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=Text=
=Text=
{{#Wiki_filter:................... I.......
{{#Wiki_filter:ES-201
ES-201 _ Exc1minationPreparation Gh~cklist _*
. I..
- - I - -
_ Exc1minationPreparation Gh~cklist _*  
 
- -I --
**Facility:* J>BArS.. Date of ~x~m-ination:: r:,//--io /; (_ * -
**Facility:* J>BArS.
 
_ Developed by::: Written:_. Facility. _rtl
_ Developed by::: Written:_. Facility. _rtl _NRC II Operatir_g Facility_ :©NRC - :-.- -_
_NRC II Operatir_g
 
. Date of ~x~m-ination:: r:,//--io /; (_ * -
Target : Ta.sk [)e~cription (Referencyi).. *.chief.
Facility_ :©NRC - :-.- -_
. Date**
Target
* _* :* Examiner's 1n_itials
. Date**
 
. -210
f Examination administration date e1:intirm¢~ (C: 1 '.a; C,2.a'-:b). Fpr NRC~prepared exams, _ _
* -210
arrangements are madei for the.facility. to submit reference mate,rials (C;1.e; C:3.c;_ Al!achment 3). _
: Ta.sk [)e~cription (Referencyi) f Examination administration date e1:intirm¢~ (C: 1 '.a; C,2.a'-:b). Fpr NRC~prepared exams, arrangements are madei for the.facility. to submit reference mate,rials (C;1.e; C:3.c;_ Al!achment 3). _
. -210 2:'. NRG examiners and facility contact assigned (C.1 ;d; C:2.f}: _' 1 * *-..
2:'. NRG examiners and facility contact assigned (C.1 ;d; C:2.f}: _'
 
1 * *-
* -210 3..
3..
* Fac;illty -contact briefed ori.security arid* othe( requirements (C.2.t;f As applicable, the facility -
* Fac;illty -contact briefed ori.security arid* othe( requirements (C.2.t;f As applicable, the facility contact s_ubniils to the NRC any-prescreened K/As for eliininatidn from the l,\\iritteri examination:.
-.- outline, contact s_ubniils with adescriptioi, to the NRC any-prescreened K/As for of the.facility's prescreenin*g eliininatidn pro:cess (ES-401, b.1.b)'.. --from the l,\\iritteri examination:.
-.- outline, with adescriptioi, of the.facility's prescreenin*g pro:cess (ES-401, b.1.b)'.  
 
.. *.chief Examiner's
* _* :* 1n_itials
. -210-
. -210-
* Nf\\
* _ -~210 _- _ -5: - Corporate notificadon ietter sent (c:2.e)..  
 
'"\\:-
_ -~210 _- _ -5: - Corporate notificadon ietter sent (c:2.e)... - - -I. -
. -- -I. -
 
-195 NRC-developeci written examination outline (ES-401-1/2 or ES-401 N-1/2 and ES-401-3 or..
.. '"\\:- '
ES-401 N-3) senfto facility contact (must be *on the exam security agreement) (C.1.~f; C.2.h;  
NRC-developeci written examination outline (ES-401-1/2 or ES-401 N-1/2 and ES-401-3 or..
. C.3.d~)- :.*.  
-195 ES-401 N-3) senfto facility contact (must be *on the exam security agreement) (C.1.~f; C.2.h;
-I  
. C.3.d~)- :.*. -I.
- _150 -
- _ 150 -
* _ 7.. Operating test outline(s) arid otherchecklists_due, including '.om,~ fS-201-2, ~S-201~3; ES-301~1, ES-301-2; E:S-301-5, an~ ES:D~1, as apphcable-(C.1.e-,f, C._3.d:(-),. _
* _ 7.. Operating test outline(s) arid otherchecklists_due, including '.om,~ fS-201-2, ~S-201~3; ES-301~1, _
* _....  
ES-301-2; E:S-301-5, an~ ES:D~1, as apphcable-(C.1.e-,f, C._3.d:(-),. _
. - *. I.. -... -.  
* _..... -.. -. _*_.
*
-.*... *....*... *... _.... -. - *. I.. -... -...*... '
* s136 -
*
8:
* s136 - 8:
* __ g~~~~)~ test outline(s) reviewed by th_~- NRG _and feedback prrdedte> facility licensee (~,2.h; _*
* __ g~~~~)~ test outline(s) reviewed by th_~- NRG _and feedback prrdedte> facility licensee (~,2.h; _*
f F
Nf\\
*
f F  
-75 * *
*
* 9: *
* 9: *
* Pro-posed*examiriations (written: JPMs, *and scenarios, as applicable) and outlines (Forms*.
* Pro-posed*examiriations (written: JPMs, *and scenarios, as applicable) and outlines (Forms*.
ES 0 301~1,_ES~301-2, ES 0 D-1, ES-401_~1/2 or ES-4Q1N~1/2; and:ES-401°3.cir ES401N-3);.. _ ~
ES0301~1,_ES~301-2, ES0D-1, ES-401_~1/2 or ES-4Q1N~1/2; and:ES-401°3.cir ES401N-3);  
-75 *
~
* S\\.lpporti17g dpcumentation (including F_omis ES-301~3, ES-301'*:h ES-301~5, ES~301-6; ES-401°6, :-(r _.*
S\\.lpporti17g dpcumentation (including F_omis ES-301~3, ES-301'*:h ES-301~5, ES~301-6; ES-401°6, :-(r _.*  
 
~ir:~-t:.~~- a~y-Form ES~201:-2 and£Ss201.
0 3 updates); ar reference
03 updates); ar reference materials due _. __. *:  
~ir:~-t:.~~- a~y-Form ES~201:-2 and£Ss201. materials due _. __. *:
-75
 
: 10. Examinations prepared by ttie N RC "are apprQV~d by the NRC s'upeniisorand forwarded for*.
-75 10. Examinations prepared by ttie N RC "are apprQV~d by the NRC s'upeniisorand forwarded for*.
facility _licensee review (C:1_.i; C,2:h; C;3,f:-:9). __ _- : * *. *. *.* _. _- _. I**.*... * *.
facility _licensee review (C:1_.i; C,2:h; C;3,f:-:9). __ _- : * *. *. *.* _. _- _. I**.*... * *. * *.* _..*.: : _
* _
* ___ * : *
I
- -60.
--60.
* 11. Preliminary...... -. -.... -. - - :.. I waiver/excusal*
* 11. Preliminary waiver/excusal* requests due (C.1.m; C.2.t:; ES-202).
*... *.*.*... - *.. *.*. -... -
I.  
* requests due (C.1.m; C.2.t:;.. *.... ES-202). *. I.
. _. -_50.
 
: 12. W_ritten exam_ and ope~atirig test reviews completed {C:3:f):...1 ** :  
. _. -_50. 12. W_ritten exam_ and ope~atirig test reviews completed {C:3:f):...1 ** :
-35 :.* _.
 
_ 13. Examination review result~ discussed. betwee"ri_ the NRC and facility lice*risee (C.1.i; C.1-,k-1;:...
-35 :.* _. _ 13. Examination review result~ discussed. betwee"ri_ the NRC and facility lice*risee (C.1.i; C.1-,k-1;:...
* C.2.~; C.3:g). - Ttie NRC_.;ind. the facilijy.licen_s_ee co_nduct <<;l?(amj pr<<;lparajory we<<;lk.: -_ _ * *. -_.
* C.2.~; C.3:g). - Ttie NRC_.;ind. the facilijy.licen_s_ee co_nduct <<;l?(amj pr<<;lparajory we<<;lk.: - _ _ * *. - _.
* _
* _
* _~ 30. : 1,r PreHmi.nary license a*pplfcatioris and Waiver/excusal reque*sts, as *applicable (NRG *i=orm 398) due (C.1 JT); &#xa2;.2.i; ES-202),. : _- _ > _. : : *. -.I. : * :. *. *... _. 'if"....
* _~30.
_.* 714 _.. 15:_ :Final lltense applications and waiver/excusal requesis*, as &ppiicable (NRC Form: 398), dtie and -
: 1,r PreHmi.nary license a*pplfcatioris and Waiver/excusal reque*sts, as *applicable (NRG *i=orm 398) due (C.1 JT); &#xa2;.2.i; ES-202),  
* f _-.
*. -.I
* Form. ES~20t-4 prepared (C.1.m; _G.2.k; ES-202). _. ( _...
_. 'if"
 
_.* 714 15:_ :Final lltense applications and waiver/excusal requesis*, as &ppiicable (NRC Form: 398), dtie and -
,16. Written,examinations and op_erating tests approvedby ihe NRG supervisor (C.2.i-;-k; c:ih). -_..
* f Form. ES~20t-4 prepared (C.1.m; _G.2.k; ES-202). _.
( _...  
,16. Written,examinations and op_erating tests approvedby ihe NRG supervisor (C.2.i-;-k; c:ih). -_..  
.... :- *..... _..... ;... _...,'. *.. :- *..... *.... :-1*..... *..
.... :- *..... _..... ;... _...,'. *.. :- *..... *.... :-1*..... *..
c 7 *.. * *...... _.*... 17. Request facility licens<<;le man~gement feedback on the_ examination (C:2.1). *
c 7 *.. * *. 17. Request facility licens<<;le man~gement feedback on the_ examination (C:2.1). *  
*,'...,**... *,'.... -*.... *... 1-.-*.... -
... *,'.... -*.... *... 1-.-*.... -
: 18. Fina*!. applications *reviewed; orie or two {if more tha*ri 10) applications auilit~d fo. confirm : * :.
: 18. Fina*!. applications *reviewed; orie or two {if more tha*ri 10) applications auilit~d fo. confirm : * :.  
*
*
* qualifications/eligibility; A~tachmenlq;_ES-202, C.3.j; and eicaniination*approvaland.waiver/excusal letters ES-204}. -... _j: *.. -sent (C.2.k; --
* qualifications/eligibility; and eicaniination*approvaland.waiver/excusal letters sent (C.2.k; A~tachmenlq;_ES-202, C.3.j; ES-204}. -
_j: *
- ___ -_-_-. -*.*1-* ---
*.:...--r-.  
-7
: 20. Approved _scenarios and job performance measures distril;>uted *Ito NRG examine_rs {C.3.i),:
. C __. _
* Targ~t dal~s are b~sed on facility-prepared examinations and the examination! dale identified in the corpor~te notification le~er.-
TtJese dates are for planning purposes and may be adjusted on a case-by_-ca~e basis in coordjn_ation with the facility licensee.
-Es.:201, Page 29 of 32


.--.--.--- __ *. -_-*_.-- -... -_- - ___ -_-_-. -*.*1-* --- -.. -_*_*_-*_.-. *.:...--r-.
ES-201 Examination Outline Quality Checklist Facility:
-7 20. Approved _scenarios and job performance measures distril;>uted *Ito NRG examine_rs {C.3.i),:. C __. _
Item w
* Targ~t dal~s are b~sed on facility-prepared examinations and the examination! dale identified in the corpor~te notification le~er.
R I
TtJese dates are for planning purposes and may be adjusted on a case-by_-ca~e basis in coordjn_ation with the facility licensee.
T T
 
E*
-Es.:201, Page... *... 29 of 32 ES-201 Examination Outline Quality Checklist Form ES:.201-2
 
i..
Facility: Date of Examination:
I Item
* Task Description Initials I.a. b*-. c**
..... I.
: a. Verify that the o_utline(s) fit(s) t_he appropriate model in accordance wi~h ES-401_ cir ES-401 N.
w b. Assess whethe~ the outline was ~ystemati~lly and randomly prepare~ in acc6rdan~ with '
R Section D.1 of ES-401 or ES-401 N and whether all KIA categories _an~ al)propriately sampled.
I..... I...
T c. Assess whether the outline overemphasizes any systems, evolutions, topics; T 1or generic E* d. A~ess whether the justifi~ations for deselecied or rejected KIA state~ents are appropriate::
N
N
..... -..... -........ I...
: 2.
: 2. a. Using Form ES-301-5, norma_l evolutions, instrument verify that-the proposed scenario sets cover the required number of transients. '.. ' i and component failures, technical specifications, and major s........ *.... r......
s  
M '* b. Assess whether there are enough scenario sets (and spares) tci test the projected number and u mix of applicants in accordance with-the expected crew composition and.rotation schedule.
'* M u
L without compromising exam integrity,. and ensure that each ~pplicant can be tested using at A
L A
* applicants; least one new or significantly modified scenario, that no scenarios are duplicated from the T audit test(s), and ttiat scenarios will not be repeated on su~sequent days.
T 0
0 C. to the extent possible; asses~ whether the ciutline(s) conforms with tile qualitative and R. quantitative criteria specified on F9rm ES~301-4 and described in Appendix D and in
R
. Section D.5; "SP,ecific Instructions for the 'Simulator Operating Test/" bfES-301 (including civerlap). * * * ! _
: 3.
.,. I.
w A
: 3. a. Verify that the systems walkthrough outline meets the criteria specified on Form ES-301 c2:
L K
(1) The outline(s) contains the required number of control room and 1in~plant tasks distributed w among the safety functions as specified on the form. _ _ _ I, - - _
T H
* _ -
R 0
A (2) Task repetition from the last two NRC examinations is within the limits specified on the form. -
u G
L (3) No tasks are duplicated from the applicant's audit test(s).. : -.. -..
K (4) The number of new or modified tasks meets or exceeds the minimums specified on ttie form..
T (5) The number of alternata-:path, low-power; emergency, and radiologically corifrolled area H tasks meets the criteria on the form. _ * * *
* I * * * * * * *. *.
R b. Verify ttiat the admi~ist~ative outline meets the criteria specified OIJ Form ES-301-1:
0 (1) *_ T.he tasks are distributed among the topics as specified on the.form. *
* u (2) _At least one task i_s new or significantly modified.
* i
* G (3) N_o_ more than one task is repeated from the last two NRC licensing examinations.
H
H
: 4.
G E
N E
R A
L
: a.
: b.
i Date of Examination:
I
* Task Description I
I
: a. Verify that the o_utline(s) fit(s) t_he appropriate model in accordance wi~h ES-401_ cir ES-401 N.
: b. Assess whethe~ the outline was ~ystemati~lly and randomly prepare~ in acc6rdan~ with '
Section D.1 of ES-401 or ES-401 N and whether all KIA categories _an~ al)propriately sampled.
I
: c. Assess whether the outline overemphasizes any systems, evolutions, 1or generic topics;
: d. A~ess whether the justifi~ations for deselecied or rejected KIA state~ents are appropriate::
I
: a. Using Form ES-301-5, verify that-the proposed scenario sets cover the required number of norma_l evolutions, instrument and component failures, technical specifications, and major transients.
i r
: b. Assess whether there are enough scenario sets (and spares) tci test the projected number and mix of applicants in accordance with-the expected crew composition and.rotation schedule.
without compromising exam integrity,. and ensure that each ~pplicant can be tested using at
* least one new or significantly modified scenario, that no scenarios are duplicated from the applicants; audit test(s), and ttiat scenarios will not be repeated on su~sequent days.
C. to the extent possible; asses~ whether the ciutline(s) conforms with tile qualitative and
. quantitative criteria specified on F9rm ES~301-4 and described in Appendix D and in
. Section D.5; "SP,ecific Instructions for the 'Simulator Operating Test/" bfES-301 (including civerlap).
I
: a. Verify that the systems walkthrough outline meets the criteria specified on Form ES-301 c2:
(1) The outline(s) contains the required number of control room and 1in~plant tasks distributed among the safety functions as specified on the form.
_ I, (2) Task repetition from the last two NRC examinations is within the limits specified on the form. -
(3)
No tasks are duplicated from the applicant's audit test(s)..
(4) The number of new or modified tasks meets or exceeds the minimums specified on ttie form..
(5) The number of alternata-:path, low-power; emergency, and radiologically corifrolled area tasks meets the criteria on the form. _
* I *
: b. Verify ttiat the admi~ist~ative outline meets the criteria specified OIJ Form ES-301-1:
(1) *_ T.he tasks are distributed among the topics as specified on the.form.
(2)
_At least one task i_s new or significantly modified.
* i (3)
N_o_ more than one task is repeated from the last two NRC licensing examinations.
:c. Determine whether there are enough different outlines to test the proj~cted
:c. Determine whether there are enough different outlines to test the proj~cted
* number and mix of applicants and ensure thatno items are duplicated on subsequent days... *.
* number and mix of applicants and ensure thatno items are duplicated on subsequent days...
.. I..
: a.
: 4. a. Asse~-s whether plant-specific priorities (including proQabilistic risk assessment and individual*
I Asse~-s whether plant-specific priorities (including proQabilistic risk assessment and individual*
plant. - - -... -. - -.... I. examination insights) are_ covered in the appropriate exam sections.. *.
plant examination insights) are_ covered in the appropriate exam sections.
G b.. Assess whether the.10 CFR 55.41, 55.43, and 55.45 sampling is apprppriate.
b..  
E N c. Ensure th.at KIA importance ratings (except for plant~specific prioi-itie~J are at least 2.5.
.. I.
E.. -..... **.. I. _.....
Assess whether the.10 CFR 55.41, 55.43, and 55.45 sampling is apprppriate.
R d._ Check for duplication and overlap amo_ng exam sec;tions and the last two NRC exams.
: c. Ensure th.at KIA importance ratings (except for plant~specific prioi-itie~J are at least 2.5.
A L e. Check the entire exam for balance of c9verage.. I
d._
: f. Assess whether the exam fits the appropriate job level (RO or SRO). I bate*
I.
: a. Author (L/1 '1 lz i:;
Check for duplication and overlap amo_ng exam sec;tions and the last two NRC exams.
: b. Facility Reviewer (*) 11-/11tz.:n.
: e. Check the entire exam for balance of c9verage..
I
: f.
Assess whether the exam fits the appropriate job level (RO or SRO). I Author Facility Reviewer (*)
: c.
: c.
* NRC Chief Examiner (#) 1:;fii#;
* NRC Chief Examiner (#)
: d.
: d.
* NRC Supervi:;;or
* NRC Supervi:;;or
* Not applicable for NRG-prepared examination outli~es. I ' ' '
* Not applicable for NRG-prepared examination outli~es.
# The independent NRC reviewer i~itials items iri column "c"; the... I. chief examiner's doricurrence is required.
I ' '  
# The independent NRC reviewer i~itials items iri column "c"; the chief examiner's doricurrence is required.
I Form ES:.201-2 Initials
.a. b*-
. c**
bate*
(L/1 '1 lz i:;
11-/11tz.:n.
1:;fii#;
 
. ES-301 Operating Test Q&#xb5;ality Chec~list Form ES~301-3 l
. ES-301 Operating Test Q&#xb5;ality Chec~list Form ES~301-3 l
Facilitv: Peach Bottom Atomic Power Station Date of Examination: as,01,21 I Operating Test Number:. 1
Facilitv: Peach Bottom Atomic Power Station Date of Examination: as,01,21 I Operating Test Number:. 1
: 1. General Grlteria Initials.
: 1. General Grlteria Initials.  
.a b*
.a b*
: a. The opernting test.conforms to the previously app~ov~d outline; changes I are consistent with..
: a.
* cl..... All,, -i-r sampling requirements (e.g., 1 O CFR 55.45, operational importance; safety function distribution):,,,- I t'
The opernting test.conforms to the previously app~ov~d outline; changes I are consistent with..
 
* cl..... All,, -i-r sampling requirements (e.g., 1 O CFR 55.45, operational importance; safety function distribution):
b.. There is no day7t9,-day repetlti~n betw~en this and ottier operating le~~ io be administered ~ /I.I,/.. * ---.(* ir"'.:..
I t' b..
during this examination. * * *.
There is no day7t9,-day repetlti~n betw~en this and ottier operating le~~ io be administered  
* I.. * *. ~ 11"'. \\'
~  
 
/I.I,/.. * ---.(* ir"'.:..
C.. The operating test shall not dupli~te items fro~ the ~pplican~' audit tesi(s) (see Secilion ~.1,a:). *. Qt::..tkt. ff'.
during this examination.
: d. Overlap with the written examination and between different parts of the oberating test is ~i~hin &1__~1*.I *.. -(.v
I  
. acceptable limits. *
~11"'.  
* I r--,~ v
\\'
: e. It appears that the operating test will differentiate bebNeen ~ompetent an& less~than~ompetent. &.. ****. A,i. * --fd. f..
C.  
applicants.atthe designated license level... *..... I. * *. r.t.17':' l,I
. The operating test shall not dupli~te items fro~ the ~pplican~' audit tesi(s) (see Secilion ~.1,a:). *. Qt::..tkt. ff'.
: d.
Overlap with the written examination and between different parts of the oberating test is ~i~hin  
&1__~1*.I *.. -(.v  
. acceptable limits.
I r--,~
v
: e.
It appears that the operating test will differentiate bebNeen ~ompetent an& less~than~ompetent. &  
.. ****. A,i. * --fd. f..
applicants.atthe designated license level.
I r.t.17':'
l,I
: 2. WalkthroLigh Criteria *
: 2. WalkthroLigh Criteria *
: a. Each JPM includes the following, as applicablei
: a.
 
Each JPM includes the following, as applicablei  
. initial conditions initiating cues...
. initial conditions initiating cues references and tools, including associated procedures..
references and tools, including associated procedures..... * * ** *.
reasonable and validated time limits (average time allowed for completion) and specific design!!tion if deemed to be time critical by the facility licensee operationally important specific performance criieria that include-
reasonable and validated time limits (average time allowed for completion) and specific design!!tion if deemed to be time critical by the facility licensee * *
. detailed expected.actions with exact cr.iteria and nomenclaturel system response and pther examiner cues*.
* operationally important specific performance criieria that include-
 
-. detailed expected.actions with exact cr.iteria and nomenclaturel.
- system response and pther examiner cues*. *..
statements describing important observations. to be made by the applicani.
statements describing important observations. to be made by the applicani.
criteria for successful completion ofthe task *... I identificatic;m of critical steps an.d their associated performar,cel standards restrictions on the sequence of steps, if applicable...
criteria for successful completion ofthe task
: b. Ensu~e that any ch~nges from the previously approve~ systems ~nd ad~inistrative waikthrough outlines(Forms ES-301-1 and.ES-301-2) have not ca.used the test to.deviate from any o.fthe
* I identificatic;m of critical steps an.d their associated performar,cel standards restrictions on the sequence of steps, if applicable
* A*. /Jfl. *. AL~*
: b.
acceptance criteria (e.g., item distribution, bank use, repetition from the last two NRG *. \\..t...... r examinations) specified on those.forms and Form ES-201-2.. !..
Ensu~e that any ch~nges from the previously approve~ systems ~nd ad~inistrative waikthrough outlines(Forms ES-301-1 and.ES-301-2) have not ca.used the test to.deviate from any o.fthe
....,.....*..*,.. I.... 3. Simulator Criteria.
* A*. /Jfl.  
 
*. AL~*
acceptance criteria (e.g., item distribution, bank use, repetition from the last two NRG  
\\..t......
r examinations) specified on those.forms and Form ES-201-2.
: 3. Simulator Criteria.
I.
The associated simulator operating tests (scenario sets) have been reviewed in accordance with
The associated simulator operating tests (scenario sets) have been reviewed in accordance with
* Form ES-301-4, and a coov is attached; * *.. *.*.
* Form ES-301-4, and a coov is attached;
* I : *.
* I
: a. Author
: a.
: b. Facility Revie.wer (*)
: b.
C. NRC Chief Examiner(#)
C.
: d. NRC Supervisor
: d.
Author Facility Revie.wer (*)
NRC Chief Examiner(#)
NRC Supervisor
~
I
*. The facility licensee signature is not applii::able for N.RC-deveioped tests, I
# The independent NRC reviewer initials items in column "c"; the chief examiner concurrence is required.


*. The facility... ~.... I licensee signature is not applii::able for N.RC-deveioped tests,. I
I.
# The independent NRC reviewer initials items in column "c"; the chief examiner concurrence is required.
ES-403..
ES-403.. Written Examination Grading I.
Written Examination Grading  
Form ES,403-,1...
.Quality Checklist..,
.Quality Checklist..,
I
Form ES,403-,1 I  
 
. Date ofExam: 1:,/ioh, Exam Level: RO *~ SRO.. [$
. Date ofExam: 1:,/ioh, Exam Level: RO *~ SRO.. [$
* ltelTl Descrip~ori l lriiti~ls
2, 3,
 
* ltelTl Descrip~ori l
a b C Clean answer sheets copied before graciirig I
Clean answer sheets copied before graciirig I
 
Pre>poseg answer key c:nariges*and quel:ltkm dele.tions. *
2, Pre>poseg answer key c:nariges*and quel:ltkm dele.tions. *
* justified and documented (facility reviewer initials n6frequired.*
* justified and documented (facility reviewer initials n6frequired.*
(N/R) if....**... NO post-examination comments are submitted).*
(N/R) if NO post-examination comments are submitted)
3, Applic~nts' scores checked.for addition errors I I
Applic~nts' scores checked.for addition errors  
* (reviewers spot check> 25% of ~xamiriations)
* (reviewers spot check> 25% of ~xamiriations)
I Grading for all bc,rderline C!;l.ses(80%+/-2% overall ano 70o/o or 80%, as applicable, +/-4.% on the $RQa.only exam) r~\\fi~wed in d*H..... !.
I I
All other failing examinations checked to ensure that grades arejustified.......... I..
I Grading for all bc,rderline C!;l.ses(80%+/-2% overall ano 70o/o or 80%, as applicable, +/-4.% on the $RQa.only exam) r~\\fi~wed in d*H.
All other failing examinations checked to ensure that grades arejustified.  
. I..
* 6, Performance on niissed questions cha.eked fortralning deficiencies and.wording problems; evaluate validity of questions missed by bne-haif or niore of the applicants
* 6, Performance on niissed questions cha.eked fortralning deficiencies and.wording problems; evaluate validity of questions missed by bne-haif or niore of the applicants
: a. Grader
: a. Grader
* b, Facility Reviewer(*). ~/z.&l~l
* b, Facility Reviewer(*)
~
C.
 
NRC
C. NRC
* Ch.1ef Examiner (I')  
* Ch.1ef Examiner (I').... **J....... *.11,~fit*
**J.
 
d
d
* NRC Supervisor ('") P-~~7(.is/v
* NRC Supervisor ('")
~--**I** *.* ****
P-~~7(.is/v  
 
~--**I**
.... I...
lriiti~ls a
(*) NRC; two independentNRC reviews The facility reviewer's signature is not applicable for examinations graded by the are required...........
b
 
. ~/z.&l~l
1 L,. *
~
* I I
*.11,~fit*
i
I The facility reviewer's signature is not applicable for examinations graded by the
 
(*)
ES-403, Page 6.of 6
NRC; two independentNRC reviews are required..
1 L,.
I I i
ES-403, Page 6.of 6  
/
C


/
/r* -"'~b:,_
/r* -"'~b:,_
l
Es~201~,,="""""-""""""""""-_,,,_,._=-=====tt-==~ """"-==-=.,,.,,,.=---=-=*m=m=.=-"'=====----===F=*'~201d3 l.J
.J Es~201~,,="""""-""""""""""-_,,,_,._=-=====tt-==~ """"-==-=.,,.,,,.=---=-=*m=m=.=-"'=====----===F=*'~201d3  


====_.,=======,~===-=-=-====_,,,_.,=-====-"-=-==--=------~=-.. --~--=-==*===-==-==--==-===-=-
====_.,=======,~===-=-=-====_,,,_.,=-====-"-=-==--=------~=-.. --~--=-==*===-==-==--==-===-=-
: 1. Prre-Exil!mnmatlon
: 1.
 
Prre-Exil!mnmatlon I acknowledge that I have acquired specialized knowledge about the U.S. Nuclear Regulatory Cbmmission {NRG) licensing examinations scheduled for the week(s) of~
I acknowledge that I have acquired specialized knowledge about the U.S. Nuclear Regulatory Cbmmission {NRG) licensing examinations scheduled for the week(s) of~ as of the date of my signature. I agree that I wm not knowingly divulge any information about these examinations to.any persons who have _not been authorized by the NRC's chiefexaminer, I understand that I am not to instruct, evaluate, or provide pe!'fotmance feedback to those applicants scheduled to-be.administered these licensing ex!:lminations ftom this d?te until completion of examination administration, exceptas specifically noted below and authorized by the NRC {e.g., acting as a simulator booth operator or communicator is acceptable if the individual d.oes not select the training content or provide direct or indirect feedback). Furthermore, I am aware oi' the physical secl!rity measures and requirements {as documented in the facility licensee's procedures) ancf understand that violation of the conditions of this agreement may re$1,.!!t in cancellation of the examinations and/or an enforcement action against me or the facility licensee, I will immediately rePQrt to facility management or the NRC's chief examiner any indications or suggestions that examination security may have been compromised.
as of the date of my signature. I agree that I wm not knowingly divulge any information about these examinations to.any persons who have _not been authorized by the NRC's chiefexaminer, I understand that I am not to instruct, evaluate, or provide pe!'fotmance feedback to those applicants scheduled to-be.administered these licensing ex!:lminations ftom this d?te until completion of examination administration, exceptas specifically noted below and authorized by the NRC {e.g., acting as a simulator booth operator or communicator is acceptable if the individual d.oes not select the training content or provide direct or indirect feedback). Furthermore, I am aware oi' the physical secl!rity measures and requirements {as documented in the facility licensee's procedures) ancf understand that violation of the conditions of this agreement may re$1,.!!t in cancellation of the examinations and/or an enforcement action against me or the facility licensee, I will immediately rePQrt to facility management or the NRC's chief examiner any indications or suggestions that examination security may have been compromised.
 
T. o ~he ?e.st of my knowlidge, I did pot divulge to any unauthori~ed p~rsons a.ny information co~ceming the ~RC licensi~g ":xamina~i".ns a~minist~red during the week(s) of~ -J' -f.;h/1firom the date that I entered mto this security agreement until the completion of examrnat,on adm1rnstration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and a&#xb5;thorizec;l by the NRC.
T. o ~he ?e.st of my knowlidge, I did pot divulge to any unauthori~ed p~rsons a.ny information co~ceming the ~RC licensi~g ":xamina~i".ns a~minist~red during the week(s) of~ -J' -f.;h/1firom the date that I entered mto this security agreement until the completion of examrnat,on adm1rnstration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and a&#xb5;thorizec;l by the NRC.
JOB TrtLE / RESPONSIBILITY SIGNATURE (1)
DATE SIGNATURE (2)
DATE NOTE 0-
<>1.
* r G1<.t't<,,-1/4litJ.a&c
.--J.=:>illa!..~=~~~~=~""
/4.....
1./z:z/2
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-Zlk"!=f.&4-~~~~====~~~l!.'.!..l ~~
I


JOB TrtLE / RESPONSIBILITY SIGNATURE (1) DATE SIGNATURE (2) DATE NOTE 0- <>1.
==L_
* r G1<.t't<,,-1/4litJ.a&c 1./z:z/2 ;"' e 11"'11.Jdn.hi --
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ES~u1 1
-Zlk"!=f.&4-~~~~====~~~l!.'.!..l ~~ -
Form ES-201-3
I==L_
: 1.
/{. 'I
Pre-Examination I acknowledge that I haxe acquireq specialized knowledge about the U.S. Nuclear Regulatory Commission (NRC) licensing examinations scheduled for the week(s) of S/31 'l,l... ~~?df'fne date of my signature. I agree that I will not knowingly divulge any information about these examinations to any persons who have not been authorized by the NRC's chief examiner. I understand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examinations from this date until completion of examination administration, except as specifically noted below and authorized by the NRC (e.g., acting as a simulator booth operator or communicator is acceptable if the individual does not select the training content or provide direct or indirect feedback). Furthermore, I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action against me or the facility licensee. I will immediately report to facility management or the NRC's chief examiner any indications or suggestions that examination security may have been compromised.
: 2.
Post-Examination To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of S731/-u. From the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC.
PRINTED NAME JOB TITLE/ RESPONSIBILITY SIGNATURE (1)
DATE SIGNATURE (2)
DATE NOTE
---~
NOTES:


~~~*-'7"',-f4, ~ --- -
ES-201 1
Form ES-201-3
: 1.
Pre-Examination I acknowledge that I have acquired specialized knowledge about the U.S. Nuclear Regulatory Commission (NRC) licensing examinations scheduled for the week(s) of 5/~1 -IJ1 as of the date of my signature. I agree that I will not knowingly divulge any information about these examinations to any persons who have not been authorized by the NRC's chief examiner. I understand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examinations from this date until completion of examination administration, except as specifically noted below and authorized by the NRC (e.g., acting as a simulator booth operator or communicator is acceptable if the individual does not select the training content or provide direct or indirect feedback). Furthermore, I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action against me or the facility licensee. I will immediately report to facility management or the NRC's chief examiner any indications or suggestions that examination security may have been compromised.
: 2.
Post-Examination To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of ____. From the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC.
JOB TITLE/ RESPONSIBILITY
~
NOTES:


rr/2r-
ES-201 1
 
Form ES-201-3
2( ?f (.I(__ ~c:: ( lJI-'-?
: 1.
ES~u1 1 Form ES-201-3
Pre-Examination I acknowledge that I have acquired specialized knowledge about the U.S. Nuclear Regulatory Commission (NRC) licensing examinations scheduled for the week(s) of _____ as of the date of my signature. I agree that I will not knowingly divulge any information about these examinations to any persons who have not been authorized by the NRC's chief examiner. I understand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examinations from this date until completion of examination administration, except as specifically noted below and authorized by the NRC (e.g., acting as a simulator booth operator or communicator is acceptable if the individual does not select the training content or provide direct or indirect feedback). Furthermore, I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action against me or the facility licensee. I will immediately report to facility management or the NRC's chief examiner any indications or suggestions that examination security may have been compromised.
: 1. Pre-Examination
: 2.
 
Post-Examination To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of ____. From the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC.
I acknowledge that I haxe acquireq specialized knowledge about the U.S. Nuclear Regulatory Commission (NRC) licensing examinations scheduled for the week(s) of S/31 'l,l... ~~?df'fne date of my signature. I agree that I will not knowingly divulge any information about these examinations to any persons who have not been authorized by the NRC's chief examiner. I understand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examinations from this date until completion of examination administration, except as specifically noted below and authorized by the NRC (e.g., acting as a simulator booth operator or communicator is acceptable if the individual does not select the training content or provide direct or indirect feedback). Furthermore, I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action against me or the facility licensee. I will immediately report to facility management or the NRC's chief examiner any indications or suggestions that examination security may have been compromised.
PRINTED NAME JOB TITLE/ RESPONSIBILITY SIGNATURE (1)
: 2. Post-Examination
DATE SIGNATURE (2)
 
DATE NOTE
To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of S731/-u. From the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC.
: 1. Nll\\J,,+~w M~ s o10S :C.uq*l'i<_c.,(..,,-rvrL  
 
'/4:~~fl:::::,;____
PRINTED NAME JOB TITLE/ RESPONSIBILITY SIGNATURE (1) DATE SIGNATURE (2) DATE NOTE
rv,/;/2-0 2-1 -'W>.+/-r& M-tA -~~,( t,/d21 --
---~
: 2. 2'-*'"v,,..  
 
'IS*-*th OP'? --;r.,.5-/n,,d-TC  
NOTES:
~
ES-201 1 Form ES-201-3
1~!ii2ip~,a-a..__~-~i~'~ /f1~;t1 __
: 1. Pre-Examination
3.-:f"J>s.M&S&deg; CC2Gl<ol--\\-'rOiJ Q.PS lN.:S'T12.uc:roJL.
 
1o
I acknowledge that I have acquired specialized knowledge about the U.S. Nuclear Regulatory Commission (NRC) licensing examinations scheduled for the week(s) of 5/~1 -IJ1 as of the date of my signature. I agree that I will not knowingly divulge any information about these examinations to any persons who have not been authorized by the NRC's chief examiner. I understand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examinations from this date until completion of examination administration, except as specifically noted below and authorized by the NRC (e.g., acting as a simulator booth operator or communicator is acceptable if the individual does not select the training content or provide direct or indirect feedback). Furthermore, I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action against me or the facility licensee. I will immediately report to facility management or the NRC's chief examiner any indications or suggestions that examination security may have been compromised.
: 4. ~  
: 2. Post-Examination
/-1,o.,:,~
 
DPS  
To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of ____. From the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC.
"&deg;"
 
I,,  
JOB TITLE/ RESPONSIBILITY
/  
 
~~ fjjf r  
~
--~~: f {if4f2!&#xa5;=,____ _____  
 
~r=.-'=-=-'u.::w,,~k'-"".,.-~ _'--__ ______::j~7't::~~:::::::;::::===--&&#xa3;~3/4  
NOTES:
~s.~~f~ ~ t  
ES-201 1 Form ES-201-3
~t--=----_---
: 1. Pre-Examination
 
I acknowledge that I have acquired specialized knowledge about the U.S. Nuclear Regulatory Commission (NRC) licensing examinations scheduled for the week(s) of _____ as of the date of my signature. I agree that I will not knowingly divulge any information about these examinations to any persons who have not been authorized by the NRC's chief examiner. I understand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examinations from this date until completion of examination administration, except as specifically noted below and authorized by the NRC (e.g., acting as a simulator booth operator or communicator is acceptable if the individual does not select the training content or provide direct or indirect feedback). Furthermore, I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action against me or the facility licensee. I will immediately report to facility management or the NRC's chief examiner any indications or suggestions that examination security may have been compromised.
: 2. Post-Examination
 
To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of ____. From the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC.
 
PRINTED NAME JOB TITLE/ RESPONSIBILITY SIGNATURE (1) DATE SIGNATURE (2) DATE NOTE
: 1. Nll\\J,,+~w M~ s o10S :C.uq*l'i<_c.,(..,,-rvrL '/4:~~fl:::::,;____ rv,/;/2-0 2-1 -'W>.+/-r& M-tA -~~,( t,/d21 --
: 2. 2'-*'"v,,.. 'IS*-*th OP'? --;r.,.5-/n,,d-TC ~ 1~!ii2ip~,a-a..__~-~i~'~ /f~;t1 __
3.-:f"J>s.M&S&deg; CC2Gl<ol--\\-'rOiJ Q.PS lN.:S'T12.uc:roJL. 1o '-1
: 4. ~ /-1,o.,:,~ DPS "'-' "&deg;" I,, / ~~ fjjf r
--~~: f {if4f2!&#xa5;=,____ _____ ~r=.-'=-=-'u.::w,,~k'-"".,.-~ _'--__ ______::j~7't::~~:::::::;::::===--&&#xa3;~3/4 ~s.~~f~ ~ t ~t--=----_---
: 7. --------
: 7. --------
: 8. _______ _
: 8. _______ _
Line 308: Line 390:
: 14. _______ _
: 14. _______ _
: 15. _______ _
: 15. _______ _
NOTES:


NOTES:
ES-301 Simulator Scenario Quality Checklist Form ES-301-4  
ES-301 Simulator Scenario Quality Checklist Form ES-301-4
/1  
 
~
/1 ~
Facility: PBAPS Date of Exam: 06/01/21 Scenario Numbers:
Facility: PBAPS Date of Exam: 06/01/21 Scenario Numbers: 1!12,/14 J~- Operating Test No.: 1
1!12,/14 J~-
 
Operating Test No.: 1 QUALITATIVE ATTRIBUTES Initials a
QUALITATIVE ATTRIBUTES Initials a b* r:!
b*
: 1. The initial conditions are realistic in that some equipment and/or instrumentation I cf_ d may be out of service, -rr but it does not cue the operators into expected events. I '*
r:!
: 2. The scenarios consist mostly of related events. ( I Q ti-. -(f
I cf_ d
: 3. Each event description consists of the following:
: 1.
* the point in the scenario when it is to be initiated
The initial conditions are realistic in that some equipment and/or instrumentation may be out of service,  
* the malfunction(s) or conditions that are entered to initiate the event cl 'cl -{~
-rr but it does not cue the operators into expected events.
* the symptoms/cues that will be visible to the crew
I
* the expected operator actions (by shift position)
: 2.
* the event termination point (if applicable)
The scenarios consist mostly of related events.
: 4. The events are valid with regard to physics and thermodynamics. I ck d l{'f
(
: 5. Sequencing and timing of events is reasonable and allows the examination tJam to obtain complete ~ &__ '(~
I Q
evaluation results commensurate with the scenario objectives. I
ti-. -(f
: 6. If time compression techniques are used, the scenario summary clearly so in6icates. ~ ~
: 3.
Operators have sufficient time to carry out expected activities without undue time constraints. -(f Cues are given. I
Each event description consists of the following:
: 7. The simulator modeling is not altered. I ~ (&___ w
the point in the scenario when it is to be initiated the malfunction(s) or conditions that are entered to initiate the event cl 'cl  
: 8. The scenarios have been validated. Pursuant to 10 CFR 55.46(d), any open lsimulator performance d deficiencies or deviations from the referenced plant have been evaluated to ensure that functional fl tV' fidelity is maintained while running the planned scenarios. I
-{~
: 9. Scenarios are new or significantly modified in accordance with Section D.5 o~ ES-301. I ~ Cl -({/
the symptoms/cues that will be visible to the crew the expected operator actions (by shift position) the event termination point (if applicable)
: 10. All individual operator competencies can be evaluated, as verified using FoJ ES-301-6 (submit the ci ct -(f form along with the simulator scenarios). I
: 4.
: 11. The scenario set provides the opportunity for each applicant to be evaluated ih each of the applicable cl -((
The events are valid with regard to physics and thermodynamics.
rating factors. (Competency rating factors as described on Forms ES-303-1 ~and ES-303-3.) cl
I ck d l{'f
: 12. Each applicant will be significantly involved in the minimum number of transiJnts and events specified on Form ES-301-5 (submit the form with the simulator scenarios). I cJ_ ({ tt='
: 5.
: 13. Applicants are evaluated on a similar number of preidentified critical tasks ac~oss scenarios, when possible. I d. d_ ~f
Sequencing and timing of events is reasonable and allows the examination tJam to obtain complete  
: 14. The level of difficulty is appropriate to support licensing decisions for each crJw position. db. ql_ 1~
~ &__ '(~
 
evaluation results commensurate with the scenario objectives.
Target Quantitative Attributes per Scenario (See Section D.5.d) I Actual Attrjbutes - - -
I
: 1. Malfunctions after EOP entry (1-2) I 411/l,2 r. ~ q "'ff
: 6.
: 2. Abnormal events (2-4) 4 I 4 I / 3 rt; C l_ ~
If time compression techniques are used, the scenario summary clearly so in6icates.  
: 3. Major transients (1-2) 1 / 1 I / 1 Ci Ci ~
~ ~
: 4. EOPs entered/requiring substantive actions (1-2) 1 / 1 / / 1 a_ d~ ((
Operators have sufficient time to carry out expected activities without undue time constraints.  
: 5. Entry into a contingency EOP with substantive actions ~ 1 per scenario 1 / 1 / / 1 Ci)_ ct set) I t
-(f Cues are given.
: 6. Preidentified critical tasks ~ 2) I 3 / 2 /'i. I 2 Ck. dl if
I
* The facility licensee signature is not applicable for NRC-developed tests. b. I tJ / 'r\\ kLE:
: 7.
# An independent NRC reviewer initials items in column "c"; chief examiner concL rrence is required. -PG(L c:rt.11 '-
The simulator modeling is not altered.
I  
~ (&___ w
: 8.
The scenarios have been validated. Pursuant to 10 CFR 55.46(d), any open lsimulator performance d
deficiencies or deviations from the referenced plant have been evaluated to ensure that functional fl tV' fidelity is maintained while running the planned scenarios.
I I  
~ Cl -({/
: 9.
Scenarios are new or significantly modified in accordance with Section D.5 o~ ES-301.
: 10. All individual operator competencies can be evaluated, as verified using FoJ ES-301-6 (submit the ci ct -(f form along with the simulator scenarios).
I
: 11. The scenario set provides the opportunity for each applicant to be evaluated ih each of the applicable rating factors. (Competency rating factors as described on Forms ES-303-1 ~and ES-303-3.)
cl cl -((
: 12. Each applicant will be significantly involved in the minimum number of transiJnts and events specified on Form ES-301-5 (submit the form with the simulator scenarios).
I cJ_ ({ tt='
: 13. Applicants are evaluated on a similar number of preidentified critical tasks ac~oss scenarios, when possible.
I
: d. d_ ~f
: 14. The level of difficulty is appropriate to support licensing decisions for each crJw position.
db. ql_ 1~
Target Quantitative Attributes per Scenario (See Section D.5.d)
I Actual Attrjbutes
: 1.
Malfunctions after EOP entry (1-2)
I 411/l,2
: r. ~ q  
"'ff
: 2.
Abnormal events (2-4) 4 I 4 I  
/ 3 rt; C l_ ~
: 3.
Major transients (1-2) 1 / 1 I  
/ 1 Ci Ci  
~
: 4.
EOPs entered/requiring substantive actions (1-2) 1 / 1 /  
/ 1 a_ d~ ((
: 5.
Entry into a contingency EOP with substantive actions ~ 1 per scenario I
1 / 1 /  
/ 1 Ci)_ ct t set)
: 6.
Preidentified critical tasks ~ 2)
I 3 / 2 /'i. I 2 Ck. dl if
* The facility licensee signature is not applicable for NRC-developed tests.
: b. I tJ / 'r\\ kLE:  
# An independent NRC reviewer initials items in column "c"; chief examiner concL rrence is required.  
-PG(L c:rt.1 1'-
FJ(l l. sav1..&#xa3;i-
FJ(l l. sav1..&#xa3;i-
)


)
ES-301 /
ES-301 / Transient and Event Checl(.list Form ES-301-5
Transient and Event Checl(.list Form ES-301-5 s
Date of Exam: 06/01/21 I
Operating Test No.: 2021 NRC Team 1 A
E Scenario~
p V
1 2
3 I
4 T
M p
E I
0 I
L N
CREW CREW POSITION CREW POSITION CREW POSITION I
T POSITION I
T N
I C
s A
B s
A B
s A
B s
A B
A M
A T
R T.
0 R
T 0
R T
0 R
T 0
L u
N y
0 C
p 0
C p
0 C
p 0
C p
M(")
T p
E R
I u RX 2
2 3
3 I
3 3
1 1 0 NOR 1
1 1
1 1
1 I
1.
1 1
1 1
I 1/C 3,5,6 3,6,8 5,6 2,3,4 2,4, 4,5,6, 2,3,5 2;5,7 1'5,9 2,4,5 2,5,6 4,5 4
4 2 All
,8,9,
,9,10
,5,6, 6,7 7
,7,8,
,8
,6,8
,8 Positions 10 7
9 MAJ 7
7 7
8 8
8 6
6 I 9 7
7 7
2 2 1 TS 3,4,5 4,5 2,4 I
2,4, 0
2 2 SRO~l 1 RX 2
I 3
2 1
(Total NOR 1
I 2
1 added 1/C 3,5,6 I
2,5,6 16 4
between Team 1
,8,9,
)
,8 10 and I
Team3 MAJ 7
I 7
3 2
Forms)
TS 3,4,5 I
5 2
RX 2
3 2
1 I
NOR 1
I 1
2 1
1/C 3,6,8 2,3,4 2,4,5 16 4
SRO-I2
,9,10
,5,6,
,6,8 7
MAJ 7
8 I
7 3
2 TS 4,5 I
2,4, 4
2 RX 3
I 1
1 I
NOR 1
j 1
2 1
RO 1 1/C 5,6 2,4, I
4,5 8
4 6,7 MAJ 7
8 I
7 3
2 TS I
0 0
RO3 RX I
1 1
(Total NOR 1
*1 2
1 added between 1/C 4,5,6, I
10 4
Team1 7
and MAJ 8
I 3
2 Team3 Forms) TS I
0 0


s Date of Exam: 06/01/21 Operating Test No.: 2021 NRC I Team 1 A E Scenario~ p V 1 2 3 I 4 T M p E I 0 I L N CREW CREW POSITION CREW POSITION CREW POSITION I T POSITION I T N I C s A B s A B s A B s A B A M A T R T. 0 R T 0 R T 0 R T 0 L u N y 0 C p 0 C p 0 C p 0 C p M(")
ES-301 Transient and Event Checklist Form ES-301-5 Instructions:
T p E R I u RX 2 2 3 3 I 3 3 1 1 0 NOR 1 1 1 1 1 1 I 1. 1 1 1 1
I
 
: 1.
I All,8,9,,9,10,5,6, 6,7 7,7,8,,8,6,8,8 1/C 3,5,6 3,6,8 5,6 2,3,4 2,4, 4,5,6, 2,3,5 2;5,7 1'5,9 2,4,5 2,5,6 4,5 4 4 2 Positions 10 7 9
Check the applicant level and enter the operating test number and Fo,:m ES-D-1 event numbers for each event type; TS are not applicable for RO applicants. ROs must serve in both the at-the-controls (ATC) and balance-of-plant (BOP) positions. Instant SROs (SRO-I) must serve in both the SRO and the ATC positions, including at least two instrument or component (1/C) malfunctions and one major transient, in the ATC position. If an SRO-I additionally serves in the BOP position, one IIC malfunction can be credited toward the two 1/C malfurctions required for the ATC position.
 
: 2.
I MAJ 7 7 7 8 8 8 6 6 9 7 7 7 2 2 1 TS 3,4,5 4,5 2,4 I 2,4, 0 2 2
Reactivity manipulations may be conducted under normal or controlled abnormal conditions (refer to Section D.5.d) but must be significant per Section C.2.a of Appendix D. (*) Reactivity and normal evolutions may be replaced with additional 1/C malfunctions on a one-for-one basis.
 
I
SRO~l 1 RX 2 I 3 2 1 (Total NOR 1 I 2 1 added 1/C 3,5,6 2,5,6 16 4 between Team 1,8,9, ),8 10, I and I Team3 MAJ 7 I 7 3 2 Forms) TS 3,4,5 I 5 2
: 3.
 
Whenever practical, both instrument and component malfunctions should be included; only those that require verifiable actions that provide insight to the applicant's competence count towar9 the minimum requirements specified for the applicant's license level in the right-hand columns.
RX 2 ! 3 2 1 I NOR 1 I 1 2 1 1/C 3,6,8 2,3,4 2,4,5 16 4 SRO-I2,9,10,5,6,,6,8 7
I
MAJ 7 8 I 7 3 2 TS 4,5 I 2,4, 4 2 RX 3 I 1 1 I NOR 1 j 1 2 1 RO 1 1/C 5,6 2,4, I 4,5 8 4 6,7 MAJ 7 8 I 7 3 2 TS I 0 0 RO3 RX I 1 1 (Total NOR 1 *1 2 1 added between 1/C 4,5,6, I 10 4 Team1 7 and MAJ 8 I 3 2 Team3 Forms) TS I 0 0 ES-301 Transient and Event Checklist Form ES-301-5
: 4.
 
For new reactor facility licensees that use the ATC operator primarily for monitoring plant parameters, the chief examiner may place SRO-I applicants in either the ATC or BOP position to best evaluate the SRO-I in manipulating plant controls.  
Instructions:
: 1. Check the applicant level and enter the operating test number and Fo,:m ES-D-1 event numbers for I each event type; TS
 
are not applicable for RO applicants. ROs must serve in both the at-the-controls (ATC) and balance-of-plant (BOP) positions. Instant SROs (SRO-I) must serve in both the SRO and the ATC positions, including at least two instrument or component (1/C) malfunctions and one major transient, in the ATC position. If an SRO-I additionally serves in the BOP position, one IIC malfunction can be credited toward the two 1/C malfurctions required for the ATC position.
: 2. Reactivity manipulations may be conducted under normal or controlled abnormal conditions (refer to Section D.5.d) but must be significant per Section C.2.a of Appendix D. (*) Reactivity and normal evolutions may be replaced with additional 1/C malfunctions on a one-for-one basis. I
: 3. Whenever practical, both instrument and component malfunctions should be included; only those that require verifiable actions that provide insight to the applicant's competence count towar9 the minimum requirements specified for the applicant's license level in the right-hand columns. I
: 4. For new reactor facility licensees that use the ATC operator primarily for monitoring plant parameters, the chief examiner may place SRO-I applicants in either the ATC or BOP position to best evaluate the SRO-I in manipulating plant controls. '
ES-301 Competencies Checklist Form ES-301.;6
 
Facility: PBAPS Date of Examination: 6/1/21 Operating Test No.: NRC I Team 1 APPUICANTS I
 
RO RO Pl RO X RO SRO-I X SRO-I SRO-I SRO-I SRO-U SRO-U SRO-U SRO-U
 
Competencies SCENARIO SCENARIO SCENARIO SCENARIO 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 I
 
lnterpreUDiagnose Events 1-1-8 2,3, 2,3, 1-1-9 1,5, 2,3 1,2, and Conditions 10 5,6, 6,7, 8 6,7,4, 5,6, 7,8 8,9, 6,7 9 10,8 Comply with and 1-1-8 2,3, 2,3, 1-1-9 1,5, 2,3 1,2, Use Procedure,s (1) 10 5,6, 6,7, 8 6,7,4, 5,6, 7,8 8,9, 6,7 9 10,8 Operate Control 2,3, 2,3, 1-1-9 1,5, 2,3 1,2, Boards (2) 5,6, 6,7, 8 6,7,4, 5,6, 7,8 8,9, 6,7 9 10,8 Communicate 1-1-8 2,3, 2,3, 1-1-9 1,5, 2,3 1,2, and Interact 10 5,6, 6,7, 8 6,7,4, 5,6, 7,8 8,9, 6,7 9 10 I,8 Demonstrate Supervisory 1-1-8 1-1-9 I Ability (3) 10 8 I
 
Comply with and 3,4, 4,5 4, 2,4 I Use TS (3) 5 5


ES-301 Competencies Checklist Form ES-301.;6 Facility: PBAPS Date of Examination: 6/1/21 I
Operating Test No.: NRC Team 1 I
APPUICANTS RO RO Pl RO X
RO SRO-I X
SRO-I SRO-I SRO-I SRO-U SRO-U SRO-U SRO-U Competencies SCENARIO SCENARIO SCENARIO SCENARIO I
1 2
3 4
1 2
3 4
1 2
3 4
1 2
3 4
lnterpreUDiagnose Events 1-1-8 2,3, 2,3, 1-1-9 1,5, 2,3 1,2, and Conditions 10 5,6, 6,7, 8
6,7
,4, 5,6, 7,8 8,9, 6,7 9
10
,8 Comply with and 1-1-8 2,3, 2,3, 1-1-9 1,5, 2,3 1,2, Use Procedure,s (1) 10 5,6, 6,7, 8
6,7
,4, 5,6, 7,8 8,9, 6,7 9
10
,8 Operate Control 2,3, 2,3, 1-1-9 1,5, 2,3 1,2, Boards (2) 5,6, 6,7, 8
6,7
,4, 5,6, 7,8 8,9, 6,7 9
10
,8 Communicate 1-1-8 2,3, 2,3, 1-1-9 1,5, 2,3 1,2, and Interact 10 5,6, 6,7, 8
6,7
,4, 5,6, 7,8 8,9, 6,7 9
10 I
,8 Demonstrate Supervisory 1-1-8 1-1-9 I
Ability (3) 10 8
I Comply with and 3,4, 4,5 4,
2,4 I Use TS (3) 5 5
Notes:
Notes:
(1) Includes TS compliance for an RO.
(1)
(2) Optional for an SRO-U.
Includes TS compliance for an RO.
(3) Only applicable to SROs.
(2)
 
Optional for an SRO-U.
(3)
Only applicable to SROs.
Instructions:
Instructions:
Check the appltcants' ltcense type and enter one or more event numbers that will allow the examiners to evaluate every applicable competency for every applicant. (This includes all rating factors for each competency.) (Forms ES 303 1 and ES 303 1 3 describe the competency rating factors.)


Check the appltcants' ltcense type and enter one or more event numbers that will allow the examiners to evaluate every applicable competency for every applicant. (This includes all rating 1 3 describe the factors for each competency.) (Forms ES 303 1 and ES 303 competency rating factors.)
ES-301 Transient and Event Checklist Form ES-301-5 Facility: PBAPS Date of Exam: 06/01/21 I
ES-301 Transient and Event Checklist Form ES-301-5
Operating Test No.: 2021 NRC Team2 A
E Scenarios p
V 1
2 3
4 T
M p
E I
L N
CREW CREW POSITION CREW POSIT ON CREW POSITION 0
I T
POSITION T
N C
A I
s A
B s
A B
s A
B s
A B
M A
T R
T 0
R T
0 R
T 0
R T
0 L
u N
y 0
C p
0 C
p 0
C p
0 C
p M(*)
T p
E R
I u RX 2
2 3
3 I
: 3.
3 1
1 0 NOR 1
1 1
1 t
11 1
1 1
1 1
1/C 3,5,6 3,6,8 5,6 2,3,4 2,4, 4,5,6, 2,3,5 2,5,7 21,5,9 2,4,5 2,5,6 4,5 4
4 2 All
,8,9,
,9,10
,5,6, 6,7 7
,7,8,
,8 I
,6,8
,8 Positions 10 7
9 MAJ 7
7
: 7. 8 8
8 6
6 61 I
7 7
7 2
2 1
TS 3,4,5 4,5 2,4 I
2,4, 0
2 2 RX 2
3 I
2 1
NOR 1
I 1
2 1
1/C 3,5,6 2,4, 4,5 12 4
SRO-13
,8,9, 6,7 10 MAJ 7
8 I
7 3
2 TS 3,4,5 I
3 2
RX 2
I 3
2 1
NOR 1
I 1
2 1
1/C 3,6,8 2,3,4 2,4,5 16 4
SRO-14
,9,10
,5,6,
,6,8 7
MAJ 7
8 I
7 3
2 TS 4,5 I
2,4, 4
2 RX I
3 1
1 NOR 1
1 I
2 1
RO2 1/C 5,6 4,5,6, I
2,5,6 10 4
7
,8 MAJ 7
8 I
7 3
2 TS I
0 0
RX
*I NOR I
1/C I
MAJ I
TS I


Facility: PBAPS Date of Exam: 06/01/21 Operating Test No.: 2021 NRC I Team2 A E Scenarios p V 1 2 3 4 T M p E I L N CREW CREW POSITION CREW POSIT ON CREW POSITION 0 I T POSITION T N C A I s A B s A B s A B s A B M A T R T 0 R T 0 R T 0 R T 0 L u N y 0 C p 0 C p 0 C p 0 C p M(*)
ES-301 Transient and Event ChecJdist Form ES-301-5 Instructions:
T p E R I u RX 2 2 3 3 I 3. 3 1 1 0 NOR 1 1 1 1 t 11 1 1 1 1 1 All,8,9,,9,10,5,6, 6,7 7,7,8,,8 1/C 3,5,6 3,6,8 5,6 2,3,4 2,4, 4,5,6, 2,3,5 2,5,7 21,5,9 2,4,5 2,5,6 4,5 4 4 2 Positions 10 7 9,6,8,8 I
I
MAJ 7 7 7. 8 8 8 6 6 61 I 7 7 7 2 2 1 TS 3,4,5 4,5 2,4 I 2,4, 0 2 2 RX 2 3 I 2 1 NOR 1 I 1 2 1 1/C 3,5,6 2,4, 4,5 12 4 SRO-13,8,9, 6,7 10 MAJ 7 8 I 7 3 2 TS 3,4,5 I 3 2 RX 2 I 3 2 1 NOR 1 I 1 2 1 1/C 3,6,8 2,3,4 2,4,5 16 4 SRO-14,9,10,5,6,,6,8 7
: 1.
MAJ 7 8 I 7 3 2 TS 4,5 I 2,4, 4 2 RX I 3 1 1 NOR 1 1 I 2 1 RO2 1/C 5,6 4,5,6, 2,5,6 10 4 7,8 I MAJ 7 8 I 7 3 2 TS I 0 0 RX *I NOR I 1/C I MAJ I TS I ES-301 Transient and Event ChecJdist Form ES-301-5
Check the applicant level and enter the operating test number and Form ES-D-1 event numbers for each event type; TS are not applicable for RO applicants. ROs must serve in both the at-the-controls (ATC) and balance-of-plant (BOP) positions. Instant SROs (SRO-I) must serve in both the SRO and the ATC positions, including at least two instrument or component (1/C) malfunctions and one major transient, in the ATC position. If an SRO-I additionally serves in the BOP position, one 1/C malfunction can be credited toward the two 1/C malfunbtions required for the ATC position.
 
: 2.
Instructions: I
: 3.
: 1. Check the applicant level and enter the operating test number and Form ES-D-1 event numbers for each event type; TS are not applicable for RO applicants. ROs must serve in both the at-the-controls (ATC) and balance-of-plant (BOP) positions. Instant SROs (SRO-I) must serve in both the SRO and the ATC positions, including at least two instrument or component (1/C) malfunctions and one major transient, in the ATC position. If an SRO-I additionally serves in the BOP position, one 1/C malfunction can be credited toward the two 1/C malfunbtions required for the ATC position.
: 4.
: 2. Reactivity manipulations may be conducted under normal or controlled !abnormal conditions (refer to Section D.5.d) but must be significant per Section C.2.a of Appendix D. (*) Reactivity and normal evolutions may be replaced with additional IIC malfunctions on a one-for-one basis. I
Reactivity manipulations may be conducted under normal or controlled !abnormal conditions (refer to Section D.5.d) but must be significant per Section C.2.a of Appendix D. (*) Reactivity and normal evolutions may be replaced with additional IIC malfunctions on a one-for-one basis.
: 3. Whenever practical, both instrument and component malfunctions should be included; only those that require verifiable actions that provide insight to the applicant's competence count toward 1the minimum requirements specified for the applicant's license level in the right-hand columns. I
I Whenever practical, both instrument and component malfunctions should be included; only those that require verifiable actions that provide insight to the applicant's competence count toward 1the minimum requirements specified for the applicant's license level in the right-hand columns.
: 4. For new reactor facility licensees that use the ATC operator primarily fo~ monitoring plant parameters, the chief examiner may place SRO-I applicants in either the ATC or BOP position to best evaluate the SRO-I in manipulating plant controls. I ES-301 Competencies Checklist Form ES-301-6
I For new reactor facility licensees that use the ATC operator primarily fo~ monitoring plant parameters, the chief examiner may place SRO-I applicants in either the ATC or BOP position to best evaluate the SRO-I in manipulating plant controls.
 
I  
Facility: PBAPS Date of Examination: 6/1/21 Operating Test No.: NRC I Team2 APPLICANTS I I
RO RO RO X RO SRO-I X SRO-I xi SRO-I SRO-I SRO-U SRO-U I SRO-U SRO-U
 
I Competencies SCENARIO SCENARIO I SCENARIO SCENARIO 1 2 3 4 1 2 3 14 1 2 3 4 1 2 3 4 I
I 1,5, 2,3 1,2, Interpret/Diagnose Events 1-2,3, 1,2, 2,3, 1-8 1-9 and Conditions 10 4,6, 5,6, 6,7, 6,7,4, 5,6, 7,8 9 8,9, 6,7 9 10,8 Comply with and 1-2,3, 1,2, 2,3, 1-8 1-9 1,5, 2,3 1,2, Use Procedures (1) 10 4,6, 5,6, 6,7, 6,7,4, 5,6, 7,8 9 8,9, 6,7 9 10,8 Operate Control 2,3, 1,2, 2,3, 1-9 1,5, 2,3 1.,2, Boards (2) 4,6, 5,6,. 6,7, 6,7,4, 5,6, 7,8 9 8,9, 6,7 9 10,8 Communicate 1-2,3, 1,2, 2,3, 1-8 1-9 1,5, 2,3 1,2, and Interact 10 4,6, 5,6, 6,7, 6,7,4, 5,6, 7,8 9 8,9, 6,7 9
 
10,8 I
Demonstrate Supervisory 1-1-8 1-9 Ability (3) 10
 
Comply with and 3,4, 3,4, 2,4 Use TS (3) 5 5


ES-301 Competencies Checklist Form ES-301-6 Facility: PBAPS Date of Examination: 6/1/21 I
Operating Test No.: NRC Team2 I
APPLICANTS I
RO RO RO X
RO SRO-I X
SRO-I xi SRO-I SRO-I SRO-U SRO-U I
SRO-U SRO-U I
Competencies SCENARIO SCENARIO I SCENARIO SCENARIO 1
2 3
4 1
2 3
14 1
2 3
4 1
2 3
4 I
Interpret/Diagnose Events 1-2,3, 1,2, 2,3, 1-8 1-9 I
1,5, 2,3 1,2, and Conditions 10 4,6, 5,6, 6,7, 6,7
,4, 5,6, 7,8 9
8,9, 6,7 9
10
,8 Comply with and 1-2,3, 1,2, 2,3, 1-8 1-9 1,5, 2,3 1,2, Use Procedures (1) 10 4,6, 5,6, 6,7, 6,7
,4, 5,6, 7,8 9
8,9, 6,7 9
10
,8 Operate Control 2,3, 1,2, 2,3, 1-9 1,5, 2,3 1.,2, Boards (2) 4,6, 5,6,.
6,7, 6,7
,4, 5,6, 7,8 9
8,9, 6,7 9
10
,8 Communicate 1-2,3, 1,2, 2,3, 1-8 1-9 1,5, 2,3 1,2, and Interact 10 4,6, 5,6, 6,7, 6,7
,4, 5,6, 7,8 9
8,9, 6,7 9
10
,8 I
Demonstrate Supervisory 1-1-8 1-9 Ability (3) 10 Comply with and 3,4, 3,4, 2,4 Use TS (3) 5 5
Notes:
Notes:
(1) Includes TS compliance for an RO.
(1)
(2) Optional for an SRO-U.
Includes TS compliance for an RO.
(3) Only applicable to SROs.
(2)
 
Optional for an SRO-U.
(3)
Only applicable to SROs.
Instructions:
Instructions:
Check the appltcants hcense type and enter one or more event numbers that will allow the examiners to evaluate every applicable competency for every applicant. (This includes all rating factors for each competency.) (Forms ES 303 1 and ES 303 3 describe the competency rating factors.)


Check the appltcants hcense type and enter one or more event numbers that '. will allow the examiners to evaluate every applicable competency for every applicant. (This includes all rating factors for each competency.) (Forms ES 303 1 and ES 303 3 describe the competency rating factors.)
ES-301 Transient and Event Che~klist Form ES-301-5 BAPS Date of Exam: 06/01/21 I
ES-301 Transient and Event Che~klist Form ES-301-5
Operating Test No.: 2021 NRC Team3 A
E Scenario~s p
V 1
2 3 I 4
T M
p E
I 0
I L
N CREW CREW POSITION CREW POST'ON CREW POSITION I
T POSITION T
N I
C s
A B
s A
B s
A B
s A
B A
M A
T R
T 0
R T
0 R
T 0
R T
0 L
u N
y 0
C p
0 C
p 0
C p
0 C
p
. M(*)
T p
E R
I u RX 2
2 3
3 I
3 3
1 1 0 NOR 1
1 1
1 1
11 1
1 1
1 1
1/C 3,5,6 3,6,8 5,6 2,3,4 2,4, 4,5,6, 2,3,5 I
2,4,5 2,5,6 4,5 4
4 2
2,5,7,2,5,9 All
,8,9,
,9,10
,5,6, 6,7 7
,7,8,
,8 I
,6,8
,8 Positions 10 7
9 I
MAJ 7
7 7
8 8
8 6
6
~
7 7
7 2
2 1
TS 3,4,5 4,5 2,4 I
2,4 0
2 2 RX 2
3 I
3 3
1 NOR 1
I 1
2 1
1/C 3,5,6 2,4, 2,4,5 15 4
SRO-15
,8,9, 6,7
,6,8 10 MAJ 7
8 I
I 7
3 2
TS 3,4,5 I
2,4 5
2 RO3 RX 2
I 1
1 (Total NOR I
1 2
1 added between 1/C 3,6,8 I
4,5 11 4
Team1
,9,10 I
and MAJ 7
I 7
3 2
Team3 Forms) TS I
0 0
RX I
3 1
I NOR 1
1 I
2 RO4 1/C 5,6 4,5,6, I
2,5,6 10 7
,8 MAJ 7
8 I
7 3
TS I
0 SRO 1 RX I
2 1
(Total NOR 1
I 2
1 added 1/C 2,3,4 14 4
between Team1
,5,6, and 7
Team3 MAJ 8
i 3
2 Forms) TS 4,5 5
2


BAPS Date of Exam: 06/01/21 Operating Test No.: 2021 NRC I Team3 A E Scenario~s p V 1 2 3 I 4 T M p E I 0 I L N CREW CREW POSITION CREW POST'ON CREW POSITION I T POSITION T N I C s A B s A B s A B s A B A M A T R T 0 R T 0 R T 0 R T 0 L u N y 0 C p 0 C p 0 C p 0 C p. M(*)
ES-301 Transient and Event Checklist Form ES-301-5 Instructions:
T p E R I u RX 2 2 3 3 I 3 3 1 1 0 NOR 1 1 1 1 1 11 1 1 1 1 1
I
 
: 1.
I 2,4,5 2,5,6 4,5 4 4 2 All,8,9,,9,10,5,6, 6,7 7,7,8,,8 1/C 3,5,6 3,6,8 5,6 2,3,4 2,4, 4,5,6, 2,3,5 2,5,7,2,5,9 I,6,8,8 Positions 10 7 9 I
Check the applicant level and enter the operating test number and Form ES-D-1 event numbers for each event type; TS are not applicable for RO applicants. ROs must serve in both the at-t~e-controls (ATC) and balance-of-plant (BOP) positions. Instant SROs (SRO-I) must serve in both the SRO and the ~TC positions, including at least two instrument or component (1/C) malfunctions and one major transient, in the ATC position. If an SRO-I additionally serves in the BOP position, one I/C malfunction can be credited toward the two I/C malfujctions required for the ATC position.
 
: 2.
MAJ 7 7 7 8 8 8 6 6 ~ 7 7 7 2 2 1 TS 3,4,5 4,5 2,4 I 2,4 0 2 2
Reactivity manipulations may be conducted under normal or controlleq abnormal conditions (refer to Section D.5.d) but must be significant per Section C.2.a of Appendix D. (*) Reactivity and normal evolutions may be replaced with additional I/C malfunctions on a one-for-one basis.
 
l
I 3 3 1 RX 2 3 !
: 3.
NOR 1 I 1 2 1 1/C 3,5,6 2,4, 2,4,5 15 4 SRO-15,8,9, 6,7,6,8 10 MAJ 7 8 I I 7 3 2 TS 3,4,5 I 2,4 5 2 RO3 RX 2 I 1 1 (Total NOR I 1 2 1 added between 1/C 3,6,8 I 4,5 11 4 Team1,9,10 I and MAJ 7 I 7 3 2 Team3 Forms) TS I 0 0 RX I 3 1 I NOR 1 1 I 2 RO4 1/C 5,6 4,5,6, 2,5,6 10 7,8 I MAJ 7 8 I 7 3 TS I 0
Whenever practical, both instrument and component malfunctions sho Id be included; only those that require verifiable actions that provide insight to the applicant's competence count toward the minimum requirements specified for the applicant's license level in the right-hand columns.
 
l
SRO 1 RX I 2 1 (Total NOR 1 I 2 1 added 1/C 2,3,4 14 4 between Team1,5,6, and 7 Team3 MAJ 8 i 3 2 Forms) TS 4,5 ! 5 2 ES-301 Transient and Event Checklist Form ES-301-5
: 4.
 
For new reactor facility licensees that use the ATC operator primarily i r monitoring plant parameters, the chief examiner may place SRO-I applicants in either the ATC or BOP position to best evaluate the SRO-I in manipulating olant controls.
Instructions: I
I  
: 1. Check the applicant level and enter the operating test number and Form ES-D-1 event numbers for each event type; TS are not applicable for RO applicants. ROs must serve in both the at-t~e-controls (ATC) and balance-of-plant (BOP) positions. Instant SROs (SRO-I) must serve in both the SRO and the ~TC positions, including at least two instrument or component (1/C) malfunctions and one major transient, in the ATC position. If an SRO-I additionally serves in the BOP position, one I/C malfunction can be credited toward the two I/C malfujctions required for the ATC position.
: 2. Reactivity manipulations may be conducted under normal or controlleq abnormal conditions (refer to Section D.5.d) but must be significant per Section C.2.a of Appendix D. (*) Reactivity and normal evolutions may be replaced with additional I/C malfunctions on a one-for-one basis. l
: 3. Whenever practical, both instrument and component malfunctions sho Id be included; only those that require verifiable actions that provide insight to the applicant's competence count toward the minimum requirements specified for the applicant's license level in the right-hand columns. l
: 4. For new reactor facility licensees that use the ATC operator primarily i r monitoring plant parameters, the chief examiner may place SRO-I applicants in either the ATC or BOP position to best evaluate the SRO-I in manipulating olant controls. I ES-301 Competencies Checklist Form ES-301-6
 
Facility: PBAPS Date of Examination: 6/1/21 Operating Test No.: NRC I Team3
 
APP 1UCANTS
 
RO RO xi RO X RO SRO-I X SRO-I [] SRO-I SRO-I SRO-U SRO-U er SRO-U SRO-U
 
Competencies SCENARIO SCENARIO I SCENARIO SCENARIO 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 Interpret/Diagnose Events 1-2,3, 1-9 2,3, 2,3, 1,2, 1,5, 2,3 1,2, and Conditions 10 4,6, 6,7, 4,6, 5,6, 6,7,4, 5,6, 7,8 8,9, 7,8 9 6,7 9 10,8 Comply with and 1-2,3, 1-9 2,3, 2,3, 1,2, 1,5, 2,3 1,2, Use Procedures (1) 10 4,6, 6,7, 4,6, 5,6, 6,7,4, 5,6, 7,8 8,9, 7,8 9 6,7 9 10,8
 
Operate Control 2,3, 2,3, 2,3, 1,2, 1,5, 2,3 1,2, Boards (2) 4,6, 6,7, 4,6, 5,6, 6,7,4, 5,6, 7,8 8,9, 7,8 9 6,7 9 10,8
 
Communicate 1-2,3, 1-9 2,3, 2,3, 1,2, 1,5, 2,3 1,2, and Interact 10 4,6, 6,7, 4,6, 5,6, 6,7,4, 5,6, 7,8 8,9, 7,8 9 6,7 9
 
10,8 Demonstrate Supervisory 1-1-9 Ability (3) 10
 
Comply with and 3,4, 2,4 Use TS (3) 5
 
Notes:
(1) Includes TS compliance for an RO.
(2) Optional for an SRO-U.
(3) Only applicable to SROs.


ES-301 Competencies Checklist Form ES-301-6 Facility: PBAPS Date of Examination: 6/1/21 I
Operating Test No.: NRC Team3 APP1UCANTS RO RO xi RO X
RO SRO-I X
SRO-I
[]
SRO-I SRO-I SRO-U SRO-U er SRO-U SRO-U Competencies SCENARIO SCENARIO I SCENARIO SCENARIO 1
2 3
4 1
2 3
4 1
2 3
4 1
2 3
4 Interpret/Diagnose Events 1-2,3, 1-9 2,3, 2,3, 1,2, 1,5, 2,3 1,2, and Conditions 10 4,6, 6,7, 4,6, 5,6, 6,7
,4, 5,6, 7,8 8,9, 7,8 9
6,7 9
10
,8 Comply with and 1-2,3, 1-9 2,3, 2,3, 1,2, 1,5, 2,3 1,2, Use Procedures (1) 10 4,6, 6,7, 4,6, 5,6, 6,7
,4, 5,6, 7,8 8,9, 7,8 9
6,7 9
10
,8 Operate Control 2,3, 2,3, 2,3, 1,2, 1,5, 2,3 1,2, Boards (2) 4,6, 6,7, 4,6, 5,6, 6,7
,4, 5,6, 7,8 8,9, 7,8 9
6,7 9
10
,8 Communicate 1-2,3, 1-9 2,3, 2,3, 1,2, 1,5, 2,3 1,2, and Interact 10 4,6, 6,7, 4,6, 5,6, 6,7
,4, 5,6, 7,8 8,9, 7,8 9
6,7 9
10
,8 Demonstrate Supervisory 1-1-9 Ability (3) 10 Comply with and 3,4, 2,4 Use TS (3) 5 Notes:
(1)
Includes TS compliance for an RO.
(2)
Optional for an SRO-U.
(3)
Only applicable to SROs.
Instructions:
Instructions:
 
Check the a  
Check the a /icants' license t e and enter one or more e vent numbers that will allow the examiners tg~valuate every a~~licable competency for ev4,y applicant. (This includes all rating factors for each competency.) (Forms ES 303 1 and ES 303 3 describe the competency rating factors.)}}
/icants' license t e and enter one or more e vent numbers that will allow the examiners tg~valuate every a~~licable competency for ev4,y applicant. (This includes all rating factors for each competency.) (Forms ES 303 1 and ES 303 3 describe the competency rating factors.)}}

Latest revision as of 19:39, 27 November 2024

Final Qa/Related Forms (Folder 1)
ML21348A054
Person / Time
Site: Peach Bottom  Constellation icon.png
Issue date: 06/10/2021
From: Todd Fish
Operations Branch I
To:
Exelon Generation Co
Shared Package
ML20259A337 List:
References
EPID L-2021-OLL-0002
Download: ML21348A054 (18)


Text

{{#Wiki_filter:ES-201 . I.. _ Exc1minationPreparation Gh~cklist _* - -I --

    • Facility:* J>BArS.

_ Developed by::: Written:_. Facility. _rtl _NRC II Operatir_g . Date of ~x~m-ination:: r:,//--io /; (_ * - Facility_ :©NRC - :-.- -_ Target . Date** . -210

  • -210
Ta.sk [)e~cription (Referencyi) f Examination administration date e1:intirm¢~ (C: 1 '.a; C,2.a'-:b). Fpr NRC~prepared exams, arrangements are madei for the.facility. to submit reference mate,rials (C;1.e; C:3.c;_ Al!achment 3). _

2:'. NRG examiners and facility contact assigned (C.1 ;d; C:2.f}: _' 1 * *- 3..

  • Fac;illty -contact briefed ori.security arid* othe( requirements (C.2.t;f As applicable, the facility contact s_ubniils to the NRC any-prescreened K/As for eliininatidn from the l,\\iritteri examination:.

-.- outline, with adescriptioi, of the.facility's prescreenin*g pro:cess (ES-401, b.1.b)'. .. *.chief Examiner's

  • _* :* 1n_itials

. -210-

  • _ -~210 _- _ -5: - Corporate notificadon ietter sent (c:2.e)..

'"\\:- . -- -I. - -195 NRC-developeci written examination outline (ES-401-1/2 or ES-401 N-1/2 and ES-401-3 or.. ES-401 N-3) senfto facility contact (must be *on the exam security agreement) (C.1.~f; C.2.h; . C.3.d~)- :.*. -I - _150 -

  • _ 7.. Operating test outline(s) arid otherchecklists_due, including '.om,~ fS-201-2, ~S-201~3; ES-301~1, ES-301-2; E:S-301-5, an~ ES:D~1, as apphcable-(C.1.e-,f, C._3.d:(-),. _
  • _....

. - *. I.. -... -.

  • s136 -

8:

  • __ g~~~~)~ test outline(s) reviewed by th_~- NRG _and feedback prrdedte> facility licensee (~,2.h; _*

Nf\\ f F -75 * *

  • 9: *
  • Pro-posed*examiriations (written: JPMs, *and scenarios, as applicable) and outlines (Forms*.

ES0301~1,_ES~301-2, ES0D-1, ES-401_~1/2 or ES-4Q1N~1/2; and:ES-401°3.cir ES401N-3); ~ S\\.lpporti17g dpcumentation (including F_omis ES-301~3, ES-301'*:h ES-301~5, ES~301-6; ES-401°6, :-(r _.* ~ir:~-t:.~~- a~y-Form ES~201:-2 and£Ss201. 03 updates); ar reference materials due _. __. *: -75

10. Examinations prepared by ttie N RC "are apprQV~d by the NRC s'upeniisorand forwarded for*.

facility _licensee review (C:1_.i; C,2:h; C;3,f:-:9). __ _- : * *. *. *.* _. _- _. I**.*... * *.

  • _

I --60.

  • 11. Preliminary waiver/excusal* requests due (C.1.m; C.2.t:; ES-202).

I. . _. -_50.

12. W_ritten exam_ and ope~atirig test reviews completed {C:3:f):...1 ** :

-35 :.* _. _ 13. Examination review result~ discussed. betwee"ri_ the NRC and facility lice*risee (C.1.i; C.1-,k-1;:...

  • C.2.~; C.3:g). - Ttie NRC_.;ind. the facilijy.licen_s_ee co_nduct <<;l?(amj pr<<;lparajory we<<;lk.: -_ _ * *. -_.
  • _
  • _~30.
1,r PreHmi.nary license a*pplfcatioris and Waiver/excusal reque*sts, as *applicable (NRG *i=orm 398) due (C.1 JT); ¢.2.i; ES-202),
  • . -.I

_. 'if" _.* 714 15:_ :Final lltense applications and waiver/excusal requesis*, as &ppiicable (NRC Form: 398), dtie and -

  • f Form. ES~20t-4 prepared (C.1.m; _G.2.k; ES-202). _.

( _... ,16. Written,examinations and op_erating tests approvedby ihe NRG supervisor (C.2.i-;-k; c:ih). -_.. .... :- *..... _..... ;... _...,'. *.. :- *..... *.... :-1*..... *.. c 7 *.. * *. 17. Request facility licens<<;le man~gement feedback on the_ examination (C:2.1). * ... *,'.... -*.... *... 1-.-*.... -

18. Fina*!. applications *reviewed; orie or two {if more tha*ri 10) applications auilit~d fo. confirm : * :.
  • qualifications/eligibility; and eicaniination*approvaland.waiver/excusal letters sent (C.2.k; A~tachmenlq;_ES-202, C.3.j; ES-204}. -

_j: * - ___ -_-_-. -*.*1-* ---

  • .:...--r-.

-7

20. Approved _scenarios and job performance measures distril;>uted *Ito NRG examine_rs {C.3.i),:

. C __. _

  • Targ~t dal~s are b~sed on facility-prepared examinations and the examination! dale identified in the corpor~te notification le~er.-

TtJese dates are for planning purposes and may be adjusted on a case-by_-ca~e basis in coordjn_ation with the facility licensee. -Es.:201, Page 29 of 32

ES-201 Examination Outline Quality Checklist Facility: Item w R I T T E* N

2.

s '* M u L A T 0 R

3.

w A L K T H R 0 u G H

4.

G E N E R A L

a.
b.

i Date of Examination: I

  • Task Description I

I

a. Verify that the o_utline(s) fit(s) t_he appropriate model in accordance wi~h ES-401_ cir ES-401 N.
b. Assess whethe~ the outline was ~ystemati~lly and randomly prepare~ in acc6rdan~ with '

Section D.1 of ES-401 or ES-401 N and whether all KIA categories _an~ al)propriately sampled. I

c. Assess whether the outline overemphasizes any systems, evolutions, 1or generic topics;
d. A~ess whether the justifi~ations for deselecied or rejected KIA state~ents are appropriate::

I

a. Using Form ES-301-5, verify that-the proposed scenario sets cover the required number of norma_l evolutions, instrument and component failures, technical specifications, and major transients.

i r

b. Assess whether there are enough scenario sets (and spares) tci test the projected number and mix of applicants in accordance with-the expected crew composition and.rotation schedule.

without compromising exam integrity,. and ensure that each ~pplicant can be tested using at

  • least one new or significantly modified scenario, that no scenarios are duplicated from the applicants; audit test(s), and ttiat scenarios will not be repeated on su~sequent days.

C. to the extent possible; asses~ whether the ciutline(s) conforms with tile qualitative and . quantitative criteria specified on F9rm ES~301-4 and described in Appendix D and in . Section D.5; "SP,ecific Instructions for the 'Simulator Operating Test/" bfES-301 (including civerlap). I

a. Verify that the systems walkthrough outline meets the criteria specified on Form ES-301 c2:

(1) The outline(s) contains the required number of control room and 1in~plant tasks distributed among the safety functions as specified on the form. _ I, (2) Task repetition from the last two NRC examinations is within the limits specified on the form. - (3) No tasks are duplicated from the applicant's audit test(s).. (4) The number of new or modified tasks meets or exceeds the minimums specified on ttie form.. (5) The number of alternata-:path, low-power; emergency, and radiologically corifrolled area tasks meets the criteria on the form. _

  • I *
b. Verify ttiat the admi~ist~ative outline meets the criteria specified OIJ Form ES-301-1:

(1) *_ T.he tasks are distributed among the topics as specified on the.form. (2) _At least one task i_s new or significantly modified.

  • i (3)

N_o_ more than one task is repeated from the last two NRC licensing examinations.

c. Determine whether there are enough different outlines to test the proj~cted
  • number and mix of applicants and ensure thatno items are duplicated on subsequent days...
a.

I Asse~-s whether plant-specific priorities (including proQabilistic risk assessment and individual* plant examination insights) are_ covered in the appropriate exam sections. b.. .. I. Assess whether the.10 CFR 55.41, 55.43, and 55.45 sampling is apprppriate.

c. Ensure th.at KIA importance ratings (except for plant~specific prioi-itie~J are at least 2.5.

d._ I. Check for duplication and overlap amo_ng exam sec;tions and the last two NRC exams.

e. Check the entire exam for balance of c9verage..

I

f.

Assess whether the exam fits the appropriate job level (RO or SRO). I Author Facility Reviewer (*)

c.
  • NRC Chief Examiner (#)
d.
  • NRC Supervi:;;or
  • Not applicable for NRG-prepared examination outli~es.

I ' '

  1. The independent NRC reviewer i~itials items iri column "c"; the chief examiner's doricurrence is required.

I Form ES:.201-2 Initials .a. b*- . c** bate* (L/1 '1 lz i:; 11-/11tz.:n. 1:;fii#;

. ES-301 Operating Test Qµality Chec~list Form ES~301-3 l Facilitv: Peach Bottom Atomic Power Station Date of Examination: as,01,21 I Operating Test Number:. 1

1. General Grlteria Initials.

.a b*

a.

The opernting test.conforms to the previously app~ov~d outline; changes I are consistent with..

  • cl..... All,, -i-r sampling requirements (e.g., 1 O CFR 55.45, operational importance; safety function distribution):

I t' b.. There is no day7t9,-day repetlti~n betw~en this and ottier operating le~~ io be administered ~ /I.I,/.. * ---.(* ir"'.:.. during this examination. I ~11"'. \\' C. . The operating test shall not dupli~te items fro~ the ~pplican~' audit tesi(s) (see Secilion ~.1,a:). *. Qt::..tkt. ff'.

d.

Overlap with the written examination and between different parts of the oberating test is ~i~hin &1__~1*.I *.. -(.v . acceptable limits. I r--,~ v

e.

It appears that the operating test will differentiate bebNeen ~ompetent an& less~than~ompetent. & .. ****. A,i. * --fd. f.. applicants.atthe designated license level. I r.t.17':' l,I

2. WalkthroLigh Criteria *
a.

Each JPM includes the following, as applicablei . initial conditions initiating cues references and tools, including associated procedures.. reasonable and validated time limits (average time allowed for completion) and specific design!!tion if deemed to be time critical by the facility licensee operationally important specific performance criieria that include- . detailed expected.actions with exact cr.iteria and nomenclaturel system response and pther examiner cues*. statements describing important observations. to be made by the applicani. criteria for successful completion ofthe task

  • I identificatic;m of critical steps an.d their associated performar,cel standards restrictions on the sequence of steps, if applicable
b.

Ensu~e that any ch~nges from the previously approve~ systems ~nd ad~inistrative waikthrough outlines(Forms ES-301-1 and.ES-301-2) have not ca.used the test to.deviate from any o.fthe

  • A*. /Jfl.
  • . AL~*

acceptance criteria (e.g., item distribution, bank use, repetition from the last two NRG \\..t...... r examinations) specified on those.forms and Form ES-201-2.

3. Simulator Criteria.

I. The associated simulator operating tests (scenario sets) have been reviewed in accordance with

  • Form ES-301-4, and a coov is attached;
  • I
a.
b.

C.

d.

Author Facility Revie.wer (*) NRC Chief Examiner(#) NRC Supervisor ~ I

  • . The facility licensee signature is not applii::able for N.RC-deveioped tests, I
  1. The independent NRC reviewer initials items in column "c"; the chief examiner concurrence is required.

I. ES-403.. Written Examination Grading .Quality Checklist.., Form ES,403-,1 I . Date ofExam: 1:,/ioh, Exam Level: RO *~ SRO.. [$ 2, 3,

  • ltelTl Descrip~ori l

Clean answer sheets copied before graciirig I Pre>poseg answer key c:nariges*and quel:ltkm dele.tions. *

  • justified and documented (facility reviewer initials n6frequired.*

(N/R) if NO post-examination comments are submitted) Applic~nts' scores checked.for addition errors

  • (reviewers spot check> 25% of ~xamiriations)

I I I Grading for all bc,rderline C!;l.ses(80%+/-2% overall ano 70o/o or 80%, as applicable, +/-4.% on the $RQa.only exam) r~\\fi~wed in d*H. All other failing examinations checked to ensure that grades arejustified. . I..

  • 6, Performance on niissed questions cha.eked fortralning deficiencies and.wording problems; evaluate validity of questions missed by bne-haif or niore of the applicants
a. Grader
  • b, Facility Reviewer(*)

C. NRC

  • Ch.1ef Examiner (I')
    • J.

d

  • NRC Supervisor ('")

P-~~7(.is/v ~--**I** lriiti~ls a b . ~/z.&l~l ~

  • .11,~fit*

I The facility reviewer's signature is not applicable for examinations graded by the (*) NRC; two independentNRC reviews are required.. 1 L,. I I i ES-403, Page 6.of 6 / C

/r* -"'~b:,_ l .J Es~201~,,="""""-""""""""""-_,,,_,._=-=====tt-==~ """"-==-=.,,.,,,.=---=-=*m=m=.=-"'=====----===F=*'~201d3

====_.,=======,~===-=-=-====_,,,_.,=-====-"-=-==--=------~=-.. --~--=-==*===-==-==--==-===-=-

1.

Prre-Exil!mnmatlon I acknowledge that I have acquired specialized knowledge about the U.S. Nuclear Regulatory Cbmmission {NRG) licensing examinations scheduled for the week(s) of~ as of the date of my signature. I agree that I wm not knowingly divulge any information about these examinations to.any persons who have _not been authorized by the NRC's chiefexaminer, I understand that I am not to instruct, evaluate, or provide pe!'fotmance feedback to those applicants scheduled to-be.administered these licensing ex!:lminations ftom this d?te until completion of examination administration, exceptas specifically noted below and authorized by the NRC {e.g., acting as a simulator booth operator or communicator is acceptable if the individual d.oes not select the training content or provide direct or indirect feedback). Furthermore, I am aware oi' the physical secl!rity measures and requirements {as documented in the facility licensee's procedures) ancf understand that violation of the conditions of this agreement may re$1,.!!t in cancellation of the examinations and/or an enforcement action against me or the facility licensee, I will immediately rePQrt to facility management or the NRC's chief examiner any indications or suggestions that examination security may have been compromised. T. o ~he ?e.st of my knowlidge, I did pot divulge to any unauthori~ed p~rsons a.ny information co~ceming the ~RC licensi~g ":xamina~i".ns a~minist~red during the week(s) of~ -J' -f.;h/1firom the date that I entered mto this security agreement until the completion of examrnat,on adm1rnstration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and aµthorizec;l by the NRC. JOB TrtLE / RESPONSIBILITY SIGNATURE (1) DATE SIGNATURE (2) DATE NOTE 0- <>1.

  • r G1<.t't<,,-1/4litJ.a&c

.--J.=:>illa!..~=~~~~=~"" /4..... 1./z:z/2

"' e 11"'11.Jdn.hi --

-::-r--'-r~ ~~~'71,.V:::~-:H-=-M..~~"'-",-¥ff;/2, -Zlk"!=f.&4-~~~~====~~~l!.'.!..l ~~ I

==L_ /{. 'I ~~~*-'7"',-f4, ~ rr/2r-lJI-'-? 2( ?f (.I(__ ~c:: (

ES~u1 1 Form ES-201-3

1.

Pre-Examination I acknowledge that I haxe acquireq specialized knowledge about the U.S. Nuclear Regulatory Commission (NRC) licensing examinations scheduled for the week(s) of S/31 'l,l... ~~?df'fne date of my signature. I agree that I will not knowingly divulge any information about these examinations to any persons who have not been authorized by the NRC's chief examiner. I understand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examinations from this date until completion of examination administration, except as specifically noted below and authorized by the NRC (e.g., acting as a simulator booth operator or communicator is acceptable if the individual does not select the training content or provide direct or indirect feedback). Furthermore, I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action against me or the facility licensee. I will immediately report to facility management or the NRC's chief examiner any indications or suggestions that examination security may have been compromised.

2.

Post-Examination To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of S731/-u. From the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC. PRINTED NAME JOB TITLE/ RESPONSIBILITY SIGNATURE (1) DATE SIGNATURE (2) DATE NOTE ---~ NOTES:

ES-201 1 Form ES-201-3

1.

Pre-Examination I acknowledge that I have acquired specialized knowledge about the U.S. Nuclear Regulatory Commission (NRC) licensing examinations scheduled for the week(s) of 5/~1 -IJ1 as of the date of my signature. I agree that I will not knowingly divulge any information about these examinations to any persons who have not been authorized by the NRC's chief examiner. I understand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examinations from this date until completion of examination administration, except as specifically noted below and authorized by the NRC (e.g., acting as a simulator booth operator or communicator is acceptable if the individual does not select the training content or provide direct or indirect feedback). Furthermore, I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action against me or the facility licensee. I will immediately report to facility management or the NRC's chief examiner any indications or suggestions that examination security may have been compromised.

2.

Post-Examination To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of ____. From the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC. JOB TITLE/ RESPONSIBILITY ~ NOTES:

ES-201 1 Form ES-201-3

1.

Pre-Examination I acknowledge that I have acquired specialized knowledge about the U.S. Nuclear Regulatory Commission (NRC) licensing examinations scheduled for the week(s) of _____ as of the date of my signature. I agree that I will not knowingly divulge any information about these examinations to any persons who have not been authorized by the NRC's chief examiner. I understand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examinations from this date until completion of examination administration, except as specifically noted below and authorized by the NRC (e.g., acting as a simulator booth operator or communicator is acceptable if the individual does not select the training content or provide direct or indirect feedback). Furthermore, I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action against me or the facility licensee. I will immediately report to facility management or the NRC's chief examiner any indications or suggestions that examination security may have been compromised.

2.

Post-Examination To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of ____. From the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC. PRINTED NAME JOB TITLE/ RESPONSIBILITY SIGNATURE (1) DATE SIGNATURE (2) DATE NOTE

1. Nll\\J,,+~w M~ s o10S :C.uq*l'i<_c.,(..,,-rvrL

'/4:~~fl:::::,;____ rv,/;/2-0 2-1 -'W>.+/-r& M-tA -~~,( t,/d21 --

2. 2'-*'"v,,..

'IS*-*th OP'? --;r.,.5-/n,,d-TC ~ 1~!ii2ip~,a-a..__~-~i~'~ /f1~;t1 __ 3.-:f"J>s.M&S° CC2Gl<ol--\\-'rOiJ Q.PS lN.:S'T12.uc:roJL. 1o

4. ~

/-1,o.,:,~ DPS "°" I,, / ~~ fjjf r --~~: f {if4f2!¥=,____ _____ ~r=.-'=-=-'u.::w,,~k'-"".,.-~ _'--__ ______::j~7't::~~:::::::;::::===--&£~3/4 ~s.~~f~ ~ t ~t--=----_---

7. --------
8. _______ _
9. _______ _
10. _______ _
11. _______ _
12. _______ _
13. _______ _
14. _______ _
15. _______ _

NOTES:

ES-301 Simulator Scenario Quality Checklist Form ES-301-4 /1 ~ Facility: PBAPS Date of Exam: 06/01/21 Scenario Numbers: 1!12,/14 J~- Operating Test No.: 1 QUALITATIVE ATTRIBUTES Initials a b* r:! I cf_ d

1.

The initial conditions are realistic in that some equipment and/or instrumentation may be out of service, -rr but it does not cue the operators into expected events. I

2.

The scenarios consist mostly of related events. ( I Q ti-. -(f

3.

Each event description consists of the following: the point in the scenario when it is to be initiated the malfunction(s) or conditions that are entered to initiate the event cl 'cl -{~ the symptoms/cues that will be visible to the crew the expected operator actions (by shift position) the event termination point (if applicable)

4.

The events are valid with regard to physics and thermodynamics. I ck d l{'f

5.

Sequencing and timing of events is reasonable and allows the examination tJam to obtain complete ~ &__ '(~ evaluation results commensurate with the scenario objectives. I

6.

If time compression techniques are used, the scenario summary clearly so in6icates. ~ ~ Operators have sufficient time to carry out expected activities without undue time constraints. -(f Cues are given. I

7.

The simulator modeling is not altered. I ~ (&___ w

8.

The scenarios have been validated. Pursuant to 10 CFR 55.46(d), any open lsimulator performance d deficiencies or deviations from the referenced plant have been evaluated to ensure that functional fl tV' fidelity is maintained while running the planned scenarios. I I ~ Cl -({/

9.

Scenarios are new or significantly modified in accordance with Section D.5 o~ ES-301.

10. All individual operator competencies can be evaluated, as verified using FoJ ES-301-6 (submit the ci ct -(f form along with the simulator scenarios).

I

11. The scenario set provides the opportunity for each applicant to be evaluated ih each of the applicable rating factors. (Competency rating factors as described on Forms ES-303-1 ~and ES-303-3.)

cl cl -((

12. Each applicant will be significantly involved in the minimum number of transiJnts and events specified on Form ES-301-5 (submit the form with the simulator scenarios).

I cJ_ ({ tt='

13. Applicants are evaluated on a similar number of preidentified critical tasks ac~oss scenarios, when possible.

I

d. d_ ~f
14. The level of difficulty is appropriate to support licensing decisions for each crJw position.

db. ql_ 1~ Target Quantitative Attributes per Scenario (See Section D.5.d) I Actual Attrjbutes

1.

Malfunctions after EOP entry (1-2) I 411/l,2

r. ~ q

"'ff

2.

Abnormal events (2-4) 4 I 4 I / 3 rt; C l_ ~

3.

Major transients (1-2) 1 / 1 I / 1 Ci Ci ~

4.

EOPs entered/requiring substantive actions (1-2) 1 / 1 / / 1 a_ d~ ((

5.

Entry into a contingency EOP with substantive actions ~ 1 per scenario I 1 / 1 / / 1 Ci)_ ct t set)

6.

Preidentified critical tasks ~ 2) I 3 / 2 /'i. I 2 Ck. dl if

  • The facility licensee signature is not applicable for NRC-developed tests.
b. I tJ / 'r\\ kLE:
  1. An independent NRC reviewer initials items in column "c"; chief examiner concL rrence is required.

-PG(L c:rt.1 1'- FJ(l l. sav1..£i- )

ES-301 / Transient and Event Checl(.list Form ES-301-5 s Date of Exam: 06/01/21 I Operating Test No.: 2021 NRC Team 1 A E Scenario~ p V 1 2 3 I 4 T M p E I 0 I L N CREW CREW POSITION CREW POSITION CREW POSITION I T POSITION I T N I C s A B s A B s A B s A B A M A T R T. 0 R T 0 R T 0 R T 0 L u N y 0 C p 0 C p 0 C p 0 C p M(") T p E R I u RX 2 2 3 3 I 3 3 1 1 0 NOR 1 1 1 1 1 1 I 1. 1 1 1 1 I 1/C 3,5,6 3,6,8 5,6 2,3,4 2,4, 4,5,6, 2,3,5 2;5,7 1'5,9 2,4,5 2,5,6 4,5 4 4 2 All ,8,9, ,9,10 ,5,6, 6,7 7 ,7,8, ,8 ,6,8 ,8 Positions 10 7 9 MAJ 7 7 7 8 8 8 6 6 I 9 7 7 7 2 2 1 TS 3,4,5 4,5 2,4 I 2,4, 0 2 2 SRO~l 1 RX 2 I 3 2 1 (Total NOR 1 I 2 1 added 1/C 3,5,6 I 2,5,6 16 4 between Team 1 ,8,9, ) ,8 10 and I Team3 MAJ 7 I 7 3 2 Forms) TS 3,4,5 I 5 2 RX 2 3 2 1 I NOR 1 I 1 2 1 1/C 3,6,8 2,3,4 2,4,5 16 4 SRO-I2 ,9,10 ,5,6, ,6,8 7 MAJ 7 8 I 7 3 2 TS 4,5 I 2,4, 4 2 RX 3 I 1 1 I NOR 1 j 1 2 1 RO 1 1/C 5,6 2,4, I 4,5 8 4 6,7 MAJ 7 8 I 7 3 2 TS I 0 0 RO3 RX I 1 1 (Total NOR 1

  • 1 2

1 added between 1/C 4,5,6, I 10 4 Team1 7 and MAJ 8 I 3 2 Team3 Forms) TS I 0 0

ES-301 Transient and Event Checklist Form ES-301-5 Instructions: I

1.

Check the applicant level and enter the operating test number and Fo,:m ES-D-1 event numbers for each event type; TS are not applicable for RO applicants. ROs must serve in both the at-the-controls (ATC) and balance-of-plant (BOP) positions. Instant SROs (SRO-I) must serve in both the SRO and the ATC positions, including at least two instrument or component (1/C) malfunctions and one major transient, in the ATC position. If an SRO-I additionally serves in the BOP position, one IIC malfunction can be credited toward the two 1/C malfurctions required for the ATC position.

2.

Reactivity manipulations may be conducted under normal or controlled abnormal conditions (refer to Section D.5.d) but must be significant per Section C.2.a of Appendix D. (*) Reactivity and normal evolutions may be replaced with additional 1/C malfunctions on a one-for-one basis. I

3.

Whenever practical, both instrument and component malfunctions should be included; only those that require verifiable actions that provide insight to the applicant's competence count towar9 the minimum requirements specified for the applicant's license level in the right-hand columns. I

4.

For new reactor facility licensees that use the ATC operator primarily for monitoring plant parameters, the chief examiner may place SRO-I applicants in either the ATC or BOP position to best evaluate the SRO-I in manipulating plant controls.

ES-301 Competencies Checklist Form ES-301.;6 Facility: PBAPS Date of Examination: 6/1/21 I Operating Test No.: NRC Team 1 I APPUICANTS RO RO Pl RO X RO SRO-I X SRO-I SRO-I SRO-I SRO-U SRO-U SRO-U SRO-U Competencies SCENARIO SCENARIO SCENARIO SCENARIO I 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 lnterpreUDiagnose Events 1-1-8 2,3, 2,3, 1-1-9 1,5, 2,3 1,2, and Conditions 10 5,6, 6,7, 8 6,7 ,4, 5,6, 7,8 8,9, 6,7 9 10 ,8 Comply with and 1-1-8 2,3, 2,3, 1-1-9 1,5, 2,3 1,2, Use Procedure,s (1) 10 5,6, 6,7, 8 6,7 ,4, 5,6, 7,8 8,9, 6,7 9 10 ,8 Operate Control 2,3, 2,3, 1-1-9 1,5, 2,3 1,2, Boards (2) 5,6, 6,7, 8 6,7 ,4, 5,6, 7,8 8,9, 6,7 9 10 ,8 Communicate 1-1-8 2,3, 2,3, 1-1-9 1,5, 2,3 1,2, and Interact 10 5,6, 6,7, 8 6,7 ,4, 5,6, 7,8 8,9, 6,7 9 10 I ,8 Demonstrate Supervisory 1-1-8 1-1-9 I Ability (3) 10 8 I Comply with and 3,4, 4,5 4, 2,4 I Use TS (3) 5 5 Notes: (1) Includes TS compliance for an RO. (2) Optional for an SRO-U. (3) Only applicable to SROs. Instructions: Check the appltcants' ltcense type and enter one or more event numbers that will allow the examiners to evaluate every applicable competency for every applicant. (This includes all rating factors for each competency.) (Forms ES 303 1 and ES 303 1 3 describe the competency rating factors.)

ES-301 Transient and Event Checklist Form ES-301-5 Facility: PBAPS Date of Exam: 06/01/21 I Operating Test No.: 2021 NRC Team2 A E Scenarios p V 1 2 3 4 T M p E I L N CREW CREW POSITION CREW POSIT ON CREW POSITION 0 I T POSITION T N C A I s A B s A B s A B s A B M A T R T 0 R T 0 R T 0 R T 0 L u N y 0 C p 0 C p 0 C p 0 C p M(*) T p E R I u RX 2 2 3 3 I

3.

3 1 1 0 NOR 1 1 1 1 t 11 1 1 1 1 1 1/C 3,5,6 3,6,8 5,6 2,3,4 2,4, 4,5,6, 2,3,5 2,5,7 21,5,9 2,4,5 2,5,6 4,5 4 4 2 All ,8,9, ,9,10 ,5,6, 6,7 7 ,7,8, ,8 I ,6,8 ,8 Positions 10 7 9 MAJ 7 7

7. 8 8

8 6 6 61 I 7 7 7 2 2 1 TS 3,4,5 4,5 2,4 I 2,4, 0 2 2 RX 2 3 I 2 1 NOR 1 I 1 2 1 1/C 3,5,6 2,4, 4,5 12 4 SRO-13 ,8,9, 6,7 10 MAJ 7 8 I 7 3 2 TS 3,4,5 I 3 2 RX 2 I 3 2 1 NOR 1 I 1 2 1 1/C 3,6,8 2,3,4 2,4,5 16 4 SRO-14 ,9,10 ,5,6, ,6,8 7 MAJ 7 8 I 7 3 2 TS 4,5 I 2,4, 4 2 RX I 3 1 1 NOR 1 1 I 2 1 RO2 1/C 5,6 4,5,6, I 2,5,6 10 4 7 ,8 MAJ 7 8 I 7 3 2 TS I 0 0 RX

  • I NOR I

1/C I MAJ I TS I

ES-301 Transient and Event ChecJdist Form ES-301-5 Instructions: I

1.

Check the applicant level and enter the operating test number and Form ES-D-1 event numbers for each event type; TS are not applicable for RO applicants. ROs must serve in both the at-the-controls (ATC) and balance-of-plant (BOP) positions. Instant SROs (SRO-I) must serve in both the SRO and the ATC positions, including at least two instrument or component (1/C) malfunctions and one major transient, in the ATC position. If an SRO-I additionally serves in the BOP position, one 1/C malfunction can be credited toward the two 1/C malfunbtions required for the ATC position.

2.
3.
4.

Reactivity manipulations may be conducted under normal or controlled !abnormal conditions (refer to Section D.5.d) but must be significant per Section C.2.a of Appendix D. (*) Reactivity and normal evolutions may be replaced with additional IIC malfunctions on a one-for-one basis. I Whenever practical, both instrument and component malfunctions should be included; only those that require verifiable actions that provide insight to the applicant's competence count toward 1the minimum requirements specified for the applicant's license level in the right-hand columns. I For new reactor facility licensees that use the ATC operator primarily fo~ monitoring plant parameters, the chief examiner may place SRO-I applicants in either the ATC or BOP position to best evaluate the SRO-I in manipulating plant controls. I

ES-301 Competencies Checklist Form ES-301-6 Facility: PBAPS Date of Examination: 6/1/21 I Operating Test No.: NRC Team2 I APPLICANTS I RO RO RO X RO SRO-I X SRO-I xi SRO-I SRO-I SRO-U SRO-U I SRO-U SRO-U I Competencies SCENARIO SCENARIO I SCENARIO SCENARIO 1 2 3 4 1 2 3 14 1 2 3 4 1 2 3 4 I Interpret/Diagnose Events 1-2,3, 1,2, 2,3, 1-8 1-9 I 1,5, 2,3 1,2, and Conditions 10 4,6, 5,6, 6,7, 6,7 ,4, 5,6, 7,8 9 8,9, 6,7 9 10 ,8 Comply with and 1-2,3, 1,2, 2,3, 1-8 1-9 1,5, 2,3 1,2, Use Procedures (1) 10 4,6, 5,6, 6,7, 6,7 ,4, 5,6, 7,8 9 8,9, 6,7 9 10 ,8 Operate Control 2,3, 1,2, 2,3, 1-9 1,5, 2,3 1.,2, Boards (2) 4,6, 5,6,. 6,7, 6,7 ,4, 5,6, 7,8 9 8,9, 6,7 9 10 ,8 Communicate 1-2,3, 1,2, 2,3, 1-8 1-9 1,5, 2,3 1,2, and Interact 10 4,6, 5,6, 6,7, 6,7 ,4, 5,6, 7,8 9 8,9, 6,7 9 10 ,8 I Demonstrate Supervisory 1-1-8 1-9 Ability (3) 10 Comply with and 3,4, 3,4, 2,4 Use TS (3) 5 5 Notes: (1) Includes TS compliance for an RO. (2) Optional for an SRO-U. (3) Only applicable to SROs. Instructions: Check the appltcants hcense type and enter one or more event numbers that will allow the examiners to evaluate every applicable competency for every applicant. (This includes all rating factors for each competency.) (Forms ES 303 1 and ES 303 3 describe the competency rating factors.)

ES-301 Transient and Event Che~klist Form ES-301-5 BAPS Date of Exam: 06/01/21 I Operating Test No.: 2021 NRC Team3 A E Scenario~s p V 1 2 3 I 4 T M p E I 0 I L N CREW CREW POSITION CREW POST'ON CREW POSITION I T POSITION T N I C s A B s A B s A B s A B A M A T R T 0 R T 0 R T 0 R T 0 L u N y 0 C p 0 C p 0 C p 0 C p . M(*) T p E R I u RX 2 2 3 3 I 3 3 1 1 0 NOR 1 1 1 1 1 11 1 1 1 1 1 1/C 3,5,6 3,6,8 5,6 2,3,4 2,4, 4,5,6, 2,3,5 I 2,4,5 2,5,6 4,5 4 4 2 2,5,7,2,5,9 All ,8,9, ,9,10 ,5,6, 6,7 7 ,7,8, ,8 I ,6,8 ,8 Positions 10 7 9 I MAJ 7 7 7 8 8 8 6 6 ~ 7 7 7 2 2 1 TS 3,4,5 4,5 2,4 I 2,4 0 2 2 RX 2 3 I 3 3 1 NOR 1 I 1 2 1 1/C 3,5,6 2,4, 2,4,5 15 4 SRO-15 ,8,9, 6,7 ,6,8 10 MAJ 7 8 I I 7 3 2 TS 3,4,5 I 2,4 5 2 RO3 RX 2 I 1 1 (Total NOR I 1 2 1 added between 1/C 3,6,8 I 4,5 11 4 Team1 ,9,10 I and MAJ 7 I 7 3 2 Team3 Forms) TS I 0 0 RX I 3 1 I NOR 1 1 I 2 RO4 1/C 5,6 4,5,6, I 2,5,6 10 7 ,8 MAJ 7 8 I 7 3 TS I 0 SRO 1 RX I 2 1 (Total NOR 1 I 2 1 added 1/C 2,3,4 14 4 between Team1 ,5,6, and 7 Team3 MAJ 8 i 3 2 Forms) TS 4,5 5 2

ES-301 Transient and Event Checklist Form ES-301-5 Instructions: I

1.

Check the applicant level and enter the operating test number and Form ES-D-1 event numbers for each event type; TS are not applicable for RO applicants. ROs must serve in both the at-t~e-controls (ATC) and balance-of-plant (BOP) positions. Instant SROs (SRO-I) must serve in both the SRO and the ~TC positions, including at least two instrument or component (1/C) malfunctions and one major transient, in the ATC position. If an SRO-I additionally serves in the BOP position, one I/C malfunction can be credited toward the two I/C malfujctions required for the ATC position.

2.

Reactivity manipulations may be conducted under normal or controlleq abnormal conditions (refer to Section D.5.d) but must be significant per Section C.2.a of Appendix D. (*) Reactivity and normal evolutions may be replaced with additional I/C malfunctions on a one-for-one basis. l

3.

Whenever practical, both instrument and component malfunctions sho Id be included; only those that require verifiable actions that provide insight to the applicant's competence count toward the minimum requirements specified for the applicant's license level in the right-hand columns. l

4.

For new reactor facility licensees that use the ATC operator primarily i r monitoring plant parameters, the chief examiner may place SRO-I applicants in either the ATC or BOP position to best evaluate the SRO-I in manipulating olant controls. I

ES-301 Competencies Checklist Form ES-301-6 Facility: PBAPS Date of Examination: 6/1/21 I Operating Test No.: NRC Team3 APP1UCANTS RO RO xi RO X RO SRO-I X SRO-I [] SRO-I SRO-I SRO-U SRO-U er SRO-U SRO-U Competencies SCENARIO SCENARIO I SCENARIO SCENARIO 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 Interpret/Diagnose Events 1-2,3, 1-9 2,3, 2,3, 1,2, 1,5, 2,3 1,2, and Conditions 10 4,6, 6,7, 4,6, 5,6, 6,7 ,4, 5,6, 7,8 8,9, 7,8 9 6,7 9 10 ,8 Comply with and 1-2,3, 1-9 2,3, 2,3, 1,2, 1,5, 2,3 1,2, Use Procedures (1) 10 4,6, 6,7, 4,6, 5,6, 6,7 ,4, 5,6, 7,8 8,9, 7,8 9 6,7 9 10 ,8 Operate Control 2,3, 2,3, 2,3, 1,2, 1,5, 2,3 1,2, Boards (2) 4,6, 6,7, 4,6, 5,6, 6,7 ,4, 5,6, 7,8 8,9, 7,8 9 6,7 9 10 ,8 Communicate 1-2,3, 1-9 2,3, 2,3, 1,2, 1,5, 2,3 1,2, and Interact 10 4,6, 6,7, 4,6, 5,6, 6,7 ,4, 5,6, 7,8 8,9, 7,8 9 6,7 9 10 ,8 Demonstrate Supervisory 1-1-9 Ability (3) 10 Comply with and 3,4, 2,4 Use TS (3) 5 Notes: (1) Includes TS compliance for an RO. (2) Optional for an SRO-U. (3) Only applicable to SROs. Instructions: Check the a /icants' license t e and enter one or more e vent numbers that will allow the examiners tg~valuate every a~~licable competency for ev4,y applicant. (This includes all rating factors for each competency.) (Forms ES 303 1 and ES 303 3 describe the competency rating factors.)}}