ML031410014

4 to EPIP EI-16.1, Maintenance of Emergency Equipment

ML031410014
Person / Time
Site:	Palisades
Issue date:	05/14/2003
From:	Consumers Energy
To:	Mcknight J Document Control Desk, Office of Nuclear Security and Incident Response
References
Download: ML031410014 (21)

Text

Date Entered: May 14, 2003 TO:

USNRC/WASHINGTON JMCKNIGHT Copy Number:

145 TRANSMITAL NUMBR PROCEDURE NUMBER: El-16.1 TITLE: MAINTENANCE OF EMERGENCY EQUIPMENT TRANSMITTAL: LISTED BELOW ARE NEW/REVISED PROCEDURES WHICH MUST BE IMMEDIATELY INSERTED INTO OR DISCARDED FROM YOUR PROCEDURE MANUAL.

Action Required Section or Description REMOVE AND DESTROY El-16.1, R/13, ENTIRE PROCEDURE REPLACE WITH El-16.1, R/14, ENTIRE PROCEDURE SIGN, DATE, AND RETURN THE ACKNOWLEDGEMENT FORM WITHIN 10 DAYS TO THE PALISADES PLANT DOCUMENT CONTROL SIGNATURE OR INITIALS DATE AD`4S

r Procedure No El-16.1 Revision 14 Effective Date 5114/03 PALISADES NUCLEAR PLANT EMERGENCY IMPLEMENTING PROCEDURE TITLE: MAINTENANCE OF EMERGENCY EQUIPMENT Approved: NKBrott I

5/14/03 Procedure Sponsor Date New Procedure/Revision Summary:

Revised to Revision 14 Specific Changes

1.

Step 5.1.1 b, revised to ensure that it is clear that there will not be any seal(s) on Kit #15 and determination of the need to inventory the kit will be by review of the HP key issuance log.

2., the asterisked note at the bottom of the page revised to add wording the ensures that is clear Kit #15 will not have any seal(s) on it and determination of the need to inventory the kit will be by review of the HP key issuance log.

3., revised to enhance checklist use by adding a horizontal line under each component in the individual tray sections similar to the approach used in Attachment 2.

PALISADES NUCLEAR PLANT Proc No El-16.1 EMERGENCY IMPLEMENTING PROCEDURE Revision 14 Page TITLE: MAINTENANCE OF EMERGENCY EQUIPMENT Table of Contents 1.0 PERSONNEL RESPONSIBILITY...................................................................................

1...........

1.0 PERSONNEL RESPONSIBILITY 1

2.0 PURPOSE 1

3.0 REFERENCES

3.1 SOURCE DOCUMENTS.

3.2 REFERENCE DOCUMENTS 4.0 INITIAL CONDITIONS AND/OR REQUIREMENTS 2

5.0 PROCEDURE 2

5.1 GENERAL INSTRUCTIONS 2

5.1.1 Inspection and Inventory Frequency

.2 5.1.2 Location 3

5.1.3 Equipment Quantities

.3 5.2 INSTRUMENTATION 4

5.2.1 Radiation Detection Instrumentation.............................

4 5.2.2 Silver Zeolite Cartridges...........................

4 5.2.3 Self-Reading Dosimeters...........................

4 5.2.4 Self-Reading Dosimeter Chargers..........................

4 5.2.5 Calculators............................

4 5.3 PROTECTIVE EQUIPMENT 5

5.3.1 Respirators 5

5.3.2 Potassium Iodide 5

5.3.3 TLD Badges 5

5.4 COMMUNICATIONS 6

5.4.1 Radios 6

5.4.2 Telephones 6

5.5 MISCELLANEOUS 6

5.5.1 Flashlights 6

5.5.2 Batteries 6

5.5.3 Emergency Vehicles 6

5.5.4 EOF Electrical Generator 6

5.6 REVIEW/DOCUMENTATION 7

PALISADES NUCLEAR PLANT EMERGENCY IMPLEMENTING PROCEDURE Proc No El-16.1 Revision 14 Page ii TITLE:- MAINTENANCE OF EMERGENCY EQUIPMENT Table of Contents 6.0 ATTACHMENTS AND RECORDS.....................................

I7 6.1 ATTACH-MENTS..............................................

7

.6.2 R E C O R D S............................................................

6.0........................................ 7..

6.2 RECORDS.7 7.0 SPECIAL REVIEWS 7

ATTACHMENTS -, "Inspection of Emergency Kits", "Emergency Kit Inventory", "Medical Emergency Kit Inventory", "Decontamination Kit Inventory", "Maintenance Emergency Kit Inventory", "Kit 16 Allegan Service Center Decontamination Equipment"

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PALISADES NUCLEAR PLANT Proc No El-16.1 EMERGENCY IMPLEMENTING PROCEDURE Revision 14 Page 1 of 7 TITLE: MAINTENANCE OF EMERGENCY EQUIPMENT USER ALERT INFORMATION USE PROCEDURE The activities covered by this procedure may be performed from memory.

1.0 PERSONNEL RESPONSIBILITY Chemical and Radiological Services Department, Maintenance and Construction Department, and the Emergency Planning Section of the Training Department are responsible for inspection and inventory of prepositioned emergency equipment.

2.0 PURPOSE This procedure ensures that prepositioned emergency equipment, as listed in the Site Emergency Plan, is available and functional in order to provide an adequate state of emergency preparedness. Equipment in addition to that listed in the Site Emergency Plan is available to provide more than adequate emergency equipment.

3.0 REFERENCES

3.1 SOURCE DOCUMENTS 3.1.1 NUREG 0654, Section H, "Emergency Facilities and Equipment" 3.1.2 Site Emergency Plan SEP-8, "Maintaining Emergency Preparedness" 3.2 REFERENCE DOCUMENTS 3.2.1 Emergency Implementing Procedure El-15.2, "Communications Tests" 3.2.2 Work Instruction Wl-RSD-T-001, "Emergency Preparedness Radio Testing" 3.2.3 Work Instruction WI-RSD-T-002, "Emergency Plan Radiation Detection Instruments Checklist" 3.2.4 Palisades Administrative Procedure 10.41, "Procedure and Policy Processes"

PALISADES NUCLEAR PLANT EMERGENCY IMPLEMENTING PROCEDURE Proc No El-16.1 Revision 14 Page 2 of 7 TITLE: MAINTENANCE OF EMERGENCY EQUIPMENT INITIAL CONDITIONS AND/OR REQUIREMENTS

a.

Missing or inoperable equipment shall be promptly replaced or mitigating actions taken as specified by Emergency Planning.

b.

Equipment described in this procedure might not be stored in a physical container, but shall be available in the location described.

C.

Work Instruction WI-RSD-T-002, "Emergency Plan Radiation Detection Instruments Checklist," contains the criteria for determining operability of emergency radiation instruments. This checklist is performed monthly.

PROCEDURE:

USER ALERT INFORMATION USE PROCEDURE The activities covered by this procedure may be performed from memory.

GENERAL INSTRUCTIONS 5.1.1 Inspection and Inventory Frequency

a.

Emergency kits shall be inspected at least quarterly.

NOTE:

Kit #15 will not have a seal. Determination of the need to inventory be made by reviewing the Health Physics Key issuance log.

b.

Emergency kits shall be inventoried at a minimum, annually.

use and in the event the seal is broken.

the Kit #15 may Also after each

c.

Entry into emergency kits to replace shelf life items, perform operational/functional checks of portable radiation instruments, or to update procedures does not constitute use of a kit.

4.0

It

'~

5.0 5.1

PALISADES NUCLEAR PLANT Proc No El-16.1 EMERGENCY IMPLEMENTING PROCEDURE Revision 14 Page 3 of 7 TITLE: MAINTENANCE OF EMERGENCY EQUIPMENT 5.1.2 Location Emergency kits shall be located as follows:

a.

Kit 1, Technical Support Center.

b.

Kit 2, Technical Support Center (Decontamination).

c.

Kit 3, Operational Support Center, Fan Room.

d.

Kit 4, Operational Support Center, Fan Room (Decontamination).

e.

Kit 5, Emergency Vehicle 035.

f.

Kit 6, Emergency Vehicle 035 (Decontamination).

g.

Kit 7, Emergency Operations Facility.

h.

Kit 8, Emergency Operations Facility (Decontamination).

~

i.

Kit 9, Emergency Vehicle 461.

j.

Kit 10, Emergency Vehicle 461 (Decontamination).

k.

Kit

1, Ambulance Kit, Health Physics Offi.

i Kit 12, Ambulance Kit, Health Physics Office (Decontamination).

m.

Kit 13, South Haven Community Hospital.

n.

Kit 14, Medical First-Aid Kit, Health Physics Office.

o.

Kit 15, Operational Support Center, Locker Room.

p.

Kit 16, Allegan Service Center Equipment.

5.1.3 Equipment Quantities Minimum quantities of equipment are specified on the applicable attachment.

Discrepancies shall be noted on the applicable attachment.

PALISADES NUCLEAR PLANT Proc No El-1 6.1 EMERGENCY IMPLEMENTING PROCEDURE Revision 14 Page 4 of 7 TITLE: MAINTENANCE OF EMERGENCY EQUIPMENT Ti 5.2 INSTRUMENTATION 5.2.1 Radiation Detection Instrumentation Radiation detection instruments shall be checked, tested, and replaced as necessary, and documented per Work Instruction WI-RSD-T-002, "Emergency Plan Radiation Detection Instruments Checklists." The instrumentation for the E-Vans, along with spare batteries and manuals, will be kept in a deployment kit at the OSC, one kit for each van, and tested monthly by the Health Physics Portable Instrument (HPPI) group.

Air samplers and manuals are kept in Deployment Kits along with radiation detection instruments located in the Fan Room, north of the OSC. These can be picked up there prior to leaving site.

5.2.2 Silver Zeolite Cartridges Open packages of silver zeolite cartridges should be repackaged individually or in groups inside a ziplock bag.

5.2.3 Self-Reading Dosimeters Dosimeters with certification due before the end of the next quarter shall be certified or replaced with certified dosimeters.

5.2.4 Self-Reading Dosimeter Chargers Self-reading dosimeter chargers shall be checked for operability and batteries replaced as necessary.

5.2.5 Calculators Calculators shall be checked for operability and batteries replaced as necessary.

PALISADES NUCLEAR PLANT Proc No El-16.1 EMERGENCY IMPLEMENTING PROCEDURE Revision 14 Page 5 of 7 TITLE: MAINTENANCE OF EMERGENCY EQUIPMENT 5.3 PROTECTIVE EQUIPMENT 5.3.1 Respirators

a.

Respirators or their containers shall be marked with respirator type and dated.

Dating shall include date respirator was put in the kit and inspection due date (one year).

b.

Respirators shall be stored and inspected per applicable Health Physics procedures. Respirators with inspections due before the end of the next quarter shall be inspected.

c.

A respirator qualification listing of personnel is normally kept in the Health Physics office area in hardcopy form or the qualifications can be retrieved from a computer in the same area.

5.3.2 Potassium Iodide

a.

Potassium iodide (KI) containers shall be marked with the expiration date provided by the manufacturer.

b.

Potassium iodide (KI) tablets with expiration dates before the end of the next quarter shall be replaced.

5.3.3 TLD Badges

a.

Emergency personnel TLD Badges shall be replaced annually in EOF Kit 7 and at Lakeland Medical Emergency Center. They shall also be replaced quarterly in the Ambulance Kit 11 and SH Hospital Kit 13.

b.

Accident TLD Badges shall be replaced annually.

c.

Sets of extremity TLDs are maintained in the OSC Emergency Kit.

PALISADES NUCLEAR PLANT EMERGENCY IMPLEMENTING PROCEDURE Proc No El-1 6.1 Revision 14

- Page 6 of 7 TITLE: MAINTENANCE OF EMERGENCY EQUIPMENT -

5.4.1 Radios Radios used for emergency response are inventoried and tested monthly per Work Instruction WI-RSD-T-001, "Emergency Preparedness Radio Testing."

5.4.2 Telephones Telephone tests and drills are addressed in Emergency Implementing Procedure El-1 5.2, "Communications Tests." This procedure is intended to inventory the emergency telephones.

MISCELLANEOUS -

Flashlights Flashlights shall be checked for operability, batteries, and bulbs replaced as necessary.

5.5.2 Batteries Spare batteries (with the exception of instrument batteries) shall be stored in a container. The container shall be marked with the date the batteries are due for replacement (one year). Batteries due for replacement before the end of the next quarter shall be replaced. Radiation detection instrument batteries shall be maintained in accordance with Work Instruction WI-RSD-T-002, "Emergency Plan Radiation Detection Instruments Checklists."

5.5.3 Emergency Vehicles The emergency vehicles shall be checked for operability by starting them, checking lights (interior and exterior), horn, fuel level (should be greater than or equal to one quarter tank).

5.5.4 EOF Electrical Generator The electrical generator used as backup power for the EOF is maintained and tested by the South Haven Conference Center staff.

5.4 COMMUNICATIONS 5.5 5.5.1 I

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PALISADES NUCLEAR PLANT Proc No El-16.1 EMERGENCY IMPLEMENTING PROCEDURE Revision 14 Page 7 of 7 TITLE: MAINTENANCE OF EMERGENCY EQUIPMENT 5.6 REVIEW/DOCUMENTATION

a.

Attachments shall be signed and dated by the person assigned to perform the inspection/inventory.

b.

Completed attachments shall be forwarded to Engineering Records Center.

c.

Inspections/inventories shall be retained by Engineering Records Center for five years.

6.0 ATTACHMENTS AND RECORDS 6.1 ATTACHMENTS 6.1.1, "Inspection of Emergency Kits" 6.1.2, "Emergency Kit Inventory" 6.1.3, "Medical Emergency Kit Inventory" 6.1.4, "Decontamination Kit Inventory" 6.1.5, "Maintenance Emergency Kit Inventory" 6.1.6, "Kit 16 Allegan Service Center Decontamination Equipment" 6.2 RECORDS Records generated by this procedure shall be filed in accordance with Palisades Administrative Procedure 10.46, "Plant Records." Refer to the record matrix attached to Palisades Administrative Procedure 10.46 for information needed to complete Record Indexing Form (PAL104).

7.0 SPECIAL REVIEWS The scope of this procedure does not include activities that require a 50.59 review per Palisades Administrative Procedure 10.41, "Procedure and Policy Processes."

Therefore, changes to this procedure do not require a 50.59 review.

INSPECTION OF EMERGENCY KITS Proc No El-16.1 Revision 14 Page 1 of 1 Kit Description Inspection Date Kit 1, Technical Support Center Kit 2, TSC Decon Kit 3, Operational Support Center Kit 4, OSC Decon Kit 5, Emergency Vehicle 23-035 Kit 6, Emergency Vehicle 23-035, Decon Kit 7, Emergency Operations Facility Kit 8, EOF Decon Kit 9, Emergency Vehicle 33-461 Kit 10, Emergency Vehicle, Decon Kit 11, Ambulance Kit Kit 12, Ambulance Kit, Decon Kit 13, South Haven Community Hospital Kit 14, Medical First Aid Kit Kit 15, OSC Locker Room Kit 16, Allegan Service Center Equipment Kit Inventory Required*

Yes

-No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Reason for Inspection:

Completed By:

Reviewed By:

Date_

Date:

See note in Section 5.1 for determining inventory need for Kit #15 Emergency kits with an unbroken seal are not required to be inventoried.

Refer to Section 5.1.1 for inventory frequency.

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EMERGENCY KIT INVENTORY Proc No El-16.1 Revision 14 Page 1 of 3 Kit 1 Kit 3 Kit 5 Kit 7 Kit 9 Emergency Emergency

.SC OSC Vehicle-23-035 Vehicle-33-461 Quant Check Quant Check Quant Check Quant Check Quant Check Instruments High range, 13/y Dose Rate Meter 1

1 Note 1 2

Note 1 8/y Countrate Meter (PRM-6 w/HP210 1

2 Note 1 2

Note 1 or Equivalent)12Noe12ot1 Sample Holder w/Planchet 1

.1 1

2 1

Air Sampler 1

1 Note 1 2

Note 1 Air Sampler Filter Heads 1

6 Note 1

_2 Note 1 Silver Zeolite Cartridges

-10 15 15 15 15 Gelman Particulate Filters 1 Box 1 Box 1 Box 1 Box 1 Box Environmental A/S TEDA Iodine Cartridges Scott 10 10 10 10 Charcoal Cartridges for Air Sampler SAIC 10 Self-Reading Dosimeter, 4

High Range (DRDs) 4

4 4

4_4 Self-Reading Dosimeter 1

1 1

1 Charger w/Batteries 1

._1 Calculator 1

1 1

i 1

1 Teletector 2

Protectivece Rainsuits 2

12 2

Group B Set 2

2

.2 12 2

Coveralls, Paper 2

X 2

4 12 4

Gloves 12 pr 12 pr

-12pr 12 pr 12 pr Respirators, Full Face w/lodine, and 3

3 3

Particulate Filters 3

Spare Iodine and Particulate Filters 3 sets I-3 sets Masking Tape, Wide 2 rolls 2 rolls 1 roll 6 rolls 1 roll Potassium Iodide Tablets and Information Sheets 70 70 70 70 70 Emergency Personnel TLD Badges l

46 Accident TLD Badges 54 Extremity TLDs 15 sets Extremity Control TLDs 10 Electronic Dosimeters MG-ED 20 Communications Radios:

battery powered hand held Note 4 base station mobile Note 4 Note 4 Note 4 Note 4 Note 4 PA and Telephone Box Key

-1 Sound Powered Phones 12 Wireless Microphone 2

2 Wireless Receiver 1

1 NOTE 1:

Kit 5 and Kit 9 instruments and batteries are stored in deployment kits located at the OSC.

NOTE 4:

Emergency response radios are inventoried and tested per WI-RSD-T-001.

EMERGENCY KIT INVENTORY:

Proc No El-16.1 Revision 14 Page 2 of 3 Kit 1 Kit 3 Kit 5 Kit 7 Kit 9 TSC 0SC Emergency EOF Emergency Vehicle-23-035 Vehicle-33-461 Quant Check Quant Check Quant Check Quant Check Quant Check Reference Material Palisades Site Emergency Plan 1

1 Emergency Implementing62161 Procedures 6

2 1__6___

Site Map, large 1

1 1

2 1

County Maps:

Allegan 1

1 1

2 1

Berrien 1

1 1

2 1

Van Buren 1-1 1

2 1:

10 Mile EPZ Mao' 1

1 1

1 50 Mile State of Michigan Map 1

1 Final Safety Analysis Report 1

1 County Emergency Plans:

Allegan 1

1 Berrien 1 -

1 Van Buren 1

Michigan Emergency Plan 1

1 INPO Emergency Resources Manual 1

1 X

P&lDs L

1 2

Off Normal Operating Procedures 1

1 1

NRC Reg Ill Incident Response 1

1 Supplement Vol 1 & 2 1

_1 NUREG 0654 1

Public Information Policies &

1 Procedures

--_-_1_

Palisades Tech Spec 1

1 Palisades Tech Spec Bases 1

1 Oil Hazardous Materials Spill 1

Prevention Plan 1

Deployment Package Note 2 Note 2 System Operating Procedure (1 through40) 01..

Emergency Operating Procedure 1

1 1

Emergency Operating Procedure 1

1 Supplement 1

Core Damage Software (Corecalc) 1 Severe Accident Management 2

Guidelines -

1 Floppy Disc for Offsite Dose Program 1

1 Licensed & Non-Licensed Operator 1

1 Call Out Lists 1

1 Consumers Energy FFD Program 1

Emergency Augmentation Instruction.

1 Book F

P 1

1 1

Operations Fleet Procedures 1-1.:

Offsite team deployment packages are maintain'ed/stored in the OSC cabinet Located in WCC/AO Office area due to Plant procedure reduction.

TSC, EOF, and OSC all have (1) complete set of El's. 5 partial in TSC and EOF, 1 partial in OSC.

NOTE 2:

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Proc No El-i 6.1 Revision 14 Page 3 of 3 EMERGENCY KIT INVENTORY Kit 1 Kit 3

-Kit 5 Kit 7 Kit 9 TSC OSC Emergency EOF Emergency TSC

.sc Vehicle-23-035 Vehicle-33-461 Quant Check Quant Check Quant Check Quant. Check Quant Check Miscellaneous Licensed & Non-Licensed Operator 1

1 Call Out Lists Plastic Bags, Large, Radioactive 2

2 2

2 2

Material 2.2_

2

_2_2 Plastic Bags, Small, Radioactive 4

4 4

4 4

Material 4

Ziplock Bags, Small 10 10 10 10 10 Ziplock Bags, Large 10 10 10 10 10 Liter Bottles, Sample Collection 6

6 6

6 6

Lead Shielding 1

Smears 1 Box 1 Box 1Box 1 Box 1 Box Masslinn Wipes 1 pkg l

Radiation area Boundary Rope, 1

1 1

1 1

Approx 50 ft Step Off Pad 1

Contamination area Tape 1 Roll 1 Roll 1 Roll 1 Roll 1 Roll Yellow & Magenta_______

Radiation area, Contamination Area 1 ea 1 ea 1 ea 1 ea 1 ea Signs

._ea__

ea__ea

.e Stopwatch 1

2 1

1 1

1 Flashlight wlBatteries 2

2 2

2 2

Inverter 1

1 Instrument Batteries: D cell 2

4 2

4 2

9 volt 2

2 2

4 2

C cell 8

Other Batteries:

D cell 6

6 6

6 6

AA cell 4

4 4

4 4

Calculator Battery 2

2 1

1 1

Extension Cord, 50 ft 1

1 1

1 1

Jumper Cable 1

Emergency Vehicle Keys (per vehicle)

Note 3 Form 40s 4 pkgs 4 pkgs 4 pkgs Garden Trowel 1

1 Ladder 1

1 Sodium Bisulfate 1

Gallon Sample Container

. 30 Alco-Sensor Breathalyzer 2

Disposable Mouthpieces for Alco-Sensor Breathalyzer 25 Battery Charger for Alco-Sensor Breathalyzer 1

NOTE 3:

A set of keys for each emergency van is stored in the Instrument Deployment Kit Reason for Inventory:

Performed By:_

Reviewed By:_

Date:

Date:

Proc No El-16.1 Revision 14 Page 1 of 2 MEDICAL EMERGENCY KIT INVENTORY Kit 1 1 Kit 13 Mid Range, B3Y Dose Rate Meter 13/Y Countrate Meter (PRM-6 w/HP 210 or Equivalent)

Self-Reading Dosimeters Self-Reading Dosimeter Charger Instrument Batteries:

D Cell 9 Volt Spare Batteries:

D Cell AA Cell TLD Badges Protective Clothing:

Surgical Clothing (Trousers, Shoe Covers, Shirts, Cap, Masks, Gloves, and Apron or Gown)

Masking Tape, Wide Radiation Tape, Yellow and Magenta Radiation Area, Contamination Area Sign Plastic Bags, Large, Radioactive Material Plastic Bags, Small, Radioactive Material Ziplock Bags Smears Equipment Container or Cart Stanchions Radiation Area Boundary Rope Approximately 50 Feet Collapsible Yellow Basins Liquid Radwaste Container Step Off Pad Flashlight w/Batteries Decon Kit (Ambulance)

Inventory List Masslinn Mop Masslinn Wipes Ambulance SH Hospital Quant Check Quant Check 1

1 1

1_

6

=

12*

1 1

-2

=

2 2

2.

2 2

6 12*

6 1 Roll 1 Roll 1 Roll 1 Roll 1 ea 1 ea 2

6 2

4.

10 10 1 Box 1Box 1

1

~~4 1

1 kg

=

=

1=

-~~

1

,1-1 1

1

.=-

1

_ 1 1lpkg 1__

lpkg

• NOTE: Lakeland Medical Emergency Center Kit (shared with DCCook Nuclear Plant) shall have 12 Self-Reading Dosimeters (replaced annually) and 12 TLD Badges (replaced quarterly).

Proc No El-16.1

. Revision 14 Page 2 of 2 MEDICAL EMERGENCY KIT INVENTORY Kit 14 Medical First Aid Kit FIRST AID SUPPLIES Quant Check Blanket 1

4x4 Inch Gauze Pads_

10 Sterile Bum Sheet 1

Triangular Bandages 6

Gauze Bandage 4' (Kling) Rolls 2

Gauze Bandage 3- (Kling) Rolls 2

Gauze Bandage 2' (Kling) Rolls 2

3 x 3 inch Gauze Pack 110:

Adhesive Bandage 1' Pack 1

Adhesive Bandage 2% x 31/2 Pack 1 Pack Adhesive Bandage - Knuckle Bands 1 Pack Ammonia Inhalants Packs 1 Box 30 Ml Bottles Eye Wash Solution 2

Alcohol Swabs 1 Pack 500 Ml Bottle Stenle Water 1

Trauma Dressing 10" x 30" 1

5' x 9' Sterile Dressing 2

Scissors 1

1' Adhesive Tape 1 Roll 2' Adhesive Tape 1 Roll 3' Adhesive Tape 1 Roll Instant Cold Packs 2

Laerdal Pocket-Mask With One-Way-Valve 1

Bio Hazard Bag 1

Reason for Inventory:

Performed By: _

Reviewed By: _

Date:

Date:

.d'

DECONTAMINATION KIT INVENTORY Proc No El-16.1 Revision 14 Page 1 of 1 Plastic Bags, Large Radioactive Plastic Bags, Small Radioactive Teri Towels Hand Towels Paper Coveralls Poly Booties Poly Gloves Cotton Uner Gloves Masking Tape Waterless Hand Cleaner Hand Soap EZ Scrub 0-Tips All-purpose Cleaner or Equivalent 1 Gallon Container for Water HP 2.18 Copy HP 2.18-2 Forms Kit 2 Kit 4 Kit 6 Kit 8 Kit 10 Kit 12 Emergency Emergency TSC OSC Vehicle 23-035 EOF Vehicle 33-461 Ambulance Quant Check Quant Check Quant Check Quant Check Quant Check Quant Check 2

2 2

2 2

2 2

2 2

2 2

2 10 10 10 10 10 10 I pkg 1 pkg 1 pkg 1pkg 1pkg 1pkg 6

6 6

6 6

6 6pr 6pr 6pr 6pr 6pr 6 pr

=

12pr 12pr 12pr 12pr 12pr 12pr 12 pr 12 pr 12 pr 12 pr 12 pr 12 pr 1 roll 1 roll 1 roll 1 roll 1 roll I roll 1 can 1 can 1 can 1 can 1 can 1 can 4

4 4

4 4

4 6

6 6

6 6

6 20 20 20 20 20 20 1

1 1

1 1

1_

10 10 10*^

10 10**

10

• Located in the controlled copy procedure 3-ring binder

• • Located in the blank forms 3-ring binder Reason for Performed Reviewed B lIY... tty.

nate:

Date:

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MAINTENANCE EMERGENCY KIT INVENTORY Proc No El-16.1 Revision 14 Page 1 of 2 Kit 15 OSc Cabinet Top Tray Quant Check Socket Set, 3/8" and 1/2" Set 1 ea Rachet, 3/8" and 1/2" lea "T" Bar, 1/2" 1

Multiplier

1 Breaker Bar, 3/8" and 1/2" 1 ea Universal, 1/2" 1

Speed Wrench, 1/2" 1

10" Extension 1

Drawer #1 Phillips Screwdriver 3

Flat Screwdriver 3

Screw-holding Screwdriver 2

Offset Screwdrivers 1 Set Tape Measure, 25" 1

Level 1

Tubing Cutter 1

1-Razor Knife 1

X Nut Driver Set 1 Set Set of #10 Linknuts 1 Set Drawer #2 Regular "Snoop" 2

Cold "Snoop" 2

Chisels, 3/8" to 7/8" 1 ea Hacksaw 2

Hacksaw Blades 2

Drawer #3 Offset Box End Wrenches, 1/2" to 1 7/16" 1 ea Open Box Combo Wrenches, 5/16" to 1" 1 ea Drawer #4 Crescent wrenches, 12", 10", 8", and 6" 1 ea Claw Hammer 1

Ballpeen Hammers 4

Pin Bar 2

Drawer #5 Grey Tape 2

Neolube 1260 2 Tubes Pipewrenches 18", 12", 10", and 8" 1 ea

Proc No El-16.1 MAINTENANCE EMERGENCY KIT INVENTORY Revision 14 Page 2 of 2 Kit 15 Cabinet Top Tray Quant Check Drawer #6 25' Extension Cord 1

1 Droplight 1 -

90 Watt Light Bulb 1

Cabinet Top (Drawer #3)

Regular Pliers 2

Diagonal Snippers 3

Lineman's Pliers 1

Cabinet Top (Drawer #4)

X Needlenose Pliers 1 -

Adjustable Pliers 2

Vice Grip Pliers 2

Locker Sound Powered Phones 3

P&lDs 1

Simpson 260 VOM 1

Jumper Set 1

__1_

Emergency Implementing Procedures 1 -

Phones 3

Flashlights 6

Reason for Inventory:

Performed By:

Date:

- Reviewed By:.

I ~ Date:

OSJ

b.

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Proc No El-16.1 Revision 14 Page 1 of 1 KIT 16 ALLEGAN SERVICE CENTER DECONTAMINATION EQUIPMENT 5 sets of Anti-Cs with fish skins (including hoods, booties, 2 sets of gloves, and cloth liners each) 1 roll of radiological rope/ribbon 2 rolls of radiological tape 4 radiological bags (large) 4 radiological bags (small) 5 packages of masslinn 4 radiological posting signs (contamination/radiation area) 2 step-off pads 1 roll of herculite 10 booties and rubbers (beyond sets above) 25 pair of rubber and cloth gloves (beyond sets above) 25 paper coveralls (grays) 2 Titanic bottles 2 grey tape rolls Swabs Ziplock bags (12 small and 12 large) 1 liter shampoo Scissor stands for rad bags Surgical scrub pads 3 utility knives 10 extra plastic booties (beyond sets above)

Reason for Inventory:

Performed By:

Date:

Reviewed By:_

Date: