SEWS 10.1.1 (1 of 3) Sheet 1 of \_\_\_\_\_\_

+------------------------------------+---------------------------------+
| **SCREENING EVALUATION WORK SHEET  |                                 |
| (SEWS)**                           |                                 |
+------------------------------------+---------------------------------+
| **Piping System ID No.:**          | **Equipment Class: Piping**     |
+------------------------------------+---------------------------------+
| Performance Category:              |                                 |
+------------------------------------+---------------------------------+
| ***System Description and Fluid    |                                 |
| Boundaries:***                     |                                 |
+------------------------------------+---------------------------------+
|                                    |                                 |
+------------------------------------+---------------------------------+
| ***Piping System Function and      |                                 |
| Contents***                        |                                 |
+------------------------------------+---------------------------------+
| Operability Pressure Boudary       |                                 |
| Position Retention                 |                                 |
+------------------------------------+---------------------------------+
| ***Piping Layout and Structural    |                                 |
| Boundaries***                      |                                 |
|                                    |                                 |
| ***Piping System Location and      |                                 |
| Reference Drawings***              |                                 |
+------------------------------------+---------------------------------+
|                                    |                                 |
+------------------------------------+---------------------------------+
| ***Piping Materials and Sizes***   |                                 |
+------------------------------------+---------------------------------+
|                                    |                                 |
+------------------------------------+---------------------------------+
| ***Weights***                      |                                 |
+------------------------------------+---------------------------------+
|                                    |                                 |
+------------------------------------+---------------------------------+
| ***Concurrent Pressure and         |                                 |
| Temperature***                     |                                 |
+------------------------------------+---------------------------------+
|                                    |                                 |
+------------------------------------+---------------------------------+
| **Input Response Spectra and       |                                 |
| SAM-Reference**                    |                                 |
+------------------------------------+---------------------------------+
| Final Preliminary                  |                                 |
+------------------------------------+---------------------------------+
| Applicability                      |                                 |
|                                    |                                 |
| Ductile material D/t\<50 -20°F ≤ T |                                 |
| ≤ 250°F Reference Spectra          |                                 |
+------------------------------------+---------------------------------+

SEWS 10.1.1 (2 of 3) Sheet 2 of \_\_\_\_\_\_

+-----------------------------------+---+---------+------------------------+
| **SCREENING EVALUATION WORK SHEET |   |         |                        |
| (SEWS) (Cont.)**                  |   |         |                        |
+-----------------------------------+---+---------+------------------------+
| **Piping System ID No.:**         |   | **Eq    |                        |
|                                   |   | uipment |                        |
|                                   |   | Class:  |                        |
|                                   |   | P       |                        |
|                                   |   | iping** |                        |
+-----------------------------------+---+---------+------------------------+
| **Screening Criterion (Section    | * |         | **Notes**              |
| 10.1.1)**                         | * |         |                        |
|                                   | S |         |                        |
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|                                   | * |         |                        |
|                                   | * |         |                        |
+-----------------------------------+---+---------+------------------------+
| Construction: Piping, components  |   |         |                        |
| and supports shall be undamaged   |   |         |                        |
| and of good construction.         |   |         |                        |
+-----------------------------------+---+---------+------------------------+
| Internal Degradation: Piping and  |   |         |                        |
| components shall be free of       |   |         |                        |
| signigicant internal degradation. |   |         |                        |
+-----------------------------------+---+---------+------------------------+
| External Corrosion: Piping,       |   |         |                        |
| components and supports shall be  |   |         |                        |
| free of significant external      |   |         |                        |
| corrosion.                        |   |         |                        |
+-----------------------------------+---+---------+------------------------+
| Vertical Span: Piping shall be    |   |         |                        |
| well supported vertically.        |   |         |                        |
+-----------------------------------+---+---------+------------------------+
| Lateral Span: Piping shall be     |   |         |                        |
| sufficiently restrained in the    |   |         |                        |
| lateral direction.                |   |         |                        |
+-----------------------------------+---+---------+------------------------+
| Anchor Motion: Piping shall have  |   |         |                        |
| sufficient flexibility to         |   |         |                        |
| accommodate the seismic motions   |   |         |                        |
| of structures, equipment and      |   |         |                        |
| headers to which it is attached.  |   |         |                        |
+-----------------------------------+---+---------+------------------------+
| Mechanical Joints: Piping shall   |   |         |                        |
| not contain mechanical joints     |   |         |                        |
| which rely solely on friction.    |   |         |                        |
+-----------------------------------+---+---------+------------------------+
| Flanged Joints: Flanged joints    |   |         |                        |
| shall withstand the expected      |   |         |                        |
| seismic moments without leakage.  |   |         |                        |
+-----------------------------------+---+---------+------------------------+
| Equipment Nozzle Loads: Equipment |   |         |                        |
| shall not be subjected to large   |   |         |                        |
| seismic loads from the piping     |   |         |                        |
| systems.                          |   |         |                        |
+-----------------------------------+---+---------+------------------------+
| Eccentric Weights: Eccentric      |   |         |                        |
| Weights in piping systems shall   |   |         |                        |
| be evaluated.                     |   |         |                        |
+-----------------------------------+---+---------+------------------------+
| Flexible Joints: Flexible joints  |   |         |                        |
| shall be properly restrained to   |   |         |                        |
| keep relative end movements       |   |         |                        |
| within vendor limits.             |   |         |                        |
+-----------------------------------+---+---------+------------------------+
| Evaluation of Pipe Supports: Pipe |   |         |                        |
| supports shall be capable of      |   |         |                        |
| withstanding seismic loads        |   |         |                        |
| without failure.                  |   |         |                        |
+-----------------------------------+---+---------+------------------------+
| Interaction with Other            |   |         |                        |
| Components: The piping being      |   |         |                        |
| reviewed shall not be a source of |   |         |                        |
| interactions by displacement or   |   |         |                        |
| swing impact on adjacent          |   |         |                        |
| components.                       |   |         |                        |
+-----------------------------------+---+---------+------------------------+
| No other concerns                 |   |         |                        |
+-----------------------------------+---+---------+------------------------+
|                                   |   |         |                        |
+-----------------------------------+---+---------+------------------------+

SEWS 10.1.1 (3 of 3) Sheet 3 of \_\_\_\_\_\_

+-----------------------------------+----------------------------------+
| **SCREENING EVALUATION WORK SHEET |                                  |
| (SEWS) (Cont.)**                  |                                  |
+-----------------------------------+----------------------------------+
| **Piping System ID No.:**         | **Equipment Class: Piping**      |
+-----------------------------------+----------------------------------+
| ***Comments***                    |                                  |
+-----------------------------------+----------------------------------+
| Screening Walkdown(s):            |                                  |
|                                   |                                  |
| [Date]{.underline}                |                                  |
| [Time]{.underline} [Team          |                                  |
| Members]{.underline}              |                                  |
+-----------------------------------+----------------------------------+
| ***Recommend Resolution***        |                                  |
+-----------------------------------+----------------------------------+
| q Maintenance action:             |                                  |
|                                   |                                  |
| q Further evaluation:             |                                  |
|                                   |                                  |
| q Retrofit design:                |                                  |
|                                   |                                  |
| q Other:                          |                                  |
|                                   |                                  |
| q No further action required.     |                                  |
| Equipment is seismically          |                                  |
| adequate.                         |                                  |
+-----------------------------------+----------------------------------+
| All aspects of the equipment\'s   |                                  |
| seismic adequacy have been        |                                  |
| addressed.                        |                                  |
|                                   |                                  |
| Evaluation by: Date:              |                                  |
|                                   |                                  |
| (All team members)                |                                  |
+-----------------------------------+----------------------------------+