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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
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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
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Attachment 14 - Quarterly Inspection of Facility Portable Ladders ......................................................... 54
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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.
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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.
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4.0 PREREQUISITES
4.1 Special Tools, Equipment, and Supplies
The following supplies may be needed to perform this procedure:
Plastic seals.
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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.
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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.
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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.
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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.
[18] COMPLETE signature blocks.
[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.
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Attachment 1 - First Aid Equipment Inspections (Cont.)
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.
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Attachment 1 - First Aid Equipment Inspections (Cont.)
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.
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Attachment 1 - First Aid Equipment Inspections (Cont.)
(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
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Attachment 1 - First Aid Equipment Inspections (Cont.)
(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
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Attachment 1 - First Aid Equipment Inspections (Cont.)
(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
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Attachment 1 - First Aid Equipment Inspections (Cont.)
242-A Evaporator First Aid/Blood Borne Pathogen/AED Kit Inventory Sheet (Sheet 4 of 4)
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
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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.
[5] COMPLETE signature blocks.
[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.
[7] COMPLETE signature blocks.
[8] FORWARD completed Inspection Form to Shift Manager.
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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
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
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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
NOTIFY Shift Manager.
[3] INITIAL AND DATE inspection tag.
[4] REPEAT Steps [1] through [3] until all fire extinguishers are checked.
[5] COMPLETE signature blocks.
[6] FORWARD completed Fire Extinguisher Inspection Form to Shift Manager.
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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
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Attachment 3 - Fire Extinguisher Inspection (Cont.)
242-A Evaporator Fire Extinguisher Inspection Form
(Sheet 2 of 2)
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
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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
NOTIFY Shift Manager.
[8] INITIAL AND DATE inspection tag.
[9] REPEAT Steps [2] through [8] until all permanent safety showers/eyewash stations are
checked.
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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: ____________________ /____________________ /________________
Inspector (Signature) Print (First & Last) Date/Time
Reviewed By:
/ /
Signature Print (First & Last) Date/Time
Shift Manager
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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.
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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.
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Attachment 5 - Quarterly Notification System Operational Checks (Cont.)
242-A PAX Phones and Speakers Operational Check Form
(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
Condenser Room - Level 3 Satisfactory / Unsatisfactory
Condenser Room - Level 4 Satisfactory / Unsatisfactory
Condenser Room - Level 5 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
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Attachment 5 - Quarterly Notification System Operational Checks (Cont.)
242-A PAX Phones and Speakers Operational Check Form
(Sheet 3 of 3)
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
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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.
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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
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Attachment 6 - 242-A Evaporator Personal Protective Equipment Check (Cont.)
242-A Evaporator Personal Protective Equipment Form
(Sheet 2 of 2)
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
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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.
[6] IF Discrepancies are noted, NOTIFY the Shift Manager AND
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.
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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
Comments/Discrepancy List:
Resolution (by Shift Manager):
Check one ()
Completed Satisfactory:
Unsatisfactory:
Performed
by:
Inspector (Signature)
Print (First & Last)
Date/Time
Reviewed By:
/ /
Signature Print (First & Last) Date/Time
Shift Manager
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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.
[2] IF Discrepancies are noted, NOTIFY the Shift Manager AND
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.
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Attachment 8 - Weekly Water Addition To Floor Drains (Cont.)
(Sheet 1 of 1)
242-A Water Additions to Floor Drains Form
Comments/Discrepancy List:
Resolution (by Shift Manager):
Check one ()
Completed Satisfactory:
Unsatisfactory:
Performed
by:
Inspector (Signature)
Print (First & Last)
Date/Time
Reviewed By:
/ /
Signature Print (First & Last) Date/Time
Shift Manager
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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.
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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
242A-1342 Satisfactory / Unsatisfactory
242A-1343 Satisfactory / Unsatisfactory
242A-1345 Satisfactory / Unsatisfactory
242A-1346 Satisfactory / Unsatisfactory
242A-1347 Satisfactory / Unsatisfactory
242A-1348 Satisfactory / Unsatisfactory
242A-1349 Satisfactory / Unsatisfactory
242A-1350 Satisfactory / Unsatisfactory
242A-1351 Satisfactory / Unsatisfactory
242A-1352 Satisfactory / Unsatisfactory
242A-1353 Satisfactory / Unsatisfactory
242A-1354 Satisfactory / Unsatisfactory
242A-1355 Satisfactory / Unsatisfactory
242A-1356 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.
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Attachment 9 - Radio Inventory and Weekly Radio Checks (Cont.)
(Sheet 2 of 2)
242-A Evaporator Radio Inventory Weekly Check Form (Cont.)
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
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Attachment 10 - Monthly Vessel Vent System and K1 System Run Time
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).
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Attachment 10 - Monthly Vessel Vent System and K1 System Run Time
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.”
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Attachment 10 - Monthly Vessel Vent System and K1 System Run Time
Calculations (Cont.)
[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.
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Attachment 10 - Monthly Vessel Vent System and K1 System Run Time
Calculations (Cont.)
Figure 1
Figure 2
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Attachment 10 - Monthly Vessel Vent System and K1 System Run Time
Calculations (Cont.)
Figure 3
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Attachment 10 - Monthly Vessel Vent System and K1 System Run Time
Calculations (Cont.)
Figure 4
Figure 5
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Attachment 10 - Monthly Vessel Vent System and K1 System Run Time
Calculations (Cont.)
Figure 6
Figure 7
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Attachment 10 - Monthly Vessel Vent System and K1 System Run Time
Calculations (Cont.)
Figure 8
TREND #2TREND #2
TREND #1
TREND #3 TREND #4
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Attachment 10 - Monthly Vessel Vent System and K1 System Run Time
Calculations (Cont.)
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: _____________
/ /
Signature Print (First & Last) Date/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:
/ /
Signature Print (First & Last) Date/Time
Operations
/ /
Signature Print (First & Last) Date/Time
Shift Manager
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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.
[4] IF Discrepancies are noted, NOTIFY the Shift Manager AND
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.
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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
242AE-IA-FLT-002 AMU ROOM N/A
242AE-IA-FLT-003 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
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Attachment 11 - Inspect Air Line Filters (Cont.)
(Sheet 2 of 2)
242-A Evaporator Inspect Air Line Filters Form (Cont.)
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
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Attachment 12 - Monthly Inspection of Photo Luminescent and Electric Exit Signs
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.
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Attachment 12 - Monthly Inspection of Photo Luminescent and Electric Exit Signs
(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
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Attachment 12 - Monthly Inspection of Photo Luminescent and Electric Exit Signs
(Cont.)
242-A Evaporator Facility Photo Luminescent Exit Signs Inspection Form (Cont.)
Sheet 2 of 2
Comments/Discrepancies List:
Resolution (by Shift Manager):
Performed
by:
Inspector (Signature)
Print (First & Last)
Date/Time
Reviewed By:
/ /
Signature Print (First & Last) Date/Time
Shift Manager
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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
Safety Equipment Inspections and Operational Checks
Type
REFERENCE Document No.
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.
Attachment 14 continued on next page
Safety Equipment Inspections and Operational Checks
Type
REFERENCE Document No.
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-27 3’ 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-35 3’ Rolling Ladder
242-A-36 15’ Ladder
242-A-37 10’ Ladder
242-A-38 3’ Step Ladder
242-A-39 3’ Step Ladder
242-A-40 2’ Step Ladder
242-A-41 8’ Ladder
* Newly identified ladders that require labeling must be labeled by Carpenters.
Attachment 14 continued on next page
Safety Equipment Inspections and Operational Checks
Type
REFERENCE Document No.
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)
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