ML16123A346

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Grand Gulf, Unit 1 - Revision 021 to Procedure No. 10-S-01-19, Personnel Injury
ML16123A346
Person / Time
Site: Grand Gulf Entergy icon.png
Issue date: 05/02/2016
From:
Entergy Operations
To:
Document Control Desk, Office of Nuclear Reactor Regulation
References
10-S-01-19, Rev. 021
Download: ML16123A346 (19)
v • d • e


Text

Volume10Section01PLANTOPERATIONSMANUALREFERENCEUSEEMERGENCYPLANPROCEDUREPERSONNELINJURYSAFETYRELATED10-8-01-19Revision:021Date:5-2-16Prepared:Reviewed:Mag.ergencylaMingListofEffectivePages:Pages1-9AttachmentsI-IIListofTCNsIncorporated:RevisionTCNoNone112-021NoneJ:\ADMLSRVS\TECH_PUB\10\10S0119.DOC GRANDGULFNUCLEARSTATIONEMERGENCYPLANPROCEDURETitle:PersonnelInjuryNo.:10-S-01-19RPTSFORMRevision:021Page:iREQUIREDREVIEWPERFORMEDoPADo50.59Screen/Eva!.(Checkallthatapply)(EN-L1-100)(EN-L1-101)o72.48Screen/Eva!.o50.54Eva!.TransmitapplicableReviewFormasa(EN-L1-112)(EN-NS-210)separaterecordalongwithproceduretooPADNotRequired{EN-L1-100or01-S-02-3)DocumentControl.oProcessApplicabilityExcludedoEditorialChangeolSI/1STImplementationoTCNIncorporationorAutoRev.oOtherProcess-Number:PADReviewer:/(forPADNotRequired)Signature/DateCross-Discilinereviewreuired?PrearerInitials>>>(NoteaffectedDepartmentsBelow)DepartmentCross-DisciplineReviewsNeededSignoff:(signed,electronic,telcon)IndustrialSafety(.,..,."..*...c*.\"""'--.::J___DoesthisdirectivecontainTechSpecTriggers?()YES(X)NOREQUIREMENTSCROSS-REFERENCELISTRequirementImplementedbyDirectiveDirectiveParagraphNumberNameParagraphNumberThatImplementsRequirementGGNSEmergencyPlan6.7.3.51,52&6.7.4.S56.3(Note)&6.4.110CFR5072.B.3.XII6.3(Caution)*Coveredbydirectiveasawholeorbyvariousparagraphsofthedirective.J:\ADM_SRVS\TECH_PUB\10\10S0119.DOC GRANDGULFNUCLEARSTATIONEMERGENCYPLANPROCEDURETitle:PersonnelInjuryNo.:10-S-01-19Revision:021Page:iiTheEquipmentDatabase(EDB)RequeststatementisapplicableonlytoVolume06and07maintenancedirectives.EDBChangeRequestgeneratedandthebackupdocumentationavailableforsetpointand/orcalibrationdataonlyDYesDN/AEDBCR#_CurrentRevisionStatementRevision021:*AddreferencetoManagementStandard#20-OperatingHard-Card,ControlRoomActionsforMedicalEmergency.(ReferenceCR-GGN-2016-2247CA#2)*ChangestoreportingemergenciesandControlRoomactionstobeconsistentwithManagementStandard#20.J:\ADM_SRVS\TECH_PUB\lO\lOSOl19.DOC I'Page:1EMERGENCYPLANPROCEDUREIReVISion:021GRANDGULFNUCLEARSTATIONITitle:PersonnelInJuryINo.:10-8-01-19'---------------TABLEOFCONTENTS'Page1.0PURPOSEANDDISCUSSION22.0RESPONSIBILITIES

23.0REFERENCES

34.0ATTACHMENTS35.0DEFINITIONS36.0DETAILS46.1ReportingofInjuries46.2ImmediateActions56.3AmbulanceTransport66.4OffsiteMedicalFacilities86.5HospitalPreparationtoReceivePatients9J:\ADM_SRVS\TECH_PGB\lO\lOSOl19.DOC GRANDGULFNUCLEARSTATIONITitle:PersonnelInjury1.0PURPOSEANDDISCUSSION1.1PurposeINo.:1o-s-01-19EMERGENCYPLANPROCEDURE1.1.1Toprovideguidanceonresponseto,reportingof,andtransferofinjuredpersonnelunderthefollowingconditions:a.Injuredpersonrequiringtransporttoanoffsitemedicalcarefacilityb.Anyinjuriesdiscoveredduringanemergencyclassification1.2Discussion1.2.1ByagreementbetweenEntergyOperations,Inc.andtheprimaryandbackup.medicalcarefacilities,personnelattheGrandGulfNuclearStationsustaininginjuriesfromionizingradiationorinjuriescomplicatedbyradiationexposureorradioactivecontaminationaretobeprovidedcareandtreatmentatthosefacilities.Proceduresandequipmentforthiscareandtreatmentaremaintainedatthesefacilities.Anindividualwhoseclothing,skinand/orwoundsarecontaminatedwithradioactivematerialmaypresentaradiationhazardtoattendingpersonnelintheabsenceofadequateprocedurestopreventthespreadofthecontaminant,orcontroltheradiationexposureintheeventofradioactiveshrapnelwound.Sinceradiationinjuriesarenotimmediatelylife-threatening,primaryattentionshouldalwaysbedirectedtotraumaticlife-threateninginjuries.Aftersuchtreatmentisrendered,thepatientshouldbedecontaminated.2.0RESPONSIBILITIES2.1TheManager.RadiationProtection-IsresponsiblefortheimplementationoftheFirstAidProgramatGGNS.2.2TheRadiationProtectionSupervisor-IsresponsiblefortheadministrationandmanagementoftheFirstAidProgramincluding:2.2.1TheassignmentofaFirstAidqualifiedindividualtoeachRadiationProtectionshift.2.2.2Maintenanceoffirstaidsuppliesandmedicalemergencyresponseequipment.2.2.3Transportationofinjuredpersonneltothehospitalandcontaminationcontrolmeasuresasnecessary.J:\ADM_SRVS\TECH_PUB\lO\lOSOl19.DOC GRANDGULFNUCLEARSTATIONITitle:PersonnelInjuryINo.:10-8-01-19EMERGENCYPLANPROCEDUREIReVISion:0212.3AllGGNSpersonnel-AretoimmediatelyreportobservedseriousinjuriestotheControlRoom.PersonnelwithintheProtectedArearequiringminorfirstaidaretoreporttoRadiationProtectionformedicaltreatment.2.4TheOSCManager-IsresponsiblefororganizinganddispatchingofFirstAidTeamsperEN-EP-611whentheOSCisoperational.2.5TheEOFPublicInformationLiaison-IsresponsiblefornotifyingtheCompanySpokespersonregardingworkerinjuriesduringadeclaredemergency.

3.0REFERENCES

3.1CorporateProcedureEN-IS-113,Reporting&InvestigatingOccupationalInjuries/IllnessesAndNearMisses3.2GrandGulfNuclearStationemergencyPhoneBookSectionE,FireandMedicalSupport.3.3ManagementStandard#20,OperatingHardCard-ControlRoomActionsforMedicalEmergency'4.0ATTACHMENTS4.1AttachmentI-DirectionstoClaiborneCountyHospital4.2AttachmentII-DirectionstoRiverRegionMedicalCenter5.0DEFINITIONS5.1OSC-OperationsSupportCenter5.2TSC-TechnicalSupportCenter5.3RPS-RadiationProtectionSupervisor5.4REA-RadiationEmergencyAreaJ:\ADM_SRVS\TECH_PUB\10\10S0119.DOC GRANDGULFNUCLEARSTATIONEMERGENCYPLANPROCEDUREITitle:PersonnelInjury6.0DETAILS6.1ReportingofInjuriesIReVISion:021IPage:4MaintaincommunicationswiththeControlRoomuntilallreportedinformationisproperlyacknowledged.6.1.1AnyindividualfindinganinjuredpersonwhorequiresmajormedicalassistanceistoimmediatelyNOTIFYtheControlRoombythequickestavailablemeans.a.ThefollowinginformationshouldbeprovidedtotheControlRoom:(1)Nameandlocationoftheinjuredperson(2)Natureoftheemergency,ifknown.(3)IsMedicalHelp/Ambulanceneeded?(4)Nameofthecaller6.1.2TheControlRoomistoperformthefollowingactions.IfavailableuseManagementStandard#20-OperatingHardCardforMedicalEmergency:a.ImmediatelyNOTIFYtheRadiationProtection(RP)LaborSiteMedicalPersonneltodispatchFirstResponderstothescene.b.Ifrequired,ContactAmbulanceforresponsetoGrandGulfNuclearStation.Givethemthelocationoftheemergency.ProvideaCallBackNumberandsiteaddress;7003BaldHillRoad,PortGibson,MississippiTIME:_c.ContactSecurityIslandofAmbulanceresponseandauthorizeentry,asneeded.d.HaveSecuritydispatchedtoscene,asnecessary.NameTime_e.SOUNDSiteFireAlarm;MAKEPAANNOUNCEMENT:"MEDICALEMERGENCYATunnecessarypersonnelstayclearofthearea."J:\ADMSRVS\TECHPUB\10\10S0119.DOC--

GRANDGULFNUCLEARSTATIONITitle:PersonnelInJuryINo.:10-8-01-19EMERGENCYPLANPROCEDUREIRevIsion:021f.REPEATnotificationevery5minutesuntiltheControlRoomhasconfirmationthatthefirstaidteamhasbeenassembledatthescene.g.DispatchoperatortoscenewithFirstAidTraumaKitandAED.FirstAidTraumaKitandAEDlocationsarelistedonManagementStandard#20.h.LContactIndustrialSafety.NameTime_ContactDutyManager.NameTime_j.ShiftManagerdeterminereportability,asneeded.6.1.3Ifduringdeclaredemergencyandemergencyresponsefacilitiesareoperational:a.NOTIFYtheOSCandprovidetheapplicableinformationaboutthelocationoftheworkerandextentofinjuries,ifknown.b.NOTIFYtheTSCEmergencyPlantManager.6.2ImmediateActions6.2.1Uponreceivingnotificationofamedicalemergency:theRPLabshouldPERFORMthefollowingNOTE:TheFirstAidTeammaybenotifiedbyGaitronics,plantradioorpagerusingAlphaPagingontheGGNSHomePageunderProcesses/Programs(pageFirstAidTeam)a.NotifytheControlRoomifnotalreadynotified.b.DISPATCHaFirstAidTeamtothesceneofthemedicalemergency.TheFirstAidpersonnelshouldbeequippedwiththefollowing:(1)FirstAidtraumakit(2)Portableradio(3)Radiologicalsurveyinstrumentsandpersonnelprotectiveequipment(Le.,respiratoryprotectiondevices,PCs)suitableforthehazardsatthelocationandthenatureoftheeventwhichcausedtheinjury(i.e.,fire,explosion).J:\ADMSRVS\TECHPUB\10\10S0119.DOC--

GRANDGULFNUCLEARSTATIONITitle:PersonnelInJury6.2.1(continued)INo.:10-8-01-19EMERGENCYPLANPROCEDUREIRevIsion:021c.TheFirstAidTeamshouldestablishandmaintaincommunicationswiththeRPLab,ControlRoom,orOSCandprovideperiodicupdates.6.2.2FirstAidpersonnelaretoPERFORMthefollowingactionsatthesceneofthemedicalemergency:a.DETERMINEtheinjuredperson'sphysicalconditionandextentofinjuries.b.ADMINISTERfirstaidnecessarytosustainlifeandtostabilizetheinjuredworker.c.MOVEtheinjuredpersontoasafelocationiflife-threateningradiologicalorphysicalhazardsarepresent.d.lEtheinjuryoccurredinaradiologicallypostedarea,THENperformacontaminationsurveyoftheinjuredworkerandREADtheworker'sdosimetry.e.PROVIDEthefollowinginformationtotheRPLaborOSCRadChemCoordinator:RadiationProtection(OSCRadChemCoordinator)mustNotifytheControlRoomandprovidethefollowinginformation(1)Nameandlocationoftheinjuredperson.(2)Extentofinjuriesandtreatmentbeingadministered.(3)Personnelcontaminationsurveyanddosimeterresultsfortheinjuredworker.(4)Theneedforanambulanceorotherassistance.f.PREPAREtheinjuredworkerfortransfertothehospital.g.RadiationProtectionpersonnelatthesceneofthemedicalemergencymustPERFORMradiologicalsurveysasnecessarytoprotectteammembersandsupportpersonnel.J:\ADMSRVS\TECHPUB\10\10S0119.DOC--

GRANDGULFNUCLEARSTATIONITitle:PersonnelInJury6.3AmbulanceTransportINo.:10-$-01-19EMERGENCYPLANPROCEDUREIReVISion:021The-transportofinjuredpersonsisnormallyprovidedbytheregionalambulanceservice.Iftheregionalambulanceserviceisunavailable,theinjuredpersonshouldbetransportedincompanyownedorprivatevehicle.CAUTIONIfacontaminatedinjuredpersonistransportedtoanoffsitemedicalfacility,theNRCshallbenotifiedwithineighthours,inaccordancewith01-5-06-5.6.3.1IfambulancetransportisnecessarytheControlRoomshouldusethephonenumberslistedinReference3.2torequestanambulance.a.Informtheambulanceofthelocationoftheinjured,accesspointoranyotherinformationnecessary.6.3.2TheControlRoommustNOTIFYSecurityifanOnsiteorOffsiteambulanceisrequiredtoentertheprotectedareaandmustSPECIFYthepatientpickuppoint.a.TheSecurityCoordinatormustENSUREthatOffsiteambulancecrewsareissueddosimetryattheentrancetotheProtectedArea.b.RadiationProtectionpersonnelatthesceneofthemedicalemergencymustENSUREthatOffsiteambulancecrewmembersareproperlywearingtheappropriatedosimetryandprotectiveclothingforentryintoradiologicallycontrolledareas.6.3.3TheShiftManagershouldNOTIFYtheEOFEmergencyDirectorandINFORMhimofthetransportationofaninjuredcontaminatedworkertothehospital.Thehospital.mustreceivethisinformationassoonaspossibleinordertomakethenecessarypreparationsfortheemergencytreatmentoftheworker.ThehospitalphonenumbersarelistedintheEmergencyTelephoneBook.J:\ADMSRVS\TECHPUB\10\10S0119.DOC--

GRANDGULFNUCLEARSTATIONITitle:PersonnelInJuryINo.:10-8-01-19EMERGENCYPLANPROCEDUREIPage:86.3.4TheRPSupervisor/ShiftleadHP(OSCRadChernCoordinator)receivingtheinitialinformationmustnotifythehospitalandprovidethefollowinginformationassoonaspossible.a.Nameofinjuredworker(s)b.Extentofinjuriesc.Contaminationlevelsoninjuredworker(s),ifapplicabled.Expectedarrivaltimeathospital,ifknown.6.3.5GGNSpersonnelshouldPERFORMthefollowingenroutetothehospital:*AfriskerisnormallymaintainedintheOnsiteAmbulance*Surveysmaybelimitedorimpracticalduetotheextentofinjuriesreceivedbytheworker.a.PERFORMadetailedcontaminationsurveyoftheinjuredworkeriftheinjuryoccurredinaRadiologicallyControlledArea.6.4OffsiteMedicalFacilities6.4.1TheRadiationProtectionSupervisor/ShiftLeadHP(OSCRadChemCoordinator)isresponsiblefordeterminingwhichmedicalfacilitytouse.Facilitiesavailableforuseinclude:a.ClaiborneCountyHospitalb.RiverRegionMedicalCenter6.4.2AttachmentIandIIareusedtodeterminetransportationroutestothemedicalfacilities.J:\AOM_SRVS\TECH_PUB\lO\lOSOl19:00C GRANDGULFNUCLEARSTATIONITitle:PersonnelInJuryINo.:10-8-01-19EMERGENCYPLANPROCEDUREIPage:96.4.3Processforselectinghospitalfacilitiesduringnon-radiologicalemergenciesis:a.Non-contaminated,non-lifethreatening:RiverRegionMedicalCenter,orClaiborneCountyHospital.StreetClinicinVicksburgisrecommendedwhereapplicable.b.Non-contaminated,lifethreatening-transporttoClaiborneCountyHospital.c.PlantSafetyandEMTpersonnelmayalsoauthorizehospitallocationsduringnon-radiologicalemergenciesusingtheguidelinesabove.6.4.4Contaminatedpersonnelwithminorormajorinjuriesshouldbetransportedtooneofthemedicalfacilitiesidentifiedin6.4.1.6.4.5Patientsmustbedeliveredtohospitalfacilitiesasfollows:a.AllinjuredworkerswhoarenotcontaminatedshouldbetransporteddirectlytothehospitalEmergencyRoom.b.ContaminatedpersonnelshouldbetransportedtothehospitalRadiationEmergencyArea.6.4.6Whenacontaminatedinjuredworkeristransportedtothehospital,GGNSpersonnelatthehospitalshouldprovidethefollowingsupport,ifavailable:a.PROVIDEthephysicianwithallavailableinformationconcerningtheaccidentandthecontaminationhazardspresent,uponrequest.b.ASSISTthehospitalstaff,ifpossible..c,COORDINATEthecollectionanddisposalofcontaminatedwastematerials.d.COLLECTOffsiteambulancecrewdosimetryandPERFORMcontaminationsurveyofambulance.ARRANGEfordecontamination,ifnecessary.6.5HospitalPreparationtoReceivePatients6.5.1ThehospitalroomREA(RadiationEmergencyArea)isnormallysetupbyhospitalp.ersonnelbeforethearrivalofthepatient.J:\ADM_SRVS\TECH_PUB\10\10S0119.DOC GRANDGULFNUCLEARSTATIONEMERGENCYPLANPROCEDURE10-S-01-19AttachmentIRevision:021Page1of1DIRECTIONSTOCLAIBORNECOUNTYHOSPITALG,:G1NSI{GrandGulfRoadDIRECTIONS:TakeHwy61StoMcCombAvenue(StateRoad547).GoEaston547andthehospitalisonyourleft.TheentrancetotheRadiationEmergencyAreaisthroughtheEmergencyRoomEntranceontheNorthendofthehospitalJ:\ADM_SRVS\TECH_PUB\10\10S0119.DOCIIIIIII IIIPort:GibsonII IIIIHWY462HWY18III:Claiborne:CountyIHospitalo.llmAve GRANDGULFNUCLEARSTATION.EMERGENCYPLANPROCEDURE10-S-01-19Revision:021AttachmentIIPage1of1DIRECTIONSTORIVERREGIONMEDICALCENTERTakeUS61NorthpastCulkinAve.Youwillseethehospitalonyourright.TheEmergencyRoomentranceisontheSouthsideofthehospital.ThedoortotheDecontaminationRoomistotherightoftheER.entrance.RiverRegion.A.-f----MedicalCenter---.\DIRECTIONS:J:\ADM_SRVS\TECH_PUB\10\10S0119.DOC ATTACHMENT9.1SHEET1OF510CFR50.54(q)SCREENINGProcedure/DocumentNumber:10-S-01-19IRevision:21Equipment/Facility/Other:GrandGulfNuclearStationTitle:PersonnelInjuryPartI.DescriptionofActivityBeingReviewed(eventoraction,orseriesofactionsthatmayresultinachangetotheemergencyplanoraffecttheimplementationoftheemergencyplan):Revision021:1.ChangestoreportingemergenciesandControlRoomactionstobeconsistentwithManagementStandard#20.2.AddedMedicalFacility/SiteNursetosection2.3asanoptionforpersonnelrequiringminorfirstaid,sincethisfacility/positionismannedduringoutages.3.AddedPlantOccupationalHealthNursetosection6.4.3listofpersonnelwhomayauthorizehospitalfacilitiestotransportpatientsto.EditorialChanges:4.AddreferencetoManagementStandard#20-OperatingHard-Card,ControlRoomActionsforMedicalEmergency.(ReferenceCR-GGN-2016-2247CA#2)5.ChangedthetitleRiverRegionHospitaltoMeritHealthRiverRegionduetoachangeinthefacilityname.PartII.ActivityPreviouslyReviewed?IsthisactivityfullyboundedbyanNRCapproved10CFR50.90submittalorAlertandNotificationSystemDesignReport?IfYES,identifyboundingsourcedocumentnumber/approvalreferenceandensurethebasisforconcludingthesourcedocumentfullyboundstheproposedchangeisdocumentedbelow:Justification:DBoundingdocumentattached(optional)DYES50.54(q)(3)EvaluationisNOTrequired.EnterjustificationbelowandcompletePartVI.t81NOContinuetonextpartPartIII.ApplicabilityofOtherRegulatoryChangeControlProcessesCheckifanyotherregulatorychangeprocessescontroltheproposedactivity.(RefertoEN-L1-100)NOTE:Forexample,whenadesignchangeistheproposedactivity,consequentialactionsmayincludechangestootherdocumentswhichhaveadifferentchangecontrolprocessandareNOTtobeincludedinthis50.54(q)(3)Screening.APPLICABILITYCONCLUSIONIftherearenocontrollingchangeprocesses,continuethe50.54(q)(3)Screening.DOneormorecontrollingchangeprocessesareselected,however,someportionoftheactivityinvolvestheemergencyplanoraffectstheimplementationoftheemergencyplan;continuethe50.54(q)(3)Screeningforthatportionoftheactivity.Identifytheapplicablecontrollingchangeprocessesbelow.oOneormorecontrollingchangeprocessesareselectedandfullyboundsallaspectsoftheactivity.50.54(q)(3)EvaluationisNOTrequired.IdentifycontrollingchangeprocessesbelowandcompletePartVI.CONTROLLINGCHANGEPROCESSESEN-EP-305REV3 ATTACHMENT9.1SHEET2OF510CFR50.54(q),SCREENINGProcedure/DocumentNumber:10-5-01-19IRevision:21Equipment/Facility/Other:GrandGulfNuclearStationTitle:PersonnelInjuryPartIV.EditorialChangeDYESt8JNO50.54(q)(3)ContinuetonextIsthisactivityaneditorialortypographicalchangesuchasformatting,paragraphEvaluationispartnumbering,spelling,orpunctuationthatdoesnotchangeintent?NOTrequired.Justification:Changes#4&5arereferencechangesandareconsiderededitorialEnterjustificationandchangesaccordingtoEN-EP-305andEN-AD-101.NoischeckedattherightbecausecompleteParttheremainingchangesarenon-editorial.VI.PartV.EmergencyPlanningElement/FunctionScreen(Associated10CFR50.47(b)planningstandardfunctionidentifiedinbrackets)Doesthisactivityaffectanyofthefollowing,includingprogramelementsfromNUREG-0654/FEMAREP-1SectionI/?1.Responsibilityforemergencyresponseisassigned.[1]D2.Theresponseorganizationhasthestafftorespondandtoaugmentstaffonacontinuingbasis(24/7Dstaffing)inaccordancewiththeemergencyplan.[1]3.Theprocessensuresthatonshiftemergencyresponseresponsibilitiesarestaffedandassigned.[2]D4.Theprocessfortimelyaugmentationofonshiftstaffisestablishedandmaintained.[2]D5.Arrangementsforrequestingandusingoffsiteassistancehavebeenmade.[3]D6.StateandlocalstaffcanbeaccommodatedattheEOFinaccordancewiththeemergencyplan.[3]DI7.Astandardschemeofemergencyclassificationandactionlevelsisinuse.[4]D8.ProceduresfornotificationofStateandlocalgovernmentalagenciesarecapableofalertingthemofDthedeclaredemergencywithin15minutesafterdeclarationofanemergencyandprovidingfollow-upnotifications.[5]9.AdministrativeandphysicalmeanshavebeenestablishedforalertingandprovidingpromptDinstructionstothepublicwithintheplumeexposurepathway.[5]10.ThepublicANSmeetsthedesignrequirementsofFEMA-REP-10,GuideforEvaluationofAlertandDNotificationSystemsforNuclearPowerPlants,orcomplieswiththelicensee'sFEMA-approvedANSdesignreportandsupportingFEMAapprovalletter.[5]11.SystemsareestablishedforpromptcommunicationamongprincipalemergencyresponseDorganizations.[6],12.Systemsareestablishedforpromptcommunicationtoemergencyresponsepersonnel.[6]D13.Emergencypreparednessinformationismadeavailabletothepubliconaperiodicbasiswithinthe0plumeexposurepathwayemergencyplanningzone(EPZ).[7]14.Coordinateddisseminationofpublicinformationduringemergenciesisestablished.[7]*015.Adequatefacintiesaremaintainedtosupportemergencyresponse.[8]D16.Adequateequipmentismaintainedtosupportemergencyresponse.[8]D17.Methods,systems,andequipmentforassessmentofradioactivereleasesareinuse.[9]D18.ArangeofpublicPARsisavailableforimplementationduringemergencies.[10]D19.EvacuationtimeestimatesforthepopulationlocatedintheplumeexposurepathwayEPZareDavailabletosupporttheformulationofPARsandhavebeenprovidedtoStateandlocalgovernmentalauthorities.[10]20.Arangeofprotectiveactionsisavailableforplantemergencyworkersduringemergencies,includingDthoseforhostileactionevents.[10]EN-EP-305REV3 ATTACHMENT9.1SHEET3OF510CFR50.54(q)SCREENINGProcedure/DocumentNumber:10-S-01-19IRevision:21Equipment/Facility/Other:GrandGulfNuclearStationTitle:PersonnelInjury21.Theresourcesforcontrollingradiologicalexposuresforemergencyworkersareestablished.[11]D22.Arrangementsaremadeformedicalservicesforcontaminated,injuredindividuals.[12]D23.Plansforrecoveryandreentryaredeveloped.[13]D24.Adrillandexerciseprogram(inclUdingradiological,medical,healthphysicsandotherprogramDareas)isestablished.[14]25.Drills,exercises,andtrainingevolutionsthatprovideperformanceopportunitiestodevelop,Dmaintain,anddemonstratekeyskillsareassessedviaaformalcritiqueprocessinordertoidentifyweaknesses.[14]26.Identifiedweaknessesarecorrected.[14]D27.Trainingisprovidedtoemergencyresponders.[15]D28.Responsibilityforemergencyplandevelopmentandreviewisestablished.[16]D29.Plannersresponsibleforemergencyplandevelopmentandmaintenanceareproperlytrained.[16]DAPPLICABILITYCONCLUSIONaIfnoPartVcriteriaarechecked,a50.54(q)(3)EvaluationisNOTrequired;documentthebasisforconclusionbelowandcompletePartVI.aIfanyPartVcriteriaarechecked,completePartVIandperforma50.54(q)(3)Evaluation.BASISFORCONCLUSIONChanges#4&5areeditorialchangesanddonotrequireevaluation.1.ChangestoreportingemergenciesandControlRoomactionstobeconsistentwithManagementStandard#20.ThischangerevisestheinformationtheControlRoomshouldrequestfromacallerreportingamedicalemergencyandaddsadditionalinformationtothestepstakenbytheControlRoomtorespondtotheemergency.Theplanningstandardsandprogramelementsrequirethatmedicalservicesbearrangedforcontaminated,injuredworkersbuttheydonotdescribetheactionstakenbythelicenseetorespondtomedicalemergencies.Thischangedoesnoteliminateanymedicalresponseequipmentorqualificationsanddoesnotaffectoffsitearrangementsformedicalsupportincludingtransportation.Thischangewillnotaffecttheplanningstandardsorprogramelementsin10CFR50.470(b)[12]anddoesnotneedanevaluation.EN-EP-305REV3 ATTACHMENT9.1SHEET4OF510CFR50.54(q)SCREENINGProcedure/DocumentNumber:10-S-01-19IRevision:21Equipment/Facility/Other:GrandGulfNuclearStationTitle:PersonnelInjuryBASISFORCONCLUSION(continued)*AddedMedicalFacility/SiteNursetosection2.3asanoptionforpersonnelrequiringminorfirstaid,sincethisfacility/positionismannedduringoutages.NormallyfirstaidcasesarehandledbyRPpersonnel.Duringoutages,whenwehaveanincreaseinworkforce,GrandGulfmaysetupasitemedicalfacilityand/orstaffasitenursepositiontofacilitatetheexpectedincreaseinfirstaidand/ormedicalemergencycases.Thisprocedurechangeallowspersonnelrequiringfirstaidtoreporttothesitemedicalfacilityorsitenurse,ifstaffed,ratherthanlimitingthemtoreporttotheRPdepartment..*Theplanningstandardsandprogramelementsin10CFR50.47(b)[10]requirearangeofprotectiveactionsbeavailableforplantworkers,butdoesnotspecifythelocationorstaffingofsitefirstaidstationsormedicalfacilitiessothischangewillnotaffectthesitesabilitytomeettherequirementsof10CFR50.47(b)[10].*Thischangedoesnotreducethenumberoffirstaidqualifiedpersonnelanddoesnotreducetheshiftstaffingasrequiredin10CFRS0.47(b)[2]orNUREG06s4tableB-1.thischangewillnotaffectthesitesabilitytomeettherequirementsof1OCFRS0.47(b)[2].*Thischangedoesnotreducetheamountorlocationofmedicalequipmentandsuppliesandwillnotaffectthesitesabilitytomeettherequirementsof10CFR50.47(b)[8].*Thischangedoesnotaffectthearrangementsinplaceformedicalservicesforcontaminatedandinjuredindividualsandwillnotaffectthesitesabilitytomeettherequirementsof10CFRS0.47(b)[12].Thischangewillnotaffectanyoftheplanningstandardsorprogramelementsin1OCFR50.470(b)anddoesnotrequireanevaluation.*AddedPlantOccupationalHealthNursetosectionlistofpersonnelwhomayauthorizewhichhospitalfacilitiestowhichpatientsaretransported.Section6.1.3of10-S-01-19describestheprocessforselectinqhospitalsduringnon-radiologicalemergenciesandliststhemedicalfacilitiespersonnelshouldbetransportedtolife-threateningorlife-threateninginjuries.ThissectionstatesthatPlantSafetyandEMTpersonnelmayalsoauthorizehospitallocations.ThischangeaddstheplantOccupationalHealthNursetothatgroup.Thissectiononlyappliestonon-contaminatedindividuals.*10CFR50.47(b)[12]requireslicenseestoensurearrangementsaremadefor.medicalservicesforcontaminated,injuredindividuals.Thesearrangementswouldincludehospitalsandotheroffsitemedicalfacilities.10-S-01-19liststhesefacilitiesinsection6.4.*1.Thechangebeingmadeto10-S-01-19willnotaffectthislistortheprocessfordeterminingwhichhospitaltotransportcontaminatedindividualsto.Thischangewillnotaffectthesitesabilitytomeettherequirementsof10CFR50.47(b)[12].*Theplanningstandardsandprogramelementsin10CFR50.47(b)[10]requirearangeofprotectiveactionsbeavailableforplantworkers,butdoesnotspecifythepositionthatshoulddeterminewhatmedicalfacilitiestouse.Thischangewillnotaffectthesitesabilitytomeettherequirementsof10CFR50.47(b)[10].Thechangesbeingmadeto10-8-01-19willnotaffectanyofthe10CFR50.47(b)planningstandardsorprogramelements.ThischangemaybemadewithoutpriorNRCapprovalanddoesnotneeda10CFR50.54qevaluation.EN-EP-305REV3 ATTACHMENT9.1SHEET5OF510CFR50.54(q)SCREENINGProcedure/DocumentNumber:10-S-01-19IRevision:21Equipment/Facility/Other:GrandGulfNuclearStationTitle:PersonnelInjuryPartVI.Signatures:PreparerName(Print)Date:/:/--.7-RichardVanDenAkker<r:4-21-16i....._(Optional)ReviewerName(Print)ReviewerSignatureDate:ReviewerName(Print)ReviewerSignatureDate:TomSowdonCf;4-22-2016NuclearEPProjectManager.<<,//"e.-/tttfJ-'tC4'l'..t:--ApproverName(Print)ApproverSignatureDate:--:rI£'P'PEPmanagerordesignee6')2./16//7'EN-EP-305REV3 Volume10Section01PLANTOPERATIONSMANUALREFERENCEUSEEMERGENCYPLANPROCEDUREPERSONNELINJURYSAFETYRELATED10-8-01-19Revision:021Date:5-2-16Prepared:Reviewed:Mag.ergencylaMingListofEffectivePages:Pages1-9AttachmentsI-IIListofTCNsIncorporated:RevisionTCNoNone112-021NoneJ:\ADMLSRVS\TECH_PUB\10\10S0119.DOC GRANDGULFNUCLEARSTATIONEMERGENCYPLANPROCEDURETitle:PersonnelInjuryNo.:10-S-01-19RPTSFORMRevision:021Page:iREQUIREDREVIEWPERFORMEDoPADo50.59Screen/Eva!.(Checkallthatapply)(EN-L1-100)(EN-L1-101)o72.48Screen/Eva!.o50.54Eva!.TransmitapplicableReviewFormasa(EN-L1-112)(EN-NS-210)separaterecordalongwithproceduretooPADNotRequired{EN-L1-100or01-S-02-3)DocumentControl.oProcessApplicabilityExcludedoEditorialChangeolSI/1STImplementationoTCNIncorporationorAutoRev.oOtherProcess-Number:PADReviewer:/(forPADNotRequired)Signature/DateCross-Discilinereviewreuired?PrearerInitials>>>(NoteaffectedDepartmentsBelow)DepartmentCross-DisciplineReviewsNeededSignoff:(signed,electronic,telcon)IndustrialSafety(.,..,."..*...c*.\"""'--.::J___DoesthisdirectivecontainTechSpecTriggers?()YES(X)NOREQUIREMENTSCROSS-REFERENCELISTRequirementImplementedbyDirectiveDirectiveParagraphNumberNameParagraphNumberThatImplementsRequirementGGNSEmergencyPlan6.7.3.51,52&6.7.4.S56.3(Note)&6.4.110CFR5072.B.3.XII6.3(Caution)*Coveredbydirectiveasawholeorbyvariousparagraphsofthedirective.J:\ADM_SRVS\TECH_PUB\10\10S0119.DOC GRANDGULFNUCLEARSTATIONEMERGENCYPLANPROCEDURETitle:PersonnelInjuryNo.:10-S-01-19Revision:021Page:iiTheEquipmentDatabase(EDB)RequeststatementisapplicableonlytoVolume06and07maintenancedirectives.EDBChangeRequestgeneratedandthebackupdocumentationavailableforsetpointand/orcalibrationdataonlyDYesDN/AEDBCR#_CurrentRevisionStatementRevision021:*AddreferencetoManagementStandard#20-OperatingHard-Card,ControlRoomActionsforMedicalEmergency.(ReferenceCR-GGN-2016-2247CA#2)*ChangestoreportingemergenciesandControlRoomactionstobeconsistentwithManagementStandard#20.J:\ADM_SRVS\TECH_PUB\lO\lOSOl19.DOC I'Page:1EMERGENCYPLANPROCEDUREIReVISion:021GRANDGULFNUCLEARSTATIONITitle:PersonnelInJuryINo.:10-8-01-19'---------------TABLEOFCONTENTS'Page1.0PURPOSEANDDISCUSSION22.0RESPONSIBILITIES

23.0REFERENCES

34.0ATTACHMENTS35.0DEFINITIONS36.0DETAILS46.1ReportingofInjuries46.2ImmediateActions56.3AmbulanceTransport66.4OffsiteMedicalFacilities86.5HospitalPreparationtoReceivePatients9J:\ADM_SRVS\TECH_PGB\lO\lOSOl19.DOC GRANDGULFNUCLEARSTATIONITitle:PersonnelInjury1.0PURPOSEANDDISCUSSION1.1PurposeINo.:1o-s-01-19EMERGENCYPLANPROCEDURE1.1.1Toprovideguidanceonresponseto,reportingof,andtransferofinjuredpersonnelunderthefollowingconditions:a.Injuredpersonrequiringtransporttoanoffsitemedicalcarefacilityb.Anyinjuriesdiscoveredduringanemergencyclassification1.2Discussion1.2.1ByagreementbetweenEntergyOperations,Inc.andtheprimaryandbackup.medicalcarefacilities,personnelattheGrandGulfNuclearStationsustaininginjuriesfromionizingradiationorinjuriescomplicatedbyradiationexposureorradioactivecontaminationaretobeprovidedcareandtreatmentatthosefacilities.Proceduresandequipmentforthiscareandtreatmentaremaintainedatthesefacilities.Anindividualwhoseclothing,skinand/orwoundsarecontaminatedwithradioactivematerialmaypresentaradiationhazardtoattendingpersonnelintheabsenceofadequateprocedurestopreventthespreadofthecontaminant,orcontroltheradiationexposureintheeventofradioactiveshrapnelwound.Sinceradiationinjuriesarenotimmediatelylife-threatening,primaryattentionshouldalwaysbedirectedtotraumaticlife-threateninginjuries.Aftersuchtreatmentisrendered,thepatientshouldbedecontaminated.2.0RESPONSIBILITIES2.1TheManager.RadiationProtection-IsresponsiblefortheimplementationoftheFirstAidProgramatGGNS.2.2TheRadiationProtectionSupervisor-IsresponsiblefortheadministrationandmanagementoftheFirstAidProgramincluding:2.2.1TheassignmentofaFirstAidqualifiedindividualtoeachRadiationProtectionshift.2.2.2Maintenanceoffirstaidsuppliesandmedicalemergencyresponseequipment.2.2.3Transportationofinjuredpersonneltothehospitalandcontaminationcontrolmeasuresasnecessary.J:\ADM_SRVS\TECH_PUB\lO\lOSOl19.DOC GRANDGULFNUCLEARSTATIONITitle:PersonnelInjuryINo.:10-8-01-19EMERGENCYPLANPROCEDUREIReVISion:0212.3AllGGNSpersonnel-AretoimmediatelyreportobservedseriousinjuriestotheControlRoom.PersonnelwithintheProtectedArearequiringminorfirstaidaretoreporttoRadiationProtectionformedicaltreatment.2.4TheOSCManager-IsresponsiblefororganizinganddispatchingofFirstAidTeamsperEN-EP-611whentheOSCisoperational.2.5TheEOFPublicInformationLiaison-IsresponsiblefornotifyingtheCompanySpokespersonregardingworkerinjuriesduringadeclaredemergency.

3.0REFERENCES

3.1CorporateProcedureEN-IS-113,Reporting&InvestigatingOccupationalInjuries/IllnessesAndNearMisses3.2GrandGulfNuclearStationemergencyPhoneBookSectionE,FireandMedicalSupport.3.3ManagementStandard#20,OperatingHardCard-ControlRoomActionsforMedicalEmergency'4.0ATTACHMENTS4.1AttachmentI-DirectionstoClaiborneCountyHospital4.2AttachmentII-DirectionstoRiverRegionMedicalCenter5.0DEFINITIONS5.1OSC-OperationsSupportCenter5.2TSC-TechnicalSupportCenter5.3RPS-RadiationProtectionSupervisor5.4REA-RadiationEmergencyAreaJ:\ADM_SRVS\TECH_PUB\10\10S0119.DOC GRANDGULFNUCLEARSTATIONEMERGENCYPLANPROCEDUREITitle:PersonnelInjury6.0DETAILS6.1ReportingofInjuriesIReVISion:021IPage:4MaintaincommunicationswiththeControlRoomuntilallreportedinformationisproperlyacknowledged.6.1.1AnyindividualfindinganinjuredpersonwhorequiresmajormedicalassistanceistoimmediatelyNOTIFYtheControlRoombythequickestavailablemeans.a.ThefollowinginformationshouldbeprovidedtotheControlRoom:(1)Nameandlocationoftheinjuredperson(2)Natureoftheemergency,ifknown.(3)IsMedicalHelp/Ambulanceneeded?(4)Nameofthecaller6.1.2TheControlRoomistoperformthefollowingactions.IfavailableuseManagementStandard#20-OperatingHardCardforMedicalEmergency:a.ImmediatelyNOTIFYtheRadiationProtection(RP)LaborSiteMedicalPersonneltodispatchFirstResponderstothescene.b.Ifrequired,ContactAmbulanceforresponsetoGrandGulfNuclearStation.Givethemthelocationoftheemergency.ProvideaCallBackNumberandsiteaddress;7003BaldHillRoad,PortGibson,MississippiTIME:_c.ContactSecurityIslandofAmbulanceresponseandauthorizeentry,asneeded.d.HaveSecuritydispatchedtoscene,asnecessary.NameTime_e.SOUNDSiteFireAlarm;MAKEPAANNOUNCEMENT:"MEDICALEMERGENCYATunnecessarypersonnelstayclearofthearea."J:\ADMSRVS\TECHPUB\10\10S0119.DOC--

GRANDGULFNUCLEARSTATIONITitle:PersonnelInJuryINo.:10-8-01-19EMERGENCYPLANPROCEDUREIRevIsion:021f.REPEATnotificationevery5minutesuntiltheControlRoomhasconfirmationthatthefirstaidteamhasbeenassembledatthescene.g.DispatchoperatortoscenewithFirstAidTraumaKitandAED.FirstAidTraumaKitandAEDlocationsarelistedonManagementStandard#20.h.LContactIndustrialSafety.NameTime_ContactDutyManager.NameTime_j.ShiftManagerdeterminereportability,asneeded.6.1.3Ifduringdeclaredemergencyandemergencyresponsefacilitiesareoperational:a.NOTIFYtheOSCandprovidetheapplicableinformationaboutthelocationoftheworkerandextentofinjuries,ifknown.b.NOTIFYtheTSCEmergencyPlantManager.6.2ImmediateActions6.2.1Uponreceivingnotificationofamedicalemergency:theRPLabshouldPERFORMthefollowingNOTE:TheFirstAidTeammaybenotifiedbyGaitronics,plantradioorpagerusingAlphaPagingontheGGNSHomePageunderProcesses/Programs(pageFirstAidTeam)a.NotifytheControlRoomifnotalreadynotified.b.DISPATCHaFirstAidTeamtothesceneofthemedicalemergency.TheFirstAidpersonnelshouldbeequippedwiththefollowing:(1)FirstAidtraumakit(2)Portableradio(3)Radiologicalsurveyinstrumentsandpersonnelprotectiveequipment(Le.,respiratoryprotectiondevices,PCs)suitableforthehazardsatthelocationandthenatureoftheeventwhichcausedtheinjury(i.e.,fire,explosion).J:\ADMSRVS\TECHPUB\10\10S0119.DOC--

GRANDGULFNUCLEARSTATIONITitle:PersonnelInJury6.2.1(continued)INo.:10-8-01-19EMERGENCYPLANPROCEDUREIRevIsion:021c.TheFirstAidTeamshouldestablishandmaintaincommunicationswiththeRPLab,ControlRoom,orOSCandprovideperiodicupdates.6.2.2FirstAidpersonnelaretoPERFORMthefollowingactionsatthesceneofthemedicalemergency:a.DETERMINEtheinjuredperson'sphysicalconditionandextentofinjuries.b.ADMINISTERfirstaidnecessarytosustainlifeandtostabilizetheinjuredworker.c.MOVEtheinjuredpersontoasafelocationiflife-threateningradiologicalorphysicalhazardsarepresent.d.lEtheinjuryoccurredinaradiologicallypostedarea,THENperformacontaminationsurveyoftheinjuredworkerandREADtheworker'sdosimetry.e.PROVIDEthefollowinginformationtotheRPLaborOSCRadChemCoordinator:RadiationProtection(OSCRadChemCoordinator)mustNotifytheControlRoomandprovidethefollowinginformation(1)Nameandlocationoftheinjuredperson.(2)Extentofinjuriesandtreatmentbeingadministered.(3)Personnelcontaminationsurveyanddosimeterresultsfortheinjuredworker.(4)Theneedforanambulanceorotherassistance.f.PREPAREtheinjuredworkerfortransfertothehospital.g.RadiationProtectionpersonnelatthesceneofthemedicalemergencymustPERFORMradiologicalsurveysasnecessarytoprotectteammembersandsupportpersonnel.J:\ADMSRVS\TECHPUB\10\10S0119.DOC--

GRANDGULFNUCLEARSTATIONITitle:PersonnelInJury6.3AmbulanceTransportINo.:10-$-01-19EMERGENCYPLANPROCEDUREIReVISion:021The-transportofinjuredpersonsisnormallyprovidedbytheregionalambulanceservice.Iftheregionalambulanceserviceisunavailable,theinjuredpersonshouldbetransportedincompanyownedorprivatevehicle.CAUTIONIfacontaminatedinjuredpersonistransportedtoanoffsitemedicalfacility,theNRCshallbenotifiedwithineighthours,inaccordancewith01-5-06-5.6.3.1IfambulancetransportisnecessarytheControlRoomshouldusethephonenumberslistedinReference3.2torequestanambulance.a.Informtheambulanceofthelocationoftheinjured,accesspointoranyotherinformationnecessary.6.3.2TheControlRoommustNOTIFYSecurityifanOnsiteorOffsiteambulanceisrequiredtoentertheprotectedareaandmustSPECIFYthepatientpickuppoint.a.TheSecurityCoordinatormustENSUREthatOffsiteambulancecrewsareissueddosimetryattheentrancetotheProtectedArea.b.RadiationProtectionpersonnelatthesceneofthemedicalemergencymustENSUREthatOffsiteambulancecrewmembersareproperlywearingtheappropriatedosimetryandprotectiveclothingforentryintoradiologicallycontrolledareas.6.3.3TheShiftManagershouldNOTIFYtheEOFEmergencyDirectorandINFORMhimofthetransportationofaninjuredcontaminatedworkertothehospital.Thehospital.mustreceivethisinformationassoonaspossibleinordertomakethenecessarypreparationsfortheemergencytreatmentoftheworker.ThehospitalphonenumbersarelistedintheEmergencyTelephoneBook.J:\ADMSRVS\TECHPUB\10\10S0119.DOC--

GRANDGULFNUCLEARSTATIONITitle:PersonnelInJuryINo.:10-8-01-19EMERGENCYPLANPROCEDUREIPage:86.3.4TheRPSupervisor/ShiftleadHP(OSCRadChernCoordinator)receivingtheinitialinformationmustnotifythehospitalandprovidethefollowinginformationassoonaspossible.a.Nameofinjuredworker(s)b.Extentofinjuriesc.Contaminationlevelsoninjuredworker(s),ifapplicabled.Expectedarrivaltimeathospital,ifknown.6.3.5GGNSpersonnelshouldPERFORMthefollowingenroutetothehospital:*AfriskerisnormallymaintainedintheOnsiteAmbulance*Surveysmaybelimitedorimpracticalduetotheextentofinjuriesreceivedbytheworker.a.PERFORMadetailedcontaminationsurveyoftheinjuredworkeriftheinjuryoccurredinaRadiologicallyControlledArea.6.4OffsiteMedicalFacilities6.4.1TheRadiationProtectionSupervisor/ShiftLeadHP(OSCRadChemCoordinator)isresponsiblefordeterminingwhichmedicalfacilitytouse.Facilitiesavailableforuseinclude:a.ClaiborneCountyHospitalb.RiverRegionMedicalCenter6.4.2AttachmentIandIIareusedtodeterminetransportationroutestothemedicalfacilities.J:\AOM_SRVS\TECH_PUB\lO\lOSOl19:00C GRANDGULFNUCLEARSTATIONITitle:PersonnelInJuryINo.:10-8-01-19EMERGENCYPLANPROCEDUREIPage:96.4.3Processforselectinghospitalfacilitiesduringnon-radiologicalemergenciesis:a.Non-contaminated,non-lifethreatening:RiverRegionMedicalCenter,orClaiborneCountyHospital.StreetClinicinVicksburgisrecommendedwhereapplicable.b.Non-contaminated,lifethreatening-transporttoClaiborneCountyHospital.c.PlantSafetyandEMTpersonnelmayalsoauthorizehospitallocationsduringnon-radiologicalemergenciesusingtheguidelinesabove.6.4.4Contaminatedpersonnelwithminorormajorinjuriesshouldbetransportedtooneofthemedicalfacilitiesidentifiedin6.4.1.6.4.5Patientsmustbedeliveredtohospitalfacilitiesasfollows:a.AllinjuredworkerswhoarenotcontaminatedshouldbetransporteddirectlytothehospitalEmergencyRoom.b.ContaminatedpersonnelshouldbetransportedtothehospitalRadiationEmergencyArea.6.4.6Whenacontaminatedinjuredworkeristransportedtothehospital,GGNSpersonnelatthehospitalshouldprovidethefollowingsupport,ifavailable:a.PROVIDEthephysicianwithallavailableinformationconcerningtheaccidentandthecontaminationhazardspresent,uponrequest.b.ASSISTthehospitalstaff,ifpossible..c,COORDINATEthecollectionanddisposalofcontaminatedwastematerials.d.COLLECTOffsiteambulancecrewdosimetryandPERFORMcontaminationsurveyofambulance.ARRANGEfordecontamination,ifnecessary.6.5HospitalPreparationtoReceivePatients6.5.1ThehospitalroomREA(RadiationEmergencyArea)isnormallysetupbyhospitalp.ersonnelbeforethearrivalofthepatient.J:\ADM_SRVS\TECH_PUB\10\10S0119.DOC GRANDGULFNUCLEARSTATIONEMERGENCYPLANPROCEDURE10-S-01-19AttachmentIRevision:021Page1of1DIRECTIONSTOCLAIBORNECOUNTYHOSPITALG,:G1NSI{GrandGulfRoadDIRECTIONS:TakeHwy61StoMcCombAvenue(StateRoad547).GoEaston547andthehospitalisonyourleft.TheentrancetotheRadiationEmergencyAreaisthroughtheEmergencyRoomEntranceontheNorthendofthehospitalJ:\ADM_SRVS\TECH_PUB\10\10S0119.DOCIIIIIII IIIPort:GibsonII IIIIHWY462HWY18III:Claiborne:CountyIHospitalo.llmAve GRANDGULFNUCLEARSTATION.EMERGENCYPLANPROCEDURE10-S-01-19Revision:021AttachmentIIPage1of1DIRECTIONSTORIVERREGIONMEDICALCENTERTakeUS61NorthpastCulkinAve.Youwillseethehospitalonyourright.TheEmergencyRoomentranceisontheSouthsideofthehospital.ThedoortotheDecontaminationRoomistotherightoftheER.entrance.RiverRegion.A.-f----MedicalCenter---.\DIRECTIONS:J:\ADM_SRVS\TECH_PUB\10\10S0119.DOC ATTACHMENT9.1SHEET1OF510CFR50.54(q)SCREENINGProcedure/DocumentNumber:10-S-01-19IRevision:21Equipment/Facility/Other:GrandGulfNuclearStationTitle:PersonnelInjuryPartI.DescriptionofActivityBeingReviewed(eventoraction,orseriesofactionsthatmayresultinachangetotheemergencyplanoraffecttheimplementationoftheemergencyplan):Revision021:1.ChangestoreportingemergenciesandControlRoomactionstobeconsistentwithManagementStandard#20.2.AddedMedicalFacility/SiteNursetosection2.3asanoptionforpersonnelrequiringminorfirstaid,sincethisfacility/positionismannedduringoutages.3.AddedPlantOccupationalHealthNursetosection6.4.3listofpersonnelwhomayauthorizehospitalfacilitiestotransportpatientsto.EditorialChanges:4.AddreferencetoManagementStandard#20-OperatingHard-Card,ControlRoomActionsforMedicalEmergency.(ReferenceCR-GGN-2016-2247CA#2)5.ChangedthetitleRiverRegionHospitaltoMeritHealthRiverRegionduetoachangeinthefacilityname.PartII.ActivityPreviouslyReviewed?IsthisactivityfullyboundedbyanNRCapproved10CFR50.90submittalorAlertandNotificationSystemDesignReport?IfYES,identifyboundingsourcedocumentnumber/approvalreferenceandensurethebasisforconcludingthesourcedocumentfullyboundstheproposedchangeisdocumentedbelow:Justification:DBoundingdocumentattached(optional)DYES50.54(q)(3)EvaluationisNOTrequired.EnterjustificationbelowandcompletePartVI.t81NOContinuetonextpartPartIII.ApplicabilityofOtherRegulatoryChangeControlProcessesCheckifanyotherregulatorychangeprocessescontroltheproposedactivity.(RefertoEN-L1-100)NOTE:Forexample,whenadesignchangeistheproposedactivity,consequentialactionsmayincludechangestootherdocumentswhichhaveadifferentchangecontrolprocessandareNOTtobeincludedinthis50.54(q)(3)Screening.APPLICABILITYCONCLUSIONIftherearenocontrollingchangeprocesses,continuethe50.54(q)(3)Screening.DOneormorecontrollingchangeprocessesareselected,however,someportionoftheactivityinvolvestheemergencyplanoraffectstheimplementationoftheemergencyplan;continuethe50.54(q)(3)Screeningforthatportionoftheactivity.Identifytheapplicablecontrollingchangeprocessesbelow.oOneormorecontrollingchangeprocessesareselectedandfullyboundsallaspectsoftheactivity.50.54(q)(3)EvaluationisNOTrequired.IdentifycontrollingchangeprocessesbelowandcompletePartVI.CONTROLLINGCHANGEPROCESSESEN-EP-305REV3 ATTACHMENT9.1SHEET2OF510CFR50.54(q),SCREENINGProcedure/DocumentNumber:10-5-01-19IRevision:21Equipment/Facility/Other:GrandGulfNuclearStationTitle:PersonnelInjuryPartIV.EditorialChangeDYESt8JNO50.54(q)(3)ContinuetonextIsthisactivityaneditorialortypographicalchangesuchasformatting,paragraphEvaluationispartnumbering,spelling,orpunctuationthatdoesnotchangeintent?NOTrequired.Justification:Changes#4&5arereferencechangesandareconsiderededitorialEnterjustificationandchangesaccordingtoEN-EP-305andEN-AD-101.NoischeckedattherightbecausecompleteParttheremainingchangesarenon-editorial.VI.PartV.EmergencyPlanningElement/FunctionScreen(Associated10CFR50.47(b)planningstandardfunctionidentifiedinbrackets)Doesthisactivityaffectanyofthefollowing,includingprogramelementsfromNUREG-0654/FEMAREP-1SectionI/?1.Responsibilityforemergencyresponseisassigned.[1]D2.Theresponseorganizationhasthestafftorespondandtoaugmentstaffonacontinuingbasis(24/7Dstaffing)inaccordancewiththeemergencyplan.[1]3.Theprocessensuresthatonshiftemergencyresponseresponsibilitiesarestaffedandassigned.[2]D4.Theprocessfortimelyaugmentationofonshiftstaffisestablishedandmaintained.[2]D5.Arrangementsforrequestingandusingoffsiteassistancehavebeenmade.[3]D6.StateandlocalstaffcanbeaccommodatedattheEOFinaccordancewiththeemergencyplan.[3]DI7.Astandardschemeofemergencyclassificationandactionlevelsisinuse.[4]D8.ProceduresfornotificationofStateandlocalgovernmentalagenciesarecapableofalertingthemofDthedeclaredemergencywithin15minutesafterdeclarationofanemergencyandprovidingfollow-upnotifications.[5]9.AdministrativeandphysicalmeanshavebeenestablishedforalertingandprovidingpromptDinstructionstothepublicwithintheplumeexposurepathway.[5]10.ThepublicANSmeetsthedesignrequirementsofFEMA-REP-10,GuideforEvaluationofAlertandDNotificationSystemsforNuclearPowerPlants,orcomplieswiththelicensee'sFEMA-approvedANSdesignreportandsupportingFEMAapprovalletter.[5]11.SystemsareestablishedforpromptcommunicationamongprincipalemergencyresponseDorganizations.[6],12.Systemsareestablishedforpromptcommunicationtoemergencyresponsepersonnel.[6]D13.Emergencypreparednessinformationismadeavailabletothepubliconaperiodicbasiswithinthe0plumeexposurepathwayemergencyplanningzone(EPZ).[7]14.Coordinateddisseminationofpublicinformationduringemergenciesisestablished.[7]*015.Adequatefacintiesaremaintainedtosupportemergencyresponse.[8]D16.Adequateequipmentismaintainedtosupportemergencyresponse.[8]D17.Methods,systems,andequipmentforassessmentofradioactivereleasesareinuse.[9]D18.ArangeofpublicPARsisavailableforimplementationduringemergencies.[10]D19.EvacuationtimeestimatesforthepopulationlocatedintheplumeexposurepathwayEPZareDavailabletosupporttheformulationofPARsandhavebeenprovidedtoStateandlocalgovernmentalauthorities.[10]20.Arangeofprotectiveactionsisavailableforplantemergencyworkersduringemergencies,includingDthoseforhostileactionevents.[10]EN-EP-305REV3 ATTACHMENT9.1SHEET3OF510CFR50.54(q)SCREENINGProcedure/DocumentNumber:10-S-01-19IRevision:21Equipment/Facility/Other:GrandGulfNuclearStationTitle:PersonnelInjury21.Theresourcesforcontrollingradiologicalexposuresforemergencyworkersareestablished.[11]D22.Arrangementsaremadeformedicalservicesforcontaminated,injuredindividuals.[12]D23.Plansforrecoveryandreentryaredeveloped.[13]D24.Adrillandexerciseprogram(inclUdingradiological,medical,healthphysicsandotherprogramDareas)isestablished.[14]25.Drills,exercises,andtrainingevolutionsthatprovideperformanceopportunitiestodevelop,Dmaintain,anddemonstratekeyskillsareassessedviaaformalcritiqueprocessinordertoidentifyweaknesses.[14]26.Identifiedweaknessesarecorrected.[14]D27.Trainingisprovidedtoemergencyresponders.[15]D28.Responsibilityforemergencyplandevelopmentandreviewisestablished.[16]D29.Plannersresponsibleforemergencyplandevelopmentandmaintenanceareproperlytrained.[16]DAPPLICABILITYCONCLUSIONaIfnoPartVcriteriaarechecked,a50.54(q)(3)EvaluationisNOTrequired;documentthebasisforconclusionbelowandcompletePartVI.aIfanyPartVcriteriaarechecked,completePartVIandperforma50.54(q)(3)Evaluation.BASISFORCONCLUSIONChanges#4&5areeditorialchangesanddonotrequireevaluation.1.ChangestoreportingemergenciesandControlRoomactionstobeconsistentwithManagementStandard#20.ThischangerevisestheinformationtheControlRoomshouldrequestfromacallerreportingamedicalemergencyandaddsadditionalinformationtothestepstakenbytheControlRoomtorespondtotheemergency.Theplanningstandardsandprogramelementsrequirethatmedicalservicesbearrangedforcontaminated,injuredworkersbuttheydonotdescribetheactionstakenbythelicenseetorespondtomedicalemergencies.Thischangedoesnoteliminateanymedicalresponseequipmentorqualificationsanddoesnotaffectoffsitearrangementsformedicalsupportincludingtransportation.Thischangewillnotaffecttheplanningstandardsorprogramelementsin10CFR50.470(b)[12]anddoesnotneedanevaluation.EN-EP-305REV3 ATTACHMENT9.1SHEET4OF510CFR50.54(q)SCREENINGProcedure/DocumentNumber:10-S-01-19IRevision:21Equipment/Facility/Other:GrandGulfNuclearStationTitle:PersonnelInjuryBASISFORCONCLUSION(continued)*AddedMedicalFacility/SiteNursetosection2.3asanoptionforpersonnelrequiringminorfirstaid,sincethisfacility/positionismannedduringoutages.NormallyfirstaidcasesarehandledbyRPpersonnel.Duringoutages,whenwehaveanincreaseinworkforce,GrandGulfmaysetupasitemedicalfacilityand/orstaffasitenursepositiontofacilitatetheexpectedincreaseinfirstaidand/ormedicalemergencycases.Thisprocedurechangeallowspersonnelrequiringfirstaidtoreporttothesitemedicalfacilityorsitenurse,ifstaffed,ratherthanlimitingthemtoreporttotheRPdepartment..*Theplanningstandardsandprogramelementsin10CFR50.47(b)[10]requirearangeofprotectiveactionsbeavailableforplantworkers,butdoesnotspecifythelocationorstaffingofsitefirstaidstationsormedicalfacilitiessothischangewillnotaffectthesitesabilitytomeettherequirementsof10CFR50.47(b)[10].*Thischangedoesnotreducethenumberoffirstaidqualifiedpersonnelanddoesnotreducetheshiftstaffingasrequiredin10CFRS0.47(b)[2]orNUREG06s4tableB-1.thischangewillnotaffectthesitesabilitytomeettherequirementsof1OCFRS0.47(b)[2].*Thischangedoesnotreducetheamountorlocationofmedicalequipmentandsuppliesandwillnotaffectthesitesabilitytomeettherequirementsof10CFR50.47(b)[8].*Thischangedoesnotaffectthearrangementsinplaceformedicalservicesforcontaminatedandinjuredindividualsandwillnotaffectthesitesabilitytomeettherequirementsof10CFRS0.47(b)[12].Thischangewillnotaffectanyoftheplanningstandardsorprogramelementsin1OCFR50.470(b)anddoesnotrequireanevaluation.*AddedPlantOccupationalHealthNursetosectionlistofpersonnelwhomayauthorizewhichhospitalfacilitiestowhichpatientsaretransported.Section6.1.3of10-S-01-19describestheprocessforselectinqhospitalsduringnon-radiologicalemergenciesandliststhemedicalfacilitiespersonnelshouldbetransportedtolife-threateningorlife-threateninginjuries.ThissectionstatesthatPlantSafetyandEMTpersonnelmayalsoauthorizehospitallocations.ThischangeaddstheplantOccupationalHealthNursetothatgroup.Thissectiononlyappliestonon-contaminatedindividuals.*10CFR50.47(b)[12]requireslicenseestoensurearrangementsaremadefor.medicalservicesforcontaminated,injuredindividuals.Thesearrangementswouldincludehospitalsandotheroffsitemedicalfacilities.10-S-01-19liststhesefacilitiesinsection6.4.*1.Thechangebeingmadeto10-S-01-19willnotaffectthislistortheprocessfordeterminingwhichhospitaltotransportcontaminatedindividualsto.Thischangewillnotaffectthesitesabilitytomeettherequirementsof10CFR50.47(b)[12].*Theplanningstandardsandprogramelementsin10CFR50.47(b)[10]requirearangeofprotectiveactionsbeavailableforplantworkers,butdoesnotspecifythepositionthatshoulddeterminewhatmedicalfacilitiestouse.Thischangewillnotaffectthesitesabilitytomeettherequirementsof10CFR50.47(b)[10].Thechangesbeingmadeto10-8-01-19willnotaffectanyofthe10CFR50.47(b)planningstandardsorprogramelements.ThischangemaybemadewithoutpriorNRCapprovalanddoesnotneeda10CFR50.54qevaluation.EN-EP-305REV3 ATTACHMENT9.1SHEET5OF510CFR50.54(q)SCREENINGProcedure/DocumentNumber:10-S-01-19IRevision:21Equipment/Facility/Other:GrandGulfNuclearStationTitle:PersonnelInjuryPartVI.Signatures:PreparerName(Print)Date:/:/--.7-RichardVanDenAkker<r:4-21-16i....._(Optional)ReviewerName(Print)ReviewerSignatureDate:ReviewerName(Print)ReviewerSignatureDate:TomSowdonCf;4-22-2016NuclearEPProjectManager.<<,//"e.-/tttfJ-'tC4'l'..t:--ApproverName(Print)ApproverSignatureDate:--:rI£'P'PEPmanagerordesignee6')2./16//7'EN-EP-305REV3

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