ML20136C699
ML20136C699 | |
Person / Time | |
---|---|
Site: | Three Mile Island |
Issue date: | 05/16/1978 |
From: | Barry D, Mary Bennett, Toole R METROPOLITAN EDISON CO. |
To: | |
References | |
PROB-780516, TM-0966, TM-966, NUDOCS 7910010527 | |
Download: ML20136C699 (10) | |
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-l, TMI DOCUMENTS l 1
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DOCUMENT NO: Y ~
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-I COPY MADE ON OF DOCUMENT PROVIDED BT METROPOLI, TAN, EDISON COMPANY.4 J
Supervisor, Document Control, NRC 9
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&WORK 7*9REQUES'l APPROVAL TMI Nuclear Station Unit No.
T' ' "~4j Lf l
. Work Request No.
W.0] Account No. . , /v < , "
NPRO Forrn Reg'd A. Priority / E' J
Items 1 throuch 5 comoleted bv cricinator ,
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- 1. System:
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- 2. Component (name & numberl ' l' i ' ele .e-
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- 3. Describe malfunction and cause el rnalfunction (il known) or modification d : sired.
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- 4. Oriainator:
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/v C Date/ Time:
- 5. Oricinat$'s Sucervisor's Sianature . 'e . -
- 6. Does work repiesent a change or modification to an existing system or component?
If yes, an approved change modificatien is required per AP 1021.
C/M No. Yes No ,-
7a. Does work require an RWP Yes No .-
7b. Is an approved procedure required to minimize personnel exposure. Yes No Sa. Is work on a QC component as defined in G P 1008. Yes 1M No Bb. If Ba is yes does work have an effect en Nuclear Safety? If 8b is yes, PO RC reviewed Superintendent approved must be used. Yes <' No
- 9. Agreement that a PO RC reviewed, Superintendent approved procedure is not required f or this work because it has no ef fect on nuclear safety. (Applies only if Ba isYe: and 8b is No).
Unit Supenntendent Date 10a. Is the system on the EnvironmentalImpact listin AP 1026 Yes No /
10b. If 10a is Yes, is an approved procedure required to limit environmental impact Yes No 10c. Aycement that 10b is No. (Required only if 10a *s Yes).
Unit Superinico,nt/Supeevisor ol Operanoni Date
- 11. Plant status or prerequisite conrhtions required f or wort C e, ce d.J j c w m
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- 12. Limits and Precautions: .
a) Personnel
- b) Equiprnent 3 6 ~~
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c) Environment Comply w.'.;, ..m P.vfM!cn2 i d) Nuclear set ferth ir, ,P KW o.d S n. vi.ldi 0\A^,ml Met Ed Se.faty Mariuol -
13.
Post Maintenante Testing required and Acceptance Crit:ria. I're/>. r
- 14. Estimated manhours to perform j,ob: E p t ~ t.;... . U ,. .i n . .,u/ a tar 'e IC e/ M ll 0ll q we.ukl.q w.yo.at u}e v' W " '*~
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- 15. Maintenance Foreman Assigned: s'/ /
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O C Dept. review, if required in item No. 8 QC Supervisor . < h 1
- 17. Date V/e/>&
Supervisor of Maintenance approval to commence work: (T F % .t w x (
- 18. ~ /\
Date u /r ij- /
Shilt Foreman's approval to commence work '; l
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b Irntialif Shift Foreman O /bY Ta9ains Appocation reo.
l signature is not required saciaison war = eermit No. -
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- 19. Comments on work performed: ,
2: 4.:.hl.' j.~. dr.t a c'WW k ,& I-I k
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fietest met acceptance criteria
, Work Performed by date/ time Yes //
No ]
Work Reviewed . Maintenance Foreman's Signature i4. 6 y' '
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t -Werk completed i
and component aligned for testing.
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k initialif S.F. signature is not re:;uired.
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i 21. Shitt Foreman's Signature ~
' Testing comp!cted and component released f or normat use. Date i
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> ,'tw !)PPROVAlc'es. 4' .
Initial if S.F. signature is not required.
' ' * " .,*,' -.m y l 22. , Shit t Foreman's Signature l .I Quality Control Departn'ent review of work and testin c mpleted (GC work only). ,
Date (w-1 ' /
l burve+88 nre Report No. /S / 7
- 23. OC Department Date form has been signed off as required. Machinery history entr ,
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Actsae Mannours edpereurm 600 4.! JhTh~~
Supervisor of A ppienance Signature C-/C ?!'
- i. Date
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cnANCE" t _,
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- P 10.r7 ~ Tlireo Mila Island Nue! ear Station g,g, ,g j tj/ SIDE 1 Figers 10013 hacadure Charda P.e;uart tio.2-M Mi
- i. noceeure /vso - v_.2,7 o g 4 4s/dt sc 4 A i
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- 2. Eccornmended Revision (include pas nams.5, par.sr.p'h ,,umwes, and u mt wordinfo r .,m-.mr$d ches Armh w r.on.t sheetsif nec j S
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- 3. . Reeson fcr Revision .,
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A. (2) Dces Revisinn replace a TCN7 I I Yes'I 'I no .
(b) If "yss" indican thsTCN Number '
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- 5. R::cmmendsd bkd,M.,.w3# Date 2/0/Y 6. Sup:rvisor's Signatur ,f $YM b-Dar -3' /#
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This Section drne:1edd by Precedure Ccordinater b, s .
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- 7. (a) is precedure on fluc!asr Safsty Rc!ated Prc:edure List? trec. A.P.1ootg.nedix D)
If "yas", chan;e'iWaviiwed b'y ,PORC and a flodear Sala:/. L.!2f yes i I no Evaluati:n is prepared (side 2 cf this form). !! "no", only Da;2rtment Head reviewis reqdir:d.
(b) !:pr:cadura en Envir:nmanblImpactPrecedure Li:t? tr e A.P.1 col . Ap;=ndia D lf "yas", an Envir:ntnenbl Impact Evaluation must ha pre;ared (s:e,2 of th's Fer.--) l l y2s l no B. Raview (k'minist :ive, Chemistry and Health Physics Prc::dures may require ap;reval ef both Unit 1 and Unit 2 )
Unit 1 Ur:it 2 - --
Departrnent Head k/ / Data Departmant Head _ / ,,C a '>
Chairm:n of PORC '7 I/ Data - Chairman of PORQW'//w'ACar2_7//d/')f i
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S. Acp.ola
' Unit Superintandent v/d hAf D:ts .I 4 #8
- t10TE: If 7 (a) or 7 (b) cre 'f[at, dnii Superiptan/pt must;;;tcva evaluatico on th:'oth/ side of thi:i:rm.
- 10. A: ront 5 R.C- ' '
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"t!OTE: f.1.0.A. cpproval required only en cartain Administr'ative Pd:cdureslimd in Enc!csura 7 of AP 1C21. l II. Ch:.n ,e Fntered :
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"EVALU ATION" .
A? 1001 Three f. lite Island Nuclear Setian SIE 2 l Fi ure 10014 Nuclear Safety / Environmental lmp:t Eva!uation i
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- 1. F:ccedure -
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- 2. theteer S2fety Evat6ation 7 ] )g3 Does the ateched precedura changa: .
- (a) incressa tha probability of occurrence or the consan.uen:c3 of an accidant er malf.metion cf .
equipment imp crtant to ssf ety? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . p5 l l nn { !
- (b) creats tha po::ibility fer an accident or malfunction of a different typ2 th:n any cniuntad
! previou:!y in the safety ansty:Is repo.-t? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . ... ye; no l q
'(c) rDduC8 th8 margin cf safety as defin8d in th3 basis for any t?chnical 3pccification?.. . . .. .. y2s [_j no y Debits DI EvalualI3n (F.rplaim why answen to ettvo questions ste "no". ch s:'ditional pxf s t! required.)
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- 3. Envircementi Imeact Ev?fustion I
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! Dots the ctuched precadura change: s .
(a) pc::ibly invo've s significca t envitenm en tal impac t?. 6. . . . . . . . . . . . . . T. . . . . . . . . . . yes l l no y I (if 3 (e) is"yas", answer questions (b) and (c) and. fillin
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- (b) hava a significant adverse eff ect an ty r. viro pment? . . . . . . . . . . . . . . . . . .. . . .. . . . . yas y no I
! (c) involve a significant envirenmsnbi m. .:r or question ne pravhsly reviewar ~1d '
l evaluabd by the fl.R.C. . . . . . . . . . . . . . . ...... ..'... . ... .. . . . . . . . . . . . y es l l no l Ii t
l Datails of Evalustica Amch additional pt ' if requira ,
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t Evaluation By Dab ' ' f 1
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! 4. Unit Euprintend:nt reques:3PORC' review l l Checkif YES.
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! 5. Appent '
ll Evaluation Accompanyin;TC.'l / F; Eva'uation Acccmpnying PCR i, -
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!.OTE: Th Evdoition "Accompaayin' J a PCR" rvabation and appront ch:ib may b Id!L?<-d a t anytina.
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l'.Nhis forrn et.ttbes the forrnst and acts as a cover sheet for t.: rnair.tenan ;c proacdure. Due to the lin ita
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