ML13003A251
| ML13003A251 | |
| Person / Time | |
|---|---|
| Site: | Vogtle  |
| Issue date: | 11/26/2012 |
| From: | Volodarsky D Southern Nuclear Operating Co |
| To: | Office of Nuclear Reactor Regulation |
| References | |
| NL-12-2270 SNCV061-RPT-01, Ver 1.0 | |
| Download: ML13003A251 (38) | |
Text
ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-01, VERSION 1.0 Sheet 1 of 2 StatusUY N U Seismic Walkdown Checklist (SWC)
Equipment ID No.
/
tEquip, Class1 2 I19 Equipment Description (Z1' VA*C Vf-'.
OL*5r evE~t-ih yzA~
Lbcation:, Bldg. A(A)(.
FloorEl. Z-Rhoom, Area..
U "
Manufacotirer, Model, Etc. (optional but recommended)
Instructions for Completing Checklist This checklist may be used to document the~resulfs of the Seismic Walkdown of an item ofequipment 'on-tie SWEll. The space below each f othe following questi ons m ay be used to record the results :fjudgments and findings. Additional spaceý is provided at the end ofthis checklist for documenting other comments.
Anchorage
- 1. Is the anchorage configuration verification. required (i.e., is the item one Y] NC of the 50% ofSWEL-.items reqqiring such vetifiaction)?
- 2. Is the anchorage free of bent, *broken, missing or loose hardware?
- 3. Is the anchorage free of coirosion that is more than.mild:surftace.
"oxidation?'
4, Is theanchiorage free of visible cracks in th&econcrete.iearthe anchorý?
5, Is the anchorage configuration **nsistent ýkith plant *ocumentation?
(Note: This questioni only appliesif the.item is one of ihe 50% for which an anchorage configuration vecification is required.)
- 6. Basedon the above anchorage evaluations, is the ancIhorage free of potentiallyadver-se seisinic.:.onditiofi§'?
YX NE U-N/AC NEI UO N/A-Y NO Uti N/A]
YVýNC tC N/AC PEIU 12E.'ter (he eqiiipren.s I sefrr Apeni 13:~
Classes of Equiprneao.
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PAGE 337 of 668
ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-01, VERSION 1.0
$Sheet,2 ofj Sei smic Walkdown Checklist (SWC)
Equipment IDNo.,
V5 'up ~s~
t....-!=
-Equipment Desciption / ZO VA1C. VT r4L. OtS-r.
.~Q L....
iA Iriteraction Effects
- 7. Are soft targets free from impact by nearby equipment or structures?
- 8. Are overhead, equipment; distribution systems, ceiling tiles and lighting, and masoru-y block walls not, likely to collapse onto the equipment?
- 9. Do attached lines have adequate flexibility to avoid damage?
- 10. Based on the aboye seismic interaction evaluations, is equipment free, of potentially adverse seismiciinteraction effects?
Yv) NO UL[
N/AI]
Y
- NL] ULJ N/AL]
Y)(NL UE1 uL]
Other Adverse Conuditions IL. ja~e~you ooked for and found no other seismic corditionsthatscould ad~arsely affect the safety ctuonis of the equipment?
Comments (Addiflonal pages may be added as necessary)
NO] UE].
E Date:
2)2
/
< C-14 >
PAGE 338 of 668
ACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-01, VERSION PO4 PAGE 339 of 668
ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-01, VERSION 1.0 Sheet 1 of 2 Status: i N.U Seismic Walkdown Checklist (SWC)
Equipment IDNo. I-I
-o10
- Q3 -V*I'S Equip. Class'2 Equipmnent Description I
V.
A C V
(,6*),
I24.
n-I A YF;x Location: Bldg. Q,*
Floor El. 7Z.o"-o" Room, Area 11%
Manufacturer. Model, Etc. (optionaltbut recommended)
Instruciions for Completing Checklist This checklist may be used to document the refults of the Seismic Walkdown of anitem of equipment on the SWEL. The space below each of the followiing questions may b'e used to record the~results ofjudgmentsand findings. Additional space is provided at the end of this checklist for docuirrenting other comments.
'Ancho~rage (, ~
IJ.
~WJ 9o4tŽ I. Is the anchorage conffiguration verification required (i.eY,,is the item one of the 50% of SWEL items requiring.such Verification)?
YE-NEI I2 Is the.anchorage free of bent, broken, missing or loose hardware?
- 3. Is the anchorage free.of corrosion that is imore than mild':sirfacc oxidation?
- 4. Is the anciorage free ofvisible cracks in4he concrete near the anchors?
- 5. Is the anchorageconfiguration consistent.ith plant documntti*"on?
(Note: This question only appliesjifthe item is one~of the 50% for which aei anchorage con figurati6oeverification is r~iired.)"
6' Based on the above anchorage evaluations, is the anchorage f*ee of potentially adverse seismic conditions?
YE[ NEI UDE N/AE-YE NE UE, N/AE1 YEI NE 'UE N/A[I YE NE.UQ! N/AD Y11 ND Uo
' Enter the equipment class namefroin AppendixB: Classes :f Equipment.
PAGE 340 of 668
ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-01, VERSION 1.0 "Sheet 2 of 2.
Seisiic Walkdown Checklist (SWC)
EqUipment ID No. 1:.*O1-*
/.1 5'
,Equip. Class12 I 4.
IEquipmentDescription I O VAC-i.-.,
rr PgM I 1 1I.*R Interaction Effects.
5.ec b
4 r
(
I cA.
t~af
- 7. Are softtargets free from impact by nearby equipmenltor, structures?
- 8. Are overhead equipment, distribution, systems, ceilingtiles and.lighting, and masonry block-walls not likely to collapse onto the equipmenit?
- 9. Do attached lines have adequate flexibility to avoid damage?
- 10. Based"on the above seismic interaction evaluations, is :equipment free of potentially adverse seismic: interaction effects?'
YE! NO! UE! N*/AE YO! NEI UO] N/AE-YO] NE! UD N/ADJ YE! NE!0 UED Other Adverse Conditions 11., Haveyou looked for and found no other seismic conditions that could YN NEI UE
.... adversely affect the safety fuinctions of the equipment? A V; ua *l
?c4a
- 4.
g C
S i
te*"
J.-
-p" c,/, Y'le. '
'¢ ICC 5&;,
c....
.it
ýNo 6Je-P r~any%4(a'A$i wte-c
-6wy.-1 Coiftm-enits (Additionalpages may be added as necessary)
Evaluated by:
46S
- c0%
Date:
6 A-7 tz
< C.4G A
PAGE 341 of 668
ACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-01, VERS100NO PAGE 342 of 668
ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-01, VERSION 1.0 PAGE 343 of 668
ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-01, VERSION 1.0 PAGE 344 of 668
ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-01, VERSION 1.0 s: Y Nof2 Status:{5 N U Seismic Walkdown Checklist (SWC)
EquipmentIDNo.
u Equip CQlass1 1
~
(O2~*r4L*tIOI~ P~i\\t Equipment Description
[2O \\I.,
V;.*i p Locatio'n:..BIdg.
Cur I.. FHoorEl.
190'
.Room, Area
_____5_"
Manufacturer, Model, Etel, (optional~but recommended)
DU.&,
19 Instructions'for Completing Ch1ecklist, This checklist may be used to document the resuhts~of the Seismic Walkdown of an item of equipmentron the SWEL. The'space below each of the following questions ilady beu sed tborecord the results ofjudgments and findings. Additional space~is provided at the end~of this checklistfor documenting other comments Anchorage
- 1. Is the anchorage configuration verification required (i.e., is,:the item'oine Y[DN of the 50% of SWEL itemtsrequiriig such verific.ti.n)?
-2. Is the anchorage free of bent'.broken, mtissing or lkoTs hardware?
- 3. Is the anchorage free of corrosion that is more than mild surface oxidation?
- 4. Is-the-anchorage free of visible cracks inthe concretc near the an chors?
- 5. Is :the anchorage configuration consistent with plant documentation?
(Note: This question only applies if the item is pone of the:50% for Which an anchorage configuration verification is required.)
- 6. Based on.th& above anchorage evahiatiohs, is the anchorage free of potentially adverse seismic conditions?
VRN-1UFJ N/AD Y L-/NFl V] ýN/AD Y12 NID UO N/AED IYOE NEI Un NIAý.V Y[D/ND LUfl 12nt:ýer the equiipment c lass name ftiomAppei~ix B: Cl~ssscs'bf~qipe
< C3 PAGE 345 of 668
ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-01, VERSION 1.0 Sheet 2 of 2 Seismic Walkdown Checklist (SWC) 4Wluipuint1D No.
L -HIU'7I~-S3.Eup jaS22 I~
Ul
- Equipment Descriptioii'.)-.)10 AVA- 't.V" f4K"L i-CY+/-A Interaction Effects
- 7. Are soft targets free from impact byrneatby equipment be Strdrcties?
- 8. Are overhead equipmen*t, distributiont sysitemhs, ceiling t'ies and lighting, and masormy'l1&ck:hidllsl rot likely to. coflapse onto thie equipment?
- 9. Do attached, lineshaye adequate flexibility to avoid damage?
- 10. Based on the above'seismic intpraptih evaluations,Jis equipmenit free of potentially advrsnseisýffiii ihteiiiaibtirit effects?'
Y2"Nt-UE] N/A[]
YEYND] UED N/AD Y[JND] u[.
N/AD1-Yi"ND-,UD1 Other Adverse Conditions
- 11. Have you looked for and found:no other seismicconditions. fihat could YO;N] UOn adversely affect the safety fun&tions of the equilpment?
Comnhments (Additi6i'al ag'eSiitiay be added as necessaiy)
Evaluated by:
f14
/4 Date:, Phtl I
< C4 ).,
PAGE 346 of 668
ATTACHMENT 3: SEISMIC WALKIDOWN CHECKLISTS NO. SNCV061-RPT-01, VERSION.0 PAGE 347 of 668
ACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-01, VERS1000 PAGE 348 of 668
ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-01, VERSION 1.0 Sheet 1of 2 staus: Iy 9 U,
Seismic Walkdown Checklist (SWC).
Equipment.Il No.t-' 2
-03 W--Q-Equip. C(asUs$
14 Equipment Description I -_ VO A
V '\\ 4
_I*I.___________A Location: Bldg.Cg-A~\\
Flo\\r El.0EI.Is Roo0mArea,
(
"e.S Manufacturer, Modcl, Etc. (optional. but recommnended)
Instructions for Completing Checklist This checklist:may be used to document the results of the Seismic Walkdown ofan item of equipment.on the SWEL. TFhe space below each of the following questions may be used to record the results ofjudgments and findingsý.Additiona] space, is provided at the end of this checklist for docunienting other coimme'nts.
Anchorage (se--
$.Cso.Sx *,
j1Alz. Q,*J
- iqi I. Is the anchorage confiuration verification required (i.e. is the item one of the 50% of SWEL items iequiring:such verification)?
YO NO
- 2. Is the:anchorage free of bent, brokenmissing or loose hardwari?
- 3. Is the anchorage ifee" ofcorrosion thait is mote than mild surfacce Oxidation?
- 4. Is the anchorage.free of visible cracks in the:concrete near tiie anchors'?
- 5. 1IS the. anchorage configuration consistent with plant documentation?
(Note: This question only applies if the item is one of the 50% for,
- which ananchorage configuf-ation verificatiin is required.)
- 6. Based on the above anchorage evaluationS, is ilie anchorage free Of potentially adverse seisnii conditions?
YO NOD UO N/AO YO NO UO: N/AE]
YO NO UO N/AO1 YO, NO uO N/AO YO NO, U1 Er~euh q~iprenIclass naume f rom Appendix B3:CLtssc (f Equipi.fneit.
<C-3>
PAGE 349 of 668
ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-01, VERSION 1.0 Sheet 2 of 2 Seismic Walkdown Checklist (SWC)
,Equipment ID No. -
- QV
'/4 13, Equip. Ctass, K'
EquiPment Description i zo V RC j.__
&nd I- ýlfq Interaction E*eMs (Se,,. sw.cý,:
&4eA:
?ax riz 4,A
?/%%Jrý
- 7. Are:soft targets, fre9e firom inpact. by nearby equipmentor structures?
8.-.Are overhead equipment, distribution systems, ceiling tiles and lighting, and masonry.block walls not likely to collapse:ontq the equipment?
- 9. Do attached lines haveadequate flexibility to avoid damagec
- 10. Based on the above.s*smic interaction evaluations, is eq0ipment free of potentially adverse.seismnic rinteraction effects?
YO NO U[C N/AC YO NE uCO N/AC YO NC U[C N/AC YO NO [IC Other Adverse Conditions Ii. Have you looked for and fouind no,other seismic conditions that.could YC1 N[..UIC adversely affect the safety.functionspof theequipment?
v !w.t, 04*
,c4-o
- 4,, ;t k
'c-
.o.(. *,*Ci,** *
? te.-GCYYN 4t J40 0rý-*,-.%,,,:
4*r v,,**,*i:ixos -;
ka,,:ou ýC C
,AV
- m.k 0-o 4.
A,1 4
voj 4 O
%V.1-4 CC*
-.A 4
Comments (Additional pages may be added as necessary) ow
.A. j ov4 5"(
O CC
_0...
Date::
9 ij
"< C-4 >ý PAGE 350 of 668
ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-01, VERSION 1.0 PAGE 351 of 668
ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-01, VERSION 1.0
'3/4iiiii PAGE 352 of 668
3 ATTACHMENT 3: SEISMIC WALKIDOWN CHECKLISTS NO. SNCV061-RPT-01, VERSIONPO i*¸,
PAGE 353 of 668
ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-01, VERSION 1.0 PAGE 354 of 668
ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-01, VERSION 1.0 Sheet4 of 2 status:S N Uj Seismic Walkdown Checklist (SWC)
Equipment: D.No.
1-O(-7-(VL Equip. Class"__(s(j.jil Pq,'45 Equipment Description 20V VA i-(
1 Location: Bldg.
1 Floor El.
I..
Room, Area
- 7 Manufacturer Mbdel, Etc. (optional bit recormnended)
SU..& P Instructiojs' for Ciomlpleting Checklisft This checklist may.be used to document. the results of the Seismic Walkdowh-of an item of equipment on. the, SWEL. The space below each of the following questions may be used to record the results ofjpdgments and findings. Additional space is provided at the end of this checklist. for documenting 6ther coaiunents.
Anchorage
- 1. Is the.apchorage configuration verification required (i.e6., is the item one YX NE.]
of the 50% of SWEL items requiring such v6erificati6n)?.
- 2. Is the anchoragefree of bent, broken, missing or.oosle hardware?
- 3. Is the anchorage free of-corrosion that is more than mild surface oxidation?
- 4. Is the anchorage free of visible cracks in the concrete near the:anchors?
51 Is the anchorage configuration consistentlth plant dbcumentatio ?
(Nte: This question only applies if the item is one, of-the 50% for which.an anchorage configurafibn verifi6atido is requiifed.)
a x.*
Ft.-ao V-÷ 4.0 6.. Based on. the above anchorage evwluaiions,; is the ahnchbrage free Of potentially adverse sjesS.t'ic conditions?
4/NE]; UE] N/A[E Yý~NE] UE] N/AE]
YE] NE]UE] N/Aj6' Y<NE-] 7UE] N/AE]
YW"'NEI UE]
32 Eiiiftr tii4uipmiefit class name fromn Appendjx-13: C' lasses of Ed u~iprnec.
PAGE 355 of 668
ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-01, VERSION 1.0 Sheet 2,of2 Seismic Wakdowrn Checklist (SWC)
EquipmetjntDcripNo.
10O7 V
Equip. Class: 2 __
5T*
Equipm-entl~escription u 1~
I 4L,
Interaction. Effects
- 7,. Are soft targets frebdfrom imiopiact biar.by equipiiient Or Striuctiie?
YeNEI UE N/AEN
- 8. Areoverh.ead equiprnent, distribution systemrs ceiling tiles andlighting, NE UE* N/A and masonry block walls not likely to collapse ontothe equipment Y
- 9. Do attached lines haye adequate flexibility to. avoid'damage?
- 10. Based on the above seismic interaction evaluations, is equipment'free of pqotenti'ally adverse seihiiic interaction effects?
Y; NE1 UE] N/AE NE UEN Other AdverseCofnditions 11.. Have you looked for and found.no otherseismic conditions that could Y)< NE UE adverstly affect the safdeiyunctions of the equipment?
Commetsi (Additional pages may be added&as necessary)
A ~
~
CXt'ZUeftT 5&1IO-3-p.
m"'A w wirlý' ( Asoý
'Evaluated by:
Date:..
L 2"OI IMU'iD
~o ~*ky 4< Cý4 >-
PAGE 356 of 668
9 ACHMENT 3: SEISMIC WALKDOWN CHECKLISTS 0
NO. SNCV061-RPT-01, VERSIONO.I PAGE 357 of 668
ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-01, VERSION.0 PAGE 358 of 668
ACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-01, VERSICIONO PAGE 359 of 668
ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-01, VERSION 1.0 Sheetu 1 of 2 Status:o-N U, Seismic Walkdown Checklist (SWC)
Equipment:iDNo. X-! o-
!tO
+
- ',i.
. quipz, Class'2_,____........
Equ~ipment~escription 2.0 v7 0 V v41 \\
k0'A 9,
y 4VT e Locatibn: Bldg.,
v,1x. I Floor El. vl.4',
Room, Area 0 G:.4 T Manufacturer; Model, Etc. (optiional but.recommended)
Instr.uctions for Completing Checklist This checklist'may be used to-document the results of the-Seismic 'Walkdown of an item of equipment on the SWEL.'The space'below each of the following questions mayI be used to record the results b'fjudgtsfiitS and findings. Additional space is provided at the end of this checklist for docurmeniting other comments.,
Ahchojraie.
.'t S~UG.
C oP
-/.1/z'
- 1. Is the~anchorage configuration verificatibn required (i.e.,-is the item one YEI-Ntj of the',50% of SWEL items requiring such verification)1 2., Is the anchorage fee of bent, broken, missing or loose hardware?
- 3. Is the anchorage free of corrosion that isýmoremthan mild surface oxidatioan?
- 4. Is the anchorage free of visible cracks in the'concrete near the anchors?
51 Is the anchorage configuration consisten wiih plant documentation?
(Note: This question only applies if the itemjis one of the 50 for Which an anchorage configuration verificationwis required)4
- 6. Based on the above
.anchorage evaiuatios, is the anchorageifree of potentially-adverse seismic.conditions?
ýYC NCI UC N/AC YU NCI UC N/AC]
YCI NC UE] IS/AC YC NCI UC N/A
'YIE NEI UD 1'.Enter the equipment class iame from Appendix B: Classes of Equiiiment.
ý( C-3 >-
PAGE 360 of 668
ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-01, VERSION 1.0 IShee~t 2 of 2
-Seismic Walkdown Checklist (sWC)
Eqluip~mentlD, No.. *:--VO1i
(* *J-I 2. Equi~p. Classl2.... \\I:.......,
tEquipmentDescription "12-0_1L 14-4,j Daml
],AAsY a
interactionEffects (5e.
a cC. 4,,,*-j 3/2.I/tjm)
- 7. Are soft targets free.from.impact by nearby equipment:or structures?
.. Are overhead equipmeni, distribution systems, ceiling tiles and lighting, and masonry block walls not likely toý collapse onto the equiipient?
- 9. Do attached lines have adequate flexibility to avoid damage?
- 10. Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic interaction effects?
YE NE UE N/AF1 YE NE1 U N/AE YE' NE UE[ NIAE YE N[
UE Other Adverse Conditions
- 11. Have you looked for and found~no0.other seismic co0ndbitinsthat could Y.
NE[ UE adversely affect the safety functions of the equipment?,Q, *i*u l-4i%04 orr
-. 4, 4 0,
y
~..
..a..
CDmments(Advditional pages may beadded as necessary)'
Q,,4
@vO Va.i~tJ~
&4ý 0'4 A'~.
ori Date-:
10
[9
- 1.
I
(
< C4, >
PAGE 361 of 668
7ACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-01, VERSIONPO4 I
I i
F PAGE 362 of 668
ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-01, VERSION 1.0 PAGE 363 of 668
'ACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-01, VERSIONRO i
PAGE 364 of 668
ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-01, VERSION 1.0 PAGE 365 of 668
O ACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-01, VERS1000 PAGE 366 of 668
ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-01, VERSION 1.0 Sheet 1. of 2 INU Seismic Walkd Wn Checklist (SWC)
Equipmentil DNo.
I
-"Y 3J*AT°I1 Equip. Class' EnUinment;Description tP *fP*r:
U0 i~.
(ii e< ~3I~4 }~A/t( ~)
Location: Bidg_,V FloorEl.
X14 Room, Area Manufacturer, Model, Etc. (optional but recommended)]
Ae.*kv Instructions' for Completing Checklist This checklist may be used to document the results of the:Seismic Walkdown of al item, of equipment on the SWEL. The spacetbelow each of the foil*oinig questions nmay be used to record the results ofjudgments and findings. Additional space is provided at the end of this checklist for documenting other comments.
Anchorage
- 1. Is the anchorage configuration verification required (i.e., is the item one YoI NIX of the 50% 6f SWEL itemsn rcqiir'ng sqi h verification)?
- 2. is thelanchorage free of bent, broken, missing or loose hardware?!
3.< Is the anchorage" frd of corr6si on that ismore than mild surface oxidation?
Y[A 4,0 Un1 TN/AEJ
- 4. Is the anchorage free of visible cracks in the 6ofncrete near the~anchors?
Y NO UE N/A.l
- 5. Is the an:(.lorage.configira~t.il.conisistent With olant d.cffnrietitafibni?
(Note: This juestion only applies ifthe item.is one of the 50% for twhich ananclorage configuration veri fication is requured')
6 j
Bascd on the~abovc anchorage'cevaluations, is the anclora'gge f ee of potbntially cfdVersc seisnmic CWoditions?
YIZJ IN[
UEJ NIA&+
Ymý Eltic]
!2"Entef the equipmentclm~ass namine fh)-1n Atipendix B: Classes of Equipmncht A C' 3>
PAGE 367 of 668
ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-01, VERSION 1.0 Sheeta of 2, Seismic Walkdown Checklist(SWC)
Equpmenlt LD:No.
V 1O7 Y3-1:V Equip. Class" Equipment Description _
A{
n/c'( 4 pj I 1 ;(e interaction Effects
- 7. Are soft targets fkee. from impact by. nearby equipment or structures?
- 8. Are overhead equipmertitdistributiogn systems, ceiling tiles and lighting, and masonry btof. wals not likely to collapse onto the equipment?
9._ Do attached lines, have adequate flexibility to avoid damage?
10, Based on the above seismic interaction evaluations, is equipmentfree of potentially. adverse seismic interaction effects?
Y[NC[] U[3D N/AC.
YdiNEI UD N/AC]
Y[w/N].U.] N/A]
Y6N C0 Offier Adverse Conditions
'11,Have you looked for and foundno other seismic conditions that could Y[NCE] UC3 adversely'affect te 'safety ftincions of the,equipment?
Comments (Additional pages nmay be added as'necessary)
Evaluated by:
I Date:
2i
< CA >
PAGE 368 of 668
9 ACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-01, VERSIOIPO PAGE 369 of 668
ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-01, VERSION 1.0 Sheet: of 2' Status:0N U Seismic Walkdown Checklist (SWC)
Equipment TODNo.
l
-W1-1411 ti1-Equip. Class!'ý i a Equipment Description
)j c
- C_* lju,-,e j
L Location:ý Bldag.
ooEl.'too uoo.
Room,Area
...\\ i Manufaciurer, Model, Etc. (optional but recommended)
Instructions for Completing Cheeklist This checklist may ::beused ~to document the results:6f the Seismic Walkd6wn of an item of equipment on the SWvEL. Theipace below each of the following questions may be used t6"record the results ofjudgments and findings. Additional space is provided at the end of this checklist for documenting other co6ments.
- 1. Is the anchorage configuration verification required (i.e., is the item one of the 50% of SWEL items requiring siich verification)?
YEI NE]
- 2. Is the anchorage free of bent, brokken, missing or loose hardWare?
- 3. Is the anchorage free:obfcorros*iqn that is more than mild surface oxidation?-
- 4. Is the ancihpragel frley ofvisible cracks it the Concrete near the anchors?
- 5. Is the anchbrage confikuration consistent with piait docuinentation?
(Note: This qu,stion only applies if the item is i6e of the 50% for
,which an ~anchorage configuration verification is required.)
- 6. Based on the abo0e'ahcficoiage evaluations, is the anchorage free of potentially adverse seismic conditions?
YE] NE] UE] NIAE]
YE] NE] Urn N/AE]
YE] NC.E U0 NI YE] NEI UEJ] N/At]
YE] NO, UE]
12Enter the equipment class name frm AppendixB: Classesof.Equipment.
PAGE 370 of 668
ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-01, VERSION 1.0 Sheet 2 of 2 Seismic Walkdown, Checklist(SWC)
Equipment DNo". -
I 3KLPIli Equip. Class'*
i Equipment Descript~ibn
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Ve,-4e.r* :I. 1 : 3, :.i 11-Interaetion Effects
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- 7. Are soft targets free from impact by ne~rby equipmentor structures?
- 8. Are overhead eqUipment, distribution'.systems, ceiling tiles and Ilighting, and masonry block ivwalls not likely fo' collapse onto the equipment?
- 9. Do attached lines have adequate~flexibility to avoid, damage?
- 10. Based onthe above seismic interaction evaluations, is equipment free ofpotentially adverse.seismic interaction effects?
YQ 'N UEI N/ACE YEI NEI U11 N/AC1 YEI NEI U0 N/AC YO NEI UE]
Other Adverse Conditions
- 11. Haveyou looked for and found n6 other'seismic conditibns1-hat.could Y[q NEI U-E adversely affect the safety functions of the equipment?
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- ptc.Woi 64.4h lNcirI%.A c VNomnen.cdovV6 Jn pages va be added as.
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"Commnents (A-dditional pages may. be added as necessaiyv)
Vi) ovw-.
Evaluated by:
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.< C.4 >:
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ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-01, VERSION 1.0 I
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ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-01, VERSION 1.0
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ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCV061-RPT-01, VERSION 1.0
'4 I
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