ML20078G892
ML20078G892 | |
Person / Time | |
---|---|
Site: | Arkansas Nuclear ![]() |
Issue date: | 01/26/1995 |
From: | ENTERGY OPERATIONS, INC. |
To: | |
References | |
1903.060, NUDOCS 9502030319 | |
Download: ML20078G892 (82) | |
Text
, , , . - . .. . .- .. . - - . .
3 ENTERGY OPERATIONS INCORPORATED !
ARKANSAS NUCLEAR ONE !
Arkansas Nuclear One Russellville, Arkansas !
Date: 950131 i
MEMORANDUM !
t E TO: 103 *Please return transmittalI !
CC - NRC - WASHINGTON to Document Control, l 3RD floor Admin Bldg
- l FROM: DOCUMENT CONTROL 'l Ref Key: 18107 i i
SUBJECT:
PLANT MANUAL UPDATE: NEW REVISION TO PROCEDURE I I i PROCEDURE / FORM NUMBER:.OP-1903.060 ;
REV. # 30 TC # 0 PC # 0 (
i PROCEDURE / FORM TITLE: EMERGENCY SUPPLY EQUIP ,
1
....___.......___________.._____...__ ..........__........____.__...__..______ l The following pages of the indicated procedure (s) contains items which involve j personal privacy or proprietary material. PLEASE REMOVE THE INDICATED MATERIAL .
PRIOR TO DISTRIBUTION TO PUBLIC DOCUMENT ROOMS, ETC. !
i 1
PROCEDURE (S) PAGE(S)
.........______.._____....____......__._ ... ___........__............_ 'l, SIGNATURE: DATE:
UPDATED I PRINT NAME ,
i i
form title: form no. rev. l TRANSMITTAL (PROCEDURE / WORK PLANS / CHANGES / FORMS) 1013.002H
- I 1
1 03012a l 9502030319 950126 , @
PDR ADOCK 05000313 V g i F PDR d
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', ENTERGY OPERATIONS INCORPORATED l ARKANSAS NUCLEAR ONE PROCMORK PLAN NO. REV.
TITLE: EMERGENCY SUPPLIES & EQUIPMENT 1903.060 30 EXP.DATE SAFETY-RELATED N/A SYES ONO IPTE OYES CONTROLLED COPY # /pj ,AOe , 0, ,
'7 " Self Check. '7 "
2 33 64 3 34 65 4
5 35 36 to 67 6 37 68 7
8 9
38 39 40 Y.k
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ihm 69 70 71 10 41 72 11 42 Ck 73 12 43 74 13 44 75 O 14 15 45 46 lg 76 77 16 47 78 l 79 l 17 48 '
18 49 .. cause Nobody's perf 80 19 50 VERIFIED BY DATE TIME 20 51 21 52 22 53 23 54 24 55 25 56 26 57 27 58 28 59 29 60 30 61 31 62 APPROVAL AUTHORITY: APPROVAL DATE:
J 95~
jpg / REQUIRED EFFECTIVE DATE: - !-J 95 8g O FORM MTL'E/: ~
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FORM NO.
1000.006A REV.
42 PC-1
/ LIST OF AFFECTED PAGES
'. PnOCJWORK PLAN NO. PROCEDURElWORK PLAN mH: PAGE: 1 of 80 EMERGENCY SUPPUES & EQUIPMENT REY: 30 1903.040 CHANGE.
[\
1.0 PURPOSE The purpose of this procedure is te describe the contents of the emergency 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 Protection Equipment".
_V 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".
3.4 REGULATORY CORRESPONDENCE CONTAINING NRC COMMITMENTS WHICH ARE IMPLEMENTED IN THIS PROCEDURE:
i 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 l
4.0 DEFINITIONS None f^
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PROCEDUfEWORK PUW Tm.E: PAGE: 2 of 80
~, PROCJWORK M.AN NO.
Rev: 30 1903.000 EMERGENCY SUPPUES & EQUIPMENT l- CHANOE: ,
l V 5.0 RESPONSIBILITIES 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.
5.2 RADIATION PROTECTION AND RADWASTE MANAGER The Radiation Protection and Radwaste Manager is responsible for the periodic inventory of the emergency kits described in this procedure.
5.3 SURVEILLANCE TEST COORDINATOR The surveillance Test Coordinator is responsible for scheduling the l Radiation Instruments Monthly Battery Checks in accordance with Tech.
Spec's.
6.0 DESCRIPTION
i 6.1 THE 10LLOWING 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; for shared use by both units) 6.1.2 Onsite Radiological Monitoring Kit (Operational Support Center) 6.1.3 Technical Support Center Kit (Technical Support Center) 6.1.4 Main Guard House Kit 6.1.5 Emergency Operations Facility Kit l 6.1.6 Field Monitoring Kits A, B, C and D (Emergency Operations Facility) 6.1.7 Dose Assessment Kit (Emergency Operations Facility) 6.1.8 Emergency News Center Kit (Emergency Operations Facility) .
I 6.1.9 Hospital Kit 6.1.10 Fire Lockers (Unit 1 Turbine Building El. 354, El. 386; Unit 2 1 Turbine Building El. 354) j 6.1.11 First Aid Kits (Medical Lockers and Nurse's Station) 6.1.12 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.
O U
PROCJWORK PLAN NO. MtOCEDURElWORK PUW TmL PAGE: 3 of 80 REv: 30 1903.060 EMERGENCY SUPPUES & EQUIPMENT
. CHANGE:
.O
~ -- 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 required (except as specified below).
7.2 Emergency kits shall be inventoried quarterly and after each use.
7.3 When performing an inventory, the applicable forum 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 Records.
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.
1 8.0 INSTRUCTIONS 8.1 INVENTORY ;
l 8.1.1 Perform a complete inventory of a kit using the appropriate )
inventory form if: !
A. The kit has been used.
B. The kit is found unlocked / unsealed.
C. The kit is due for its scheduled quarterly inventory. 1 J
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NOTE Batteries (not contained in the instruments) should be replaced annually.
8.1.2 If th. osal is intact / kit locked and the kit is not due for quarterAy inventory, perform only the required checks.
1 l
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4 PROCJWORK Pt.AN NO. PROCEDUREMORK PUW Tm4: PAGE: 4 of 80 REV: 30
! 1903.040 EMERGENCY SUPPUES & EQUIPMENT
- CHANGE.
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. 1
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' Ensure that the emergency kits are cleaned in conjunction with 8.1.3 the quarterly inventory.
8.2 CHECKS 8.2.1 Respirators are maintained 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 itene (unless they are continuously plugged in):
A. Frisker l B. Self Contained Air Sampler Note or. the (ppropriate fona whether each item was " charged" or g " plugged in".
t 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 /relocked after opening.
9.2 Inventory checklist is complete.
9.3 Discrepancies have been resolved.
9.4 Inventory checklist has been reviewed and approved.
O
MtOCJWORK PLAN NO. PROCEDURE) WORK PLAN Tm2: PAGE: 5 of 80 Rev: 30 1903.060 EMERGENCY SUPPLIES & EQUlPMENT CHANGE:
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i 10.0 ATTACHMENTS AND FORMS 10.1 Form 1903.060A, " Control Room Kit" 10.2 Form 1903.060B, "Onsite Radiological Monitoring Kit" 10.3 Form 1903.060C, " Technical Support Center Kit" 10.4 Form 1903.060D,
- Main Guard House Kit" 10.5 Form 1903.060E,
- Emergency Operations Facility Kit" 10.6 Fon f 903.060F, Field Monitoring Kit A" 10.7 Form 1903.060G, " Field Monitoring Kit B" 10.8 Form 1903.060H, " Field Monitoring Vsit C" 10.9 Form 1903.060I, " Field Monitoring Kit D" 10.10 Form 1903.060J, " Hospital Kit" 10.11 Form 1903.060K, "First Aid Supplies" 10.12 Form 1903.060L, " Fire Lockers" 10.13 Form 1903.060M, " Fire Locker B" - Deleted 10.14 Form 1903.060N, " Fire Locker C" - Deleted 10.15 Form 1903.0600, " Miscellaneous Equipment" 10.16 Form 1902.060P, " Dose Assessment Kit" 10.17 Form 1903.0600, " Emergency Kit Radiation Instrument Battery Check" 10.18 Form 1903.060R, " Met Tower Data Monthly Review Form" 10.19 Form 1903.060s, " Emergency News Center Kit" 10.20 Form 1903.060T, " Medical Team Radio Battery Surveillance" O
Page 6 d 80
,e m LOCATION: Unit 1 Control Room
(
\') INSTRUCTIONS: Page 1 of 8 14 Perform a complete inventory of the kit if the kit:
A. Has been used B. Is found unsealed / unlocked C. Is due for inventory
- 2. If the seal is intact / kit locked and the kit is not due for inventory, perform only the required checks.
CHECKS:
- 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 - 1 hour1.157407e-5 days <br />2.777778e-4 hours <br />1.653439e-6 weeks <br />3.805e-7 months <br /> (unless continuously plugged in).
- 5. Inspect 0-Rings on air sample heads. Replace as necsessary.
NOTES:
- 1. Quantity should include units, where applicable.
- 2. Date should include month, day, year. !
- 3. Indicate whether routine checks are satisfactory or unsatisfactory.
[' 4. If routine checks are unsatisfactory, indicate that in the applicable column then describe and date the corrective actions taken. ;
This kit: ( ) is due for quarterly inventory
( ) as not due for quarterly inventory
( ) was found sealed / locked (complete only the required checks unless the kit is scheduled for complete inventory)
( ) was found unsealed / unlocked (perform a complete inventory)
( ) post drill inventory
}
This packet consists of: (x) Cover Sheet (x) Checklist ( 3 pages)
(x) Inventory List ( 5 pages)
Performed By Date Reviewed By Date Forward to: Emergency Planning FORM NO. REV.
FORM TITLE: l CONTROL ROOM KIT 1903.040A 30
/ l k_ sl l
Pagt , cf 80 p CHECKLIST Page 2 of 8 V (1) Operation (4)Batt Remove /
Cal. Due Batt. (2) Response / (5) Plugged in/ Instr.
Instz sunent Type S/N Date Check (2) Inspected (6) Charged off Ion Chamber (2) XXXXX Ion Chamber (2) XXXXX RM-14 or Frisker RM-14S (2) (6)
Detection HP-210 Chamber or equiv XXX XXXXX XXXXX XXX Air Sampler 110V XXX (1) XXXXX XXX Air Sampler Batt XXX (1) (5,6)
Check Source XXXX XXX XXXXX XXXXX XX Check Source XXXX XXX XXXXX XXXXX XX Watch XXXX XXX XXXX XXX (1) XXXXX XX Dosimeter Charger XXXX XXX XXX XXX (1) (4) XX Dosimeter 0-200R XXX XXX XXXXX XXXXX XX 0-SR or V Dosimeter 0-10R XXX XXX XXXXX XXXXX XX 0-200mR or Dosimeter 0-500mR XXX XXX XXXXX XXXXX XX FORM TITLE: FORM NO. l PO.' l CONTROL ROOM KIT 1903.060A '
20 l 3 J ba
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Page 8 of 80
/ CHECKLIST Page 3 of 8
(],/
(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 Calculator XXX XXX XXX (1) XXXXXXXX Pocket Computer XXX XXX XXX (1) XXXXXXXX Flashlight XXX XXX XXX XXX (1) (4) XXX Flashlight XXX XXX XXX XXX (1) (4) XXX Flashlight XXX XXX XXX XXX (1) (4) XXX Flashlight XXX XXX XXX XXX (1) (4) XXX Corrective Actions
- Init./Date*
O
- Where applicable i
FORM TITLE: FORM NO. REV.
CONTROL ROOM KIT 1903.060A 30
Page 9 cf 80 INVENTORY LIST Page 4 of 8 Required Actual Corrective Equipment Quantity Quantity Actions Initial /Date*
SURVEY INSTRUMENTS 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 SAMPLING SUPPLIES Watch 2 Cloth Smear 50 b
(j Particulate Filter 20 Sealable Poly Bag 20 l
Silver Leolite Cartridge 20 Air Sample Form 20 PERSONNEL MONITORING EQUIEMENT Dosimeter (0-200R) 3 Dosimeter (0-5R or 0-10R) 3
- Where applicable .
FORM TITLE: FORM NO. REV.
CONTROL ROOM KIT 1903.060A 30 0
Pag 310 0f 80 q INVENTORY LIST Page 5 of 8 Required Actual Corrective Equipment Quantity Quantity Actions Initial /Date*
(0-200mR or Desimeter 0-500mR) 30 Charger 1 TLD Badge (incl.1 as BKG) 6 RESPIRATORY PROTECTION EQUIP.
SCBA' 12 g Spare Bottle *~ 12 Cannister Mask w/ Iodine Canister 12 Iodine Cannister(Spare) 12 PROTECTIVE CLOTHING Anti-c Clothing 12 sets 6 sets
( Plastic Suit Masking Tape 2 rolls Duct Tape 2 rolls 1
l POSTING MATERIALS Four-Pocket Signs 6 Three-Pocket Signs 6
" Radiation Area" Insert 6
- Where applicable !
l
+6 - Unit 1 CR, 6 - Unit 2 CR
[ ~ Indicates that spare SCBA bottles have been verified to contain 2 2000 psi pressure.
l FORM TRLE: FORM NO. REV.
CONTROL ROOM KIT 1903.040A 30
i Page 11 cf 80 l INVENTORY LIST Page 6 of 8 l ) '
L/
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 ,
l "High Contamination Area" Insert 6 1
" Radioactive Material" l Insert 12 l
Blank Insert 6 l ".adiation Warning Rope 1 roll IO Yellow and Magenta Border Tape 4 rolls j
- Where applicable l
FORM TITLE: FORM NO. REV.
CONTROL ROOM KIT 1903.040A 30 0
l PaQ312 of 80 j
INVENTORY LIST Page 7 of 8 Required Actual Corrective Equipment Quantity Quantity Actions Initial /Date*
Internal Contamir' tion 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 I 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
l
~
FORM TITLE: FORM NO. REV.
CONTROL ROOM KIT 1903.060A 30 0
Page 13 of 80 INVENTORY LIST Page 8 of 8 s_f ,
Required Actual Corrective Equipment Quantity Quantity Actions Initial /Date*
Flashlight 4 Bulbs (Spare) 4 10 Mile EPZ Map 2 Plastic Bag (sm.) --
Plastic Bag (med.) --
Plastic Bag (lg.) --
Sandpaper or Emery Board 1 Printer Paper 1 box Extension Cord (50-ft) 1 Emergency Telephone Directory 1 f%,
i
\J
- Where applicable FORM TITLE: FORM NO. REV.
i CONTROL ROOM KIT 1903.040A 30 .
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Pe9e 14 of 80 gsg LOCATION: Maintenance Facility i N' /-
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
- 2. If the seal is intact / kit locked and the kit is not due for inventory, perform only the required checks.
C;iECKS :
- 1. Record the es.libration 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 - 1 hour1.157407e-5 days <br />2.777778e-4 hours <br />1.653439e-6 weeks <br />3.805e-7 months <br /> i (unless continuously plugged in).
- 5. Inspect 0-rings on air sample heads. Replace as necesssry.
NOTES:
- 1. Quantity should include units, where applicable.
- 2. Date should include month, day, year. ,
- 3. Indicate whether routine checks are satisfactory or unsatisfactory. l' If routine checks are unsatisfactory, indicate that in the gO 4. applicable column then describe and date the corrective actions taken.
This kits ( ) is due for quarterly inventory
( ) is not due for quarterly inventory
( ) was found sealed / locked (complete only the required checks unless the kit is scheduled for complete inventory)
( ) was found unsealed / unlocked (perform a complete inventory)
( ) post drill inventory g
This packet consists of: (x) Cover Sheet (x) Checklist ( 2 pages)
(x) Inventory List ( 4 pages)
I' Performed By Date Reviewed By Date l
Forward To: Emergency Planning FORM TITLE: FORM NO, REV.
ONSITE RADIOLOGICAL MONITORING KIT 1903.0608 30 fs j 1
Page 15 of 80
_ CHECKLIST Page 2 of 7 u (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 Ion Chamber (2) XXXXX Beta-Gamma Survey Meter (2) XXXXX Gansna Survey Heter (2) XXXXX PM-14 or ,
Trisker RM-14S (2) (5,6)
Detection HP-210 Chamber or equiv XXX XXXX XXXXX XXX Air Sampler Batt XXX (1) (5,6)
Air Sampler 110V XXX (1) XXXXX XXX Check Source XXXXX XXXXXX XXXXXXXXXXXXX XXXXXXXXXXXXXXX XXXXXXXX [
Watch XXXXX XXX XXXXX XXX (1) XXXXX XXX 1
9 FORM NO, REV.
FORM TITLE: ,
ONSITE RADIOLOGICAL MONITORING KIT 1903.0608 30 l
) ,
)
Paga 16 of 80 Page 3 of 7 6 CHECKLIST (1) Operation (4)Batt Remove /
Cal. Due Batt. (2) Respons e/ (5) Plugged in/ Instr. '
Instrument Type S/N Date Check (3) Inspected (6) Charged off Watch XX XX XX XX (1) XXXXX XXX Dosimeter Charger XX XX XX XX (1) (4) XXX Dosimeter 0-200R XX XX XXXXX XXXXX XXX 0-SR 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) XXX s
Corrective Actions
- Init./Date*
I
- Where applicable FORM TlTLE: FORM NO. REV.
ONSITE RADIOLOGICAL MONITORING KIT 1903.040B 30 1
Page 17 cf 80 Page 4 of 7
- J'INVENTORYLIST Required Actual Corrective Equipment Quantity Quantity Actions Initial /Date*
SURVEY INSTRUMENTS High Range Ion Chamber 1 l Beta-Gansna Survey Meter 1 Gansna Survey Meter w/ Probe 1 i Frisker w/ Probe 1 Air Sampler (110V) 1 Air Sampler (Batt) 1 Sample Head 4 Check Source 1 SAMPLING SUPPLIES Watch 2 I cloth Smear 100 i
Particulate Filter 50 i
g Sealable Poly Bag 50 Silver Zeolite Cartridge 25 Air Sample Form 50
- Where applicable FORM TITLE: FORM NO. REV.
ONSITE RADIOLOGICAL MONITORING KIT 1903.0408 30
Page 18 cf 80
'/
INVENTORY LIST Page 5 of 7 Required Actual Corrective Equipment Quantity Quantity Actions Initial /Date* ,
l PERSONNEL MONITORING EQUIP. )
I (0-200mR or l Dceimeter 0-500 mR) 80
. Dosimeter (0-5R or 0-10R) 10 l
Dosimeter (0-200R) 6
]
Charger 1 TLD Badge (incl. I as BKG) 10 RESPIRATORY PROTECTION EQUIP SCBA 4 l Spare Bottle- 4 Cannister Mask w/ Iodine 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 veriff.ed to contain 2 2000 psi poissure.
- Where applicable l
l l
FORM TITLE: FORM NO. REV.
ONSITE RADIOLOGICAL MONITORING KIT 1903.0408 30
Page 19 of 80 c INVENTORY LIST Page 6 of 7 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 g
" Health Physics Escort Required" Insert 5
" Airborne Radioactivity Area" Insert 5
" Respiratory Protection Required" 5 ,
" Notify Health Physics j Kefore Entering" Insert 5 i
" Contamination Area Insert 5
(% "High Contamination Area" l
( ,/ ;
Insert 5
" Radioactive Material" Insert 10 l
Blank Insert 5
- Where applicable i
l l
FORM TillE: FORM NO. REV.
ONSITE RADIOLOGICAL MONITORING KIT 1903.0608 30 O
I
-_ _ _ _- . __ l
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Page 20 0f 80
[iINVENTORY LIST Page 7 of 7
--l Required Actual Corrective l Equipment Quantity Quantity Actions Initial /Date*
l Radiation Warning Rope 1 rolls l Yellow and Magenta Border Tape 6 rolls l Interna 2 Contamination Tape 2 rolls l Step-Of f 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 Plug Adapter 1 Flashlight 3 Bulbs (Spare) 3 10 Mile EPZ Map 2 Plastic Bag (sm.) 5 Plastic Bag (med.) 5 Plastic Bag (lg.) 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 HONITORING KIT 1903.060B 30
("%g V
Page 21 of 60 js LOCATION: Technical Support Center (3rd Floor Administration Building)
INSTRUCTIONS: Page 1 of 4
- 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
- 2. If the seal is intact / kit locked and the kit is not due for inventory, perform only the required checks.
CHECKS:
- 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 - 1 hour1.157407e-5 days <br />2.777778e-4 hours <br />1.653439e-6 weeks <br />3.805e-7 months <br /> (unless continuously plugged in).
- 5. Inspect o-rings on air sample heads. Replace as necessary.
NOTES:
- 1. Quantity should include units, where applicable.
- 2. Date should include month, day, year.
- 3. Indicate whether routine checks are satisfactory or unsatisfactory. '
- 4. If routine checks are unsatisfactory, indicate that in the
(,,
/) applicable column then describe and date the corrective -
actions taken.
This kitt ( ) is due for quarterly inventory
( ) is not due for quarterly inventory
( ) was found sealed / locked (complete only the required checks unless the kit is scheduled for complete inventory)
( ) was found unsealed / unlocked (perform a complete inventory)
( ) post drill inventory g
This packet consists of: (x) Cover Sheet (x) Checklist ( 2 pages) l I
(x) Inventory List ( 2 pages) l Performed By Date Reviewed By Date Forward To: Emergency Planning l l
FORM TITLE: FORM NO. REV.
TECHNICAL SUPPORT CENTER KIT 1903.040C 30 0
= - ..
Page 22 of 80 Page 2 of 4 O CHECKLIST-b (1) Operation (4)Batt Remove /
Cal. Due Batt. (2) Response / (5) Plugged in/ Instr.
Instrument Type S/N Date Check (3) Inspected (6) Cha rged Off RM-14 or
! Frisker RM-14S _
(2) (6)
Gansna Survey Meter (2) XXXXX Air Sampler 110V XXX (1) XXXXX XXX
] Detection HP-210 or i Chamber equal XXX XXXXX XXXXX XXX Check Source XXXX XXXX XXXXX XXXXX XXX Check Source XXXX XXXX XXXXX XXXXX XXX 0-200mR 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 ,
Corrective Actions
- Init./Date*
- Where applicable F ORM TITLE: FORM NO. REV.
TECHNICAL SUPPORT CENTER KIT 1903.060C 30
Page 23 of 80 INVENTORY LIST Page 3 of 4 Required Actual Corrective ,
Equipment Quantity Quantity Actions Initial /Date* t SURVEY INSTRUMENTS Gamma Survey Meter w/ Probe 1 Trisker 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 7 (include 1 as background) 15 RESPIRATORY PROTECTION EQUIPMENT Cannister Mask w/ Iodine Cannister 25 ;
PROTECTIVE CLOTHING ,
I Disposable Suits 25 ,
(Batteries not contained within an instrument should /
BATTERIES be replaced during the first quarter inventory). Initials /Date "D" Cell 6 7
- AA" Cell 12 I Watch /Ca)culator Battery 4 ;
r t
- Where appl} cable FORM TITLE: FORM NO. REV. i TECHNICAL SUPPORT CENTER KIT 1903.000C 30
- I Page 24 of 80 INVENTORY LIST Page 4 of 4 Required Actual Corrective Equipment Quantity Quantity Actions Initial /Date*
MISCELLANEOUS Pencil 12 Note Pad 3 Clipboard 2 Metal Clipboards 7 ,_
Flashlight 3 ,
Bulbs (Spare) 3 Status Board Headsets 3 Microphone 2 10 Mile EPZ Map 1 i O *Where applicable i
4 I
FORM NO. REV.
FORM TITLE:
TECHNICAL SUPPORT CENTER MIT 1903.060C 30 i
s
Page 25 of 80 g LOCATION: Main Guard House 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
- 2. If the seal is intact / kit locked and tiie kit is not due for inventory, perform only the required checks.
CHECKS:
- 1. Perform a battery check on the indicated instruments. Replace as necessary.
- 2. Verify the operability of the indicated instruments. Replace as necessary.
NOTES:
- 1. Quantity should include units, where applicable.
- 2. Date should include month, day, year.
- 3. Indicate whether routine checks are satisfactory or unsatisfactory.
- 4. If routine checks are unsatisfactory, indicate that in the applicable column then describe and date the corrective actions taken.
This kitt ( ) is due for quarterly inventory t
[~') ( ) is not due for quarterly inventory
( ) was found sealed / locked (complete only the required
\s / ,
checks unless the kit is scheduled for complete inventory)
( ) was found unsealed / unlocked (perform a complete inventory) i I
g ( ) post drill inventory This packet consists of: (x) Cover Sheet (x) Checklist ( l pages)
(x) Inventory List ( l pages)
Forward To: Emergency Planning Performed By Date Reviewed By Date i
l i
i FORM TITLE: FORM NO. REV. i MAIN GUARD HOUSE KIT 1903.060D 30 1
I O
1 l
Page 26 cf 80 CHECKLIST Page 2 of 3 ,
( (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 i Bull Horn XXX XXX XXX XXX (1) (4) XX Flashlight -XXX XXX XXX XXX (1) (4) XX ;
(1) (4) XX !
Flashlight XXX XXX XXX XXX Flashlight XXX XXX XXX XXX j (1) (4) XX Corrective Actions
- Init./Date*
l 1
- Where applicable i
f I
i FORM NO. REV.
FORM TITLE:
1903.0600 30 MAIN GUARD HOUSE KIT 0 :
Page 27 cf 80 Page 3 of 3 C.N-INVENTORYLIST Required Actual Corrective 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 O .
Batteries ("D" cell) 6 l Batteries ("AA" Cell) 20
- Where applicable i
FORM TITLE: FORM NO. REV.
MAIN GUARD HOUSE KIT 1903.0400 30 i
O l
l 4
Page 28 of 80 gb~g LOCATION: Emergency Operations Facility First Floor (Room 123) i\-j INSTRUCTIONS: Page 1 of 9
- 1. Perform a complete inventory of the kit if the kit:
A. Has been used B. Is found unsealed / unlocked C. It due for inventory
- 2. If the seal is intact / kit locked and the kit is not due for inventory, perform only the required checks. ,
CHECKS:
- 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 - 1 hour1.157407e-5 days <br />2.777778e-4 hours <br />1.653439e-6 weeks <br />3.805e-7 months <br /> (unless continuously plugged in).
- 5. Inspect 0-rings on air sample heads. Replace as necessary.
- 6. Charge the 12-volt battery ft. approximately 1 hour1.157407e-5 days <br />2.777778e-4 hours <br />1.653439e-6 weeks <br />3.805e-7 months <br />.
NOTES:
- 1. Quantity should include units, where applicable.
- 2. Date should include month, day, year.
- 3. Indicate whether routine checks are satisfactory or unsatisfactory.
- 4. If routine checks are unsatisfactory, indicate that in the applicable column then describe and date the corrective actions taken.
This kits ( ) is due for quarterly inventory
( ) is not due for quarterly inventory
( ) was found sealed / locked (complete only the required checks unless the kit is scheduled for complete inventory)
( ) was found unsealed / unlocked (perform a complete inventory)
( ) post drill inventory This packet consists of: (x) Cover Sheet (x) Checklist ( 2 pages)
(x) Inventory List J_6 pages)
Performed By Date Reviewed By Date Forward To: Emergency Planning FORM TITLE: FORM NO. REV.
EMERGENCY OPERATIONS FACluTY KIT 1903.060E 30 0
Page 29 of 80 CHECKLIST Page 2 of 9 (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 Gansna 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 PN-14 or Frisker RM-14S (2) (5,6)
RM-14 or Frisker RM-14S (2) (5,6) l Detection HP-210 Chamber or equiv XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX Detection HP-210 Chamber or equiv XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX Air Sampler 110V XXX (1) XXXXX XXX Air Sampler 110V XXX (1) XXXXX XXX Air Sampler 12VDC XXX (1) XXXXX XXX f\
L/ Check Source XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX Watch XXXX XXX XXX XXX XXXXX XXX 0-5R or Dosimeter 0-10R XXX XXX XXXX XXXXX XXX 0-200mR or Dosimeter 0-500mR XXX XXX XXXX XXXXX XXX Dosimeter Charger XXXX XXX XXX XXX (1) (4) XXX FORM iiTLE: FORM NO. REV.
EMERGENCY OPERATIONS FACILITY KIT 1903.060E 30
Pa93 30 of 80 f% CHECKLIST Page 3 of 9 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 Ca1cu1ator XXX XXX XXX XXX (1) XXXXX XXX Flashlight XXX XXX XXX XXX (1) (4) XXX Flashlight XXX XXX XXX XXX (1) (4) XXX Flashlight XXX XXX XXX XXX (1) (4) XXX Corrective Actions
- Init./Date*
O*Whereapplicable FORM TITL E: FORM NO. REV.
EMERGENCY OPERATIONS FACluTY KIT 1903.040E 30 r
t i
l i
l
Pa0e 31 of 80 INVENTORY LIST Page 4 of 9 v
Required Actual Corrective Equipment Quantity Quantity Actions Initial /Date*
SURVLY INSTRUMENTS l
I Ganuna 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 l Cloth Smear 250 Particulate Filter 100 l Sealable Poly Bag 100 Silver Zeolite Cartridge 75 Sample Bottles i
( l gal.)+ 100
- Where applicable;
+1ocated outside the sealed kit i
FORM TITLE: FORM NO. REV.
EMERGENCY OPERATIONS FACluTY KIT 1903.040E 30 l
i l
. 1 Page 32 of 80 ;
INVENTORY LIST Page 5 of 9 I O
V Required Actual Corrective Equipment Quantity Quantity Actions Initial /Date*
Survey Map 5 ea.
PERSONNEL MONITORING EQUIPMENT Dosimeter (0-5R or 0-10R) 10
-200mR or Dosimeter 0-500mR) 70 Charger 1 TLD Badge (incl. 1 as BKG) 20 RESPIRATORY PROTECTION EQUIPMENT Cannister Mask w/ Iodine Cannister 5 ,
Iodine Canaister (Spare) 5 SCBAs 5 SCBA Bottles- 35
{
PROTECTIVE CLOTHING Anti-c Clothing 30 sets Plastic Suit 15 sets Masking Tape 3 rolls Duct Tape 3 rolls
- Where applicable l - Indicates that spare SCBA bottles have been verified to contain 2 2000 psi pressure FORM TITLE: '*'ORM NO. REV. ,
EMERGENCY OPERATIONS FACluTY KIT 1903.040E 30 f
\
Page 33 cf 80 INVENTORY LIST Page 6 of 9 Required Actual Corrective Equipment Quantity Quantity Actions Initial /Date*
POSTING MATERIALS l
i Four-Pocket Signs 20 l Three-Pocket Signs 20 i
" Radiation Area" Insert 20 "High Radiation Area" Insert 20 '
"RWP Required for Entry" Insert 20 l " Health Physics Escort Required" Insert 20
- Airborne Radioactivity Area" Insert 20
" Respiratory Protection Required" Insert 20 ,
" Notify Health Physics l Before Entering" Insert 20 "Contant1 nation Area" Insert 20 g'
, "High Contamination Area" Insert 20
" Radioactive Material" Insert 40 l
Blank Insert 20
- Where applicable FORM TITLE: FORM NO, REV.
EMERGENCY OPERATIONS FACIUTY KIT 1903.060E 30 0
Page 34 cf 80 INVENTORY LIST Page 7 of 9 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" Ce' ,
24 "AA" Cell 14 9-volt 24 Watch / Calculator Battery 4 l
l I INITIAL ENVIRONMENTAL SAMPLING KIT Required Actual Corrective Equipment Quantity Quantity Actions Initial /Date*
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 I 1 l l
- Where cpplicable ,
FORM TITLE: l FORM NO. REV.
EMERGENCY OPERATIONS FACILITY KIT 1903.040E 30 0
Page 35 of 80 3 INVENTORY LIST Page 8 of 9 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 J
Cotton Swabs 1 pkg. l l
Hand Soap (Regular) 3
- Where applicable FORM TITLE: FORM NO. REV.
EMERGENCY OPERATIONS FACILITY KIT 1903.040E 30 i l
l l
~
Page 36 of 80 INVENTORY LIST Page 9 of 9
%)
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
I 1
I 1
1 l
FORM TRLE: FORM NO. REV.
EMERGENCY OPERATIONS FACluTY KIT i 1903.049E 30 0
Page 37 of 80 LOCATION: Emergency Operations Facility First Floor (Room 123)
_~h
{V INSTRUCTIONS: Page 1 of 4
- 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
- 2. If the seal is intact / kit locked and the kit is not due for inventory, perform only the required checks.
CHECKS:
- 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 - 1 hour1.157407e-5 days <br />2.777778e-4 hours <br />1.653439e-6 weeks <br />3.805e-7 months <br /> (unless continuously plugged in).
- 5. Inspect 0-rings on air sample heads. Replace as necessary.
NOTES:
- 1. Quantity should include units, where applicable.
- 2. Date should include month, day, year.
- 3. Indicate whether routine checks are satisfactory or unsatisfactory.
- 4. If routine checks are unsatisfactory, indicate that in the
()/
N, applicable column then describe and date the corrective actions taken.
This kits ( ) is due for quarterly inventory
( ) is not due for quarterly inventory
( ) was found sealed / locked (complete only the required checks unless the kit is scheduled for complete inventory)
( ) was found unsealed / unlocked (perform a completo inventory)
( ) post drill inventory
{
This packet consists of: (x) Cover Sheet (x) Checklist ( l pages)
(x) Inventory List ( 2 pages)
Performed By Date Reviewed By Date Forward To: Emergency Planning FORM TITLE: FORM NO. REV.
i FIELD MONITORING KIT A 1903.060F 30 i
O l
l l
Page 38 cf 80 r~s CHECKLIST Page 2 of 4 f 3 (1) Operation (4)Batt Remove / f Cal. Due Batt. (2) Response / (5) Plugged in/ Instr.
Instrument Type S/N Date Check (3) Inspected (6) Charged Off Ion Chamber (2) XXXXX Gamma E-530 survey or Meter equiv (2) XXXXX RM-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 V Flashlight XXX XXX XXX XXX (1) (4) XXX Flashlight XXX XXX XXX XXX (1) (4) XXX Flashlight XXX XXX XXX XXX (1) (4) XXX Corrective Actions
- Init./Date*
u l
- Where applicable l
I FORM TITLE: ;
FORM NO. REV. l FIELD MONITORING KIT A 1903.060F 30
{
~
0 l
Pa0e 39 of 80 s
Page 3 of j
[ D INVENTORY LIST
%.)
Required Actual Corrective Equipment Quantity Quantity Actions Initial /Date*
SURVEY INSTRUMENTS ,
High Range Ion Chamber 1 Gansna Survey Meter w/ Probe 1 Frisker w/ Probe 1 Air Sampler (12VDC) 1 ,
Sample Head 2 Check Sourc2 1 SAMPLING SUPPLIES-Watch 1 l 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: FORM NO. REV.
FIELD MONITORING KIT A 1903.060F 30 l :
O
Paga 40 cf 80 f NVENTORY LIE Page 4 of 4 Required Actual Corrective Equipment Quantity Quantity Actions Initial /Date*
PROTECTIVE CLOTHING Masking Tape 1 roll j
\
Duct Tape 1 roll j (Batteries not contained within an instrument should / !
BATTERIES be replaced during the first quarter inventory). Initials /Date 1
"D" Cell 8 9-Volt 3 MISCELIANEOUS Pencil 3 Magic Marker 2 Grease Pencil 2 Clipooard 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 Bag (med.) 5
- Where applicable FORM TITLE: FORM NO. REV.
FIELD MONITORING KIT A 1903.040F 30 I
i
~
Page 41 of 80 ry LOCATION: Emergency Operations Facility First Floor (Room 123)
INSTRUCTIONS: Page 1 of 4
- 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
- 2. If the seal is intact / kit locked and the kit is not due for inventory, perform only the required checks.
CHECKS:
- 1. Record the celibration due date of the instruments in the kit.
Replace as necesaary.
- 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 - 1 hour1.157407e-5 days <br />2.777778e-4 hours <br />1.653439e-6 weeks <br />3.805e-7 months <br /> (unless continuously plugged in).
- 5. Inspect 0-rings on air sample heads. replace as necessary.
NOTES:
- 1. Quantity should include units, where applicable.
- 2. Date should include month, day, year.
- 3. Indicate whether routine checks are satisfactory or unsatisfactory.
(T 4. If routine checks are unsatisfactory, indicate that in the applicable column then describe and date the corrective
(,,/ ;
actions taken.
This kitt ( ) is due for quarterly inventory
( ) is not due for quarterly inventory
( ) was found sealed / locked (complete only the required checks unless the kit is scheduled for complete inventory)
( ) was found unsealed / unlocked (perform a complete inventory)
( ) post drill inventory This packet consists of (x) Cover sheet (x) Checklist ( l pages)
(x) Inventory List ( 2 pages)
Performed By Date Reviewed By Date Forward To: Emergency Planning FORM TITLE: 'rOMM NO. REV.
FIELD MONITORING KIT B i903.0600 30
\% I
Page 42 of 80
,_/
r y]. CHECKLIST
~
Page 2 of 4-(1) Operation (4)Batt Remove /
Cal. Due Batt. (2) Response / (5) Plugged in/ Instr.
Instrument Type S/N Date Check (3) Inspected (6) Charo' t off Ion Chamber (2) XXXXX Ganuna E-530 survey or Meter equiv (2) XXXXX q RM-14 or j 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 t~atch XXX XXX XXX XXX (1) XXXXX XXX 0-?G0mR 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
{)'g
% riashlight XXX XXX XXX XXX (1) (4) XXX Flashlight XXX XXX XXX XXX (1) (4) XXX Flashlight XXX XXX XXX XXX (1) (4) XXX Corrective Actions
- Init./Date*
- Where app'.icable FORM TITLE: ; FORM NO. REV.
5' FIELD MONITORING KIT B * ' 1903.060G 30 l
. _ i
l-Page 43 cf 80 INVENTORY LIST Page 3 of- 4 Required Actual Corrective Equipment Quantity Quantity Actions Initial /Date*
SURVEY INSTRUMENTS FHigh 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 l 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 i
Charger 1 RESPIRATORY PROTECTION EQUIPMENT Cannister Mask w/ Iodine Cannister 2
- Where applicable FORM TITLE: FORM NO. REV.
- 4 2. FIELD MONITORING KIT B 1903.0600 30 t
O
Page 44 cf 80
^ 7NVENTORY LIST Page 4 of 4 (O
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 i
Bulbs (Spare) 3 10 Mile EPZ Map 1 Russellville City Map 1 l Dardanelle City Map 1 Calculator 1 Plastic Bag (sm.) S l Plastic Bag (med.) 5
- Where applicable FORM TITLE: FORM NO. REV.
FIELD MONITORING KIT B 1903.0400 30 v
i
Page 45 0f 60 LOCATION: Emergency Operations Facility First Floor (Room 123)
INSTRUCTIONS: Page 1 of 4
- l. Perform a complete inventory of the kit if the kit:
A. Has been used B. Is found unsealed / unlocked C. Is due for inventory
- 2. If the seal is intact / kit locked and the kit is not due for inventory, perform only the required checks.
CHECKS: <
- l. 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 - 1 hour1.157407e-5 days <br />2.777778e-4 hours <br />1.653439e-6 weeks <br />3.805e-7 months <br /> (unless continuously plugged in).
- 5. Inspect 0-rings on air sample heads. Replace as necessary. l l
NOTES:
- 1. Quantity should include units, where applicable.
- 2. Date should include month, day, year.
- 3. Indicate whether routine checks are satisfactory or ursatisfactory.
- 4. If routine checks are unsatisfactory, indicate that in the
)
g applicable column then describe and date the corrective l actions taken.
This kit: ( ) is due for quarterly inventory
( ) is not due for quarterly inventory
( ) was found sealed / locked (complete only the required checks unless the kit is scheduled for complete inventory)
( ) was found unsealed / unlocked (perform a complete inventory)
( ) post drill inventory This packet consists of: (x) Cover Sheet (x) Checklist ( l pages)
(x) Inventory List ( 2 pages)
Performed By Date Reviewed By Date Forward To: Emergency Planning 1
FORM NO. REV.
FORM TITLE:
1903.060H 30 FIELD MONITORING KIT C ;
a O
Page 46 of 80
[v CHECKLIST Page 2 of 4 (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 l
Ion Chamber (2) XXXXX l Gamma E-530 l Survey or Meter equiv (2) XXXXX j RM-14 or j ,
l Frisker RM-145 (2) (5,6) I HP-210 J Detector or equiv XXX XXXXX XXXXX XXX Air Sampler 12VDC XXX (1) XXXXX XXX l Check Source XXX XXX XXXXX XXXXX XXX Watch XXX XXX XXX XXX (1) XXXXX XXX 0-200mR i or XXX !
Dosimeter 0-500mR XXX XXX XXXXX XXXXX Dosimeter Charger XXX XXX XXX XXX (1) (4) XXX p 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 Corrective Actions
- Init./Date*
- Where applicable FORM TITLE: _. FORM NO. REV.
FIELD MONITORING KIT C 1903.040H 30 0 -
Paga 47 cf 80 l
INVENTORY LIST Page 3 of 4 Required Actual Corrective Equipment Quantity Quantity Actions Initial /Date*
SURVEY INSTRUMENTS High Range Ion Chamber 1 Gasuna 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 ;
I 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: ; FORM NO, REV.
"' r* ~ '--
FIELD MONITORING KIT C -1903.000H 30 U
l .
Page 48 of 80 i-Page 4 of 4 Required Actual Corrective Equipment Quantity Quantity Actions Initial /Date*
PROTECTIVr, 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 2 Knife 1 Flashlight 3 Bulbs (Spare) 3 i
10 Mile EPZ Map 1 Russellville City Map 1 ;
l 1 i Dardanelle City Map Calculator 1 l l
Plastic Bag (sm.) 5 Plastic Bag (med.) 5
- Where applicable FORM TITLE: FORM NO. REV.
FIELD MONITORING KIT C 1903.060H 30 i
I' Pag)49 of B0 rN 49 of 79 I
G')
LOCATION: Emergency Operations Facility First Floor (Room 123)
INSTRUCTIONS: Page 1 of 4
- 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
- 2. If the seal is intact / kit locked and the kit is not due for inventory, perform only the required checks.
CHECKS:
- 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 - 1 hour1.157407e-5 days <br />2.777778e-4 hours <br />1.653439e-6 weeks <br />3.805e-7 months <br /> (unless continuously plugged in).
- 5. Inspect 0-rings on air sample heads. Replace as necessary.
NOTES:
D)
\~ s 1.
2.
Quantity should include units, where applicable.
Date should include month, day, year.
- 3. Indicate whether routine checks are satisfactory or unsatisfactory.
- 4. If routine checks are unsatisfactory, indicate that in the applicable column then describe and date the corrective actions taken.
This kit: ( ) is due for quarterly inventory
( ) is not due for quarterly inventory
( ) was found sealed / locked (complete only the required checks unless the kit is scheduled for complete inventory)
( ) was found unsealed / unlocked (perform a complete inventory) g ( ) post drill inventory This packet consists of: (x) Cover Sheet (x) Checklist ( l pages)
(x) Inventory List ( 2 pages)
Performed By Date Reviewed By Date Forward To Emergency Planning
^
FORM TITtE FORM NO. REV.
FIELD MONITORING KIT D 1903.0401 30
Page 50 of 80 C T CHECKLIST Page 2 of 4 (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 Ion Chamber (2) XXXXX Ganuna E-530 l Survey or Meter equiv (2) XXXXX g RM-14 or
} Frisker RM-14S (2) (5,6)
HP-210 I Detector or equiv XXX XXXXX XXXXX XXX l 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 Corrective Actions
- Init./Date*
- Where applicable FORM TITLE: FORM NO. REV.
FIELD MONITORING KIT D 1903.0401 30 0
. .. _ -.. ~ ~ , . . __ _ - .- . - . _ . . .
L Page 51 of 80 f
INVENTORY LIST Page 3 of 4 i
Required Actual Corrective j Equipment Quantity Quantity Actions Initial /Date* 1 SURVEY INSTRUMENTS I
High Range Ion Chamber 1 Ganana Survey Meter w/ Probe 1 Frisker w/ Probe 1 Air San- (12VDC) 1 l Sampi acad 2 j Check Source 1 SAMPLING SUPPLIES f Watch 1 ;
l Cloth Smear 25 Particulate Filter 25 Sealable Poly Eag 25 Forceps 1 Plastic Gloves 50 pr Charcoal Cartridge 25 ,
Silver Zeolite Cartridge 25 ,
Completed Checklist in Front l of Procedure Notebook NA N/A PERSONNEL .
MONITORING EQUIPMENT (0-200mR or Dosimeter 0-500mR) 6 ;
J Charger 1
]
RESPIRATORY l PROTECTION EQUIPMFNT )
l Cannister Mask w/ Iodine Cannister 2
- Where applicable
~
I FORM TITLE: ; FORM NO. REV.
FIELD MONITORING KIT D 1903.0401 30 0
Page 52 cf 80 !
e i Page 4 of 4 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 Clipboard 2 Knife 1 Flashlight 3 Bulie (Spare) 3 10 Mile EPZ Map 1 Russellville City Map 1 Dardanelle Cit 3 Map 1 Calculator 1 Plastic Bag (sm.) 5 Plastic Bag (med.) 5
- Chere applicable FORM TITLE: FORM NO. REV.
FIELD MONITORING KIT D 1903.0601 30 0
l Page 53 cf 80 LOCATION: St. Mary's Hospital G Page of 6 INSTRUCTIONS: 1 l
-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
- 2. If the seal is intact / kit locked and the kit is not due for inventory, perform only the required checks.
CHECKS:
- 1. Record the calibration due date of the instruments in the kit.
Replace as necessary.
- 2. Perform a battery check cn the indicated instruments. Replace as necessary.
- 3. Verify the operability of the indicated instruments. Replace as necessary.
- 4. Charge the batteries in the indicated ir.. : r.ments for - 1 hour1.157407e-5 days <br />2.777778e-4 hours <br />1.653439e-6 weeks <br />3.805e-7 months <br /> (unless continuously plugged in).
- 5. Inspect 0-rings on air sahple heads. Replace as necessary.
NOTES:
- 1. Quantity should include units, where applicable.
- 2. Date should include month, day, year.
- 3. Indicate whether routine checks are satisfactory or unsatisfactory.
/%)
(, 4. If routine checks are unsatisfactory, indicate that in the applicable column then describe and date the corrective actions taken.
This kits ( ) is due for quarterly inventory
( ) is not due for quarterly inventory
( ) was found sealed / locked (complete only the required checks unless the kit is scheduled for complete inventory)
( ) was found unsealed / unlocked (perform a complete inventory)
( ) post drill inventory g
This packet consists of: (x) Cover Sheet (x) Checklist ( l pages)
(x) Inventory List ( 4 pages)
Performed By Date Reviewed By Date Forward To: Emergency Planning FORM TITLE: FORM NO. REV.
j l i HOSPITA1. KIT i 1903.060J 30 t h
g-~g O
Page 54 of 80 G CHECKLIST Page 2 of 6
/j
's
~
(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 Beta Gamma (2)
J RM-14 or Frisker RM-14S (2) (5) (6)
L Detection HP-210 or equiv XXX XXX XXXXX XXX Chamber Air Sampler 110V XXX (1) XXXXX XXX Check Source XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXX (1) XXXXX XXX Watch XXXX XXX XXX XXX XXX XXXX XXXXX XXX Dosimeter XXXX Dosimeter Charger XXXX XXX XXX XXX (1) (4) XXX Flashlight XXXX XXX XXX XXX (1) (4) XXX Calculator XXXX XXX XXX XXX (1) XXXX O Corrective Actions
- Init./Date*
I w ;
\
i
- Where applicable i
FORM NO. REV.
FORM 11TLE:
1903.060J 30 HOSPITAL KIT
. = _.
l
Page 55 of 80 INVENTORY LIST Page 3 of 6 Required Actual Corrective Equipment Quantity Quantity Actions Initial /Date* i Beta-Gamma Survey Meter 1 Frisker w/ Probe 1 Air Sampler (110V) 1 ,,_
Sample Head 1 i Check Source 1 ;
SAMPLING SUPPLIES i
Watch , . ,
1 l Cloth Smear 200 }
Particulate Filter 25 l Sealable Poly Bag 25 t
% Charcoal Cartridge 15 i P
Air Sample Form 25 PERSONNEL MONITORING EQUIPMENT (0-200mR or Dosimeter 0-500mR) 20 Charger 1 I
TLD Badge (incl. 1 as BKG) 15
- Where applicable i
FORM TITLE: FORM NO. REV. ,
HOSPITAL KIT 1903.060J 30
~~
Page 56 of 80 Page 4 of 6
/ INVENTORY LIST
(
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 FORM TITLE: FORM NO. REV.
HOSPITAL KIT 1903.040J 30 l
O
Page 57 of 80 INVENTORY LIST Page 5 of _ 6_
Required Actual Corrective Equipinent Quantity Quantity Actions Initial /Date*
- Radioactive Material" Insert 20 l
Blank Insert 10 I
Radiation Warning Rope 1 roll
{
! Yellow and Magenta Border Tape 6 rolls 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 Pencil 6 Magic Marker 2 Clipboard 1 Flashlight 1 Bulbs (Spare) 1 t
Plastic Bag (sm.) 5 Plastic Bag (med.) 5 Plastic Bag (lg.) 5
- Where applicable FORM NO. REV. !
FORM TITLE:
HOSPITAL KIT 1903.040J 30
~
Page 58 of 80
. i s INVENTORY LIST Page 6 of 6 i uJ Required Actual corrective ;
Equipment Quantity Quantity Actions Initial /Date* l PERSONNEL DECONTAMINATION SUPPLIES i
" Rad-Con" 4 cans
" Tide" l box Corn Heal 1 pkg.
Chlorox 1 btl. l l
- Where applicable i
I l
FORM TITLE: 6 FORM NO. REV. I l HOSPITAL KIT , 1903.060J 30 _ ;.l
Page 59 0f 80 l
LOCATION: Nurse's Station, Medical Lockers 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. .
- 3. Indicate whether routine checks are satisfactory or unsatisfactory.
- 4. If routine checks are unsatisfactory, indicate that in the applicable column then describe and date the corrective actions taken.
This kits ( ) is due for quarterly inventory
( ) is not due for quarterly inventory
( ) post drill inventory This packet consists of: (x) Cover Sheet '
( ; checklist ( pages)
(x) Inventory List ( l pages) J Performed By Date Reviewed By Date l
w '
-~ Forward To Emergency Planning ., l s--
?
I l
l l
I I
I FORM TITLE: FORM NO. REV.
f FIRST AfD SUPPLIES 1903.060K - 30 O
l l
Page 60 of 80 INVENTORY LIST Page 2 of 2 Required Actual Init. 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 i
l l
O l
1 i
l l
I l
l FORM TITLE: FORM NO. RF.V. l FIRST AID SUPPLIES 1903.0$4K 30 1 0
n..
Page 61 of B0 4
f- s LOCATION: Unit 1 Turbine Building, El. 354' - Fire Locker A
- Unit 2 Turbine Building, El. 354' - Fire Locker B
(\--) Turbine Building, El . 3 8 6' - Fire Locker C & D Page 1 of 5 INSTRUCTIONS:
- 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
- 2. If the seal is intact / kit locked and the kit is not due for inventory, perform only the required checks.
CHECKS:
- 1. Perfcrm a battery check on the indicated instruments. Replace as i.ecessary.
- 2. Verify the operability of the inoicated instruments. Replace as necessary.
NOTES:
- 1. Quantity should include units, where applicable.
- 2. Date should include month, day, year.
- 3. Indicate whether routine checks are satisfactory or unsatisfactory.
- 4. If routine chseks are unsatisfactory, indicate that in the applicable column then describe and date the corrective actions taken.
\- / This kits ( ) is due for quarterly inventory
( ) is not due for quarterly inventory
( ) was found sealed / locked (complete only the required checks unless the kit is scheduled for complete inventory)
( ) was found unsealed / unlocked (perform a complete inventory) ,
g
( ) post drill inventory )
This packet consists of: (x) Cover Sheet (x) Checklist ( l pages) i (x) Inventory List ( 2 pages)
Performed By Date Reviewed By Date Forward To: Emergency Planning g FORM NO. RD/.
FORM TITUR ,
FIRE LOCKERS 1903.060L 30 m
l )
%/
l
1
, l Pag 3 62 of 80 I
] CHECKLIST Page 2 of 5
/
Required Actual Equipment Quantity Quantity Operation HANDLITES j i
l Fire Locker A 5 Fire Locker B 5 Fire Locker C 5 j Fire Locker D N/A N/A N/A l
1 Corrective Actions
- Init./Date*
l
- Where applicable FORM TITLE; FORM NO. -; REV.
3 tt '
FIRE LOCKERS 1903.060L 30
- ,. e' 3
Page 63 of 80 O I)NENTORY LIST Page 3 of 5 Required Actual Corrective FIRE LOCKER EQUIPMENT Quantity Quantity Actions
- Initial /Date*
FIRE LOCKER A Turn-out Gear 9 sets _
Yellow Fire Brigade Leader Helmet 1 Yellow Fire Fighter's Helmet 5 Smoke Ejector + 2 Fire Ax 2 Fire Extinguisher 5 Handlite w/ Batteries 5 1.5" Hose (Shoulder Loaded) 2 Hose Clamp 1 Pike Pole 1 g Hooligan Tool 1 Closet Hook 1 Pry Bar 1 SCBA 5 Extension Cord Reel 1 FIRE LOCKER B Turn-Out Gear 9 sets Yellow Fire Brigade Leader Helmet 1 Yellow Fire Fighter's Helmet 5 Smoke Ejector + 2 Fire Ax i 2 FORM TITLE: FORM NO. REV. -
j
-.. L 4 FIRE LOCKERS 1903.060L 30 . , _ . . , _
( l
%J
- Pa0e 64 cf 80 INVENTORY LIST Page 4 of 5 Required Actual Corrective FIRE LOCKER EQUIPMENT Quantity Quantity Actions
- Initial /Date* l FIRE LOCKER B (CONTINUED)
Fire Extinguisher 5 Handlite w/ Batteries 5 i 1.5" Hose (Shoulder Loaded) 2 Hose Clamp 1 Pike Pole 1 Hooligan Tool 1 Closed Hook 1 Pry Bar 1 SCBA 5 FIRE LOCKER C Turn-Out Gear 9 sets Yellow Fire Brigade Leader Helmet 1 Yellow Fire Fighter's Helmet 5 ,
1 Smoke Ejector + 2 Fire Ax 2 Fire Extinguisher 5 l
Handlite w/ Batteries 5 1.5" Hose (Shoulder Loaded) 2 ,
Hose Clamp 1 Pike Pole 1 Hooligan Tool 1 FORM TITLE: FORM NO. REY.
FIRE LOCKERS 1903.000L 30 0
Page 65 cf 80 Page 5 of 5
[ ] INVENTORY LIST O FIRE LOCKER C (CONTINUED)
Closet Hook 1 Pry Bar 1 ,
SCBA 5 FIRE LOCKER D (SECURITY)
Fire Protection Coats 9 Yellow Fire Fighter's Helmet 5 SCBA 2
- Where applicable; + determine operability FORM TITLE: FORM NO. REV.
FIRE LOCKERS 1903.060L 30
._ ~
Page IMl of 80
/~~x Page 1 of 2
! )
CHECKS:
- 1. Record the calibration due date of the instruments in the kit.
Replace as necessary.
- 2. Verify the operability of the indicated instruments. Replace as necessary.
NOTES:
- 1. Quantity should include units, where applicable.
- 2. Date should include month, day, year.
- 3. Indicate whether routine checks are satisfactory or unsatisfactory.
- 4. If routine checks are unsatisfactory, indicate that in the applicable column then describe and date the corrective actions taken.
These items: ( ) are due for routine monthly check This packet consists of (x) Cover Sheet (x) Checklist ( 2 pages)
Performed By Date Reviewed By Date Forward To: Emergency Planning O
l l
l l
i l
I i
l l FORM TITLE: FORM NO. REV. !
MISCELLANEOUS EQUIPMENT 1903.M00 30 l
<\ l 1
Page 67 of 80
[ j Page 2 of 2
(_/ CHECKLIST (1) Operation Cal. Due (2 ) Respons e/ Instr.
Instrument Location S/N Date (3) Inspected off NMC TSC (1)
VAX-VMS EOF (2)
Corrective Actions
- Initial /Date*
O *Where applicable l FORM TITLE: FORM NO. REV. i
- " l M;SCELLANEOUS EQUIPMENT 1903.0400 30 !
J
Page 68 of 60
~'} LOCATION: Emergency Operations Facility Second Floor (Outside Room 260)
'\) INSTRUCTIONS: Page 1 of 4
- 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.
- 2. If the seal is intact / kit locked and the kit is not due for inventory, perform only the required checks.
CHECKS:
- 1. Perform a battery check on the indicated instruments. Replace as necessary.
- 2. Verify the operability of the indicated instruments. Replace as necessary.
- 3. Charge the batteries in the indicated instruments for - 1 hour1.157407e-5 days <br />2.777778e-4 hours <br />1.653439e-6 weeks <br />3.805e-7 months <br /> (unless continuously plugged in).
NOTES:
- 1. Quantity should include units, where applicable.
- 2. Date should include month, day, and year.
- 3. Indicate whether routine checks are satisfactory or unsatisfactory.
- 4. If routine checks are unsatisf actory, indicate that in the applicable column, then describe and date the corrective actions taken.
This kitt ( ) is due for quarterly inventory.
( ) is not due for quarterly inventory.
(g ( ) was found sealed / locked (complete only the required checks unless the kit is scheduled for complete inventory).
(
) ( ) was found unsealed / unlocked (perform a complete inventory) .
( ) post drill inventory This packet consists of: (X) Cover sheet (X) Checklist ( 1 page)
(X) Inventory list ( 2 page)
Performed by: Date Reviewed by: Date Forward to: Dmergency Planning FORM NO. REV.
FORM TITLE: ;
DOSE ASSESSMENT KIT 1903.060P 30 l
r t
s
Page 69 of 80 Page 2 of 4 g Checklist (1) Ops ation (4)Batt Remove / Instr.
Batt. (2)Respecse/ (5) Plugged in/ Off Instrument Type Check (3) Inspected (6) Charged (Yes/No)
Calculator NA XXX (1) XXXXX Ca1culator NA XXX (1) XXXXX Calculator NA XXX (1) XXXXX Calculator NA XXX (1) XXXXX Pocket Computer TRS-80 (1) XXXXX Pocket Computer TRS-80 (1) XXXXX Corrective Actions
- Initial /Date*
J I
- As required i
l i
i I
FORM TITLE: FORM NO. REV.
DOSE ASSESSMENT KIT 1903.040P 30 f
l
I Page 70 of 80 Page 3 of 4 (N
Inventory Lfg Required Actual Corrective Equipment Quantity Quantity Actions Initial /Date*
Pocket Calculators 4 Pocket Computers 2 Printer Paper 1 box Cork Board 1 EPZ Map I (1 mi) 10 EPZ Map 1 (10 mi) 10 Dry-Erase Markers 10 Scotch Tape 2 rolls Felt-tip pens 10 Ball-point l pens 10 l Pencils 10 w/
Binder clips 25 Puch pins cr.d labels 2 boxes Rulers 4
- As Required FORM TITLE: FORM NO. REV.
DOSE ASSESSMENT KIT .. s 1903.060P 30
r= 1 I
Page 71 cf 80 )
l 1
^ Page 4 of 4 (v l i
Required Actual Corrective i Equipment Quantity Quantity Actions Initial /Date* !
Protractor i Rulers 3 Clipboard 1 Dardanelle city map 1 Russellville city map 1 l Watch / Calculator Batteries 10 Stapler 1 Staples 1 box 1
Paper Towels 1 pack j Liquid Board Cleaner 1 bottle Timer 1 f-~
- As Required i \
I k # Note: Batteries not contained within instruments shall be replaced during the first quarter inventory. /
Init. Date I
I I
i I
I FORM TITLE:
FORM NO. REV.
I
$- DOSE ASSESSMENT KIT -
l 1903.060P 30 i
i !
O \
l l
Page 72 of 80 INSTRUCTIONS:
- 1. Perform a battery check of the radiation instruments in each emergency kit.
- 2. Replace or recharge batteries that fail the battery check.
Performed by: Date 2
Reviewed by: Date O
1 l
1
"'! ' FORM TITLE: FORM NO. ; REV.
N '! EMERGENCY KIT RADIATION INSTRUMENT BATTERY CHECK 1903.000Q 30 0
% 4 A e A--e, m .I+- = .a34:
A Page 73 of 80 vh Page 2 of 4 Control Room Instrument Type M&TE No. Cal Due. Batt. Check (Sat /Unsat)
PIC-6A Ion Chamber or equiv.
RO-2 Ion Chamber or equiv. l RM-14 Frisker or equiv.
Frisker RM-14 or equiv.
G-M Survey E-530 Meter or equiv.
gta,sf 4; onal Support Center
~~~
PIC-6A Ion C..< urb ar or equiv.
RO-2 Ion Chamber or equiv.
G-M Survey E-530
\ Meter or equiv.
Trisker HM-14 or equiv. ,
FORM TITLE: FORM NO. REV.
EMERGENCY KIT RADIATION INSTRUMENT BATTERY CHECK 1903.060Q 30 ;
\
I
- , -* - - - - ._- - - - - - - - - - - - . - - - - _ - -- - - --w-
l 4
1
, 4
. Page 74 d 80
/]/ Emergency Operations Facility Page 3 of 4 Instrument Type METE No. Cal Due. Batt. Check (Sat /Unsat)
G-M Survey E-530 Meter or equiv.
G-M Survey E-530 Meter or equiv.
G-M Survey E-530 Meter or equiv.
PIC-6A Ion Chamber or equiv.
M4-14 Frisker or equiv.
RM-14 ;
Frisker or equiv. l Field Kit A Batt. Check Instrument Type M&TE No. Cal Due. (Sat /Unsat)
PIC-6A Ion Chamber or equiv.
G-M Survey E-530 Meter or equiv.
O M-14 V Frisker or equiv.
Field Kit B Instrument Type M&TE No. Cal Due. Batt. Check (Sat /Unsat)
PIC-6A Ion Chamber or equiv.
G-M Survey E-530 Meter or equiv.
RM-14 Frisker or equiv.
FORM TITLE: FORM NO. REV.
EMERGENCY KIT RADIATION INSTRUMENT BATTERY CHECK 1903.040Q 30 0
.- Pace 75 of 80 Page 4 of 4 O Field Kit C Instrument Type M&TE No. Cal Due. Batt. Check .
(Sat /Unsat)
PIC-6A i Ion Chamber or equiv.
G-M Survey E-530 Meter or equiv.
RM-14 Frisker or equiv.
Field Kit D Instrument Type M&TE No. Cal Due. Batt. Check (Sat /Unsat)
PIC-6A Ion Chamber or equiv.
G-M Survey E-530 Meter or equiv.
PM-14 Frisker or equiv.
Eospital i
Instrument Type M&TE No. Cal Due. Batt. Check (Sat /Unsat)
RO-2 Ion Chamber or equiv.
RM-14 Frisker or equiv.
Corrective Actions
- Initial /Date*
FORM TITLE: . FORM NO. REV.
EMERGENCY KIT RADIATION INSTRUMENT BATTERY CHECK 1903.060Q 30 v
Page 76 cf 80
['i LOCATION: Emergency Planning Department V 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 010 M or Horizontal Wind Direction 057 M %
B. Horizontal Wind Speed 010 M or Horizontal Wind Speed 057 M %
C. Delta Temp / Stab Class 10 - 57 M or Sig Theta / Stab Class 57 M %
RESULTS:
() Satisfactory - 7dl 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:
FORM TITLE: . FORM NO. REV.
MET TOWER DATA MONTHLY REVIEW FORM 1903.060R 30 l
o t 1
%)
l
. l Page 77 of 80 )
l e l Page 1 of 3 fN Emergency Operations Facility, Second Floor (Room 240)
( ) LOCATION:
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.
- 3. Indicate whether routine checks are satisfactory or unsatisfactory.
- 4. If routine checks are unsatisfactory, indicate that in the applicable column, then describe and date the corrective actions taken.
This kits ( ) is due for quarterly inventory.
( ) is not 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 FORM NO. REV.
FORM TITLE:
C 1903.0608 30 EMERGENCY NEWS CENTER KIT r
i
\~
l l
1
, Page 78 cf 80 e.
Inventory List Page 2 of 3
%J 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 end Holders 10 Pens 10 Pencils 10 Systems Training Manual U-1 4 p systems Training Manual U-2 4 Scotch Tape 1 roll Binder Clip 25 Dry-Erase Markers 5
- As Required FORM TITLE: .
FORM NO. REV.
I EMERGENCY NEWS CENTER KIT %C3.0605 30
(
l
I l
. I Page 79 of 80 o
Inventory List (Cont.) Page 3 of 3 l
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 t
- As Required O
FORM NO. REV.
FORM TITLE:
1903.0608 30 EMERGENCY NEWS CENTER KIT 0
y Page 80 of 80
=
r ] LOCATION: Emergency Medical Team Equipment Lockers Unit 1, T/B 354' South s
'f A.
B. Unit 2, T/B 354' North l C. T/B 386' Outside Control Room Extension INSTRUCTIONS: 1. Obtain three fully charged batteries from the OSC Emergency Kit.
- 2. Remove battery from each Emergency Radio and replace with a fully charged battery.
- 3. Return used batteries to OSC Emergency Kit and place in charger.
Performed by: Dates Reviewed by: Date:
O O FORM TITLE- FORM Peo. REV.
MEDICAL TEAM RADIO BATTERY SURVEILLANCE 1903.060T 30