Safety Equipment Inspections and Operational Checks · 2019. 1. 18. · Safety Equipment Inspections and Operational Checks Type REFERENCE Document No. 242-85B-005 Rev/Mod S-14 Release

Safety Equipment Inspections and Operational Checks

Type

REFERENCE Document No.

242-85B-005 Rev/Mod

S-14 Release Date

12/12/2018 Page

1 of 56

Tank Farm Plant Operating Procedure 242-A Evaporator

USQ # N/A-4

CHANGE HISTORY ( LAST 5 REV-MODS )

Rev-Mod Release Date Justification: Summary of Changes

S-14 12/12/2018 Operations request – field

condition requirements

Modified attachment 14: added 242-A-25 Step rolling ladder

row and 242-A-36 changed to a 15' ladder.

S-13 10/17/2018 Operations request

Page 10 Attachment 1 added "N/A" to table 1

Page 21 Attachment 4 added caution prior to step [3]

Page 54 Attachment 14 added 3 new rows "242-A-02 4' Step

ladder”, "242-A-23 8' ladder" and "242-A-36 10' ladder."

Section 4.1 Struck out "black ink pens" and "forms" in special

supplies. Table 1 & 2 - 242-A Control Room Closet added

footnote 1.

S-12 08/15/2018 Periodic Review Changes to update Attachment 1.

S-11 05/21/2018 Operations request

Under Attachment 2 added “NA”

Under Attachment 4 in step #2, add "or suitable bucket" between

"barrel AND".

Under Attachment 4 in step #3, delete "and" and replace with

"and/or".

Under Attachment 4 in step #3, add at the end of sentence the

following:” or a reasonable length of time

Updated Records section.

S-10 03/29/2018 Operations request Add Condenser Room Sink Drain to procedure step on pg 31 per

attached example

Table of Contents Page

1.0 PURPOSE AND SCOPE ................................................................................................................ 4

1.1 Purpose ................................................................................................................................ 4

1.2 Scope ................................................................................................................................... 4

2.0 INFORMATION............................................................................................................................. 4

2.1 General Information ............................................................................................................ 4

3.0 PRECAUTIONS AND LIMITATIONS......................................................................................... 5

3.1 Equipment Safety ................................................................................................................ 5

3.2 Radiation and Contamination Control ................................................................................ 5

3.3 Environmental Compliance ................................................................................................ 5


Type


242-85B-005 Rev/Mod

S-14 Release Date

12/12/2018 Page

2 of 56

4.0 PREREQUISITES .......................................................................................................................... 6

4.1 Special Tools, Equipment, and Supplies............................................................................. 6

5.0 PROCEDURE ................................................................................................................................. 7

5.1 Task Instructions ................................................................................................................. 7

5.2 Records ............................................................................................................................... 8

Attachment 1 - First Aid Equipment Inspections ....................................................................................... 9

Attachment 2 - Spill Kit Seal Check/Inspection ....................................................................................... 17

Attachment 3 - Fire Extinguisher Inspection ............................................................................................ 19

Attachment 4 - Weekly Safety Shower/Eyewash Station Operational Check .......................................... 22

Attachment 5 - Quarterly Notification System Operational Checks ........................................................ 24

Attachment 6 - 242-A Evaporator Personal Protective Equipment Check ............................................... 28

Attachment 7 - Weekly Addition to Weir and Seal Loops ....................................................................... 31

Attachment 8 - Weekly Water Addition To Floor Drains ........................................................................ 33

Attachment 9 - Radio Inventory and Weekly Radio Checks .................................................................... 35

Attachment 10 - Monthly Vessel Vent System and K1 System Run Time Calculations ......................... 38

Figure 1 ..................................................................................................................................................... 41

Figure 2 ..................................................................................................................................................... 41

Figure 3 ..................................................................................................................................................... 42

Figure 4 ..................................................................................................................................................... 43

Figure 5 ..................................................................................................................................................... 43

Figure 6 ..................................................................................................................................................... 44

Figure 7 ..................................................................................................................................................... 44

Figure 8 ..................................................................................................................................................... 45

Attachment 11 - Inspect Air Line Filters .................................................................................................. 47

Attachment 12 - Monthly Inspection of Photo Luminescent and Electric Exit Signs .............................. 50

Attachment 13 - Monthly Inspection of 207-A Retention Basin .............................................................. 53


Type


242-85B-005 Rev/Mod

S-14 Release Date

12/12/2018 Page

3 of 56

Attachment 14 - Quarterly Inspection of Facility Portable Ladders ......................................................... 54


Type


242-85B-005 Rev/Mod

S-14 Release Date

12/12/2018 Page

4 of 56

1.0 PURPOSE AND SCOPE

1.1 Purpose

This document provides instruction for conducting inspections and operational checks of

safety equipment and 242-A systems.

1.2 Scope

This procedure applies to inspections and operational checks of safety equipment and

242-A systems at the 242-A Evaporator.

2.0 INFORMATION

2.1 General Information

242-A Evaporator required self-contained breathing apparatus (SCBA) will be inspected

monthly per TFC-ESHQ-IH-STD-07, Respiratory Protection.

The 242-A Portable Emergency Response Kit is located in the control room closet.

The Weekly Safety Shower/Eyewash Station Operational Check ensures compliance with

ANSI Z358.1-2009.


Type


242-85B-005 Rev/Mod

S-14 Release Date

12/12/2018 Page

5 of 56

3.0 PRECAUTIONS AND LIMITATIONS

3.1 Equipment Safety

CAUTION - It is important to throttle valves slowly when operating in order to

minimize water hammer hazard.

3.2 Radiation and Contamination Control

3.2.1 Work in radiological areas will be performed using a Radiological Work

Permit following review by Radiological Control per the ALARA Work

Planning procedure TFC-ESHQ-RP_RWP-C-03, (ALARA Work Planning).

3.2.2 When work is performed in or when work will result in a high contamination,

high radiation or an airborne radioactivity area, then an approved work

package must be developed which is reviewed by Radiological Control per

the ALARA Work Planning procedure TFC-ESHQ-RP_RWP-C-03,

(ALARA Work Planning). Any changes in the work package that affects

radiological aspects of the work must be approved by the appropriate project

Radiological Control management.

3.3 Environmental Compliance

3.3.1 IF there is a missed timely completion or deficiencies encountered during an

inspection/surveillance concerning the following identified attachments,

NOTIFY Environmental.

3.3.1.1 Attachment 2 through Attachment 6 and Attachment 9; these

attachments demonstrate compliance with requirements set forth

in the 242-A Operating Unit portion of the Hanford Resource

Conservation Recovery Act (RCRA) permit. This notification

should be made to the 242-A Environmental Representative or

the Environmental On-Call in accordance with TFC-ESHQ-

ENV_FS-C-01, Environmental Notification, upon review of the

attachment for completion by the Shift Manager.

3.3.1.2 Attachment 7, Attachment 8, and Attachment 10; these

attachments are Best Management Practices and may be used to

demonstrate compliance with other environmental requirements.

This notification should be made to the 242-A Environmental

Representative within one working day of the discovery upon

review of the attachment for completion by the Shift Manager.


Type


242-85B-005 Rev/Mod

S-14 Release Date

12/12/2018 Page

6 of 56

4.0 PREREQUISITES

4.1 Special Tools, Equipment, and Supplies

The following supplies may be needed to perform this procedure:

Plastic seals.


Type


242-85B-005 Rev/Mod

S-14 Release Date

12/12/2018 Page

7 of 56

5.0 PROCEDURE

5.1 Task Instructions

NOTE - The inspections and operational checks identified in the attachments to this

procedure are performed at various periodicities (i.e., weekly, monthly,

quarterly, or on demand). They may be performed in any order or concurrently

and will be performed when requested by the Shift Manager.

5.1.1 PERFORM tasks on the applicable forms as identified in each attachment

using Attachment 1 through Attachment 14 or as directed by Shift Manager.


Type


242-85B-005 Rev/Mod

S-14 Release Date

12/12/2018 Page

8 of 56

5.2 Records

5.2.1 PERFORM the following for records identified within this procedure.

5.2.1.1 RECORD the number of times the record was generated in

applicable column.

OR

PLACE a check mark () in the N/A column.

5.2.2 SUBMIT the package for verification of completed records.

Records Submittal Checklist

Number of

times

completed

N/A

()

Attachments

Attachment 1 - First Aid Equipment Inspections

Attachment 2 - Spill Kit Seal Check/Inspection

Attachment 3 - Fire Extinguisher Inspection

Attachment 4 - Weekly Safety Shower/Eyewash Station Operational Check

Attachment 5 - Quarterly Notification System Operational Checks

Attachment 6 - 242-A Evaporator Personal Protective Equipment Check

Attachment 7 - Weekly Addition to Weir and Seal Loops

Attachment 8 - Weekly Water Addition To Floor Drains

Attachment 9 - Radio Inventory and Weekly Radio Checks

Attachment 10 - Monthly Vessel Vent System and K1 System Run Time

Calculations

Attachment 11 - Inspect Air Line Filters

Attachment 12 - Monthly Inspection of Photo Luminescent and Electric Exit Signs

Attachment 13 - Monthly Inspection of 207-A Retention Basin

Attachment 14 - Quarterly Inspection of Facility Portable Ladders

FWS/OE/Shift Manager SEND the completed records to the Central Shift Office for records

retention. / /

Signature Print (First and Last) Date

FWS/OE/Shift Manager

The record custodian identified in the Company Level Records Inventory and

Disposition Schedule (RIDS) is responsible for record retention in

accordance with TFC-BSM-IRM_DC-C-02.


Type


242-85B-005 Rev/Mod

S-14 Release Date

12/12/2018 Page

9 of 56

Attachment 1 - First Aid Equipment Inspections

Perform Weekly Checks

[1] INSPECT Blood Borne Pathogen kits and seals on those first aid and portable

emergency/response kits listed under locations identified on Table 1.

[2] INSPECT AED Kit that is listed on Table 1 for the following:

[2.1] CONFIRM light on AED unit is flashing.

[2.2] INSPECT seal on AED Ready Kit.

[2.3] IF seal on AED Kit is broken, or light is solid or off, NOTIFY Shift Manager.

[3] INSPECT seal on those burn first aid kits that are listed under locations

identified on Table 2.

NOTE: A yearly check (in January) of the expiration date on the Water Jel located in the

Burn First Aid Kit shall be performed.

[3.1] IF the expiration date on the Water Jel located in the Burn First Aid Kit will

expire within the next 12 months or has passed its expiration date, REPLACE the

Water Jel in the Burn First Aid Kit AND

RECORD under comments section of Table 2.

[4] RECORD under comments section of applicable Table 1 or Table 2 if any seal is broken

or any kit is opened.

[5] IF seal is not broken, GO TO Step [7].

[6] IF seal is broken, or kit opened, PERFORM the following:

NOTE - Inventory for portable Emergency Response Kit can be found either attached to

the kit or in procedure TFC-ESHQ-EP-D-03.

[6.1] PERFORM an inventory for each First Aid/ Portable Emergency Response

Kit/Blood Borne Pathogen/AED/Burn First Aid Kit as indicated on Table 1 and

Table 2.

[6.2] IF kit is missing items, REPLENISH items from stock on hand and replace seal

OR

RECORD missing item in discrepancy list.

[6.3] NOTIFY Shift Manager.

[7] IF Blood Borne Pathogen kit is opened, torn, etc., NOTIFY Shift Manager.

[8] COMPLETE signature blocks.

[9] REPEAT Steps [1] through [8] for each First Aid Portable Emergency Response

Kit/Blood Borne Pathogen/Automated External Defibrillator (AED) /Burn First Aid

Kit/Water Jel Blanket.

[10] FORWARD completed First Aid Portable Emergency Response Kit/Blood Borne

Pathogen/AED/Burn First Aid Kit/Water Jel Blanket Inspection Form to the Shift

Manager.

Attachment 1 continued on next page


Type


242-85B-005 Rev/Mod

S-14 Release Date

12/12/2018 Page

10 of 56

Attachment 1 - First Aid Equipment Inspections (Cont.)

Perform Quarterly Inventory

NOTE - Inventory for portable Emergency Response Kit can be found either attached to the kit

or in procedure TFC-ESHQ-EP-D-03.

[11] PERFORM an inventory for each First Aid Portable Emergency Response Kit/Blood

Borne Pathogen/AED/Burn First Aid Kit/Water Jel Blanket listed under locations

identified on Table 3 through Table 5.

[12] RECORD on inspection form if inventory is acceptable.

[13] IF inventory is acceptable, GO TO Step [16].

[14] IF inventory is unacceptable, REPLENISH with stock on hand and replace seal,

OR

RECORD missing items on discrepancy list AND

NOTIFY Shift Manager.

[15] IF Blood Borne Pathogen packet is torn or opened, NOTIFY Shift Manager.

[16] INSTALL seal on kit.

[17] REPEAT Steps [11] through [16] for each First Aid Portable Emergency Response

Kit/Blood Borne Pathogen/AED/Burn First Aid Kit/Water Jel Blanket.


[19] FORWARD completed First Aid Portable Emergency Response Kit/Blood Borne

Pathogen/AED/Burn First Aid Kit/Water Jel Blanket Inspection Form to the Shift

Manager.



Type


242-85B-005 Rev/Mod

S-14 Release Date

12/12/2018 Page

11 of 56


Table 1 – Weekly Bloodborne Pathogen/First Aid Kit Seal Inspection

Location First Aid Kits

Seal Intact and Unopened?

Bloodborne Pathogen Kits

Unopened/Non-expired?

242-A, Control Room: size 36 kit1 Yes / No / N/A Yes / No / N/A

242-A, East Entrance (Main): size 24 kit1 Yes / No / N/A Yes / No / N/A

242-A, East Entrance (Main): AED kit Yes / No / N/A Yes / No / N/A

242-A, AMU: size 24 kit1 Yes / No / N/A Yes / No / N/A

242-A Control Room Closet1

(Portable Emergency response Kit) Yes / No / N/A

Yes / No / N/A

242-A, Ops Vehicle size 16 kit1 Yes / No / N/A Yes / No / N/A

Table 2 – Weekly Seal Inspection Burn First Aid Kit/Water Jel Blanket

Location Seal Intact and

Kit Unopened?

242A, HVAC Room (Combo with First Aid Kit) Yes / No / N/A

242A, Condenser Room (Top of Stairs 4th floor) Yes / No / N/A

242A, Steam Station SW Corner (Combo with First Aid Kit) Yes / No / N/A

242-A Emergency Equipment Closet-Water Jel Blanket Yes / No / N/A

Note: All sizes listed are minimums.

1 Inventory for portable Emergency Response Kit can be found either attached to the kit or in procedure TFC-ESHQ-EP-D-03.



Type


242-85B-005 Rev/Mod

S-14 Release Date

12/12/2018 Page

12 of 56


Comments/Discrepancy List:

Resolution (by Shift Manager):

Performed By: ______________________ / ____________________ / _________________

Inspector (Signature) Print (First & Last) Date/Time

Reviewed By:

/ /

Signature Print (First & Last) Date/Time

Shift Manager

Note: All sizes listed are minimums.

1 Inventory for portable Emergency Response Kit can be found either attached to the kit or in procedure TFC-ESHQ-EP-D-03.



Type


242-85B-005 Rev/Mod

S-14 Release Date

12/12/2018 Page

13 of 56


(Sheet 1 of 4)

Table 3 - Quarterly First Aid Kits Contents

Items required 16

pkg.

242A

Vehicle

HVAC

Stairs

Outside at

Steam

Lines 24

pkg.

242A East

Main

Entrance

242A

Condenser

RM 4th

Floor

242A

AMU

room 36

pkg.

242A

Control

Room

() () () () () () ()

Adhesive bandages, 1" x 3" (16 per pkg.) 1 2 2

4" Offset® Bandage Compress (1 per pkg.) 2 1 3

Scissors and Forceps a 1 1 1

Triangular bandage with Safety Pins (1 per pkg.) 1 4 4

Antiseptic Towelettes (6 per pkg.) 1 1 1

Gauze Compress 1728 sq. in. (1 per pkg.) 1 2 4

Eye Dressing Packet (4 per pkg.) 1 1 2

Disposable Gloves (2 pairs) 1 1 2

Sterile Pads, 3" x 3" (4 per pkg.) 1 1

Knuckle Bandage (8 per pkg.) 2 3

Instant Cold Pak 1 1 2

Non-Adherent Compress 8" x 10" (1 per pkg.) 1 1 1

Blood Borne Pathogen Collection Bags 2 2 2

Fingertip Bandage (10 per pkg.) 2 2

Wet-Proof Adhesive Tape Roll (1" width) 1 1

Self-Adherent Wrap Roll (2" width) 1 1

a Utility shears

Optional kit item: Space/Trauma blanket



Type


242-85B-005 Rev/Mod

S-14 Release Date

12/12/2018 Page

14 of 56


(Sheet 2 of 4)

Table 4 - Quarterly AED Ready Kit Contents

Items Required Quantity ()

Surgical Gloves - Medium 1 pair

Surgical Gloves - Large 1 pair

CPR Protective Mask (Pocket Mask) 1

Medical Grade Scissors (to remove clothing) 1 pair

Antiseptic Towelette (for mask cleaning) 1 package

Razor (Looks like a Match Box) 1

Heart Start Pads (adhesive pads) 2 package



Type


242-85B-005 Rev/Mod

S-14 Release Date

12/12/2018 Page

15 of 56


(Sheet 3 of 4)

Table 5 – Quarterly Burn First Aid Kit Contents

Items Required Quantity ()

2” Sterile Gauze Rollers 2

Porous Tape – ½” x 10 yds 1

Sterile gloves 2 (1 pair)

Lister Bandage Scissors – 4.5” 1

Water Jel Dressing – 8” x 18” 1

Water Jel Dressing – 4” x 16” 1

Yearly check of expiration date on the Water Jel dressing

shows it will remain valid for at least the next 12 months. N/A



Type


242-85B-005 Rev/Mod

S-14 Release Date

12/12/2018 Page

16 of 56


242-A Evaporator First Aid/Blood Borne Pathogen/AED Kit Inventory Sheet (Sheet 4 of 4)



Performed By: ______________________ / ____________________ / ________________


Reviewed By:

/ /


Shift Manager


Type


242-85B-005 Rev/Mod

S-14 Release Date

12/12/2018 Page

17 of 56

Attachment 2 - Spill Kit Seal Check/Inspection

Perform Weekly Seal Check

[1] PERFORM seal check on Spill Response Cabinets using the appropriate spill response

cabinet inventory form.

[2] RECORD on inspection form if seal is broken or not.

[3] IF seal is not broken, GO TO Step [5].

[4] IF seal is broken, PERFORM the following:

[4.1] PERFORM inventory of cabinets using the appropriate Spill Response Cabinet

Inventory Form.

[4.2] IF kit is missing items, REPLENISH items from stock on hand and replace seal

OR

RECORD missing item in discrepancy list.

[4.3] NOTIFY Shift Manager.


[6] FORWARD completed Inspection Form to Shift Manager.

Perform Quarterly Inventory

[1] PERFORM inventory of cabinets using appropriate Spill Response Cabinet Inventory

Form.

[2] RECORD on inspection form if inventory is acceptable.

[3] IF inventory is acceptable, GO TO Step [7].

[4] IF inventory is unacceptable, REPLENISH with stock on hand,

OR

RECORD missing items on discrepancy list.

[5] NOTIFY Shift Manager.

[6] INSTALL seal on cabinet.


[8] FORWARD completed Inspection Form to Shift Manager.



Type


242-85B-005 Rev/Mod

S-14 Release Date

12/12/2018 Page

18 of 56

Attachment 2 - Spill Kit Seal Check/Inspection (Cont.)

242-A Evaporator Spill Response Cabinet Seal Check/Inventory Form

Cabinet Location Weekly:

Seal Intact?

Quarterly:

Inventory Correct?

Survey lobby (1)

Minimum Quantity:

1. Acid Suits 2 Pair

2. Goggles 2 Pair

3. Neoprene gauntlet style gloves 2 Pair

4. Spill Pillows 10

5. Absorbent Pads 10

6. Disposal Bags 10

Yes / No / NA Yes / No / NA



Performed By: ______________________ ____________________ ________________


Reviewed By:

/ /


Shift Manager


Type


242-85B-005 Rev/Mod

S-14 Release Date

12/12/2018 Page

19 of 56

Attachment 3 - Fire Extinguisher Inspection

Inspect Fire Extinguishers

[1] INSPECT fire extinguisher monthly using the appropriate Fire Extinguisher Inspection

Form.

NOTE - When performing the fire extinguisher inspection, a “full” indication is determined by

pressure in green band.

[2] IF discrepancies are noted, seal is broken, or seal is missing, RECORD discrepancy on

the appropriate Fire Extinguisher Inspection Form AND


[3] INITIAL AND DATE inspection tag.

[4] REPEAT Steps [1] through [3] until all fire extinguishers are checked.


[6] FORWARD completed Fire Extinguisher Inspection Form to Shift Manager.



Type


242-85B-005 Rev/Mod

S-14 Release Date

12/12/2018 Page

20 of 56

Attachment 3 - Fire Extinguisher Inspection (Cont.)

242-A Evaporator Fire Extinguisher Inspection Form (Sheet 1 of 2)

242-A BUILDING

Location Station

No. Type

Perform Monthly Check On:

Extinguisher in Place

Extinguisher Not Obstructed

Seals Not Broken

Gauge Reading Normal

Extinguisher is not damaged or

corroded

Internal Inspection Date

(within 6 years)

Discrepancies

Main Hallway AE-1 ABC Satisfactory / Unsatisfactory

Control Room AE-2 Halotron Satisfactory / Unsatisfactory

AE-2A Halotron Satisfactory / Unsatisfactory

Back Hallway AE-3 ABC Satisfactory / Unsatisfactory

AMU AE-5 ABC Satisfactory / Unsatisfactory

Top of Stairs by HVAC Door AE-7 ABC Satisfactory / Unsatisfactory

2nd Floor Condenser Room AE-9 ABC Satisfactory / Unsatisfactory

3rd Floor Condenser Room AE-10 ABC Satisfactory / Unsatisfactory

4th Level Condenser Room

outside Mezzanine Balcony AE-11 ABC Satisfactory / Unsatisfactory

5th Level Condenser Room AE-12 ABC Satisfactory / Unsatisfactory

By North Building Exit Door AE-14 ABC Satisfactory / Unsatisfactory

Outside Steam Turbine Bldg AE-15 ABC Satisfactory / Unsatisfactory

Outside 242-A-81 Building AE-16 ABC Satisfactory / Unsatisfactory



Type


242-85B-005 Rev/Mod

S-14 Release Date

12/12/2018 Page

21 of 56

Attachment 3 - Fire Extinguisher Inspection (Cont.)

242-A Evaporator Fire Extinguisher Inspection Form

(Sheet 2 of 2)



Performed By: ______________________ / ____________________ / ________________


Reviewed By:

/ /


Shift Manager


Type


242-85B-005 Rev/Mod

S-14 Release Date

12/12/2018 Page

22 of 56

Attachment 4 - Weekly Safety Shower/Eyewash Station Operational Check

Check Permanent Safety Shower/Eyewash Stations

NOTE - Using the appropriate Safety Shower/Eyewash Station Inspection Form.

[1] REMOVE dust caps on eyewash station.

[2] INSTALL plastic tubing over shower AND

DIRECT tubing to nearest floor drain,

OR

OBTAIN drain barrel or suitable bucket AND

PLACE under shower.

CAUTION

It is important to throttle valves slowly when operating in order to

minimize water hammer hazard.

[3] OPERATE safety shower and/or eyewash for 3 minutes or a reasonable length of time.

[4] RECORD whether or not alarm activated on Safety Shower/Eyewash Station Inspection

Form.

[5] REPLACE dust caps on eyewash stations.

[6] RECORD that dust caps were replaced.

[7] IF discrepancies are noted, RECORD discrepancy on Safety Shower/Eyewash Station

Inspection Form AND


[8] INITIAL AND DATE inspection tag.

[9] REPEAT Steps [2] through [8] until all permanent safety showers/eyewash stations are

checked.



Type


242-85B-005 Rev/Mod

S-14 Release Date

12/12/2018 Page

23 of 56

Attachment 4 - Weekly Safety Shower/Eyewash Station Operational Check (Cont.)

242-A Evaporator Safety Shower/Eyewash Station Inspection Form (Sheet 1 of 1)

Safety Shower/Eyewash Stations

Location Alarm Activated? (1)

(Y/N) (2)

Dust Caps in

Place? (Y/N) Operational Check

Aqueous Makeup Room

Safety Shower N/A Satisfactory / Unsatisfactory

Eyewash Station Satisfactory / Unsatisfactory

Condenser Room -

Basement Safety Shower N/A Satisfactory / Unsatisfactory

Condenser Room - 4th

Floor Safety Shower N/A Satisfactory / Unsatisfactory

(1) If alarm fails to activate, note as unsatisfactory under Operational Check and list in Discrepancies.

(2) Control Room alarm only

Comments/Discrepancy List: ___________________________________________________________________

___________________________________________________________________________________________

___________________________________________________________________________________________

___________________________________________________________________________________________

Resolution (by Shift Manager): ________________________________________________________________

___________________________________________________________________________________________

___________________________________________________________________________________________

___________________________________________________________________________________________

Performed By: ____________________ /____________________ /________________


Reviewed By:

/ /


Shift Manager


Type


242-85B-005 Rev/Mod

S-14 Release Date

12/12/2018 Page

24 of 56

Attachment 5 - Quarterly Notification System Operational Checks

242-A Bullhorn Check

[1] PERFORM functional check of bullhorn located in 242-A Control Room Emergency

Response Equipment closet.

Bullhorn Functional Check

Location Pass Fail Discrepancies

Control Room ER

Equipment Closet

242-A Evaporator Phone and Speaker Check

[2] PERFORM PAX phones and speaker checks for each room using 242-A Evaporator

PAX Phones and Speakers Operational Check Form.

[3] IF Discrepancies are noted, NOTIFY the Shift Manager AND

LIST discrepancy on 242-A Evaporator PAX Phones and Speakers Operational Check

Form.

[4] COMPLETE signature blocks on 242-A Evaporator PAX Phones and Speakers

Operational Check Form.

[5] FORWARD 242-A Evaporator PAX Phones and Speakers Operational Check Form to

Shift Manager.



Type


242-85B-005 Rev/Mod

S-14 Release Date

12/12/2018 Page

25 of 56

Attachment 5 - Quarterly Notification System Operational Checks (Cont.)

242-A PAX Phones and Speakers Operational Check Form

(Sheet 1 of 3)

PAX Phone Check

Station # Location Calls

Out? Rings? Discrepancies

201 Control Room:- (Line 2)

202 Control Room A-2 Turnover Desk:

(Line 2)

203 MUX Room

204 Control Room next to PC: (Line 2)

205 Shift Office

206 Lunch Room: (Line 2)

207 Men’s Change Room

208 Women’s Change Room

209 Hallway outside AMU door

210 Mask Issuance Station: (Line 1)

211 AMU, Inside doorway:(Line 2)

212 Condenser Room Airlock (Line 1)

213 Condenser Room: 2nd Level

214* Loadout Room Airlock

216* Loadout Room

220 AMU Mezzanine

221 HVAC Room

223* Crane Maintenance Platform

224* Crane Maintenance Platform Airlock

225 Condenser Room, 5th Level

228 Condenser Room: 3rd Level

233 Condenser Room: 4th Level

234 RCT Office: (Line 2)

Pump Storage Room Currently not

installed.

* Phones have not been tied into the PAX system.



Type


242-85B-005 Rev/Mod

S-14 Release Date

12/12/2018 Page

26 of 56



(Sheet 2 of 3)

PAX Speaker Check

Location Condition Discrepancies

MUX Room Satisfactory / Unsatisfactory

Control Room - North Satisfactory / Unsatisfactory

Control Room - South Satisfactory / Unsatisfactory

Shift Office - East Satisfactory / Unsatisfactory

Shift Office - West Satisfactory / Unsatisfactory

Lunch Room Satisfactory / Unsatisfactory

Men’s Change Room Satisfactory / Unsatisfactory

Women’s Change Room Satisfactory / Unsatisfactory

Hallway by RCT Office Satisfactory / Unsatisfactory

AMU (above motor control center

MCC-1) Satisfactory / Unsatisfactory

AMU Mezzanine Satisfactory / Unsatisfactory

HVAC (above valve HV-H-10A) Satisfactory / Unsatisfactory

Condenser Room - Basement East

Wall Satisfactory / Unsatisfactory

Condenser Room - Level 2 Satisfactory / Unsatisfactory




Main Entrance (outside) Satisfactory / Unsatisfactory

AMU Entrance (outside) Satisfactory / Unsatisfactory

Building HVAC Area (outside) Installed but not hooked up

Pump Storage Room Installed but not hooked up



Type


242-85B-005 Rev/Mod

S-14 Release Date

12/12/2018 Page

27 of 56



(Sheet 3 of 3)



Performed By: ______________________ / ____________________ / ________________


Reviewed By:

/ /


Shift Manager


Type


242-85B-005 Rev/Mod

S-14 Release Date

12/12/2018 Page

28 of 56

Attachment 6 - 242-A Evaporator Personal Protective Equipment Check

Instructions for Weekly Personal Protective Equipment Check

[1] CHECK for minimum personal protective equipment (PPE) per the 242-A Evaporator

Personal Protective Equipment Form.

[2] OBTAIN missing PPE.

[3] IF other discrepancies are found, NOTIFY Shift Manager AND

LIST discrepancies on 242-A Evaporator Personal Protective Equipment Form.



Type


242-85B-005 Rev/Mod

S-14 Release Date

12/12/2018 Page

29 of 56

Attachment 6 - 242-A Evaporator Personal Protective Equipment Check (Cont.)

242-A Evaporator Personal Protective Equipment Form

(Sheet 1 of 2)

Located in Survey Room/Mask Room

Item Minimum Quantity ()

Anti-C coveralls size XXL 4

Anti-C coveralls size XL 4

Anti-C coveralls size L 4

Anti-C hoods 12

Anti-C canvas boots 12 pair

Rubber shoe covers 12 pair

Surgeon’s gloves 12 pair

To be determined by contacting a Respiratory Issue Station

(check one)

278-AW (373-0050) Production Operations Issue Station

2704-HV, G-127 (373-2082) Closure Operations Issue Station

222-S, Room 5D corridor 8J (372-2938) Laboratory Issue Station

MO-568 (509) 392-2043 Construction Satellite Issue Station.

Masks are available for use

Mask are within their shelf life



Type


242-85B-005 Rev/Mod

S-14 Release Date

12/12/2018 Page

30 of 56

Attachment 6 - 242-A Evaporator Personal Protective Equipment Check (Cont.)

242-A Evaporator Personal Protective Equipment Form

(Sheet 2 of 2)



Performed By: ______________________ / ____________________ / ________________


Reviewed By:

/ /


Shift Manager


Type


242-85B-005 Rev/Mod

S-14 Release Date

12/12/2018 Page

31 of 56

Attachment 7 - Weekly Addition to Weir and Seal Loops

Instructions for Checking and Filling Condensate Weir Level & Seal Loop to TEDF

H-Line

[1] OPEN Steam Condensate Weir Cover.

[2] ENSURE HV-RC1-3 (G14) is in CF-NM.

[3] PERFORM the following to add water to weir and seal loop:

[3.1] ENSURE valve 2-3 is CLOSED.

[3.2] OPEN valve 2-6.

[3.3] OPEN valve 2-7.

[3.4] AFTER liquid level is over the weir V notch and approximately 2 gallons of

water has gone into the bottom overflow line, CLOSE valve 2-6.

[3.5] CLOSE valve 2-7.

[4] CLOSE Steam Condensate Weir cover.

Instructions for Filling Steam Condensate Weir Overflow Seal Loop to 102-AW

[5] IF Steam Condensate Weir Seal Loop to 102-AW needs to be filled, PERFORM the

following:

[5.1] OBTAIN a container to use for filling overflow seal loop with water.

[5.2] OPEN valve 2-5A.

[5.3] FILL funnel above 2-5A with approximately 3 to 5 gallons of water.

[5.4] AFTER funnel drains, CLOSE valve 2-5A.


LIST discrepancy on 242-A Evaporator Check Steam Condensate Weir Level Form.

[7] WHEN all checks and necessary water additions have been accomplished, COMPLETE

242-A Evaporator Check Steam Condensate Weir Level Form.

[8] FORWARD 242-A Evaporator Check Steam Condensate Weir Level Form to Shift

Manager.



Type


242-85B-005 Rev/Mod

S-14 Release Date

12/12/2018 Page

32 of 56

Attachment 7 - Weekly Addition to Weir and Seal Loops (Cont.)

(Sheet 1 of 1)

242-A Evaporator Fill Steam Condensate Weir and Seal Loop Form



Check one ()

Completed Satisfactory:

Unsatisfactory:

Performed

by:

Inspector (Signature)

Print (First & Last)

Date/Time

Reviewed By:

/ /


Shift Manager


Type


242-85B-005 Rev/Mod

S-14 Release Date

12/12/2018 Page

33 of 56

Attachment 8 - Weekly Water Addition To Floor Drains

242-A Evaporator Water Addition to Floor Drains

[1] ADD water to the following floor drains:

Condenser room

Condenser Room Sampling Sink

AMU

HPT Lobby

Water service building

Change room

Janitor's Closet.


LIST discrepancy on 242-A Water Additions to Floor Drains Form.

[3] COMPLETE signature blocks on 242-A Water Additions to Floor Drains Form.

[4] FORWARD 242-A Water Additions to Floor Drains Form to Shift Manager.



Type


242-85B-005 Rev/Mod

S-14 Release Date

12/12/2018 Page

34 of 56

Attachment 8 - Weekly Water Addition To Floor Drains (Cont.)

(Sheet 1 of 1)

242-A Water Additions to Floor Drains Form



Check one ()

Completed Satisfactory:

Unsatisfactory:

Performed

by:



Date/Time

Reviewed By:

/ /


Shift Manager


Type


242-85B-005 Rev/Mod

S-14 Release Date

12/12/2018 Page

35 of 56

Attachment 9 - Radio Inventory and Weekly Radio Checks

242-A Evaporator Radio Inventory

[1] PERFORM radio inventory using 242-A Evaporator Radio Inventory/Weekly Checks

Form.

[2] IF Discrepancies are identified, NOTIFY the Shift Manager AND

RECORD discrepancy on 242-A Evaporator Radio Inventory/Weekly Checks Form.

[3] COMPLETE signature blocks on 242-A Evaporator Radio Inventory/Weekly Checks

Form.

[4] FORWARD 242-A Evaporator Radio Inventory/Weekly Checks Form to Shift Manager.

Instructions for Weekly Radio Check

[1] CHECK that the number of radios required per the 242-A Evaporator Radio Check Form

are present.

[2] PERFORM functional check of the number of radio/batteries required per the “242-A

Evaporator Radio Check Form.”

[3] IF discrepancies are found, NOTIFY Shift Manager AND

LIST discrepancies on 242-A Evaporator Radio Check Form.

[4] FORWARD 242-A Evaporator Radio Check Form to Shift Manager.



Type


242-85B-005 Rev/Mod

S-14 Release Date

12/12/2018 Page

36 of 56

Attachment 9 - Radio Inventory and Weekly Radio Checks (Cont.)

(Sheet 1 of 2)

242-A Evaporator Radio Inventory Weekly Check Form

Radio Inventory

Radio Number Condition* Discrepancies

242A-1341 Satisfactory / Unsatisfactory















**

**

* Satisfactory = Radio accounted for, batteries charged, and radio operable.

** List any additional radios accounted for by identification number.

Located in 242-A Evaporator Control Room/Shift Office

Item Minimum Quantity ()

Radio and Battery (check operability) 3*

* The minimum quantity may be below 3 if one or more radios are in use in the field. If less than 3 radios

are present, contact the users in the field to check operability and note use and location below.



Type


242-85B-005 Rev/Mod

S-14 Release Date

12/12/2018 Page

37 of 56

Attachment 9 - Radio Inventory and Weekly Radio Checks (Cont.)

(Sheet 2 of 2)

242-A Evaporator Radio Inventory Weekly Check Form (Cont.)



Performed

by:



Date/Time

Reviewed By:

/ /


Shift Manager


Type


242-85B-005 Rev/Mod

S-14 Release Date

12/12/2018 Page

38 of 56


Calculations

NOTE - Data will be calculated and recorded for the previous 1-month period. For example,

April calculations will be performed using March data.

[1] RECORD the following for the Vessel Vent System or K1 System, as applicable, on

Vessel Vent and K1 System Total Run Time Form (located after Figure 1 through Figure

8 below):

Month/Year (previous month)

Number of days in that month recorded above.

[2] OPEN a Versa Trend window by selecting the “TREND” button next to the “ALARM”

button as shown in Figure 1.

[3] PRESS the “+” key in the toolbar (see Figure 2).

[4] SETUP the appropriate trend as follows:

[4.1] CLICK on the “TrendR” button shown in Figure 3.

[4.2] CLICK the list button located to the right of the “Alias” field (see highlighted

button in Figure 3).

[4.3] IF recording Vessel Vent System run time, SELECT FI_AS_5.

[4.4] IF recording K1 System run time, SELECT FI_K1_1.

[4.5] SELECT the appropriate sub category (example for vessel vent flow shown in

Figure 4).

NOTE - The following step gathers the appropriate range for the instruments normal data

retrieval values.

[5] CLICK the “Fetch Range” button (see Figure 3).

[6] SELECT “Absolute” under “Type” column as shown in Figure 3.

[7] ENTER the following under the “Absolute Starting Time” (see example in Figure 3):

[7.1] ENTER MM / DD / 20YY for desired date to start. Enter the date starting at the

previous month (i.e.; If it is February, start at January [1 / 1 / 20XX].

[7.2] ENTER 0:00:0 as time to start (Hrs:Mins:Secs).

[8] CLICK “OK” button at top of pop-up (see Figure 3).



Type


242-85B-005 Rev/Mod

S-14 Release Date

12/12/2018 Page

39 of 56


Calculations (Cont.)

[9] PRESS the clock “ “ button located in the toolbar to bring up the “Display

Duration” pop-up (see Figure 5).

[9.1] IF month selected if Step [7.1] has 30 or less days in it, SELECT the following

values for the required fields (see Figure 6):

Values Displayed: select “120”

Interval Select: select “6 Hours”.

[9.2] IF month selected if Step [7.1] has greater than 30 days in it, SELECT the

following values for the required fields (see Figure 7):

Values Displayed: select “960”

Interval Select: select “1 Hour”.

[9.3] CLICK “OK” button at bottom left of pop-up (see Figure 6 or Figure 7).

[10] PRESS the “OPTION” button (next to the PRINT button) as shown in Figure 8.

[10.1] ENSURE landscape mode is selected.

[10.2] ENSURE reverse black and white is selected.

[10.3] PRESS “OK”.

NOTE - The following step will print 1 of the 4 available trend displays.

[11] PRESS trend buttons 1-4 as shown on Figure 8, until desired trend display is selected.

[12] RIGHT CLICK Trend button for the selected trend display AND SELECT “Print

Display.”



Type


242-85B-005 Rev/Mod

S-14 Release Date

12/12/2018 Page

40 of 56



[13] IF there are any gaps or breaks in the graph that is printed in Step [12], PERFORM the

following:

[13.1] MARK on the graph the date and time the gap or break started.

[13.2] MARK on the graph the date and time the gap or break ended.

[13.3] DETERMINE the reason (using the operator log book or other method) for all

gaps or breaks AND

RECORD the reason on the printed graph.

[13.3.1] IF a reason cannot be determined for the gap or break in the graph,

CONTACT Engineering for assistance.

[13.4] CALCULATE the total Amount of Down Time (in hours) that the gap(s) or

break(s) in the graph exists AND

RECORD on Vessel Vent and K1 System Total Run Time Form below.

[13.5] CALCULATE the Total Run Time for the Vessel Vent System for the previous

month [(Days in month) x (24) – (amount of down time)] AND

RECORD on Vessel Vent and K1 System Total Run Time Form below.

[14] REPEAT Steps [1] through [13.5] as needed until both the Vessel Vent and K1 System

run times have been recorded.

[15] COMPLETE the Vessel Vent and K1 System Total Run Time Form.

[16] SUBMIT completed Vessel Vent and K1 System Total Run Time Form and printed

graphs to Shift Manager for review.



Type


242-85B-005 Rev/Mod

S-14 Release Date

12/12/2018 Page

41 of 56



Figure 1

Figure 2



Type


242-85B-005 Rev/Mod

S-14 Release Date

12/12/2018 Page

42 of 56



Figure 3



Type


242-85B-005 Rev/Mod

S-14 Release Date

12/12/2018 Page

43 of 56



Figure 4

Figure 5



Type


242-85B-005 Rev/Mod

S-14 Release Date

12/12/2018 Page

44 of 56



Figure 6

Figure 7



Type


242-85B-005 Rev/Mod

S-14 Release Date

12/12/2018 Page

45 of 56



Figure 8

TREND #2TREND #2

TREND #1

TREND #3 TREND #4



Type


242-85B-005 Rev/Mod

S-14 Release Date

12/12/2018 Page

46 of 56



Vessel Vent and K1 System Total Run Time Form

Vessel Vent System (296-A-22) (FI-AS-5):

Month/Year: _______________ No. Days/Mo:__________

NOTE - Amount of Down Time = Sum of the numbers of hours for gaps or breaks in the graph.

Amount of Down Time:

NOTE - Total Run Time (Hrs) = (Days in month) x (24 Hrs/Day ) – (amount of down time).

Vessel Vent Total Run Time: _____________

K-1 System (296-A-21A) (FI-K1-1):

Month/Year: _______________ No. Days/Mo:__________

NOTE - Amount of Down Time = Sum of the numbers of hours for gaps or breaks in the graph.

K-1 System Amount of Down Time:

NOTE - Total Run Time (Hrs) = (Days in month) x (24 Hrs/Day ) – (amount of down time).

K-1 System Total Run Time: _____________

/ /


Operator

242-A Shift Operations:

Evaporator Campaign (circle one) NO YES

IF Campaign is YES, RECORD date/time of MODE changes:

OPERATE MODE_________________________.

SHUTDOWN MODE _______________________.

Briefly identify any significant vessel vent (296-A-22) and/or K-1 (296-A-21A) operating

issues/conditions. Reference applicable Problem Evaluation Request (PER), if any.

Issues/Conditions:

/ /


Operations

/ /


Shift Manager


Type


242-85B-005 Rev/Mod

S-14 Release Date

12/12/2018 Page

47 of 56

Attachment 11 - Inspect Air Line Filters

242-A Inspect air line filters

[1] PERFORM inspection using 242-A Evaporator Inspect Air Line Filters Form.

[2] FOR air line filters, CHECK sight glass on filter for liquid AND

DRAIN as necessary.

[2.1] RECORD check on 242-A Evaporator Inspect Air Line Filters Form.

[3] CHECK service life indicator on top of filter is not red AND

RECORD service life indicator status check on 242-A Evaporator Inspect Air Line

Filters Form.

[3.1] IF service life indicator on top of filter is red, NOTIFY Shift Manager.


RECORD discrepancy on 242-A Evaporator Inspect Air Line Filters Form.

[5] COMPLETE signature blocks on 242-A Evaporator Inspect Air Line Filters Form.

[6] FORWARD 242-A Evaporator Inspect Air Line Filters Form to Shift Manager.



Type


242-85B-005 Rev/Mod

S-14 Release Date

12/12/2018 Page

48 of 56

Attachment 11 - Inspect Air Line Filters (Cont.)

(Sheet 1 of 2)

242-A Evaporator Inspect Air Line Filters Form

EIN LOCATION FILTER(S)

DRAINED Y/N

INDICATOR

RED Y/N

FO-EA1-1 (small filter) HVAC ROOM N/A

FG-EA1-5 (large filter) (blue) AMU ROOM N/A

FG-E-1 AMU (RE-1) N/A

FG-C-3A AMU (Southwest Corner) N/A

FO-C-3A AMU (Southwest Corner)

242AE-IA-FLT-001 AMU ROOM N/A



FG-EC1-2 (small filter) 2ND FLOOR CONDENSER ROOM N/A

FO-EC1-2 2ND FLOOR CONDENSER ROOM

F-EA1-2 2ND FLOOR CONDENSER ROOM N/A

FG-CA1-7/9 (blue) 2ND FLOOR CONDENSER ROOM N/A

FO-CA1-7/9 2ND FLOOR CONDENSER ROOM N/A

FO-CA1-1 2ND FLOOR (MEZZANINE LEVEL B),

CONDENSER ROOM N/A

FG-CA1-1 (blue) 2ND FLOOR (MEZZANINE LEVEL B),

CONDENSER ROOM N/A

FG-EC1-1 4TH FLOOR, CONDENSER ROOM N/A

FO-CA1-7 (large filter) 4TH FLOOR, CONDENSER ROOM

FG-CA1-7 (small filter) 4TH FLOOR, CONDENSER ROOM N/A

FG-EC1-5 (blue) 4TH FLOOR, CONDENSER ROOM N/A

FO-EC1-5 4TH FLOOR, CONDENSER ROOM N/A

FG-CA1-20 5TH FLOOR, CONDENSER ROOM N/A

242AC5-CA-FLT-004 5TH FLOOR, CONDENSER ROOM N/A

242AC5-CA-FLT-005 5TH FLOOR, CONDENSER ROOM N/A



Type


242-85B-005 Rev/Mod

S-14 Release Date

12/12/2018 Page

49 of 56

Attachment 11 - Inspect Air Line Filters (Cont.)

(Sheet 2 of 2)

242-A Evaporator Inspect Air Line Filters Form (Cont.)



Performed

by:



Date/Time

Reviewed By:

/ /


Shift Manager


Type


242-85B-005 Rev/Mod

S-14 Release Date

12/12/2018 Page

50 of 56


242-A Inspect Photo Luminescent Exit Signs

NOTE: Photo Luminescent Exit Signs are made of “glow in the dark” material and need a direct

light source to function properly.

[1] PERFORM inspection using Attachment 12, 242-A Evaporator Facility Photo

Luminescent and Electric Exit Signs Inspection Form.

[2] PERFORM visual inspection on each Photo Luminescent and Electric exit sign.

NOTE - All 242-A photo luminescent exit signs are UL listed.

[2.1] CHECK that each sign is in its required location and free of damage, wear, or

obstructions.

[2.2] CHECK that each face of a photo luminescent exit sign is continually illuminated

while the building is occupied.

[2.3] CHECK that each exit sign with an internal electrical lighting source has all

lamps functioning properly.

[3] LIST discrepancies found on Attachment 12 242-A Evaporator Facility Photo

Luminescent and Electric Exit Signs Inspection Form AND

NOTIFY the Shift Manager.

[4] COMPLETE signature blocks on Attachment 12 242-A Evaporator Facility Photo

Luminescent and Electric Exit Signs Inspection Form.

[5] FORWARD Attachment 12 242-A Evaporator Facility Photo Luminescent and Electric

Exit Signs Inspection Form to Shift Manager.



Type


242-85B-005 Rev/Mod

S-14 Release Date

12/12/2018 Page

51 of 56


(Cont.)

242-A Evaporator Facility Photo Luminescent and Electric Exit Signs Inspection Form

Sheet 1 of 2

Photo Luminescent

Exit Sign Location

Sign is free of

damage, wear, or

obstructions

(Yes/No)

For photo luminescent exit

sign, light source present

and on?

(Yes/No)

Comments

Control Room North

East Corner

West End of South

Hallway

AMU South Door

Doorway East of

Survey Station

HVAC Rm West

Main Entry/Exit

Electric

Exit Sign Location

Sign is free of

damage, wear, or

obstructions

(Yes/No)

For electric exit sign,

internal lamps are

functioning

(Yes/No)

Comments

Front Entrance

South East Door

Condenser Rm 2nd

Floor Airlock Door

Condenser Rm 4th

Floor North Door to

Outside

Condenser Rm 5th

Floor South Door to

Outside

AMU East Door

HVAC Rm East Exit

onto Roof



Type


242-85B-005 Rev/Mod

S-14 Release Date

12/12/2018 Page

52 of 56


(Cont.)

242-A Evaporator Facility Photo Luminescent Exit Signs Inspection Form (Cont.)

Sheet 2 of 2

Comments/Discrepancies List:


Performed

by:



Date/Time

Reviewed By:

/ /


Shift Manager


Type


242-85B-005 Rev/Mod

S-14 Release Date

12/12/2018 Page

53 of 56

Attachment 13 - Monthly Inspection of 207-A Retention Basin

North Basin (Out of Service)

Perimeter Chains in Place Yes / No / N/A

“Danger - Unauthorized Personnel Keep Out” signs in place Yes / No / N/A

General Comments

Signatures

Performed By:

Print (First and Last)

Date

Sign Time

Reviewed By:

Print (First and Last) Date

Sign Time


Type


242-85B-005 Rev/Mod

S-14 Release Date

12/12/2018 Page

54 of 56

Attachment 14 - Quarterly Inspection of Facility Portable Ladders

242-A Inspect Facility Ladders

[1] PERFORM inspection using Attachment 14 242-A Evaporator Facility Portable Ladders

Form.

NOTE - Ladders are acceptable up to one year from the date of inspection.

- Per TFC-ESHQ-S-STD-01, Ladders, step stools (any ladder 32 inches in height or less)

do not require the annual competent person inspection but do require a pre-use

inspection.

[2] CHECK 242-A ladders inspection is within its periodicity as indicated on the “Ladder

Inspection Record” affixed to each ladder.

[3] RECORD ladder number, description, and location of each ladder found on

Attachment 14 242-A Evaporator Facility Portable Ladders Form.

[4] LIST any discrepancies found on Attachment 14 242-A Evaporator Facility Portable

Ladders Form AND

NOTIFY the Shift Manager.

[5] COMPLETE signature blocks on Attachment 14 242-A Evaporator Facility Portable

Ladders Form.

[6] FORWARD Attachment 14 242-A Evaporator Facility Portable Ladders Form to Shift

Manager.

NOTE - Carpenters are the designated personnel required to label ladders.

[7] Shift Manager NOTIFY the Carpenters of any newly identified ladder(s) that require

labeling.



Type


242-85B-005 Rev/Mod

S-14 Release Date

12/12/2018 Page

55 of 56

Attachment 14 - Quarterly Inspection of Facility Portable Ladders (Cont.)

(Sheet 1 of 2)

242-A Evaporator Facility Portable Ladders Form

Ladder Number * Description Location Comments

242-A-01 4’ Ladder

242-A-02 4’ Ladder

242-A-03 2’ Ladder

242-A-06 3’ Rolling Ladder

242-A-07 8’ Ladder

242-A-08 12’ Ladder

242-A-09 16’ Ladder

242-A-12 3’ Ladder

242-A-13 6’ Ladder

242-A-14 6’ Ladder

242-A-18 10” Ladder

242-A-22 6’ Ladder

242-A-23 8’ Ladder

242-A-25 Step rolling ladder

242-A-26 Step rolling ladder


242-A-28 4’ Ladder

242-A-29 4’ Ladder

242-A-30 10’ ladder

242-A-31 1’ step

242-A-33 3’ Step ladder


242-A-36 15’ Ladder

242-A-37 10’ Ladder

242-A-38 3’ Step Ladder



242-A-41 8’ Ladder

* Newly identified ladders that require labeling must be labeled by Carpenters.



Type


242-85B-005 Rev/Mod

S-14 Release Date

12/12/2018 Page

56 of 56

Attachment 14 - Quarterly Inspection of Facility Portable Ladders (Cont.)

(Sheet 2 of 2)



Performed

by:



Date/Time

Reviewed By:

/ /


Shift Manager

Documents

Safety Equipment Inspections and Operational Checks · 2019. 1. 18. · Safety Equipment Inspections and Operational Checks Type REFERENCE Document No. 242-85B-005 Rev/Mod S-14 Release