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S~DominionDominion Nudlear Connecticut, Inc. Millstone Power Station Rope Ferry Road Waterford, CT 06385 DEC 3 1 2002
Docket Nos. 50-245 50-336 50-423
B18816
RE: 10 CFR 50, Appendix E 10 CFR 50.47(b)(5)
U.S. Nuclear Regulatory Commission Attention: Document Control Desk Washington, DC 20555
Millstone Power Station, Unit Nos. 1, 2 and 3 Revised Emergency Plan Procedures
In accordance with 10 CFR 50, Appendix E, Dominion Nuclear Connecticut, Inc., hereby notifies the Nuclear Regulatory Commission that the Emergency Plan procedures described below have been implemented.
MP-26-EPI-FAP09, "Radiation Exposure Controls," Major Revision 1, and the following associated forms are transmitted via Attachment 1:
"* MP-26-EPI-FAP09-002, "DDE Limit Reduction," Major Revision 1; "* MP-26-EPI-FAP09-003, "KI Tablet Issue Authorization and Tracking
Sheet," Major Revision 1; "* MP-26-EPI-FAP09-005, "Calculation of 1-131 Activity Worksheet
Based on HP-210 Count," Major Revision 1; and
"* MP-26-EPI-FAP09-006, "Thyroid CDE Based on Field Air Samples," Major Revision 1.
MP-26-EPI-FAP15, "Common Forms," Major Revision 1, and the following associated forms are transmitted via Attachment 2:
"* MP-26-EPI-FAP15-001, "DSEOIADTS Briefing Sheet," Major Revision 1;
"* MP-26-EPI-FAP15-002, "RMT Instrument, Battery, and Source Check Sheet," Major Revision 1;
"* MP-26-EPI-FAP15-003, "Radiation Monitoring Point Data Sheet," Major Revision 1;
"* MP-26-EPI-FAP15-004, "Plant Parameter Data Requested/Provided," Major Revision 1;
"* MP-26-EPI-FAP15-005, "Personnel Contamination Status," Major Revision 1;
"* MP-26-EPI-FAP15-006, "OFIS Instructions," Major Revision 1; "• MP-26-EPI-FAP15-007, "Critical Parameter Data Sheet - MPI," Major
Revision 1;
1,04S
U.S. Nuclear Regulatory Commission B18816/Page 2
"* MP-26-EPI-FAP15-008, "Critical Parameter Data Sheet - MP2," Major Revision 1;
"* MP-26-EPI-FAP15-009, "Critical Parameter Data Sheet - MP3," Major Revision 1;
"* MP-26-EPI-FAP15-010, "Emergency Team Briefing Sheet," Major Revision 1;
"* MP-26-EPI-FAP15-011, "Fitness for Duty Questionnaire," Major Revision 1;
"* MP-26-EPI-FAP1 5-012, "SERO Log Sheet," Major Revision 1;
"* MP-26-EPI-FAP15-013, "EOF Air Handling and High Radiation Filtration System," Major Revision 1; and
"* MP-26-EPI-FAP15-014, uState Police, Waterford Police, and Tri-Town Radio System," Major Revision 1.
There are no regulatory commitments contained within this letter.
If you have any questions concerning this submittal, please contact Mr. David W. Dodson at (860) 447-1791, extension 2346.
Very truly yours,
DOMINION NUCLEAR CONNECTICUT, INC.
.••N~D. ýHicks, Offr'ector
uclear Station Safety and Licensing
Attachments (2)
cc: H. J. Miller, Region I Administrator (2 copies) R. J. Conte, Chief, Operational Safety Branch, Region I
cc: w/o attachments
D. G. Holland, NRC Project Manager, Millstone Unit No. 1 J. R. Wray, NRC Inspector, Region I, Millstone Unit No. I R. B. Ennis, NRC Senior Project Manager, Millstone Unit No. 2 V. Nerses, NRC Senior Project Manager, Millstone Unit No. 3 Millstone Senior Resident Inspector
Docket Nos. 50-245 50-336 50-423
B18816
Attachment 1
Millstone Power Station, Unit Nos. 1, 2 and 3
Emergency Procedures Implementing (EPI) Functional Administrative Procedure (FAP) MP-26-EPI-FAP09, "Radiation Exposure Controls," Major Revision 1,
and Associated Forms
oam t a,
Approval Date
09/03102 Effective Date
Procedure Action Request
DocuentNo. MP26-PI-APO I ritr Tom Rigney Rev. No. Minor Rev. D N 001 00 Title: Radiation Exposure Controls
For New Documents Document Is OA 0 DH Title: 0 Revision 0 Minor Revision [0 Cleanup Revision [ Biennial Review
0 Cancel 13 Vold (Do Not Use) 13 Expire [3 Superceded By.
Comments: n Administrative Correction FLS:
CR-02-10545
T fFe - 00 1 To q -D0 o 5-00 v 00 I
TRPOCI -oOu Rev 001 Reviews Print Sign Date Department
_UcensingBasis a1 4_S(
(50.59 Screen Req. Yes VfNo) L '
Tech independent ~~~ ~ L2P
Validation None [ Feld -Use 1J Simulated Performance - 0 Table Top and []Comparison
MP-O0.DC-SAPOI-004 Use MP.05-DC-SAP01-004 Walk-through
(mirnum of Print Sign Date Dept two) Coordinator
Member
Training: 'J None [I Nuclear Training [] Briefing [0 Familiarization
- SOR Review and Approval F1 SORC Review and Approval -- Department Head Review and Approval
Approval [S Disapproval r-I
S(1) Department Head Sign/Date (1) Department Head Approval Sign
Sign/Date (1ý (2) SORC Meeting Number
(2) Deparment Had proval Sign __ova Sin
Approval Date: IIf ,oL--- Effective Date: ! .1310;-
MP-05-DC-FAPOI.1-005 Rev. 000 Pagelofi..
LI
Functional Administrative Procedure AIM
Millstone Station
Radiation Exposure Controls
MP-26-EPI-FAP09
Rev. 001
Approval Date:
Effective Date:
If)3o-z
I, I
w W**
TABLE OF CONTENTS
1.PURPOSE ................................................................................................................................... 3
1.1 Objective ............................................................................................................................... 3
1.2 Applicability ......................................................................................................................... 3
1.3 Supporting Documents ......................................................................................................... 3
1.4 Discussion .................................................................................................................... 3
2. INSTRUCTIONS ........................................................................................................................ 4
2.1 Emergency Worker Exposure Controls and Increased Exposure Authorization ............. 4
2.2 Potassium Iodide (KI) Use and Distribution ................................................................... 6
3. SUMMARY OF CHANGES ................................................................................................ 8
3.1 Rev. 001 ................................................................................................................................ 8
3.2 Rev. 0(0 ................................................................................................................................. 8
ATTACHMENTS AND FORMS
Attachment 1 Definitions and Abbreviations ...................................................................... 9
Attachment 2 Responsibilities ............................................................................................. 10
Attachment 3 Emergency Exposure Control Guidance ........................................................... 11
Attachment 4 Health Risk§ of High Doses of Radiation ..................................................... 12
MP-26-EPI-FAP09-001, "Increased Radiation Exposure Authorization"
MP-26-EPI-FAP09-002, "DDE Limit Reduction"
MP-26-EPI-FAPo9-003, "KI Tablet Issue Authorization and Tracking Sheet'"
MP-26-EPI-FAP09-004, "Emergency Worker Access and Exposure Control Log"
MP-26-EPI-FAP09-005, "Calculation of 1-131 Activity Worksheet Based on HP-210 Count"
MP-26-EPI-FAP09-006, "Thyroid CDE Based on Field Air Samples"
MP-26-EPI-FAP09 Rev. 001 2of 13
I
1. PURPOSE
1.1 Objective
This procedure provides guidance for personnel radiation exposure control, emergency dosimetry, and Potassium Iodide (KI) issuance during events which activate the Station Emergency Response Organization (SERO).
1.2 Applicability
An event has been classified as an emergency in accordance with MP-26-EPI-FAP06, "Classification and PARs."
1.3 Supporting Documents
RPM 1.5.4, "Response to a Contaminated Injured Person"
RPM 2.1.1, "Issuance and Control of RWPs"
RPM 2.1.2, "ALARA Interface With the RWP Process"
MP-26-EPI-FAP02, "Technical Support Center Activation and Operation"
MP-26-EPI-FAP04, "Emergency Operations Facility Activation and Operation"
C-OP 200.3, "Response to Medical Emergencies"
KI Qualification Index I 1.4 Discussion
1.4.1 Exposure Control
When an Alert or higher classification has been declared, exposures up to a Total
Effective Dose Equivalent (TEDE) of 4.5 Rem per year (inclusive of year-to-date exposures) are automatically authorized within the 10 CFR 20 limit of 5 Rem. Emergency exposures are exposures which may be authorized above 10 CFR 20
limits to enable SERO personnel to operate the plant and take actions to mitigate the effect of the emergency to plant systems and the public (see Attachment 3 for
required authorizations). Emergency exposure guidelines are established per EPA 400.
If exposure > 25 Rem is expected, the mission is voluntary and the potential
health effects of the increased exposure have to be explained to the volunteer (Refer to Attachment 4, "Health Risks of High Doses of Radiation").
1.4.2 Issuance of KI
The issuance of KI is based on the determination of a release in which radioiodine exposure may result in an Emergency Worker's accumulated dose of 50 Rem or greater to the thyroid. The MRCA will make the recommendation for issuance of
KI to the ADTS for on-site personnel. The MRDA will make the recommendation for issuance of KI to the ADEOF for off-site SERO personnel. The appropriate Assistant Director is then responsible for authorizing the use of KI.
1.4.3 Definitions and abbreviations are contained in Attachment 1. Responsibilities are
contained in Attachment 2.
MP-26-EPI-FAP09 Rev. 001 3 of 13
2. INSTRUCTIONS
2.1 Emergency Worker Exposure Controls and Increased Exposure Authorization
EPA-400 allows for an unrestricted emergency worker exposure of 5 Rem during a declared event, regardless of 10 CFR 20 occupational exposure previously received.
For ALARA purposes at Millstone, an ALERT or higher declaration automatically increases exposures to 4.5 Rem TEDE less annual exposure to date. If dosimetry records are unavailable for prompt deployment, a 1.5 Rem TEDE limit may be assumed. (4.5 Rem emergency worker limit minus 3 Rem station administration limit on dose from all licensees combined).
2.1.1 Refer to Attachment 3, "Emergency Exposure Control Guidance," and develop Mission Specific Exposure Limits and assign those limits to emergency workers based on their task considering the work environment, event conditions and ALARA practices.
2.1.2 IF the dose received for the mission is expected to exceed 4.5 Rem, Refer To and complete MP-26-EPI-FAP09-001, "Increased Radiation Exposure Authorization," and submit for approval.
2.1.3 IF the dose received for the mission is expected to exceed 25 Rem, perform the following:
a. Obtain DSEO approval.
b. Explain the consequences of large exposures to the volunteer. Refer To Attachment 4, "Health Risks of High Doses of Radiation."
2.1.4 IF the source of exposure is expected to include a significant amount of non-noble gases (such as when fuel failure is imminent or has occurred):
a. Determine the TEDE to DDE ratio using MP-26-EPI-FAP09-002, "DDE Limit Reduction," and base the Mission Specific Exposure Limits on corrected DDE values.
b. Calculate a TEDEIDDE ratio for each mission whenever environmental conditions are expected to differ.
2.1.5 Refer To MP-26-EPI-FAP09-004, "Emergency Worker Access and Exposure Control Log," and log exposure information for personnel dispatched from TSC, OSC, OSCAA, and Control Rooms, as applicable.
2.1.6 In addition to the DDE limit reduction developed in MP-26-EPI-FAP09-002, "DDE Limit Reduction," consideration should be given to the following items when determining DDE dose limit restrictions:
* Measured air sample results
MP-26-EPI-FAP09 Rev. 001 4 of 13
* Use of respiatory protection
• [• sensitive radiation instrument response
2.1.7 Refer To RPM 2.1.2, "ALARA Interface with the RWP Process," and develop respiratory protection/PPE recommendations.
2.1.8 IF emergency workers receive emergency exposures in excess of Emergency Exposure Limits, perform the following:
* Determine exposure conditions and status and notify the DSEO (via the ADTS or ADEOF as appropriate).
* Maintain dosimetry records of personnel who have received excess emergency exposures for the dosimetry laboratory.
• Perform whole body counts and bioassays, as necessary.
• Transport potentially contaminated or highly exposed personnel to off-site medical facilities, as necessary.
2.1.9 IF emergency workers receive exposures in excess of 10 CFR 20.1201, initiate NRC notification per 10 CFR 20.2202 through the MOC, as soon as possible, without interfering with the emergency actions or prompt actions to protect health and safety.
- End of Section 2.1 -
MP-26-EPI-FAP09 Rev. 001 5 of 13
2.2 Potassium Iodide (KI) Use and Distribution
2.2.1 Calculate thyroid CDE using MP-EPI-FAP09-006, 'Thyroid CDE Based on Field Air Samples," when air sample results are available.
The inhaled iodine dose rate from airborne concentrations of radioiodine is based on the following rule of thumb:
Breathing 6x10l7 gCi/cc of 1-131 for I hour = 1 Rem to Thyroid (Adult)
2.2.2 WHEN the control and issue of KI has been determined as the appropriate response to emergency conditions, notify the appropriate Assistant Director (ADTS or ADEOF).
2.2.3 WHEN approval has been granted to initiate the KI tablet issue process by the Assistant Director, perform the following:
a. Log the date, time and justification for when approval was granted.
b. IF needed, request that the MOR call in clerical or medical staff to assist in KI tablet issue and documentation.
NOTE 1. The "KI Qualifications Index" is located in the EOF and OSC.
2. KI should not be administered to individuals with known allergies to shellfish.
3. Optimum protection of the thyroid gland against radioiodine exposure is achieved when KI is administered within 4 hours preceding or 4 hours following an acute radioiodine dose.
4. KI Tablets are located in each unit control room, the EOF, the TSC/OSC lockers in the ventilation room, and in each RMT Kit.
2.2.4 Review "KM Qualifications Index" and determine emergency workers qualified to
receive KI tablets.
2.2.5 Direct HP personnel to complete the following:
Issue a copy of MP-26-EPI-FAP09-003, "KI Tablet Issue, Authorization, and Tracking Sheet," for each emergency worker scheduled to receive KI and track use of KI.
MP-26-EPI-FAP09 Rev. 001 6 of 13
NOTE Consider the administration of KI to emergency workers during radiological releases in which radioiodine exposure is projected to result in an dose of 50 Rem or greater to the thyroid. The total accumulated dose is based on the inhaled iodine dose rate from airborne concentrations of radioiodine plus the gamma dose rate.
I
* Direct authorized emergency workers to read the "KM Information Sheet" section of MP-26-EPI-FAPO9-003 and advise personnel that the use of KI is voluntary.
* Issue first KI tablet to emergency workers.
2.2.6 Refer To MP-26-EPI-FAP09-003, "KM Tablet Issue, Authorization, and Tracking Sheet," and track the control and issue of KI tablets for each authorized emergency worker.
a. Ensure authorized emergency workers are only taking one (1) 130 mg KI tablet for each 24 hour period.
b. Ensure a 10 consecutive day limit for KI tablet use is tracked for each authorized emergency worker.
c. Log Senior Company Physician approval for each extension of the 10 consecutive day limit for KI tablet use.
- End of Section 2.2 -
MP-26-EPI-FAP09 Rev. 001 7of 13
I
3. SUMMARY OF CHANGES
3.1 Rev. 001
3.1.1 The following changes were made as a result of a biennial review (CR-02-10545):
a. Added reference to MP-26-EPI-FAP04-004, "Emergency Worker Access and Exposure Control Log."
b. Various editorial changes including:
* Change word "List" to "Index" in Section 1.3 and 2.2.
* Deleted reference to RPM 2.1.2 in Section 1.3.
* Added "MP-26-" to references to EPD procedures.
* Deleted word "incident" from first paragraph of Section 1.4.
* Added word "dose" to Section 1.4.2.
* Deleted reference to "Nurses Office" in EOF in note with step 2.2.3.
* Revised wording in Definitions Section of Attachment 1.
* Revised reference to C OP 204 to C OP 200.3 in Attachment 3.
* Deleted "MRCA or Designee" from step 6 of FAP09-005.
c. Added Caution to Section 2.1 prior to step 2.1.1.
3.2 Rev. 000
3.2.1 Original Issue
MP-26-EPI-FAP09 Rev. 001 8of 13
Attachment 1 Definitions and Abbreviations
(Sheet I of 1)
Definitions
Computer Based Exposure Tracking System (BETS) - A station approved database, such as
PREM or Fastrak, used to track personnel radiation exposure.
Emergency Worker - Any utility, contractor, or other personnel performing duties in support of
the Station Emergency Response Organization during a declared emergency at Millstone Station.
Life Saving Exposures - There are no upper limits for emergency life-saving and protection of
large populations. The DSEO shall authorize any dose extension greater than 25 Rem.
Acceptance by emergency workers is voluntary.
Mission Specific Exposure Limits - Exposure limits required to conduct a specific task or
mission.
Protection of Valuable Property (Exposure) - EPA 400 recommends 10 Rem limit.
Abbreviations
ADEOF - Assistant Director Emergency Operations Facility
ADTS - Assistant Director Technical Support
ALARA - As Low As Reasonably Achievable
DSEO - Director of Station Emergency Operations
MOR - Manager of Resources
MRCA - Manager of Radiological Consequence Assessment
MRDA - Manager of Radiological Dose Assessment
RMT - Radiation Monitoring Team
TEDEIDDE - Total Effective Dose Equivalent/Deep Dose Equivalent
MP-26-EPI-FAP09 Rev. 001 9 of 13
Attachment 2 Responsibilities
(Sheet I of I)
1. The Director of Station Emergency Operations (DSEO) is responsible for authorizing
emergency exposures greater than 25 Rem.
2. The Assistant Director, Technical Support (ADTS) is responsible for approving the
Manager of Radiological Consequences Assessment's (MRCA) recommendations for
emergency exposure upgrades up to 25 Rem and for authorizing KI issuance for SERO
emergency workers within the protected area fence.
3. The Assistant Director, Emergency Operations Facility (ADEOF) is responsible for
approving the Manager of Radiological Dose Assessment's (MRDA) recommendations for
emergency exposure upgrades up to 25 Rem and for authorizing KI issuance for SERO
emergency workers outside the protected area fence.
4. The MRCA is responsible for recommending emergency dosimetry issuance, personnel
radiation exposure limits including Mission Specific Exposure Limits, and KI issuance to
the ADTS and implementing the approved actions.
5. The on-shift Health Physics (HP) Technician is responsible for providing dosimetry and
guidance on radiation exposure control to Control Room personnel.
6. The Computer Based Exposure Tracking System (CBETS) Operators are responsible for
utilizing the current exposure tracking system and providing radiation exposure reports to
SERO personnel as requested by the MRCA.
7. The Manager of Radiological Dose Assessment (MRDA) is responsible for recommending
and implementing exposure limits upgrades, and the issuance of KI for off-site
Radiological Monitoring Team (RMT) personnel.
MP-26-EPI-FAP09 Rev. 001 10 of 13
Attachment 3 Emergency Exposure Control Guidance
(Sheet i of 1)
NOTE
For many accident scenarios, only noble gases are released and hence, the contribution
of non-noble gasses to TEDE is negligible. This allows emergency worker exposure
limits to be based on the measurement of DDE. If it is determined that the iodine/particulate dose is a substantial contributor to the TEDE, additional dose contribution for non-noble gasses must be evaluated (per EPI-FAP09-002). Special on
site conditions may require independent review/special evaluation.
Emergency exposure control at Millstone is conducted in a step process. For events classified at
the Unusual Event level, normal operational exposure control limits and levels are maintained in
accordance with 10 CFR 20 per station procedures. At Alert and higher classification levels, dose
limits are automatically extended to 4.5 Rem and continue to follow 10 CFR 20 criteria (any
emergency dose is added to any accumulated annual dose to establish control limits). For
situations where exposure may exceed 4.5 Rem, dose accumulated during the emergency follows
EPA-400 criteria and is independent of any prior occupational exposure. The table below assumes an Alert or higher classification has been declared:
If the following condition is expected The following may be applicable
Dose (including annual exposure to date) Ls Emergency workers may be dispatched without exposure not expected to reach 4.5 Rem TEDE extension.
Dose (accumulated during the emergency) Assistant Director approval required for exposure mav reach 10 Remn TEDE for actions > 4.5 Rem and <10 Rem. needed to protect valuable property. Dose (accumulated during the emergency) Assistant Director approval required for exposure may reach 25 Rem TEDE for actions > 4.5 Rem and 5 25 Rem. needed for lifesaving or protection of large populations. Dose (accumulated during the emergency) a. DSEO approval required for exposures > 25 Rem. may exceed 25 Rem TEDE for actions b. Exposure is voluntary. needed for lifesaving or protection of large c. Risks of exposure explained to volunteers populations.
Contaminated or highly exposed individual Addressed by C OP 2003 or RPM 1.5.4. requires evaluation for medical attention.
I
MP-26-EPI-FAP09 Rev. 001 11 of 13
Attachment 4 Health Risks of High Doses of Radiation
(Sheet I of 2)
Health Effects Associated with Doses Received Within a Few Hours(a)
Whole Body Early Whole Body Prodromal
Absorbed Dose Fatalities"' Absorbed Dose Effects(c)
(rad) (%) (rad) (% affected)
140 5 50 2
200 15 100 15
300 50 150 50
400 85 200 85
460 95 250 98
(a) Risks will be lower for protracted periods.
(b) Supportive medical treatment may increase the dose at which these frequencies occur by
approximately 50 percent.
(c) Forewarning symptoms of more serious health effects associated with large doses of ionizing
radiation (such as changes in blood characteristics, headaches, nausea, diarrhea).
Approximate Cancer Risk to Average Individuals
from 25 Rem Effective Dose Equivalent Delivered Promptly
Age at Approximate Risk of Average Years of Life
Exposure Premature Death Lost if Premature
(years) (deaths/1000 people exposed) Death Occurs (years)
20 to 30 9.1 24
30 to 40 7.2 19
40 to 50 5.3 15
50 to 60 3.5 11
MP-26-EPI-FAP09 Rev. 001 12 of 13
I 12.of.1
Attachment 4
Health Risks of High Doses of Radiation
(Sheet 2 of 2)
NOTE: All doses shown are total effective dose equivalent in Rem.
Volume or Risk of injury in five years
Organ Area of Exposure, 5 percent 50 percent Type of Injury
Bone marrow whole 230 340
segment 1135 1360 aplasia and pancytopenia
Liver whole 1000 1360 acute and chronic hepatitis
Stomach 100 cm2 1464 1665 ulcer, perforation, hemorrhage
Intestine 400 cm2 1465 1665
100 cm 2 1570 1855 ulcer, perforation, hemorrhage
Lung whole 720 1000
100 cm2 1135 1245 acute and chronic pneumonitis
75 percent 770
Kidney whole 875 1000 acute and chronic ephrosclerosis
Brain whole 1770 1950 infarction, necrosis
Spinal cord 10cm 1465 1665 infarction, necrosis
Heart 60 percent 1465 1665 pericarditis and pancarditis
Skin - 1665 1950 ulcers, fibrosis
Fetus whole 200 314 death
Lens of eye whole 355 620 cataracts
Ovary whole 200-430 410-875 permanent sterilization
Testes Whole 340-720 410-475 permanent sterilization
' Dose delivered in 200 Rad fractions, 5 fractions per weeL
MP-26-EPI-FAP09 Rev. 001
08r20 Effective DateApproval Date
Procedure Action Request /Document No.: MP-26-EPI-FAP09 I Writer. Tom Rigney I Rev. No. 00
Title: Radiation Exposure Controls
For New Documents Document is QA 0 DH Title:
E2 Revision 03 Minor Revision 0 Cleanup Revision [ Biennial Review
Ocancel O Vod (Do Not Use) 0-I F.re 13 Superceded By*
Comments: 0 Administrative Correction FLS:
CR-02-10545
Thcm U& cct -Th -0;- IZO 00 1 - Aftq--00 fev 00 1 Fpo0q-005o ,XR 00'\
I 4APOpC -OO(-. ReV 001 Reviews Print Sign Date Department
writerDs Guide E (Yl ifi~111§ ROD ____ & A*
Envkrorwnentae Screen 60I -- k/#r , 40LLicensing Basis -1= 1 (50.59 Screen Req. 03 Yes V1No) I___ Tech Independent ~J- ~ (I%~A ~ ~~2P
Validation None [ Field -Use [J Simulated Performance- L Table Top and []comparison
MP-05-DC-SAPO1-004 Use MP-0S-DC-SAP01-004 Walk-through
(mnimnum of Print ISign Date I Dept two) • Coordinator
Member
Training: 'RNone [ Nuclear Training [0 Briefing [I Famfuaiization
-' SOR Review and Approval F1 SORC Review and Approval F1 Department Head Review and Approval
Approval [Z DIsapp•rval [
L tlr•.AzJ O' (1) Deparlnent Head SignD•ate (1) Department Head Approval Sign
(1)~~Qfi1 ~~~ SigntDate _____________
(2) SORC Meeting Number
(2) earlint (3) SORC Approval Sign
Approval Date: II 1,a)od-1-- Effective Date: I/;. 13/02
MP-05-DC-FAPOI.1-005 Rev. 000 Page I of A
Approval Date
edve 3/oDEffective Date
DDE Limit Reduction
NOTE
TEDE will normally be controlled by the measurement of DDE. Dose due to iodine/particulates
can be a substantial contributor to the TEDE. Limiting the DDE to a factor below the DDE exposure limit will assure the TEDE limit is not exceeded.
Misin
1. Determine and circle the appropriate iodine/particulate Total Decontamination Factor
(DF) based on the accident type and plant conditions.
Accident Type Total DF (without cleanup)* Total DF (with cleanup)b LOCA in containment with sprays 300 30,000 if filtered
LOCA in containment without sprays 30 3,000 if filtered
Dry LOCA 10 1,000 if filtered
Steam Line Break 1000 100,000 if filtered
SGTR 100 10,000 if via SJAE
Fuel Handling - flooded 500 50,000 if filtered
Fuel Handling - not flooded 1 100 if filtered
Other Accidents Ask RAE Ask RAE
a. Includes combined DFs from partitioning (scrubbing), plateout (surface removal), and washout (sprays).
b. Cleanup refers to filtering, and the SJAE in the case of a SGTR. Filtering is performed only by EBFS, SLCRS,
ABFS, or FBVF - and the system must be operating.
2. Determine and circle the corresponding TEDE/DDE ratio from the DF above.
Total DF TEDE/DDE Ratio 1 hour since RX shutdown 10 hours since RX shutdown'
10 25(5)b 1oo(6oIV 100 5 25(10)f 1000 or greater 2 3
a. For times between 1 hour and 10 hours, linear interpolation is conservative. After 10 hours, to determine the
ratio the measured field air sample analysis must be relied upon to adjust the dose model.
b. Numbers in parentheses specify the corrected ratio if KI is issued to the Emergency Worker.
3. Divide the targeted 'EDE limit (5, 10, 25 Rem) by the ratio to determine the corresponding DDE limit.
TEDE Limit - DDE Limit TEDE / DDE Ratio
DDE Limit = (Rem)
MP-26-EPI-FAP09-002 Rev. 001 Pa-we I of I
II Misin
I
0c20/02 Approval Date
09/03102 Effective Date
Procedure Action Request Document No.: MP-26-EPI-FAP09 I Wrer. Tom Rigney I Rev. No. Minor Rev.
7I 1 001 I 00 Ttle: Radiation Exposure Controls
For New Documents Document is QA 0 DH Tidle:
[] Revision E0 Minor Revision 0 Cleanup Revision Eg Biennial Review
03 Cancel 0 Void (Do Not Use) 0 Expire [0 SupercededBy:.
Comments: [0 Adminisbative Correction FLS:
CR-02-10545
TAm- ' .-. O0 , ,i3 001
"FFRoq-oW oa0 001 ;FROOq -Co•o Rev 001 Reviews Print Sign Date Department
0
lxi -i4 e Wrifees Guldo 0 ~
Environmenta Screen
(5.9SrenRq YsVo 414
Validation None 0 Field- Use 0 Simulated Performance - [I Table Top and EOcomparison MP.05.C-SAPOI.004 Use MP405.DC-SAPOI-004 Walk-through
(minimum of Print iSign Date I)ePt
two) Coordinator
Member
IgNone 0 Nuclear Training 0 Briefing 0 Farmliarization
I[ SOR Review and Approval fl SORC Review and Approval El Department Head Review and Approval
Apprval i~Disapproval [] ____________ _____________
S(1) Department Head SIgiVDate (1) Department Head Approval Sign
S_(2) SORO Meeting Number
(2) Department Head 4fproval Sign 1 _(3) SOR G Approval Sign
Approval Date: 11 ,010 _- Effective Date: I;L/3/0
MP-05-DC-FAPOI.1-005 Rev. 000 Page I of
Training:
Approval Date
!ci3/oie -a Effective Date
KI Tablet Issue Authorization and Tracking Sheet
Employee Name:
ED) or Social Security Number:
SERO Position Title:
NOTE
KI shall not be administered beyond the 10 consecutive day limit for each authorized emergency worker without approval from the Senior Company Physician.
KI Tablet Administration
MP-26-EPI-FAPM9-003 Rev. 001 Pace I of 3
Dose Date Taken Administered/Tracked By
1
2
3
4
5
6
7
8
9
10
I
KI Information Sheet
You may take Potassium Iodide (KI) even if you are taking other medications for a thyroid
problem (for example, a thyroid hormone or anti-thyroid drug).
If recommendation is made to take KI, you should ingest one KI tablet every 24 hours. Large
daily doses of KI will not help you because the thyroid can "hold" only limited amounts of
iodine. Additionally, larger doses may increase the risk of side effects. You will be told not to
take KI for more than 10 consecutive days without specific prior approval of the Senior Company
Physician.
SIDE EFFECTS
The side effects of KI occur when individuals take higher doses than normal for greater than 10
days. You should take only the KI issued at the site and not take it for longer than you are
instructed. Side effects of KI are unlikely due to the low dose and the short duration you will be
taking the medicine.
Possible side effects are skin rashes, swelling of the salivary glands, and "iodism" (metallic taste,
burning mouth and throat, sore teeth and gums, symptoms of head cold, and sometimes stomach
upset and diarrhea).
Some people may experience an allergic reaction with more serious symptoms. These individuals
typically have a known allergy to shellfish. Symptoms of an allergic reaction may include fever
and joint pain, swelling of parts of the face and body, and in some cases, severe shortness of
breath requiring immediate medical attention.
In rare cases, taking KI may cause overactivity of the thyroid gland, underactivity of the thyroid
gland, or enlargement of the thyroid gland (goiter).
WHAT TO DO IF SIDE EFFECTS OCCUR
If you have an allergic reaction, or the side effects are severe, stop taking the KI tablets. Seek
immediate medical attention by fastest means available (up to and including calling 9-1-1).
Notify the appropriate SERO Manager/Director as soon as possible.
MP-26-EPI-FAP09-003 Rev. 001 Page 2 of 3
INDICATIONS THYROID BLOCKING IN A RADIATION EMERGENCY ONLY.
DIRECTIONS FOR USE Use only as directed by State of local public health authorities in the event of a radiation emergency.
DOSE Tablets: ADULTS AND CHILDREN 1YEAR OF AGE
OR OLDET: One (1) tablet once a day. Crush for small children
BABIES UNDER 1 YEAR OF AGE: One-half (1/2) tablet once a day. Crush first.
Take for 10 days unless directed otherwise by State or local public health authorities.
Store at controlled room temperature between I' and 30" C (59" to 26' F). Keep container tightly dosed and protect from light.
WARNING Potassium iodide should not be used by people allergic to iodine. Keep out of te reach of children. In cas of overdose or allcegc reaction, contact a physician or the public health anthority.
DESCRIPTION Each THYRO-BLOCK® TABLET contains 130 mg of potassium iodide. Other ingredients: magnesium stearatc, microcrystalline cellulose, silica gel, sodium thiosulfate.
THYRO-BLOCK® TABLETS
(POTASSIUM IODIDE TABLErS, USP) (pronounced poe-TASS-e-um EYE-oh-dyed)
I(abbreviated: KI)
TAKE POTASSIUM IODIDE ONLY WHEN PUBLIC HEALTH OFFICIALS TELL YOU. IN A RADIATION EMERCENCY, RADIOACTIVE IODINE COULD BE RELEASED INTO THE AIR. POTASSIUM IODIDE (A IORM OF IODINE) CAN HELP PROTECT YOU.
IF YOU ARE TOLD TO TAKE THIS MEDICINE. TAKE IT ONE TIME EVERY 24 HOURS. DO NOT TAKE IT MORE OFIEN. MORE WILL NOT HELP YOU AND MAY INCREASE THE RISK OF SIDE EFFECTS. DO NOT TAKE THIS DRUG IF YOU KNOW YOU ARE ALLERGIC TO IODINE. (SEE SIDE EFFECTS BELOW.)
1W-04Ti-OI
WAJLLA(X BOIBATORM~
CAmby.St-WA JmAMyCOSI Crmtm.Xewkncy8513evw215
MP-26-EPI-FAP09-003 Rev. 001 • Page 3 of3
HOW POTASSIUM IODIDE WORKS Certain forms of iodine help your thyroid gland work right. Most people get the iodine they need from foods, like iodized alt or fish. The thyroid can "'tore" or hold only a certain amount of iodine.
In a radiation emergency, radioactive iodine may be released in the air. This material may be breathed or swallowed. It may enter the thyroid gland and damage it. The damage would probably not show itself for years. Children are most likely to have thyroid damage.
If you take potassium iodide, it will fill up your thyroid gland. This reduces the chance that harmful radioactive iodine will eanter the thyroid gland.
WHO SHOULD NOT TAKE POTASSIUM IODIDE The only people who should not take potassium iodide ane people who
know they are allergic to iodine. You may take potassium iodide even if you are taking medicines for a thyroid problem (for example, a thyroid
hormone or anti-thyroid drug). Pregnant and nursing women and babies and children may also take this drug.
HOW AND WHEN TO TAKE POTASSIUM IODIDE Potassium Iodide should be taken as soon as possible after public health officials tell you. You should take one dose every 24 hours. More will not help you because the thyroid can "hold" only limited amounts of iodfie. Lamger doses will increase the risk of side effects. You will probably be told not to take the drug for more than 10 days.
SIDE EFFECTS Usually, side effects of potassium iodide happen when people take higher doses for a long tme. You should be careful not to take more than the recommended dose or take it for longer than you amc told. Side effects are unlikely because of the low dose and the short time you will be taking the drug.
Possible side effects include skin rashes, swelling of thde salivary glands, and "iodism" (metallic taste, burning mouth and thrmoat, sore teeth and gums, symptoms of a head cold, and sometimes stomach upset and diarrhea).
A few people have an allergic reaction with more serious symptoms. These could be feve and joint pains, or swelling of parts of the face and body and at times severe shortness of breath requiring immediate medical
attention. Taking iodine may rely cuse, overactivity of the thyoid gland, underactivity of the thyroid gland, or enlargement of the thyroid gland (goir).
WHAT TO DO IF SIDE EFFECTS OCCUR If the aide effects am revere or if you have an allergic reaction, stop taking potassium iodide. Then, if possible, call a doctor or public health authority for instructions.
HOW SUPPLIED THYRO-BLOCK® TABLETS (Potassium Iodie Tablets, UPS) bottles of 14 tablets (NDC 0037-0472-20). Each white, mund, scored tablet contains 130 mg potassium iodide.
4=0/02 Approval Date09/03W1
Effeclive Date
Procedure Action Request Document No.: MP-26-EPI-FAP09 Writer. Tom Rigney I Rev. No. Minor Rev.
I 001 00
"Title: Radiation Exposure Controls
For New Documents Document Is QA 0 DH Ttle: ED Revision 03 Msnr RevisIon [0 Cleanup Revision ! Biennial Review
0 Cancel 0 Void (Do Not Use) 0 Expire 0 Superceded By:.
Comments: 0 Adminhstrative Correction FIS:
CR-02-10545
Yr•AUCl - P '(Xl-00 5694q 0010 "F PqA .--O (O ,4eV 001
Reviews Print Sign Date Department
writers Guide 0"IYID7 m f RCO M)__
Errirownmenta Screen4 ) "Liesn ai U Yl
(50.59 Screen Req.E3YsO )
Validation None []Field -Use []Simulated Performance - [3 Table Top and []Comparlson
MP-05-DC-SAP01-004 Use MP.05-OC-SAP01-004 Walk-througlh
(miiu of print Sign Date Dept
two)
Coordinator
Member
Training: I1 None El Nuclear Training [] Briefing [] Famili'arization
0 SOR Review and Approval fl SORC Review and Approval fl Department Head Review and Approval
Approval [Z Disapproval []
Itl I7- (1) Depariment Head Sign/Date (1) Department Head Approva sign
(2) SORO Meeting Nmber
(2)1 ; Head avralUg n 1 (3) SOROC •ci•
Approval Date: IIioEffective Date: 1-1-3/;L
MP-05-DC-FAP01.1-005 Rev. 000 Page 1 of..
Approval Date
l)-3 ,-. Effective Date
Calculation of 1-131 Activity Worksheet Based on HP-210 Count
Sample Location:
Sample Collection Date: Time: From To
Sample Count Date: Time:
Team Number:
RMT Member.
RMT Member.
1. Sample volume [A] determined as follows:
Duration of Flowrate cfin x 2.8E4 cc I ft3 [A] cc air sample in min utes
2. Determine corrected counts per minute [B] from the HP-210 as follows:
Sample cpm Background [B]
3. Check the conversion factor [C] based on time since shutdown and origin or release: Tim, Since S..hntdown Orioin of Release Conversion Factor (utCi/ccnm')
0-5 hours 5-12 hours 12-24 hours 24-96 hours > 96 hours At all times
Primary System Primary System Primary System Primary System Primary System Other than Primary System
4. Determine 1-131 activity [D) as follows:
[B] [C] [D]
5. Determine 1-131 activity concentration [E] as follows:
-+ Udi / cc [D] [A] [E]
6. Provide results of calculation to MRDA and MRCA as appropriate.
Completed By:Date
MP-26-EPI-FAP09-005 Rev. 001 Pare I of 1
EJ LI LI LI LI LI
2.8 x 10 4.7 x 10 1.0 X10
2.1x 104
2.1x 10-
1 08/20/02 09/03102Approval Date Effective Date
Procedure Action RequestDocument No.: MP-26-EPI-FAP09 I W0ter. Tom Rigney I Rev0No. IMinor Rev0
"Title: Radiation Exposure Controls
For New Documents Document is QA 0 DH Title: 0 Revision [3 Minor Revision 0 Cleanup Revision 0 Biennial Review
0 Cancel nVoid (Do Not Use) 0 Expire 0 Superceded By.
Comments: [3 Administrative Correction FLS:
CR-02-10545 -rc¢..t % iWA,:'R~ -O0o• P.,,, 001 (ke 00 1 -F'pp oq-_o 0 194 ,•00 :Rpoq -o0Od Rev 001
Reviews Print Sign Date Department
Writer's Guide (Y~r~Rk 0y ROD
_____9!ft
Envronmnental Screen
Ucensing Basis
Validation None [] Field -Use 0 Simulated Performance - 5 Table Top and E]Comparisen
MP-05-DC-SAP01-O004 Use MP0)5-DC-SAP01-004 Watk-through
(minimum of Print Sign Date DePt two) Coordinator
Member
Training: Ig None [] Nuclear Training D Bdefing [I Familiarization
$O oR Review and Approval 171 SORC Review and Approval f[ Department Head Review and Approval
Aproval [ Disaproval
It7 li~r ol. (1) Deparlment Head Sign/Date (1) Departmnent Head Approval sign SignDate
(2) SORG Meeting Number
(2) Department Head pmval Sign 1_(_) SOR_ _ ___ov_ _ Sign
Approval Date: I/01001-- Effective Date: I,3l/O--
MP-05-DC-FAPOI.1-005 Rev. 000 Pe I of
1112- CI6P7 10 43..~ Approval Date Effective Date
Thyroid CDE Based On Field Air Samples
0 1. Record location, time of sample, and air sample results (ccpm).
Location:
Time of sample:
Corrected cpm: ccpm
O 2. IF air sample was analyzed by field counts, calculate thyroid 1-131 Dose Equivalent (DEQ) concentration using equation 2.a or 2.b (based on time since reactor shutdown):
a. 1-131 DEQ ItCiIcc = 1.15 x 10.11 H°'6 (ccpm) [for I hour <H* < 168 hour]
b. 1-131 DEQ jCi/cc = 3.3 x 10710 (ccpm) [for H* > 168 hour]
L3 3. IF air sample was analyzed by gamma analysis, complete the equation below and determine 1-131 DEQ:
1-131 DEQ jtCi/cc = PUCi/cc1 -131 + 0.18 (ttCi/ccl-133) + 0.03 (tCi/ccI.135)
ol 4. Calculate thyroid CDE for I hour of inhalation using the equation below:
Thyroid CDE (mRem) = (1.79 x 109 mRem-cc/ttCi) (1-131 DEQ ILCi/cc)
ol 5. Multiply the 1 hour thyroid CDE by the projected hours of exposure. IF the result is > 50 Rem, recommend issuance if KI.
L3 6. Provide results of calculation to MRDA and MRCA as appropriate.
*Note: H is # of hours between reactor shutdown time and the time when sample was counted.
Prepared by: Signature Print Date
MP-26-EPI-FAP09-006 Rev. 001 Pare I of I
I
Docket Nos. 50-245 50-336 50-423
B18816
Attachment 2
Millstone Power Station, Unit Nos. 1, 2 and 3
Emergency Procedures Implementing (EPI) Functional Administrative Procedure (FAP) MP-26-EPI-FAP15, "Common Forms," Major Revision 1,
and Associated Forms
Oer te=Approval Date
Procedure Action Request
09/03/02 Effective Date
SPG 021017-074133
Reviews Print Sign Date Department
E-Plan-50.54(q) 5 1 To Ri]e ___49D___
Writer's Guide 0 Marda Maryeski OMý P
Environmental Screen 0 SEE ATTACHED FORM
Licensing Basis R ooa (50.59 Screen Req. 0 Yes E"(No) 0 I.Dnoa
Tech Independent _T_ YA a~ASi Ii It~ -I_______
Validation None [] Field -Use ElSimulated Performance El Table Top and 0 Comparison MP-05-DC-SAP01-40 Use MP-05-DC-SAPO1-00 Walk-through
(minimum of two) Print ISign Date Dept Coordinator
Member
Training: SNone 0] Nuclear Training 0] Briefing E] Familiarization
SOR Review and Approval fl SORC Review and Approval F1 Department Head Review and Approval
Ap a Disapproval WA& •1 A/2 P6. (1) Department Head Sign/Date (1) Department Head Approval Sign
7 tV1 • •~i(2) SORC Meeting Number
(2) Department Head Apprl Sign (3) SORC Approval Sign
Approval Date: II I1 .aS)Op Effective Date: 13,/,5"1X
MP-05-DC-FAPO1.1-005 "Rev. 000 Page I of -2:
Document No.: MP-26-EPI-FAP15 Writer M. Maryeski Rev. No Minor Rev. Title: Common Forms
For New Documents Document is QA 0 DH Title: * Revision 03 Minor Revision 03 Cleanup Revision 0 Biennial Review
0 Cancel E3 Void (Do Not Use) [0 Expire 0- Superceded By:.
Comments: 0 Administrative Correction F.S:
CR-02-10900, AR 01000341-17 Biennial review was performed, Incorporated editorial corrections, updated procedure and all forms to approved MM05 format.
Procedure Action Request Continuation Page
Document No: MP-26-EPI-FAPI5 Wrlier av£No: Minor Rev
TCite: Common Forms
E Comments
LValidation Comments
Review p" Sgn Dale MI
EIlIrn_____ EIZZIZI •____ EZIZ I •_____________ ____
0 - � f �C * 7U.S
MP-05-DC-FAPO1.1-005 Rev. 000 Pow.2 of •
MP-26-EPI-FAP15-001 Rev. 001 I ' • , '' ! (
MP-26-EPI-FAP15-002 Rev. 001
MP-26-EPI-FAP15-003 Rev. 001
MP-26-EPI-FAP1S-004 Rev. 001
MP-26-EPI-FAP15-005 Rev. 001
MP-26-EPI-FAP15-00 Rev. 001
P-26-EPI-FAP15-007 Rev. 001
tP-26-EPI-FAP15-08 Rev. 001
MP-26-EPI-FAP15-009 Rev. 001
AP-26-EPI-FAP15-O01 Rev. 001
AP-26-EPI-FAP15-011 Rev. 001
AP-26-EPI-FAP15.012 Rev. 001
LP-26-EPI-FAP15-013 Rev. 001
-26-EP1-FAPI5-014 Rev. 001
Functional Administrative Procedure AIll
Millstone Station
Common Forms
MP-26-EPI-FAP15
Rev. 001
Approval Date:
Effective Date: IJ-) as-10-z-
I
TABLE OF CONTENTS
1.PURPOSE ........................... ................................................ 2................................................. 2
1.1 Objective ............................................................................................................................... 2 1.2 Applicability ......................................................................................................................... 2 1.3 Supporting Documents ..................................................................................................... 2 1.4 Discussion ............................................................................................................................ 2 1.5 Responsibilities .................................................................................................................... 2
2. INSTRUCTINONS ........................................................................................................................ 3
2.1 Forms Instructions ......................................................................................................... 3
3. SUMMARY OF CHANGES ................................................................................................. 4
3.1 Revision 001 ......................................................................................................................... 4 3.2 Revision 000-01 .......................................................................................................... 4 3.3 Revision 000 ......................................................................................................................... 4
FORMS
MP-26-EPI-FAPI5-001, "DSEO/ADTS Briefing Sheet"
MP-26-EPI-FAP15-002, "RMT Instrument, Battery, and Source Check Sheet"
MP-26-EPI-FAP15-003, "Radiation Monitoring Point Data Sheet"
MP-26-EPI-FAP15-004, "Plant Parameter Data Requested/Provided"
MP-26-EPI-FAPI5-005, "Personnel Contamination Status"
MP-26-EPI-FAP15-006, "OFIS Instructions"
MP-26-EPI-FAP15-007, "Critical Parameter Data Sheet-MPI"
MP-26-EPI-FAPI5-008, "Critical Parameter Data Sheet-MP2"
MP-26-EPI-FAP15-009, "Critical Parameter Data Sheet-MP3"
MP-26-EPI-FAP15-010, "Emergency Team Briefing Sheet"
MP-26-EPI-FAP15-0 1 , Titness for Duty Questionnaire"
MP-26-EPI-FAP15-012, "SERO Log Sheet"
MP-26-EPI-FAPI 5-013, "EOF Air Handling and High Radiation Filtration System"
MP-26-EPI-FAP15-014, "State Police, Waterford Police, and Tri-Town Radio System"
MP-26-EPI-FAP15 Rev. 001 I of 4
1. PURPOSE
1.1 Objective
This procedure provides a common point of reference to forms used by several SERO members. Multiple copies of the forms are available in position specific notebooks found in each facility procedure tub for use by SERO members during a station event.
1.2 Applicability
The SERO has been activated.
1.3 Supporting Documents
MP-26-EPI-FAPO1, "Control Room Emergency Operations"
MP-26-EPI-FAP02, "TSC Activation and Operations"
MP-26-EPI-FAPO3, "OSC Activation and Operation"
MP-26-EPI-FAP04, "Emergency Operations Facility Activation and Operations"
MP-26-EPI-FAP05, "State EOC Activation and Operation"
1A Discussion
A number of forms are used by several SERO members during the course of a station event. This "common forms" procedure was created to provide a single point of reference for commonly used forms and ease the burden for review, revision, and control. Multiple copies of the forms are available to SERO members in each of the facility procedure bins. This will allow them to retrieve their position specific checklist and the appropriate number of applicable forms as they report to their assigned facilities.
1.5 Responsibilities
1.5.1 SERO Personnel
Responsible for obtaining and completing the necessary forms to complete tasks identified in their respective position checklists.
- End of Section 1
MP-26-EPI-FAP15 Rev. 001 2 of 4
2. INSTRUCTIONS
2.1 Forms Instructions
2.1.1 Refer To and complete the following form(s), as applicable:
a EPI-FAP15-001, "DSEO/ADTS Briefing Sheet"
0 EPI-FAP15-002, "RMT Instrument, Battery, and Source Check Sheet"
0 EPI-FAP15-003, "Radiation Monitoring Point Data Sheet"
* EPI-FAP15-004, "Plant Parameter Data Requested/Provided"
* EPI-FAP15-005, "Personnel Contamination Status"
* EPI-FAP15-006, "OFIS Instructions"
* EPI-FAP15-007, "Critical Parameter Data Sheet-MPI"
* EPI-FAP15-008, "Critical Parameter Data Sheet-MP2"
0 EPI-FAP1 5-009, "Critical Parameter Data Sheet-MP3"
* EPI-FAP15-010, "Emergency Team Briefing Sheet"
* EPI-FAP15-011, "Fitness for Duty Questionnaire"
0 EPI-FAP15-012, "SERO Log Sheet"
* EPI-FAP15-013, "EOF Air Handling and High Radiation Filtration System!
EPI-FAP15-014, "State Police, Waterford Police, and Tri-Town Radio System"
2.1.2 IF an action is not appropriate under existing conditions or was not necessary for the event, enter N/A when completing the documentation for submittal.
- End of Section 2
MP-26-EPI-FAP15 Rev. 001 3 of 4
SUMMARY OF CHANGES
3.1 Revision 001
3.1.1 Added EPI-FAP05 to Supporting Documents.(CR-02-10990).
3.1.2 Added UE to DSEO/ADTS Briefing Sheet (EPI-FAPI5-001) (CR-02-10990).
3.1.3 Added additional parameters to MPI Critical Parameter Date Sheet (EPI-FAPI5-007) (CR-02-10990).
3.1.4 Editorial changes to EPI-FAPI5-003 and -005 (CR-02-10990).
3.1.5 Procedure and forms updated to approved MM05 format; addresses AR 01000341-17.
3.2 Revision 000-01
3.2.1 Added a new form which provides instructions for operating the State police, Waterford police, and Tri-Town radio system.
3.3 Revision 000
3.3.1 Original issue
- End of Section 3 -
-y
MP-26-EPI-FAP15 Rev. 001 4 of 4
3.
_ _1114Z W
Approval Date
Procedure Action RequestSPO 021017-474133
Reviews Print Sign Date Department
E-Plan-50.54(q) Tom Rigney 69 Writer's Gw~de Maria Maryesld cp
Environmental Screen 0 SEE ATTACHED FORM
LIcensing Basis• Dnv /300 (50.59 Screen Req. Yes B"No) __--_ _
Tech Independent T>^6%1hiO
Validation None [] Field -Use 0 Simulated Performance - • Table Top. and C Comparison MP-0S-DC-SAP01-004 Use IP.OS-DC-SAP01-004 Walk-through
(mnmum of two)Pe
Coordinator
Mýe~mber
SNone " ] Nuclear Training U] Bfleting U Familianzatlon
SOR Review and Approval [1 SORC Review and Approval fl Department Head Review and Approval
A val Disapproval ] MIA, _ _n_ _ _ _ _
; (1) Department Head SignVDate (1) Department Head Approval Sign
Fa"~• Vt A(2) SORC Meeting Number
(2) Department Head Approal Sign
(3) SORC Approval Sign
Approvaf Date: II .LadoZ1. Effective Date: 1/s"lo3.
MP-05-DC-FAPO1.1-005 Rev. 000 Pn~e I of
Document No.: MP-26-EPI-FAP15 Writer: M. Maryeski Rev. No. Minor Rev.
Title: Common Forms
For New Documents Document is QA 0 DH Title:
19 Revision [3 Minor Revision 03 Cleanup Revision 03 Biennial Review
0 Cancel O3 Void (Do Not Use) 01 Expire 0 Superceded By.
Comments: 03 Administrative Correction FLS:
CR-02-10900, AR 01000341-17
Biennial review was performed, incorporated editorial corrections, updated procedure and all forms to approved
MM05 format.
Trainlna!
Pnve I of
I
09A03/02 Effective Date
C C Procedure Action Request Continuation Page
EL Comments
LI Validation Comments
/
MP-05-DC-FAPO1.14)05 Rev. 000 POWe 2 of 2
kylew PEW Sign Oat, Cept
EIIIIZ 0 ___________ _____
LiZZIZZI � _____ rzzzzi � ____________ _________ _____ ___________ rzzzzz� ii� ___________ _________ _____ ___________
MP-26-EP uI-FA ISM Rv. 001%"
M-26-EPI-FAP154)02 Rev. 001
MP-26-EPI-FAPIS-003 Rev. 001
MP-26-EPI-FAP]5.004 Rev. 001
MAP-26-EPI-FAP15-005 Rev. 001
VP-26-EPI-FAP15-006 Rev. 001
..26-EPI-FAPIS.007 Rev. 001
MP-26.EPIFAP15-00 Rev. 001
MP-26-EPI-FAP164"0 Rev. 001
MP-26-EPI-FAPI5-010 Rev. 001
MP-26-EPI-FAP]5-O1 1 Rev. 001
MvP-26-EPI-FAPIS-012 Rev. 001
M4P-26-EPI-FAP15-013 Rev. 001
'AP-26-EPI-FAP)5-014 Rev. 001
1 11 IiJ<16- *Appiival Date
,�Effective Date
DSEO/ADTS Briefin2 Sheet
1) Classification Time Declared:
EAL No:
El General Emergency
O3 Site Area Emergency
0 Alert
U Unusual Event Basis:
o Alpha U Bravo
(Charlie-Two)
(Charlie-One)
O3 Delta-i (0 Delta-2
2) Fission Product Barrier Status FUEL RCS
Intact: 01 0] Potential Loss: 01 Q
Loss: U 0
CTMT 0 0 0
3) Onsite Protective Actions
L) Noneo Early Dismissal: E] No 0 Yes
o Local (on-site) Area(s) Evacuated: 0 No 03 Yes
o3 Evacuation/Accountability: E3 No 0] Yes
Status:
0 Search & Rescue: E3 No C3 Yes Status:
E3 Potassium Iodide Issued: 0 No 0 Yes
4) Personnel Status 0 NoneInjuries (No.__): No
Contamination(s): 0 No
Over Exposure(s): 03 No
Emerg Exposures Authorized: 0 No
Details (na=m ofinjued, stas of notification):
El Yes
OYes 0] Yes
0] Yes
5) Unit Status
0 On-Line C oL Off-Line
Time of Rx Shutdown:
"2 At Power: ___%
"2 Cooling Down
2 Cold Shutdown 3 Reducing Power
0 Stable (3 Degrading 03 Improving
Systems/Equipment Affected:
Equipment Out of Service:
Teams Dispatched/Corr Actions/Priorities: _
Outstanding Actions:
's in Use:
Security Controls in Effect:
PA.TJI
§50.54(x) Invoked: Time NRC Notified:
U No U Yes
MP-26-EPI-FAP15-001 Rev. 001 Pae I of 2
DSEO/ADTS Briefina Sheet
asis:
I -
(last issued)
Time:
Time:
Time:
7) Radiological Release
Q None
O Potential L3 Ongoing U Terminated
Time Started:
Projected Duration: hours
Time Stopped: Max Offsite Dose Rate: _mR/hr
8) Offsite Assistance Requested
O1 Noneo Ambulance (] Fire o3 Other:
0 Police
Notes:
I
State Directives Evacuate: A B C D E F Shelter: A B C D E F
(Circle the Affected Zones)
Time PAR transmitted to state
Prepared by:Time Date
MP-26-EPI-FAPI5-001 Rev. 001 Pare 2 of 2
6) Notifications
E3 State/ALal O NRC
L3 News Release
Name
9) PARs (General Emergency Only) Current Wind Direction (C from):
Millstone Recommendations Zone Community PAR
A Waterford (A-i) E S AEat Lky.e. .2) .............
B East Lyme (B-i) E S Waterford (B-2) E S N.............. .N.w....L.....1)..-. E.. S
C East Lyme (C-1) E S Montville (C-2) E S
S......... w...t.e..ffor...(.C.-))............
D Old Lyme (D-1) E S .............. .ly i .X .(..Z.2) ............ .E....S
E Ledyard (E-I) E S grT9j .(:.?) ..........
. Fishers sd ......... N/A Plum Island E S
(ardle the Affected Communities)
Pag 2--f-
I-
Approval Date
Procedure Action Request
09/03/02 Effective Date
SPG 021017-074133
Reviews Print Sign Date Department 0
11 A
E-Plan-50.54(q) Torn Rigney
Writers Guide 0 Marla Maryesld -2- 5P§ RC0 Pn. . • A) RAJ _I__ _ _- AJPO
Environmental Screen 0 SEE ATTRACHED FORM
Licensing Basis R. Donovan (50.59 Screen Req. D3 Yes S('No) 0 1115101 AJPO Tech Independent 0 "!" P. I _ _,_ _ _ /_
Validation "None [] Field-Use I] Simulated Performance.- 0 Table Top and 5 Comparison MP-05-DC-SAPO1-004 Use MP-05-DC-SAPO1-004 Walk-through
(minimum of two) Print Sign Date Dept
Coordinator
Member
Training: SNone 0 Nuclear Training [] Briefing 0 Familiarization
Eg SOR Review and Approval Fl SORC Review and Approval fl Department Head Review and Approval
ApVal Disapproval W , ý, (1) Department Head Sign/Date (1) Department Head Approval Sign
(2) SORC Meeting Number
(2) Department Head AM Sign (3) SORC Approval Sign
Approval Date: II IdS)OA Effective Date: , a/,-Io /- .
MP-05-DC-FAPOI.1-005 Rev. 000 Page I of"
Document No.: MP-26-EPI-FAP15 Writer~ M. Maryeski IRev. No. IMinor Rev.
Title: Common Forms
For New Documents Document is QA 0 DH Title: 0 Revision E] Minor Revision [0 Cleanup Revision [0 Biennial Review
0 Cancel O3 Void (Do Not Use) 0 Expire [0 Superceded By:.
Comments: 0 Administrative Correction FLS:
CR-02-10900, AR 01000341-17
Biennial review was performed, incorporated editorial corrections, updated procedure and all forms to approved MM05 format.
I
0=(=--- Vý
Procedure Action Request Continuation Page p
Document NO: MP-26-EPI-FA.PI5 wIffer Rev No. Minor Rev
Mite: Common Forms
ElComments
Validation Comments
ROVeWW P" Sign Do!. - q
COMM" __ __ _
MP-054DC-FAPOI1.-005 Rev. 000 POge..2L.of 2
MP-26-EPI-FAP]5-0O1 Rev. 001/
MP-26-EPI-FAPI54002 Rev, 001/
NV-26-EPI-FAP15-003 Rev. 001
MP-26-EPI-FAP15-004 Rev.0(JO
MP-26-EPI-AP15-00 Rev. 001
MP-26-EPI-FAP15-006 Rev. 001
MP-26+WI-AP15.007 Rev. 001
MP-26-EPI-FAP15-)00 Rev. 001
MP-26-EPI-FAP]5-00 Rev. 001
M~P-26-EMt-FAP)5-O1O Rev. 00)
MAP-26-EKT-AP15-O11 Rev. 001
MAP-26-EPI-FAPIS-012 Rev. 001
M.P-26-EPI-FAPIS-013 Rev. 00)
~AP-26-EM1FAPI5-014 Rev. 001
I iI 1 5I0-- 1J6•4Ž"Approval Date Eff&-tive Date
RMT Instrument, Battery, and Source Check Sheet
Instructions: Complete and return to the MRCA/MRDA
1. Team # Date Time
2. RMT Member
3. Battery Checks: (as applicable for on-site or off-site)
Instrument Operable Replaced
Dose Rate Meter (ASP-I/HP-270 Offsite only) El 0l
Ion Chamber Survey Meter (R0-2A) U 0
Count Rate Meter (E-140) 03 E3
DIG-5 0 U
4. Source Check: (as applicable for on-site or off-site')
Instrument Inst #/Cal Due Date Operable Replaced
Dose Rate Meter (ASP-1/HP-270 Offsite only)
Ion Chamber Survey Meter (RO-2A)
Count Rate Meter (E-140)
DIG-5
5. Radio Test:Radio Operable:
0 0
0
0
0 0
0
0
(SAT/UNSAT)
6. Air Sampler Test : Air Sampler Operable(1.9-2.1 cfm):
(SAT/UNSAT)
Prepared by:
Signature Print Date
I Sources for RMT kits are stored in the equipment lockers.
MP-26-EPI-FAPI5-002 Rev. 001 Page 1 of I
I
m
ill
I
I __!
OW2(�
Approval Date
Procedure Action Request
09/03102 Effective Date
SPG 021017-074133
Reviews Print Sign Date Department
E-Plan-50.54(q) Tonm Rigney
Writees Guide Maria Maryesid 5 6
Environmental Screen SEE ATrACHED FORM ft
Licensing Basis R. Donovan 10 (50.59 Screen Req. [0 Yes B"No) Tech Wnependent -TI W% G%. I het-______1tioIe
Validation None [] Field -Use [] Simulated Performance- 0 Table Top and [] Comparison
MP.O5-DC-SAP01-0C34 Use MP-05-OC-SAPO1-W4 Walk-through
(minimum of two) Print Sign Date Dept
Coordinator
Member
Training: f None 0 Nuclear Training 0 Briefing E0 Famniliarization
"I I SORC Review and Approval
(1) Department Head Approval
Department Head.Re.iew.and... S
fl-#�!. Il bl5C)tVl Fff�r�tive Date: 12 Ld0 �1iJIJ i % L I t. U .I C-' n -• . . . ..-...-- D I a [ -1v .--
MP-05-DC-FAPOI.1-005 Rev ' 000 Page I of
Document No.: MP-26-EPI-FAPI5 Writer: M. Maryeski Rev. No. Minor Rev.
Title: Common Forms
For New Documents Document is A 0 DH Title: E9 Revision 0 MVior Revision 0 Cleanup Revision [3 Biennial Review
0 Cancel [3 Void (Do Not Use) 03 Expire [0 Superceded By:
] Administrative Correction FLS:Comments:
CR-02-10900, AR 01000341-17
Biennial review was performed, Incorporated editorial corrections, updated procedure and all forms to approved
MMO5 format.
Sig
II
I
C CProcedure Action Request Continuation Page
Documewnt No: MP-26-EPI-FAPIS Wwtfer ~vNo: n Re
Mde: Common Forms
EL Comments
ELIValidation, Comments Revfew pdnl Sign Woe Dept.
MP-26-EPI-FAP15.002 Rev. 001
PV-26-EPI-FAP1S-003 Rev. 001/OO
W-26-EPI-FAPI5-004 Rev. D
M-26-EPI-FAPI5.005 Rev. 001
MP-26-EPI-FAP]54300 Rev. 001
PV-26-EPI-FAP15-)00 Rev. 001
W-26-EPI-APIS-007 Rev. 001
M-26fEPI-APJ5-00 Rev. 001
P-26-EPI-FAPIS-OO9 Rev. 001
F-26-EPI-FAP]5-010
Rev. 001
-26-EIAPIS-0121 Rev. 001
M-26-EPI-FAPJ5-012 Rev. 001
MP-26-EPI-FAP]5-013 Rev. 001
MP-05-OC-FAPOI.1-005 Rev. 000 Page 2 of 2..
7--Approval Date
Radiation Monitoring Point Data Sheet
'1'��.�.
Area Radiation Dose Rate (mRlhr) Air Sample nee Car•tdrlde Reported
Sample Overhead Waist Units Time Of Sample Time When Total Flow Rate of Background Iodine Filter Partliclate Filter To; ime Location Window Window (mR/hr or Reading Time Counted Sample Air Sample In cpm Gros epm (gross Cpm) (Note 5)
Open Clowed Remnhr) (Note 2) (Note 2) "ime (Chn) (Notes 3,4) (Note 3) 0t•+0 (Tonty) (rain) (Note 1)
NOTES:
1. IF flow rate is not between 1.9 and 2.1 CFM, notify the MRCAIMRDA. If MRCA/MRDA is not available, obtain another air sampler and collect a sample
with flowrate between 1.9 and 2.1 CRYM.
2. Enter time in military units; for air samples, use 11 minute sample at 2.0 CFM (1.9-2.1 CFM) unless a rapid assessment is required.
3. The normal count time is I minute. To conduct a 0.4-minute (24 second) count for rapid assessment, SET DIG-5 to "0.4" time setting, multiplier to 'Xl," and preset time to "minutes." Multiply all counts obtained on "0.4" time setting by 2.5 to convert to CPM. IF the E-140 goes off-full scale, SET to "X100" scale when using a DIG-5 scaler.
4. IE background is greater than 300 CPM AM sample gross count rate is less than twice the background, move to a low background area and recount sample or request instructions from MRCA/MRDA.
5. Record the name of the person contacted.
6. Obtain instruction from the MRDA/MRCA on the disposition of used samples.
MP-26-EPI-FAP15-003 Rev. 001 Page 1 of 1
IfK
141A -116AEffective Date
oa/20m2Approval Date
Procedure Action Request
0o903/02 Effective Date
SPG 021017-074133
Reviews Print Sign Date Department
E-Pla-50.4(q)TOM Rigney
Writees Guide Maria Maryesld
RCDl
Environmental Screen SEE ATTACHED FORM -.
Licensing Basis R. Donovan (50.59 Screen Req. E Yes 8'No)
Tech Independent -- >O Ib,
Validation g None l Field -Use 0 Simulated Performance - TablelTopand . l Comparison MP.06-OC-SAP01-40)4 Use MP-05-DC-SAP01-004 Walk-through
(minimum of two) Print Sign Data Dept
Coordinator
Member
Training: • None 0 Nuclear Training 0 Briefmg [I Familiarization
_ WAl_g SOR Review and Approval fl SORC Review and App~rova! I 1 Denartment Head Review and Approva
(1) Department Head Approval Sign
E~ffective Date: 1 a I"ioa/,IIJIJILFV"Q IUnIl, l;, *- --,• e •, -......... ..... ... • - - '
MP-05-DC-FAPOI.1-005 Rev' 000 Pare I of
Document No.: MP-26-EPI-FAP15 Writer: M. Maryeski Rev. No. Minor Rev.
Title: Common Forms
For New Documents Document is OA 0 DH Title:
Eg Revision 0 Minor Revision 0 Cleanup Revision 0 Biennial Review
0 Cancel Void (Do Not Use) 0 Exp)e 0 Superceded By
C0r• nts- 0 Administrative Correction FLS:
CR-02-10900, AR 01000341-17
Biennial review was performed, incorporated editorial corrections, updated procedure and all forms to approved
MMOS format
VAK (1) Department Head Sign/Date
(2) SORC Meeting Number
IA.s.....,..w�i fl�9ei�. II
F1 SORC Review and Approval
I
(1) Department Head Approval Sign
C CProcedure Action Request Continuation Page
EL Comments
El] Validation CommentsReview P"n Sign wae DepL
EII ZI0 ___ __ __
L~ z D 0 ______
EZ I~ ~ __ _ __ __ _ _ __ __ __ _ __ __ __ _
MP-05.COC-PO 1..00 Rev. 000 Page 2 of ... 2..
FP-26-EPI-AP)5-001 Rev. 001 P-26-EPI-FAP]5.002 Rev. 001
-26EP-FAPJ5.003 Rev. 001
MP-26-EPI-FAP15.04 Rev. 001 V1"
AP-2&-EPI.FAPIS-005 Rev. 001
A-26-EPI-FAP15.006 Rev. 001
MP-26-EPI-FAP15.007 Rev. 001
AP-26-EPI-FAP1500 Rev. 001
W-26-EPI-FAP]54)09 Rev. 001
1A-260EP-FAPI5010 Rev. 001
AP-26-EPI-FAKSP1 I.1 Rev. 001
MP-26-EPI-FAPI5.012 Rev. 001
MP-26-EPI-FAP15-013 Rev. 001
MP-26-EPI-FAP]5-014 Rev. 001
"Approval Date Effective Date
Plant Parameter Data Requested/Provided
Date:
Description/Plant ID Data Time DescriptionlPlant ED Data Time
____ I __ I. __ I ____ I __ I __
.1 1. 4 t t
4 I I t T
.3 4 t
4 t I .3 .3
.1 I. 4 4
I * *3
MP-26-EPI-FAP15-004 Rev. 001 Pawe I of I
Unit:
I
OR�OO�
Approval Date
Procedure Action Request
09E0ece2 Effective Date
SPG 021017-074133
Reviews Print Sign Date Department
E-Plan-50-54(q) Tom Rigney
Writees Guide Madea Maryeskid
RCO JQ pp AjO~d Environmiental Screen SEE ATTACHED FORM
Licensing Basis [D R. Donovan AP (50.59 Screen Req. 03 Yes Sý'No)E R
Tech Independent ! 0 ______I__1OOLI46
Validation O None. [] Field -Use fSimulated Performance - F]Table Top and [3Comparison MP40S-DC-SAP01-004 Use MP.OS-DC-SAP01-004- Walk-throughi
(minimum of two) Print Sign Date Dept
Coordinator
Member
54 None [0 Nuclear Training Li Briefing U Farifliarization
SOR Review and Approval r7 SORC Review and Approval fl Department Head Review and Approval
M v a l D is a p p r o v a l A_ _ _ _ _ _ _ _ _ _ _
4/ V' (1) Department Head Sign/Date (1) Department Head Approval Sign
u t:' (2) SORC Meeting Number
(2) Department Head App al Sign 1 (3) SORC Approval Sign
Approval Date: II ao, Effective Date: I a I/s-log
MP-05-DC-FAPOI.1-005 Rev. 000 Pa~e I of
Document No.: MP-26-EPI-FAP15 Writer: M. Maryeski Rev. No. Minor Rev.
Title: Common Forms
For New Documents Document is QA [3 DH Title:
0l Revision 0 Mior Revision 0 Cleanup Revision 0 Biennial Review
0 Cancel n Vold (Do Not Use) [I Expire 0 Superceded By:.
Comments: [3 Admklnstratie Correction FLS:
CR-02-10900, AR 01000341-17 Biennial review was performed, incorporated editorial corrections, updated procedure and all forms to approved MM05 format
Trninlna:
iaz I of
4
CC Procedure Action Request Continuation Page
Document NO: MP-26-EPI-FA~PIS Wlifer Rev.No- Mino Rev
TIn~e: Common Forms
EL Comments
EL Validation Comments
Review p"in Sign Mde DGP. Caomwu
L~llllo__ _ _ ____0_ _ _
MP-05-DC-FAPOI.1-005 Rev. 000 PCKP 2_of 2
MP-26-EPI-AP15-00 Rev. 001
MP-26+EI-AP]5.002 Rev. 001
MP-26+EI-AP15400 Rev. 001
P-26-EPI-FAP154)04 Rev. 001
M-26-EPI-FAP15-006 Rev. 001~'ý
AP-26-E4PI-FPS-006 Rev. 001
ýP-26-EPIFAP15-007 Rev. 001
MP-26-EPI-AP16.006 Rev. 001
MIA-26-EPI-AP15-009 Rev. 001
MP-26-EPI-FAPI5-O1O Rev. 001
MP-26-EPI-FAPI5-O1 I Rev. 001
MP-26-EPI-FAP15.12 Rev. 001
MAP-26-EPIAPI5-013 Rev. 001
MwP-26-EPI-FAPI5.O14 Rev. 001
\ m I o--Approval Date Eff~fie ate
Personnel Contamination Status
Name(s) of HP/RMTf: _______________Date:
Name Employee ID Contamination Assigned Work Number Levels Area
MP-26-EPI-FAPI5-005 Rev. 001 PaIe I of I
Name(s)
of HP/RMT:
I
i E.o
0=/0/02 " Approval Date
Procedure Action Request
Effective Date
SPG 021017-074133
Reviews Print Sign Date Department
E-Plan-50.54(q) 0 Tom Rigney
Wnitees Guide 0 Maria Maryesid
Environmental Screenw SEE ATTACHED FORM f
Licensing BasisR.DnvnO (50.59 Screen Req. 0 Yes ErNo) 0 Tech Independent -r& ThM.6_____
Validation None [] Field-Use I] Simulated Performance - D Table Top and I] Comparison
MP-05-DC-SAPOI-004 Use MP-05-DC-SAPOI-004 Walk-through
(minimum of two) Print Sign Date Dept
Coordinator
Member
Tralnlna: 54 None [ Nuclear Training D Briefing 0 Familiarization
eg SOR Review and Approval rl SORC Review and Approval Fl Department Head Review and Approval
App Disapproval WA ____________
(1) Department Head Sign/Date (1) Department Head Approval Sign
'11 q A • SWrDate (2) SORC Meeting Number
(2) Deparment__Hea__Appral Sign p(3) SOR proval Sign
Approval Date: II ld. a Effective Date: I P.l/s-/0;.1o
MP-05-DC-FAPOI.1-005 Rev. 000 Pate I of__
Document No.: MP-26-EPI-FAP15 Writer: M. Maryeski J Rev. No. Minor Rev. I o : 1
Title: Common Forms
For New Documents Document is QA 0 DH Title:
0 Revision [3 Minor Revision [0 Cleanup Revision 0 Biennial Review
o Cancel [] Void (Do Not Use) 03 Expire [0 Superceded Byr.
Comments: 0 Administrative Correction FLS:
CR-02-10900, AR 01000341-17
Biennial review was performed, incorporated editorial corrections, updated procedure and all forms to approved
MM05 format.
I ,
C. C Procedure Action Request Continuation Page
Documfent NO: MP-26-EPI-FAPIS Wailler W o: ior Rev
Thite: Common Forms
[1Comments
LIValidation Comments
Review PaIN sign Wei DePL Comowd
LIZZII
MP-O5-D)C-FAPOI. 1-005 Rev. 000 POge 2 of 2..L.
P-26-EPI-FAPI5-00 Rev. 001
1A-26-EPI-FAPI500 Rev. 001
VI-26-EPI-FAPIS-003 Rev. 001
MP-26-EPI-FAPIS.004 Rev. 001
AP-26-EPI-FAP154)05 Rev. 001
A-26-EPI-FAPI5-006 Rev. OII
MP26-EPI-FAP)5.007 Rev. 001
MP-26-EPI-FAP]5-008 Rev. 001
MP-26-EPW-AP15-09 Rev. 001
MP-26-EP-FAP15010 Rev. 001
MP-26-EPK-APl5.O1 I Rev. 001
MP-26-EPI-FAPJS-012 Rev. 001
MP-26-EPI-FAPIS-013 Rev. 001
MP-26-EPW-AP15-014 Rev. 001
ItIA1f6.)Apprival Date
Dl 16,)SEffective Date
OFIS Instructions
Section A: Equipment Start Up Steps
o Access R*Time OFIS from Personal
Computer (Preferred Method)
This is the preferred connection during Station Emergency. Allows user access to both Unit 2 and Unit 3 OFIS information.
1. Open the "OFIS" icon.
2. Select "Connect to Millstone LAN" from the "Millstone OFIS Connect Menu."
3. Select 'MP2 OFIS" or "MP3 OHS" from the "Millstone Station PPC Top Menu."
o] Access R*Time OFIS from Personal
Computer (Alternate Method)
This method provides connection to Unit 2(3) PPC during Station Emergency. Use if Public LAN fails.
1. Open the "OHS" icon.
2. Select "Connect to Unit 2 PPC" or "Connect to Unit 3 PPC" from the "Millstone OHS Connect Menu."
3. Select "OHS" from the "UNIT 2(3) PPC Top Menu."
QAccess R*Tlme OFHS from Personal
Computer (Simulator Drills)
This method provides connection to Unit 2(3)
simulator during E-Plan drills.
1. Open the "OIS" icon.
2. Select "Unit 2 Drill" or "Unit 3 Drill" from the "Millstone OHS Connect Menu."
3. Select "OHS" from the "UNIT 2(3) PPC Top Menu."
o Access R*Time OFIS from Personal Computer State EOC
In addition to selecting the appropriate method to access OFIS, a password is required at the State EOC.
I. Open the "OFIS" icon.
2. Select "Connect to Millstone LAN" from the "Millstone OFIS Connect Menu" or other desired connection.
3. Select "Dial" on the Dial-Up Networking box.
Note You will have three (3) attempts to log in correctly. After three unsuccessful attempts, the message box "The script has halted" will appear.
4. WHEN the "After Dial Terminal" screen appears, at the "Enter Passcode:" prompt, first enter "dragon" (without the quotes) followed by the token code number displayed on the SecurlD card (with no blank spaces or extra characters between them) within 30 seconds of the prompt, and then press enter.
5. IF the attempt to log in has been unsuccessful, wait until a new token code number appears on the SecurID card and repeat step 4.
6. IF log in fails, as indicated by "The script has halted" message, then restart process from step 2.
7. WHEN successfully logged in, select "MP2 OFIS" or "MP3 OHS" from the "Millstone Station PPC Top Menu."
MP-26-EPI-FAPl5-006 Rev. 001 Page 1 of 1
I "I
08I2�2
0=/0102 "J-2 Approval Date
Procedure Action Request
09/03102 Effective Date
SPG 021017-074133
Reviews Print Sign Date Department
E-Plan5.0.54(q) Torn RIgney Yes 619D Writer's, Guide Marila Maryoski5K
RCD A R P__ __
Environmental Screen SEE ATTACHED FORM
Licensing BasisR.Dnvn/ O (50.59 Screen Req. D3Yes EB'No)____ ______________
Tech Independent -mO% &T•.O't" • ___•___ EA
Validation None [] Field - Use Simulated Performance- (J Table Top and 0 comparison MP-05-DC-SAP01-004 Use MP-05-OC-SAPOI-004 Walk-through
(minimum of two) Print Sign Date Dept
Coordinator
Member
SNone [I Nuclear Training 0 Briefing 0l Familiarization
0 SOR Review and Approval f" SORC Review and Approval -- Department Head Review and Approval
.&f Isapproval ~ WA__ _
1/4 (1) Department Head SignrDate (1) Deparknent Head Approval Sign
A !_DA gnDa (2) SORC Meeting Number
(2) Deparient Head A0pp6al Sign
(3) SORC Approval Sign
Approval Date: II a op Effective Date: I a/S-Io;.1
MP-O5-DC-FAPOI .1-005 Rev. 000 Pate I of_
Document No.: * MP-26-EPI-FAP15 Writer. M. Maryesld Rev. No. j Minor Rev.
Title: Common Forms
For New Documents Document is QA 0 DH Tide:
E9 Revision 0 Mwinor Revision 0 Cleanup Revision 0 Biennial Review
0 Cancel O Void (Do Not Use) 03 Expire 0 Superceded Byr.
[0 Administratlve Correction FLS:Comments:
CR-02-10900, AR 01000341-17
Biennial review was performed, incorporated editorial corrections, updated procedure and all forms to approved MM05 format.
I
Training:
I
C Procedure Action Request Continuation Page
p Document No: Mp-26-EpI-FApl 5 Witter RaNo: Minor Rev
Title:
Common Forms
nI Comments
LIValidation Comments Review Pain Sign Dci.~p
E~~iZZZ~I Ri_ _ __ __ __ _ _ _
P-26-EPI-FAP]5-001 Rev. 001
MP-26-EPI-FAP15-002 Rev. 001
MAP-26-EPI-FAP15.003 Rev. 001
MP-26.EPIFAP]5-006 Rev. 001
A-26-EPI-FAP]5.007 Rev. 0011
MP-26-EPI-FAP115400 Rev. 0011
MP26-EPI-AP15.009 Rev. 001L
MP-26-EPI-FAP]5-010 Rev. 001
M-26-EPI-FAP15-009 Rev. 001
LP-26-EPI-FAPI5.O10 Rev. 001
M-26-EPI-FAP]5-O1 1 Rev. 001
MP-26-EP1-AP15-014 Rev. 001
MP4O5.DC-FAPOI.14)05 Rev. 000 Poge 2 o .. 2
Approval Date Effective DateCritical Parameter Data Sheet - MP1
PARAMETER (EAL Threshold) TIME
Barrier Affected ID*
MP1 Spent Fuel Pool Island ARM (Ch. 1)(West) RM-SFPI-01
SFP Level
SFP Temperature
MP1 Spent Fuel Pool Island ARM (Ch. 2) (East)
MPI Spent Fuel Pool Island ARM (Ch. 3)(West)
Vent Exhaust Effluent RM
*Note: If these specific data points are not available, others that measure an equivalent parameter may be used.
MP-26-EPI-FAPI5-007 Rev. 001 Page 1 of 1
-4;1/ 1'4ýlxwlrl
08120I)"08/20/02 71
Approval Date
Procedure Action Request
0o903102 Effective Date
P 021017-074133
Reviews Print Sign Date Department
E-Plan-50.54(q) (D Tom Riginey 09 Writers Guide Maria Maryesld
Environmental Screen SEE ATTACHED FORM
Licensing Basis R. Donovan I//4 AP (50.59 Screen Req. 3 Yes I'No)
Tech independent _11 PI.a 19 4 14 6je
Validation g None [-Field -Use El Simulated Performance - 5 Table Top and El Comparison MP-05-DC-SAPO1-004 Use MP-05-DC-SAPO1-004 Walk-through
(minimum of two) Print Sign Date Dept
Coordinator
Member
SNone [I Nuclear Training E0 Briefing I" Familiarization
SOR Review and Approva! f - SORC Review and Approval fl Department Head Review and Approval
M al • iapproval V 6_ _
(1) Department Head Sign/Date (1) Department Head Approval Sign
1) "D A "- gn/Date (2) SORC Meeting Number
(2) Department Head Appral Sign (3) SORC Approval Sign I
Approval Date: II kh• )ou. Effective Date: I , ox/,-
MP-05-DC-FAPOI.1-005 Rev. 000 Page I of
Document No.: MP-26-EPI-FAP15 Writer: M. Maryeski Rev. No. Minor Rev. I o0
Title: Common Forms
For New Documents Document is QA El DH Title: 0 Revision [3 Minor Revision 0 Cleanup Revision 0 Biennial Review
0 Cancel [3 Void (Do Not Use) 0 Expire 0I Superceded By.
0 Administrative Correction FLS:Comments:
CR-02-10900, AR 01000341-17
Biennial review was performed, incorporated editorial corrections, updated procedure and all forms to approved MM05 format.
Training:
IE
C C Procedure Action Request Continuation Page
Document No: MP-26-EPI-FAPI 5 Wdter R No: Minor Rev
Olle: Common Forms
El Comments
[]Validation Comments
Review p"n Sign Date D9..
L oIII Z n _ __ _ __ ___ _
LZZZ ~_0_
MP-05-DC-FAPOI. 1-005 Rev. 000 Page 2 of .. 2...
MP-26-EPIFAP]5-001 Rev. 001
MP-26-EPI-FAP15-002 Rev. 001
MP-26EP1-FAP1S-00 Rev. 001
P-26-EPI-FAPJ5-004 Rev. 001
'A-26-EPI-FAP15-005 Rev. 001
W-26-EPI-FAP154006 Rev. 001
VI-26-EPI-FAPJ5-07 Rev. 001
'A-26-EPt-FAP15-008 Rev. 001
-~26-EPI-FAP]54009 Rev. 001
P-26-EPI-FAP15-010 Rev. 001
MP-26-EPI-FAPIS-01 1 Rev. 001
MP-26-EPI-FAP15-012 Rev. 001
MP-26-EPI-FAPJ5.013 Rev. 001
MP-26-EPI-FAP15-O14 Rev. 001
ii ___________
Approval Date Critical Parameter Data Sheet - MP2'�iA•Ie -
Effective Date
PARAMETER (EAL Threshold) IME
Barrier Affected Computer ID*
RCS Subcooling (300 F) - RCS CEH-SUB
RVLMS Reading (0%) - Fuel RXLVL-A
RXLVL-B
Core Exit Thermocouple Reading (800*/1300* F) - INTAMX Fuel, CTMT
RM-8240/8241 (300/5/1200 R/hr) - Fuel, RCS, CrMT R8240
R8241
CTMT Pressure (10 psig) - CTMTPTR Offsite CTMTPR Releases
MP2 Kaman Vent Monitor Reading RIC8168 (0.02/0.2/2 pCi/cc) - Offsite Releases
MSL Monitor (RM-4299A/B/C) Reading R4299A
(0.03/0.3/2R/hr) * (R4299A, B, C - 1012, 1013, 1014) R4299B - Offsite Releases
R4299C
MP2 WRGM Site Stack Effluent Activity Reading LŽ R8169 or RU1 1/10/30 pCi/cc) Offsite Releases
*Note: If these specific data points are not available, others that measure an equivalent parameter may be used.
MP-26-EPI-FAP15-008 Rev. 001 Page 1 of 1
Approval Date
Procedure Action Request
0nX13/t32o=20W
SPG 021017-074133-- ~ ~ S 021017p-074133 ...
Reviews Print Sign Date Department
E-Plan-50.54(q) Tom Rigney A writers Guide Maria Maryeski5 6
RCD DOA pfl Environmental Screen SEE ATTACHED FORM
Licensing BasisM .DnvnI//9 A O (50.59 Screen Req. D3Yes Biý'o) R ooa Tech Independent ~~_________
Validation None [] Field-Use Simulated Petformance - E Table Top and Comparison MP-05,cC-SAPOI-004 Use MP0,5-DC-SAPOI -004 Walk-through
(minimum of two) Print Sign Date
Coordinator
Member
SNone 0l Nuclear Training 0 Briefing [I Familiarization
Eg SOR Review and Approval rl SORC Review and Approval m- Department Head Review and Approval
A val Disapproval W&
.4 ý , "/•. (1) Department Head Sign/Date (1) Department Head Approval Sign '11• UvD A Sign/Date
(2) SORC Meeting Number
(2) Department Head App#W Sign __(3) SORC Approval Sign
Approval Date: ItI.LS')oA Effective Date: I a/,sdod,,
MP-05-DC-FAPO1 .1-005 Rev. 000 Page 1 of
Document No.: MP-26-EPI-FAP15
Title: Common Forms
For New Documents Document is QA El DH Title:
0 Revision 03 Minor Revision 0 Cleanup Revision 0 Biennial Review
0 Cancel [3 Void (Do Not Use) 0 Expire 0 Superceded By:.
Comments: 0 Administrative Correction FLS:
CR-02-10900, AR 01000341-17
Biennial review was performed, incorporated editorial corrections, updated procedure and all forms to approved MM05 format.
Training:
Effective Date
I
Wier:. M. Maryeski Kev. NO. iminor Riev. 001
IC C Procedure Action Request Continuation Page
Documenf NO: MP-26-EPI-FAPIS Walter R No: MNorw Rev 11ffe Common Forms
El Comments
EL Validation Comments
leView P"n SMg Ddo ep
P-26-EPI-FAP15-001 Rev. 001
pP-26-EPI-FAP15-002 Rev. 001
- 6EPI-FAP15-00 Rev. 001
P-26-EPI-FAPI5-004 Rev. 001
P-6EIFP505Rv 0
P-26-EPI-FAP)5-005 Rev. 001
P-26-EPI-FAP15-006 Rev. 001
P-26PI-FAP15-008 Rev. 001
P-26-EPt-FAP15.)00 Rev. 001
P-26fEPI-FAP15-010 Rev. 001
W-26-PI-FAP"1-10 Rev. 001
MP-26-EPI-FAP15-01 1 Rev. 001
MP-26-EL-APIS-012 Rev. 001
MP-26-EPI-FAP15013 Rev. 001
MP.05-OC-FAPO1.1-005 Rev. 000 POWe 2 of 2.L.
-K -/Effective DateApproval Date
Critical Parameter Data Sheet - MP3
PARAMETER (EAL Threshold) TIME
Barrier Affected Computer ID*
RCS Subcooling (32* F/i 15* F Adverse CTMT) - CVSUBCOOL RCS
RVLMS (19%) Plenum - Fuel CVPLENLVLA/B
Core Exit TC Temperature (718*/12000 F) - Fuel CVCETMX
RE-04A/05A Reading (500/5/2000 R/hr) - Fuel, RMS-RO4A/RO5A RCS, CTMT
CTMT Pressure (60 PSIA) - CTMT CVCTPRESS
MP3 Kaman Vent Mon (RE-10A) Reading CVHVR 1OAI/10B (.01/.1/.8 u.Ci/cc) - Offsihe Releases
MP3 SLCRS Gas Monitoring Reading L 1/10/30 CVHVR19Al uCi/cc ) Offsite Releases
*Note: If these specific data points are not available, others that measure the parameter may be used.
MP-26-EPI-FAP15-009 Rev. 001 Page 1 of 1
i | i.-Oi
Approval Date
Procedure Action RequestSPG 021017-074133
Reviews Print Sign Date Department
E-Plan-50.54(q) Tom Rligney
WrIters Gulde Maria Maryesld fyI -2- 5
__ __ _ __ _ __ P1. A-DpAwny IA4
Environmental Screen SEE ATTACHED FORM ft
Licensing Basis R. Donovan (50.59 Screen Req. 0 Yes E'No) R..Donolan
Tech Independent Y -n' ti- -t
Validation "None [J Field-Use [] Slmulated Performance - Table Top and E] Comparison
MP.05-DC-SAPO1-004 Use MP.05-DC-SAPO1-004 Walk-through
(minimum of two) Print Sign Date Dept
Coordinator
Member
Training: SNone [] Nuclear Training Li Briefing [I Famliarization
SOR Review and Approval n- SORC Review and Approval fl Department Head Review and Approval AP~Val • Disapproval -1 WA
(1) Depatment Head sigvDate (1) Department Head Approval Sign
(2) SORC Meeting Numbeir
(2) Department Head Apprlal Sign (3) SORC Approval Sign
Approval Date: II I.X7oV Effective Date: I a1/"Sb1
MP-05-DC-FAPOI.1-005 Rev. 000 Page I of
Document No.: MP-26-EPI-FAP15 Writer. M. Maryesld Rev. No. Minor Rev.
Title: Common Forms
For New Documents Document is QA I] DH lTitle: E9 Revision 0 Minor Revision ] Cleanup Revision 0 Biennial Review
0 Cancel 0 Void (Do Not Use) 0 Expire 0 Supercoded By.
0 Admnstralve Correction FLS:Comments:
CR-02-10900, AR 01000341-17
Biennial review was performed, incorporated editorial corrections, updated procedure and all forms to approved
MM05 format.
L ,)t 0913102 Effective Date
(2 C procedure Action Request Continuation Page
Docxment NO: MP-26-EPI-FAP16 Winer gv3 No: Mwno Revi Vitle: Common Forms
El Comments
LI Validation Comments
Review %dtSgn Dale DepL
LIIIZI 0___
MP-05-OC-FAP01.1-006 Rev. ODD Page 2_of 2
P-26-EPI-FAP15-001 Rev. 001
MP-26-EPI-FAPl54M0 Rev. 001
MP-26-EPI-FAPI5-003 Rev. 0011
MP-26-EPI-FAP)5.004 Rev. 001
MP-26-EPI..FAPISMS0 Rev. 001
'A-26-EPI-FAP15-006 Rev. 001
P-26-EP~fA15-007 Rev. 001
MP-26-EPI-FAP)54006 Rev. 001
MP-26-EPI-FAPI 54309 Rev. 001
MP-26-EPI-FAP]5-O1O Rev. 001 V
MP-26-EPt-FAP15-O1 I Rev. 001
MP-26-EPI-FAPI5-012 Rev. 001
MP-264EPI-APIS-013 Rev. 001
MAP-26-EPI-FAPIS-014 Rev. 001
II h•l6�Approval Date
l�Ib5J 42�Effective Date
Emergency Team Briefing Sheet
This Briefing form replaces AWOs and augments RWPs. Normal station safety tagging
processes remain in effect.
Goal: Teams deployed within 15 minutes of request (assess, repair, search and rescue)
Teamk Date: Time of Request:
Task Description:
Briefings:
oI 1.
Team:
o OPS [iRAD [] Security [I Other.
IF no constraints, provide general brief on the following:
• RCA entry or radiation release
• Security threat
* Chemical release or fire
• Other (weather, structural)
* General (task, MTSC review, communications, etc.)
Lead:
Facility Contact Name:
Radio Channel: Facility Phone:
Team field phone M.
Contact Every minutes OR as situation changes
Team deployment authorized: []ADTS [-CR DSEO
Time team deployed:
o 2. Verify team safely returned or re-deployed when task was finished.
O 3. Perform debrief using Emergency Team Debriefimg Sheet.
MP-26-EPI-FAP15-010 Rev. 001 Paee I of 3
I
Emergency Team Radiological Briefing
Team #: Date: Time of Request: '
Instructions: The following is required if conditions are constrained or RWP or RCA entry is
necessary.
[-] Enter information, N/A, or line out if provided by electronic dosimetry log.
Name EID Dosimetry #s
[ Call Back Dose Rate
["] Turn Back Dose Rate
I- Exposure Limit
-' HP Tech Required Yes /No
[] Meter Type
['-1 High Range Dosimetry
o Protective Clothing
5 Respiratory Protection
EI Special Equipment
5 Other: (KI)
Special Instructions:
MP-26-EPI-FAPI5-010 Rev. 001 Pame 2 of 3
I
Emergency Team Debriefing Sheet
Team I: Date: Time of Return:
MP-26-EPI-FAP15-010 Rev. 001 Paze 3 of 3
CONDMONS AS FOUND:
TASKS PERFORMED:
CURRENT STATUS/WORK TO BE COMPLETED:
RECOMMENDED ACTION/OTHER COMMENTS:
Debriefed by: -Time:
O6P~/020910GfOApproval Date
Procedure Action Request
17
Oarza= VIA:
RPA r01017-074133
Reviews Print Sign Date Department
E-Plan-50.54(q) Tom Rigney 09
RCD
Environmental Screen SEE ATnACHED FORM
icensing Basis R. ,n/5/o (50-59 Screen Req. 03 Yes EJNo) R D
Tech Independent [t"io,
Validation None 0 Field -Use 0 Simulated Performance - [J Table Top and 0 Comparison MP.05-OC-AP01-004 Use MP.05.OC-SAP01-004 Walk-through
(minimum of two) Print Sign Date Dept
Coordinator
Member
[I Nuclear Training E0 Briefing [I Familiarization
N SOR Review and Approval F1 SORC Review and Approval fl Department Head Review and Approval
App val Disapproval __
oý (1) Department Head Sign/Date (1) Department Head Approval Sign
D /I S~gnDate (2) SORC Meeting Number
(2) Department Head Appn Sign (3) SORC Approval Sign
Approval Date: II ) Effective Date: Ia/S.-1ioA,
MP-05-DC-FAPOI.1-005 Rev. 000 Page I of
Document No.: MP-26-EPI-FAP1S Writer. M. Maryeski Rev. No. Minor Rev. -I W 0
Title: Common Forms
For New Documents Document is QA IJ DH Title:
* Revision 0l Minor Revision 0 Cleanup Revision 0 Biennial Review
0 Cancel 13 Void (Do Not Use) 0 Expire 0l Superceded By:.
0 Adrninistrative Correction FLS:Comments:
CR-02-10900, AR 01000341-17
Biennial review was performed, incorporated editorial corrections, updated procedure and all forms to approved
MM05 format.
Trainina: IZ None
Effective Date
I ,
C C Procedure Action Request Continuation Page
Document NO: MP-26-EPI-FAPIS Writer Rev, No: Mior Rev
Title: Common Forms
l Comments
"] Validation Comments
Review P Sin Date De.
LIIII od EZIZZI d
P-26-EPI-FAP15-001 Rev. 001
P-2EI-FAPIS-002 Rev. 001
IP-26-EPI.FAP15-003 Rev. 001
IP-26-EPI-FAP15-004 Rev. 001
MP-26-EPI-FAP15-005 Rev. 001
P-26-EPI-FAPIS-007 Rev. 001
MP-26-EPI-FAP15-006 Rev. 001
MP-26-.EFI-FAP°15-009 Rev. 001
P-26-EPI-FAP15-007 Rev. 001
-26-EPI-FAP15-O0 Rev. 001
P-26-EPI-FAPJ5-01 1 Rev. 001 / P-26-EPI-FAP15-012 Rev. 001
P-26-EPI-FAPIS-013 Rev. 001
MP-26-EPI-FAPJ5-014 Rev. 001
MP-05-DOC-IMPO.1-005 Rev. 000 Poge 2 of 2
Approval Date Effective Date
Fitness For Duty Questionnaire
1. Request each individual contacted for unscheduled SERO duties to answer the
following questions:
oAre you available for unscheduled work? []YES D NO
Q * Have you consumed any alcoholic beverages within E] YES [I NO the past five (5) hours?
O * Have you taken any medication or drugs, or D YES D NO consumed alcohol, which might affect your ability to perform assigned duties?
O3 Do you feel able to perform your assigned duties? I YES D NO
O] 2. IF the responses to all questions are within the bolded boxes, request the individual to report to the EOF.
0 3. IF the response to any question is not within a bolded box, contact the next listed
individual qualified to fill the position.
4. IF no individual can be found who responds only to bolded boxes, evaluate those
individuals contacted as follows:
o • IF the individual responded "YES" to question lb OR ic, determine the extent of substance usage.
1 * IF the individual states they are able and fit to perform all assigned duties
AND the individual's skills are essential to the response effort, take appropriate measures to ensure the safety of the individual, public, fellow employees, and company property and arrange for the individual to report for duty.
O] 5. IF assistance in evaluating responses is necessary, consult the DSEO to determine
the extent and approval of alternative measures.
MP-26-EPI-FAPI5-011 Rev. 001 Pame I of I
L
I 08r20o2 Effective DateApproval Date
Procedure Action RequestRPG 021017-074133
Reviews Print Sign Date Department
_____________El_ _ _
E-Pian-50.54(q) Tomn Rigney A Writer's Guide Maria Maryesld
ROD P. A_____to! ____
Environmental Screen SEE ATFACHED FORM
Licensing Basis R ooa (50.59 Screen Req. [0 Yes iNo) R5 Donva
Tech Independent [] - 6" 1 ______t.-_ 6A
Validation None El Field -Use El Simulated Performance - El Table Top and El Comparison MP-05-DC-SAP01-04 Use MP-05-DC-SAP01-004 Walk-through
(minimum of two) Print Sign Date Dept
Coordinator
Member
Tralnina: SNone [] Nuclear Training El Briefing [] Familiarization
Eg SOR Review and Approval F1 SORC Review and Approvat F1 Department Head Review and Approval pJVal Disapproval E
; (1) Department Head SigrnDate (1) Department Head Approval Sign
VO A S~gr~ate (2) SORC Meeting Number
(2) Department Head Ap ! Sign (3) SORC Approval Sign
Approval Date: II Id-S..0) Effective Date: 12/a/Iod,,
MP-05-DC-FAPO1.1-005 Rev. 000 Paae1of I "
Document No.: MP-26-EPI-FAP15' Writer. M. Maryeski Rev. N Minor Rev.
Title: Common Forms
For New Documents Document is QA El DH Title:
0 Revision 0 Minor Revision Cleanup Revision [3 Biennial Review
0 Cancel [I Void (Do Not Use) Exxpire 0 Superceded By:.
Comments: [0 Administrative Correction FLS:
CR-02-10900, AR 01000341-17
Biennial review was performed, incorporated editorial corrections, updated procedure and all forms to approved
MM05 format.
I
I
I
I
4
C C Procedure Action Request Continuation Page
Document NO: MP-26-EPI-FAPIS Winier R No: MinorRe
T inle:ow0 Common Forms
El Comments
E] Validation Comments Review Punt sign Date *
MP-26-EPI-FAP15-0W Rev. 001
MP-26F-EPI-FA1500 Rev. 001
PV-26UE~-A15-003 Rev. 001
MP-26-EPI-FAP15-004 Rev. 001
W-26*EPIFAP15-005 Rev. 001
MP-26-EPI-FAP15-00 Rev. 001
MAP-26-EPI-FAP15-007 Rev. 001
V-26-EPI-FAP]5-0)0 Rev. 001
pP-26-EPJ-FAP15-019
Rev. 001
P-26-EPI-FAP1S-012 Rev. 001 %/
-2-PI-FAP15-013 Rev. 001
MP-26-EPI-FAP15.O1 Rev. 001
MP.05-DC-FAPO1 .1-005 Rev. 000 Page- 2 of 2.....
. 1 1 1A 1. , S ) .IApproval Date Effective Date
SERO Log Sheet
Name: jDate: SERO Position: Page of
MP-26-EPI-FAPI5-012 Rev. 001 Page 1 of I
1 1Ia jb3
Approval Date
Procedure Action Request
09,3/02 Effective Date
SPG 021017-074133
Reviews Print Sign Date Department
E-Plan-50.54(q) Tom Rigney A
Writer's Guide Maria Maryeskl P RcD P]QA . •bA:WAJ• -I , 9
Environmental Screen SEE ATTACHED FORM
Licensing Basis R ooa 150 AO (50.59 Screen Req. 0 Yes JiNo) RDnoa Tech Independent [ [- w'. . 11ut ______ _, _
Validation None [] Field- Use fl Simulated Performance- T] Table Top and [] Comparison MP-05-DC-SAP01-004 Use MP-05-DC-SAPO1-004 Walk-through
(minimum of two) Print Sign Date Dept
Coordinator
Member
14 None [I Nuclear Training 0 Briefing 0 Familiarization
S SOR Review and Approval F1 SORC Review and Approval fl Department Head Review and Approval
App val Disapproval WA _______________
_ (1) Department Head Sign/Date (1) Department Head Approval Sign
SigzV~ato __________________ ,• Sg e (2) SORC Meeting Number
(2) Department Head Appw al Sign (3) SORC Approval Sign
Approval Date: /I ,.,o, Effective Date: I,, /S,-o,,.
MP-05-DC-FAPOI.1-005 Rev. 000 Page I of
Document No.: MP-26-EPI-FAP15 Writer M. Maryeski Rev. No. Minor Rev.
Title: Common Forms
For New Documents Document is GA - DH Title: E3 Revision 03 Minor Revision Cleanup Revision 0 Biennial Review
0 Cancel [3 Void (Do Not Use) EJ Expire [3 Superceded By:
Comments: [3 Administrative Correction FLS:
CR-02-10900, AR 01000341-17
Biennial review was performed, incorporated editorial corrections, updated procedure and all forms to approved MM05 format.
/
Training:
1 08/20/02 V..".41
C Procedure Action Request Continuation Page
Wailer
Comments
Validation Comments
MP-05-DC-FAPO1 .1-00 Rev. 000 Page 2 of 2.....
LIReview Phint Sign Wae DGi±
LIIIIZ nd_ _ _ _ _ _ _ _
MP-26-EPI-FAPI5-001 Rev. 001
MP-26-EPI-FAP)5-00 Rev. 001
M-26-EPI-FAP]5-003 Rev. 001
MP-26-EPI-FAP154)04 Rev. 001
P-26-EPI-FAP]5.005 Rev. 001
MP-26-EPI-FAPIS-006 Rev. 001
MP-26-EPI-FAP]5-007 Rev. 001
MP-26-EPI-FAP)5-008 Rev. 001
P-26-EPl-FAPIS.009 Rev. 001
M-P-26-EPI-FAP16-010 Rev. 001
VP-26-EPI-FAPJ6.01 1 Rev. 001
MP-26-EPI-FAP)5-012 Rev. 001
MP-26.EPIFAP]5.013 Rev. 001V
MP-26-EPI-FAP15-014 Rev. 001
III ;ý, a'I
I ./.5 196 1dLpproval Date Effective Date
EOF Air Handling and High Radiation Filtration System
Section A: System Activation
o 1. Refer To Section C, "System Panel," and verify Air Handling and High Radiation Filtration System operating in normal mode, as follows:
* "NORMAL HVAC CONDITIONS" indicator light is lit.
* IF the "NORMAL HVAC CONDITION" indicator light is not lit, perform the following:
a) Set the "POWER" switch to "ON."
b) Press "START" button.
* Ensure 2,3,4,5 dampers are in the "NORMAL" position.
* IF the EOF is activated during Off Normal Hours, set the "NITE OVERRIDE" switch to "OVERRIDE."
o 2. IF directed by the MRDA, activate the High Radiation Filtration (HRF) System, as follows:
a. Before activating "HRF' system, notify the appropriate individuals in accordance with the front of the alarm panel.
b. Depress black vent valve located outside of each inner airlock door.
c. Close all inner and outer airlock doors.
d. Obtain key for Simplex Fire Alarm Panel in mechanical room from EOF key board.
e. Set "HI RADIATION" switch to "HI RADN."
MP-26-EPI-FAP15-013 Rev. 001 Page I of 5
Section A: System Activation
f. Acknowledge applicable zones normally on the Simplex Fire Protection
Panel.
g. Verify the following:
1) Dampers 2, 3, 4, and 5 are in the high radiation position and fan 4 is rotating.
2) Airlock door inflatable gaskets have inflated and local door pressure gauges indicate between 15 to 20 psig.
3) "GREEN" airlock door indicator light, located at each airlock door,
is lit for all airlock doors that have been closed.
h. IF a "RED" airlock door indicator is lit, close the associated air lock door.
i. IF Alarm 10-"Door System Low Pressure" on the Simplex Fire Protection Panel is activated, acknowledge and reset the alarm
L3 3. IF EOF alarm systems activate during High Radiation Filtration System activation, determine cause of alarms and request corrective assistance, as necessary.
) 4. IF loss of normal AC power occurs, reactivate the Air Handling and High Radiation Filtration System when backup power to the EOF is obtained and perform the following:
a. Verify one of the following conditions has occurred:
* Normal AC power has been restored.
* EOF emergency diesel generator is running.
b. Press "START" button.
c. Verify dampers 2, 3, 4, and 5 are in the high radiation position and fan 4 is rotating.
MP-26-EPI-FAPI5-013 Rev. 001 Page 2 of 5
NOTE
This will also activate a trouble light on the annunciator panel in the Security Office.
Section B: System Deactivation
o 1. Set "HI RADIATION" switch to "NORMAL" and allow approximately 15 to 30 seconds for filtration dampers to deposition.
O 2. Verify dampers 2,3,4, and 5 are in the "NORMAL" position.
o 3. At the Simplex EOF Fire Alarm Panel, press the "RESET" button to clear zones.
O 4. Return Simplex Panel Return key to key box.
o 5. Notify to CAS/SAS in accordance with the instructions on the front of alarm panel.
MP-26-EPI-FAP15-013 Rev. 001 Page 3 of 5
Section C: Hligh Radiation Filtration System Panel
MP-26-EPI-FAPI5-013 Rev. 001 Page 4 of 5
KSection C: High Radiation Filtration
System Panel
Section D: System Parameters
S~MP-26-EPI-FAP15-013 Rev. 001 Page 5 of 5
System Component System Status
DAY 0500 to 1700 NITE 1700 to 0500 HI RADIATION
POWER ON ON ON
FAN #1 (Air Hand Unit) ON ON ON
FAN #2 (Intake) ON OFF ON
FAN #3 (Exhaust) ON OFF ON
D-2 OPEN CLOSED CLOSED
D-3, 4,5 CLOSED CLOSED OPEN
FAN #4 OFF OFF ON
FILTER HEATER OFF OFF ON
HT. SETPOINT 680 550 680
CLG. SETPOINT 780 OFF 780
* Approximate times - system may be overridden.
t
I 08/201020910302
Approval Date
Procedure Action Request
Effective Date
SPG 021017-074133
Reviews Print Sign Date Department
E-Pian-50."4q) 0 Tonm Rigney 09 Writer's Guide 0 Maria Maryeskidý tI L P
Environmental Screen 0 SEE ATTACHED FORM
Ucensing Basis R. Donovan 1115/OZ A1PO (50.59 Screen Req. [0 Yes r'No)
Tech Independent 0 _n>. ~____
Validation None 0 Field - Use I- Simulated Performance - -- Table Top and f Comparison MP-05-DC-SAPO1-004 Use MP-05-DC-SAPOI-004 Walk-through
(minimum of two) Print Sign Date Dept
Coordinator
Member
Training: SNone 0I Nuclear Training [] Briefing [] Familiarization
SOR Review and Approval -l SORC Review and Approval fl Department Head Review and Approval
_DisapprovalW
,47aisA/2 (1) Department Head Sign/Date (1) Department Head Approval Sign
6a V ý SinDt (2) SORC Meeting Number
(2) Department Head Apprtal Sign 1 (3) SORC Approval Sign I
Approval Date: I ld) ,,3., Effective Date: Ia/S-I o,,
MP-05-DC-FAPOI.1-005 Rev. 000
Page I of
Document No.: MP-26-EPI-FAP15 Writer. M. Maryeskd Rev. No. Minor Rev. I01
Title: Common Forms
For New Documents Document is QA 0 DH Title: 0 Revision 0 Minor Revision [0 Cleanup Revision 0 Biennial Review
0 Cancel [3 Void (Do Not Use) 03 Expire 03 Superceded By:.
[0 Administrative Correction FLS:Comments:
"CR-02-10900, AR 01000341-17
Biennial review was performed, incorporated editorial corrections, updated procedure and all forms to approved MM05 format.
C C Procedure Action Request Continuation Page
LI Comments
ELI Validation Comments
M-26-EP1-FAPJ5-)00 Rev. 001
MP-26-EPI-FAP15-005 Rev. 001
AP-26-EPI-FAP15.003 Rev. 001
MP-26.EPI-FAP1J5.00 Rev. 001
P-26-EPI.FAP)5.00 Rev. 001
MP-26-EPI-FAPI5.006 Rev. 001
MP-26-EPI-FAPIS5.00 Rev. 001
-26-PI-FAPI5-011 Rev.001
MP-264E3tfAPI5.012 Rev. 001
M-6EPI-FAPIS.013 Rev. 001
P-26-EPI-FAPIS-014 Rev. 00k/*'
I
MP-05.DC-FAPOI. 1.005 Rev. 000 Page 2 of 2
Revew I Paint Sign Mep __I I I
Approval Date Effective Date
State Police, Waterford Police, and Tri-Town Radio System
NOTE
1. The radio systems discussed in this form are installed in and operable from the radio consoles located in the Units 2 and 3 Control Rooms. The Tri-Town system is also operable from the Emergency Operations Facility (EOF).
2. This radio system allows Millstone to communicate with public officials from Waterford, East Lyme, and New London in the event telephone service is lost.
Section A: Tri-Town Radio (TransmitfReceive (T/R) Module)
Control 3 1. WHEN communicating via the Tri-Town radio system, Refer To Section F, Room
"Tri-Town Radio System Call Letters."
2. To transmit, perform the following:
o3 a) On the Tri-Town T/R module, depress the SELECT (GREEN) button.
oI b) Place the Fl, F2 button in the F1 position.
o c) Depress and hold the XMIT (RED) button and speak into the "microphone.
E3 d) After speaking, release the X rIT button.
3. To receive, perform the following:
NOTE
Waterford Dispatch has the capability to send a touch tone signal to a specific Control Room or the EOF. When this occurs, an audible tone will be heard on the console signaled and an amber LED will illuminate on the Tri-Town T/R module.
o3 a) WHEN an audible tone is received, silence the audible tone by resetting the toggle switch located on the call tone module which is adjacent to the UNSELECT AUDIO speaker.
NOTE
Audio can be heard through the UNSELECT speaker.
oI b) On the Tri-Town T/R module, depress the SELECT (GREEN) button.
MP-26-EPI-FAPI5-014 Rev. 001 Paee I of 7
Section A: Tri-Town Radio (Transmit/Receive (T/R) Module)
O3 c) IF transmission is required, depress and hold the XM1T (RED) button and speak into the microphone.
E3 d) After speaking, release the XMlT button.
E3 e) To extinguish amber LED, depress the RESET button.
MP-26-EPI-FAP15-014 Rev. 001 Page 2 of 7
I
!
Section B: State Police Radio (Transmit/Receive (T/R) Module)
Conw l3 1. WHEN calling the State Police, use the call sign "Troop E." RoOM
2. To transmit, perform the following:
o a) On the State Police T/R module, depress the SELECT (GREEN)
button.
03 b) Place the F1, F2 button in the Fl position.
U c) Depress and hold the XM1T (RED) button and speak into the microphone.
o3 d) After speaking, release the XIMT button.
3. To receive, perform the following:
U a) On the State Police T/R module, depress the SELECT' (GREEN) button and listen for the audio on the SELECT speaker.
o b) IF transmission is required, depress and hold the XMIT (RED) button and speak into the microphone.
U c) After speaking, release the XMIT button.
0 d) To extinguish amber LED, depress the RESET button.
MP-26-EPI-FAPI5-014 Rev. 001 Page 3 of 7
NOTE
The State Police radio system is used for emergency communication with the State Police located at the Montville Barracks Troop "E."
Section C: Waterford Police Radio (Transmit/Receive (T/R) Module)
Confrul ROOM
0 1.
2.
NOTE
The Wateford Police radio system is used for emergency communication between Millstone, Waterford EOC, and the Waterford Police dispatcher.
3.
WHEN calling the Waterford Police, use the call sign "Headquarters."
To transmit, perform the following:
O a) On the Waterford PD T/R module, depress the SELECT (GREEN) button.
O b) Depress and hold the XMIT (RED) button and speak into the microphone.
O c) After speaking, release the XMIT button.
To receive, perform the following:
o3 a) On the Waterford PD T/R module, depress the SELECT (GREEN) button and listen for the audio on the SELECT speaker.
o3 b) IF transmission is required, depress and hold the XMIT (RED) button and speak into the microphone.
03 c) After speaking, release the XMIT button.
O3 d) To extinguish amber LED, depress the RESET button.
MP-26-EPI-FAP15-014 Rev. 001 Pame 4 of 7
Section D: Tri-Town Radio/EOF
EOF
NOTE
1. This radio (desk top station) allows public officials from Waterford, East Lyme, and New London to communicate with the Millstone EOF in the event telephone service is lost.
2. Power for this radio should be left on at all times. A green LED should be lit when power is on. The power on/off switch is located on the back of the radio right hand side.
1. To transmit, perform the following:
I) a) Press down the monitor switch and adjust the volume control for a comfortable listening level.
U b) Release the monitor switch.
U c) Ensure the multi-frequency select switch is in the Fl position.
U d) Depress and hold the XMIT (RED) button on the handset microphone and speak into the handset using a normal speaking voice.
U e) WHEN transmitting, verify the red signal light appears on the control panel.
1O f) After speaking, release the XMIT button.
o1 g) Listen for an answer to the call.
oI h) Wait for acknowledgement to ensure the message has been received and understood.
MP-26-EPI-FAPI5-014 Rev. 001 Paze 5 of 7
Section E: Alarms and Malfunctions - Reporting
NOTE
This section is used to report any malfunctioning of the radio at any time. The declaration of an emergency event is not required.
1. Perform the following, as applicable:
03 a) During normal work hours, report radio malfunctions to Site IT/Telecommunications.
C) b) After working hours, report the following to Radio Service Vendor in accordance with MP-26-EPA-REF08B, "Outside Agencies Telephone Listings - Radio Services."
* Location of trouble
0 Type of equipment
• Nature of trouble
a Contact's name
* Contact's direct inward dial telephone number
MP-26-EPI-FAPI5-014 Rev. 001 Page 6 of 7
CR or EOF
I
Section F: Tri-Town Radio System Call Letters
rWaterford Units
First Selectman
Chief of Police
Fire Marshal
Public Works Director
Director of Communications
E.M. Operations Officer
E.M. Coordinator
Oswegatchie Service / Command Unit
Waterford Fire Dispatcher
E.M. Emergency Operations Center
4
Millstone Units
Unit 102 C
Unit 103 l C
Unit 104 N
[illstone Unit 2, ontrol Room
[instone Unit 3 ontrol Room
[illstone Emergency "perations Center
East Lyme Units
C.P.- 31 First Selectman
C.P. - 32 E.M. Director/Director of Communications
C.P. - 33 Deputy E.M. Director
C.P.- 34 E.M. Communications
C.P. - 35 E.O.C - Police Department
New London Units
C.P. - 41 City Manager
C.P. - 42 Chief of Police
C.P. - 43 Fire Chief
C.P.- 44 Public Works Director
C.P. - 45 C.P. Director
C.P. - 46 Asst. C.P. Director Operation
C.P. - 47 Asst. C.P. Director Administrative
S~MP-26-EPI-FAP15-O14 Rev. 001
Page 7 of 7
C.P.- 1
C.P. - 2
C.P. - 3
C.P. - 4
C.P. - 5
C.P. - 6
C.P. - 8
C.P. - 94
Station W
E.O.C.
J