL2-004, SWEL2-005, SWEL2-006, SWEL2-007, SWEL2-008, SWEL2-009, SWEL2-01 0, SWEL2-01 1, SWEL2-012, SWEL2-013, SWEL2-014, SWEL2-015, SWEL2-016 Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J2 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet I of 4Status: YZ NF-] U--1Seismic Walkdown Checklist (SWC) SWELl- 001Equipment ID No. A0203-2A Equip. Class, Pneumatic-Operated Valves (07)Equipment Description Steamline A Isolation ValveLocation:

Bldg. RB Floor El. 23 Room, Area STM TNLManufacturer, 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 theSWEL. The space below each of the following questions may be used to record the results of judgments andfindings.

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 oneof the 50% of SWEL items requiring such verification)?

Y[-] NE2. Is the anchorage free of bent, broken, missing or loose hardware?

3. Is the anchorage free of corrosion that is more than mild surfaceoxidation?
4. Is the anchorage free of visible cracks in the concrete near theanchors?YD] NEIl UEl NIAZYLI NEIl UEI N/AZYLI N[:] U[:] NIAZ' Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J3 of J 134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 2 of 4Status: YZ NF] U-Seismic Walkdown Checklist (SWC) SWELl- 001Equipment ID No. A0203-2A Equip. Class Pneumatic-Operated Valves (07)Equipment Description Steamline A Isolation Valve5. Is the anchorage configuration consistent with plant documentation?

Y[-I NiJ U[i N/AE(Note: This question only applies if the item is one of the 50% for whichan anchorage configuration verification is required.)

6. Based on the above anchorage evaluations, is the anchorage free of YM NE-] U[-]potentially adverse seismic conditions?

Interaction Effects7. 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 freeof potentially adverse seismic interaction effects?Y[ NE] U-1 N/A[]YZ N] urE] N/Ar]YE NEI UE- N/A[-]Y[ N[:] UE Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J4 of J 134Ar-ACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 3 of 4Status: YN! NI-- UF-Seismic Walkdown Checklist (SWC) SWELl- 001Equipment ID No. A0203-2A Equip. Class Pneumatic-Operated Valves (07)Equipment Description Steamline A Isolation ValveOther Adverse Conditions
11. Have you looked for and found no other seismic conditions that could Y[ N[- UF-Ladversely affect the safety functions of the equipment?

Comments (Additional pages may be added as necessary)

Scaffolding around valve for maintenance during RFO 19, appropriately tagged, ref scaffolding log#13-129.

Will be removed per WO 304506-15, scheduled for 5/2/13 per Asset Suite.No equipment label found on valve. Verified correct equipment based on drawing M33, A0203-2A isEast-most MSIV in Steam Tunnel.Area walk-by is AWC-035.Evaluated by: 11--XaA3S.Al( ~ 1LA'Date: U/1. i/LZL..;sI~ffF tkri alWj, Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J5 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 4 of 4Status: Y[J Nr-1 UL]Seismic Walkdown Checklist (SWC) SWELl- 001Equipment ID No. A0203-2A Equip. Class Pneumatic-Operated Valves (07)Equipment Description Steamline A Isolation ValvePhotographs Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J6 of J 134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet I of 4Status: YZ NFi]- UF1Seismic Walkdown Checklist (SWC) SWELl- 002Equipment ID No. RV9085E Equip. Class, Pneumatic-Operated Valves (07)Equipment Description Stmline A Accum T220E ReliefLocation:

Bldg. RB Floor El. 23 Room, Area STM TNLManufacturer, 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 theSWEL. The space below each of the following questions may be used to record the results of judgments andfindings.

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 YEI NZof 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 surfaceoxidation?
4. Is the anchorage free of visible cracks in the concrete near theanchors?Y[ll Nil] U[l] N/ANY[I- NE- U[-] N/AEYE[1 NEll U-] N/AN' Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J7 of J134Ar-ACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 2 of 4Status: YE NFI- UI-ISeismic Walkdown Checklist (SWC) SWELl- 002Equipment ID No. RV9085E Equip. Class Pneumatic-Operated Valves(07)

Equipment Description Stmline A Accum T220E Relief5. Is the anchorage configuration consistent with plant documentation?

Y-] Nil U-I N/A[(Note: This question only applies if the item is one of the 50% for whichan anchorage configuration verification is required.)

6. Based on the above anchorage evaluations, is the anchorage free of YN NE] UI-potentially adverse seismic conditions?

Interaction Effects7. 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 freeof potentially adverse seismic interaction effects?Y[J NE] UE] N/AE]YZ NE-] U] N/AE]YE] NE] U[r] N/A[Y[ NEI u-]

Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J8 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 3 of 4Status: YE N--I U-IISeismic Walkdown Checklist (SWC) SWELl- 002Equipment ID No. RV9085E Equip. Class Pneumatic-Operated Valves (07)Equipment Description Stmline A Accum T220E ReliefOther Adverse Conditions

11. Have you looked for and found no other seismic conditions that could YN NEil UI-]adversely affect the safety functions of the equipment?

Comments

.(Additional pages may be added as necessary)

Area walk-by is A WC-035Evaluated by: Ul)vt,; , N<1 I- I IDate: I-. ~1 --TXI C, 1. Aýtjjj t3-7 IF V5 KA LB Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J9 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 4 of 4Status: YE N-- U[--Seismic Walkdown Checklist (SWC) SWELl- 002Equipment ID No. RV9085E Equip. Class Pneumatic-Operated Valves (07)Equipment Description Stmline A Accum T220E ReliefPhotographs Engineering Report No. PNPS-CS-12-OOOO1, Rev. 1Attachment JPage J10 of J134ATTACHMENT 9.6SEISMIC WALKDOWN CHECKLIST FORMSheet 1 of 5Status: Y[ Nr-] Ur-]Seismic Walkdown Checklist (SWC) SWELl- 003Equipment ID No. SV-203-2A-2 Equip. Class, Motor-Operated

& Solenoid-Operated Valves (08)Equipment Description AC Solenoid Stmline A Isol VlvLocation:

Bldg. RB Floor El. 23 RManufacturer, Model, Etc. (optional but recommended) oom, Area STM TNLInstructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on theSWEL The space below each of the following questions may be used to record the results of judgments andfindings.

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 oneof the 50% of SWEL items requiring such verification)?

YLI NZ2. Is the anchorage free of bent, broken, missing or loose hardware?

3. Is the anchorage free of corrosion that is more than mild surfaceoxidation?
4. Is the anchorage free of visible cracks in the concrete near theanchors?YLI NEI Ui- N/AZYE-I NEIr U-] N/AZYEIl NEI Ul N/AZ' Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-OOOO1, Rev. 1Attachment JPage J1i1 of J134ATTACHMENT 9.6SEISMIC WALKDOWN CHECKLIST FORMSheet 2 of 5Status: YZ N-- U-Seismic Walkdown Checklist (SWC) SWELl- 003Equipment ID No. SV-203-2A-2 Equip. Class Motor-Operated

& Solenoid-Operated Valves (08)Equipment Description AC Solenoid Stmline A Isol Vlv5. Is the anchorage configuration consistent with plant documentation?

Yr-- Nr- U[-I N/A[(Note: This question only applies if the item is one of the 50% for whichan anchorage configuration verification is required.)

6. Based on the above anchorage evaluations, is the anchorage free of YN NEI U-potentially adverse seismic conditions?

Interaction Effects7. 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 freeof potentially adverse seismic interaction effects?YN ND Ur- N/ADYZ NDI U[-D N/ADYS NO ur N/ADYN ND-1UD Engineering Report No. PNPS-CS-12-OOOO1, Rev. 1Attachment JPage J12 of J134ATTACHMENT 9.6SEISMIC WALKDOWN CHECKLIST FORMSheet 3 of 5Status: YE NnI UL-Seismic Walkdown Checklist (SWC) SWELl- 003Equipment ID No. SV-203-2A-2 Equip. Class Motor-Operated

& Solenoid-Operated Valves (08)Equipment Description AC Solenoid Stmline A Isol VlvOther Adverse Conditions

11. Have you looked for and found no other seismic conditions that couldadversely affect the safety functions of the equipment?

YN NO ULComments (Additional pages may be added as necessary)

Area walk-by is A WC-035Evaluated by: DpvJ,x, Q~IDate:batrr' +fIq/j3'Trrr VM ~PAPU-Ir Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J13 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 4 of 5Status: YZ NF] UrIISeismic Walkdown Checklist (SWC) SWELl- 003Equipment ID No. SV-203-2A-2 Equip. Class Motor-Operated

& Solenoid-Operated Valves (08)Equipment Description AC Solenoid Stmline A Isol VlvPhotographs Note:Note:

Engineering Report No. PNPS-CS-12-O0001, Rev. 1Attachment JPage J14 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 5 of 5Status: YM N[--I URISeismic Walkdown Checklist (SWC) SWELl- 003Equipment ID No. SV-203-2A-2 Equip. Class Motor-Operated

& Solenoid-Operated Valves (08)Equipment Description AC Solenoid Stmline A Isol Vlv Engineering Report No. PNPS-CS-12-OOOO1, Rev. 1Attachment JPage J15 of J134ATTACHMENT 9.6SEISMIC WALKDOWN CHECKLIST FORMSheet I of 5Status: YE ND ULISeismic Walkdown Checklist (SWC) SWELl- 004Equipment ID No. SV-203-2A-1 Equip. Class' Motor-Operated

& Solenoid-Operated Valves (08)Equipment Description DC Solenoid Stm/ine A Isol VlvLocation:

Bldg. RB Floor El. 23 RManufacturer, Model, Etc. (optional but recommended) oom, Area STM TNLInstructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on theSWEL. The space below each of the following questions may be used to record the results of judgments andfindings.

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 oneof the 50% of SWEL items requiring such verification)?

Y-J NE2. Is the anchorage free of bent, broken, missing or loose hardware?

3. Is the anchorage free of corrosion that is more than mild surfaceoxidation?
4. Is the anchorage free of visible cracks in the concrete near theanchors?YE] N[] U[:] N/A[YE] NEI ui-] N/AZY[-] NO-] ur-] N/AZI Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-OOOO1, Rev. 1Attachment JPage J16 of J134ATTACHMENT 9.6SEISMIC WALKDOWN CHECKLIST FORMSheet 2 of 5Status: YE NnI- U-ISeismic Walkdown Checklist (SWC) SWELl- 004Equipment ID No. SV-203-2A-1

-Equip. Class Motor-Operated

& Solenoid-Operated Valves (08)Equipment Description DC Solenoid Stmline A Isol Vlv5. Is the anchorage configuration consistent with plant documentation?

YEI NE] UI- N/AE(Note: This question only applies if the item is one of the 50% for whichan anchorage configuration verification is required.)

6. Based on the above anchorage evaluations, is the anchorage free of YN NEI UI-potentially adverse seismic conditions?

Interaction Effects7. 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 freeof potentially adverse seismic interaction effects?YE NI] UE] N/A[-]YE NEi U-] N/AE]Y[J NEI UF] N/AE]YM N] U-]

Engineering Report No. PNPS-CS-12-OOOO1, Rev. 1Attachment JPage J1 7 of J1 34ATTACHMENT 9.6SEISMIC WALKDOWN CHECKLIST FORMSheet 3 of 5Status: YZ NF-] UL-Seismic Walkdown Checklist (SWC) SWELl- 004Equipment ID No. SV-203-2A-1 Equip. Class Motor-Operated

& Solenoid-Operated Valves (08)Equipment Description DC Solenoid Stmline A Isol VlvOther Adverse Conditions

11. Have you looked for and found no other seismic conditions that could YE NEil U[iadversely affect the safety functions of the equipment?

Comments (Additional pages may be added as necessary)

Area walk-by is A WC-035EvaluMed bry, U-,ý -st-AEvalualedbV Date;Dato; IfI191il-f-ýt-f f- QS qq kU7D Im 4'r 4/)q ) o Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J18 of J134ATTACHMENT 9.6SEISMIC WALKDOWN CHECKLIST FORMSheet 4 of 5Status: YE ND] UD]Seismic Walkdown Checklist (SWC) SWELl- 004Equipment ID No. SV-203-2A-1 Equip. Class Motor-Operated

& Solenoid-Operated Valves (08)Equipment Description DC Solenoid Stmline A Isol VlvPhotographs Note:Note:

Engineering Report No. PNPS-CS-12-OOOQ1, Rev. 1Attachment JPage J19 of J134ATTACHMENT 9.6SEISMIC WALKDOWN CHECKLIST FORMSheet 5 of 5Status: YE NF U--Seismic Walkdown Checklist (SWC) SWELl- 004Equipment ID No. SV-203-2A-1 Equip. Class Motor-Operated

& Solenoid-Operated Valves (08)Equipment Description DC Solenoid Stmline A Isol VlvNote:Note:

Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J20 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 1 of 5Status: YE NF- UF--Seismic Walkdown Checklist (SWC) SWELl- 023Equipment ID No. M01201-2 Equip. Class, Motor-Operated

& Solenoid-Operated Valves (08)Equipment Description RWCU Suction Line Isolation Location:

Bldg. RB Floor El. 41' Room, Area DWManufacturer, 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 theSWEL. The space below each of the following questions may be used to record the results of judgments andfindings.

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 oneof the 50% of SWEL items requiring such verification)?

YE]- NE2. Is the anchorage free of bent, broken, missing or loose hardware?

3. Is the anchorage free of corrosion that is more than mild surfaceoxidation?
4. Is the anchorage free of visible cracks in the concrete near theanchors?YE] NEr] U-- N/AEY[-] NE] u[-] N/A[Y[-] N[:] U- N/A[I Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-OOOO1, Rev. 1Attachment JPage J21 ofJl134ATTACHMENT 9.6SEISMIC WALKDOWN CHECKLIST FORMSheet 2 of 5Status: YE NFI- UI-Seismic Walkdown Checklist (SWC) SWELl- 023Equipment ID No. M01201-2 Equip. Class Motor-Operated

& Solenoid-Operated Valves (08)Equipment Description RWCU Suction Line Isolation

5. Is the anchorage configuration consistent with plant documentation?

YII N[I U[I N/AE(Note: This question only applies if the item is one of the 50% for whichan anchorage configuration verification is required.)

6. Based on the above anchorage evaluations, is the anchorage free of YE NEIl U[-potentially adverse seismic conditions?

Interaction Effects7. Are soft targets free from impact by nearby equipment or structures?

Valve! actuator assembly is very robust8. Are overhead equipment, distribution

systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?

Relatively few items in overhead at this location9. Do attached lines have adequate flexibility to avoid damage?90 degree bend in conduit provides good flexibility

10. Based on the above seismic interaction evaluations, is equipment freeof potentially adverse seismic interaction effects?Lead shielding hanging adjacent to valve is well supported by Recirc.Riser. This lead is removed during the operating cycle.YZI NIZ Ur1 N/AZYZ NEIr u-I N/AL]YZ N[-I U[-] N/Ar-YZ NF- U-Engineering Report No. PNPS-CS-12-OOOO1, Rev. 1Attachment JPage J22 of J 134ATTACHMENT 9.6SEISMIC WALKDOWN CHECKLIST FORMSheet 3 of 5Status: YZ NEI ULiISeismic Walkdown Checklist (SWC) SWELl- 023Equipment ID No. M01201-2 Equip. Class Motor-Operated

& Solenoid-Operated Valves (08)Equipment Description RWCU Suction Line Isolation Other Adverse Conditions

11. Have you looked for and found no other seismic conditions that could YI NF UrLadversely affect the safety functions of the equipment?

Comments (Additional pages may be added as necessary)

Body of valve covered by lead shielding at time of inspection.

Area walk-by is AWC-037Evaloaled by- I&a y ASW,&ILAL~i1Date: Lt1-3/-&r~r vlka _ 4 V-f~rE,- 4/Z3113 Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J23 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 4 of 5Status: YE N-I UrISeismic Walkdown Checklist (SWC) SWELl- 023Equipment ID No. M01201-2 Equip. Class Motor-Operated

& Solenoid-Operated Valves (08)Equipment Description RWCU Suction Line Isolation Photographs Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J24 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 5 of 5Status: YE NI I UIISeismic Walkdown Checklist (SWC) SWELl- 023Equipment ID No. M01201-2 Equip. Class Motor-Operated

& Solenoid-Operated Valves (08)Equipment Description RWCU Suction Line Isolation Note:Note:

Engineering Report No. PNPS-CS-12-OOOO1, Rev. 1Attachment JPage J25 of J 134ATTACHMENT 9.6SEISMIC WALKDOWN CHECKLIST FORMSheet I of 5Status: YN NFI- UI-Seismic Walkdown Checklist (SWC) SWELl- 034Equipment ID No. M01301-16 Equip. Class, Motor-Operated

& Solenoid-Operated Valves (08)Equipment Description RCIC Stream Line Isolation V/vLocation:

Bldg. RB Floor El. 41 RManufacturer, Model, Etc. (optional but recommended) oom, Area DWInstructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on theSWEL The space below each of the following questions may be used to record the results of judgments andfindings.

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 oneof the 50% of SWEL items requiring such verification)?

YnI NO2. Is the anchorage free of bent, broken, missing or loose hardware?

3. Is the anchorage free of corrosion that is more than mild surfaceoxidation?
4. Is the anchorage free of visible cracks in the concrete near theanchors?YEr- N[] U[] N/AZYO- N[] u-] N/ASYI-] NE] U-] N/A[I Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-OQOO1, Rev. 1Attachment JPage J26 of J 134ATTACHMENT 9.6SEISMIC WALKDOWN CHECKLIST FORMSheet 2 of 5Status: YM NnI- U-ISeismic Walkdown Checklist (SWC) SWELl- 034Equipment ID No. M01301-16 Equip. Class Motor-Operated

& Solenoid-Operated Valves (08)Equipment Description RCIC Stream Line Isolation Vlv5. Is the anchorage configuration consistent with plant documentation?

YrI Nil u[-I N/A(Note: This question only applies if the item is one of the 50% for whichan anchorage configuration verification is required.)

6. Based on the above anchorage evaluations, is the anchorage free of Y[ NI- UL--potentially adverse seismic conditions?

Interaction Effects7. Are soft targets free from impact by nearby equipment or structures?

Nothing threatening the I" flex conduits, acceptable

8. Are overhead equipment, distribution
systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?

Lights well supported by rigid conduit9. Do attached lines have adequate flexibility to avoid damage?1" flex conduits have adequate bend/ loop10. Based on the above seismic interaction evaluations, is equipment freeof potentially adverse seismic interaction effects?YN Nil U[- N/A[-]Y[ N-I U-] N/Al-]Y[ N[]l UJl N/A--]YN NEI U-I Engineering Report No. PNPS-CS-12-OOOO1, Rev. IAttachment JPage J27 of J 134ATTACHMENT 9.6SEISMIC WALKDOWN CHECKLIST FORMSheet 3 of 5Status: YE Nn U--Seismic Walkdown Checklist (SWC) SWELl- 034Equipment ID No. M01301-16 Equip. Class Motor-Operated

& Solenoid-Operated Valves (08)Equipment Description RCIC Stream Line Isolation VlvOther Adverse Conditions

11. Have you looked for and found no other seismic conditions that couldadversely affect the safety functions of the equipment?

YN NE] UL1Comments

.(Additional pages may be added as necessary)

Area walk-by is AWC-037~')_'LJLEvaluated by: q." hDate:0()A1>_.,-___.__a 1~ I ~ 1 Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J28 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 4 of 5Status: YE NFIl U[]Seismic Walkdown Checklist (SWC) SWELl- 034Equipment ID No. M01301-16 Equip. Class Motor-Operated

& Solenoid-Operated Valves (08)Equipment Description RCIC Stream Line Isolation VlvPhotographs Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J29 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 5 of 5Status: YZ NFI Ur-]Seismic Walkdown Checklist (SWC) SWELl- 034Equipment ID No. M01301-16 Equip,. Class Motor-Operated

& Solenoid-Operated Valves (08)Equipment Description RCIC Stream Line Isolation VlvNote: Note:

Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J30 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 1 of 4Status: YE NR U--Seismic Walkdown Checklist (SWC) SWEL2- 003Equipment ID No. 19-HO-159 Equip. Classi Other (0)Equipment Description Spent Fuel Pool and cavity drainsLocation:

Bldg. RB Floor El. 74' Room, Area SFPHxManufacturer, 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 theSWEL. The space below each of the following questions may be used to record the results of judgments andfindings.

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 oneof the 50% of SWEL items requiring such verification)?

YE-I NO2. Is the anchorage free of bent, broken, missing or loose hardware?

3. Is the anchorage free of corrosion that is more than mild surfaceoxidation?
4. Is the anchorage free of visible cracks in the concrete near theanchors?YE- NDJ U[-] N/AOY[-- NiD ULi N/A[Yr-] NE] U[- WAN/II Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J31 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 2 of 4Status: YE NE] UE]Seismic Walkdown Checklist (SWC) SWEL2- 003Equipment ID No. 19-HO-159 Equip. Class2 Other (0)Equipment Description Spent Fuel Pool and cavity drains5. Is the anchorage configuration consistent with plant documentation?

YOI NO- ur-- N/A[E(Note: This question only applies if the item is one of the 50% for whichan anchorage configuration verification is required.)

6. Based on the above anchorage evaluations, is the anchorage free of YE N-] UF-potentially adverse seismic conditions?

Interaction Effects7. 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 freeof potentially adverse seismic interaction effects?Y[E] NEI UE] N/A[YN NE] UE] N/AE]YE-] NE] UE] N/A[YN NE] U--2 Enter the equipment class name from Appendix 13: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J32 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 3 of 4Status: Y[ NI-- UI-Seismic Walkdown Checklist (SWC) SWEL2- 003Equipment ID No. 19-HO-159 Equip. Class3 Other (0)Equipment Description Spent Fuel Pool and cavity drainsOther Adverse Conditions

11. Have you looked for and found no other seismic conditions that could Y[ N[:] U[i]adversely affect the safety functions of the equipment?

Comments (Additional pages may be added as necessary)

Area walk-by is A WC-034/0"--j 14Evaluated bV:Date: 7h 3I~Wr~4127 j 3LI,. (, k#3 Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J33 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 4 of 4Status: YE NF-] UL-ISeismic Walkdown Checklist (SWC) SWEL2- 003Equipment ID No. 19-HO-159 Equip. Class4 Other (0)Equipment Description Spent Fuel Pool and cavity drainsPhotographs 4 Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J34 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 1 of 4Status: YZ NEI U-ISeismic Walkdown Checklist (SWC) SWEL2- 004Equipment ID No. 19-HO-160 Equip. Class, Other(O)Equipment Description Spent Fuel Pool and cavity drainsLocation:

Bldg. RB Floor El. 74' Room, Area SFPHxManufacturer, 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 theSWEL. The space below each of the following questions may be used to record the results of judgments andfindings.

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 oneof the 50% of SWEL items requiring such verification)?

Y[I NE2. Is the anchorage free of bent, broken, missing or loose hardware?

3. Is the anchorage free of corrosion that is more than mild surfaceoxidation?
4. Is the anchorage free of visible cracks in the concrete near theanchors?Y[-- NEI- ur] N/AZY[-] NI-] U[ N/A[Y[-I NE]I ULI N/AZI Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J35 of J 134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 2 of 4Status: YZ NFI U[]Seismic Walkdown Checklist (SWC) SWEL2- 004Equipment ID No. 19-HO-160 Equip. Class2 Other (0)Equipment Description Spent Fuel Pool and cavity drains5. Is the anchorage configuration consistent with plant documentation?

YEI NEI UrL N/AO(Note: This question only applies if the item is one of the 50% for whichan anchorage configuration verification is required.)

6. Based on the above anchorage evaluations, is the anchorage free of YZ NEi Ur-potentially adverse seismic conditions?

Interaction Effects7. 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 freeof potentially adverse seismic interaction effects?YEI N-- U[-] N/A[YO NE] UE] N/A--YE] NE] UE] N/A[Y[ NEI UF]2 Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J36 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 3 of 4Status: Y[ NEI Ur-Seismic Walkdown Checklist (SWC) SWEL2- 004Equipment ID No. 19-HO-160 Equip. Class3 Other(0)Equipment Description Spent Fuel Pool and cavity drainsOther Adverse Conditions

11. Have you looked for and found no other seismic conditions that could YN NE] UE-adversely affect the safety functions of the equipment?

Comments (Additional pages may be added as necessary)

Radiation shielding on line below is well secured to piping, therefore acceptable.

Area walk-by is AWC-034Evaluated by,,L'UfQJJA4AJZ69P--Date: 1/27 -Dfre, /71~/ I3 Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J37 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 4 of 4Status: YE N-- Uf--iSeismic Walkdown Checklist (SWC) SWEL2- 004Equipment ID No. 19-HO-160 Equip. Classw Other (0)Equipment Description Spent Fuel Pool and cavity drainsPhotographs 4 Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J38 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet I of 4Status: YE NI-- U[-IISeismic Walkdown Checklist (SWC) SWEL2- 005-Equipment ID No. 19-HO-161 Equip. Class, Other(0)Equipment Description Spent Fuel Pool and cavity drainsLocation:

Bldg. RB Floor El. 74' Room, Area SFPHxManufacturer, 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 theSWEL. The space below each of the following questions may be used to record the results of judgments andfindings.

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 oneof the 50% of SWEL items requiring such verification)?

Y[:] NEI2. Is the anchorage free of bent, broken, missing or loose hardware?

3. Is the anchorage free of corrosion that is more than mild surfaceoxidation?
4. Is the anchorage free of visible cracks in the concrete near theanchors?Y[-] N[:] Ur] N/AZY[-] N[] ul-] N/AZYEI NEil U[-- N/AZI Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J39 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 2 of 4Status: YIZ NFI U-ISeismic Walkdown Checklist (SWC) SWEL2- 005Equipment ID No. 19-HO-161 Equip. Class2 Other (0)Equipment Description Spent Fuel Pool and cavity drains5. Is the anchorage configuration consistent with plant documentation?

YrI NDI U-- N/A[(Note: This question only applies if the item is one of the 50% for whichan anchorage configuration verification is required.)

6. Based on the above anchorage evaluations, is the anchorage free of YZ N[-] U--]potentially adverse seismic conditions?

Interaction Effects7. 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 freeof potentially adverse seismic interaction effects?Y[-D N[-- U[-] N/AEY9 N[-D ur-D N/AD-IY[-] ND] U[] NWASYN ND] u-2 Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J40 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 3 of 4Status: YE Nn UI-Seismic Walkdown Checklist (SWC) SWEL2- 005Equipment ID No. 19-HO-161 Equip. Class3 Other (0)Equipment Description Spent Fuel Pool and cavity drainsOther Adverse Conditions

11. Have you looked for and found no other seismic conditions that could YM NiD URiadversely affect the safety functions of the equipment?

Comments

.(Additional pages may be added as necessary)

Area Walk-by is AWC-0340--) I-VEvaluated by.rz * ... ._-WDate. ;-z/m3 Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J41 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 4 of 4Status: YZ NF] Ur--Seismic Walkdown Checklist (SWC) SWEL2- 005Equipment ID No. 19-HO-161 Equip. Class4 Other (0)Equipment Description Spent Fuel Pool and cavity drainsPhotographs Note:Note:4 Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J42 of J 134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 1 of 5Status: Y[ Nr-I U-ISeismic Walkdown Checklist (SWC) SWEL2- 006Equipment ID No. 19-HO-162 Equip. Class, Other(O)Equipment Description Spent Fuel Pool and cavity drainsLocation:

Bldg. RB Floor El. 74' Room, Area SFPHxManufacturer, 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 theSWEL. The space below each of the following questions may be used to record the results of judgments andfindings.

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 oneof the 50% of SWEL items requiring such verification)?

Y[- NE2. Is the anchorage free of bent, broken, missing or loose hardware?

3. Is the anchorage free of corrosion that is more than mild surfaceoxidation?
4. Is the anchorage free of visible cracks in the concrete near theanchors?Y[-] Nil U[-] N/ASYE] Nr-] Ur- N/AEY[:] NF-O U[- N/A[I Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J43 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 2 of 5Status: YE NF] U--Seismic Walkdown Checklist (SWC) SWEL2- 006Equipment ID No. 19-HO-162 Equip. Class2 Other (0)Equipment Description Spent Fuel Pool and cavity drains5. Is the anchorage configuration consistent with plant documentation?

Y[-] NF-7 Ur N/AE(Note: This question only applies if the item is one of the 50% for whichan anchorage configuration verification is required.)

6. Based on the above anchorage evaluations, is the anchorage free of YE NEIr Ur-7potentially adverse seismic conditions?

Interaction Effects7. 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 freeof potentially adverse seismic interaction effects?YFZ NO U[Z N/AEYE NrO uO N/ADYO NEJ ULDl N/A[YE NO UD2 Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J44 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 3 of 5Status: YZ NFI- UF-]Seismic Walkdown Checklist (SWC) SWEL2- 006Equipment ID No. 19-HO-162 Equip. Class3 Other (0)Equipment Description Spent Fuel Pool and cavity drainsOther Adverse Conditions

11. Have you looked for and found no other seismic conditions that could YZ Nil U-Iadversely affect the safety functions of the equipment?

Comments

.(Additional pages may be added as necessary)

Area walk-by is on AWC-034;3j__VIEvaluated by:Date-2: ZoJJ 0, 6ILUi 13 Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J45 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 4 of 5Status: YE NEI-- U[ISeismic Walkdown Checklist (SWC) SWEL2- 006Equipment ID No. 19-HO-162 Equip. Class4 Other (0)Equipment Description Spent Fuel Pool and cavity drainsPhotographs Note:Note:4 Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J46 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 5 of 5Status: YN NEIl U--Seismic Walkdown Checklist (SWC) SWEL2- 006Equipment ID No. 19-HO-162 Equip. Classw Other(O)Equipment Description Spent Fuel Pool and cavity drainsNote:5 Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J47 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 1 of 5Status: YE NFIl U[]Seismic Walkdown Checklist (SWC) SWEL2- 007Equipment ID No. 19-HO-163 Equip. Class' Other(O)Equipment Description Spent Fuel Pool and cavity drainsLocation:

Bldg. RB Floor El. 74' Room, Area SPFHxManufacturer, 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 theSWEL. The space below each of the following questions may be used to record the results of judgments andfindings.

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 oneof the 50% of SWEL items requiring such verification)?

Yr-- NZ2. Is the anchorage free of bent, broken, missing or loose hardware?

3. Is the anchorage free of corrosion that is more than mild surfaceoxidation?
4. Is the anchorage free of visible cracks in the concrete near theanchors?YDI NEI UED NIAIYD- NDI U[- N/AZYE-I NDI ur- N/AEIEnter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J48 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 2 of 5Status: YE NE] URI-Seismic Walkdown Checklist (SWC) SWEL2- 007Equipment ID No. 19-HO-163 Equip. Class2 Other (0)Equipment Description Spent Fuel Pool and cavity drains5. Is the anchorage configuration consistent with plant documentation?

YI-- N[i UI] N/AN(Note: This question only applies if the item is one of the 50% for whichan anchorage configuration verification is required.)

6. Based on the above anchorage evaluations, is the anchorage free of YI N-] urE]potentially adverse seismic conditions?

Interaction Effects7. 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 freeof potentially adverse seismic interaction effects?YE] NED] UE] N/A[DYE N[-] U[-I] N/A-IYE-] NEI] UE N/AZY[ NE] Ur2 Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J49 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 3 of 5Status: YM N-- U[Seismic Walkdown Checklist (SWC) SWEL2- 007Equipment ID No. 19-HO-163 Equip. Class3 Other (0)Equipment Description Spent Fuel Pool and cavity drainsOther Adverse Conditions

11. Have you looked for and found no other seismic conditions that could YN NEI UF-1Iadversely affect the safety functions of the equipment?

Comments (Additional pages may be added as necessary)

Area walk-by is A WC-034.Evaluated by:Date:QJ I. /djU-*Fr .Z- 71)3I I, j3 Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J50 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 4 of 5Status: YM NR U-Seismic Walkdown Checklist (SWC) SWEL2- 007Equipment ID No. 19-HO-163 Equip. Class4 Other (0)Equipment Description Spent Fuel Pool and cavity drainsPhotographs 4 Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J51 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 5 of 5Status: YE NIl-- Ur-]Seismic Walkdown Checklist (SWC) SWEL2- 007Equipment ID No. 19-HO-163 Equip. Classw Other (0)Equipment Description Spent Fuel Pool and cavity drainsNote:MiUM~.5 Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J52 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 1 of 4Status: YE NI-] ULIISeismic Walkdown Checklist (SWC) SWEL2- 008Equipment ID No. 19-HO-164 Equip. Classi Other (0)Equipment Description Spent Fuel Pool and cavity drainsLocation:

Bldg. RB Floor El. 74' Room, Area SFPHxManufacturer, 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 theSWEL. The space below each of the following questions may be used to record the results of judgments andfindings.

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 oneof the 50% of SWEL items requiring such verification)?

YE-] NN2. Is the anchorage free of bent, broken, missing or loose hardware?

3. Is the anchorage free of corrosion that is more than mild surfaceoxidation?
4. Is the anchorage free of visible cracks in the concrete near theanchors?YF-I N[il u--] N/AZY[-I NRl ul-l N/AZYll NEIJ UEJ N/A[I Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J53 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 2 of 4Status: YZ NF- U--Seismic Walkdown Checklist (SWC) SWEL2- 008Equipment ID No. 19-HO-164 Equip. Class2 Other (0)Equipment Description Spent Fuel Pool and cavity drains5. Is the anchorage configuration consistent with plant documentation?

Y[I- NEI UL- N/AE(Note: This question only applies if the item is one of the 50% for whichan anchorage configuration verification is required.)

6. Based on the above anchorage evaluations, is the anchorage free of Y[ NE] UE]potentially adverse seismic conditions?

Interaction Effects7. 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 freeof potentially adverse seismic interaction effects?YEI NEI uE] N/A[YE NE] uE] N/AE]YEI NEi uE] N/A[Y[ NE] UE]2 Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J54 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 3 of 4Status: YZ NFI] UI--Seismic Walkdown Checklist (SWC) SWEL2- 008Equipment ID No. 19-HO-164 Equip. Class3 Other (0)Equipment Description Spent Fuel Pool and cavity drainsOther Adverse Conditions

11. Have you looked for and found no other seismic conditions that could YZ NR Ur-]adversely affect the safety functions of the equipment?

Comments (Additional pages may be added as necessary)

Piece of black duct tape on valve body is acceptable Area walk-by is A WC-0346)jX VEvaluated by:.Date:94g(L.iJLF DT'FrrI2aJ 3 Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J55 of J 134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 4 of 4Status: YE! NFI] U[---Seismic Walkdown Checklist (SWC) SWEL2- 008Equipment ID No. 19-HO-164 Equip. Class4 Other (0)Equipment Description Spent Fuel Pool and cavity drainsPhotographs 4 Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J56 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 1 of 5Status: YO NF] UI-Seismic Walkdown Checklist (SWC) SWEL2- 009Equipment ID No. 19-HO-170 Equip. Class, Other (0)Equipment Description Spent Fuel Pool and cavity drainsLocation:

Bldg. RB Floor El. 23' Room, Area DrywellManufacturer, 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 theSWEL. The space below each of the following questions may be used to record the results of judgments andfindings.

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 oneof the 50% of SWEL items requiring such verification)?

Y[I NZ2. Is the anchorage free of bent, broken, missing or loose hardware?

3. Is the anchorage free of corrosion that is more than mild surfaceoxidation?
4. Is the anchorage free of visible cracks in the concrete near theanchors?Y[-- N[i UL-] N/AZY[- NEI] UE1 N/A[Y-I N[ll U-] N/AE' Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J57 of J 134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 2 of 5Status: YZ NF] UL--Seismic Walkdown Checklist (SWC) SWEL2- 009Equipment ID No. 19-HO-170 Equip. Class2 Other (0)Equipment Description Spent Fuel Pool and cavity drains5. Is the anchorage configuration consistent with plant documentation?

YE] NF- UI- N/A[(Note: This question only applies if the item is one of the 50% for whichan anchorage configuration verification is required.)

6. Based on the above anchorage evaluations, is the anchorage free of Y[ NEI U-ilpotentially adverse seismic conditions?

Interaction Effects7. 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 freeof potentially adverse seismic interaction effects?Yr-- NEI urE] N/ANY[ NF] u[-] N/AL]YEI NEIl u[] N/AsYN N-] U]2 Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J58 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 3 of 5Status: YE Nn U--Seismic Walkdown Checklist (SWC) SWEL2- 009Equipment ID No. 19-HO-170 Equip. Class3 Other (0)Equipment Description Spent Fuel Pool and cavity drainsOther Adverse Conditions

11. Have you looked for and found no other seismic conditions that could YE NE:] Ur-1adversely affect the safety functions of the equipment?

Comments (Additional pages may be added as necessary)

Area walk-by is AWC-036Evaluated by; D4XJ -.11k,~J 4~~'//-s~V A th'WijDate-.42:1-bol,: 4/i ..sV V3 Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J59 of J134ATrACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 4 of 5Status: YE Nij1 UE--Seismic Walkdown Checklist (SWC) SWEL2- 009Equipment ID No. 19-HO-170 Equip. Class4 Other (0)Equipment Description Spent Fuel Pool and cavity drainsPhotographs 4 Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J60 of J 134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 5 of 5Status: YZ NOi UL]Seismic Walkdown Checklist (SWC) SWEL2- 009Equipment ID No. 19-HO-170 Equip. Class5 Other (0)Equipment Description Spent Fuel Pool and cavity drainsNote: Note:5 Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J61 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 1 of 5Status: YE ND ULISeismic Walkdown Checklist (SWC) SWEL2- 010Equipment ID No. 19-HO-171 Equip. Class' Other(0)Equipment Description Spent Fuel Pool and cavity drainsLocation:

Bldg. RB Floor El. 23' Room, Area DrywellManufacturer, 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 theSWEL. The space below each of the following questions may be used to record the results of judgments andfindings.

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 oneof the 50% of SWEL items requiring such verification)?

YE] NO2. Is the anchorage free of bent, broken, missing or loose hardware?

3. Is the anchorage free of corrosion that is more than mild surfaceoxidation?
4. Is the anchorage free of visible cracks in the concrete near theanchors?Y[-] N[-I Ul] N/AOYE[ NE-] UrI N/AOY[-] NE] U[-L N/AOIEnter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J62 of J 134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 2 of 5Status: YE NF] Ur-7Seismic Walkdown Checklist (SWC) SWEL2- 010Equipment ID No. 19-HO-171 Equip. Class2 Other (0)Equipment Description Spent Fuel Pool and cavity drains5. Is the anchorage configuration consistent with plant documentation?

Y[I No Ur7 N/AE(Note: This question only applies if the item is one of the 50% for whichan anchorage configuration verification is required.)

6. Based on the above anchorage evaluations, is the anchorage free of YE Nn] ULpotentially adverse seismic conditions?

Interaction Effects7. 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 freeof potentially adverse seismic interaction effects?Scaffold 13-134 approximately 2' away from valve (green tagged).Verified in scaffold log that this is an approved seismic scaffold and wasremoved 5-1-13.Y[ NE-] UE] N/ADYZ N[E u--] N/AL]YE] NE] urE] N/ANY NE-I Uil2 Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J63 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 3 of 5Status: YE NF] UL-Seismic Walkdown Checklist (SWC) SWEL2- 010Equipment ID No. 19-HO-171 Equip. Class3 Other(0)Equipment Description Spent Fuel Pool and cavity drainsOther Adverse Conditions

11. Have you looked for and found no other seismic conditions that could YE NE] UL-adversely affect the safety functions of the equipment?

Identified that 1" pipe above 19-HO-171 was missing a pipe strap.Initiated CR-PNP-2013-3020 and work request 306569* to have strapinstalled.

Walkdown team agreed that this does not pose a seismicinteraction hazard based on the short unsupported length of the pipeand very low mass (no valves or fittings).

  • WR 306569 actioned to WO 349452Comments

.(Additional pages may be added as necessary)

Area walk-by is AWC-036flu-Jf1Date: L1z3/i3Evalualed by-.StfKAL-B-P q ktý-b"n : ______1 __3 Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J64 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 4 of 5Status: YE NEI UI--Seismic Walkdown Checklist (SWC) SWEL2- 010Equipment ID No. 19-HQ-171 Equip. Class4 Other(0)Equipment Description Spent Fuel Pool and cavity drainsPhotographs Note:Note:4 Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J65 of J 134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 5 of 5Status: YN NDI ULISeismic Walkdown Checklist (SWC) SWEL2- 010Equipment ID No. 19-HO-171 Equip. Class5 Other (0)Equipment Description Spent Fuel Pool and cavity drainsNote:5 Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J66 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet I of 4Status: YE NRI- UI-Seismic Walkdown Checklist (SWC) SWEL2- 011Equipment ID No. 19-HO-172 Equip. Class' Other (0)Equipment Description Spent Fuel Pool and cavity drainsLocation:

Bldg. RB Floor El. 74' Room, Area General Area NorthManufacturer, 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 theSWEL. The space below each of the following questions may be used to record the results of judgments andfindings.

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 oneof the 50% of SWEL items requiring such verification)?

YFI NZ2. Is the anchorage free of bent, broken, missing or loose hardware?

3. Is the anchorage free of corrosion that is more than mild surfaceoxidation?
4. Is the anchorage free of visible cracks in the concrete near theanchors?Y[-D NEI UL] N/AZYO] N1 UL-] N/A]YEI NEI UF- N/A[' Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J67 of J 134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 2 of 4Status: YE Nr- UI-Seismic Walkdown Checklist (SWC) SWEL2- 011Equipment ID No. 19-HO-172 Equip. Classw Other (0)Equipment Description Spent Fuel Pool and cavity drains5. Is the anchorage configuration consistent with plant documentation?

YEi- NEI U[] N/A[(Note: This question only applies if the item is one of the 50% for whichan anchorage configuration verification is required.)

6. Based on the above anchorage evaluations, is the anchorage free of YE NDl U[-Dpotentially adverse seismic conditions?

Interaction Effects7. 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 freeof potentially adverse seismic interaction effects?YD- NDI U-I N/A[Y[ NEI uE- N/AD1YDI NDI UD- N/A[YN NEI Ur2 Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J68 of J 134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 3 of 4Status: YN U-Seismic Walkdown Checklist (SWC) SWEL2- 011Equipment ID No. 19-HO-172 Equip. Class3 Other (0)Equipment Description Spent Fuel Pool and cavity drainsOther Adverse Conditions

11. Have you looked for and found no other seismic conditions that could Y[ NRI UFIadversely affect the safety functions of the equipment?

Comments

.(Additional pages may be added as necessary)

Area walk-by is AWC-033e")/ -- j A--AIUvaRIat d hv:QIJLAý2ff-

.Date: /2 27Zt~AW ____ ___IU I I j3 Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J69 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 4 of 4Status: YZ NR U--Seismic Walkdown Checklist (SWC) SWEL2- 011Equipment ID No. 19-HO-172 Equip. Class4 Other (0)Equipment Description Spent Fuel Pool and cavity drainsPhotographs 4 Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J70 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet I of 4Status: YZ N-] ULISeismic Walkdown Checklist (SWC) SWEL2- 012Equipment ID No. 19-HO-173 Equip. Class, Other(O)Equipment Description Spent Fuel Pool and cavity drainsLocation:

Bldg. RB Floor El. 74' Room, Area General Area NorthManufacturer, 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 theSWEL. The space below each of the following questions may be used to record the results of judgments andfindings.

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 oneof the 50% of SWEL items requiring such verification)?

YE] NZ2. Is the anchorage free of bent, broken, missing or loose hardware?

3. Is the anchorage free of corrosion that is more than mild surfaceoxidation?
4. Is the anchorage free of visible cracks in the concrete near theanchors?YE:] NE-] uE N/A[YE] NE] uE-] N/AOYE] NE- UE] N/As' Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J71 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 2 of 4Status: YE NI UL-]Seismic Walkdown Checklist (SWC) SWEL2- 012Equipment ID No. 19-HO-173 Equip. Class2 Other (0)Equipment Description Spent Fuel Pool and cavity drains5. Is the anchorage configuration consistent with plant documentation?

YE] NE] Ui N/AN(Note: This question only applies if the item is one of the 50% for whichan anchorage configuration verification is required.)

6. Based on the above anchorage evaluations, is the anchorage free of Y[ Nil Ur-1potentially adverse seismic conditions?

Interaction Effects7. 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 freeof potentially adverse seismic interaction effects?YLI NEI urE N/AZYO NEi UEI N/AD--YD-- NDI U-I N/A[YZ NF] Ur2 Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J72 of J 134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 3 of 4Status: YE N[-] UFI-Seismic Walkdown Checklist (SWC) SWEL2- 012Equipment ID No. 19-HO-173 Equip. Class3 Other (0)Equipment Description Spent Fuel Pool and cavity drainsOther Adverse Conditions

11. Have you looked for and found no other seismic conditions that could YO NEI UrIadversely affect the safety functions of the equipment?

Comments (Additional pages may be added as necessary)

Area walk-by is AWC-033.11w 141Evaluated by:Date: 2-.12"7LA14 A.bwrit "__7/771_13 i-I i )3 Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J73 of J1 34ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 4 of 4Status: Y[ NE] U[-ISeismic Walkdown Checklist (SWC) SWEL2- 012Equipment ID No. 19-HO-173 Equip. Class4 Other (0)Equipment Description Spent Fuel Pool and cavity drainsPhotographs 4 Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J74 of Ji134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 1 of 4Status: YE N--] U--Seismic Walkdown Checklist (SWC) SWEL2- 013Equipment ID No. 19-HO-177 Equip. Class, Other (0)Equipment Description Spent Fuel Pool and cavity drainsLocation:

Bldg. RB Floor El. 74' Room, Area SFPHxManufacturer, 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 theSWEL. The space below each of the following questions may be used to record the results of judgments andfindings.

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 oneof the 50% of SWEL items requiring such verification)?

YF- NO2. Is the anchorage free of bent, broken, missing or loose hardware?

3. Is the anchorage free of corrosion that is more than mild surfaceoxidation?
4. Is the anchorage free of visible cracks in the concrete near theanchors?Yr-] NFI UL] N/A[YEI- NEI U--i N/AZY[-] NEI Ur- N/A[I Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J75 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 2 of 4Status: YZ NEIl UDSeismic Walkdown Checklist (SWC) SWEL2- 013Equipment ID No. 19-HO-177 Equip. Class2 Other (0)Equipment Description Spent Fuel Pool and cavity drains5. Is the anchorage configuration consistent with plant documentation?

Yr- Nn Ur N/AZ(Note: This question only applies if the item is one of the 50% for whichan anchorage configuration verification is required.)

6. Based on the above anchorage evaluations, is the anchorage free of Y[A NEI UI-potentially adverse seismic conditions?

Interaction Effects7. 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 freeof potentially adverse seismic interaction effects?YEr NEI UD-] N/AZYE N[- U-i N/AD-Yr-- N[-- UD- N/AZYE ND-- uD--2 Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J76 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 3 of 4Status: YE NnIl UDSeismic Walkdown Checklist (SWC) SWEL2- 013Equipment ID No. 19-HO-177 Equip. Class3 Other (0)Equipment Description Spent Fuel Pool and cavity drainsOther Adverse Conditions

11. Have you looked for and found no other seismic conditions that could Y[ N[-I U-IIadversely affect the safety functions of the equipment?

Comments (Additional pages may be added as necessary)

Area walk-by is AWC-0349~J1w'AEvaluated by:Date: 2-1 /! 13 Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J77 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 4 of 4Status: YZ NEI Ur-Seismic Walkdown Checklist (SWC) SWEL2- 013Equipment ID No. 19-HO-177

-Equip. Class4 Other(O)Equipment Description Spent Fuel Pool and cavity drainsPhotographs 4 Enter the equipment class name from Appendix B: Classes of Equipment.