ML16041A268

Fermi 2 - Revision 9 EP-290001, Nuclear Plant Event Notification Form

ML16041A268
Person / Time
Site:	Fermi
Issue date:	01/26/2016
From:	DTE Electric Company
To:	Document Control Desk, Office of Nuclear Reactor Regulation
References
EP-290001, Rev 9
Download: ML16041A268 (2)

Text

DETROIT EDISON -FERMI 2AUTOMATED RECORD MANAGEMENTDISTRIBUTION CONTROL LIST01/26/16To: 00935US NRCDOCUMENT CNTRL DESKPAGE 1WASHINGTON, DC 20555Media: 8 1/2 X 11Number Cnt IssueDTC Dcc. Serial Number Page Rev Copies Lvi Date Sec StatusTPEPT EP-290001 9 1 ST 01/26/16 AFCPlease destroy or mark all revised, superseded, or cancelled documentsas such. CONTROLLED stamps must be voided by lining through and initialing.Detroit Edison EF2, C/O Info Mgmt 140 NOC, 6400 North Dixie Highway,Newport MI 48166. (734) 586-4338 OR (734) 586-4061 for questions or concerns.Ref: e58683 NUCLEAR PLANT EVENT NOTIFICATION FORMCommunicate lines1.-6 verbally.(Initial Notifications)1.El Actual EventEl DrillP2.Plant C~ontact InformationFermi 2Nuclear Power Plant:Plant Communicator:Plant Message NumberCalling From: El Control Room El TSC LI EOF LI Other_____Call Back Telephone Number: _______________3. Current Classification[']E Unusual Event El Alert El Site Area Emergency El General Emergency El Termination(TDF pg.]1 Required)This classification was declared at: Date: _______ Time:_________4. Reason for Classification[] Abnormal Rad Level/Rad Effluents El Fission Product Barrier DegradationFermi IC Number: _ ____Fermi IC Number:_____El Hazards and Other Conditions Affecting Plant Safety El System MalfunctionFermi IC Number: ______Fermi IC Number: _____El Independent Spent Fuel Storage Installation El Cold Shutdown / Refueling System MalfunctionFermi IC Number: ______Fermi IC Number: _____5. Radiological Release in Progress Due to EventEl Yes El No6. Protective Action Recommendations6. E NoneRecommend the following protective actions: Implement the State of Michigan K! plan. All other areas monitor and prepare.Evacuation of Area(s): El 1 El 2 El 3 El 4 El 5In-Place Shelter of Area(s): El 1 El 2 El 3 El 4 El 5Clear Lake Area(s): El 6 El 7PAR based on Dose Calculations*: El YES El NOpARs are beyond 10 Miles*: El YES El NO*TDF pg 2 required and a conference call with the ORO must be complete within 15 minutes of "notification" by this form.Meteorological DataNOTE: The TPCS "Straight Line Plume Plot" is the preferred source.Wind Direction (degrees): From ______to _______Wind Speed (MPH):______Stability Class: __ _Precipitation: El Yes El NoApproved:______________ ____________ __ ____Signature Print Name Date TimeSEOC Functional El Yes El No If Yes, DO NOT call counties.Notifications Time Contacted Name Telephone No. or Select Auto-DialMonroe County ______________________ _________E Auto-DialWayne County _______________________________E Auto-DialMichigan State Police/SEOC _________ _____________ __________E Auto-DialNRC Operations CenterProvince of Ontario (Canada) _________ _____________ __________E Auto-DialA. Nuclear InformationS a ____________________ _____________________!DTC: TPEPT DSN: EP-290001 Rev. 9 P1/1 IP: I File: 1703.10 Issued:flL621File: 0926.09 lIP: I DETROIT EDISON -FERMI 2AUTOMATED RECORD MANAGEMENTDISTRIBUTION CONTROL LIST01/26/16To: 00935US NRCDOCUMENT CNTRL DESKPAGE 1WASHINGTON, DC 20555Media: 8 1/2 X 11Number Cnt IssueDTC Dcc. Serial Number Page Rev Copies Lvi Date Sec StatusTPEPT EP-290001 9 1 ST 01/26/16 AFCPlease destroy or mark all revised, superseded, or cancelled documentsas such. CONTROLLED stamps must be voided by lining through and initialing.Detroit Edison EF2, C/O Info Mgmt 140 NOC, 6400 North Dixie Highway,Newport MI 48166. (734) 586-4338 OR (734) 586-4061 for questions or concerns.Ref: e58683 NUCLEAR PLANT EVENT NOTIFICATION FORMCommunicate lines1.-6 verbally.(Initial Notifications)1.El Actual EventEl DrillP2.Plant C~ontact InformationFermi 2Nuclear Power Plant:Plant Communicator:Plant Message NumberCalling From: El Control Room El TSC LI EOF LI Other_____Call Back Telephone Number: _______________3. Current Classification[']E Unusual Event El Alert El Site Area Emergency El General Emergency El Termination(TDF pg.]1 Required)This classification was declared at: Date: _______ Time:_________4. Reason for Classification[] Abnormal Rad Level/Rad Effluents El Fission Product Barrier DegradationFermi IC Number: _ ____Fermi IC Number:_____El Hazards and Other Conditions Affecting Plant Safety El System MalfunctionFermi IC Number: ______Fermi IC Number: _____El Independent Spent Fuel Storage Installation El Cold Shutdown / Refueling System MalfunctionFermi IC Number: ______Fermi IC Number: _____5. Radiological Release in Progress Due to EventEl Yes El No6. Protective Action Recommendations6. E NoneRecommend the following protective actions: Implement the State of Michigan K! plan. All other areas monitor and prepare.Evacuation of Area(s): El 1 El 2 El 3 El 4 El 5In-Place Shelter of Area(s): El 1 El 2 El 3 El 4 El 5Clear Lake Area(s): El 6 El 7PAR based on Dose Calculations*: El YES El NOpARs are beyond 10 Miles*: El YES El NO*TDF pg 2 required and a conference call with the ORO must be complete within 15 minutes of "notification" by this form.Meteorological DataNOTE: The TPCS "Straight Line Plume Plot" is the preferred source.Wind Direction (degrees): From ______to _______Wind Speed (MPH):______Stability Class: __ _Precipitation: El Yes El NoApproved:______________ ____________ __ ____Signature Print Name Date TimeSEOC Functional El Yes El No If Yes, DO NOT call counties.Notifications Time Contacted Name Telephone No. or Select Auto-DialMonroe County ______________________ _________E Auto-DialWayne County _______________________________E Auto-DialMichigan State Police/SEOC _________ _____________ __________E Auto-DialNRC Operations CenterProvince of Ontario (Canada) _________ _____________ __________E Auto-DialA. Nuclear InformationS a ____________________ _____________________!DTC: TPEPT DSN: EP-290001 Rev. 9 P1/1 IP: I File: 1703.10 Issued:flL621File: 0926.09 lIP: I