ML18219C143: Difference between revisions

From kanterella
Jump to navigation Jump to search
(Created page by program invented by StriderTol)
 
(Created page by program invented by StriderTol)
Line 16: Line 16:


=Text=
=Text=
{{#Wiki_filter:I e AEC DIST'TIG" FOR PART 50 DQCI'ET ME AXIAL (TEi'PORARY FORi'il)CONTROL NO: FILE: 210 F RO;l Indiana It: Michigan Power Bridgman, Mich.49106 R.W.Jur enson oDATE OF DOC DATE REC'D 12-0-4 TV,'X RPT OTHER TO: Mr.J.G.Keppler ORIG 1 signed CC OTHER SENT AEC PDR SENT LOCAL PDR CLASS UNCLA XX PROPIixIFO INPUT NO CYS REC'D 1 DOC,iET NO: 50-315 DESCRIPTION:
{{#Wiki_filter:I       e AEC   DIST'TIG" FOR         PART 50 DQCI'ET ME                   AXIAL (TEi'PORARY FORi'il)
Ltr furnishing suppl to A'bnorma Occurrence AO-50-315/74-09 involving the brea'being closed w1.thout having intermediate range channels in service on 12-18-74....
CONTROL NO:                 210 FILE:
ENCLOSURES:
F RO;l     Indiana   It: Michigan Power         oDATE OF DOC         DATE REC'D                         TV,'X   RPT             OTHER Bridgman, Mich.         49106 R.W. Jur enson                                    12 4 TO:                                                        ORIG         CC       OTHER               SENT AEC PDR Mr. J. G. Keppler                                1 signed                                          SENT LOCAL PDR CLASS UNCLA                       PROPIixIFO             INPUT       NO CYS REC'D                   DOC,iET NO:
rs[~WUO qn~N q C't 1[t<iNLJuwl u~i PLANT NAME: Cook 1 BUTLER (S)W/Copies CLARK (S)W/Copies PARR (S)W/Copies 46llgL (S)W/+Copies SCHIIENCER (S)W/Copies STOLZ (S)W/Copies VQSALLO (S)W/Copies PURPLE{S)W/Copies i1EQ EX'ECH REVIEW AEC DR'I AGC 2 ROOM P-506-A+AIACCARRY AJNZZXNG/STAFF
XX                                                                    1                            50-315 DESCRIPTION: Ltr furnishing suppl to A'bnorma                         ENCLOSURES:
~XGHT CREASE L@AWLICKI GXAEIBUSSO C8HAO BOYD CTELLO MOORE (S)(BWR)KIOUSTON DEXOUNG (S)(PWR)AOVAK SKOVHOLT (S)40SS GOLLER (S)APPOLITO PE COLLINS TEDESCO DENISE~NG REG OPR@t AINAS XLE&REGXON Q}4ENAROYA.R.WILSON IAx STEELE~VOLDIER REGAN (E)W/Copies LEAR (S)Iif/Copies sPEIs (s)W/Copies ZIE>fANN (S)W/Copies DXCKER (E).W/Copies KNXGHTON (E)W/Copies YOUNGBLOOD (E)Co ies INTc>x AL DISt I DENXON GRIMES GAMMILL~TNER BALLARD SPANGLER ENUXRO MULLER DXCKER KNXGEETON YOUNGBLOOD REGAN PROJECT LDR HARLESS I=.)U 7 I 0 ixI LXC.ASST.~AT XN 9XGGS (S)BRAITMAN GEARIN (S)SALTZMAN..'GOULBOURNE (S)B.HURT KREUTZER (E)LEE (S)PLANS>UIXGRET (S)MCDONALD ED (E)CHAPMAN ERVXCE (S)DUBE w/input SEEEPPARD (S)E.COUPE SMTER (E)~D.THOMPSON (Q)SMITH (S)~KLECmR TEETS (S)6fF.WXTLIAI(fS WILLIAMS (E)WILSON (S)INGRAM (S)FOR ACTIONX'Ii" FOR XIATIO'" DE/1~~N=4.-TXC(ABERNATHY) 51"NSXC(BUCHANAN) 1"ASLB 1 NEWE.'ON ANDERSON Q5"ACRS SENT TO LXC~ASST'.Service 1-9-75 E):TERN.RL DIS R IBUTIQi~!(1)(2)(10)-NATIONAL LABS 1-N.PENNINGTON, RM E-201 G.T.1-CONSULTAEG S NEWI IARK/BLUE/AGBABIAN 1"PDR SAN/LA/NY 1 BROOKEiAVEN NAT LAB 1-G, ULRIKSON, ORNL.1-AGMED(RUTH GUSSMAN)RM B-127 G.T.1-J~RUNKLES, RM E-201 G.T.
Occurrence AO-50-315/74-09 involving the brea rs
N W~f I I'~~n,~il i t=-I,'er4oon
    'being closed w1.thout having intermediate range channels     in service     on       12-18-74....
=-<<I'P I INDIANA D NIIDNIIDAN PDINER DDNIPANYi DONALD C COOK NUCLEAR PLANT>ig g P.O.Box 458, Bridgman, Michigan 49106-'+ill)December 30,-1974 5o-3)5 U.S.Atomic Energy Commission Directorate of Regulatory Operations Region III 799 Roosevelt Road Glen Ellyn, IL 60137 Attention:
[
Mr.J.G.Keppler;Regional Director Gentlemen:
                                                                                                                          ~WUO qn~N q C' t 1 [
The following is a supplement to Abnormal Occurrence Number AO-050-315/74-09v Prior to commencing the Rod Drop Time Preoperational Test on December 18, 1974, the Intermediate Range Nuclear Instrumentation was placed in service as required by Technical Specifications Table 3.3-1 Number 5.AA review of previous testing which involved closing reactor trip breakers showed that on December 9, 1974, during Protection System Time Response Testing, the breakers were closed without having Intermediate Range Channels in service.CORRECTIVE ACTIONS TAKEN (1)The Intermediate Range Channels were placed in service on 2345 December 18, 1974.(2)It was determined that the health and safety of the public was not jeopardized since the CRDM Motor Generators were not energized while the Reactor Trip Breakers were closed, thus movement of the Control Rods was impossible.
t<iNLJuwl u~i PLANT NAME:             Cook 1 BUTLER (S)
CORRECTIVE STEPS TAKEN TO AVOID RE-OCCURRENCE (1)A change to Surveillance Test Procedure THP 4030 STP.100 was issued which requires Intermediate RangeeChannels to be in operation prior to commencing this test.JAM 2l975 0~~K l U.S.Ato Energy Commission December 30, 1974 Page 2 DATE FULL COMPLIANCE WILL BE ACHIEVED (1)Full compliance has now been achieved (effective 12-18-74).
FOR ACTIONX'Ii"FOR XIATIO'"                    DE/     1~~
Respectfully, baf cc: J.E.Dol an R.S.Hunter R.M.Kopper G.E.LeMasters G.E.Lien PNSRC R.J.Vollen BPI K.R.-Baker, Resident Inspector.W.Jurg en Plant Man ger LlCENSEE EVENT REPORT I XII six 7 89 CONTROL OLOCK: 1 (P SE PRINT ALL REQUIRED INFORMlLTION) l R=3O-7g LCENSE EVENT TYPE TYPE LICENSEE NAME LICENSE NUMBER 30 31 32 25 26 14 15 yogCg OO-OoOOO-oo A i i i i~pi REPORT.REPORT[OD1]t'ONT
SCHIIENCER        (S)         ZIE>fANN  (S)                 REGAN    (E)
~FO, L L 0 5 0-o 3 2 5 L 2.0'I 7 4 L L 3>'I 4-7 8 57 58 59 60 61 68 69 74 75 80 EVENT DESCRIPTION gag>Uar~C.PEPmPt-M,ACe F ROTC.C.C 4 5YS-EH YIME.QP~VOVSE.7 8 9 I 5Ahl e, c o Ip-K,E.RS uveRe c.~sar 7 89 toO]T i eozaTe.m~e AuC.m>P.r.uemuHex Wrgk v4A.S gO>7 8 9 Vlc.F u T.R f b.SPEC'TF'X oAS.7 8 9 QOg 7 89 PNME SYSTEM CAUSE COMPONENT COMPONENT COOS COOS COMPONENT COOE SUPPUER MANUFACIURER VIOLATION~D~~r.a~D Zz.zzz Z zzz,z Y 7 8 9 10 11 12 17.43 44 47 48 CAUSE DESCRIPTION
W/ Copies                 W/         Copies             W/ Copies                     W/    Copies CLARK (S)                  STOLZ (S)                     DXCKER (E).                    LEAR    (S)
[OOS]~ME FSPOAM SURVEXLLP 4<8 TMY'XD ROT PEgVTRE,~F 7 8 9 Qg M~Na9IPTe RAQC e zds7e HeJT T ee;~M VXC,e 7 8 9 Q~g t'RE.P E.VX.SX7-SF E.Sv PP LE.HEhhTkL.
W/ Copies                   W/ Copies                     W/ Copies                     Iif/ Copies PARR  (S)                 VQSALLO (S)                   KNXGHTON (E)                   sPEIs (s)
80 80 80 80 80 80 7 89 FACILITY Qg c~oo o vz*7 8 9 10 12 13 FORM OF ACTIVITY COATENT RELEASEO OF RELEASE AMOUNT OF ACTIVITY[gg z.~z 7 8 9 10 11 PERSONNEL EXPOSURES 7 89 11 12 13 PERSONNEL INJURIES~<<L0Dg~67.7 89 11 12 PROBABLE CONSEQUENCES Q~g 7 89 LOSS OR DAMAGE TO FACILITY Q~g g Nh, 7 89 10 PUBLICITY 7 89 ADDITIONAL FACTORS METHOO OF OISCOVERY 44 45 e 46 OISCOVERY OESCRIPTION m SY pe.c.Cepze~NR~VE 80 LOCATION OF RELEASE 44 45 80 80 80 80 80)U TeST-%HAT~SAFGY QoT)EDPARQLZ&D 80 7 8 9 80 7 89 NAME:....I 5-59OL 80 GPO 88 I~8 8T I 4 l h 4 I f T~,I}}
W/    Copies                W/ Copies                      W/ Copies                      W/ Copies 46llgL (S)                   PURPLE        {S)            YOUNGBLOOD (E)
W/+Copies                   W/         Copies                   Co ies i1EQ AEC EX'ECH DR                            'I      REVIEW INTc>x AL DISt DENXON GRIMES I I =.)U 7 I 0 ixI LXC. ASST.
9XGGS    (S)
                                                                                                                  ~AT XN BRAITMAN AGC 2    ROOM    P-506-A              +AIACCARRY          GAMMILL                        GEARIN (S)             SALTZMAN AJNZZXNG/STAFF                          ~XGHT            ~TNER                      ..'  GOULBOURNE      (S)     B. HURT CREASE                                  L@AWLICKI          BALLARD                        KREUTZER      (E)
GXAEIBUSSO                            C8HAO              SPANGLER                      LEE (S)                PLANS BOYD                                  CTELLO                                            >UIXGRET    (S)      MCDONALD MOORE (S) (BWR)                      KIOUSTON          ENUXRO                               ED (E)            CHAPMAN DEXOUNG (S) (PWR)                    AOVAK              MULLER                             ERVXCE    (S)       DUBE w/input SKOVHOLT (S)                         40SS                DXCKER                        SEEEPPARD      (S)     E. COUPE GOLLER (S)                           APPOLITO            KNXGEETON                      SMTER (E)            ~D. THOMPSON (Q)
PE  COLLINS                          TEDESCO          YOUNGBLOOD                      SMITH (S)           ~KLECmR DENISE                                ~NG                REGAN                          TEETS (S)           6fF. WXTLIAI(fS REG OPR                              @t AINAS            PROJECT LDR                    WILLIAMS (E)
XLE & REGXON      Q}              4ENAROYA                                          WILSON (S)
N=
    .R. WILSON        IAx STEELE          ~VOLDIER        HARLESS                        INGRAM (S)
E):TERN.RL DIS    R  IBUTIQi~!
(1) (2) (10) -NATIONAL LABS                                  1"PDR SAN/LA/NY 4.-TXC(ABERNATHY)                                   1-N. PENNINGTON, RM E-201 G.T.                              1 BROOKEiAVEN NAT LAB 51"NSXC(BUCHANAN)                                   1-CONSULTAEG S                                             1-G, ULRIKSON,          ORNL.
1"ASLB                                              NEWI IARK/BLUE/AGBABIAN                                  1-AGMED(RUTH GUSSMAN) 1 NEWE.'ON ANDERSON                                                                                             RM B-127 G.T.
Q5"ACRS SENT TO LXC ~                                                                                           1-J ~ RUNKLES, RM E-201 Service 1-9-75 ASST'.
G.T.
 
N W ~                f I
            '
I
      ~ ~
n,~
il
 
i                    t
                                                    =-<<I'
                                                      =-I,'er4oon PI INDIANA D NIIDNIIDANPDINER DDNIPANYi                                              5o-3)5 DONALD C COOK NUCLEAR PLANT P.O. Box 458, Bridgman, Michigan 49106
                                                                  >ig              g
                                                                      - '+ill
                                                                              )
December 30,-1974 U.S. Atomic Energy Commission Directorate of Regulatory Operations Region  III 799 Roosevelt Road Glen Ellyn, IL 60137 Attention:    Mr. J. G. Keppler; Regional                    Director Gentlemen:
The following is     a supplement to Abnormal Occurrence Number AO-050-315/74-09v Prior to   commencing the Rod Drop Time Preoperational Test on December 18, 1974, the Intermediate Range Nuclear Instrumentation was placed in service as required by Technical Specifications Table 3.3-1 Number 5.
AA review of previous testing which involved closing reactor trip breakers showed that on December 9, 1974, during Protection System Time Response Testing, the breakers were closed without having Intermediate Range Channels in service.
CORRECTIVE ACTIONS TAKEN (1)   The Intermediate Range Channels                         were placed in service on 2345 December 18, 1974.
(2)   It was   determined that the health and safety of the public was not jeopardized since the CRDM Motor Generators were not energized while the Reactor Trip Breakers were closed, thus movement of the Control Rods was impossible.
CORRECTIVE STEPS TAKEN TO AVOID RE-OCCURRENCE (1)   A change   to Surveillance Test Procedure THP 4030 STP.100 was issued which requires Intermediate RangeeChannels to be in operation prior to commencing this test.
JAM 2  l975
 
0
  ~ ~   K l
 
U.S. Ato     Energy Commission December 30, 1974 Page 2 DATE FULL COMPLIANCE WILL BE ACHIEVED (1) Full compliance has now been   achieved (effective 12-18-74).
Respectfully,
                                      .W. Jurg    en Plant  Man  ger baf cc: J.E. Dol an R.S. Hunter R.M. Kopper G.E. LeMasters G.E. Lien PNSRC R.J. Vollen   BPI K.R. -Baker, Resident Inspector
 
I XII LlCENSEE EVENT REPORT                                                               six CONTROL OLOCK:                                                             (P   SE PRINT ALL REQUIRED INFORMlLTION) 1 l R=3O-7g iiii LICENSEE                                                                            LCENSE               EVENT 7  89 yogCg  NAME 14    15 LICENSE NUMBER OO OoOOO  oo 25 A
26 TYPE 30    31 TYPE
                                                                                                                            ~pi32 REPORT . REPORT
[OD1]t'ONT 7 8
                  ~FO, 57      58 L
59 L
60 0 5 0 o 3 2 5 61                              68    69 L 2. 0 'I 7       4 74 L
75 L 3       > 'I       4-80 I
EVENT DESCRIPTION gag     >Uar~C.             PEPmPt-M,ACe                 F       ROTC.C.C         4 5YS-EH YIME. QP~VOVSE.
7   8 9                                                                                                                                             80 7    89 5Ahl                       e,   c   o         Ip K,E.RS uveRe             c.~sar 80 7
toO]
8 9 T i eozaTe.                 m~       e   AuC.m>P.             r.uemuHex                 Wrgk         v4A.S       gO>
80 7 8 9 Vlc.                   F   u T.R                                   f   b. SPEC'TF'X                 oAS.
80 QOg 7   89                                                             PNME                                                                             80 SYSTEM       CAUSE                                     COMPONENT             COMPONENT
~D~ ~r.
7 8 9 10 COOS a
COOS
                        ~D 11      12 Zz.           zzz COMPONENT COOE 17    .
SUPPUER Z
43          44 zzz,z MANUFACIURER 47 VIOLATION Y
48 CAUSE DESCRIPTION
[OOS]
7   8 9
          ~ME             FSPOAM             SURVEXLLP 4<8               TMY'XD ROT                   PEgVTRE,           ~F Qg8 7     9 M~         Na9IPTe             RAQC e       zds7e HeJT                     T   ee;   ~M           VXC,e 80 Q~g     t'RE.P     E. VX.SX7-           SF E. Sv PP LE.HEhhTkL.
7   89 FACILITY                                                       METHOO OF
* OISCOVERY                      OISCOVERY OESCRIPTION Qg             c           ~oo o                 vz                                           m      SY pe.c.      Cepze~NR~VE 7   8       9             10           12   13                       44      45  e  46                                                          80 FORM OF ACTIVITY       COATENT RELEASEO       OF RELEASE           AMOUNT OF ACTIVITY                                         LOCATION OF RELEASE
[gg           z.           ~z 7   8       9               10     11                                 44        45                                                                  80 PERSONNEL EXPOSURES 7   89               11     12     13                                                                                                               80 PERSONNEL INJURIES 7
~<<L0Dg~
89               11   12 67.
80 PROBABLE CONSEQUENCES Q~g                                                                   )U            TeST- %HAT ~ SAFGY QoT )EDPARQLZ&D 7   89                                                                                                                                               80 LOSS OR DAMAGE TO FACILITY 7
Q~g 89 g         10 Nh, 80 PUBLICITY 7   89                                                                                                                                               80 ADDITIONAL FACTORS 7    8 9                                                                                                                                              80 7    89 NAME:                                                                        .... I    5-59OL GPO  88 I ~
80 8 8T
 
I 4l h 4     I f
T
    ~ ,I}}

Revision as of 19:54, 20 October 2019

Supplement to LER 1974-009Y-00, Abnormal Occurrence During Performance of Protection System Time Response Testing, the Reactor Trip Breakers Were Closed
ML18219C143
Person / Time
Site: Cook  American Electric Power icon.png
Issue date: 12/30/1974
From: Jurgensen R
Indiana Michigan Power Co, (Formerly Indiana & Michigan Power Co)
To: James Keppler
US Atomic Energy Commission (AEC)
References
LER 1974-009Y-00
Download: ML18219C143 (7)


Text

I e AEC DIST'TIG" FOR PART 50 DQCI'ET ME AXIAL (TEi'PORARY FORi'il)

CONTROL NO: 210 FILE:

F RO;l Indiana It: Michigan Power oDATE OF DOC DATE REC'D TV,'X RPT OTHER Bridgman, Mich. 49106 R.W. Jur enson 12 4 TO: ORIG CC OTHER SENT AEC PDR Mr. J. G. Keppler 1 signed SENT LOCAL PDR CLASS UNCLA PROPIixIFO INPUT NO CYS REC'D DOC,iET NO:

XX 1 50-315 DESCRIPTION: Ltr furnishing suppl to A'bnorma ENCLOSURES:

Occurrence AO-50-315/74-09 involving the brea rs

'being closed w1.thout having intermediate range channels in service on 12-18-74....

[

~WUO qn~N q C' t 1 [

t<iNLJuwl u~i PLANT NAME: Cook 1 BUTLER (S)

FOR ACTIONX'Ii"FOR XIATIO'" DE/ 1~~

SCHIIENCER (S) ZIE>fANN (S) REGAN (E)

W/ Copies W/ Copies W/ Copies W/ Copies CLARK (S) STOLZ (S) DXCKER (E). LEAR (S)

W/ Copies W/ Copies W/ Copies Iif/ Copies PARR (S) VQSALLO (S) KNXGHTON (E) sPEIs (s)

W/ Copies W/ Copies W/ Copies W/ Copies 46llgL (S) PURPLE {S) YOUNGBLOOD (E)

W/+Copies W/ Copies Co ies i1EQ AEC EX'ECH DR 'I REVIEW INTc>x AL DISt DENXON GRIMES I I =.)U 7 I 0 ixI LXC. ASST.

9XGGS (S)

~AT XN BRAITMAN AGC 2 ROOM P-506-A +AIACCARRY GAMMILL GEARIN (S) SALTZMAN AJNZZXNG/STAFF ~XGHT ~TNER ..' GOULBOURNE (S) B. HURT CREASE L@AWLICKI BALLARD KREUTZER (E)

GXAEIBUSSO C8HAO SPANGLER LEE (S) PLANS BOYD CTELLO >UIXGRET (S) MCDONALD MOORE (S) (BWR) KIOUSTON ENUXRO ED (E) CHAPMAN DEXOUNG (S) (PWR) AOVAK MULLER ERVXCE (S) DUBE w/input SKOVHOLT (S) 40SS DXCKER SEEEPPARD (S) E. COUPE GOLLER (S) APPOLITO KNXGEETON SMTER (E) ~D. THOMPSON (Q)

PE COLLINS TEDESCO YOUNGBLOOD SMITH (S) ~KLECmR DENISE ~NG REGAN TEETS (S) 6fF. WXTLIAI(fS REG OPR @t AINAS PROJECT LDR WILLIAMS (E)

XLE & REGXON Q} 4ENAROYA WILSON (S)

N=

.R. WILSON IAx STEELE ~VOLDIER HARLESS INGRAM (S)

E):TERN.RL DIS R IBUTIQi~!

(1) (2) (10) -NATIONAL LABS 1"PDR SAN/LA/NY 4.-TXC(ABERNATHY) 1-N. PENNINGTON, RM E-201 G.T. 1 BROOKEiAVEN NAT LAB 51"NSXC(BUCHANAN) 1-CONSULTAEG S 1-G, ULRIKSON, ORNL.

1"ASLB NEWI IARK/BLUE/AGBABIAN 1-AGMED(RUTH GUSSMAN) 1 NEWE.'ON ANDERSON RM B-127 G.T.

Q5"ACRS SENT TO LXC ~ 1-J ~ RUNKLES, RM E-201 Service 1-9-75 ASST'.

G.T.

N W ~ f I

'

I

~ ~

n,~

il

i t

=-<<I'

=-I,'er4oon PI INDIANA D NIIDNIIDANPDINER DDNIPANYi 5o-3)5 DONALD C COOK NUCLEAR PLANT P.O. Box 458, Bridgman, Michigan 49106

>ig g

- '+ill

)

December 30,-1974 U.S. Atomic Energy Commission Directorate of Regulatory Operations Region III 799 Roosevelt Road Glen Ellyn, IL 60137 Attention: Mr. J. G. Keppler; Regional Director Gentlemen:

The following is a supplement to Abnormal Occurrence Number AO-050-315/74-09v Prior to commencing the Rod Drop Time Preoperational Test on December 18, 1974, the Intermediate Range Nuclear Instrumentation was placed in service as required by Technical Specifications Table 3.3-1 Number 5.

AA review of previous testing which involved closing reactor trip breakers showed that on December 9, 1974, during Protection System Time Response Testing, the breakers were closed without having Intermediate Range Channels in service.

CORRECTIVE ACTIONS TAKEN (1) The Intermediate Range Channels were placed in service on 2345 December 18, 1974.

(2) It was determined that the health and safety of the public was not jeopardized since the CRDM Motor Generators were not energized while the Reactor Trip Breakers were closed, thus movement of the Control Rods was impossible.

CORRECTIVE STEPS TAKEN TO AVOID RE-OCCURRENCE (1) A change to Surveillance Test Procedure THP 4030 STP.100 was issued which requires Intermediate RangeeChannels to be in operation prior to commencing this test.

JAM 2 l975

0

~ ~ K l

U.S. Ato Energy Commission December 30, 1974 Page 2 DATE FULL COMPLIANCE WILL BE ACHIEVED (1) Full compliance has now been achieved (effective 12-18-74).

Respectfully,

.W. Jurg en Plant Man ger baf cc: J.E. Dol an R.S. Hunter R.M. Kopper G.E. LeMasters G.E. Lien PNSRC R.J. Vollen BPI K.R. -Baker, Resident Inspector

I XII LlCENSEE EVENT REPORT six CONTROL OLOCK: (P SE PRINT ALL REQUIRED INFORMlLTION) 1 l R=3O-7g iiii LICENSEE LCENSE EVENT 7 89 yogCg NAME 14 15 LICENSE NUMBER OO OoOOO oo 25 A

26 TYPE 30 31 TYPE

~pi32 REPORT . REPORT

[OD1]t'ONT 7 8

~FO, 57 58 L

59 L

60 0 5 0 o 3 2 5 61 68 69 L 2. 0 'I 7 4 74 L

75 L 3 > 'I 4-80 I

EVENT DESCRIPTION gag >Uar~C. PEPmPt-M,ACe F ROTC.C.C 4 5YS-EH YIME. QP~VOVSE.

7 8 9 80 7 89 5Ahl e, c o Ip K,E.RS uveRe c.~sar 80 7

toO]

8 9 T i eozaTe. m~ e AuC.m>P. r.uemuHex Wrgk v4A.S gO>

80 7 8 9 Vlc. F u T.R f b. SPEC'TF'X oAS.

80 QOg 7 89 PNME 80 SYSTEM CAUSE COMPONENT COMPONENT

~D~ ~r.

7 8 9 10 COOS a

COOS

~D 11 12 Zz. zzz COMPONENT COOE 17 .

SUPPUER Z

43 44 zzz,z MANUFACIURER 47 VIOLATION Y

48 CAUSE DESCRIPTION

[OOS]

7 8 9

~ME FSPOAM SURVEXLLP 4<8 TMY'XD ROT PEgVTRE, ~F Qg8 7 9 M~ Na9IPTe RAQC e zds7e HeJT T ee; ~M VXC,e 80 Q~g t'RE.P E. VX.SX7- SF E. Sv PP LE.HEhhTkL.

7 89 FACILITY METHOO OF

  • OISCOVERY OISCOVERY OESCRIPTION Qg c ~oo o vz m SY pe.c. Cepze~NR~VE 7 8 9 10 12 13 44 45 e 46 80 FORM OF ACTIVITY COATENT RELEASEO OF RELEASE AMOUNT OF ACTIVITY LOCATION OF RELEASE

[gg z. ~z 7 8 9 10 11 44 45 80 PERSONNEL EXPOSURES 7 89 11 12 13 80 PERSONNEL INJURIES 7

~<<L0Dg~

89 11 12 67.

80 PROBABLE CONSEQUENCES Q~g )U TeST- %HAT ~ SAFGY QoT )EDPARQLZ&D 7 89 80 LOSS OR DAMAGE TO FACILITY 7

Q~g 89 g 10 Nh, 80 PUBLICITY 7 89 80 ADDITIONAL FACTORS 7 8 9 80 7 89 NAME: .... I 5-59OL GPO 88 I ~

80 8 8T

I 4l h 4 I f

T

~ ,I