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DPHS Accident Assessment (Protective Action Worksheet)
PROTECTIVE ACTION WORKSHEET
Date
*
MM slash DD slash YYYY
Time
*
:
Hours
Minutes
AM
PM
AM/PM
By:
*
1. Current Emergency Classification Level:
*
Alert
Site Area Emergency
General Emergency
2. Current conditions:
PLANT CRITICAL SAFETY FUNCTIONS
(functions required to prevent major release of radiation to environment)
SUBCRITICALLY (SHUTDOWN REACTOR POWER):
Color/Code
Remarks
CORE COOLING (CORE DECAY HEAT REMOVAL):
Color/Code
Remarks
HEAT SINK (TRANSFER HEAT OUT OF SYS):
Color/Code
Remarks
INTEGRITY (COOLING SYS PIPES INTACT):
Color/Code
Remarks
Containment (PREVENT BREACH TO OUTSIDE):
Color/Code
Remarks
LATEST PLANT MONITOR VALUES
Loca Monitor:
WRGM:
Stress Line Monitor:
Most likely release type(s)
MONITORED GROUND
MONITORED STACK
UNMONITORED RELEASE
Wind currently from:
3. (BEST GUESS) Likely to REMAIN at this Emergency Level?
YES
NO
IF A RELEASE OCCURS - How long would it last?
(assume 4 hour release if unknown)
4. Special Considerations - (Relative to Evacuation)
BEACHES - Is it between May 15 - Sept 15?
YES
NO
WEATHER
UNSAT
SAT
GOOD
NOT FACTOR
TIME OF DAY
UNSAT
SAT
GOOD
NOT FACTOR
FUTURE WEATHER
UNSAT
WORSE
SAME
BETTER
5. DPHS ASSUMPTIONS:
6. Dose Levels PROJECTED by DPHS
MATCH PLANT ESTIMATE?
YES
NO
RADIUS
Fence
Dose or Dose Rate
Evac Time
Evac Time
2 Miles
Dose or Dose Rate
Evac Time
Evac Time
5 Miles
Dose or Dose Rate
Evac Time
Evac Time
10 Miles
Dose or Dose Rate
Evac Time
Evac Time
Downwind Distance
2 Miles
Dose or Dose Rate
Evac Time
Evac Time
5 Miles
Dose or Dose Rate
Evac Time
Evac Time
Note: Standard plant recommendation at General Emergency
10 Miles
Dose or Dose Rate
Evac Time
Evac Time
Note: Plant second recommendation if situation warrants
7. DPHS RECOMMENDATIONS:
SEABROOK TOWNS
ERPA A
Seabrook
Hampton Falls
Hampton Beach
EVAC
SHELTER
No action
ERPA C
Kensington
South Hampton
EVAC
SHELTER
No action
ERPA D
North Hampton
Hampton Residents
EVAC
SHELTER
No action
ERPA F
Brentwood
East Kingston
Exeter
Kingston
Newfields
Newton
EVAC
SHELTER
No action
ERPA G
Greenland
New Castle
Portsmouth
Rye
Stratham
EVAC
SHELTER
No action