ML20083Q307

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Rev 31 to Procedure/Work Plan 1903.060, Emergency Supplies & Equipment
ML20083Q307
Person / Time
Site: Arkansas Nuclear  Entergy icon.png
Issue date: 05/16/1995
From: Cotton S
ENTERGY OPERATIONS, INC.
To:
References
1903.060, NUDOCS 9505250247
Download: ML20083Q307 (70)
v • d • e


Text

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g .Y ENTERGY OPERATIONS INCORPORATED ARKANSAS NUCLEAR ONE Arkansas Nuclear One Russellville, Arkansas Date: 950517 MEMORANDUM TO: 103 *Please return transmittal CC - NRC - WASHINGTON to Document Control, 3RD floor Admin Bldg

  • FROM: DOCUMENT CONTROL Ref Key: 19508

SUBJECT:

PLANT MANUAL UPDATE: NEW REVISION TO PROCEDURE PROCEDURE / FORM NUMBER: OP 1903.060 REV. # 31 TC # 0 PC # 0 PROCEDURE / FORM TITLE: EMERGENCY SUPPLY EQUIP The following pages of the indicated rocedure(s) contains items which involve personal privacy or proprietary mater al. PLEASE REMOVE THE INDICATED MATERIAL PRIOR TO DISTRIBUTION TO PUBLIC DOCUMENT ROOMS, ETC.

PROCEDURE (S) PAGE (S) l SIGNATURE: DATE:

UPDATED PRINT NAME form title: form no. rev.

TRANSMITTAL (PROCEDURE / WORK PLANS / CHANGES / FORMS) 1013.002H 9505250247 950516 PDR ADOCK05000g3

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. - ENTERGY OPERATIONS INCORPORATED ARKANSAS NUCLEAR ONE PROC / WORK PLAN NO. REV.

TITLE: EMERGENCY SUPPLIES & EQUIPMENT 1903.060 31 EXP.DATE SAFETY-RELATED N/A SYES ONO

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O FORM TITLE:

REQUIRED EFFECTIVE DATE:

FORM NO. REV.

LIST OF AFFECTED PAGES 1000.006A 43

t PRoCJWORK Pt.AN NO. PROCEDURE / WORK PLAN TITLE: PAGE: 1 of $8 1M3.060 EMERGENCY SUPPLIES & EQUIPMENT RR 31 CHANGE:

1.0 PURPOSE The purpose of this procedure is to describe the contents of the emergency '

I kits and the periodic inventory requirements for the indicated emergency supplies and equipment.

2.0 SCOPE This procedure applies to the emergency supplies and equipment contained in a designated emergency kit or room unless otherwise indicated. This procedure contains monitoring requirements for assessing conformance with limiting conditions for operation of Unit 1 Technical Specifications.

3.0 REFERENCES

3.1 REFERENCES

USED IN PROCEDURE PREPARATION:

3.1.1 Emergency Plan 3.1.2 ANO-1 Technical Specifications

3.2 REFERENCES

USED IN CONJUNCTION WITH THIS PROCEDURE:

3.2.1 1000.009, " Surveillance Test Program Control".

3.2.2 1601.601, " Maintenance & Calibration of Respiratory s Protection Equipment".

'- 3.2.3 1012.022, " Control /Use of Portable H.P. Instrumentation".

3.2.4 1904.002, "Offsite Dose Projections - RDACS Method" 3.3 RELATED ANO PROCEDURES:

3.3.1 1012.022, " Control /Use of Portable H.P. Instrumentation".

3.3.2 1003.005, Fire Prevention Inspection 3.4 REGULATORY CORRESPONDENCE CONTAINING NRC COMMITMENTS WHICH ARE IMPLEMENTED IN THIS PROCEDURE:

3.4.1 OCAN128305, Section 6.1.3 and 1903.060C 3.4.2 OCAN118202, Steps 7.0 and 8.0 3.4.3 OCANO38313, Form 1903.060C 3.4.4 OCNA108215, 313/8122-7, 368/8121-77; Form 1903.060K 3.4.5 LIC-94-293, 1903.060A, ~ Spare bottle note 4.0 DEFINITIONS None O

PROCJWORK PLAN NO. PROCEDUREMORK PLAN TM.E: PAGE: 2 of 64

' 1903.060 EMERGENCY SUPPLIES & EQUIPMENT REV: 31 CHANGE:

U RESPONSIBILITIES 5.0 5.1 EMERGENCY PLANNING SUPERVISOR The Emergency Planning Supervisor is responsible for ensuring the periodic inventory of emergency kits described in this procedure and for coordinating the maintenance and replacement of equipment and supplies contained in these kits. ,

l 5.2 RADIATION PROTECTION AND RADWASTE MANAGER l The Radiation Protection and Radwaste Manager is responsible for the periodic inventory of the emergency kits described in this procedure.

l 5.3 SURVEILLANCE TEST COORDINATOR J

The Surveillance Test Coordinator is responsible for scheduling the Radiation Instruments Monthly Battery Checks in accordance with Tech.

Spec's. j 5.4 THE FIRE PREVENTION COORDINATOR The Fire Prevention Coordinator is responsible for ensuring the periodic inventory of fire lockers and carts described in procedure, l 1003.005, Fire Prevention Inspection and for coordinating the I maintenance and replacement of equipment and supplies contained in those lockers and carts.

6.0 DESCRI PTION 6.1 THE FOLLOWING EMERGENCY KITS ARE MAINTAINED AT ARKANSAS NUCLEAR ONE FOR USE IN THE EVENT OF AN EMERGENCY:

6.1.1 Control Room Kit (Control Room Area; shared by both units) 6.1.2 Onsite Radiological Monitoring Kit (Operational Support Center) l 6.1.3 Technical Support Center Kit (Technical Support Center) 6.1.4 Main Guard House Kit 6.1.5 Emergency Operations Facility Kit 6.1.6 Field Monitoring Kits A, B, C and D (Emergency Operations Facility) l 6.1. ~1 Dose Assessment Kit (Emergency Operations Facility) 6.1.8 Emergency News Center Kit (Emergency Operations Facility) 6.1.9 Hospital Kit 6.1.10 Fire Lockers (Unit 1 Turbine Bldg. 354' el., Unit 2 Turbine i

Bldg. 354' el., Turbine Bldg. 386' el.) i l

6.1.11 Fire Locker "D", Turbine Building 386' el, is maintained for equipment storage and is not an emergency locker 1

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. PROCJWORK PLAN NO. PROCEDURElWORK PtAN Till.E:

PAGE: 3of$8

  • REV: 31

' 1903.060 EMERGENCY SUPPLIES & EQUIPMENT

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\s- 6.1.12 First Aid Kits (Medical Lockers and Nurse's Station) 6.1.13 Initial Environmental Sampling Kit 6.2 A Nurse's Station is maintained at Arkansas Nuclear One for use by a physician in the event of an emergency.

6.3 contents of the emergency kits are listed on the forms attached to this procedure.

7.0 LIMITS AND PRECAUTIONS NOTE If circumstances prevent surveillance in accordance with the current surveillance schedule refer to 1000.009. " Surveillance Test Program Control" for instructions.

7.1 Emergency kits shall be checked at the intervals specified by the Supervisor of Emergency Planning and the Surveillance Test Schedule.

The checklists shall be completed monthly and the inventory lists shall be completed quarterly. If found unlocked or unsealed, the contents of the kits shall be inventoried; otherwise, an inventory is not tequired (except as specified below).

7.2 Emergency kita shall be inventoried quarterly and after each use.

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7.3 When performing an inventory, the applicable forms shall be completed to document the inventory. Discrepancies should be noted.

7.4 Discrepancies shall be resolved or corrective actions shall be initiated. This should be indicated on the inventory form.

7.5 When completed, the forms should be forwarded to Emergency Planning for review. Upon their review, the forms should be forwarded to Pecords.

7.6 Monthly battery checks of portable survey instruments are required per Unit 1 Technical Specification 4.1.a; Table 4.1-1; Item 40.

l 8.0 INSTRUCTIONS l 1

8.1 INVENTORY l 1

8.1.1 Perform a complete inventory of a kit using the appropriate )

inventory form if: 1 A. The kit has been used.

l B. The kit is found unlocked / unsealed.

C. The kit is due for its scheduled quarterly inventory.

NOTE

. Batteries (not contained in the instruments) should be replaced annually.

O

moc./ WORK PUWd NO. MOCEDURENf0RK PLAN TITL'E:

PAGE: 4 of 64

'1903.060 EMERGENCY SUPPLIES & EQUlPMENT nm 31 CHANGE t' h

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8.1.2 If the seal is intact / kit locked and the kit is not due for quarterly inventory, perform only the required checks.

8.1.3 Ensure.that the emergency kits are cleaned in conjunction with the quarterly inventory.

8.2 CHECKS 8.2.1 Respirators are naintained in accordance with current HP procedures.

8.2.2 Check and record on the appropriate form the calibration due dates for the instruments in the kit. Replace or recalibrate any instrument whose due date is prior to the next scheduled inspection.

8.2.3 Perform a battery check and check the response of the instruments listed per 1012.022, " Control /Use of Portable H P. Instrumentation". Indicate the results of these checks on the appropriate form. Replace instruments as necessary.

8.2.4 Plug in and allow to charge for approximately two hours the following items (unless they are continuously plugged in):

A. Frisker B. Self Contained Air Sampler

-(

Note on the appropriate form whether each item was

" charged" or " plugged in".

8.2.5 Perform a battery check for each pocket computer.

8.2.6 Inspect 0-rings on air sample heads. Replace as necessary.

8.2.7 Verify the operability of the remaining items indicated.

8.2.8 Perform a monthly review of the Summary Report of "Entergy Operations Inc., ANO Meteorological Tower Data Monthly Report." Document this review on 1903.060R," Met Tower Data Monthly Review Form".

8.2.9 Perform a bi-monthly exchange of Emergency Medical Team Radio Batteries. Document this on Form 1903.060T, " Medical Team Radio Battery Surveillance".

9.0 ACCEPTANCE CRITERIA 9.1 Emergency kit is resealed /re-locked after opening. 1 9.2 Inventory checklist is complete.

9.3 Discrepancies have been resolved.

9.4 Inventory checklist has been reviewed and approved.

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PROC / WORK PLAN HO. PROCEDURE / WORK PLAN TITLE:

PAGE: 5 of 68

  • *
  • REv: 31 1903.060 EMERGENCY SUPPLIES & EQUIPMENT CHANGE:

l h 10.0 ATTACHMENTS AND FORMS 10.1 Form 1903.060A, " Control Room Kit Inventory Form" 10.2 Form 1903.060B, "Onsite Radiological Monitoring Kit Inventory Form" 10.3 Form 1903.060C, " Technical Support Center Kit Inventory Form" 10.4 Form 1903.060D, " Main Guard House Kit Inventory Form" 10.5 Form 1903.060E, " Emergency Operations Facility Kit Inventory Form" 10.6 Form 1903.060F, " Field Monitoring Kit A Inventory Form" 10.7 Form 1903.060G, " Field Monitoring Kit B Inventory Form" 10.8 Form 1903.060H, " Field Monitoring Kit C Inventory Form" 10.9 Form 1903.060I, " Field Monitoring Kit D Inventory Form" 10.10 Form 1903.060J, " Hospital Kit Inventory Form" 10.11 Form 1903.060K, "First Aid Supplies Inventory Form" )

10.12 Form 1903.060L, " Fire Lockers" - Deleted j

)

10.13 Form 1903.060M, " Fire Locker B" - Deleted l I 10.14 Form 1903.060N, " Fire Locker C" - Deleted 10.15 Form 1903.0600, " Miscellaneous Equipment" - Deleted 10.16 Form 1903.060F, " Dose Assessment Kit Inventory Forms" I

10.17 Form 1903.060Q, " Monthly Emergency Kit Surveillance Checklist" l 10.18 Form 1903.060R, " Met Tower Data Monthly Review Form" l

10.19 Form 1903.060S, " Emergency News Center Kit Inventory Form" i I

10.20 Form 1903.060T, " Medical Team Radio Battery Surveillance" i

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Paga 6 of 68 LOCATION: Unit 1 Control Room INSTRUCT!UNS: Page 1 of 6

1. Perform a complete inventory of the kit if the kit:

A. Has been used B. Is found unsealed / unlocked C. Is due for inventory NOTES:

1. Quantity should include units, where applicable.
2. Date should include month, day, year.

This kit: ( ) is due for quarterly inventory

( ) was found unsealed / unlocked (perform a complete inventory)

( ) post drill inventory This packet consists of: (x) Cover Sheet

! (x) Inventory List ( 5 pages)

Performed By Date Reviewed By Date Forward to: Emergency Planning O

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O FORM TITLE FORM NO REV.

CONTROL ROOM KIT INVENTORY FORM 1903.060A 31 o b _ - - _ _ _ . . _ _ _ . . _ . _ _ . _ . _ . _ _ . _ . _ . _ _ .__ _ _ . _ _ _ _ _ _ _ . . _ _ _ _ . _ . . _ _ _ _ _ _ _ _ _ _ _ - _ _ _ _ _ . _ _ _ _

Page 7 of 64 s . .

[~'h . INVENTORY LIST Page 2 of 6 I Required Actual Corrective Equipment Quantity Quantity Actions Initial /Date*

SURVEY INSTRUMENTS i

i High Range Ion Chamber 2 Frisker w/ Probe 1 ea.

Air Sampler (110 VAC) 1 Air Sampler (Batt) 1 Sample Head 2 Check Source 1 l

SAMPLING SUPPLIES Watch 2 Cloth Smear 50 Particulate Filter 20 Sealable Poly Bag 20 Silver Zeolite Cartridge 20 s

Air Sample Form 20 PERSONNEL MONITORING EQUIPMENT Dosimeter (0-200R) 3 Dosimeter (0-5R or 0-10R) 3

  • Where applicable I

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FORM TTILE: FORM NO. REV.

CONTROL ROOM , KIT INVENTORY FORM 1903.060A 31

P gelBcf64

[' INVENTORY LIST Page 3 of 6

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Required Actual Corrective Equipment Quantity Quantity Actions Initial /Date*

(0-200mR or Dosimeter 0-500mR) 30 Charger 1 TLD Badge (incl .1 as BKG) 6 RESPIRATORY PROTECTION EQUIP.

i SCBA* 12 Spare Bottle *~ 12 Cannister Mask w/ Iodine Canister 12 Iodine Cannister(Spare) 12 PROTECTIVE CLOTHING Anti-c Clothing 12 sets O Plastic Suit 6 sets Masking Tape 2 rolls Duct Tape 2 rolls POSTING MATERIALS Four-Pocket Signs 6 Three-Pocket Signs 6

" Radiation Area" Insert 6 '

  • Where applicable

+6 - Unit 1 CR, 6 - Unit 2 CR

- Indicates that spare SCBA bottles have been verified to contain 2 2000 psi pressure.

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FORM TITLE: FORM NO. REV.

CONTROL ROOM KIT INVENTORY FORM - 1903.060A 31

Page S cf 68 INVENTORY LIST Page 4 of 6

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Required Actual Corrective Equipment Quantity Quantity Actions Initial /Date*

"High Radiation Area" Insert 6 "RWP Required for Entry" Insert 6

" Health Physics Escort Required" Insert 6 Airborne Radioactivity Area" Insert 6

" Respiratory Protection Required" Insert 6

" Notify Health Physics Before Entering" Insert 6

" Contamination Area" Insert 6 "High Contamination Area" Insert 6

" Radioactive Material" Insert 12 Blank Insert 6 ,

Radiation Warning Rope 1 roll Os, Yellow and Magenta Border Tape 4 rolls -

  • Where applicable D

FORM TITLE: FORM NO. REV.

CONTROL ROOM KIT INVENTORY FORM . 1903.060A 31

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Page 10 0f 64  ;

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INVENTORY LIST Page 5 of 6 Required Actual Corrective f Equipment Quantity Quantity Actions Initial /Date* 1 Internal contamination Tape 1 roll Step-off Pads 10 (Batteries not contained within an instrument should /

BATTERIES be replaced during the first quarter inventory) Initials / Date "D" Cell 18 ,

"AA" Cell 10 9-Volt 5 Watch / Calculator Battery 4 MISCELLANEOUS Pencil 12 Magic Marker 2 Clipboard 2 Knife 1 Calculator 2 TRS-80 Pocket Computer 2 Plug Adapter 2

  • Where applicable I

FORM TITLE FORM NO. R EV; ,,

, . ,c , 4 , , . , CONTROL ROOM KIT INVENTORY FORM 1903.060A, _ , ,,_31 g . ,

Page 11 of 64

/9 ItNENTORY LIST Page 6 of 6

.Q Required Actual Corrective Equipment Quantity Cuantity Actions Initial /Date*

Flashlight 4 Bulbs (Spare) 4 10 Mile EPZ Map 2 Plastic Bag (sm.) --

Plastic Bag (med.) --

Plastic Bag (lg.) --

I Printer Paper 1 box Extension Cord (50-ft) 1 Emergency Telephone Directory 1 O

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J FORM TITLE. FORM NO. REV.

CONTROL ROOM KIT INVENTORY FORM 1903.060A 31  ;

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P ge 12 of E8 jg LOCATION: Maintenance Facility

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INSTRUCTIONS: Page 1 of 5

1. Perform a complete inventory of the kit if the kit:

A. Has been used B. Is found unsealed / unlocked C. Is due for inventory NOTES:

1. Quantity should include units, where applicable.
2. Date should include month, day, year.

This kit: ( ) is due for quarterly inventory

( ) was found unsealed / unlocked (perform a complete inventory)

( ) post drill inventory

This packet consists of: (x) Cover Sheet (x) Inventory List ( 4 pages)

Performed By Date Reviewed By Date Forward To: Emergency Planning O

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F ORM TITLE: FORM NO. REV.

ONSITE RADIOLOGICAL MONITORING KIT INVENTORY FORM 1903.0608 31

1 Pr.ge 13 cd 64 r 'g INVENTORY LIST Page 2 of 5

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Required Actual Corrective Equipment Quantity Quantity Actions l Initial /Date* i i

SURVEY INSTRUMENTS l

High Range Ion Chamber 1 Beta-Gamma Survey Meter 1 Gamma Survey Meter w/ Probe 1 Frisker w/ Probe 1 Air Sampler (110V) 1 Air Sampler (Batt) 1 Sample Head 4 check Source 1 SAMPLING SUPPLIES Watch 2 Cloth Smear 100 Particulate Filter 50 Sealable Poly Bag 50 Silver Zeolite Cartridge 25 Air Sample Form 50

  • Where applicable O

FORM TITLE. FORM NO. REV.

ONSITE RADIOLOGICAL MONITORING KIT INVENTORY FORM 1903.060B 31 l

e Page 14 of E4 D\

%]' INVENTORY LIST Page 3 of 5 Required Actual Corrective Equipment Quantity Quantity Actions Initial /Date*

PERSONNEL MONITORING EQUIP.

(0-200mR or Dosimeter 0-500 mR) 80 Dosimeter (0-5R or 0-10R) 10 Dosimeter (0-200R) 6 Charger 1 TLD Badge (incl. 1 as BKG) 10 RESPIRATORY PROTECTION EQUIP SCBA 4 Spare Bottle- 4 Cannister Mask w/ Iodine p* Cannister 4

(

Iodine cannister (Spare) 4 PROTECTIVE CLOTHING Anti-c Clothing 50 sets Plastic Suit 6 sets Masking Tape 3 rolls Duct Tape 3 rolls

- Indicates that spare SCBA bottles have been verified to contain 2 2000 psi pressure.

  • Where applicable O

FORM TITLE FORM NO. REV.

ONSITE RADIOLOGICAL MONITORING KIT INVENTORY FORM 1903.0,608 31

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Page 15 of 68 INVENTORY LIST Page 4 of 5  !

Required Actual Corrective Equipment Quantity Quantity Actions Initial /Date*

POSTING MATERIALS Four-Pocket Signs 5 Three-Pocket signs 5

" Radiation Area" Insert 5 "High Radiation Area" Insert 5 "RWP Required for Entry" Insert 5

" Health Physics Escort Required" Insert 5

" Airborne Radioactivity Area" Insert 5

" Respiratory Protection Required" Insert 5

" Notify Health Physics Before Entering" Insert 5

" Contamination Area" Insert 5 O "High Contamination Area" Insert 5

" Radioactive Material" Insert 10 Blank Insert 5

  • Where applicable l

l FORM TITLE: FORM NO. REV. I 1903.0608 l,' 311',[ j

',{ONS,lTE RA0lOLOGICAL MONITORING KIT INVENTORY FORM .

Page 16 of 68 INVENTORY LIST Page 5 of 5

%s Required Actual Corrective Equipment Quantity Quantity Actions Initial /Date*

Radiation Warning Rope 1 rolls Yellow and Magenta Border Tape 6 rolls '

l 4 Internal Contamination Tape 2 rolls Step-Off Pads 10 ea (Batteries not contained within an instrument should /

BATTERIES be replaced during the first quarter inventory) Initials /Date "D" cell 24 9-Volt 24 MISCELLANEOUS Pencil 12 Magic Marker 2 Clipboard 3 Knife 1 Calculator 1 t

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Plug Adapter 1 Flashlight 3 Bulbs (Spare) 3 10 Mile EPZ Map 2 Plastic Bag (sm.) 5 Plastic Bag (med.) 5 Plastic Bag (1g.) 5 Zip-Lock Baggies 15 Security Badge Clips 15 Outside Gas Pump Key 1 Survey Maps (In OSC) 10 ea

  • Where applicable FORM TITLE' FORM NO REV.

ONSITE RADIOLOGICAL MONITORING KIT INVENTORY FORM 1903.060B 31

-- -- - 1

r P;ge 17 of 68 1

,/) LOCATION: Te-knic.1 Support Center (3rd Floor Administration Building)

INSTRUCTIONS: Page 1 of 3

1. Perform a complete inventory of the kit if the kit:

A. Has been used B. Is found unsealed / unlocked C. Is due for inventory NOTES:

1. Quantity should include units, where applicable.
2. Date should include month, day, year.

This kit: ( ) is due for quarterly inventory

( ) was found unsealed / unlocked (perform a complete inventory)

( ) post drill inventory This packet consists of: (x) Cover Sheet (x) Inventory List ( 2 pages)

Performed By Date Reviewed By Date Forward To: Emergency Planning A

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FORM TITLE: FORM NO. REV.

TECHNICAL SUPPORT CENTER. KIT INVENTORY FORM 1903.060C 31

Page 18 of 68 i- * , . j l

p INVENTORY LIST Page 2 of 3 i

\.j Required Actual Corrective Equipment Quantity Quantity Actions Initial /Date*

SURVEY INSTRUMENTS Gamma Survey Meter w/Pr.:bu 1 Frisker w/ Detection Chamber 1 Check Source 1 Air Sampler 1 Sample Head 2 PERSONNEL MONITORING EQUIPMENT (0-200 mR of Dosimeter 0-500 mR) 30 Charger 1 TLD Badge (include 1 as background) 15

\

RESPIRATORY PROTECTION EQUIPMENT Cannister Mask w/ Iodine Cannister 25 PROTECTIVE CLOTHING Disposable Suits 25 (Batteries not contained within an instrument should /

BATTERIES be replaced during the first quarter inventory). Initials /Date "D" cell 6 "AA" Cell 12 Watch / Calculator Battery 4

  • Where applicable

\

FORM TITLE FORM NO. REV.

TECHNICAL SUPPORT CENTER KIT INVENTORY FORM 1903.060C 31 1

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s a Page 19 of 64

. ,I'N ' INVENTORY LIST Page 3 of 3

( -'

Required Actual Corrective Equipment Quantity Quantity Actions Initial /Date*

MISCELLANEOUS Pencil 12 Note Pad 3 Metal Clipboards 7 Flashlight 3 Bulbs (Spare) 3 10 Mile EPZ Map 1

  • Where applicable R

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F ORM TITLE: FORM NO. , REV.

HiG- TECHNICAL SUPPORT CENTER KIT INVENTORY FORM ec.1904,060C.~ 31 l

9 Page 20 of 68

/'N LOCATION: Main Guard House INSTRUCTIONS: Page 1 of __2

1. Perform a complete inventory of the kit if the kit:

A. Has been used B. Is found unsealed / unlocked C. Is due for inventory NOTES:

1. Quantity should include units, where applicable.
2. Date should include month, day, year.

This kit: ( ) is due for quarterly inventory

( ) was four.d unsealed / unlocked (perform a complete inventory)

( ) post drill inventory This packet consists of: (x) Cover Sheet '

(x) Inventory List ( l pages)

Forward To: Emergency Planning Performed By Date Reviewed By Date C\

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f'*g FORM TITLE: FORM NO. REV.

3a,,. MAIN GUARD HOUSE KIT INVENTORY FORM 1903.060D 31 . ,

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P ge 21 of 68 INVENTORY LIST Page 2 of 2 Required Actual Corrective I Equipment Quantity Quantity Actions Initial /Date*

EVACUATION EQUIPMENT Vests 12 Bull Horn 1 RESPIRATORY PROTECTION EQUIPMENT cannister Mask w/ Iodine Cannister 2 MISCELLANEOUS Flashlight 3 Bulbs (Spare) 3 (Batteries not contained within an instrument should /

BATTERIES be replaced during the first quarter inventory) . Initials /Date Batteries ("D" Cell) 6 Batteries ("AA" Cell) 20

  • Where applicable l

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FORM TITLE: y y,), FORM NO. REV.

MAIN GUARDJIOUSE KIT INVENTORY FORM 1903.060D 31

Page 22 of ts LOCATION: Emergency Operations facility First Floor (Room 123)

[V T INSTRUCTIONS: Page 1 of 7

1. Perform a complete inventory of the kit if the kit:

A. Has been used B. Is found unsealed / unlocked C. Is due for inventory NOTES:

1. Quantity should include units, where applicable.
2. Date should include month, day, year.

This kit: ( ) is due for quarterly inventory

( ) was found unsealed / unlocked (perform a complete inventory)

( ) post drill inventory This packet consists of: (x) Cover Sheet (x) Inventory List ( 6 pages)

Performed By Date Reviewed By Date Forward To: Emergency Planning v

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FORM TITLE. FORM NO REV. )

EMERGENCY OPERATIONS FACILITY KIT INVENTORY FORM 1903.060E 31  !

Page 23 of 68

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  • 1 Page

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INVENTORY LIST 2 of 7

)

Required Actual Corrective Equipment Quantity Quantity Actions Initial /Date*

SURVEY INSTRUMENTS Gamma Survey Meter 3 High Range Ion Chamber 1 Frisker w/ Probe 2 ea.

Air Sampler (110V) 2 Air Sampler (12V) 1 Sample Head 4 Check Source 1 Extension Cords 2 SAMPLING SUPPLIES Watch 1 Cloth Smear 250 Particulate Filter 100 Sealable Poly Bag 100 Silver Zeolite Cartridge 75 Sample Bottles

( 1 gal.)+ 100

  • Where applicables

+ located outside the sealed kit O

FORM TIT LE. FORM NO. REV.

EMERGENCY OPERATIONS FACILITY KIT INVENTORY F,ORM 1903.060E 31

Page 24 of 64

+ , .

INVENTORY LIST Page 3 of __7

(}'

Required Actual Corrective Equipment Quantity Quantity Actions Initial /Date*

Survey Map 5 ea.

PERSONNEL MONITORING EQUIPMENT Dosimeter (0-5R or 0-10R) 10 Dosimeter (0-200mR or 0-500mR) 70 Charger 1 TLD Badge (incl. 1 as BKG) 20 RESPIRATORY PROTECTION EQUIPMENT Cannister Mask w/ Iodine Cannister 5 Iodine Cannister (Spare) 5 SCBAs 5 SCBA Bottles ~ 10 PROTECTIVE CLOTHING Anti-c Clothing 30 sets Plastic Suit 15 sets Masking Tape 3 rolls Duct Tape 3 rolls

  • Where applicable

- Indicates that spare SCBA bottles have been verified to contain 2 2000 psi pressure I

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l FORM TITLE FORM NO. REV.

, ,$ 1 -. EMERGENCY OPERATIONS FACILITY KIT INVENTORY FORM 1903.06,0E 31 r _ __

. i Page 25 of 64 l

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INVENTORY LIST Page __4 of 7 l

Required Actual Corrective Equipment Quantity Ouantity Actions Initial /Date*

POSTING MATERIALS Four-Pocket Signs 20 Three-Pocket Signs 20

" Radiation Area" Insert 20 "High Radiation Area" Insert 20 "PWP Required for Entry" Insert 20

" Health Physics Escort Required" Insert 20

" Airborne Radioactivity Area" Insert 20

" Respiratory Protection Required" Insert 20

" Notify Health Physics Before Entering" Insert 20

" Contamination Area"

/N Insert 20 h "High Contamination Area" Insert 20 "Radaoactive Material" Insert 40 Blank Insert 20

  • Where applicable t

FORM TITLE . FORM NO. REV. .

EM(RGENCY OPERATIONS FACILITY KIT INVENTORY FORM 1903.060E , 31[.,

T~ l Page 26 of 64 f~' .

INVENTORY LIST Page 5 of 7 i.;

Required Actual' Corrective Equipment Quantity Quantity Actions Initial /Date*

Radiation Warning Rope 2 rolls Yellow and Magenta Border Tape 6 rolls Internal contamination Tape 1 roll Step-Off Pads 20 (Batteries not contained within an instrument should /

BATTERIES be replaced during the first quarter inventory). Initials /Date "D" cell 24 "AA" Cell 14 9-Volt 24 Watch / Calculator Battery 4 INITIAL ENVIRONMENTAL SAMPLING KIT Shovel 1 Sample Bottles, 1 Gal. 3 Shears 1 Plastic Bags 10 Duct Tape _

1 roll Paper Towels 1 bundle Gloves 25 pair Carrying Bag 1

  • where applicable O FORM TITLE: FORM NO.

1903.040E REV.

31 EMERGENCY OPERATIONS FACILITY KIT INVENTORY FORM i

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4 Pzgo 27 of 64 Page 6 7

.f INVENTORY LIST of Required Actual Corrective Equipment Quantity Quantity Actions Initial /Date*

MISCELLANEOUS Pencil 12 ,

Magic Marker 3 Clipboard 3 Knife 2 Calculator 1 Plug Adapter 2  !

Flashlight 3 Bulbs (Spare) 3 Plastic Bag (sm.) 10 Plastic Bag (med.) 10 Plastic Bag (lg.) 10 PERSONNEL DECONTAMINATION SUPPLIES Scissors 2 Razor 4 Manicure Set 1 Wash Cloths 100 Towels 100 Bristle Brush 30 Cotton Balls 1 pkg.

l Cotton Swabs 1 pkg.

Hand Soap (Regular) 3

  • Where applicable O

FORM TITLE: FORM NO. REV.

EMERGENCY OPERATIONS FACILITY KIT INVENTORY FORM 1903.060E 31

_____i

q Page 28 of 68 Page 7

/N, INVENTORY LIST 7 of V

Required Actual Corrective Equipment Quantity Quantity Actions Initial /Date*

" Lava" Soap 3

" Rad-Con" 4 cans Shaving Cream 2 cans

" Tide" l box Corn Meal 1 pkg.

Chlorox 1 btl.

Eyewash Solution w/ Applicator 2 Paper Clothing 30 Bioassay Sample Containers 50

  • Where applicable O

O FORM TITLE: FORM NO. REV.

EMERGENCY OPERATIONS FACILITY KIT INVENTORY FORM. 1903.060E 31

  • \

Page 29 of 64 l

. . 1 LOCATION: Emergency Operations Facility First Floor (Room 123) v INSTRUCTIONS: Page 1 of 3 j

1. Perform a complete inventory of the kit if the kit:

A. Ha? been used B. Is found unsealed / unlocked C. Is due for inventory NOTES:

1. Quantity should include units, where applicable.
2. Date should include month, day, year.

This kitt ( ) is due for quarterly inventory

( ) was found unsealed / unlocked (perform a complete inventory)

( ) post drill inventory This packet consists of: (x) Cover Sheet (x) Inventory List ( 2 pages)

Performed By Date Reviewed By Date Forward To: Emergency Planning a

O FORM TITLE: FORM NO. REV.

  • O' M L FIELD MONITORING KIT A INVENTORY FORM 1903.060F. 31

Page 30 of 68 l

/'S- IRVENTORY LIST .Page 2 of 3 i s

Required Actual Corrective Equipment Quantity Quantity Actions Initial /Date* l SURVEY INSTRUMENTS High Range Ion Chamber 1 Gamma Survey Meter w/ Probe 1 Frisker w/ Probe 1 Air Sampler (12VDC) 1 Sample Head 2 Check Source 1 SAMPLING SUPPLIES Watch 1 Cloth Smear 25 Particulate Filter 25 Sealable Poly Bag 25 O Forceps 1 Plastic Gloves 50 pr Charcoal Cartridge 25  ;

Silver Zeolite Cartridge 25 Completed Checklist in Front i of Procedure Notebook NA N/A PERSONNEL ,

MONITORING EQUIPMENT l (0-200mR or 1 Dosimeter 0-500mR) 6 Charger 1 RESPIRATORY PROTECTION EQUIPMENT l Cannister Mask w/ Iodine Cannister 2

  • Where applicable l

l

)

()

FORM TITLE: FORM NO. R EV.

'I FIELD MONITORING KIT A INVENTORY FORM 1903.060F 31 1 iM ' I o  ;-c4

Page 31 of 68 Page 3 of 3

[} INVENTORY LIST

%J Required Actual Corrective Equipment Quantity Quantity Actions Initial /Date*

PROTECTIVE CLOTHING Masking Tape 1 roll Duct Tape 1 roll (Batteries not contained within an instrument should /

BATTERIES be replaced during the first quarter inventory). Initials /Date "D" Cell 8 9-Volt 3 MISCELLANEOUS Pencil 3 Magic Marker 2 Grease Pencil 2 O.

k/s- Clipboard 1 Knife 1 Flashlight 3 Bulbs (Spare) 3 10 Mile EPZ Map 1 l l

Russellville City Map 1 l Dardanelle City Map 1 1

Calculator 1 Plastic Bag (sm. ) 5 Plastic Bag (med.) 5

  • Where applicable l

FORM TITLE. FORM NO. REV.

FIELD MONITORING KIT A INVENTORY FORM 1903.060F 31

- Page 32 of 64

[} - LOCATION: Emergency Operations Facility First Floor (Room 123)

'V Page of 3 INSTRUCTIONS: 1

1. Perform a complete inventory of the kit if the kit:

A. Has been used B. Is found unsealed / unlocked C. Is due for inventory NOTES:

1. Quantity should include units, where applicable.
2. Date should include month, day, year.

This kit: ( ) is due for quarterly inventory

( ) was found unsealed / unlocked (perform a complete inventory)

( ) post drill inventory This packet consists of: (x) Cover Sheet (x) Inventory List ( 2 pages)

Performed By Date Reviewed By Date Forward To: Emergency Planning l

l O>

%.- j l

1 FORM TITLE: FORM NO. REV.

FlELD MONITORING KIT B INVENTORY FORM 1903.0600 31

P ge 33 of 68

^ INVENTORY LIST Page 2 of 3 j

k Required Actual- Corrective Equipment Quantity Quantity Actions Initial /Date*

SURVEY INSTRUMENTS High Range Ion Chamber 1 Gamma Survey Meter w/ Probe 1 Frisker w/ Probe ,

1 Air Sampler (12VDC) 1 Sample Head 2 Check Source 1 SAMPLING SUPPLIES Watch 1 Cloth Smt _r 25 Particulate Filter 25 Sealable Poly Bag 25

\

Forceps 1 Plastic Gloves 50 pr Charcoal Cartridge 25 Silver Zeolite Cartridge 25 Completed Checklist in Front of Procedure Notebook NA N/A PERSONNEL MONITORING EQUIPMENT (0-200mR or Dosigeter 0-500mR) 6 Charger 1 RESPIRATORY PROTECTION EQUIPMENT Cannister Mask w/ Iodine Cannister 2

  • Where applicable r

lORM TITLE' FORM NO. REV.

FIELD MONITORING KIT B INVENTORY FORM 1903.060G 31

{

r P- - - -

-rm- w - - - - - - - - - - - - - - - - - - - - -

}' .

l Page 34 of ss

. INVENTORY LIST Page 3 of 3 Required Actual Corrective Equipment Quantity Quantity Actions Initial /Date*

l

' i PROTECTIVE CLOTHING Masking Tape 1 roll i Duct Tape 1 roll (Batteries not contained within an instrument should /

BATTERIES be replaced during the first quarter inventory). Initials /Date  !

l l

8

-"D" Cell 9-Volt 3 i MISCELLANEOUS Pencil 3 Magic Marker 2 Grease Pencil 2 Clipboard 1 Knife 1 Flashlight 3 Bulbs (Spare) 3 10 Mile EPZ Map 1 Russellville City Map 1 Dardanelle City Map 1 Calculator 1 Plastic Bag (sm.) 5 Plastic Bao (med.) 5

  • Where applicable O

FORM TITLE. FORM NO. REV.

  • FIELD MONITORING KIT B INVENTORY FORM 1903.060G 31

l 1

  • 1

. i Page 36 of 68 f% LOCATION: Emergency Operations Facility First Floor (Room 123)

INSTRUCTIONS: Page 1 of 3

1. Perform a complete inventory of the kit if the kit:

A. Has been used B. Is found unsealed / unlocked  ;

C. Is due for inventory NOTES:  ;

1. Quantity should include units, where applicable.
2. Date should include month, day, year.

This kit: ( ) is due for quarterly inventory

( ) was found unsealed / unlocked (perform a complete inventory)

( ) post drill inventory This packet consists of: (x) Cover Sheet (x) Inventory List ( 2 pages)

Performed By Date Reviewed By Date Forward To: Emergency Planning ,

O O

FORM TITLE FORM NO. REV.

FIELD MONITORING KIT C INVENTORY FORM 1903.060H 31 g

' Page 34 of 68 INVENTORY LIST Page 2 of 3 v ,

Required Actual Corrective Equipment Quantity Quantity Actions Initial /Date*

SURVEY INSTRUMENTS High Range Ion Chamber 1 Gamma Survey Meter w/ Probe 1 Frisker w/ Probe 1 Air Sampler (12VDC) 1 Sample Head 2 Check Source 1 SAMPLING SUPPLIES Watch 1 Cloth Smear 25  :

Particulate Filter 25 Sealable Poly Bag 25 f

Forceps 1 I

Plastic Gloves 50 pr charcoal Cartridge 25 Silver Zeolite Cartridge 25 ,.

Completed Checklist in Front of Procedure Notebook NA N/A l PERSONNEL MONITORING EQUIPMENT (0-200mR or Dosimeter 0-500mR) 6 Charger 1 RESPIRATORY i PROTECTION EQUIPMENT Cannister Mask w/ Iodine '

Cannister 2

  • Where applicable f f

e i

O '

FORM TITLE: FORM NO. REV.

I' 1903.060H 31 c Wh2 FIELD MONITORING KIT C INVENTORY FORM _

1 ll

I P:ge 37 of 68 O INVENTORY LIST Page 3 of 3 )

l

\j i Required Actual Corrective Equipment' Quantity Quantity Actions Initial /Date*

l PROTECTIVE CLOTHING Masking Tape 1 roll Duct Tape 1 roll (Batteries not contained within an instrument should /

BATTERIES be replaced during the first quarter inventory). Initials /Date "D" Cell 8 9-Volt 3 ,

4 MISCELLANEOUS Pencil 3 j Magic Marker 2 Grease Pencil 2 l

Clipboard 1 Knife 1

(

Flashlight 3 Bulbs (spare) 3 l 10 Mile EPZ Map 1 Russellville City Map 1 i

Dardanelle City Map 1 l

l Calculator 1 1 I

Plastic Bag (sm.) 5 Plastic Baq (med.) 5

  • Where applicable FORM TITLE- FORM NO. REV FIELD MONITORING KIT C INVENTORY FORM 1903.060H 31  !

^

\

F P ge 38 of 68

% i, e p LOCATION: Emergency Operations Facility First Floor (Room 123)

INSTRUCTIONS: Page 1 of 3

1. Perform a complete inventory of the kit if the kit:

A. Has been used B. Is found unsealed / unlocked C. Is due for inventory NOTES:

l. Quantity should include units, where applicable.
2. Date should include month, day, year.

This kitz ( ) is due for quarterly inventory ,

( ) was found unsealed / unlocked (perform a complete inventory)

( ) post drill inventory This packet consists of: (x) Cover Sheet (x) Inventory List ( 2 pages)

Performed By Date Reviewed By Date Forward To: Emergency Planning i

i. I i

l I

F ORM TITLE: FORM NO REV.

FIELD MONITORING KIT D INVENTORY FORM j,7 1903.0601 31 )

  • . pe.s e re

. t P!ge 39 c( 64 INVENTORY LIST Page 2 of 3 Required Actual Corrective Equipment Quantity Quantity Actions Initial /Date*

SURVEY INSTRUMENTS High Range Ion Chamber 1 Gamma Survey Meter w/ Probe 1 Frisker w/ Probe 1 Air Sampler (12VDC) 1 Sample Head 2 Check Source 1 SAMPLING SUPPLIES Watch 1 Cloth Smear 25 Particulate Filter 25 Sealable Poly Bag 25

( Forceps 1 Plastic Gloves 50 pr Charcoal Cartridge 25 Silver Zeolite Cartridge 25 Completed Checklist in Front ,

of Procedure Notebook NA N/A PERSONNEL MONITORING EQUIPMENT (0-200mR or Dosimeter 0-500mR) 6 Charger 1 RESPIRATORY PROTECTION EQUIPMENT Cannister Mask w/ Iodine Cannister 2

  • Where applicable FORM TITLE: s FORM NO. REV.
' - FIELD MONITORING KIT D INVENTORY FORM  ! 1903.0601 31

. - ~ . . - --

Page Miofss Page 3 of 3 i

O INVENTORY LIST Required Actual Corrective Equipment Quantity Quantity Actions Initial /Date*

PROTECTIVE CLOTHING Masking Tape 1 roll Duct Tape 1 roll (Batteries not contained within an instrument should /

BATTERIES be replaced during the first quarter inventory). Initials /Date "D" cell 8 9-Volt 3 MISCELLANEOUS Pencil 3 Magic Marker 2 Grease Pencil 2 Clipboard 1 Knife 1 Flashlight 3 Bulbs (Spare) 3 l

10 Mile EPZ Map 1 l I

l Russellville City Map 1 1

Dardanelle City Map 1 Calculator 1 Plastic Bag (sm.) 5 Plastic Bag (med.) S

  • Where applicable l l

I I

1 FORM TITLE. FORM NO REV.

,m FIELD MONITORING KIT D INVENTORY FORM 1903.0601 j,.!q31 g

Page 41 of 64

[' LOCATION: St. Mary's Hospital

( '

INSTRUCTIONS: Page 1 of S

1. Perform a complete inventory of the kit if the kit:

A. Has been used B. Is found unsealed / unlocked C. Is due for inventory NOTES:

1. Quantity should include units, where applicable.
2. Date should include month, day, year.

This kit: ( ) is due for quarterly inventory

( ) was found unsealed / unlocked (perform a complete inventory)

( ) post drill inventory This packet consists of: (x) Cover Sheet (x) Inventory List ( 4 pages)

Ferformed By Date Reviewed By Date Forward To: Emergency Planning

("

(

4 l

l 1

O FORM TITLE .

FORM NO. REV.

IIOSPITAL KIT INVENTORY FORM _ _.

1903.060J 31 _ ...'.q Y1

Page 42 cf 68 -

d.

INVENTORY LIST Page 2 of 5

/]

%)

Required Actual Corrective Equipment Quantity Quantity Actions Initial /Date*-

Beta-Gamma Survey Meter 1 Frisker w/ Probe 1 Air Sampler (110V) 1 l

Sample Head 1  ;

Check Source 1 SAMPLING SUPPLIES Watch 1 Cloth Smear 200 j Particulate Filter 25 Sealable Poly Bag 25 Charcoal Cartridge 15 Air Sample Form 25 PERSONNEL MONITORING EQUIPMENT (0-200mR or Dosimeter 0-500mR) 20 Charger 1 TLD Badge (incl. 1 as BKG) 15

  • Where applicable FORM TITLE: FORM NO REV.

HOSPITAL KIT INVEN, TORY FORM 1903.060J 31 X::~~..

4 Page 43 of 68

  1. , , i INVENTORY LIST Page 3 of 5 t, >

Required Actual Corrective Equipment Quantity Quantity Actions Initial /Date*

PROTECTIVE CLOTHING Anti-C' s 2 sets POSTING MATERIALS Four-Pocket Signs 10 Three-Pocket Signs 10

" Radiation Area" Insert 10 "High Radiation Area" Insert 10 "RWP Required for Entry" Insert 10

" Health Physics Escort Required" Insert 10

" Airborne Radioactivity Area" Insert 10

" Respiratory Protection Required" Insert 10  ;

" Notify Health Physics Before Entering" Insert 10

" Contamination Area" Insert 10 "High Contamination Area" ,

Insert 10 ,

  • Where applicable I

O FORM TITLE' .. FORM NO. REV.

_i?i..~, t. 1903.060J 31 HOSPITAL KIT INVENTORY FORM.l.l

Page 44 cW 64 a , .

INVENTORY LIST Page 4 of 5 f.

/

Required Actual Corrective Equipment Quantity Quantity Actions Initial /Date*

" Radioactive Material" Insert 20 Blank Insert 10 l 1

Radiation Warning Rope 1 roll Yellow and Magenta Border Tape 6 rolls J Step-Off Pads 10 (Batteries not contained within an instrument should /  !

BATTERIES be replaced during the first quarter inventory) . Initials /Date  !

"D" Cell 10 9-Volt 4 MISCELLANEOUS l

Pencil 6

]

O Magic Marker 2 i l

Clipboard 1 i Flashlight 1 Balbs (Spare) 1 Plastic Bag (sm.) 5 Plastic Bag (med.) 5 Plastic Bag (lg.) 5

  • Where applicable i

1 l

l i

FORM TITLE- ..

FORM NO. , REV.

3 : ul. .. . . C 31  ;

HOSPITAL KIT INVE..NTO.RY FORM

. . . . . 1903.060J. -

a i P:ge 45 of 64 O INVENTORY LIST Page 5 of 5 t ]

Required Actual Corrective Equipment Quantity Quantity Actions Initial /Date*

PERSONNEL DECONTAMINATION SUPPLIES

" Rad-Con" 4 cans

" Tide" l box Corn Meal 1 pkg.

Chlorox 1 btl.

  • Where applicable k

FORM TITLE- FORM NO. REV. -l

' t JL '

HOSPITAL KIT INVENTORY FORM 1903.060J Es t 313 :;" l l

Page 46 of 48 LOCATION: Nurse's Station, Medical Lockers O INSTRUCTIONS: Page 1 of 2

1. Perform a complete inventory of the First Aid Supplies if the:

A. First Aid Supplies are due for inventory.

NOTES:

1. Quantity should include units, where applicable.
2. Date should include month, day, year.

This kit: ( ) is due for quarterly inventory

( ) is not due for quarterly inventory

( ) post drill inventory This packet consists of; (x) Cover Sheet (x) Inventory List ( l pages)

Performed By Date j

Reviewed By Date Forward To: Emergency Planning O

l 1

I

\

O FORM TITLE FORM NO. REV.

- PfhST hlD SUPPLIES INVENTORY FORM 1903.060K 31 -

_ - _ _ - __ - - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - _ _ _ _ __ A

Page 47 of 48 tage 2 of 2

/ INVENTORY LIST Required Actual Corrective Equipment Quantity Quantity Actions Initial /Date*

FIRST AID KITS / SUPPLIES Nurse's Station (Ensure Minimum Inventory) 1 Medical Locker U1 354' (Ensure Minimum Inventory) 1 Medical Locker U2 354' (Ensure Minimum Inventory) 1 Medical Locker U1/U2 386' (Ensure Minimum Inventory) 1

  • Where applicable FORM NO. REV.

FORM TITLE:

FIRST AlD SUPPUES INVENTORY FORM 1903.060K 31

P ge MB of 68 LOCATION: Emergency Operations Facility Second Floor (Outside. Room 260) 5, INSTRUCTIONS: Page 1 of 3

1. Perform a complete inventory of the kit if the kit:

A. Has been used.

B. Is found unsealed / unlocked.

C. Is due for inventory.

NOTES:

1. Quantity should include units, where applicable.
2. Date should include month, day, and year.

This kit: ( ) is due for quarterly inventory.

( ) was found unsealed / unlocked (perform a complete inventory).

( ) post drill inventory This packet consists oft (X) Cover sheet (X) Inventory list ( 2 page)

Performed by: .Date Reviewed by: Date Forward to: Emergency Planning U

l l

) FORM TITLE FORM NO. REV.

DOSE ASSESSMENT KIT INVENTORY FORM - 395 p- 1903.060P 31 l

Page 49 of 68 t

Page 2 of 3 O Inventory List Required Actual Corrective Equipment Quantity Quantity Actions Initial /Date*

Pocket Calculators 4 Pocket Computers 2 Printer Paper 1 pkg Cork Board 1 EPZ Map (1 mi) 10 EPZ Map (10 mi) 10 Dry-Erase Markers 10 Scotch Tape 2 rolls Felt-tip pens 10 Ball-point pens 10 Pencils 10 Binder clips 25 Puch-pins and labels 2 boxes Rulers 4 As Required

.l FORM TITLE. FORM NO. REV. l IJ N@ DOSE ASSESSMENT KIT INVENTORY FORM ' ', ,1903.060P 31 l

, i I  ;

b

.. l Page 50 of 64 l

Page 3 of 3 U]

Required Actual Corrective Equipment Quantity Quantity Actions Initial /Date*

Clipboard 1 Dardanelle city map 1 Russellville city map 1 Watch / Calculator Batteries 10 Stapler 1 i

Staples 1 box Paper Towels 1 pack Liquid Board cleaner 1 bottle

  • As Required
  1. Notes Batteries not contained within instruments shall be replaced during the O first quarter inventory.

Init.

/

Date l

i l

1 i

O l FORM TITLE: FORM NO. REV ,p ;v ;,j 3 j

31 DOSE ASSESSMENT KIT INVENTORY FORM , 1903.060P _ ,, ,31, , j_j l

Page51cf68 Page 1 of 13 U' INSTRUCTIONS:

1. Record the calibration due date of the instruments in the kit. Replace as necessary.
2. Perform a battery check on the indicated instruments. Replace as necessary.
3. Verify the operability of the indicated instruments. Replace as necessary.
4. Charge the batteries in the indicated instruments for - I hour (unless continuously plugged in).
5. Inspect o-rings.on the air sample heads. Replace as necessary.

NOTES:

1. Indicate whether routine checks are satisfactory or unsatisfactory.
2. If routine checks are unsatisfactory, indicate that in the applicable column then describe the corrective action taken and date.

This packet consists of: (X) Cover sheet (X) Inventory list ( 12 page)

Performed by: Date Reviewed by: Date Forward to: Emergency Planning O

FORM NO. REV FORM TITLE.

MONTHLY EMERGENCY KIT SURVEILLANCE CHECKLIST 1903.060Q 31

.., est

Page 52 cf 64 O Page 2 of 13 CONTROL ROCM KIT Batt. (1) Operation (4)Batt Remove /

Cal. Due Check (2) Response / (5) Plugged in/ Ins r.

Instrument Type S/N Date (Sat- (3) Inspected (6) Charged Off Unsat)

Ion Chamber (2) XXX Ion Chamber (2) XXX RM-14 or Frisker PM-14S (2) (5) (6)

Detection HP-210 or equiv XXX XXX XXX XXX Chamber Air Sampler 110V XXX (1) XXX EG Air Sampler Batt XXX (1) (5,6)

Check Source XXX XXX XXX XXX EG Check Source XXX XXX XXX XXX IG Watch XXX XXX XXX XXX (1) XXX EG Dosimeter Charger XXX XXX XXX XXX (1) (4) EG Dosimeter 0-200R XXX XXX XXX XXX ZG 0-5R or Dosimeter 0-10R XXX XXX XXX XXX EG 0-200mR or Dosimeter 0-500mR XXX XXX XXX XXX IG Calculator XXX XXX XXX (1) XXX Pocket Computer XXX XXX XXX (1) XXX Flashlight XXX XXX XXX XXX (1) (4) EG Flashlight XXX XXX XXX XXX (1) (4) IG Flashlight XXX XXX XXX XXX (1) (4) EG Flashlight XXX XXX XXX XXX (1) (4) IG I

  • Required by Tech specs.

Corrective Actions Init./Date

,; ,d FORM NO. REV.

FORM TITLE- l MONTHLY EMERGENCY KITSURVEILLANCE CHECKLIST 1903.060Q 31 .

- _ _ ~ . _ _ . . _

P:ge 53 of 68 ONSITE RADIOLOGICAL MONITORING KIT Batt. (1) operation (4)Batt Remove /

Cal. Due Check (2) Response / (5) Plugged in/ Ir.s t r Instrument Type S/N Date (Sat /. (3) Inspected (6) Charged off Unsat)

  • Ion Chamber (2) XXXXX Beta-Gamma Survey
  • Meter (2) XXXXX Gamma Survey
  • Meter (2) XXXXX RM-14 or Frisker RM-14S (2) (5,6)

Detection HP-210 Chamber or equiv XXX XXX XXXXX EX Air Sampler Batt XXX (1) (5,6)

Air Sampler 110V XXX (1) XXXXX XXX Check Source XXXXX XXXXXX XXX XXXXXXXXXXXXXXX XXXXX XXX Watch XXXXX XXX XXXXX XXX (1) XXXXX XXX O Watch Dosimeter Charger XX XX XX XX XX XX XX XX (1)

(1)

XXXXX (4)

XXX XXX Dosimeter 0-200R XX XX XXXXX XXXXX XXX 0-5R or Dosimeter 0-10R XX XX XXXXX XXXXX XXX 0-200mR or Dosimeter 0-500mR XX XX XXXXX XXXXX XXX Calculator XX XX XX XX (1) XXXXX Flashlight XX XX XX XX (1) (4) XXX Flashlight XX XX XX XX (1) (4) XXX ,

Flashlight XX XX XX XX (1) (4) *COC f

  • Required by Tech Specs ,

t Corrective Actions Init./Date

(

FORM TITLE FORM NO. REV.

1903.060Q 31 MONTHLY EMERGENCY KIT SURVEILLANCE CHECKLISh .

Page 54 of 68 O

I Page 4 of 13 TECENICAL SUPPORT CENTER KIT (1) Operation (4)Batt Pemove/

Cal. Due Batt. (2) Response / (5) Plugged in/ Instr.

Instrument Type S/N Date Check (3) Inspected (6) Charged off (Sat /

Unsat)

FN-14 or Frisker RM-14S (2) (5) (6)

Gamma Survey Meter (2) XXXXX Air Sampler 110V XXX (1) XXXXX XXX Detection HP-210 or Chamber equal XXX XXXXX XXXXX XXX Check Source XXXX XXXX XXXXX XXXXX- XXX Check Source XXXX XXXX XXXXX XXXXX XXX 0-200mF.

or XXX Dosimeter 0-500mR XXXX XXXX XXXXX XXXXX Dosimeter Charger XXXX XXXX XXXX XXXX (1) (4) XXX Flashlight XXXX XXXX XXXX XXXX (1) (4) XXX Flashlight XXXX XXXX XXXX XXXX (1) (4) XXX Flashlight XXXX XXXX XXXX XXXX (1) (4) XXX

  • Required by Tech Specs.

Corrective Actions Init./Date IORM TITLE. FORM NO. REV.

4.0 Yb MONTHLY EMERGENCY KIT SURVEILLANCE CHECKLIST g 1903.06'0 QG 31

P:ge 56 of 68 i

Page 5 of 13 MAIN GUARD BOUSE KIT I (1) Operation (4)Batt Remove /

Cal. Due Batt. (2 ) Response / (5) Plugged in/ Instr Instrument Type S/N Date Check (3) Inspected (6) Charged Off Bull Horn XXX XXX XXX XXX (1) (4) XX Flashlight XXX XXX XXX XXX (1) (4) XX  !

Flashlight XXX XXX XXX XXX (1) (4) XX Flashlight XXX XXX XXX XXX (1) (4) XX Corrective Actions Init./Date l

t l

i l

l i

i l

O FORM TITLE: FORM NO. REV.

isJ NiONTHLY EMERGENCY KIT SURVEILLANCE CHECKLIST 1903.060Q .j 31lA ,, i} ,

P:ge 54 of 68 Page 6 of 13

/^

EMERGENCY OPERATIONS FACILITY KIT Batt. (1) Operation (4)Batt Remove /

Cal. Due Check (2 ) Response / (5) Plugged in/ Ins-Instrument Type S/N Date (Sat / (3) Inspected (6) Charged Off Unsat)

Gamma E-530

  • Survey Meter or equiv (2) XXXXX Gamma E-530
  • Survey Meter or equiv (2) XXXXX Gamma E-530
  • Survey Meter or equiv (2) XXXXX
  • Ion Chamber (2) XXXXX RM-14 or Frisker PM-145 (2) (5,6)

RM-14 or Frisker RM-14S (2) (5,6)

Detection HP-210 Chamber or equiv XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXEGX Detection HP-210 Chamber or equiv XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXTI.XX Air Sampler 110V XXX (1) XXXXX XXX Air Sampler 110V XXX (1) XXXXX XXX Air Sampler 12VDC XXX (1) XXXXX EC(

Check Source XXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX Watch XXXX XXX XXX XXX XXXXX IC<

0-5R or Dosimeter 0-10R XXX XXX XXXX XXXXX EC<

0-200mR or Dosimeter 0-000mR XXX XXX XXXX XXXXX EC<

I Dosimeter charger XXXX XXX XXX XXX (1) XXX EC< l 1

Calculator XXX XXX XXX XXX (1) XXXXX EC<

Flashlight XXX XXX XXX XXX (1) (4) EG Flashlight XXX XXX XXX XXX (1) (4) EG Flashlight XXX XXX XXX XXX (1) (4) XXX

  • Required by Tech Specs.

Corrective Actions Init./Date l

l FORM TITLE: FORM NO. REV.

1903.060Q 31 MONTHL.Y~~e EMERGENCY.

aa .mKIT SURVEILLANCE CHECKLIST a.

( .

l

  • ' 1 Page 87 of 68 j

. , ,- )

Page 7 of 13

/

( FIELD MONITORING KIT A (1) Operation (4)Batt Remove / J Cal. Due Batt. (2) Response / (5) Plugged in/ Inst i Instrument' Type S/N Date Check (3) Inspected (6) Charged off I (Sat /

Unsat)

  • Ion Chamber (2) XXXXX Gamma E-530 Survey or
  • Meter equiv (2) XXXXX RM-14 or Frisker RM-14S (2) (5,6)

HP-210 or equiv XXX XXXXX XXXXX XXX Detector Air Sampler 12VDC XXX (1) XXXXX XXX XXX XXX XXXXX XXXXX XXX Check Source Watch XXX XXX XXX XXX (1) XXXXX XXX 0-200mR or XXX Dosimeter 0-500mR XXX XXX XXXXX XXXXX Dosimeter Charger XXX XXX XXX XXX (1) (4) XXX Calculator XXX XXX XXX XXX (1) XXXXX Flashlight XXX XXX XXX XXX (1) (4) XXX I

Flashlight XXX XXX XXX XXX (1) (4) XXX Flashlight XXX XXX XXX XXX (1) (4) XXX

  • Required by Tech Specs.

Corrective Actions Init./Date FORM TITLEL , _,_;- FORM NO. REV.

3 MONTHLY EMERGENCY KIT SURVEH.L ANCE CHECKLIST 1903.060Q 31

Page 68 of 64 Page 8 of 13 pg FIELD MONITORING KIT B

() (1) operation (4)Batt Remove /

Cal. Due Batt. (2) Response / (5) Plugged in/ Ir.s t Instrument Type S/N Date Check (3) Inspected (6) Charged off (Sat /

Unsat)

Ion Chamber (2) XXXXX Gamma E-530 Survey or

  • Meter equiv (2) XXXXX PN-14 or
  • Frisker RM-14S (2) (5,6)

HP-210 Detector or equiv XXX XXXXX XXXXX XXX Air Sampler 12VDC XXX (1) XXXXX XXX Check Source XXX XXX XXXXX XXXXX XXX Watch XXX XXX XXX XXX (1) XXXXX XXX 0-200mR or XXX Dosimeter 0-500mR XXX XXX XXXXX XXXXX Dosimeter Charger XXX XXX XXX XXX (1) (4) XXX Calculator XXX XXX XXX XXX (1) XXXXX Flashlight XXX XXX XXX XXX (1) (4) XXX Flashlight XXX XXX XXX XXX (1) (4) XXX Flashlight XXX XXX XXX XXX (1) (4) XXX

  • Required by Tech Specs.

Corrective Actions Init./Date FORM TITLE. FORM NO. REV.

MONTHLY EMERGENCY KIT SURVEILLANCE CHECKLIST ,c p 1903.060Q 31 l - -

Page 89 of 64 Page 9 of 13 FIELD MONITORING KIT C (1) operation (4)Batt Remove /

Cal. Due Batt. (2) Response / (5) Plugged in/. %st Instrument Type S/N Date Check (3) Inspected (6) Charged ;ff (Sat /

Unsat)

Ion Chamber (2) XXXXX Gamma E-530 Survey or Meter equiv (2) XXXXX PM-14 or

  • Frisker RM-14S (2) (5,6) ,

HP-210 Detector or equiv XXX XXXXX XXXXX I(X Alr Sampler 12VDC XXX (1) XXXXX IG Check Source XXX XXX XXXXX XXXXX IG Watch XXX XXX XXX XXX (1) XXXXX IG 0-200mR or IG Dosimeter 0-500mR XXX XXX XXXXX XXXXX Dosimeter Charger XXX XXX XXX XXX (1) (4) IG Calculator XXX XXX XXX XXX (1) XXXXX Flashlight XXX XXX XXX XXX (1) (4) IXX Flashlight XXX XXX XXX XXX (1) (4) :C G Flashlight XXX XXX XXX XXX (1) (4) 'C G

  • Required by Tech Specs.

Corrective Actions Init./Date FORM TITLE- FORM NO REV.

g=.,'

J $60 MONTHLY EMERGENCY KIT SURVEILLANCE CHECKLIST 1903.080Q I

31

P:ge 60 cf 68 l 1

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Page 10 of 13 p FIELD MONITORING KIT D (1) Operation (4 ) Batt Remove / l Cal. Due Batt. (2 ) Response / (5) Plugged in/ Inst Instrument Type S/N Date Check (3) Inspected (6) Charged off (Sat /

Unsat)

Ion Chamber (2) XXXXX Gamma E-530 Survey or Meter equiv (2) XXXXX RM-14 or Frisker RM-14S (2) ( 5,6)

HP-210 or equiv XXX XXXXX XXXXX XXX Detector Air Sampler 12VDC XXX (1) XXXXX XXX XXX XXX XXXXX XXXXX XXX Check Source XXX XXX (1) XXXXX XXX Watch XXX XXX 0-200mR or XXX Dosimeter 0-500mR XXX XXX XXXXX XXXXX Dosimeter Charger XXX XXX XXX XXX (1) (4) XXX Calculator XXX XXX XXX XXX (1) XXXXX Flashlight XXX XXX XXX XXX (1) (4) XXX Flashlight XXX XXX XXX XXX (1) (4) XXX Flashlight XXX XXX XXX XXX (1) (4) XXX

  • Required by Tech Specs.

Corrective Actions Init./Date f

\

4 FORM TITLE; FORM NO. REV.

1903.060Q 31 pONTHLY EMERGENCY KIT SURVEILLANCE CHECKLIST -

cm

- - -- , _ ~ . -

7 .. . _ . ,

P ge 61 of 68 Page 11 of 13

[

(,]/ HOSPITAL RIT (1) Operation (4)Batt Batt.

Cal. Due Check (2) Response / Remove / ns Instrument Type S/N Date (Sat / (3) Inspected (5) Plugged in/  :

Unsat) (6) Charged "ff Beta Gamma (2) XXXXX RM-14 or Frisker RM-14S (2) (5) (6)

Detection HP-210 or equiv XXX XXX XXXXX XXX Chamber XXX (1) XXXXX XXX Air Sampler 110V Check Source XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXX XXX (1) XXXXX XXX Watch XXXX XXX 0-200 mrem XXX XXX XXXX XXXXX XXX Dosimeter Dosimeter Charger XXXX XXX XXX XXX (1) (4) XXX Flashlight XXXX XXX XXX XXX (1) (4) XXX Calculator XXXX XXX XXX XXX (1) XXXX

  • Required by Tech Specs.

Corrective Actions Init./Date f

I O i FORM TITLE: FORM NO REV.

1903.060Q 31 a

.. MONTHLY._EMERGENC.Y.K.I_T..S.U.

.... _ . . RVEILLANCE CHECKLIST .-.

l

e i P ge 62 of 64 Page 12 of 13

~N s

MISCELIANEOUS EQUIPMENT KIT (1) operation Cal. Due (2) Response / Instr.

Instrument Location S/N Date (3) Inspected Off NMC TSC (1)

VAX-VMS EOF XXX (2)

Corrective Actions Initial /Date O

O G

FORM TITLE. g FORM NO. REV. ,

MONTHLY EMERGENCY KIT SURVElLLANCE CHgCKLIST 1903.060Q 31 l

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. . PSge 63 of $8 Page 13 of 13  !

DOSE ASSESS 53rf KIT l I'

g I N (1) operation (4)Batt Remove / Instr.

I Batt. (2) Respons e/ (5) Plugged in/ Off Instrument Type Check (3) Inspected (6) Charged (Yes/No)

NA XXX (1) XXXXX Calculator Calculator NA XXX (1) XXXXX Calculator NA XXX (1) XXXXX ,

l XXXXX  ;

Calculator NA XXX (1)

Pocket Computer TRS-8 0 (1) XXXXX Pocket Computer TRS-80 (1) XXXXX Initial /Date Corrective Actions O _

O FORM NO. REV.

FORM TITLE:

1903.040Q 31 MONTHLY EMERGENCY KIT SURVEILLANCE CHECKLIST.

M M' u 6 -er h

4 s . ,

Page 64 of 68 l

/^N LOCATION: Emergency Planning Department

( )

INSTRUCTIONS: Page 1 of 1

1. Perform a monthly review of the Summary Report of "Entergy Operations Inc.,

ANO Meteorological Tower Data Monthly Report".

A. The purpose of the review will be to assure that the 90% data recovery goal, specified in Reg. Guide 1.23, is satisfied and provide instructions for initiation of corrective action if necessary.

B. This review will be performed on a monthly basis.

C. Acceptance criteria 2 90% Data Recovery.

2. Monthly percentage readings:

A. Horizontal Wind Direction 910 M or 957 M  %

B. Horizontal Wind Speed 910 M or 957 M  %

C.- Delta Temp / Stab Class 10 - 57 M or Sig Theta / Stab Class 57 M  %

RESULTS:

$ This review is for the month and year of:

( () Satisfactory - All group readings 2 90%

() Unsatisfactory - Any group reading < 90%

Verify that meteorological data was unavailable (using RDACS or other means). If data was, in fact, unavailable, initiate a condition Report in accordance with Procedure 1000.104, " Condition Reporting and Corrective Action".

Condition Report Number:

Performed By: Date:

Reviewed By: Date:

O FORM TITLE: FORM NO. REV.

MET TOWER DATA MONTHLY REVIEW FORM 1903.060R 31 l

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Page 1 of 3 l

(()N LOCATION: Emergency Operations Facility, Second Floor (Room 240)

INSTRUCTIONS: ,

Perform a complete inventory of the kit if the kit:  :

A. Has been used (including following a drill / exercise).

B. Is found unsealed / unlocked.

C. Is due for inventory.

NOTES:

1. Quantity should include units, where applicable.
2. Date should include month, day and year.

This kit: ( ) is due for quarterly inventory.

( ) was found unsealed / unlocked (perform a complete inventory) .

( ) post drill inventory This packet consists of: (X) Cover Sheet (X) Inventory list (2 pages)

Performed by: Date:

p Reviewed by: Date:

Forward to: Emergency Planning

\

FORM TITLE FORM NO. REV.

> EMERGENCY NEWS CENTER KIT INVENTORY FORM 1903.060S 31;p7; gpg 4

w

j' P;ge 64 of 44

/~N i.- .ntory List Page 2 of 3 x , _ ,

I Required Actual Corrective Equipment Quantity Quantity Actions Initial /Date*

Media Packets 200 Emergency Instruction Booklets 20 Light Pointer 1 Stick Pointer 1 Clipboard 6 ,

overhead (book) 1 Desk Signs and Holders 10 Pens 10 Pencils 10 Systems Training Manual U-1 4 (s

t Systems Training Manual U-2 4 Scotch Tape 1 roll Binder Clip 25 Dry-Erase Markers 5

  • As Required FORM TITLE: , .,

FORM NO. REV.

EMERGENCY NEWS CENTER. KIT INVENTORY FORM 1903.060S 31

, I Page 67 of 64 l

< ,. l rg Inventory List Page 3 of 3

( )

Ns Required Actual Corrective Equipment Quantity Quantity Actions Initial /Date*

Stapler 1 Staples 1 box Paper Towels 1 pack Liquid Board 1 Cleaner bottle Media I. D.

Badges 200 Note Pads 10

  • As Required O

O l

l l

l l

O FORM TITLE FORM NO REV.

EMERGENCY NEWS CENTER KIT INVENTORY FORM 1903.0605 31

s, P:ge 68 of 68 e 4 . e

. LOCATION: Emergency Mecical Team Equipment Lockers

' l A. Unit 1, T/B 354' South B. Unit 2, T/B 354' North C. T/B 386' Outside Control Room Extension INSTRUCTIONS: 1. Obtain three fully charged batteries.

2. Remove battery from each Emergency Radio and replace with a fully charged battery.
3. Return used batteries to charger, j Performed by: Date:

I Reviewed by: Date:

V

,/

/

FORM TITLE FORM NO REV MEDICAL TEAM RADIO BATTERY SURVEILLANCE 1903.060T 31

~. .

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