Diablo Canyon Power Plant After Action Report/ Improvement Plan Exercise Date: March 29, 2017 Radiological Emergency Preparedness Program Publication Date: June 9, 2017
Diablo Canyon Power Plant
After Action Report/ Improvement Plan
Exercise Date: March 29, 2017
Radiological Emergency Preparedness Program
Publication Date: June 9, 2017
Unclassified
After Action Report/Improvement Plan Radiological Emergency Preparedness (REP) Program
Diablo Canyon Power Plant
Diablo Canyon Power Plant
After Action Report/Improvement Plan Contents Executive.Summary 4
Section 1: Overview 5
1.1 Exercise Details 5
1.2 Exercise Planning Team Leadership 5
1.3 Participating Organizations 7
Section 2: Exercise Design Summary 8
2.1 Purpose and Design 8
2.2 Demonstration Criteria and Core Capabilities 8
2.2.1 Demonstration Criteria 8
2.2.2 Mission Area and Core Capabilities 10
2.3 Summary of Scenarios and Extent-of-Play Agreement 12
Section 3: Analysis of Capabilities 1'5
3.1 Exercise Evaluation and Results 15
3.2 Summary Results of Exercise Evaluation 15
3.3 Criteria Evaluation Summaries 18
3.3.1 Risk Jurisdictions 18
3 .3 .1.1 County of San Luis Obispo Sheriffs Dispatch -
MEDCOM 18
3.3.2 Private Organizations 18
3.3.2.1 French Hospital Medical Center 18
3.3.2.2 San Luis Ambulance 19
Section 4: Conclusion 20
Appendix A: Exercise Evaluators 21
Appendix B: Acronyms and Abbreviations 22
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EXECUTIVE SUMMARY
The U.S. Department of Homeland Security's (DHS) Federal Emergency Management Agency
(FEMA) Region IX National Preparedness Division, Technological Hazards Branch, evaluated a
Medical Services Exercise (MS-1) on March 29, 2017, for local emergency Off-site Response
Organizations (ORO). Evaluations were conducted at French Hospital Medical Center (FHMC),
the County of San Luis Obispo (SLO) Sheriff's Dispatch - Medical Communications (MEDCOM),
and San Luis Ambulance (SLA) that are located in the County of SLO.
The purpose of evaluating an MS-1, as part of the Radiological Emergency Preparedness (REP)
Program, is to assess the level of local ORO preparedness in response to a radiological incident
occurring at or within the vicinity of the Diab lo Canyon Power Plant (DCPP). The MS-1 was held
in accordance with FEMA's policies and guidance concerning the implementation of State and local
ORO Radiological Emergency Response Plans (RERP) and procedures.
Prior to the MS-1 an Extent-of-Play (EOP) Agreement and two scenarios were reviewed and
approved by the FEMA Region IX Acting Regional Assistance Committee (RAC) Chair.
The MS-1 evaluation results contained in this report, along with FEMA Region IX Acting RAC
Chair's final determinations, are submitted to the FEMA Acting Regional Administrator (RA) for
final approval.
No Level 1 (Ll) or Level 2 (L2) Findings were identified during the MS-1 conducted at FHMC.
In Summary: The OROs successfully demonstrated that their RERP and procedures can be
adequately implemented in response to a radiological incident occurring at or within the vicinity of
DCPP. This action maintains continued reasonable assurance that emergency safety measures can
be taken to protect the health and safety of the public in the event of a radiological incident
occurring at or within the vicinity of DCPP.
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SECTION 1: EXERCISE OVERVIEW
1.1 Exercise Details
Exercise Name
Diablo Canyon Power Plant - Medical Service Exercise
Type of Exercise
Medical Services Exercise
Exercise Date
March 29, 2017
Program
U.S. Department of Homeland Security's/FEMA REP Program
Scenario Type
Respondii:ig to and transportation of a radiological contaminated/injured individual
1.2 Exercise Planning Team Leadership
Reanna Clayton, RS, BSN
Emergency Services Director
French Hospital Medical Center·
Samantha Caldwell
Emergency Planning Coordinator - Off-site
Pacific Gas and Electric
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Kelly Van Buren
Emergency Services Coordinator
San Luis Obispo County Office of Emergency Services
Anita Konopa
Emergency Services Coordinator
San Luis Obispo County Office of Emergency Services
Rachel Monte
Emergency Services Coordinator
San Luis Obispo County Office of Emergency Services
Johanna Johnson
Federal Emergency Management Agency - Region IX
Acting Regional Assistance Committee, Chair
Alberto Sifuentes
Federal Emergency Management Agency - Region IX
Emergency Management Site-Specialist
Alberto. [email protected]
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1.3 Participating Organizations
Agencies and organizations of the following jurisdictions participated in the Diablo
Canyon Power Plant Medical Services Exercise:
Risk Jurisdictions
County of San Luis Obispo
County of San Luis Obispo Office of Emergency Services
Private Organizations
French Hospital Medical Center
Pacific Gas and Electric - Diablo Canyon Power Plant
San Luis Ambulance
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SECTION 2: EXERCISE DESIGN SUMMARY
2.1 Purpose and Design
The Federal Emergency Management Ag~ncy administers the REP Program pursuant to the
regulations found in Title 44 Code of Federal Regulations (C.F.R.) § 350, 351and352 (October
2011) and the FEMA REP Program Manual, (January 2016). Title 44 C.F.R. § 350, Emergency
Management and Assistance, (October 2011) codifies 16 Planning Standards that form the basis for
radiological emergency response planning for licensees, State, local, and tribal governments
impacted by the Emergency Planning Zone's established for each nuclear power plant (NPP) site in
the United States of America.
The MS-1 scenario's and the EOP Agreement allow the ORO's the opportunity to implement and
demonstrate their RERP and procedures; and for FEMA to evaluate the effectiveness of those
RERP and procedures.
The results of this exercise, together with the review of the RERP and procedures, the verification
of the periodic requirements (found and identified in NUREG-0654/FEMA-REP-1) enable FEMA
to provide a statement with transmission of this final After Action Report to the U.S. Nuclear
Regulatory Commission (NRC) that ORO's plans and preparedness are:
• Adequate to protect the health and safety cifthe public living in the vicinity of DCPP; and
• That appropriate protective measures can be implemented Off-site in the event of a
radiological incident occurring at the NPP.
2.2 Demonstration Criteria and Mission Area Core Capabilities
Demonstration and evaluation of criteria were conducted at three locations. The first location was
at the County of SLO Sheriffs Dispatch - MEDCOM , the second location was with the SLA and
the third location was at FHMC Emergency Department (ED). Locations were pre-identified in the
EOP Agreement.
2.2.1 Demonstration Criteria
Off-site Response Organizations demonstrated the following criteria, contained in FEMA REP
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Program Manual, (January 2016), and referenced to the planning standards published in NUREG-
0654/FEMA-REP-1, and associated core capabilities from the U.S. DHS National Preparedness
Goal, (September 2015):
Evaluation Area 1 "'.'"""Emergency Operations Management
Criterion l.a.1: Mobilization - Off-site Response Organizations use effective procedures to alert,
notify, and mobilize emergency personnel and activate facilities in a timely manner. (NUREG-
0654/FEMA-REP-1, A.La, e; A.3,4:c.1, 4, 6; D.4; e.1, 2; G.3.a: H.3, 4)
Criterion l .d. l: Communication - At least two communication systems are available, at least one
operates properly, and communication links are established and maintained with appropriate
locations. Communications capabilities are managed in support of emergency operations. (NUREG
- 0654/FEMA-REP-l, F.1, 2)
Criterion l .e. l: Equipment and Supplies to Support Operations - Equipment, maps, displays,
dosimetry, potassium iodide (KI) and other supplies are sufficient to support emergency operations.
(NUREG-0654/FEMA REP-1, H.7, 10; I.7, 8, 9; J.10.a, b, e; J.11, 12; K.3.a; K.5.b)
Evaluation Area 3 - Protective Action Implementation
Criterion 3 .a. l: Implementation of Emergency Worker Exposure Control - The ORO' s issue
appropriate dosimetry, KI, and procedures, and manage radiological exposure to emergency
workers in accordance with the plans/procedures. Emergency workers periodically, and at the end
of each mission, read their dosimeters and record the readings on the appropriate exposure record or
chart. Appropriate record keeping of the administration of KI for emergency workers is maintained.
(NUREG- 0654/FEMA-REP-l, J.10.e; K.3.a, b; K.4)
Evaluation Area 6 - Support Operations/Facilities
Criterion 6.d.1: Transportation and Treatment of Contaminated Injured Individuals - The
facility/ORO has the appropriate space, adequate resources, and trained personnel to provide
transport, monitoring, decontamination, and medical services to contaminated injured individuals.
(NUREG-0654/FEMA-REP-1, F.2; H.10; K.5.a, b; L.1, 4)
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2.2.2 Mission Area and Core Capabilities
Mission Areas serve as an aid in integration and coordination across Core Capabilities to achieve
the goal of a secure and resilient nation.
One Mission Area identified during the MS-1 was that of Response.
The Response Mission Area consists of fifteen Core Capabilities. Of these, five were cross
referenced with the demonstration criteria. These are:
• Environmental Response/Health and Safety
• Mass Care Services
• Operational Communications
• Public and Private Services and Resources
• Public Health and Medical Services
Three of the 32 Core Capabilities are common to all Mission Areas. These are Planning, Public
Information and Warning, and Operational Coordination. Of these, one was cross-referenced with
the demonstration criteria. This was:
• Operational Coordination
The following are classifications of those Core Capabilities, within associated Mission Areas, and
related REP Program demonstration criteria evaluated during the MS-1:
Response Mission Area Core Capabilities minimize human exposure to environmental public
health hazards, and ensures adequately trained and equipped personnel, and resources are available
at the time of an incident to protect the safety and health of on-scene first responders,
hospital/medical facility personnel, and skilled support personnel through the creation and
maintenance of an effective safety and health program.
Associated diverse activities include:
• Mobilize all critical resources and establish command, control, and coordination
structures within the affected community and other coordinating bodies in surrounding
communities and across the Nation.
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• Establish physical access through appropriate transportation corridors and deliver
required resources to save lives and to meet the needs of disaster survivors.
• Provide life-sustaining and human services to the affected population, to include
hydration, feeding, sheltering, temporary housing, evacuee support, reunification, and
distribution of emergency supplies.
• Ensure the capacity for timely communications in support of security, situational
awareness, and operations by any and all means available, among and between affected
communities in the impact area and all response forces.
• Provide lifesaving medical treatment via Emergency Medical Services and related
operations and avoid additional disease. and injury by providing targeted public health,
medical, and behavioral health support, and products to all affected populations.
Response Mission Area Core Capabilities is met by the demonstration of REP Program criteria:
1.a.l, 1.d.l, 1.e.l, 3.a.l, and 6.d.1.
Core Capabilities common to all Mission Areas emphasize saving and sustaining lives,
stabilizing the incident, rapidly meeting basic human needs, establishing a safe and secure
environment, and supporting the transition to recovery through Operational Coordination.
Associated diverse activities include:
• Establish and maintain a, unified and coordinated operational structure and process that
appropriately integrates all critical stakeholders and supports the execution of core
capabilities.
• Mobilize all critical resources and establish command, control, and coordination
structures within the affected community and other coordinating bodies in surrounding
communities and across the Nation.
Core Capabilities common to all Mission Areas is met by the demonstration of REP Program
criteria: 3.a.1, and 6.d.l.
Capabilities-based planning allows for exercise planning teams to develop exercise objectives and
observe/evaluate exercise outcomes through a framework of specific action items derived from the
Core Capabilities List. The following Core Capabilities form the basis for FEMA Region IX REP
Program objectives observed and evaluated during the MS-1:
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Environmental Response/Health and Safety
Description: Conduct appropriate measures. to ensure the protection of the health and safety of the
public and workers, as well as.the environment, from all-hazards in support ofresponder operations
and the affected communities.
Operational Coordination
Description: Establish and maintain a unified and coordinated operational structure and process
that appropriately integrates all critical stakeholders and supports the execution of core capabilities.
Operational Communications
Description: Ensure the capacity for timely communications in support of security, situational
awareness, and operations by any means available, among and between affected communities in the
impacted area and all response forces.
Mass Care Services
Description: Provide life-sustaining and human series to the affected population, to include
hydration, feeding, sheltering, temporary housing, evacuee support, reunification, and distribution
of emergency supplies.
Public Health, Healthcare, and Emergency Medical Services
Description: Provide lifesaving medical treatment via Emergency Medical Services and related
operations and avoid additional disease and injury by providing targeted public health, medical, and
behavioral health support, and products to all affected populations.
Public and Private Services and Resources
Description: Deliver essential commodities, equipment, and services in support of impacted
communities and survivors, to include emergency power and fuel support, as well as the
coordination of access to community staples. Synchronize logistics capabilities and enable the
restoration of impacted supply chains.
Additionally, each capability was linked to several corresponding activities and criteria to provide
additional detail.
2.3 Scenarios and Extent-of-Play Agreement Summary
The March 29, 2017, MS-I was based on two scenarios occurring consecutively. The first scenario
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(S-1) occurred On-site at DCPP with an injured and contaminated utility worker requiring
assessment and transportation to a designated hospital for treatment. The second scenario (S-2)
involved a member of the general public who is involved in a vehicular accident during a
radiological release from DCPP. The individual was injured, and may potentially be contaminated.
Both scenarios will invoke a sequence of emergency response actions to be initiated and carried out
by the OROs.
The FEMA Lead Evaluator and the Lead ORO Exercise Controller will terminate the MS-1 when
all parties agree that all the required demonstration criteria have been adequately demonstrated and
evaluated.
A summary of the MS-I S-1 is as follows (times listed are for planning purposes only):
Initial conditions at DCPP have Unit I at I 00% power and operating at normal operating
temperature and pressure. Unit 2 (U2) is shut down for refueling.
At 0755, a Chemistry and Radiation Protection (C&RP) technician completes sampling the U2
Coolant System.
The C&RP technician is descending the U2 stairwell when they slip and fall, breaking their left
ankle and landing on a container holding sample coolant vials. Several of the sample vials are
broken and puncture the C&RP technician's lower body.
A co-worker, who witnessed the accident, calls the DCPP emergency line. On-site emergency
personnel follow emergency protocol, and initiate contact with MEDCOM.
The injured C&RP technician is stabilized and ready for transportation to FHMC via SLA.
A turnover of the injured C&RP technician will occur outside of the DCPP security gate (as per
EOP Agreement).
Upoµ successful turnover, DCPP will terminate the exercise On-site. The Off-site the exercise will
proceed with SLA initiating contamination controls and transporting the injured C&RP technician
toFHMC.
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Once SLA arrives at FHMC, the injured C&RP technician will be transported into the Radiological
Emergency Area (REA). Upon successful decontamination, the C&RP technician will be released
from the REA and S 1 will be terminated.
A summary of the MS-1 S-2 is as follows (times listed are for planning purposes only):
The S-2 occurs during a simulated Plume Phase occurring at DCPP.
An Emergency Classification Level (ECL) of Site Area Emergency was declared at 1200, a General
Emergency declared at 1500, and a radiological release occurs at 1600.
As of 1600, Protective Action Zones (PAZ) 1, 2, and 3 have been evacuated. French HospitaI
Medical Center has been identified to receive and treat injured radiologically contaminated
individuals. San Luis Ambulance has been notified of the ECLs and the radiological release
occurring at DCPP.
At approximately 1800, a Port San Luis (PSL) angler comes ashore and prepares to exit from PAZ
3. The PSL angler is involved in car accident with a DCPP employee _leaving the plant. The PSL
angler complains of neck and back pain. The uninjured DCPP employee calls 9-1-1 to report the
accident, and request emergency assistance.
During this period, the County of SLO Emergency Operations Center (BOC) has utilized available
dose projections to conclude that within the next three hours, areas within the vicinity of PSL would
be affected by the release of radiation from DCPP.
The County of SLO Sheriffs MED COM will receive the 9-1-1 call and upon gathering specifics on
the car accident will identify it having occurred within the release area.
San Luis Ambulance will be dispatched, by MEDCOM, to respond to the car accident and to follow
their radiological procedures; as it is within the affected area.
Upon arrival, SLA EMS will initiate appropriate radiological and exposure control measures prior
to transporting the injured and potentially contaminated patient to FHMC.
Once SLA arrives at FHMC, the injured and potentially contaminated patient will be turned over to
FHMC ED staff and transported to the REA. Upon successful decontamination; the injured patient
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is released from the REA and transferred to a floor unit, and S2 will be terminated.
Extent-of-Play Agreement Summary:
The purpose of the EOP Agreement is to identify, and negotiate, demonstration criteria and any
planned deviations from the implementation of the applicable plans that will be evaluated during the
MS-1. Additionally, the EOP Agreement represents the level of participation and any limitations
on the demonstration of Emergency Preparedness Evaluation Area Elements by the participating
agencies and organizations.
The expected outcome of the MS-1 is the successful demonstration of reasonable assurance that the
health and safety of the public can be protected during a radiological incident occurring at or within
the vicinity of a NPP.
SECTION 3: ANALYSIS OF CAPABILITIES
3.1 Exercise Evaluation and Results
Contained in this section are the results and findings of the evaluation of all jurisdictions and
functional entities that participated in the March 29, 2017, demonstrating portions of the Off-site
emergency response capabilities.
Each jurisdiction and functional entity was evaluated on its demonstration of selected criteria as
indicated in the EOP Agreement and as outlined in the FEMA REP Program Manual, (January
2016).
3.2 · Summary Results of Exercise Evaluation
The matrix in Table 3 .1 presents the status of all exercise Assessment Areas and sub-element
criterion that were demonstrated, for evaluation during the MS-1, by all participating jurisdictions
and functional entities. The REP Program uses the following alphanumeric key to indicate
demonstration status of those criteria evaluated during the MS-1:
LI - Level 1 Finding identified (previously listed as an Deficiency)
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L2 - Level 2 Finding identified (previously listed as an Area Requiring Corrective Action
(ARCA))
M - Met (No Ll or L2 Findings assessed and no unresolved ARCAs from prior MS-1)
N - Not Demonstrated
P - Plan Issue identified
Below are the alphanumeric key definitions as defined in the FEMA REP Program Manual,
(January 2016):
Level 1 Finding: "An observed or identified inadequacy of organizational performance in an
exercise that could cause a determination that Off-site emergency preparedness is not adequate to
provide reasonable assurance that appropriate protective measures ~an be taken in the event of a
radiological emergency to protect the health and safety of the public living in the vicinity of a
NPP."
Level 2 Finding: "An observed or identified inadequacy of organizational performance in an
exercise that is not considered, by itself, to adversely impact public health and safety."
Met: "The jurisdiction or functional entity performed all activities under the Demonstration
Criterion to the level required in the EOP Agreement, with no Level 1 or Level 2 Findings assessed
under that criterion in the current exercise and no unresolved prior Level 2 Findings."
Not Demonstrated: "A justifiable reason, the jurisdiction or functional entity did not perform
activities under the Demonstration Criterion as specified in the EOP Agreement or at the frequency
required in Exhibit III-2."
Plan Issue: "An observed or identified inadequacy in the ORO's emergency plan/procedures, rather
than in the ORO's performance."
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Table 3.1 - Summary of Exercise Evaluation
~ 0 u A
~ DATE: March 29, 2017 ' ..c::
SITE: Diablo Canyon Power Plant ~ 0.
"' ===================== cs ct (gj
Ll: Level 1 Finding a:: ·c .... "' w ..c:: "' I- CZl E
L2: Level 2 Finding a:: 0 "' 0. u u "' <ii
P: Plan Issue z :E <.J
0 0 ;a "' "' M: Met ~ ·5 ~
>-l ~
Not Demonstrated ex: ~
N: I- "' 0. V'l CZl 00
z c.... ~ 0 0 .P ..c:: ~ ~ <.J
;::l ~ w 0 "' c .... u ~
:··. .. > I• ..
Mobilization lal M M
Direction and Control lcl
Communications Eauioment ldl M M M
Eauioment and Suoolies to Suooort Ooerations lel M M M
. ,. . Prqtec~ye Action'DecisiortMaking ·. .'.,
Emern:encv Worker Exposure Control Decision Making 2al
Protective Action Decision's (P ADs) for Disabled/Functional Needs 2cl
Rad Assessment and Decision making for the Ingestion Exposure Pathway 2dl
Rad Assessment and Decision making concerning Relocation, Reentry, and Return 2el
.. , .. ·. ; '1:1,· ,· :), ''• Imolementation ofEmern:encv Worker Exoosure Control 3al M M
Implementation of protective actions for special populations 3cl
Imolementation of Traffic and Access Control 3dl
Imolementation oflngestion Pathwav decisions - availabilitv use of info 3el
Materials for Ingestion Pathway P ADs are available 3e2
Implementation of relocation, reentry, and return decisions 3fl
. · .. i~ '. ' ' •...
Post nlume ohase field measurements and samnJing 4bl
Laboratorv ooerations 4cl
Emern:encv Information and Instructions for the Public and the Media 5bl
•: '., . Contaminated Injured Transport and Care 6dl
M M
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3.3 Criteria Evaluation Summaries
3.3.1 Risk Jurisdictions
3.3.1.1 County of San Luis Obispo Sheriff's Dispatch -
MEDCOM
In summary, the status of DHS/FEMA criteria for this location is as follows:
a. MET: 1.a.1, 1.d. l, 1.e.1.
b. LEVEL 1 FINDING: None
c. LEVEL 2 FINDING: None
d. PLAN ISSUES: None
e. NOT DEMONSTRATED: None
f. PRIOR ISSUES - RESOLVED: None
g. PRIOR ISSUES - UNRESOLVED: None
3.3.2 Private Organizations
3.3.2.1 French Hospital Medical Center
In summary, the status ofDHS/FEMA criteria for this location is as follows:
a. MET: 1.a.l, 1.d.l, 1.e.l, 3.a.l, 6.d.1.
b. LEVEL 1 FINDING: None
c. LEVEL 2 FINDING: None
d. PLAN ISSUES: None
e. NOT DEMONSTRATED: None
f. PRIOR ISSUES - RESOLVED: None
g. PRIOR ISSUES - UNRESOLVED: None
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3.3.2.2 San Luis Ambulance
In summary, the status of DHS/FEMA criteria for this location is as follows:
a. MET: l.d.l, l.e.l, 3.a.1, 6.d.l.
b. LEVEL 1 FINDING: None
c. LEVEL 2 FINDING: None
d. PLAN ISSUES: None
e. NOTDEMONSTRATED:None
f. PRIOR ISSUES - RESOLVED: None
g. PRIOR ISSUES - UNRESOLVED: None
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SECTION 4: CONCLUSION
The Federal Emergency Management Agency, Region IX, evaluated an MS-1 on March 29,
2017, in SLO County. The purpose of the MS-1 was to assess the level of local emergency
preparedness in response to a simulated radiological incident occurring at or within the
vicinity of DCPP.
The MS-1 was evaluated in accordance with FEMA policies and guidance in regards to
implementing local RERP and procedures.
The MS-1 evaluation results contained in this report, along with FEMA Region IX Acting
RAC Chair's final determinations, are submitted to the FEMA Region IX Acting RA for
final approval.
Based on the evaluation of the criteria demonstrated on March 29, 2017, the Off-site
radiological emergency response plans for the affected local jurisdictions can be
implemented, and are adequate to provide continued reasonable assurance that appropriate
measures can be taken Off".'site to protect the health and safety of the public.
Therefore, Title 44 C.F.R. § 350, Emergency Management and Assistance, (October 2011),
approval of the Off-site RERP and preparedness for the state of California, site-specific to
DCPP, will remain in effect.
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APPENDIX A: EXERCISE EVALUATORS
Roy Smith French Hospital Medical Center
Daryl Thome
San Luis Ambulance Dennis Wilford
County of San Luis Obispo Sheriff's Dispatch - MED COM John Woytak
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APPENDIX B: ACRONYMS AND
ABBREVIATIONS
BUPSC C&RP
C.F.R.
DCPP DHS ECL ED
EOC EOP EW
FEMA enc FHMC
KI Potassium Iodide Ll Level I Findin L2 Level 2 Findin
MEDCOM Medical Communications MS-1 Medical Service exercise
NPP Nuclear Power Plant
NRC ORO PAD Protective Action Decision PAZ Protective Action Zone
P Plan Issue PSL Port San Luis RAC Re ional Assistance Committee REA Radio lo REP
RERP S 1 First Scenario S2 Second Scenario
SLA San Luis Ambulance SLO San Luis Obis o U2 Unit 2
U.S. United States
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