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{{#Wiki_filter:PPL SUSQUEHANNA, LLC JOB PERFORMANCE MEASURE APPROVAL AND ADMINISTRATIVE DATA SHEET SIR0 78.AD.001.101 0 09/26/05 2.1.18 N/A 2.913.0 JPM Number Rev.
{{#Wiki_filter:PPL SUSQUEHANNA, LLC JOB PERFORMANCE MEASURE APPROVAL AND ADMINISTRATIVE DATA SHEET SIR0 78.AD.001.101 0
No. Date NUREG 1123 WA No. WA Imp. To Sys. No. APPl. Task Title:
09/26/05 2.1.18 N/A 2.913.0 JPM Number Rev. No.
Completed By: Validated Document a Failed LPRM Detector Rich Chin 09/26/05 Writer Date lnst ructorNV riter Date Approval:
Date NUREG 1123 WA No.
Nuclear Trng. Supv. -- Date of Performance:
WA Imp.
Date 15/25 Validation Time (Min.) Time Taken (Min.) JPM Performed By: Student Name: Last First M.I. Employee ## / S.S. # Performance ( ) Satisfactory ( ) Unsatisfactory Evaluation:
To Sys. No.
Evaluator Name: Signature Typed or Printed Comments:
APPl.
Funn NTP-QA-31 8-1. Rev 0. Pagc 1 of 2 2005 NRC Exam Rev.1 REQUIRED TASK INFORMATION JOB PERFORMANCE MEASURE S/RO 78.AD.001.101 . 1. SAFETY CONSIDERATIONS A. All Operations personnel are responsible for maintaining their radiation exposure As Low As Reasonably Achievable in accordance with OP-AD-002, Standards for Shift Operations.
Task
B. All applicable safety precautions shall be taken in accordance with established PPL safety policies and the Safety Rule Book, for example: 1. Whenever any electrical panel is opened for inspection during JPM performance. 2. Whenever entering any plant area where specific safety equipment; such as hearing or eye protection, safety shoes, hardhats, etc; is required and/or posted as being necessary.
 
==Title:==
Completed By:
Validated Document a Failed LPRM Detector Rich Chin 09/26/05 Writer Date lnst ructorNV riter Date Approval:
Nuclear Trng. Supv.
Date of Performance:
Date 15/25 Validation Time (Min.)
Time Taken (Min.)
JPM Performed By:
Student Name:
Last First M.I.
Employee ## / S.S. #
Performance
(  
)
Satisfactory
(  
)
Unsatisfactory Evaluation:
Evaluator Name:
Signature Typed or Printed Comments:
Funn NTP-QA-31 8-1. Rev 0. Pagc 1 of 2 2005 NRC Exam Rev.1  
 
REQUIRED TASK INFORMATION JOB PERFORMANCE MEASURE S/RO 78.AD.001.101
: 1.
SAFETY CONSIDERATIONS A. All Operations personnel are responsible for maintaining their radiation exposure As Low As Reasonably Achievable in accordance with OP-AD-002, Standards for Shift Operations.
B. All applicable safety precautions shall be taken in accordance with established PPL safety policies and the Safety Rule Book, for example:
: 1. Whenever any electrical panel is opened for inspection during JPM performance.
: 2. Whenever entering any plant area where specific safety equipment; such as hearing or eye protection, safety shoes, hardhats, etc; is required and/or posted as being necessary.
C. If in the judgment of the evaluator any safety issue occurs during the performance of a JPM, the JPM will be terminated until the issue is resolved.
C. If in the judgment of the evaluator any safety issue occurs during the performance of a JPM, the JPM will be terminated until the issue is resolved.
D. Peer checking is the expectation for all evolutions; however, since a JPM is an individual effort, no peer check will be provided and Self Checking is required.
D. Peer checking is the expectation for all evolutions; however, since a JPM is an individual effort, no peer check will be provided and Self Checking is required.
II. REFERENCES A. 01-078-001 LPRM STATUS CONTROL, (Rev. 8) - B. TS amendment 217 I II. REACTIVITY MAN1 PU LATIONS This JPM satisfies the requirements of Operational Activity(s):
II. REFERENCES A. 01-078-001 LPRM STATUS CONTROL, (Rev. 8)
None IV. TASK CONDITIONS A. Unit 1 is in MODE 1at 80% power. B. Reactor Engineering has completed their evaluation of a downscale alarm condition for LPRM detector 48-1
B. TS amendment 217 I II. REACTIVITY MAN1 PU LATIONS This JPM satisfies the requirements of Operational Activity(s):
: 78. LPRM detector 48-1 78 is failed C. The PCOP has just NOW bypassed LPRM detector 48-178 in the lower relay room. D. All OPRM channels are INOPERABLE V. INITIATING CUE Complete all required "hardcopy" documentation in accordance with the appropriate instructions for LPRM detector 48-1 78. VI. TASK STANDARD Zone 4 is identified as not having more than 50% upscale alarms operable, placard place on reactor panel, Unit Supervisor Notified to reference TRO 3.3.9, SROs must additionally identify required TRO actions. hmn KIP-QA-31.8-1.
None IV. TASK CONDITIONS A. Unit 1 is in MODE 1at 80% power.
Rev. 0. Page 2 of 2 2005 NRC Exam Rev. 1 Appl. To/JPM No.: S/RO 78.AD.001 .lo1 Step j PERFORMANCE CHECKLIST Action EVALUATOR NOTE:
B. Reactor Engineering has completed their evaluation of a downscale alarm condition for LPRM detector 48-1 78. LPRM detector 48-1 78 is failed C. The PCOP has just NOW bypassed LPRM detector 48-178 in the lower relay room.
Ensure the following material is available to support performance of this JPM: A COPY of 01-078-001.
D. All OPRM channels are INOPERABLE V. INITIATING CUE Complete all required hardcopy documentation in accordance with the appropriate instructions for LPRM detector 48-1 78.
0 Prepare attachments A  
VI. TASK STANDARD Zone 4 is identified as not having more than 50% upscale alarms operable, placard place on reactor panel, Unit Supervisor Notified to reference TRO 3.3.9, SROs must additionally identify required TRO actions.
& B with zone 4 having exactly 50% operable LPRM upscale alarms.
hmn KIP-QA-31.8-1. Rev. 0. Page 2 of 2 2005 NRC Exam Rev. 1  
Blank copy of attachment A & 6. 0 EVALUATOR NOTE: To begin this JPM, provide the candidate with the Task Conditions and Initiating Cue Sheet. Obtains a controlled copy of procedure.
 
Appl. To/JPM No.: S/RO 78.AD.001.lo1 Step j
PERFORMANCE CHECKLIST Action EVALUATOR NOTE:
Ensure the following material is available to support performance of this JPM:
A COPY of 01-078-001.
0 Prepare attachments A & B with zone 4 having exactly 50% operable LPRM upscale alarms.
Blank copy of attachment A & 6.
0 EVALUATOR NOTE:
To begin this JPM, provide the candidate with the Task Conditions and Initiating Cue Sheet.
Obtains a controlled copy of procedure.
Refers to correct section.  
Refers to correct section.  
*Critical Step #Critical Sequence Student Name: Standard Controlled copy of 01-078-001 obtained.
*Critical Step  
Refers to section 4. Page 3 of 8 Comments Fonn NTP-QA-31.8-2.
#Critical Sequence Student Name:
Rev. 0. Pqc I of I 2005 NRC Exam Rev.1 Appl. To/JPM No.: S/RO 78.AD.001.101 - Step PERFORMANCE CHECKLIST Action Determines current LPRM status. EVALUATOR CUE: When the candidate identifies where the current LPRM Upscale Alarm Status Control Log is retained provide the candidate with previously filled-out copy of Attachments A & B. EVALUATOR NOTE:
Standard Controlled copy of 01-078-001 obtained.
Allow candidate to use blank attachments from the copy of the procedure provided. Obtains a blank copy of Attachment A & B. Completes new Attachment A. *Critical Step #Critical Sequence Student Name: Standard Obtains the Operations Special Log Book in the Unit 1 control room and locates the previously completed copy of Attachment A & B. Blank copy obtained. Enters 1 for Unit. Eva1 Page 4 of 8 Comments Form NTP-QA-31.8-2.
Refers to section 4.
Rev. 0, Page I of I 2005 NRC Exam Rev.1 Appl. To/JPM No.: S/RO 78.AD.001.101 PERFORMANCE CHECKLIST Action EVALUATOR CUE: If candidate elects to verify position of switches in lower relay room, provide the cue that the switches are in the positions indicated on Attachment A (Special log book) Enter a check (d) in column (2) for LPRM alarms determined inoperable or bypassed for all other reasons. Consider all LPRM Upscale Alarms with a check in column (1) or (2) of Attachment A as inoperable Determine if 250% of LPRM Upscale alarms in each zone are operable.
Page 3 of 8 Comments Fonn NTP-QA-31.8-2. Rev. 0. Pqc I of I 2005 NRC Exam Rev.1  
 
Appl. To/JPM No.: S/RO 78.AD.001.101 Step PERFORMANCE CHECKLIST Action Determines current LPRM status.
EVALUATOR CUE:
When the candidate identifies where the current LPRM Upscale Alarm Status Control Log is retained provide the candidate with previously filled-out copy of Attachments A & B.
EVALUATOR NOTE:
Allow candidate to use blank attachments from the copy of the procedure provided.
Obtains a blank copy of Attachment A & B.
Completes new Attachment A.  
*Critical Step  
#Critical Sequence Student Name:
Standard Obtains the Operations Special Log Book in the Unit 1 control room and locates the previously completed copy of Attachment A & B.
Blank copy obtained.
Enters 1 for Unit.
Eva1 Page 4 of 8 Comments Form NTP-QA-31.8-2. Rev. 0, Page I of I 2005 NRC Exam Rev.1  
 
Appl. To/JPM No.: S/RO 78.AD.001.101 PERFORMANCE CHECKLIST Action EVALUATOR CUE:
If candidate elects to verify position of switches in lower relay room, provide the cue that the switches are in the positions indicated on Attachment A (Special log book)
Enter a check (d) in column (2) for LPRM alarms determined inoperable or bypassed for all other reasons.
Consider all LPRM Upscale Alarms with a check in column (1) or (2) of Attachment A as inoperable Determine if 250% of LPRM Upscale alarms in each zone are operable.
Notify Reactor Engineering of all LPRM upscale alarms determined inoperable.  
Notify Reactor Engineering of all LPRM upscale alarms determined inoperable.  
*Critical Step #Critical Sequence Student Name:
*Critical Step  
Standard Transfers the previous LPRM data to the new Attachment A. OR Candidate may desire to verify switches in lower relay room. Place a checkmark in column 2 adjacent to LPRM detector 48-1 7B in Zone 4. Circles YES for zone 1, 2, 3, 5, 6, 7, 8, and 9. Circles NO for zone 4. N/A Previously noted in JPM cue. Eva1 / Page 5 of 8 Comments Fotm NTP-QA-31.8-2.
#Critical Sequence Student Name:
Rev. 0. Page I of I 2005 NRC Exam Rev.1 I Appl. To/JPM No.: S/RO 78.AD.001.101 - Step *10 *11 12 13 14 15 PERFORMANCE CHECKLIST Action Attach placard to 1 C651 indicating  
Standard Transfers the previous LPRM data to the new Attachment A.
< required # of LPRM Upscale Alarms.
OR Candidate may desire to verify switches in lower relay room.
EVALUATOR NOTE: The placard is required to remain posted until all zones have 930% upscale alarms operable.
Place a checkmark in column 2 adjacent to LPRM detector 48-1 7B in Zone 4.
Refer to TRO 3.3.9 LPRM, upscale alarm instrumentation Complete an LPRM vs. APRWLPRM Group Status Control Log (Attachment B) each time LPRM operability status is changed Circle all inoperable LPRM's on LPRM vs. APRWLPRM Group Status Control Log (Attachment B). Obtains review. *Critical Step #Critical Sequence Student Name: Standard Attaches placard to operating panel 1 C651. Notifies the Unit Supervisor to Refer to TRO 3.3.9 LPRM Enters 1 for Unit. Transfers the previous LPRM data to the new Attachment B. Circles LPRM detector 48-1 7 for APRM E, under the column  
Circles YES for zone 1, 2, 3, 5, 6, 7, 8, and 9.
'6 Level. Submit the completed Attachment A and 8 to the Unit Supervisor.
Circles NO for zone 4.
Eva1 i Page 6 of 8 Comments Form NTP-QA-31.8-2.
N/A Previously noted in JPM cue.
Rev. 0. Page I of I 2005 NRC Exam Rw.1 Appl. To/JPM No.: S/RO 78.AD.001.101 Step 16 *17 1 PERFORMANCE CHECKLIST Action EVALUATOR CUE:
Eva1  
This completes the JPM for the ROs ONLY EVALUATOR CUE: FOR SRO CANDIDATES ONLY Give the SRO candidate the second cue sheet that addresses the Tech Spec and TRO for the INOPERABLE LPRMs Upscale alarms. Obtains a copy of the Tech Specs and TRM Determines required actions  
/
*Critical Step #Critical Sequence Student Name: Standard  
Page 5 of 8 Comments Fotm NTP-QA-31.8-2. Rev. 0. Page I of I 2005 NRC Exam Rev.1  
 
I Appl. To/JPM No.: S/RO 78.AD.001.101 Step  
*10  
*11 12 13 14 15 PERFORMANCE CHECKLIST Action Attach placard to 1 C651 indicating < required #
of LPRM Upscale Alarms.
EVALUATOR NOTE:
The placard is required to remain posted until all zones have 930% upscale alarms operable.
Refer to TRO 3.3.9 LPRM, upscale alarm instrumentation Complete an LPRM vs. APRWLPRM Group Status Control Log (Attachment B) each time LPRM operability status is changed Circle all inoperable LPRMs on LPRM vs.
APRWLPRM Group Status Control Log (Attachment B).
Obtains review.  
*Critical Step  
#Critical Sequence Student Name:
Standard Attaches placard to operating panel 1 C651.
Notifies the Unit Supervisor to Refer to TRO 3.3.9 LPRM Enters 1 for Unit.
Transfers the previous LPRM data to the new Attachment B.
Circles LPRM detector 48-1 7 for APRM E, under the column 6 Level.
Submit the completed Attachment A and 8 to the Unit Supervisor.
Eva1 i
Page 6 of 8 Comments Form NTP-QA-31.8-2. Rev. 0. Page I of I 2005 NRC Exam Rw.1  
 
Appl. To/JPM No.: S/RO 78.AD.001.101 Step 16  
*17 1
PERFORMANCE CHECKLIST Action EVALUATOR CUE:
This completes the JPM for the ROs ONLY EVALUATOR CUE:
FOR SRO CANDIDATES ONLY Give the SRO candidate the second cue sheet that addresses the Tech Spec and TRO for the INOPERABLE LPRMs Upscale alarms.
Obtains a copy of the Tech Specs and TRM Determines required actions  
*Critical Step  
#Critical Sequence Student Name:
Standard  


==References:==
==References:==
TRO 3.3.9 Determines the following actions are required:
TRO 3.3.9 condition H Within 1 hour Post a sign on the reactor panel that less than 50% of the LPRM Upscale alarms are OPERABLE AND TRO 3.3.9 Condition E Immediately Place the reactor mode switch in the shutdown position Eva1 Page 7 of 8 Comments h,rm NIT-QA-31.8-2. Rev. 0. Page I of 1 2005 NRC Exam Rev.1
00 0
00 a,
rn a
+
a
TASK CONDITIONS A.
: 8.
C.
D.
Unit 1 is in MODE lat 80% power.
Reactor Engineering has completed their evaluation of a downscale alarm condition for LPRM detector 48-1 78. LPRM detector 48-1 78 is failed The PCOP has just NOW bypassed LPRM detector 48-178 in the lower relay room.
All OPRM channels are INOPERABLE INITIATING CUE Complete all required hardcopy documentation in accordance with the appropriate instruction for LPRM detector 48-1 78.
2005 NRC Exam Rev.1 Page 1 of 4
TASK CONDITIONS A.
Unit 1 is in MODE lat 80% power.
B.
Reactor Engineering has completed their evaluation of a downscale alarm condition for LPRM detector 48-1 78. LPRM detector 48-1 78 is failed C. The PCOP has just NOW bypassed LPRM detector 48-1 78 in the lower relay room.
D. All OPRM channels are INOPERABLE INITIATING CUE Complete all required hardcopy documentation in accordance with the appropriate instruction for LPRM detector 48-1 78.
2005 NRC Exam Rev.1 Page 2 of 4
SRO ONLY TASK CONDITIONS A. Unit 1 is in MODE lat 80% power.
B. Reactor Engineering has completed evaluation of a downscale alarm condition for LPRM detector 48-1 78.
C. LPRM detector 48-1 76 is failed and bypassed.
D. All OPRM channels are INOPERABLE E. It has been determined that < 50% of LPRM Upscale alarms in zone 4 are operable.
F. The combination of thermal power and core flow is IN Region I1 of the power to Flow Map.
INITIATING CUE Determine the required Tech Spec and TRO actions.
2005 NRC Exam Rev.1 Page 3 of 4
SRO ONLY TASK CONDITIONS A. Unit 1 is in MODE lat 80% power.
B. Reactor Engineering has completed evaluation of a downscale alarm condition for LPRM detector 48-1 78.
C. LPRM detector 48-1 78 is failed and bypassed.
D. All OPRM channels are INOPERABLE E. It has been determined that e 50% of LPRM Upscale alarms in zone 4 are operable.
F. The combination of thermal power and core flow is IN Region II of the power to Flow Map.
INITIATING CUE Determine the required Tech Spec and TRO actions.
2005 NRC Exam Rev.1 Page 4 of 4
PPL SUSQUEHANNA, LLC JOB PERFORMANCE MEASURE 1
APPROVAL AND ADMINISTRATIVE DATA SHEET SRO 00.AD.273.002 0
09/26/05 2.1.12 N/A 4.0 APPl.
JPM Number Rev. No.
Date NUREG 1123 WA No.
WA Imp.
To Sys. No.
Task
==Title:==
Determine TRO applicability and complete the LCORRO log sheet.
Completed By:
Rich Chin Writer A pp rova I :
Nuclear Trng. Supv.
Date of Performance:
JPM Performed By:
Validated 09/26/05 Date InstructorNVriter Date Date 15 Validated Time (Min.)
Time Taken (Min.)
Student Name:
Last First M.I.
Employee # / S.S. #
Performance Evaluation:
(
)
Satisfactory
(
) Unsatisfactory Evaluator Name:
Signature Typed or Printed Comments:
Form NTP-QA-31.8-1. Rev. 0. Page 1 01 2 2M)S NRC Exam Rev. 1


TRO 3.3.9 Determines the following actions are required:
I.
TRO 3.3.9 condition H Within 1 hour Post a sign on the reactor panel that less than 50% of the LPRM Upscale alarms are OPERABLE AND TRO 3.3.9 Condition E Immediately Place the reactor mode switch in the shutdown position - Eva1 Page 7 of 8 Comments h,rm NIT'-QA-31.8-2.
II.
Rev. 0. Page I of 1 2005 NRC Exam Rev.1 00 0 00 a, rn a + a TASK CONDITIONS A. 8. C. D. Unit 1 is in MODE lat 80% power. Reactor Engineering has completed their evaluation of a downscale alarm condition for LPRM detector 48-1
111.
: 78. LPRM detector 48-1 78 is failed The PCOP has just NOW bypassed LPRM detector 48-178 in the lower relay room. All OPRM channels are INOPERABLE
IV.
-...- INITIATING CUE Complete all required "hardcopy" documentation in accordance with the appropriate instruction for LPRM detector 48-1
V.
: 78. 2005 NRC Exam Rev.1 Page 1 of 4 TASK CONDITIONS - A. Unit 1 is in MODE lat 80% power. B. Reactor Engineering has completed their evaluation of a downscale alarm condition for LPRM detector 48-1 78. LPRM detector 48-1 78 is failed C. The PCOP has just NOW bypassed LPRM detector 48-1 78 in the lower relay room.
REQUIRED TASK INFORMATION JOB PERFORMANCE MEASURE SRO 00.AD.273.002 SAFETY CONSIDERATIONS A. All Operations personnel are responsible for maintaining their radiation exposure As Low As Reasonably Achievable in accordance with OP-AD-002, Standards for Shift Operations.
D. All OPRM channels are INOPERABLE INITIATING CUE Complete all required "hardcopy" documentation in accordance with the appropriate instruction for LPRM detector 48-1 78. -- 2005 NRC Exam Rev.1 Page 2 of 4 SRO ONLY TASK CONDITIONS A. Unit 1 is in MODE lat 80% power. B. Reactor Engineering has completed evaluation of a downscale alarm condition for LPRM detector 48-1 78. C. LPRM detector 48-1 76 is failed and bypassed.
B. All applicable safety precautions shall be taken in accordance with established PPL safety policies and the Safety Rule Book, for example:
D. All OPRM channels are INOPERABLE E. It has been determined that
: 1. Whenever any electrical panel is opened for inspection during JPM performance.
< 50% of LPRM Upscale alarms in zone 4 are operable.
F. The combination of thermal power and core flow is IN Region I1 of the power to Flow Map. INITIATING CUE Determine the required Tech Spec and TRO actions. - 2005 NRC Exam Rev.1 Page 3 of 4 SRO ONLY TASK CONDITIONS A. Unit 1 is in MODE lat 80% power. B. Reactor Engineering has completed evaluation of a downscale alarm condition for LPRM detector 48-1
: 78. C. LPRM detector 48-1 78 is failed and bypassed.
D. All OPRM channels are INOPERABLE E. It has been determined that e 50% of LPRM Upscale alarms in zone 4 are operable. F. The combination of thermal power and core flow is IN Region II of the power to Flow Map. INITIATING CUE - Determine the required Tech Spec and TRO actions.
2005 NRC Exam Rev.1 Page 4 of 4 PPL SUSQUEHANNA, LLC JOB PERFORMANCE MEASURE 1 APPROVAL AND ADMINISTRATIVE DATA SHEET SRO 00.AD.273.002 0 09/26/05 2.1.12 N/A 4.0 APPl. JPM Number Rev. No.
Date NUREG 1123 WA No. WA Imp. To Sys. No. Task Title: Determine TRO applicability and complete the LCORRO log sheet. Completed By: Rich Chin Writer A pp rova I : Nuclear Trng.
Supv. Date of Performance:
JPM Performed By: - Validated 09/26/05 Date InstructorNVriter Date Date 15 Validated Time (Min.) Time Taken (Min.) Student Name: Last First M.I. Employee # / S.S. # Performance Evaluation: ( ) Satisfactory ( ) Unsatisfactory Evaluator Name: Signature Typed or Printed Comments:
Form NTP-QA-31.8-1.
Rev. 0. Page 1 01 2 2M)S NRC Exam Rev. 1 I. -.- II. 111. IV. V. REQUIRED TASK INFORMATION JOB PERFORMANCE MEASURE SRO 00.AD.273.002 SAFETY CONSIDERATIONS A. All Operations personnel are responsible for maintaining their radiation exposure As Low As Reasonably Achievable in accordance with OP-AD-002, Standards for Shift Operations.
B. All applicable safety precautions shall be taken in accordance with established PPL safety policies and the Safety Rule Book, for example: 1. Whenever any electrical panel is opened for inspection during JPM performance.
: 2. Whenever entering any plant area where specific safety equipment; such as hearing or eye protection, safety shoes, hardhats, etc; is required and/or posted as being necessary.
: 2. Whenever entering any plant area where specific safety equipment; such as hearing or eye protection, safety shoes, hardhats, etc; is required and/or posted as being necessary.
C. If in the judgement of the evaluator any safety issue occurs during the performance of a JPM, the JPM will be terminated until the issue is resolved.
C. If in the judgement of the evaluator any safety issue occurs during the performance of a JPM, the JPM will be terminated until the issue is resolved.
D. Peer checking is the expectation for all evolutions; however, since a JPM is an individual effort, no peer check will be provided and Self Checking is required.
D. Peer checking is the expectation for all evolutions; however, since a JPM is an individual effort, no peer check will be provided and Self Checking is required.
REFERENCES NDAP-QA-0312, "CONTROLS OF LCO'S, TRO'S AND SAFETY FUNCTION DETERMINATION PROGRAM" (Revision
REFERENCES NDAP-QA-0312, CONTROLS OF LCOS, TROS AND SAFETY FUNCTION DETERMINATION PROGRAM (Revision 8)
: 8) Tech Specs REACTIVITY MANIPULATIONS This JPM satisfies the requirements of Operational Activity(s):
Tech Specs REACTIVITY MANIPULATIONS This JPM satisfies the requirements of Operational Activity(s):
NONE TASK CONDITIONS A. Unit 1 is in Mode 1 at 100% power. 6. "B RPS Bus De-energized 30 minutes ago due to a voltage regulator failure in the MG set. C. "B RPS has been transferred to the alternate power supply IAW ON-1 58-001, LOSS OF RPS attachment
NONE TASK CONDITIONS A. Unit 1 is in Mode 1 at 100% power.
: 6. D. At step 9 of ON-1 58-001, LOSS OF RPS attachment 6, a problem was encountered. NONE of the CRM AIR SAMPLE IS0 LOOP valves (HS-15711 OAl, A2, B1, 82) could be OPENED. All other steps of the attachment were completed successfully.
: 6. B RPS Bus De-energized 30 minutes ago due to a voltage regulator failure in the MG set.
E. Electrical maintenance was dispatched to determine the problem with the CRM AIR SAMPLE IS0 LOOP valves. Electrical maintenance has determined the cause to be a failure of the MDR relay. F. AR-146-AO2 CONTN RAD DET SYSTEM A TROUBLE alarm is locked in. G. AR-146-AO5 CONTN RAD DET SYSTEM B TROUBLE alarm is locked in. H. No Tech Spec actions, TRO actions or Loss of safety function worksheets are in effect at either Unit.
C. B RPS has been transferred to the alternate power supply IAW ON-1 58-001, LOSS OF RPS attachment 6.
INITIATING CUE Based on these plant conditions, IAW with the appropriate procedure, determine the required Tech Spec/TRM actions, and complete the necessary tracking forms. VI. TASK STANDARD Entry into LCO 3.4.6 declared with LCO/TRO log and Operations portion of Chemistry/Health Physics LCO/TRO Sample /Survey Log sheet filled-out, and Chemistry notified.
D. At step 9 of ON-1 58-001, LOSS OF RPS attachment 6, a problem was encountered. NONE of the CRM AIR SAMPLE IS0 LOOP valves (HS-15711 OAl, A2, B1, 82) could be OPENED. All other steps of the attachment were completed successfully.
Form NTP-QA-31.8-1, Rev. 0, Page 2 d 2 2005 NRC Exam Rev. 1
E. Electrical maintenance was dispatched to determine the problem with the CRM AIR SAMPLE IS0 LOOP valves. Electrical maintenance has determined the cause to be a failure of the MDR relay.
, PERFORMANCE CHECKLIST Appl. To/JPM No.: 00.AD.273.002 Step 1 2 3 Action EVALUATOR NOTE: Due to the nature of this JPM, the candidate may refer to several procedures before determining CRM A & B are both INOPERABLE and LCO 3.4.6 entry is required.
F. AR-146-AO2 CONTN RAD DET SYSTEM A TROUBLE alarm is locked in.
Allow candidate to use the forms from the copy of NDAP-QA-0312 that is provided with this JPM. Obtain a controlled copy of NDAP-QA-0312, "CONTROLS OF LCO'S, TRO'S AND SAFETY FUNCTION DETERMINATION PROGRAM" Selects the correct section to perform.
G. AR-146-AO5 CONTN RAD DET SYSTEM B TROUBLE alarm is locked in.
Review applicable TS LCO and Bases or TRM TRO and Bases. EVALUATOR NOTE: Placing Unit 1 in either of the appropriate blocks in the next 2 steps will satisfy the "Critical  
H. No Tech Spec actions, TRO actions or Loss of safety function worksheets are in effect at either Unit.
'I portion for BOTH steps. Student Name: Standard Controlled copy obtained.
INITIATING CUE Based on these plant conditions, IAW with the appropriate procedure, determine the required Tech Spec/TRM actions, and complete the necessary tracking forms.
Selects section 6.3 Reviews TS LCO and Bases and TRM TRO and Bases. Determines LCO 3.4.6 is applicable.
VI. TASK STANDARD Entry into LCO 3.4.6 declared with LCO/TRO log and Operations portion of Chemistry/Health Physics LCO/TRO Sample /Survey Log sheet filled-out, and Chemistry notified.
Page 3 of 9 Comments *Critical Step #Critical Sequence Form NTP-QA-31.8-2.
Form NTP-QA-31.8-1, Rev. 0, Page 2 d 2 2005 NRC Exam Rev. 1  
Rev. 0. Page 1 01 1 2005 NRC Exam Rev.1 Appl. To/JPM No.: 00.AD.273.002 - Step *4 t5 6 t7 t8 9 , PERFORMANCE CHECKLIST Page 4 of 9 Action In accordance with the applicable TS/TRM, complete a LCO/TRO log sheet (Form NDAP-QA-0312-1) as follows: Enter the applicable unit for which the log sheet is being completed.
 
PERFORMANCE CHECKLIST Appl. To/JPM No.: 00.AD.273.002 Step 1
2 3
Action EVALUATOR NOTE:
Due to the nature of this JPM, the candidate may refer to several procedures before determining CRM A & B are both INOPERABLE and LCO 3.4.6 entry is required. Allow candidate to use the forms from the copy of NDAP-QA-0312 that is provided with this JPM.
Obtain a controlled copy of NDAP-QA-0312, CONTROLS OF LCOS, TROS AND SAFETY FUNCTION DETERMINATION PROGRAM Selects the correct section to perform.
Review applicable TS LCO and Bases or TRM TRO and Bases.
EVALUATOR NOTE:
Placing Unit 1 in either of the appropriate blocks in the next 2 steps will satisfy the Critical I portion for BOTH steps.
Student Name:
Standard Controlled copy obtained.
Selects section 6.3 Reviews TS LCO and Bases and TRM TRO and Bases.
Determines LCO 3.4.6 is applicable.
Page 3 of 9 Comments  
*Critical Step  
#Critical Sequence Form NTP-QA-31.8-2. Rev. 0. Page 1 01 1 2005 NRC Exam Rev.1  
 
Appl. To/JPM No.: 00.AD.273.002 Step  
*4 t 5 6
t 7 t 8 9
PERFORMANCE CHECKLIST Page 4 of 9 Action In accordance with the applicable TS/TRM, complete a LCO/TRO log sheet (Form NDAP-QA-0312-1) as follows:
Enter the applicable unit for which the log sheet is being completed.
Enter the unit containing the inoperable equipment.
Enter the unit containing the inoperable equipment.
Enter the system number. Circle or enter whether the Action is an LCO or TRO and enter the specification number. Enter the applicable MODES. EVALUATOR NOTE: Candidate may choose to place references in the reference document section, however this is not required.
Enter the system number.
Enter the reference documents, if applicable.
Circle or enter whether the Action is an LCO or TRO and enter the specification number.
The Reference Documents section may also be used to provide clarifying information for the reason the LCO/TRO is being entered. Student Name: Standard Fills out a copy of Attachment C of NDAP-QA-0312 (Form Records a 1 in the space provided to designate Unit 1 NDAP-QA-0312-1)
Enter the applicable MODES.
EVALUATOR NOTE:
Candidate may choose to place references in the reference document section, however this is not required.
Enter the reference documents, if applicable. The Reference Documents section may also be used to provide clarifying information for the reason the LCO/TRO is being entered.
Student Name:
Standard Fills out a copy of Attachment C of NDAP-QA-0312 (Form Records a 1 in the space provided to designate Unit 1 NDAP-QA-0312-1)
Records a 1 in the space provided to designate Unit 1 Records a 79 in the space provided.
Records a 1 in the space provided to designate Unit 1 Records a 79 in the space provided.
Circles or records LCO Then records 3.4.6. Records 1,2,3. Determines NO reference documents are applicable.
Circles or records LCO Then records 3.4.6.
Eva1 - Comments *Critical Step #Critical Sequence Form NTP-QA-31.8-2, Rev. 0. Page 1 01 1 2005 NRC Exam Rev.1 PERFORMANCE CHECKLIST Page 5 of 9 Appl. To/JPM No.: 00.AD.273.002 Step *lo *11 Action Reviewhevise all active LOSF worksheets based on the above inoperable equipment.
Records 1,2,3.
Determine if LCO 3.0.6 has been applied for any other system on both Units 1 and 2. EVALUATOR NOTE: The next 4 steps of this JPM will require 2 separate line item entries on Attachment C of NDAP-QA-0312.
Determines NO reference documents are applicable.
One for action B.l, and one for 8.2. See attached answer key for specifics of this form should be completed. Student Name:
Eva1 Comments  
Standard Determines from initial conditions that No Tech Spec actions , TRO actions or Loss of safety function worksheets are in affect at either Unit and Records N/A in the space provided Determines from initial conditions that No Tech Spec actions , TRO actions or Loss of safety function worksheets are in affect at either Unit and Records an X in the "Is this a Safety Function Determination support system?" NO space provided AND Records an X in the "If YES, is TS 3.0.6 to be applied?"
*Critical Step  
NA space provided.
#Critical Sequence Form NTP-QA-31.8-2, Rev. 0. Page 1 01 1 2005 NRC Exam Rev.1  
Eva1 - Comments *Critical Step #Critical Sequence Fon NTP-QA-31.8-2.
 
Rev. 0. Page 1 01 1 2005 NRC Exam Rev 1 Appl. To/JPM No.: 00.AD.273.002 i PERFORMANCE CHECKLIST Page 6 of 9 Action Enter the Date and Time that the CONDITION was entered. Enter the reason for CONDITION and the appropriate REQUIRED ACTION.
PERFORMANCE CHECKLIST Page 5 of 9 Appl. To/JPM No.: 00.AD.273.002 Step  
The REQUIRED ACTION should be listed by number and include a brief noun description.
*lo  
*11 Action Reviewhevise all active LOSF worksheets based on the above inoperable equipment.
Determine if LCO 3.0.6 has been applied for any other system on both Units 1 and 2.
EVALUATOR NOTE:
The next 4 steps of this JPM will require 2 separate line item entries on Attachment C of NDAP-QA-0312.
One for action B.l, and one for 8.2.
See attached answer key for specifics of this form should be completed.
Student Name:
Standard Determines from initial conditions that No Tech Spec actions, TRO actions or Loss of safety function worksheets are in affect at either Unit and Records N/A in the space provided Determines from initial conditions that No Tech Spec actions, TRO actions or Loss of safety function worksheets are in affect at either Unit and Records an X in the Is this a Safety Function Determination support system? NO space provided AND Records an X in the If YES, is TS 3.0.6 to be applied? NA space provided.
Eva1 Comments  
*Critical Step  
#Critical Sequence F o n NTP-QA-31.8-2. Rev. 0. Page 1 01 1 2005 NRC Exam Rev 1  
 
Appl. To/JPM No.: 00.AD.273.002 i
PERFORMANCE CHECKLIST Page 6 of 9 Action Enter the Date and Time that the CONDITION was entered.
Enter the reason for CONDITION and the appropriate REQUIRED ACTION. The REQUIRED ACTION should be listed by number and include a brief noun description.
Enter the Date and Time by when the REQUIRED ACTION must be completed.
Enter the Date and Time by when the REQUIRED ACTION must be completed.
Initial that the CONDITION has been entered. *Critical Step #Critical Sequence Student Name: Standard Records B in CONDITION block for both line items Records date and time for each of the actions in the space provided.
Initial that the CONDITION has been entered.  
Records all of the following Required Primary Containment Atmospheric Monitoring System INOPERABLE B.l Analyze grab samples of primary containment atmosphere AND 8.2 Restore required Primary Containment Atmospheric Monitoring System to OPERABLE status In the spaces provided Records: Once per 12 hours B.l Within 30 days for item 8.2 Records candidate initials in the spaces provided Comments Form NTP-QA-31.82, Rev. 0. Paw 1 of 1 2005 NRC Exam Rev.1 I PERFORMANCE CHECKLIST Appl. To/JPM No.: 00.AD.273.002 Step 16 17 Action Have another SRO Peer Check the LCORRO entry and also initial in the "Entered By" box. EVALUATOR CUE:
*Critical Step  
Role-play the second SRO and inform the candidate that you have Peer Checked the LCO/TRO entry, and they can assume that you have initialed the "Entered By" box. If required, additional CONDITION(S) can be entered within the same LCORRO as follows: If the REQUIRED ACTION requires a repetitive action (ex; perform action once every 8 hours); COMPLETE Form NDAP-QA-0312-5 "LCO/TRO Repetitive Required Action Completion Sheet" and attach to the LCORRO log sheet EVALUATOR NOTE: It is not necessary to initiate a Chemistry/Health Physics LCORRO Sample/Survey Log if the LCO is expected to be cleared prior to the first required action/sample.
#Critical Sequence Student Name:
However, caution must be used to ensure the sample/survey is not missed in the event the LCO is not cleared in a timely manner.
Standard Records B in CONDITION block for both line items Records date and time for each of the actions in the space provided.
Student Name: Standard - - Asks another SRO to Peer Check the LCO/TRO entry and initial in the "Entered By" box. Determines: Form NDAP-QA-0312-5 "LCO/TRO Repetitive Required Action Completion Sheet" IS NOT REQUIRED.
Records all of the following Required Primary Containment Atmospheric Monitoring System INOPERABLE B.l Analyze grab samples of primary containment atmosphere AND 8.2 Restore required Primary Containment Atmospheric Monitoring System to OPERABLE status In the spaces provided Records:
Page 7 of 9 Comments - *Critical Step #Critical Sequence Form NTP-QA-31.8-2.
Once per 12 hours B.l Within 30 days for item 8.2 Records candidate initials in the spaces provided Comments Form NTP-QA-31.82, Rev. 0. Paw 1 of 1 2005 NRC Exam Rev.1  
Rev. 0. Page 1 of 1 2005 NRC Exam Rev.1 Appl. To/JPM No.: 00.AD.273.002 Step 18 *19 *20 PERFORMANCE CHECKLIST Page 8 of 9 Action If the LCO/TRO Condition requires Chemistry or Health Physics to sample or perform a survey, Shift Supervision shall initiate a Chemistry/Health Physics LCO/TRO Sample/Survey Log (FORM NDAP-QA-0312-3) by:
 
I PERFORMANCE CHECKLIST Appl. To/JPM No.: 00.AD.273.002 Step 16 17 Action Have another SRO Peer Check the LCORRO entry and also initial in the "Entered By" box.
EVALUATOR CUE:
Role-play the second SRO and inform the candidate that you have Peer Checked the LCO/TRO entry, and they can assume that you have initialed the "Entered By" box.
If required, additional CONDITION(S) can be entered within the same LCORRO as follows:
If the REQUIRED ACTION requires a repetitive action (ex; perform action once every 8 hours);
COMPLETE Form NDAP-QA-0312-5 "LCO/TRO Repetitive Required Action Completion Sheet" and attach to the LCORRO log sheet EVALUATOR NOTE:
It is not necessary to initiate a Chemistry/Health Physics LCORRO Sample/Survey Log if the LCO is expected to be cleared prior to the first required action/sample. However, caution must be used to ensure the sample/survey is not missed in the event the LCO is not cleared in a timely manner.
Student Name:
Standard Asks another SRO to Peer Check the LCO/TRO entry and initial in the "Entered By" box.
Determines:
Form NDAP-QA-0312-5 "LCO/TRO Repetitive Required Action Completion Sheet" IS NOT REQUIRED.
Page 7 of 9 Comments  
*Critical Step  
#Critical Sequence Form NTP-QA-31.8-2. Rev. 0. Page 1 of 1 2005 NRC Exam Rev.1  
 
Appl. To/JPM No.: 00.AD.273.002 Step 18  
*19  
*20 PERFORMANCE CHECKLIST Page 8 of 9 Action If the LCO/TRO Condition requires Chemistry or Health Physics to sample or perform a survey, Shift Supervision shall initiate a Chemistry/Health Physics LCO/TRO Sample/Survey Log (FORM NDAP-QA-0312-3) by:
Completing the top section of FORM NDAP-QA-0312-3.
Completing the top section of FORM NDAP-QA-0312-3.
Notifying Chemistry/Health Physics to pick up the log sheet in the Control Room. EVALUATOR CUE: Role-play Chemistry and acknowledge the report. Student Name:
Notifying Chemistry/Health Physics to pick up the log sheet in the Control Room.
Standard Determines: Chemistry/Health Physics LCO/TRO Sample/Survey Log (FORM IS REQUIRED NDAP-QA-0312-3)
EVALUATOR CUE:
Role-play Chemistry and acknowledge the report.
Student Name:
Standard Determines:
Chemistry/Health Physics LCO/TRO Sample/Survey Log (FORM IS REQUIRED NDAP-QA-0312-3)
Places the following information on top section of FORM NDAP-QA-0312-3.
Places the following information on top section of FORM NDAP-QA-0312-3.
UNIT 1 The LCO/TRO for operation of the BOTH Primary Containment Atmospheric Monitoring System INOPERABLE Commenced at LCO entry time TS LCO 3.4.6 Action B.l Sample/Survey within Once per hours 2 Contacts Chemistry to pick up the log sheet in the Control Room. Eva1 Comments *Critical Step #Critical Sequence Form NTP-QA-31.8-2, Rev. 0. Page 1 of 1 2005 NRC Exam Rev.1 PERFORMANCE CHECKLIST Step Appl. To/JPM No.: 00.AD.273.002 Student Name:
UNIT 1 The LCO/TRO for operation of the BOTH Primary Containment Atmospheric Monitoring System INOPERABLE Commenced at LCO entry time TS LCO 3.4.6 Action B.l Sample/Survey within Once per hours 2
Contacts Chemistry to pick up the log sheet in the Control Room.
Eva1 Comments  
*Critical Step  
#Critical Sequence Form NTP-QA-31.8-2, Rev. 0. Page 1 of 1 2005 NRC Exam Rev.1  
 
PERFORMANCE CHECKLIST Step Appl. To/JPM No.: 00.AD.273.002 Student Name:
Action Standard Eva1 Comments EVALUATOR CUE:
Action Standard Eva1 Comments EVALUATOR CUE:
That completes this JPM Page 9 of 9 *Critical Step #Critical Sequence Form NTP-OA-31.8-2.
That completes this JPM Page 9 of 9  
Rev. 0. Page 1 of 1 2005 NRC Exam Rev.1 ANSWER KEY DO NOT GIVE TO CANDIDATES UNIT 1 SYSTEM MODE 79 1,293 Reviewhevise all active LOSF worksheets based on the above inoperable equipment.
*Critical Step  
Is this a Safety Function Determination support system? If YES, is TS 3.0.6 to be applied? YES c] NO 0 NA If YES, perform a LOSF Determination using the Safety Function Determination Work Sheet. If NO, cascade LCO's. Review Complete N/A YES 0 NO Reference Documents Date/ Time t Entered ChedHP REASON AND REQUIRED ACTION Required Primary Containment Atmospheric Monitoring System INOPERABLE 6.1 Analyze grab samples of primary containment atmosphere AND Completion Date/Time Once per 12 hours LCO/TRO CONDITION Entered Datemime Cleared By Entered candidate initials 6 Today's date and time I I B Today's date and time I 6.2 Restore required Primary Containment Atmospheric Monitoring System to OPERABLE status LCO/TRO CONDITION Cleared Within 30 days candidate initials Reviewed OPS Supv-Nuc:
#Critical Sequence Form NTP-OA-31.8-2. Rev. 0. Page 1 of 1 2005 NRC Exam Rev.1  
I .CO Cleared I LCO Entered 2005 NRC Exam Rev 1 ANSWER KEY DO NOT GIVE TO TSnR LCO 3.4.6 CANDIDATES ACTION WITHIN COMPLETED WITHIN B.l Once per 12 hours Unit 1 1 CHEMISTRY/HEALTH PHYSICS LCO/TRO SAMPLWSURVEY LOG I ThmRO for operation of the BOTH Primary Containment Atmospheric Monitoring System INOPERABLE commenced at LCO / Today . Chemistry samples/Health Physics surveys shall be taken per: entry time 1 I SAMPLWSURVEY I ANALYSIS I Report chemistry analysis results to Shift Supervision. HEALTH PHYSICS The Desk Foreman - Health Physics or the HP Shift Lead Technicians shall notify the HP Duty Foreman immediately following receipt of this log. Shift Supervision CHEMISTRY FIRST SAMPLE DUE DATWIME FIRST ANALYSIS COMPLETION DUE DATEnlME --OR-- LCO/TRO cleared at BY Daterrime Shift Supervision Copy sent to Chemistry/HP Foreman. Technician COMPLETED FORMS SHALL BE INCLUDED WITH THE LCOfiRO LOG SHEET FOR THE SAMPLING LCOTTRO. Page 1 of 2005 NRC Exam Rev. 1
 
__ - ~~~~ TASK CONDITIONS - A. 6. C. D. E. F. G. H. Unit 1 is in Mode 1 at 100% power. "B, RPS Bus De-energized 30 minutes ago due to a voltage regulator failure in the MG set. "B' RPS has been transferred to the alternate power supply IAW ON-158-001 , LOSS OF RPS attachment
ANSWER KEY DO NOT GIVE TO CANDIDATES UNIT 1
: 6. At step 9 of ON-158-001 , LOSS OF RPS attachment 6, a problem was encountered. NONE of the CRM AIR SAMPLE IS0 LOOP valves (HS-157110A1, A2, B1, 62) could be OPENED. All other steps of the attachment were completed successfully. Electrical maintenance was dispatched to determine the problem with the CRM AIR SAMPLE IS0 LOOP valves. Electrical maintenance has determined the cause to be a failure of the MDR relay. AR-146-AO2 CONTN RAD DET SYSTEM A TROUBLE alarm is locked in. AR-146-AO5 CONTN RAD DET SYSTEM 6 TROUBLE alarm is locked in. No Tech Spec actions, TRO actions or Loss of safety function worksheets are in effect at either Unit.
SYSTEM MODE 79 1,293 Reviewhevise all active LOSF worksheets based on the above inoperable equipment.
INITIATING CUE Based on these plant conditions, IAW with the appropriate procedure, determine the required Tech Spec/TRM actions, and complete the necessary tracking forms. 2005 NRC Exam Rev. 1 1 of2 TASK CONDITIONS A. B. C. D. E. F. G. H. Unit 1 is in Mode 1 at 100% power. "B" RPS Bus De-energized 30 minutes ago due to a voltage regulator failure in the MG set. "B" RPS has been transferred to the alternate power supply IAW ON-158-001, LOSS OF RPS attachment B. At step 9 of ON-158-001, LOSS OF RPS attachment B, a problem was encountered. NONE of the CRM AIR SAMPLE IS0 LOOP valves (HS-157110A1, A2, B1, 82) could be OPENED. All other steps of the attachment were completed successfully. Electrical maintenance was dispatched to determine the problem with the CRM AIR SAMPLE IS0 LOOP valves. Electrical maintenance has determined the cause to be a failure of the MDR relay. AR-146-AO2 CONTN RAD DET SYSTEM A TROUBLE alarm is locked in. AR-146-AO5 CONTN RAD DET SYSTEM B TROUBLE alarm is locked in. No Tech Spec actions, TRO actions or Loss of safety function worksheets are in effect at either Unit.
Is this a Safety Function Determination support system?
If YES, is TS 3.0.6 to be applied?
YES c] NO 0 NA If YES, perform a LOSF Determination using the Safety Function Determination Work Sheet. If NO, cascade LCOs.
Review Complete N/A YES 0 NO Reference Documents Date/
Time t Entered ChedHP REASON AND REQUIRED ACTION Required Primary Containment Atmospheric Monitoring System INOPERABLE 6.1 Analyze grab samples of primary containment atmosphere AND Completion Date/Time Once per 12 hours LCO/TRO CONDITION Entered Datemime Cleared By Entered candidate initials 6
Todays date and time I
I B
Todays date and time I
6.2 Restore required Primary Containment Atmospheric Monitoring System to OPERABLE status LCO/TRO CONDITION Cleared Within 30 days candidate initials Reviewed OPS Supv-Nuc:
I
.CO Cleared I
LCO Entered 2005 NRC Exam Rev 1  
 
ANSWER KEY DO NOT GIVE TO TSnR LCO 3.4.6 CANDIDATES ACTION WITHIN COMPLETED WITHIN B.l Once per 12 hours Unit 1
1 CHEMISTRY/HEALTH PHYSICS LCO/TRO SAMPLWSURVEY LOG I
T h m R O for operation of the BOTH Primary Containment Atmospheric Monitoring System INOPERABLE commenced at LCO  
/ Today  
. Chemistry samples/Health Physics surveys shall be taken per:
entry time 1
I SAMPLWSURVEY I
ANALYSIS I
Report chemistry analysis results to Shift Supervision.
HEALTH PHYSICS The Desk Foreman - Health Physics or the HP Shift Lead Technicians shall notify the HP Duty Foreman immediately following receipt of this log.
Shift Supervision CHEMISTRY FIRST SAMPLE DUE DATWIME FIRST ANALYSIS COMPLETION DUE DATEnlME  
--OR--
LCO/TRO cleared at BY Daterrime Shift Supervision Copy sent to Chemistry/HP Foreman.
Technician COMPLETED FORMS SHALL BE INCLUDED WITH THE LCOfiRO LOG SHEET FOR THE SAMPLING LCOTTRO.
Page 1 of 2005 NRC Exam Rev. 1  
 
~~~~
TASK CONDITIONS A.
: 6.
C.
D.
E.
F.
G.
H.
Unit 1 is in Mode 1 at 100% power.
B, RPS Bus De-energized 30 minutes ago due to a voltage regulator failure in the MG set.
B RPS has been transferred to the alternate power supply IAW ON-158-001, LOSS OF RPS attachment 6.
At step 9 of ON-158-001, LOSS OF RPS attachment 6, a problem was encountered. NONE of the CRM AIR SAMPLE IS0 LOOP valves (HS-157110A1, A2, B1, 62) could be OPENED.
All other steps of the attachment were completed successfully.
Electrical maintenance was dispatched to determine the problem with the CRM AIR SAMPLE IS0 LOOP valves. Electrical maintenance has determined the cause to be a failure of the MDR relay.
AR-146-AO2 CONTN RAD DET SYSTEM A TROUBLE alarm is locked in.
AR-146-AO5 CONTN RAD DET SYSTEM 6 TROUBLE alarm is locked in.
No Tech Spec actions, TRO actions or Loss of safety function worksheets are in effect at either Unit.
INITIATING CUE Based on these plant conditions, IAW with the appropriate procedure, determine the required Tech Spec/TRM actions, and complete the necessary tracking forms.
2005 NRC Exam Rev. 1 1 of2  
 
TASK CONDITIONS A.
B.
C.
D.
E.
F.
G.
H.
Unit 1 is in Mode 1 at 100% power.
B RPS Bus De-energized 30 minutes ago due to a voltage regulator failure in the MG set.
B RPS has been transferred to the alternate power supply IAW ON-158-001, LOSS OF RPS attachment B.
At step 9 of ON-158-001, LOSS OF RPS attachment B, a problem was encountered. NONE of the CRM AIR SAMPLE IS0 LOOP valves (HS-157110A1, A2, B1, 82) could be OPENED.
All other steps of the attachment were completed successfully.
Electrical maintenance was dispatched to determine the problem with the CRM AIR SAMPLE IS0 LOOP valves. Electrical maintenance has determined the cause to be a failure of the MDR relay.
AR-146-AO2 CONTN RAD DET SYSTEM A TROUBLE alarm is locked in.
AR-146-AO5 CONTN RAD DET SYSTEM B TROUBLE alarm is locked in.
No Tech Spec actions, TRO actions or Loss of safety function worksheets are in effect at either Unit.
INITIATING CUE Based on these plant conditions, IAW with the appropriate procedure, determine the required Tech Spec/TRM actions, and complete the necessary tracking forms.
INITIATING CUE Based on these plant conditions, IAW with the appropriate procedure, determine the required Tech Spec/TRM actions, and complete the necessary tracking forms.
2005 NRC Exam Rev. 1 2 of 2 PPL SUSQUEHANNA, LLC . JOB PERFORMANCE MEASURE APPROVAL AND ADMINISTRATIVE DATA SHEET SIR0 45.0N.007101 1 09/26/05 2.1.25 N/A 2.813.1 APPl- JPM Number Rev. Date NUREG 1123 WA No. WA Imp. To No. Sys. No. Task Title: Determine Cause for Reactor Water Level Indication Anomalylldentify required Tech Spec Actions Completed By: Validated: Rich Chin 0912 6/05 Writer Date I nstructorNV riter Date Approval:
2005 NRC Exam Rev. 1 2 of 2  
Nuclear Trng. Supv. Date 10120 Date of Performance:
 
Validation Time (Min.) Time Taken (Min.) JPM Performed By: Student Name: Last First M.I. Employee # / S.S. # Performance ( ) Satisfactory ( ) Unsatisfactory Evaluation
PPL SUSQUEHANNA, LLC JOB PERFORMANCE MEASURE APPROVAL AND ADMINISTRATIVE DATA SHEET SIR0 45.0N.007101 1
: Evaluator Name: Signature Typed or Printed Comments:
09/26/05 2.1.25 N/A 2.813.1 APPl-JPM Number Rev.
Form NTP-QA-3 1.8- I, Rev. 0, Page 1 of 2 2005 NRC Exam Rev 1 REQUIRED TASK INFORMATION JOB PERFORMANCE MEASURE S/RO 45.0N.007.101  
Date NUREG 1123 WA No.
\ 1. SAFETY CONSIDERATIONS A. All Operations personnel are responsible for maintaining their radiation exposure As Low As Reasonably Achievable in accordance with OP-AD-002, Standards for Shift Operations.
WA Imp.
B. All applicable safety precautions shall be taken in accordance with established PPL safety policies and the Safety Rule Book, for example: 1. Whenever any electrical panel is opened for inspection during JPM performance.
To No.
Sys. No.
Task
 
==Title:==
Determine Cause for Reactor Water Level Indication Anomalylldentify required Tech Spec Actions Completed By:
Validated:
Rich Chin 0912 6/05 Writer Date I nstructorNV riter Date Approval:
Nuclear Trng. Supv.
Date 10120 Date of Performance:
Validation Time (Min.)
Time Taken (Min.)
JPM Performed By:
Student Name:
Last First M.I.
Employee # / S.S. #
Performance
(  
)
Satisfactory
(  
)
Unsatisfactory Evaluation :
Evaluator Name:
Signature Typed or Printed Comments:
Form NTP-QA-3 1.8-I, Rev. 0, Page 1 of 2 2005 N R C Exam Rev 1  
 
REQUIRED TASK INFORMATION JOB PERFORMANCE MEASURE S/RO 45.0N.007.101  
\\
: 1.
SAFETY CONSIDERATIONS A. All Operations personnel are responsible for maintaining their radiation exposure As Low As Reasonably Achievable in accordance with OP-AD-002, Standards for Shift Operations.
B. All applicable safety precautions shall be taken in accordance with established PPL safety policies and the Safety Rule Book, for example:
: 1. Whenever any electrical panel is opened for inspection during JPM performance.
: 2. Whenever entering any plant area where specific safety equipment; such as hearing or eye protection, safety shoes, hardhats, etc; is required and/or posted as being necessary.
: 2. Whenever entering any plant area where specific safety equipment; such as hearing or eye protection, safety shoes, hardhats, etc; is required and/or posted as being necessary.
C. If in the judgment of the evaluator any safety issue occurs during the performance of a JPM, the JPM will be terminated until the issue is resolved.
C. If in the judgment of the evaluator any safety issue occurs during the performance of a JPM, the JPM will be terminated until the issue is resolved.
D. Peer checking is the expectation for all evolutions; however, since a JPM is an individual effort, no peer check will be provided and Self Checking is required.
D. Peer checking is the expectation for all evolutions; however, since a JPM is an individual effort, no peer check will be provided and Self Checking is required.
II. REFERENCES A. ON-145-004, RPV WATER LEVEL ANOMALY (Rev.
II. REFERENCES A. ON-145-004, RPV WATER LEVEL ANOMALY (Rev. 8)
: 8) B. Tech Specs 111. REACTIVITY M ANI PU LATl ON S This JPM satisfies the requirements of Operational Activity(s):
B. Tech Specs 111. REACTIVITY M ANI PU LATl ON S This JPM satisfies the requirements of Operational Activity(s):
None IV. TASK CONDITIONS A. Unit 1 is in MODE 1 at 100% reactor power. B. An anomaly exists with RPV water level instrument indication.
None IV. TASK CONDITIONS A. Unit 1 is in MODE 1 at 100% reactor power.
V. INITIATING CUE Use the appropriate procedure to address the anomaly. VI. TASK STANDARD Identifies instrument anomaly is due to Instrument Bus 1 1Y125 breaker 01 being tripped or de-energized, and re-energizes the instruments.
B. An anomaly exists with RPV water level instrument indication.
SROs additionally, identify the Required Tech Spec Actions.
V. INITIATING CUE Use the appropriate procedure to address the anomaly.
Form NTP-QA-31.8-1, Rev. 0, Page 2 of 2 2005 NRC. Exam Rev. 1 PERFORMANCE CHECKLIST Appl. To/JPM No.: 45.0N.007.101 I Page 3 of 9 Student Name: Step $1 2 3 Action EVALUATOR NOTE:
VI. TASK STANDARD Identifies instrument anomaly is due to Instrument Bus 1 1Y125 breaker 01 being tripped or de-energized, and re-energizes the instruments. SROs additionally, identify the Required Tech Spec Actions.
0 This JPM must be performed in the simulator. Establish task conditions as directed on attached setup instructions.
Form NTP-QA-31.8-1, Rev. 0, Page 2 of 2 2005 NRC. Exam Rev. 1  
0 When the candidate is ready to begin JPM, place the simulator to RUN. Reviews RPV water level instruments indications in the simulator to determine which indicators are affected. EVALUATOR NOTE: Candidate may reference ON-117-001, LOSS OF INSTRUMENT BUS instead of ON-145-004, RPV WATER LEVEL ANOMALY. As long as all critical steps are accomplished this would be acceptable.
 
However, it may be necessary to ask a follow-up question for the Tech Specs. Obtains a controlled copy of ON-145-004. Reviews Symptoms and Observations for applicability.
PERFORMANCE CHECKLIST Appl. To/JPM No.:
Standard Determines the following level indicators are reading zero: LI-14201 B1 on 1 C651 C601 C601 LI-14201 B on LI-142038 on Controlled copy obtained.
45.0N.007.101 I
Page 3 of 9 Student Name:
Step  
$1 2
3 Action EVALUATOR NOTE:
0 This JPM must be performed in the simulator.
Establish task conditions as directed on attached setup instructions.
0 When the candidate is ready to begin JPM, place the simulator to RUN.
Reviews RPV water level instruments indications in the simulator to determine which indicators are affected.
EVALUATOR NOTE:
Candidate may reference ON-117-001, LOSS OF INSTRUMENT BUS instead of ON-145-004, RPV WATER LEVEL ANOMALY. As long as all critical steps are accomplished this would be acceptable.
However, it may be necessary to ask a follow-up question for the Tech Specs.
Obtains a controlled copy of ON-145-004.
Reviews Symptoms and Observations for applicability.
Standard Determines the following level indicators are reading zero:
LI-14201 B1 on 1 C651 C601 C601 LI-14201 B on LI-142038 on Controlled copy obtained.
Ensures the Symptoms and Observations are applicable.
Ensures the Symptoms and Observations are applicable.
Comments *Critical Step #Critical Sequence Form NTP-QA-31 8-2, Rev 0. Pap I of I 2005 NRC Exam Rev.1 i PERFORMANCE CHECKLIST Appl. To/JPM No.: 45.0N.007.101 Step Action Records date and time of event. Selects the appropriate section and attachment.
Comments  
*Critical Step  
#Critical Sequence Form NTP-QA-31 8-2, Rev 0. P a p I of I 2005 NRC Exam Rev.1  
 
i PERFORMANCE CHECKLIST Appl. To/JPM No.:
45.0N.007.101 Step Action Records date and time of event.
Selects the appropriate section and attachment.
Perform following for level instrumentation malfunction:
Perform following for level instrumentation malfunction:
Refer to Attachment B checking following: Instruments with common reference leg condensing chambers or excess flow check valves. *Critical Step Form hTI-QA-31 8-2. Rev 0. Page I of I 2005 NRC Exam Rev 1 #Critical Sequence Page 4 of 9 Student Name: Standard Enter current date and time. Selects Section 3.5 and Attachment B. On Attachment 6 pages land 2 determines the following common reference leg condensing chambers and excess flow check valves are still indicating normal values and are NOT the source of the anomaly: LI-B21 1R605 LR-C32 1R608 LI-14201 A LI-14201A1  
Refer to Attachment B checking following:
Instruments with common reference leg condensing chambers or excess flow check valves.  
*Critical Step Form hTI-QA-31 8-2. Rev 0. Page I of I 2005 NRC Exam Rev 1  
#Critical Sequence Page 4 of 9 Student Name:
Standard Enter current date and time.
Selects Section 3.5 and Attachment B.
On Attachment 6 pages land 2 determines the following common reference leg condensing chambers and excess flow check valves are still indicating normal values and are NOT the source of the anomaly:
LI-B21 1R605 LR-C32 1R608 LI-14201 A LI-14201A1 LI-l4203A LI-B21 1R604 LI-C23 1 R606B LWPR 14201A Comments


LI-l4203A  
Appl. To/JPM No.:
45.0N.007.101 Step 7 -
PERFORMANCE CHECKLIST Page 5 of 9 Action Instruments and indications with common variable leg supplies or excess flow check valves.
EVALUATOR CUE:
If requested, inform candidate all instrumentation power is selected to its normal source.
*Critical Step Fonn NIT-QA-31.8-2. Rev. 0. Papc I of I 2005 NRC Exam Rev.1
#Critical Sequence Student Name:
Standard On Attachment B pages 1 and 2 determines the following common variable leg condensing chambers and excess flow check valves are still indicating normal values and are NOT the source of the anomaly:
LI-B21 1R605 LR-C32 1R608 LI-14201 A LI-14201 A1 LI-l4203A LI-621 1R604 LI-C23 1 R606B LWPR 14201A Eva1 Comments


LI-B21 1R604 LI-C23 1 R606B LWPR 14201A Comments 
j PERFORMANCE CHECKLIST Appl. To/JPM No.:
, Appl. To/JPM No.: 45.0N.007.101 Step 7 - PERFORMANCE CHECKLIST Page 5 of 9 Action Instruments and indications with common variable leg supplies or excess flow check valves. EVALUATOR CUE:
45.0N.007.101 Action Instruments with common power supplies.
If requested, inform candidate all instrumentation power is selected to its normal source. *Critical Step Fonn NIT-QA-31.8-2.
Automatic actions and alarms.
Rev. 0. Papc I of I 2005 NRC Exam Rev.1 #Critical Sequence Student Name:
IF level cannot be determined 2 +13" by at least two (2) independent indications, Enter EO 100 102, RPV Control.
Standard On Attachment B pages 1 and 2 determines the following common variable leg condensing chambers and excess flow check valves are still indicating normal values and are NOT the source of the anomaly: LI-B21 1R605 LR-C32 1R608
Comply with TS 3.3.1.1, 3.3.2.2, 3.3.6.1, 3.3.6.2, 3.3.5.1, 3.3.4.2 and 3.3.5.2.
EVALUATOR CUE:
If necessary, Role-play Unit Supervisor and acknowledge the request.
Page 6 of 9 Student Name:
Standard 8-Determines the following indicators a common power supply:
LI-14201 B1 on 1 C651 LI-14201 B on 1 C601 LI-142038 on 1 C601 Identifies a loss of 1 Y125 breaker 01 as the common mode failure.
NONE Determines this is N/A since other level indications are available.
Recognizes the need to Comply with TS 3.3.1.1, 3.3.2.2, 3.3.6.1, 3.3.6.2, 3.3.5.1, 3.3.4.2 and 3.3.5.2.
Comments
*Critical Step  
#Critical Sequence Form NIP-QA-31 8-2. Rev. 0. Page I of I 2005 NAC Exam Rev.1  


LI-14201 A LI-14201 A1 LI-l4203A
PERFORMANCE CHECKLIST Appl. To/JPM No.:
45.0N.007.101 Step 12 13
*14 Action IF applicable, Restore power supplies for failed instrumentation.
EVALUATOR CUE:
Role-play NPO and repoi. 1Y125 breaker 01 is tripped.
Informs Unit Supervisor that 1Y125 breaker 01 is tripped.
EVALUATOR CUE:
Role-play Unit Supervisor and acknowledge the report And Instruct candidate to attempt one closure of 1 Y125 breaker 01 is tripped.
Contact NPO and instruct NPO to close 1Y125 breaker 01.
BOOTH OPERATOR CUE:
Remove malfunction on 1Y125 breaker 01.
MRF DB117271 CLOSE I
Page 7 of 9 Student Name:
Standard Contacts NPO to check status of 1Y125 breaker 01 Informs Unit Supervisor that 1 Y125 breaker 01 is tripped.
Contacts NPO and instructs NPO to close 1 Y125 breaker 01.
~
Comments
*Critical Step
#Critical Sequence hmnhTPQA-31 8-2. Rev. 0. Pqc I of I 2005 NRC Exam Rev 1


LI-621 1R604 LI-C23 1 R606B LWPR 14201A Eva1 Comments j PERFORMANCE CHECKLIST Appl. To/JPM No.: 45.0N.007.101 Action Instruments with common power supplies.
Appl. To/JPM No.:
Automatic actions and alarms.
45.0N.007.101 PERFORMANCE CHECKLIST Page 8 of 9 Action EVALUATOR CUE:
IF level cannot be determined 2 +13" by at least two (2) independent indications, Enter EO 100 102, RPV Control. Comply with TS 3.3.1.1, 3.3.2.2, 3.3.6.1, 3.3.6.2, 3.3.5.1, 3.3.4.2 and 3.3.5.2. EVALUATOR CUE:
Role-play NPO and report 1Y125 breaker 01 is CLOSED.
If necessary, Role-play Unit Supervisor and acknowledge the request. Page 6 of 9 Student Name: Standard 8- Determines the following indicators a common power supply: LI-14201 B1 on 1 C651 LI-14201 B on 1 C601 LI-142038 on 1 C601 Identifies a loss of 1 Y125 breaker 01 as the common mode failure. NONE Determines this is N/A since other level indications are available.
Verifies level instruments are reading NORMAL EVALUATOR CUE:
Recognizes the need to Comply with TS 3.3.1.1, 3.3.2.2, 3.3.6.1, 3.3.6.2, 3.3.5.1, 3.3.4.2 and 3.3.5.2. Comments *Critical Step #Critical Sequence Form NIP-QA-31 8-2. Rev. 0. Page I of I 2005 NAC Exam Rev.1 PERFORMANCE CHECKLIST Appl. To/JPM No.: 45.0N.007.101 Step 12 13 *14 Action IF applicable, Restore power supplies for failed instrumentation.
This completes the JPM for the RO ONLY EVALUATOR CUE:
EVALUATOR CUE: Role-play NPO and repoi. 1Y125 breaker 01 is tripped. Informs Unit Supervisor that 1Y125 breaker 01 is tripped. EVALUATOR CUE: Role-play Unit Supervisor and acknowledge the report And Instruct candidate to attempt one closure of 1 Y125 breaker 01 is tripped. Contact NPO and instruct NPO to close 1Y125 breaker 01. BOOTH OPERATOR CUE:
FOR SRO CANDIDATES ONLY Give the SRO candidate the second cue sheet that addresses the Tech Spec required actions for the failed level transmitters.
Remove malfunction on 1Y125 breaker 01.
Obtains a copy of the Tech Specs Student Name:
MRF DB117271 CLOSE I Page 7 of 9 Student Name: Standard Contacts NPO to check status of 1Y125 breaker 01 Informs Unit Supervisor that 1 Y125 breaker 01 is tripped. Contacts NPO and instructs NPO to close 1 Y125 breaker 01. ~ Comments *Critical Step #Critical Sequence hmnhTPQA-31 8-2. Rev. 0. Pqc I of I 2005 NRC Exam Rev 1 Appl. To/JPM No.: 45.0N.007.101 PERFORMANCE CHECKLIST Page 8 of 9 Action EVALUATOR CUE:
Standard Verifies the following indicators are now reading normal:
Role-play NPO and report 1Y125 breaker 01 is CLOSED. Verifies level instruments are reading NORMAL EVALUATOR CUE:
LI-14201 B1 on 1 C65 LI-14201 B on 1 C601 LI-142038 on 1 C601  
This completes the JPM for the RO ONLY EVALUATOR CUE: FOR SRO CANDIDATES ONLY Give the SRO candidate the second cue sheet that addresses the Tech Spec required actions for the failed level transmitters. Obtains a copy of the Tech Specs Student Name: Standard Verifies the following indicators are now reading normal: LI-14201 B1 on 1 C65 LI-14201 B on 1 C601 LI-142038 on 1 C601  


==References:==
==References:==
Tech Spec 3.3.3.1 Comments
*Critical Step
#Critical Sequence Form NTP-QA-31.8-2. Rev 0. Pqr 1 uf 1 2005 NRC Exam Rev.1
PERFORMANCE CHECKLIST Appl. To/JPM No.:
45.0N.007.101 Step
+ I 7 Action Determines required actions EVALUATOR CUE:
This completes the JPM.
Page 9 of 9 Student Name:
Standard Determines the following action is required:
Within 30 days restore required channel to operable status.
Eva1 Comments
*Critical Step
#Critical Sequence Form NTF-QA 31.8-2, Rev 0. Pqc I of 1 2005 NRC Exam Rev.1
SRO ONLY TASK CONDITIONS A. Unit 1 is in MODE 1 at 100% reactor power.
: 8. An anomaly exists with RPV water level instrument indication.
C. It has been determined that extended range level transmitter LT-142038 has lost power.
INITIATING CUE Determine the required Tech Spec actions.
2005 NRC. Exam Rev. 1 Page 1 of 4
SRO ONLY TASK CONDITIONS A. Unit 1 is in MODE 1 at 100% reactor power.
B. An anomaly exists with RPV water level instrument indication.
C. It has been determined that extended range level transmitter LT-142038 has lost power.
INITIATING CUE Determine the required Tech Spec actions.
2005 NRC. Exam Rev. 1 Page 2 of 4
TASK CONDITIONS A. Unit 1 is in MODE 1 at 100% reactor power.
B. An anomaly exists in RPV water level instrument indication.
INITIATING CUE Use the appropriate procedure to address the anomaly.
2005 NRC. Exam Rev. 1 Page 3 of 4


Tech Spec 3.3.3.1 Comments *Critical Step #Critical Sequence Form NTP-QA-31.8-2.
TASK CONDITIONS A. Unit 1 is in MODE 1 at 100% reactor power.
Rev 0. Pqr 1 uf 1 2005 NRC Exam Rev.1 PERFORMANCE CHECKLIST Appl. To/JPM No.: 45.0N.007.101 Step +I7 Action Determines required actions EVALUATOR CUE:
B. An anomaly exists in RPV water level instrument indication.
This completes the JPM. - Page 9 of 9 Student Name: Standard Determines the following action is required:
Within 30 days restore required channel to operable status. Eva1 Comments *Critical Step #Critical Sequence Form NTF-QA 31.8-2, Rev 0. Pqc I of 1 2005 NRC Exam Rev.1 SRO ONLY TASK CONDITIONS A. Unit 1 is in MODE 1 at 100% reactor power. 8. An anomaly exists with RPV water level instrument indication.
C. It has been determined that extended range level transmitter LT-142038 has lost power. INITIATING CUE Determine the required Tech Spec actions. 2005 NRC. Exam Rev. 1 Page 1 of 4 SRO ONLY TASK CONDITIONS A. Unit 1 is in MODE 1 at 100% reactor power. B. An anomaly exists with RPV water level instrument indication.
C. It has been determined that extended range level transmitter LT-142038 has lost power. INITIATING CUE Determine the required Tech Spec actions.
2005 NRC. Exam Rev. 1 Page 2 of 4 TASK CONDITIONS A. Unit 1 is in MODE 1 at 100% reactor power. B. An anomaly exists in RPV water level instrument indication.
INITIATING CUE Use the appropriate procedure to address the anomaly.
INITIATING CUE Use the appropriate procedure to address the anomaly.
2005 NRC. Exam Rev. 1 Page 3 of 4 TASK CONDITIONS A. Unit 1 is in MODE 1 at 100% reactor power. B. An anomaly exists in RPV water level instrument indication.
2005 NRC. Exam Rev. 1 Page 4 of 4  
INITIATING CUE Use the appropriate procedure to address the anomaly. 2005 NRC. Exam Rev. 1 Page 4 of 4 PPL SUSQUEHANNA, LLC JOB PERFORMANCE MEASURE APPROVAL AND ADMINISTRATIVE DATA SHEET N/A 2.6/3.8 APPl. JPM Number Rev.
 
No. Date NUREG 1123 WA No. WA Imp. To Sys. No. S/RO 00.AD.269.101 0 09/26/05 2.2.24 Task Title: Determine Trip Inputs to Zone 3 Is0 Signals Lockout Relay XY07553A Using Controlled Electrical Prints Completed By: Rich Chin Writer Approval: Nuclear Trng.
PPL SUSQUEHANNA, LLC JOB PERFORMANCE MEASURE APPROVAL AND ADMINISTRATIVE DATA SHEET N/A 2.6/3.8 APPl.
Supv. Date of Performance:
JPM Number Rev. No.
JPM Performed By: Validated 09/26/05 Date InstructorNVriter Date Date 20/30 Validation Time (Min.) Time Taken (Min.) Student Name:
Date NUREG 1123 WA No.
Last First M.I. Employee # / S.S. # Performance ( ) Satisfactory ( ) Unsatisfactory Evaluation: Evaluator Name: Signature Typed or Printed Comments:
WA Imp.
Form NTP-QA-31.8-1, Rev. 0, Page I of 2 2005 NRC Exam Rev. 1
To Sys. No.
.- REQUIRED TASK INFORMATION JOB PERFORMANCE MEASURE S/RO 00.AD.269.101  
S/RO 00.AD.269.101 0
\ 1. SAFETY CONSIDERATIONS A. All Operations personnel are responsible for maintaining their radiation exposure As Low As Reasonably Achievable in accordance with OP-AD-002, Standards for Shift Operations.
09/26/05 2.2.24 Task
B. All applicable safety precautions shall be taken in accordance with established PPL safety policies and the Safety Rule Book, for example: 1. Whenever any electrical panel is opened for inspection during JPM performance.
 
==Title:==
Determine Trip Inputs to Zone 3 Is0 Signals Lockout Relay XY07553A Using Controlled Electrical Prints Completed By:
Rich Chin Writer Approval:
Nuclear Trng. Supv.
Date of Performance:
JPM Performed By:
Validated 09/26/05 Date InstructorNVriter Date Date 20/30 Validation Time (Min.)
Time Taken (Min.)
Student Name:
Last First M.I.
Employee # / S.S. #
Performance
(  
)
Satisfactory
(  
)
Unsatisfactory Evaluation:
Evaluator Name:
Signature Typed or Printed Comments:
Form NTP-QA-31.8-1, Rev. 0, Page I of 2 2005 NRC Exam Rev. 1  
 
REQUIRED TASK INFORMATION JOB PERFORMANCE MEASURE S/RO 00.AD.269.101  
\\
: 1.
SAFETY CONSIDERATIONS A. All Operations personnel are responsible for maintaining their radiation exposure As Low As Reasonably Achievable in accordance with OP-AD-002, Standards for Shift Operations.
B. All applicable safety precautions shall be taken in accordance with established PPL safety policies and the Safety Rule Book, for example:
: 1. Whenever any electrical panel is opened for inspection during JPM performance.
: 2. Whenever entering any plant area where specific safety equipment; such as hearing or eye protection, safety shoes, hardhats, etc; is required and/or posted as being necessary.
: 2. Whenever entering any plant area where specific safety equipment; such as hearing or eye protection, safety shoes, hardhats, etc; is required and/or posted as being necessary.
C. If in the judgment of the evaluator any safety issue occurs during the performance of a JPM, the JPM will be terminated until the issue is resolved.
C. If in the judgment of the evaluator any safety issue occurs during the performance of a JPM, the JPM will be terminated until the issue is resolved.
D. Peer checking is the expectation for all evolutions; however, since a JPM is an individual effort, no peer check will be provided and Self Checking is required.
D. Peer checking is the expectation for all evolutions; however, since a JPM is an individual effort, no peer check will be provided and Self Checking is required.
II. REFERENCES A. E 201 sheet 1 (Rev. 27) B. E 184 sheet 1 (Rev. 19) C. E 184 sheet 3 (Rev. 17) I I I. REACTIVITY MAN I PU LATIONS This JPM satisfies the requirements of Operational Activity(s):
II. REFERENCES A. E 201 sheet 1 (Rev. 27)
None IV. TASK CONDITIONS A. Electrical maintenance is preparing to replace the Zone 3 Is0 Signals Lockout Relay XY07553A on panel OC681. V. INITIATING CUE Your supervisor asks you to use the controlled electrical prints to identify all of the trip input signals to this relay, and report your results to back to your supervisor.
B. E 184 sheet 1 (Rev. 19)
VI. TASK STANDARD All of the trip input signals to Zone 3 Is0 Signals Lockout Relay XY07553A are identified.
C. E 184 sheet 3 (Rev. 17)
SROs must additionally identify the required Tech Spec actions for an inoperable input.
I I I. REACTIVITY MAN I PU LATIONS This JPM satisfies the requirements of Operational Activity(s):
Form NTP-QA-31.8-1, Rev. 0, Page 2 of 2 2005 NRC Exam Rev. I Appl. To/JPM No.: S/RO 00.AD.269.101 Step 1. 2. I PERFORMANCE CHECKLIST Page 3 of 7 Action EVALUATOR NOTE Candidate may use any number of different mediums to obtain the controlled copy of the electrical drawings.
None IV. TASK CONDITIONS A. Electrical maintenance is preparing to replace the Zone 3 Is0 Signals Lockout Relay XY07553A on panel OC681.
These would all be acceptable. Candidate obtains the controlled copy of the electrical print. Locates relay XY07553A on print E 201 sheet 1. EVALUATOR NOTE The following steps 3 - 9 may be done in any order. Candidate may also elect not to report result back to supervisor until they have completed the task. This JPM is written with a report back after each determination as a convenience to the evaluator. Student Name:
V. INITIATING CUE Your supervisor asks you to use the controlled electrical prints to identify all of the trip input signals to this relay, and report your results to back to your supervisor.
Standard References the electrical print index, OR the operating manuals and determine the appropriate print is E 201 sheet 1. Locates relay XY07553A at grid location C6. Eva1 - Comments *Critical Step #Critical Sequence Form NTP-QA-3 I .8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. I Appl. To/JPM No.: S/RO 00.AD.269.101 Step *3 t4 PERFORMANCE CHECKLIST Page 4 of 7 Action Candidate determines Unit 1 High radiation inputs a trip signal to relay XY07553A.
VI. TASK STANDARD All of the trip input signals to Zone 3 Is0 Signals Lockout Relay XY07553A are identified. SROs must additionally identify the required Tech Spec actions for an inoperable input.
Form NTP-QA-31.8-1, Rev. 0, Page 2 of 2 2005 NRC Exam Rev. I  
 
Appl. To/JPM No.: S/RO 00.AD.269.101 Step
: 1.
: 2.
I PERFORMANCE CHECKLIST Page 3 of 7 Action EVALUATOR NOTE Candidate may use any number of different mediums to obtain the controlled copy of the electrical drawings.
These would all be acceptable.
Candidate obtains the controlled copy of the electrical print.
Locates relay XY07553A on print E 201 sheet 1.
EVALUATOR NOTE The following steps 3 - 9 may be done in any order.
Candidate may also elect not to report result back to supervisor until they have completed the task. This JPM is written with a report back after each determination as a convenience to the evaluator.
Student Name:
Standard References the electrical print index, OR the operating manuals and determine the appropriate print is E 201 sheet 1.
Locates relay XY07553A at grid location C6.
Eva1 Comments  
*Critical Step  
#Critical Sequence Form NTP-QA-3 I.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. I  
 
Appl. To/JPM No.: S/RO 00.AD.269.101 Step  
*3 t 4 PERFORMANCE CHECKLIST Page 4 of 7 Action Candidate determines Unit 1 High radiation inputs a trip signal to relay XY07553A.
Candidate determines Unit 2 High radiation inputs a trip signal to relay XY07553A.
Candidate determines Unit 2 High radiation inputs a trip signal to relay XY07553A.
Student Name: Standard Determines that High radiation from the following Unit 1 locations will input a trip signal into relay XY07553A [Grid location B7] Refuel floor exhaust 0 Refuel floor wall exhaust 0 Railroad access shaft exhaust AND Reports this to the supervisor Determines that High radiation from the following Unit 2 locations will input a trip signal into relay XY07553A [Grid location B8]
Student Name:
0 Refuel floor exhaust 0 Refuel floor wall exhaust AND Reports this to the supervisor Eva1 = Comments *Critical Step #Critical Sequence Form NTP-QA-3 1.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. I Appl. To/JPM No.: S/RO 00.AD.269.101 Step 5 6 wc7 8 PERFORMANCE CHECKLIST  
Standard Determines that High radiation from the following Unit 1 locations will input a trip signal into relay XY07553A [Grid location B7]
~ Action Determines the need to transition to another electrical drawing. Candidate obtains the controlled copy of the electrical print E 184 sheet 1. Candidate determines Unit 1 Div 1 LOCA isolation signal inputs a trip signal to relay XY07553A.
Refuel floor exhaust 0 Refuel floor wall exhaust 0 Railroad access shaft exhaust AND Reports this to the supervisor Determines that High radiation from the following Unit 2 locations will input a trip signal into relay XY07553A [Grid location B8]
Candidate obtains the controlled copy of the electrical print E 184 sheet 3. Student Name: Standard Determines the other 2 inputs to trip relay XY07553A are on drawings 184 sheet 1 and 3 by observing the notes Obtains the controlled copy of the electrical print E 184 sheet 1. Determines Unit 1 Div 1 LOCA isolation signal inputs a trip signal to relay XY07553A and this signal is generated by
0 Refuel floor exhaust 0 Refuel floor wall exhaust AND Reports this to the supervisor Eva1  
: 0 Manual isolation Lo-Lo water reactor level 0 Hi drywell pressure Switch in "TEST" mode (trip2) AND Reports this to the supervisor Obtains the controlled copy of the electrical print E 184 sheet 3. ( Page 5 of 7 Comments *Critical Step #Critical Sequence Form NTP-QA-3 1.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1 Appl. To/JPM No.: S/RO 00.AD.269.101 Step U9 10 I PERFORMANCE CHECKLIST Page 6 of 7 Action Candidate determines Unit 2 Div 1 LOCA isolation signal inputs a trip signal to relay XY07553A.
=
Candidate determines there are no more inputs to relay XY07553A EVALUATOR CUE: This completes the JPM for the ROs ONLY Student Name: Standard Determines Unit 2 Div 1 LOCA isolation signal inputs a trip signal to relay XY07553A and this signal is generated by : Manual isolation RPV low level (trip 2) 0 Hi drywell pressure 0 Switch in "TEST" mode AND Reports this to the supervisor Determines there are no more inputs to relay XY07553A, and reports this to the supervisor.
Comments  
Comments *Critical Step #Critical Sequence Form NTP-QA-3 1.8-2, Rev. 0, Page 1 of I 2005 NRC Exam Rev. 1 Appl. To/JPM No.: S/RO 00.AD.269.101 PERFORMANCE CHECKLIST Page 7 of 7 Action EVALUATOR CUE:
*Critical Step  
FOR SRO CANDIDATES ONLY Give the SRO candidate the second cue sheet that addresses the Tech Spec LCO for the INOPERABLE relay. Obtains a copy of the Tech Specs Determines required actions for Tech Spec 3.3.6.2 EVALUATOR CUE:
#Critical Sequence Form NTP-QA-3 1.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. I  
This completes the JPM Student Name: Standard References Tech Spec 3.3.6.2 Determines the following actions will be required:
 
Within 24 hours place the following channel in TRIP: Unit 1 Refuel floor high exhaust duct radiation-high Eva1 ~ Comments *Critical Step #Critical Sequence Form NTP-QA-3 1.8-2. Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1 SRO ONLY TASK CONDITIONS Unit 1 is in Mode 1 Unit 2 is in Mode 4 with: NO Core alterations taking place and NO Irradiated fuel movements taking place and NO activities with the potential for draining the reactor vessel taking place. A. Electrical maintenance has determined the Unit 1 Refuel Floor High Exhaust Duct Radiation Monitor is INOPERABLE.
Appl. To/JPM No.: S/RO 00.AD.269.101 Step 5
6 wc7 8
PERFORMANCE CHECKLIST  
~
Action Determines the need to transition to another electrical drawing.
Candidate obtains the controlled copy of the electrical print E 184 sheet 1.
Candidate determines Unit 1 Div 1 LOCA isolation signal inputs a trip signal to relay XY07553A.
Candidate obtains the controlled copy of the electrical print E 184 sheet 3.
Student Name:
Standard Determines the other 2 inputs to trip relay XY07553A are on drawings 184 sheet 1 and 3 by observing the notes Obtains the controlled copy of the electrical print E 184 sheet 1.
Determines Unit 1 Div 1 LOCA isolation signal inputs a trip signal to relay XY07553A and this signal is generated by :
0 Manual isolation Lo-Lo water reactor level 0
Hi drywell pressure Switch in TEST mode (trip2)
AND Reports this to the supervisor Obtains the controlled copy of the electrical print E 184 sheet 3.
(
Page 5 of 7 Comments  
*Critical Step  
#Critical Sequence Form NTP-QA-3 1.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1  
 
Appl. To/JPM No.: S/RO 00.AD.269.101 Step U9 10 I
PERFORMANCE CHECKLIST Page 6 of 7 Action Candidate determines Unit 2 Div 1 LOCA isolation signal inputs a trip signal to relay XY07553A.
Candidate determines there are no more inputs to relay XY07553A EVALUATOR CUE:
This completes the JPM for the ROs ONLY Student Name:
Standard Determines Unit 2 Div 1 LOCA isolation signal inputs a trip signal to relay XY07553A and this signal is generated by :
Manual isolation RPV low level (trip 2) 0 Hi drywell pressure 0
Switch in TEST mode AND Reports this to the supervisor Determines there are no more inputs to relay XY07553A, and reports this to the supervisor.
Comments  
*Critical Step  
#Critical Sequence Form NTP-QA-3 1.8-2, Rev. 0, Page 1 of I 2005 NRC Exam Rev. 1  
 
Appl. To/JPM No.: S/RO 00.AD.269.101 PERFORMANCE CHECKLIST Page 7 of 7 Action EVALUATOR CUE:
FOR SRO CANDIDATES ONLY Give the SRO candidate the second cue sheet that addresses the Tech Spec LCO for the INOPERABLE relay.
Obtains a copy of the Tech Specs Determines required actions for Tech Spec 3.3.6.2 EVALUATOR CUE:
This completes the JPM Student Name:
Standard References Tech Spec 3.3.6.2 Determines the following actions will be required:
Within 24 hours place the following channel in TRIP:
Unit 1 Refuel floor high exhaust duct radiation-high Eva1  
~
Comments  
*Critical Step  
#Critical Sequence Form NTP-QA-3 1.8-2. Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1  
 
SRO ONLY TASK CONDITIONS Unit 1 is in Mode 1 Unit 2 is in Mode 4 with:
NO Core alterations taking place and NO Irradiated fuel movements taking place and NO activities with the potential for draining the reactor vessel taking place.
A.
Electrical maintenance has determined the Unit 1 Refuel Floor High Exhaust Duct Radiation Monitor is INOPERABLE.
INITIATING CUE What Technical Specifications action(s), including time limits, idare required as a result of this determination?
INITIATING CUE What Technical Specifications action(s), including time limits, idare required as a result of this determination?
Page 1 of 4 2005 NRC Exam Rev. 1 SRO ONLY TASK CONDITIONS Unit 1 is in Mode 1 Unit 2 is in Mode 4 with: NO Core alterations taking place and NO Irradiated fuel movements taking place and NO activities with the potential for draining the reactor vessel taking place. A. Electrical maintenance has determined the Unit 1 Refuel Floor High Exhaust Duct Radiation Monitor is INOPERABLE.
Page 1 of 4 2005 NRC Exam Rev. 1  
 
SRO ONLY TASK CONDITIONS Unit 1 is in Mode 1 Unit 2 is in Mode 4 with:
NO Core alterations taking place and NO Irradiated fuel movements taking place and NO activities with the potential for draining the reactor vessel taking place.
A.
Electrical maintenance has determined the Unit 1 Refuel Floor High Exhaust Duct Radiation Monitor is INOPERABLE.
INITIATING CUE What Technical Specifications action(s), including time limits, idare required as a result of this determination?
INITIATING CUE What Technical Specifications action(s), including time limits, idare required as a result of this determination?
2005 NRC Exam Rev. I Page 2 of 4 TASK CONDITIONS - A. Electrical maintenance is preparing to replace the Zone 3 Is0 Signals Lockout Relay XY07553A on panel OC681. INITIATING CUE Your supervisor asks you to use the controlled electrical prints to identify all of the trip input signals to this relay, and report your results to back to your supervisor.
2005 NRC Exam Rev. I Page 2 of 4  
2005 NRC Exam Rev. 1 Page 3 of 4 TASK CONDITIONS A. Electrical maintenance is preparing to replace the Zone 3 Is0 Signals Lockout Relay XY07553A on panel OC681. INITIATING CUE Your supervisor asks you to use the controlled electrical prints to identify all of the trip input signals to this relay, and report your results to back to your supervisor.
 
2005 NRC Exam Rev. 1 Page 4 of 4 PPL SUSQUEHANNA, LLC JOB PERFORMANCE MEASURE APPROVAL AND ADMINISTRATIVE DATA SHEET SRO 69.0P.044.051 1 9/27/05 2.3.6 N/A 3.1 Appl. JPM Number Rev. Date NUREG 1123 WA No. WA Imp. To No. Sys. No. Task Title:
TASK CONDITIONS A. Electrical maintenance is preparing to replace the Zone 3 Is0 Signals Lockout Relay XY07553A on panel OC681.
Completed By: Validated:
INITIATING CUE Your supervisor asks you to use the controlled electrical prints to identify all of the trip input signals to this relay, and report your results to back to your supervisor.
Review and Approve A Radioactive Liquid Release Permit Rich Chin 9/27/05 Writer Date InstructorNVriter Date Approval : Nuclear Trng. Supv. Date Date of Performance:
2005 NRC Exam Rev. 1 Page 3 of 4  
15 Validation Time (Min.) Time Taken (Min.) JPM Performed By: Student Name: Last First M.I. Employee ## / S.S. ## Performance Evaluation: ( ) Satisfactory ( ) Unsatisfactory Evaluator Name: Signature Typed or Printed Comments:
 
Form NTP-QA-31.8-1, Rev.
TASK CONDITIONS A. Electrical maintenance is preparing to replace the Zone 3 Is0 Signals Lockout Relay XY07553A on panel OC681.
0, Page 1 of 2 2005 NRC Exam Rev. 1 REQUIRED TASK INFORMATION JOB PERFORMANCE MEASURE SRO 69.0P.044.051
INITIATING CUE Your supervisor asks you to use the controlled electrical prints to identify all of the trip input signals to this relay, and report your results to back to your supervisor.
: 1. SAFETY CONSIDERATIONS A. All Operations personnel are responsible for maintaining their radiation exposure As Low As Reasonably Achievable in accordance with OP-AD-002, Standards for Shift Operations.
2005 NRC Exam Rev. 1 Page 4 of 4  
B. All applicable safety precautions shall be taken in accordance with established PPL safety policies and the Safety Rule Book, for example: 1. 2. Whenever any electrical panel is opened for inspection during JPM performance. Whenever entering any plant area where specific safety equipment; such as hearing or eye protection, safety shoes, hardhats, etc; is required and/or posted as being necessary.
 
PPL SUSQUEHANNA, LLC JOB PERFORMANCE MEASURE APPROVAL AND ADMINISTRATIVE DATA SHEET SRO 69.0P.044.051 1
9/27/05 2.3.6 N/A 3.1 Appl.
JPM Number Rev.
Date NUREG 1123 WA No.
WA Imp.
To No.
Sys. No.
Task
 
==Title:==
Completed By:
Validated:
Review and Approve A Radioactive Liquid Release Permit Rich Chin 9/27/05 Writer Date InstructorNVriter Date Approval :
Nuclear Trng. Supv.
Date Date of Performance:
15 Validation Time (Min.)
Time Taken (Min.)
JPM Performed By:
Student Name:
Last First M.I.
Employee ## / S.S. ##
Performance Evaluation:
(  
) Satisfactory
(  
) Unsatisfactory Evaluator Name:
Signature Typed or Printed Comments:
Form NTP-QA-31.8-1, Rev. 0, Page 1 of 2 2005 NRC Exam Rev. 1  
 
REQUIRED TASK INFORMATION JOB PERFORMANCE MEASURE SRO 69.0P.044.051
: 1.
SAFETY CONSIDERATIONS A. All Operations personnel are responsible for maintaining their radiation exposure As Low As Reasonably Achievable in accordance with OP-AD-002, Standards for Shift Operations.
B. All applicable safety precautions shall be taken in accordance with established PPL safety policies and the Safety Rule Book, for example:
: 1.
: 2.
Whenever any electrical panel is opened for inspection during JPM performance.
Whenever entering any plant area where specific safety equipment; such as hearing or eye protection, safety shoes, hardhats, etc; is required and/or posted as being necessary.
C. If in the judgment of the evaluator any safety issue occurs during the performance of a JPM, the JPN will be terminated until the issue is resolved.
C. If in the judgment of the evaluator any safety issue occurs during the performance of a JPM, the JPN will be terminated until the issue is resolved.
D. Peer checking is the expectation for all evolutions; however, since a JPM is an individual effort, no peer check will be provided and Self Checking is required.
D. Peer checking is the expectation for all evolutions; however, since a JPM is an individual effort, no peer check will be provided and Self Checking is required.
II. REFERENCES OP-069-050, Release of Liquid Radioactive Waste (Revision 31 ) I 11. R EACTlVlTY MAN I PU LATIONS This JPM satisfies the requirements of Operational Activity(s):
II. REFERENCES OP-069-050, Release of Liquid Radioactive Waste (Revision 31 )
NONE IV. TASK CONDITIONS V. VI I A. Both Units are at 100% power, all systems in normal alignment.
I 11. R EACTlVlTY MAN I PU LATIONS This JPM satisfies the requirements of Operational Activity(s):
B. Total Site Blowdown Flow Transmitter FIT-01596 is out of service. C. A Radioactive Liquid Release Permit is being prepared for Laundry Drain Sample Tank OT- 31 2. D. OP-069-050, Release of Liquid Radioactive Waste Attachment A "Laundry Drain Sample Tank OT-312 Radioactive Liquid Release Permit" has been completed through step 2.1.7 E. Background reading for LIQUID RADWASTE RADIATION MONITOR [RITS-064331 is 3.1 OE3 CPM INITIATING CUE Verify completeness and accuracy of the permit and Independently verify Liquid Radwaste radiation monitor setup IAW OP-069-050, Release of Liquid Radioactive Waste Attachment A "Laundry Drain Sample Tank OT-312 Radioactive Liquid Release Permit" step 2.1.8 and sign the appropriate block on the form.
NONE IV. TASK CONDITIONS V.
VI I A. Both Units are at 100% power, all systems in normal alignment.
B. Total Site Blowdown Flow Transmitter FIT-01596 is out of service.
C. A Radioactive Liquid Release Permit is being prepared for Laundry Drain Sample Tank OT-31 2.
D. OP-069-050, Release of Liquid Radioactive Waste Attachment A Laundry Drain Sample Tank OT-312 Radioactive Liquid Release Permit has been completed through step 2.1.7 E. Background reading for LIQUID RADWASTE RADIATION MONITOR [RITS-064331 is 3.1 OE3 CPM INITIATING CUE Verify completeness and accuracy of the permit and Independently verify Liquid Radwaste radiation monitor setup IAW OP-069-050, Release of Liquid Radioactive Waste Attachment A Laundry Drain Sample Tank OT-312 Radioactive Liquid Release Permit step 2.1.8 and sign the appropriate block on the form.
TASK STANDARD Identifies INCORRECT settings for Actual High Rad setpoint and Actual Alert Rad setpoint.
TASK STANDARD Identifies INCORRECT settings for Actual High Rad setpoint and Actual Alert Rad setpoint.
Form NTP-QA-31.8-1, Rev. 0. Page 2 of 2 2005 NRC Exam Rev. 1 1 Appl. To/JPM No.: 69.0P.044.051 Step 1 - PERFORMANCE CHECKLIST Action - EVALUATOR NOTE: Provide the candidate with a filled out copy of OP- 069-050, Release of Liquid Radioactive Waste Attachment A "Laundry Drain Sample Tank OT- 31 2 Radioactive Liquid Release Permit" completed through step 2.1.8. Insure High Rad setpoint calculation (in step 2.1.6.n) AND ACTUAL High Rad setpoint (in step 2.1.7 Position 0) are filled out with the MATH errors specified in steps 3 and 4 of this JPM. Student may use OP-069-050, Release of Liquid Radioactive Waste for guidance, however no marks should be made on that copy. Provide the candidate with a filled out OP-069-050, Release of Liquid Radioactive Waste Attachment F. Provide the candidate with a blank OP-069-050, Release of Liquid Radioactive Waste Attachment G. Provide the candidate with a filled out OP-069- 050, Release of Liquid Radioactive Waste Attachment H. A complete Release permit for Laundry Drain Sample Tank OT-312 will consist of Attachments A, F, GI and H. Obtain a controlled copy of OP-069-050, Release of Liquid Radioactive Waste Student Name: Standard Controlled copy obtained.
Form NTP-QA-31.8-1, Rev. 0. Page 2 of 2 2005 NRC Exam Rev. 1  
Eva1 Page 3 of 6 Comments *Critical Step #Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1 I Appl. To/JPM No.: 69.0P.044.051 Step 2 i PERFORMANCE CHECKLIST Action Selects the correct section to perform. EVALUATOR NOTE:
 
Due to the nature of this JPM, the candidate may elect to perform the calculations FIRST before proceeding to Radwaste to Verify the proper setpoints. This is acceptable. EVALUATOR NOTE:
1 Appl. To/JPM No.: 69.0P.044.051 Step 1 -
If candidate indicates t, ,at he/she would proceed to Radwaste to Verify the proper setpoints, provide the candidate with the necessary cues from the attached OP-069-050, Release of Liquid Radioactive Waste Attachment A "Laundry Drain Sample Tank OT-312 Radioactive Liquid Release Permit" for items 2.1 5.9, 2.1.6.f, 2.1.6.k, 2.1.6.1 *Critical Step #Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1 Student Name: Standard Selects section step 2.1.8 which requires review of previously completed steps 2.1.5.g through 2.1.7 of OP-069- 050, Release of Liquid Radioactive Waste Attachment A "Laundry Drain Sample Tank OT-312 Radioactive Liquid Release Permit" i Page 4 of 6 Comments Appl. To/JPM No.: 69.0P.044.051 Step *3 454 455 PERFORMANCE CHECKLIST Action Verifies High Rad setpoint Verifies Alert Rad setpoint Verifies Liquid Radwaste Radiation h,dnitor Setpoint inputs for Function Switch position 0 *Critical Step #Critical Sequence Form NTP-QA-31.8-2, Rev. 0. Page 1 of 1 2005 NRC Exam Rev. 1 Student Name: Standard Performs the following calculation:
PERFORMANCE CHECKLIST Action EVALUATOR NOTE:
7.OE4 + 3.1 E3 = 7.31 E4 and compares this to the number in block 2.1.6.n (1.1 E5) AND Determines there is a math error Performs the following calculation:
Provide the candidate with a filled out copy of OP-069-050, Release of Liquid Radioactive Waste Attachment A Laundry Drain Sample Tank OT-31 2 Radioactive Liquid Release Permit completed through step 2.1.8. Insure High Rad setpoint calculation (in step 2.1.6.n) AND ACTUAL High Rad setpoint (in step 2.1.7 Position 0) are filled out with the MATH errors specified in steps 3 and 4 of this JPM. Student may use OP-069-050, Release of Liquid Radioactive Waste for guidance, however no marks should be made on that copy.
5.6E4 + 3.1 E3 = 5.91 E4 and compares this to the number in block 3.1.6.0 (8.7E5) AND Determines there is a math error Checks required setpoint and actua setpoint for High Rad setpoint.
Provide the candidate with a filled out OP-069-050, Release of Liquid Radioactive Waste Attachment F.
Determines Setpoints have been incorrectly set to the setpoints determined by the math error. Page 5 of 6 Comments
Provide the candidate with a blank OP-069-050, Release of Liquid Radioactive Waste Attachment G.
/ Appl. To/JPM No.: 69.0P.044.051 I Step 3K6 7 PERFORMANCE CHECKLIST Action - Verifies Liquid Radwaste Radiation Monitor Setpoint inputs for Function Switch position 1 Resolves the discrepancy EVALUATOR CUE: That completes this JPM. *Critical Step #Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1 Student Name:
Provide the candidate with a filled out OP-069-050, Release of Liquid Radioactive Waste Attachment H.
A complete Release permit for Laundry Drain Sample Tank OT-312 will consist of Attachments A, F, GI and H.
Obtain a controlled copy of OP-069-050, Release of Liquid Radioactive Waste Student Name:
Standard Controlled copy obtained.
Eva1 Page 3 of 6 Comments  
*Critical Step  
#Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1  
 
I Appl. To/JPM No.: 69.0P.044.051 Step 2
i PERFORMANCE CHECKLIST Action Selects the correct section to perform.
EVALUATOR NOTE:
Due to the nature of this JPM, the candidate may elect to perform the calculations FIRST before proceeding to Radwaste to Verify the proper setpoints. This is acceptable.
EVALUATOR NOTE:
If candidate indicates t,,at he/she would proceed to Radwaste to Verify the proper setpoints, provide the candidate with the necessary cues from the attached OP-069-050, Release of Liquid Radioactive Waste Attachment A Laundry Drain Sample Tank OT-312 Radioactive Liquid Release Permit for items 2.1 5.9, 2.1.6.f, 2.1.6.k, 2.1.6.1  
*Critical Step  
#Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1 Student Name:
Standard Selects section step 2.1.8 which requires review of previously completed steps 2.1.5.g through 2.1.7 of OP-069-050, Release of Liquid Radioactive Waste Attachment A Laundry Drain Sample Tank OT-312 Radioactive Liquid Release Permit i
Page 4 of 6 Comments  
 
Appl. To/JPM No.: 69.0P.044.051 Step  
*3 454 455 PERFORMANCE CHECKLIST Action Verifies High Rad setpoint Verifies Alert Rad setpoint Verifies Liquid Radwaste Radiation h,dnitor Setpoint inputs for Function Switch position 0  
*Critical Step  
#Critical Sequence Form NTP-QA-31.8-2, Rev. 0. Page 1 of 1 2005 NRC Exam Rev. 1 Student Name:
Standard Performs the following calculation:
7.OE4 + 3.1 E3 = 7.31 E4 and compares this to the number in block 2.1.6.n (1.1 E5)
AND Determines there is a math error Performs the following calculation:
5.6E4 + 3.1 E3 = 5.91 E4 and compares this to the number in block 3.1.6.0 (8.7E5)
AND Determines there is a math error Checks required setpoint and actua setpoint for High Rad setpoint.
Determines Setpoints have been incorrectly set to the setpoints determined by the math error.
Page 5 of 6 Comments  
 
/
Appl. To/JPM No.: 69.0P.044.051 I Step 3K6 7
PERFORMANCE CHECKLIST Action Verifies Liquid Radwaste Radiation Monitor Setpoint inputs for Function Switch position 1 Resolves the discrepancy EVALUATOR CUE:
That completes this JPM.  
*Critical Step  
#Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1 Student Name:
Standard Checks required setpoint and actual setpoint for Alert Rad setpoint.
Standard Checks required setpoint and actual setpoint for Alert Rad setpoint.
Determines Setpoints have been incorrectly set to the setpoints determined by the math error. Determines:
Determines Setpoints have been incorrectly set to the setpoints determined by the math error.
Determines:
The math errors and setpoint adjustments will need corrected before the permit can be authorized for discharge.
The math errors and setpoint adjustments will need corrected before the permit can be authorized for discharge.
Eva1 Page 6 of 6 Comments TASK CONDITIONS A. Both Units are at 100% power, all systems in normal alignment.
Eva1 Page 6 of 6 Comments  
: 6. Total Site Blowdown Flow Transmitter FIT-01596 is out of service. C. A Radioactive Liquid Release Permit is being prepared for Laundry Drain Sample Tank OT- 31 2. D. OP-069-050, Release of Liquid Radioactive Waste Attachment A "Laundry Drain Sample Tank OT-312 Radioactive Liquid Release Permit" has been completed through step 2.1.7 E. Background reading for LIQUID RADWASTE RADIATION MONITOR [RITS-064331 is 3.1 OE3 CPM INITIATING CUE Verify completeness and accuracy of the permit and Independently verify Liquid Radwaste radiation monitor setup IAW OP-069-050, Release of Liquid Radioactive Waste Attachment A "Laundry Drain Sample Tank OT-312 Radioactive Liquid Release Permit" step 2.1.8 and sign the appropriate block on the form. 2005 NRC Exam Rev. 1 1 of2 TASK CONDITIONS - A. Both Units are at 100% power, all systems in normal alignment.
 
B. Total Site Blowdown Flow Transmitter FIT-01 596 is out of service. C. A Radioactive Liquid Release Permit is being prepared for Laundry Drain Sample Tank OT- 31 2. D. OP-069-050, Release of Liquid Radioactive Waste Attachment A "Laundry Drain Sample Tank OT-312 Radioactive Liquid Release Permit" has been completed through step 2.1.7 E. Background reading for LIQUID RADWASTE RADIATION MONITOR [RITS-06433] is 3.1 OE3 CPM INITIATING CUE Verify completeness and accuracy of the permit and Independently verify Liquid Radwaste radiation monitor setup JAW OP-069-050, Release of Liquid Radioactive Waste Attachment A "Laundry Drain Sample Tank OT-312 Radioactive Liquid Release Permit" step 2.1.8 and sign the appropriate block on the form. 2005 NRC Exam Rev. 1 2 of 2 PPL SUSQUEHANNA, LLC JOB PERFORMANCE MEASURE APPROVAL AND ADMINISTRATIVE DATA SHEET RO 00. EP.004.002 0 9/27/05 2.4.43 NIA 2.8 APPl. JPM Number Rev. No.
TASK CONDITIONS A.
Date NUREG 1123 WA No. WA Imp. To Sys. No. Task Title: Control Room Communicator Emergency Notification Completed By: Validated: Rich Chin 9/27/05 Writer Date InstructorANriter Date Approval : Nuclear Trng. Supv. Date of Performance:
Both Units are at 100% power, all systems in normal alignment.
JPM Performed By: Date Time Critical 15 Minutes Validated Time (Min.) Time Taken (Min.) Student Name: Last First M.I. Employee # / S.S. # Performance Evaluation: ) Satisfactory ( ) Unsatisfactory Eva1 ua tor N a me: Signature Typed or Printed Comments:
: 6. Total Site Blowdown Flow Transmitter FIT-01596 is out of service.
Form NTP-QA-31.8-1, Rev. 0, Page 1 of 2 2005 NRC Exam Rev. 1 REQUIRED TASK INFORMATION JOB PERFORMANCE MEASURE RO 00.EP.004.002
C.
: 1. SAFETY CONSIDERATIONS A. All Operations personnel are responsible for maintaining their radiation exposure As Low As Reasonably Achievable in accordance with OP-AD-002, Standards for Shift Operations.
A Radioactive Liquid Release Permit is being prepared for Laundry Drain Sample Tank OT-31 2.
B. All applicable safety precautions shall be taken in accordance with established PPL safety policies and the Safety Rule Book, for example: 1. Whenever any electrical panel is opened for inspection during JPM performance.
D.
: 2. Whenever entering any plant area where specific safety equipment; such as hearing or eye protection, safety shoes, hardhats, etc; is required and/or posted as being necessary. C. If in the judgment of the evaluator any safety issue occurs during the performance of a JPM, the JPM will be terminated until the issue is resolved.
OP-069-050, Release of Liquid Radioactive Waste Attachment A Laundry Drain Sample Tank OT-312 Radioactive Liquid Release Permit has been completed through step 2.1.7 E. Background reading for LIQUID RADWASTE RADIATION MONITOR [RITS-064331 is 3.1 OE3 CPM INITIATING CUE Verify completeness and accuracy of the permit and Independently verify Liquid Radwaste radiation monitor setup IAW OP-069-050, Release of Liquid Radioactive Waste Attachment A Laundry Drain Sample Tank OT-312 Radioactive Liquid Release Permit step 2.1.8 and sign the appropriate block on the form.
2005 NRC Exam Rev. 1 1 of2  
 
TASK CONDITIONS A.
Both Units are at 100% power, all systems in normal alignment.
B. Total Site Blowdown Flow Transmitter FIT-01 596 is out of service.
C. A Radioactive Liquid Release Permit is being prepared for Laundry Drain Sample Tank OT-31 2.
D. OP-069-050, Release of Liquid Radioactive Waste Attachment A Laundry Drain Sample Tank OT-312 Radioactive Liquid Release Permit has been completed through step 2.1.7 E. Background reading for LIQUID RADWASTE RADIATION MONITOR [RITS-06433] is 3.1 OE3 CPM INITIATING CUE Verify completeness and accuracy of the permit and Independently verify Liquid Radwaste radiation monitor setup JAW OP-069-050, Release of Liquid Radioactive Waste Attachment A Laundry Drain Sample Tank OT-312 Radioactive Liquid Release Permit step 2.1.8 and sign the appropriate block on the form.
2005 NRC Exam Rev. 1 2 of 2  
 
PPL SUSQUEHANNA, LLC JOB PERFORMANCE MEASURE APPROVAL AND ADMINISTRATIVE DATA SHEET RO
: 00. EP.004.002 0
9/27/05 2.4.43 NIA 2.8 APPl.
JPM Number Rev. No.
Date NUREG 1123 WA No.
WA Imp.
To Sys. No.
Task
 
==Title:==
Control Room Communicator Emergency Notification Completed By:
Validated:
Rich Chin 9/27/05 Writer Date InstructorANriter Date Approval :
Nuclear Trng. Supv.
Date of Performance:
JPM Performed By:
Date Time Critical 15 Minutes Validated Time (Min.)
Time Taken (Min.)
Student Name:
Last First M.I.
Employee # / S.S. #
Performance Evaluation:  
) Satisfactory
(  
)
Unsatisfactory Eva1 ua tor N a me:
Signature Typed or Printed Comments:
Form NTP-QA-31.8-1, Rev. 0, Page 1 of 2 2005 NRC Exam Rev. 1  
 
REQUIRED TASK INFORMATION JOB PERFORMANCE MEASURE RO 00.EP.004.002
: 1.
SAFETY CONSIDERATIONS A. All Operations personnel are responsible for maintaining their radiation exposure As Low As Reasonably Achievable in accordance with OP-AD-002, Standards for Shift Operations.
B. All applicable safety precautions shall be taken in accordance with established PPL safety policies and the Safety Rule Book, for example:
: 1. Whenever any electrical panel is opened for inspection during JPM performance.
: 2. Whenever entering any plant area where specific safety equipment; such as hearing or eye protection, safety shoes, hardhats, etc; is required and/or posted as being necessary.
C. If in the judgment of the evaluator any safety issue occurs during the performance of a JPM, the JPM will be terminated until the issue is resolved.
D. Peer checking is the expectation for all evolutions; however, since a JPM is an individual effort, no peer check will be provided and Self Checking is required.
D. Peer checking is the expectation for all evolutions; however, since a JPM is an individual effort, no peer check will be provided and Self Checking is required.
II. REFERENCES A. EP-PS-100 EMERGENCY DIRECTOR, CONTROL ROOM: Emergency-Plan-Position Specific Instruction (Rev. 22) B. EP-PS-126, EMERGENCY PLAN COMMUNICATOR: Emergency Plan-Position Specific Instruction (Rev. 23) C. EP-TP-003, COMMUNICATION PROCESS (Rev. 0) 111. REACTIVITY MANIPULATIONS This JPM satisfies the following Operational Activity(s):
II. REFERENCES A. EP-PS-100 EMERGENCY DIRECTOR, CONTROL ROOM: Emergency-Plan-Position Specific Instruction (Rev. 22)
B. EP-PS-126, EMERGENCY PLAN COMMUNICATOR: Emergency Plan-Position Specific Instruction (Rev. 23)
C. EP-TP-003, COMMUNICATION PROCESS (Rev. 0) 111. REACTIVITY MANIPULATIONS This JPM satisfies the following Operational Activity(s):
None IV. TASK CONDITIONS An Alert has been declared due to sustained high winds greater than 80 mph resulting in visible damage to the ESSW pump house. (OA3)
None IV. TASK CONDITIONS An Alert has been declared due to sustained high winds greater than 80 mph resulting in visible damage to the ESSW pump house. (OA3)
V. INITIATING CUE You have been assigned as the Control Room Communicator. Transmit initial information about the Emergency Condition to required organizations, IAW the appropriate procedure. VI. TASK STANDARD Identify the ENR form is incomplete; Contact the offsite agencies within 15 minutes from initiation of the ENR form; Communicate the Emergency Classification, Unit, declaration Time and Date to the off site agencies.
V. INITIATING CUE You have been assigned as the Control Room Communicator. Transmit initial information about the Emergency Condition to required organizations, IAW the appropriate procedure.
Form NTP-QA-31.8-1, Rev. 0, Page 2 of 2 2005 NRC Exam Rev. 1 PERFORMANCE CHECKLIST Page 3 of 9 Appl. To/JPM No.: RO 00.EP.004.002  
VI. TASK STANDARD Identify the ENR form is incomplete; Contact the offsite agencies within 15 minutes from initiation of the ENR form; Communicate the Emergency Classification, Unit, declaration Time and Date to the off site agencies.
.. Step Action EVALUATOR NOTE: This is a time critical JPM. Ensure a copy of EP-PS-100, EP-TP-003, and EP-PS-126 are available to support performance of this JPM. Have current, filled-out copy of ENR Form available, with Line 4 BLANK If performing in the simulator, place a yellow sticky on each of the 2 communicator phones with the following call-back number: 570-759-4902 EVALUATOR NOTE: To begin this JPM, provide the candidate with the Tasl Conditions and Initiating Cue Sheet. Role play as Control Room ED and give student filled-out ENR Form. Student Name: Standard Eva1 _____ ~~~ Comments *Critical Step #Critical Sequence Form NTP-QA-31.8-2, Rev. 0. Page 1 of 1 2005 NRC Exam Rev. 1 Appl. To/JPM No.: RO 00.EP.004.002 Step *l PERFORMANCE CHECKLIST Action Obtain and review Event Notification Report (ENR) form with the Shift Manager/ED. EVALUATOR CUE:
Form NTP-QA-31.8-1, Rev. 0, Page 2 of 2 2005 NRC Exam Rev. 1  
Role play as Control Room ED and Place OA3 on line 4 of the ENR Form. Return completed ENR form to the candidate. EVALUATOR CUE:
 
After the ENR has been corrected and returned to the candidate, the Time Critical Portion of the JPM begins. Record Start Time Student Name: Standard Reviews ENR form to verify Lines 1, 3, 4, 5, 6, and 7 are all filled out. Determines:
PERFORMANCE CHECKLIST Page 3 of 9 Appl. To/JPM No.: RO 00.EP.004.002 Step Action EVALUATOR NOTE:
Line 4 is NOT filled out Reports to the ED that line 4 MUST be filled out Page 4 of 9 Eva1 Comments *Critical Step #Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NAC Exam Rev. 1 PERFORMANCE CHECKLIST Appl. To/JPM No.: RO 00.EP.004.002 Action NOTE: If the MOC does not answer, do not wait. Transmit the ENR form information to the emergency agencies.
This is a time critical JPM.
NOTE: Do not communicate the control number to offsite agencies.
Ensure a copy of EP-PS-100, EP-TP-003, and EP-PS-126 are available to support performance of this JPM.
This block is gray shaded on the ENR form. Within 15 minutes of declaration, using the purple colored phone button, dial "1 91" to transmit the ENR form to the following: (Dialing 191 will simultaneously connect the listed agencies in a conference call.) EVALUATOWBOOTH CUE: Role-play the receiving agencies and confirm each agency is on the line and you are "Ready to Copy" Student Name: ! Page 5 of 9 Standard Dials "1 91" on the purple colored button Verifies the following agencies are on the line: (1 ) (2) Columbia County EMA (3) Luzerne County EMA Media Operations Center Penna. Emergency Management Agency Eva1 Comments *Critical Step #Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1 PERFORMANCE CHECKLIST Appl. To/JPM No.: RO 00.EP.004.002 Action EVALUATOR NOTE: After contact with the offsite agencies has been confirmed, the Time Critical Portion of the JPM ends.
Have current, filled-out copy of ENR Form available, with Line 4 BLANK If performing in the simulator, place a yellow sticky on each of the 2 communicator phones with the following call-back number:
Record stop Time NOTE: When you communicate your phone number to the offsite agencies, the prefix for 4XXX numbers is (570) 759. (The 191 call originates from a 4XXX number.) Communicate ENR Form Student Name: Page 6 of 9 Standard Communicates the following for line This is a Drill Call status: Eva1 Comments *Critical Step #Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1 Appl. To/JPM No.: RO 00.EP.004.002 Step PERFORMANCE CHECKLIST Page 7 of 9 Action 46 EVALUATOR NOTE:
570-759-4902 EVALUATOR NOTE:
Initial Declaration is not critical Student Name: Standard 1 Eva1 Communicates the following for line 2: This is: Candidate's Name at Susquehanna Steam Electric Station.
To begin this JPM, provide the candidate with the Tasl Conditions and Initiating Cue Sheet.
My telephone number is: 570-759-4902 Notification time is: Current Time Communicates the following for line 3: EMERGENCY CLASSIFICATION:
Role play as Control Room ED and give student filled-out ENR Form.
ALERT UNIT: ONE and TWO Declaration Time: 5 MINUTES AGO DATE: TODAY'S DATE THIS REPRESENTS NAN: IN IT1 AL DECLARATION Comments *Critical Step #Critical Sequence Form NTP-QA-31.8-2, Rev. 0. Page 1 of 1 2005 NRC Exam Rev. 1 Appl. To/JPM No.: RO 00.EP.004.002  
Student Name:
.. Step f6 7 8 9 PERFORMANCE CHECKLIST Action Student Name: Standard Communicates the following for line 4: The Classification Designation is: OA3 BRIEF NON-TECHNICAL DESCRIPTION OF THE EVENT: OA3 Communicates the following for line 5: THERE IS: NO NON-ROUTINE RADIOLOGICAL RELEASE IN PROGRESS Communicates the following for line 6: WIND DIRECTION IS FROM: 21 O WIND SPEED IS: 85 mph Communicates the following for line 7: THIS IS A DRILL i Page 8 of 9 Eva1 Comments *Critical Step #Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1 PERFORMANCE CHECKLIST Appl. To/JPM No.: RO 00.EP.004.002  
Standard Eva1  
.. = Step
~~~
* Action EVALUATOWBOOTH CUE: Candidate may choose to have one of the offsite agencies "REPEAT" back the communicated information.
Comments  
If necessary, role-play the off site agency and "Repeat" back the information. EVALUATOR CUE:
*Critical Step  
This completes the JPM EVALUATOR NOTE: In order for the candidate to pass the Time Critical element of this JPM, they must complete step 2 of this JPM within 15 minutes. Student Name: Standard (, Page 9 of 9 Eva1 Comments *Critical Step #Critical Sequence Form NTP-QA-31.8-2, Rev. 0. Page 1 of 1 2005 NRC Exam Rev. 1 TASK CONDITIONS An Alert has been declared due to sustained high winds greater than 80 mph resulting in visible damage to the ESSW pump house. (OA3) INITIATING CUE You have been assigned as the Control Room Communicator. Transmit initial information about the Emergency Condition to required organizations, IAW the appropriate procedure.
#Critical Sequence Form NTP-QA-31.8-2, Rev. 0. Page 1 of 1 2005 NRC Exam Rev. 1  
2005 NRC Exam Rev. 1 Page 1 of 2 TASK CONDITIONS An Alert has been declared due to sustained high winds greater than 80 mph resulting in visible damage to the ESSW pump house. (OA3) INITIATING CUE You have been assigned as the Control Room Communicator. Transmit initial information about the Emergency Condition to required organizations, IAW the appropriate procedure.
 
2005 NRC Exam Rev. 1 Page 2 of 2 PPL SUSQUEHANNA, LLC JOB PERFORMANCE MEASURE APPROVAL AND ADMINISTRATIVE DATA SHEET SRO 00.EP.001.304 0 9/27/05 2.4.41 N/A 4.0 APPl. JPM Number Rev. No. Date NUREG 1123 KIA No. KIA Imp. To Sys. No. Task Title:
Appl. To/JPM No.: RO 00.EP.004.002 Step  
Perform Emergency Plan Classification (Scenario ILO-304) and Complete the ENR form Completed By: Validated: Rich Chin 9/27/05 Writer Date InstructorMlriter Date Approval: Nuclear Trng.
*l PERFORMANCE CHECKLIST Action Obtain and review Event Notification Report (ENR) form with the Shift Manager/ED.
Supv. Date of Performance:
EVALUATOR CUE:
Date Time Critical 15 Minutes Validated Time (Min.) Time Taken (Min.) - JPM Performed By: Student Name: Last First M.I. Employee # / S.S. # Performance ( ) Satisfactory ( ) Unsatisfactory Evaluation:
Role play as Control Room ED and Place OA3 on line 4 of the ENR Form.
Evaluator Name: Signature Typed or Printed Comments:
Return completed ENR form to the candidate.
Form NTP-QA-31.8-1, Rev. 0, Page 1 of 2 2005 NRC Exam Rev. 1 REQUIRED TASK INFORMATION JOB PERFORMANCE MEASURE SRO 00.EP.001.304 - 1. SAFETY CONSIDERATIONS A. All Operations personnel are responsible for maintaining their radiation exposure As Low As Reasonably Achievable in accordance with OP-AD-002, Standards for Shift Operations.
EVALUATOR CUE:
B. All applicable safety precautions shall be taken in accordance with established PPL safety policies and the Safety Rule Book, for example: 1. Whenever any electrical panel is opened for inspection during JPM performance.
After the ENR has been corrected and returned to the candidate, the Time Critical Portion of the JPM begins.
Record Start Time Student Name:
Standard Reviews ENR form to verify Lines 1, 3, 4, 5, 6, and 7 are all filled out.
Determines:
Line 4 is NOT filled out Reports to the ED that line 4 MUST be filled out Page 4 of 9 Eva1 Comments  
*Critical Step  
#Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NAC Exam Rev. 1  
 
PERFORMANCE CHECKLIST Appl. To/JPM No.: RO 00.EP.004.002 Action NOTE:
If the MOC does not answer, do not wait.
Transmit the ENR form information to the emergency agencies.
NOTE:
Do not communicate the control number to offsite agencies. This block is gray shaded on the ENR form.
Within 15 minutes of declaration, using the purple colored phone button, dial 1 91 to transmit the ENR form to the following:
(Dialing 191 will simultaneously connect the listed agencies in a conference call.)
EVALUATOWBOOTH CUE:
Role-play the receiving agencies and confirm each agency is on the line and you are Ready to Copy Student Name:
Page 5 of 9 Standard Dials 1 91 on the purple colored button Verifies the following agencies are on the line:
(1 )
(2)
Columbia County EMA (3)
Luzerne County EMA Media Operations Center Penna. Emergency Management Agency Eva1 Comments  
*Critical Step  
#Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1  
 
PERFORMANCE CHECKLIST Appl. To/JPM No.: RO 00.EP.004.002 Action EVALUATOR NOTE:
After contact with the offsite agencies has been confirmed, the Time Critical Portion of the JPM ends.
Record stop Time NOTE:
When you communicate your phone number to the offsite agencies, the prefix for 4XXX numbers is (570) 759. (The 191 call originates from a 4XXX number.)
Communicate ENR Form Student Name:
Page 6 of 9 Standard Communicates the following for line This is a Drill Call status:
Eva1 Comments  
*Critical Step  
#Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1  
 
Appl. To/JPM No.: RO 00.EP.004.002 Step PERFORMANCE CHECKLIST Page 7 of 9 Action 4 6 EVALUATOR NOTE:
Initial Declaration is not critical Student Name:
Standard 1 Eva1 Communicates the following for line 2:
This is: Candidates Name at Susquehanna Steam Electric Station.
My telephone number is: 570-759-4902 Notification time is: Current Time Communicates the following for line 3:
EMERGENCY CLASSIFICATION:
ALERT UNIT:
ONE and TWO Declaration Time:
5 MINUTES AGO DATE:
TODAYS DATE THIS REPRESENTS NAN:
IN IT1 AL DECLARATION Comments  
*Critical Step  
#Critical Sequence Form NTP-QA-31.8-2, Rev. 0. Page 1 of 1 2005 NRC Exam Rev. 1  
 
Appl. To/JPM No.: RO 00.EP.004.002 Step f 6 7
8 9
PERFORMANCE CHECKLIST Action Student Name:
Standard Communicates the following for line 4:
The Classification Designation is:
OA3 BRIEF NON-TECHNICAL DESCRIPTION OF THE EVENT:
OA3 Communicates the following for line 5:
THERE IS:
NO NON-ROUTINE RADIOLOGICAL RELEASE IN PROGRESS Communicates the following for line 6:
WIND DIRECTION IS FROM:
21 O WIND SPEED IS:
85 mph Communicates the following for line 7:
THIS IS A DRILL i
Page 8 of 9 Eva1 Comments  
*Critical Step  
#Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1  
 
PERFORMANCE CHECKLIST Appl. To/JPM No.: RO 00.EP.004.002  
=
Step Action EVALUATOWBOOTH CUE:
Candidate may choose to have one of the offsite agencies REPEAT back the communicated information. If necessary, role-play the off site agency and Repeat back the information.
EVALUATOR CUE:
This completes the JPM EVALUATOR NOTE:
In order for the candidate to pass the Time Critical element of this JPM, they must complete step 2 of this JPM within 15 minutes.
Student Name:
Standard
(,
Page 9 of 9 Eva1 Comments  
*Critical Step  
#Critical Sequence Form NTP-QA-31.8-2, Rev. 0. Page 1 of 1 2005 NRC Exam Rev. 1  
 
TASK CONDITIONS An Alert has been declared due to sustained high winds greater than 80 mph resulting in visible damage to the ESSW pump house. (OA3)
INITIATING CUE You have been assigned as the Control Room Communicator. Transmit initial information about the Emergency Condition to required organizations, IAW the appropriate procedure.
2005 NRC Exam Rev. 1 Page 1 of 2  
 
TASK CONDITIONS An Alert has been declared due to sustained high winds greater than 80 mph resulting in visible damage to the ESSW pump house. (OA3)
INITIATING CUE You have been assigned as the Control Room Communicator. Transmit initial information about the Emergency Condition to required organizations, IAW the appropriate procedure.
2005 NRC Exam Rev. 1 Page 2 of 2  
 
PPL SUSQUEHANNA, LLC JOB PERFORMANCE MEASURE APPROVAL AND ADMINISTRATIVE DATA SHEET SRO 00.EP.001.304 0
9/27/05 2.4.41 N/A 4.0 APPl.
JPM Number Rev. No.
Date NUREG 1123 KIA No.
KIA Imp.
To Sys. No.
Task
 
==Title:==
Perform Emergency Plan Classification (Scenario ILO-304) and Complete the ENR form Completed By:
Validated:
Rich Chin 9/27/05 Writer Date InstructorMlriter Date Approval:
Nuclear Trng. Supv.
Date of Performance:
Date Time Critical 15 Minutes Validated Time (Min.)
Time Taken (Min.)
JPM Performed By:
Student Name:
Last First M.I.
Employee # / S.S. #
Performance
(  
) Satisfactory
(  
) Unsatisfactory Evaluation:
Evaluator Name:
Signature Typed or Printed Comments:
Form NTP-QA-31.8-1, Rev. 0, Page 1 of 2 2005 NRC Exam Rev. 1  
 
REQUIRED TASK INFORMATION JOB PERFORMANCE MEASURE SRO 00.EP.001.304
: 1.
SAFETY CONSIDERATIONS A. All Operations personnel are responsible for maintaining their radiation exposure As Low As Reasonably Achievable in accordance with OP-AD-002, Standards for Shift Operations.
B. All applicable safety precautions shall be taken in accordance with established PPL safety policies and the Safety Rule Book, for example:
: 1. Whenever any electrical panel is opened for inspection during JPM performance.
: 2. Whenever entering any plant area where specific safety equipment; such as hearing or eye protection, safety shoes, hardhats, etc; is required and/or posted as being necessary.
: 2. Whenever entering any plant area where specific safety equipment; such as hearing or eye protection, safety shoes, hardhats, etc; is required and/or posted as being necessary.
C. If in the judgment of the evaluator any safety issue occurs during the performance of a JPM, the JPM will be terminated until the issue is resolved. D. Peer checking is the expectation for all evolutions; however, since a JPM is an individual effort, no peer check will be provided and Self Checking is required.
C. If in the judgment of the evaluator any safety issue occurs during the performance of a JPM, the JPM will be terminated until the issue is resolved.
II. REFERENCES A. B. ILO-304, SIMULATOR EVALUATION SCENARIO C. EP-PS-1 OO-A D. EP-PS-100-C E. EP-PS-100-9 EP-PS-100, EMERGENCY DIRECTOR CONTROL ROOM, REV.
D. Peer checking is the expectation for all evolutions; however, since a JPM is an individual effort, no peer check will be provided and Self Checking is required.
18 111. REACTIVITY MANIPULATIONS This JPM satisfies the following Operational Activity(s):
II. REFERENCES A.
B. ILO-304, SIMULATOR EVALUATION SCENARIO C. EP-PS-1 OO-A D. EP-PS-100-C E. EP-PS-100-9 EP-PS-100, EMERGENCY DIRECTOR CONTROL ROOM, REV. 18 111. REACTIVITY MANIPULATIONS This JPM satisfies the following Operational Activity(s):
None IV. TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario. Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.
None IV. TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario. Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.
V. INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form. VI. TASK STANDARD Emergency classification of Alert Emergency declared within 15 minutes. Form NTP-QA-31.8-1, Rev. 0, Page 2 of 2 2005 NRC Exam Rev. 1 PERFORMANCE CHECKLIST I Page 3 of 10 Appl. To/JPM No.: SRO 00.EP.001.304 Student Name: Step - Action EVALUATOR NOTE:
V. INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form.
VI. TASK STANDARD Emergency classification of Alert Emergency declared within 15 minutes.
Form NTP-QA-31.8-1, Rev. 0, Page 2 of 2 2005 NRC Exam Rev. 1  
 
PERFORMANCE CHECKLIST I
Page 3 of 10 Appl. To/JPM No.: SRO 00.EP.001.304 Student Name:
Step Action EVALUATOR NOTE:
This JPM must be performed in the simulator following completion of the scenario ILO-304 as Unit Supervisor.
This JPM must be performed in the simulator following completion of the scenario ILO-304 as Unit Supervisor.
This is a time critical JPM. Ensure a copy of EP-PS-100 is available to support performance of this JPM. EVALUATOR NOTE:
This is a time critical JPM.
To begin this JPM, provide the candidate with the Initiating Cue Sheet. EVALUATOR NOTE:
Ensure a copy of EP-PS-100 is available to support performance of this JPM.
After the candidate reviews the Task Conditions  
EVALUATOR NOTE:
/ Initiating Cue Sheet: 0 Ask if the candidate is ready to begin the JPM. 0 When the candidate is ready to begin the JPM inform the candidate that this is a Time Critical JPM. Record Start Time Standard - Eva1 Comments *Critical Step #Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1 PERFORMANCE CHECKLIST I Page 4 of 10 Appl. To/JPM No.: SRO 00.EP.001.304 Student Name: Step Action Obtains a copy of EP-PS-100.
To begin this JPM, provide the candidate with the Initiating Cue Sheet.
EVALUATOR NOTE:
After the candidate reviews the Task Conditions /
Initiating Cue Sheet:
0 Ask if the candidate is ready to begin the JPM.
0 When the candidate is ready to begin the JPM inform the candidate that this is a Time Critical JPM.
Record Start Time Standard Eva1 Comments  
*Critical Step  
#Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1  
 
PERFORMANCE CHECKLIST I
Page 4 of 10 Appl. To/JPM No.: SRO 00.EP.001.304 Student Name:
Step Action Obtains a copy of EP-PS-100.
Identifies appropriate Tab Evaluates information.
Identifies appropriate Tab Evaluates information.
EVALUATOR CUE: Assistance may be necessary for some specific scenario data or sequence of events. Use your judgment on acceptable levels of cueing based on candidate's request.
EVALUATOR CUE:
Assistance may be necessary for some specific scenario data or sequence of events. Use your judgment on acceptable levels of cueing based on candidates request.
Standard Controlled copy obtained.
Standard Controlled copy obtained.
Determines Tab A is appropriate Tab to classify the event. Identifies from participation as The Unit Supervisor, that an RCS leak > 50 gpm has occurred, and a momentary ATWS.
Determines Tab A is appropriate Tab to classify the event.
Eva1 Comments *Critical Step #Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1 PERFORMANCE CHECKLIST I Page 5 of 10 Appl. To/JPM No.: SRO 00.EP.001.304 Student Name: Step *4 5 6 Action ~ ~~ Choose appropriate emergency classification level. Record Time of Alert Emergency declaration Determines appropriate procedure section for the classification.
Identifies from participation as The Unit Supervisor, that an RCS leak > 50 gpm has occurred, and a momentary ATWS.
Standard FA1 Any loss or potential loss of either the Fuel clad or RCS OR MA3 RPS setpoint exceeded and RPS automatic scram did not reduce reactor power to c 5% AND ARI initiated to reduce power below 5% Determines TAB C Manage the Alert Emergency is the appropriate TAB. Eva1 ~~ Comments *Critical Step #Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1 PERFORMANCE CHECKLIST Page 6 of 10 Appl. To/JPM No.: SRO 00.EP.001.304 Student Name: Step Action Document and communicate the Emergency Classification.
Eva1 Comments  
*Critical Step  
#Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1  
 
PERFORMANCE CHECKLIST I
Page 5 of 10 Appl. To/JPM No.: SRO 00.EP.001.304 Student Name:
Step  
*4 5
6 Action  
~  
~~
Choose appropriate emergency classification level.
Record Time of Alert Emergency declaration Determines appropriate procedure section for the classification.
Standard FA1 Any loss or potential loss of either the Fuel clad or RCS OR MA3 RPS setpoint exceeded and RPS automatic scram did not reduce reactor power to c 5%
AND ARI initiated to reduce power below 5%
Determines TAB C Manage the Alert Emergency is the appropriate TAB.
Eva1  
~~
Comments  
*Critical Step  
#Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1  
 
PERFORMANCE CHECKLIST Page 6 of 10 Appl. To/JPM No.: SRO 00.EP.001.304 Student Name:
Step Action Document and communicate the Emergency Classification.
If not performed earlier appoint an Emergency Plan Communicator If not performed earlier, appoint an NRC communicator.
If not performed earlier appoint an Emergency Plan Communicator If not performed earlier, appoint an NRC communicator.
Standard Announces to Control Room Personnel:
Standard Announces to Control Room Personnel:
I am assuming duties of the Emergency Director. Alert Emergency Classification declared based on FA1 Any loss or potential loss of either the Fuel clad or RCS OR MA3 RPS setpoint exceeded and RPS automatic scram did not reduce reactor power to < 5% AND ARI initiated to reduce power below 5% Time and Date of Classification. Appoints an Emergency Plan Communicator and instruct hidher to immediately perform EP-PS-126 E Plan Communicator. Appoints an NRC Communicator and instruct hidher to perform EP-PS-135 NRC Communicator Eva1 ~ Comments *Critical Step #Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1 i PERFORMANCE CHECKLIST Page 7 of 10 Appl. To/JPM No.: SRO 00.EP.001.304 Student Name: Step 10 11 Action Generate and approve an ENR form to be transmitted by the Emergency Plan Communicator.
I am assuming duties of the Emergency Director.
EVALUATOR CUE: Inform the candidate that the Control # in the next step will be CR-ILO-304 Fill out and approve the Emergency Notification Report Form.
Alert Emergency Classification declared based on FA1 Any loss or potential loss of either the Fuel clad or RCS OR MA3 RPS setpoint exceeded and RPS automatic scram did not reduce reactor power to < 5%
EVALUATOR NOTE: The communicator will fill out the communicator name, callback telephone number, and time notification is initiated. (Line 2 of the Emergency Notification Report Form).
AND ARI initiated to reduce power below 5%
Standard Refers to ENR Form under Tab
Time and Date of Classification.
: 9. Fills out and approves the Emergency Notification Report Form as follows: Control # CR-ILO-304 LINE 1. Call Status: Places checkmark in This is a drill box Eva1 Comments *Critical Step #Critical Sequence Form NTP-QA-31.8-2, Rev. 0. Page 1 of 1 2005 NRC Exam Rev. 1 PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO 00.EP.001.304 Page 8 of 10 Student Name: Step *12 *13 Action Completes line 3 EVALUATOR NOTE: Initial Declaration is not critical EVALUATOR NOTE: FA1 or MA3 alone is sufficient for the Brief Non- Technical Description for the initial notification.
Appoints an Emergency Plan Communicator and instruct hidher to immediately perform EP-PS-126 E Plan Communicator.
Candidate may paraphrase this description Completes line 4 Standard LINE 3. Emergency Classification: Places checkmark in Alert Emergency box Places checkmark in Unit one box Records the Declaration time and date. Places a checkmark in this represents NAN initial declaration box in classification status. LINE 4. The Emergency action level (EAL) number is: Records EAL FA1 OR MA3 Brief non -technical description of the event: RecordsFAl OR MA3 Eva1 Comments *Critical Step #Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1 Appl. To/JPM No.:
Appoints an NRC Communicator and instruct hidher to perform EP-PS-135 NRC Communicator Eva1  
SRO 00.EP.001.304 Step *14 15 16 PERFORMANCE CHECKLIST Page 9 of 10 Action ~ Completes line 5 Completes line 6 Completes line 7 Approves the Emergency Notification Report Form EVALUATOR NOTE:
~
Comments  
*Critical Step  
#Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1  
 
i PERFORMANCE CHECKLIST Page 7 of 10 Appl. To/JPM No.: SRO 00.EP.001.304 Student Name:
Step 10 11 Action Generate and approve an ENR form to be transmitted by the Emergency Plan Communicator.
EVALUATOR CUE:
Inform the candidate that the Control # in the next step will be CR-ILO-304 Fill out and approve the Emergency Notification Report Form.
EVALUATOR NOTE:
The communicator will fill out the communicator name, callback telephone number, and time notification is initiated. (Line 2 of the Emergency Notification Report Form).
Standard Refers to ENR Form under Tab 9.
Fills out and approves the Emergency Notification Report Form as follows:
Control # CR-ILO-304 LINE 1.
Call Status:
Places checkmark in This is a drill box Eva1 Comments  
*Critical Step  
#Critical Sequence Form NTP-QA-31.8-2, Rev. 0. Page 1 of 1 2005 NRC Exam Rev. 1  
 
PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO 00.EP.001.304 Page 8 of 10 Student Name:
Step  
*12  
*13 Action Completes line 3 EVALUATOR NOTE:
Initial Declaration is not critical EVALUATOR NOTE:
FA1 or MA3 alone is sufficient for the Brief Non-Technical Description for the initial notification.
Candidate may paraphrase this description Completes line 4 Standard LINE 3.
Emergency Classification:
Places checkmark in Alert Emergency box Places checkmark in Unit one box Records the Declaration time and date.
Places a checkmark in this represents NAN initial declaration box in classification status.
LINE 4.
The Emergency action level (EAL) number is:
Records EAL FA1 OR MA3 Brief non -technical description of the event:
RecordsFAl OR MA3 Eva1 Comments  
*Critical Step  
#Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1  
 
Appl. To/JPM No.: SRO 00.EP.001.304 Step  
*14 15 16 PERFORMANCE CHECKLIST Page 9 of 10 Action  
~
Completes line 5 Completes line 6 Completes line 7 Approves the Emergency Notification Report Form EVALUATOR NOTE:
Candidate may review the filled out ENR form with the E Plan Communicator.
Candidate may review the filled out ENR form with the E Plan Communicator.
Student Name: Standard LINE 5. Places a checkmark in the No non-routine radiological release box LINE 6 Records Wind Direction is from Wind Speed is:
Student Name:
5 mph LINE 7.
Standard LINE 5.
Places a checkmark in the No non-routine radiological release box LINE 6 Records Wind Direction is from Wind Speed is: 5 mph LINE 7.  


== Conclusion:==
==
Conclusion:==
10" Places a checkmark in this is a drill box.
Records the following on space provided:
Approved: - HidHer name Time: - Current time Date: - Current Date Eva1 Comments
*Critical Step
#Critical Sequence Form NTP-QA-31.8-2. Rev. 0, Page 1 of 1 2005 NRC Exam Rev. I


10" Places a checkmark in this is a drill box. Records the following on space provided:
PERFORMANCE CHECKLIST Page 10 of 10 Appl. To/JPM No.: SRO 00.EP.001.304 Student Name:
Approved: - HidHer name Time: - Current time Date: - Current Date Eva1 Comments *Critical Step #Critical Sequence Form NTP-QA-31.8-2.
Step 18 Action Give the approved ENR form to the E Plan Communicator.
Rev. 0, Page 1 of 1 2005 NRC Exam Rev. I PERFORMANCE CHECKLIST Page 10 of 10 Appl. To/JPM No.: SRO 00.EP.001.304 Student Name: Step 18 Action Give the approved ENR form to the E Plan Communicator. EVALUATOR CUE:
EVALUATOR CUE:
If necessary, Role-play the communicator and accept the filled out form. EVALUATOR CUE:
If necessary, Role-play the communicator and accept the filled out form.
EVALUATOR CUE:
Inform the candidate the JPM is complete.
Inform the candidate the JPM is complete.
EVALUATOR NOTE: The total time from the JPM start to step 5 of the JPM must be 51 5 minutes in order for the time critical portion of the JPM to be satisfactory.
EVALUATOR NOTE:
Standard Provides the filled out ENR form to the E Plan Communicator. - Eva1 Comments *Critical Step #Critical Sequence Form NTP-QAB1.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1 TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario.
The total time from the JPM start to step 5 of the JPM must be 5 1 5 minutes in order for the time critical portion of the JPM to be satisfactory.
Standard Provides the filled out ENR form to the E Plan Communicator.
Eva1 Comments  
*Critical Step  
#Critical Sequence Form NTP-QAB1.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1  
 
TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario.
Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.
Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.
INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form. 2005 NRC Exam Rev. 1 Page 1 of 2 TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario.
INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form.
2005 NRC Exam Rev. 1 Page 1 of 2  
 
TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario.
Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.
Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.
INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form.
INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form.
2005 NRC Exam Rev. 1 Page 2 of 2 PPL SUSQUEHANNA, LLC JOB PERFORMANCE MEASURE APPROVAL AND ADMINISTRATIVE DATA SHEET SRO 00.EP.001.305 0 9/27/05 2.4.41 N/A 4.0 APPl. JPM Number Rev. No. Date NUREG 1123 KIA No. KIA Imp. To Sys. No. Task Title:
2005 NRC Exam Rev. 1 Page 2 of 2  
Completed By: Validated:
 
PPL SUSQUEHANNA, LLC JOB PERFORMANCE MEASURE APPROVAL AND ADMINISTRATIVE DATA SHEET SRO 00.EP.001.305 0
9/27/05 2.4.41 N/A 4.0 APPl.
JPM Number Rev. No.
Date NUREG 1123 KIA No.
KIA Imp.
To Sys. No.
Task
 
==Title:==
Completed By:
Validated:
Perform Emergency Plan Classification (Scenario ILO-305) and Complete the ENR form Rich Chin 9/27/05 Writer Date InstructorNVriter Date Approval:
Perform Emergency Plan Classification (Scenario ILO-305) and Complete the ENR form Rich Chin 9/27/05 Writer Date InstructorNVriter Date Approval:
Nuclear Trng. Supv. Date of Performance: JPM Performed By: Date Time Critical 15 Minutes Validated Time (Min.) Time Taken (Min.) Student Name: Last First M.I. Employee #I S.S. # Performance Evaluation: ( ) Satisfactory ( ) Unsatisfactory Evaluator Name: Signature Typed or Printed Comments:
Nuclear Trng. Supv.
Form NTP-QA-31.8-1, Rev. 0, Page 1 of 2 2005 NRC Exam Rev. 1 REQUIRED TASK INFORMATION JOB PERFORMANCE MEASURE SRO 00.EP.001.305 - 1. SAFETY CONSIDERATIONS A. All Operations personnel are responsible for maintaining their radiation exposure As Low As Reasonably Achievable in accordance with OP-AD-002, Standards for Shift Operations.
Date of Performance:
B. All applicable safety precautions shall be taken in accordance with established PPL safety policies and the Safety Rule Book, for example: 1. Whenever any electrical panel is opened for inspection during JPM performance.
JPM Performed By:
Date Time Critical 15 Minutes Validated Time (Min.)
Time Taken (Min.)
Student Name:
Last First M.I.
Employee # I S.S. #
Performance Evaluation:
(  
) Satisfactory
(  
) Unsatisfactory Evaluator Name:
Signature Typed or Printed Comments:
Form NTP-QA-31.8-1, Rev. 0, Page 1 of 2 2005 NRC Exam Rev. 1  
 
REQUIRED TASK INFORMATION JOB PERFORMANCE MEASURE SRO 00.EP.001.305
: 1.
SAFETY CONSIDERATIONS A. All Operations personnel are responsible for maintaining their radiation exposure As Low As Reasonably Achievable in accordance with OP-AD-002, Standards for Shift Operations.
B. All applicable safety precautions shall be taken in accordance with established PPL safety policies and the Safety Rule Book, for example:
: 1. Whenever any electrical panel is opened for inspection during JPM performance.
: 2. Whenever entering any plant area where specific safety equipment; such as hearing or eye protection, safety shoes, hardhats, etc; is required and/or posted as being necessary.
: 2. Whenever entering any plant area where specific safety equipment; such as hearing or eye protection, safety shoes, hardhats, etc; is required and/or posted as being necessary.
C. If in the judgment of the evaluator any safety issue occurs during the performance of a JPM, the JPM will be terminated until the issue is resolved.
C. If in the judgment of the evaluator any safety issue occurs during the performance of a JPM, the JPM will be terminated until the issue is resolved.
D. Peer checking is the expectation for all evolutions; however, since a JPM is an individual effort, no peer check will be provided and Self Checking is required.
D. Peer checking is the expectation for all evolutions; however, since a JPM is an individual effort, no peer check will be provided and Self Checking is required.
II. REFERENCES A. B. ILO-305, SIMULATOR EVALUATION SCENARIO C. EP-PS-1 OO-A D. EP-PS-1 OO-D E. EP-PS-100-9 EP-PS-100, EMERGENCY DIRECTOR CONTROL ROOM, REV.
II. REFERENCES A.
18 II I. R EACTlVlTY MAN1 PU LATIONS This JPM satisfies the following Operational Activity(s):
B. ILO-305, SIMULATOR EVALUATION SCENARIO C. EP-PS-1 OO-A D. EP-PS-1 OO-D E. EP-PS-100-9 EP-PS-100, EMERGENCY DIRECTOR CONTROL ROOM, REV. 18 II I. R EACTlVlTY MAN1 PU LATIONS This JPM satisfies the following Operational Activity(s):
None IV. TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario. Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.
None IV. TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario. Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.
V. INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form. VI. TASK STANDARD Emergency classification of Site Area Emergency declared within 15 minutes. Form NTP-QA-31.8-1, Rev. 0, Page 2 of 2 2005 NRC Exam Rev. 1 PERFORMANCE CHECKLIST I Page 3 of 9 Appl. To/JPM No.: SRO 00.EP.001.305 - Student Name: Step - Action EVALUATOR NOTE: 0 This JPM must be performed in the simulator following completion of the scenario ILO-305 as Unit Supervisor. This is a time critical JPM. Ensure a copy of EP-PS-100 is available to support performance of this JPM. 0 0 EVALUATOR NOTE: To begin this JPM, provide the candidate with the Initiating Cue Sheet. EVALUATOR NOTE:
V. INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form.
After the candidate reviews the Task Conditions  
VI. TASK STANDARD Emergency classification of Site Area Emergency declared within 15 minutes.
/ Initiating Cue Sheet:
Form NTP-QA-31.8-1, Rev. 0, Page 2 of 2 2005 NRC Exam Rev. 1  
0 0 Ask if the candidate is ready to begin the JPM. When the candidate is ready to begin the JPM inform the candidate that this is a Time Critical JPM. Record Start Time Standard Eva1 Comments *Critical Step #Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1 Appl. To/JPM No.: SRO 00.EP.001.305 Step 1 2 3 *4 5 6 PERFORMANCE CHECKLIST I Page 4 of 9 Action Obtains a copy of EP-PS-100.
 
PERFORMANCE CHECKLIST I
Page 3 of 9 Appl. To/JPM No.: SRO 00.EP.001.305 Student Name:
Step Action EVALUATOR NOTE:
0 This JPM must be performed in the simulator following completion of the scenario ILO-305 as Unit Supervisor.
This is a time critical JPM.
Ensure a copy of EP-PS-100 is available to support performance of this JPM.
0 0
EVALUATOR NOTE:
To begin this JPM, provide the candidate with the Initiating Cue Sheet.
EVALUATOR NOTE:
After the candidate reviews the Task Conditions /
Initiating Cue Sheet:
0 0
Ask if the candidate is ready to begin the JPM.
When the candidate is ready to begin the JPM inform the candidate that this is a Time Critical JPM.
Record Start Time Standard Eva1 Comments  
*Critical Step  
#Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1  
 
Appl. To/JPM No.: SRO 00.EP.001.305 Step 1
2 3  
*4 5
6 PERFORMANCE CHECKLIST I
Page 4 of 9 Action Obtains a copy of EP-PS-100.
Identifies appropriate Tab Evaluates information.
Identifies appropriate Tab Evaluates information.
EVALUATOR CUE: Assistance may be necessary for some specific scenario data or sequence of events. Use your judgment on acceptable levels of cueing based on candidate's request. Choose appropriate emergency classification level. Record Time of Site Area Emergency declaration Determines appropriate procedure section for the classification.
EVALUATOR CUE:
Student Name: Standard Controlled copy obtained. Determines Tab A is appropriate Tab to classify the event. Identifies from participation as The Unit Supervisor, that 2 Reactor Building Areas exceeded Max Safe Radiation levels.
Assistance may be necessary for some specific scenario data or sequence of events. Use your judgment on acceptable levels of cueing based on candidates request.
FSl Loss or Potential loss of ANY 2 Fission Product Barriers Determines TAB D Manage the Site Area Emergency is the appropriate TAB. Eva1 Comments *Critical Step #Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1 PERFORMANCE CHECKLIST  
Choose appropriate emergency classification level.
! Page 5 of 9 Appl. To/JPM No.: SRO 00.EP.001.305 Student Name: Step 7 8 9 10 Action Document and communicate the Emergency Classification.
Record Time of Site Area Emergency declaration Determines appropriate procedure section for the classification.
If not performed earlier appoint an Emergency Plan Communicator If not performed earlier, appoint an NRC communicator. Generate and approve an ENR form to be transmitted by the Emergency Plan Communicator. EVALUATOR CUE:
Student Name:
Inform the candidate that the Control  
Standard Controlled copy obtained.
# in the next step will be CR-ILO-305 Standard ~ Announces to Control Room Personnel:
Determines Tab A is appropriate Tab to classify the event.
I am assuming duties of the Emergency Director. Site Area Emergency Classification declared based on FS1 Loss or Potential loss of ANY 2 Fission Product Barriers Time and Date of Classification. Appoints an Emergency Plan Communicator and instruct hidher to immediately perform EP-PS-126 E Plan Communicator.
Identifies from participation as The Unit Supervisor, that 2 Reactor Building Areas exceeded Max Safe Radiation levels.
Appoints an NRC Communicator and instruct hidher to perform EP-PS-135 NRC Communicator Refers to ENR Form under Tab
FSl Loss or Potential loss of ANY 2 Fission Product Barriers Determines TAB D Manage the Site Area Emergency is the appropriate TAB.
: 9. Eva1 Comments *Critical Step #Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1 I PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO 00.EP.001.305 Page 6 of 9 Student Name: Step 11 *12 Action Fill out and approve the Emergency Notification Report Form. EVALUATOR NOTE:
Eva1 Comments  
The communicator will fill out the communicator name, callback telephone number, and time notification is initiated. (Line 2 of the Emergency Notification Report Form). Completes line 3 EVALUATOR NOTE:
*Critical Step  
Initial Declaration is not critical Standard Fills out and approves the Emergency Notification Report Form as follows: Control # CR-ILO-305 LINE 1. Call Status: Places checkmark in This is a drill box LINE 3. Emergency Classification: Places checkmark in Site Area Emergency box Places checkmark in Unit one box Records the Declaration time and date. Places a checkmark in this represents NAN initial declaration box in classification status. Eva1 ~ Comments *Critical Step #Critical Sequence Form NTP-OA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1 PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO 00.EP.001.305 Page 7 of 9 Student Name: Step 3k14 15 Action EVALUATOR NOTE: FSl alone is sufficient for the Brief Non-Technical Description for the initial notification.
#Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1  
Candidate may paraphrase this description Completes line 4 Completes line 5 Completes line 6 Standard LINE 4. The Emergency action level (EAL) number is:
 
Records EAL FS1 Brief non -technical description of the event: Records FS1 LINE 5. Places a checkmark in the AN Airborne Non-routine radiological release box LINE 6 Records Wind Direction is from: 10" Wind Speed is:
PERFORMANCE CHECKLIST Page 5 of 9 Appl. To/JPM No.: SRO 00.EP.001.305 Student Name:
5 mph Eva1 Comments *Critical Step #Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1 PERFORMANCE CHECKLIST ( Page 8 of 9 Appl. To/JPM No.: SRO 00.EP.001.305 Student Name: Step 16 *17 18 Action Completes line 7 Approves the Emergency Notification Report Form EVALUATOR NOTE: Candidate may review the filled out ENR form with the E Plan Communicator.
Step 7
Give the approved ENR form to the E Plan Com m u n icato r . EVALUATOR CUE:
8 9
If necessary, Role-play the communicator and accept the filled out form. EVALUATOR CUE:
10 Action Document and communicate the Emergency Classification.
If not performed earlier appoint an Emergency Plan Communicator If not performed earlier, appoint an NRC communicator.
Generate and approve an ENR form to be transmitted by the Emergency Plan Communicator.
EVALUATOR CUE:
Inform the candidate that the Control # in the next step will be CR-ILO-305 Standard  
~
Announces to Control Room Personnel:
I am assuming duties of the Emergency Director.
Site Area Emergency Classification declared based on FS1 Loss or Potential loss of ANY 2 Fission Product Barriers Time and Date of Classification.
Appoints an Emergency Plan Communicator and instruct hidher to immediately perform EP-PS-126 E Plan Communicator.
Appoints an NRC Communicator and instruct hidher to perform EP-PS-135 NRC Communicator Refers to ENR Form under Tab 9.
Eva1 Comments  
*Critical Step  
#Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1  
 
I PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO 00.EP.001.305 Page 6 of 9 Student Name:
Step 11  
*12 Action Fill out and approve the Emergency Notification Report Form.
EVALUATOR NOTE:
The communicator will fill out the communicator name, callback telephone number, and time notification is initiated. (Line 2 of the Emergency Notification Report Form).
Completes line 3 EVALUATOR NOTE:
Initial Declaration is not critical Standard Fills out and approves the Emergency Notification Report Form as follows:
Control # CR-ILO-305 LINE 1.
Call Status:
Places checkmark in This is a drill box LINE 3.
Emergency Classification:
Places checkmark in Site Area Emergency box Places checkmark in Unit one box Records the Declaration time and date.
Places a checkmark in this represents NAN initial declaration box in classification status.
Eva1  
~
Comments  
*Critical Step  
#Critical Sequence Form NTP-OA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1  
 
PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO 00.EP.001.305 Page 7 of 9 Student Name:
Step 3k14 15 Action EVALUATOR NOTE:
FSl alone is sufficient for the Brief Non-Technical Description for the initial notification.
Candidate may paraphrase this description Completes line 4 Completes line 5 Completes line 6 Standard LINE 4.
The Emergency action level (EAL) number is:
Records EAL FS1 Brief non -technical description of the event:
Records FS1 LINE 5.
Places a checkmark in the AN Airborne Non-routine radiological release box LINE 6 Records Wind Direction is from: 10" Wind Speed is: 5 mph Eva1 Comments  
*Critical Step  
#Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1  
 
PERFORMANCE CHECKLIST
(
Page 8 of 9 Appl. To/JPM No.: SRO 00.EP.001.305 Student Name:
Step 16  
*17 18 Action Completes line 7 Approves the Emergency Notification Report Form EVALUATOR NOTE:
Candidate may review the filled out ENR form with the E Plan Communicator.
Give the approved ENR form to the E Plan Com m u n icato r.
EVALUATOR CUE:
If necessary, Role-play the communicator and accept the filled out form.
EVALUATOR CUE:
Inform the candidate the JPM is complete.
Inform the candidate the JPM is complete.
Standard LINE 7.
Standard LINE 7.  
 
==
Conclusion:==
Places a checkmark in this is a drill box.
Records the following on space provided:
Approved: - HidHer name Time: - Current time Date: - Current Date Provides the filled out ENR form to the E Plan Communicator.
Eva1 Comments
*Critical Step
#Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1
 
0, 0
Q, c
0 Z
a 2
c 0.-
CI 2 0-
 
TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario.
Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.
INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form.
2005 NRC Exam Rev. 1 Page 1 of 2


== Conclusion:==
TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario.
Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.
INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form.
2005 NRC Exam Rev. 1 Page 2 of 2


Places a checkmark in this is a drill box. Records the following on space provided:
PPL SUSQUEHANNA, LLC JOB PERFORMANCE MEASURE APPROVAL AND ADMINISTRATIVE DATA SHEET SRO 00.EP.001.504 0
Approved: - HidHer name Time: - Current time Date: - Current Date Provides the filled out ENR form to the E Plan Communicator.
9/27/05 2.4.41 N/A 4.0 APPl.
Eva1 Comments *Critical Step #Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1 0, 0 Q, c .. 0 Z - a 2 c 0 .- CI 2 0-TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario.
JPM Number Rev. No.
Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario. INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form. 2005 NRC Exam Rev. 1 Page 1 of 2 TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario.
Date NUREG 1123 WA No.
Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario. INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form. 2005 NRC Exam Rev. 1 Page 2 of 2 PPL SUSQUEHANNA, LLC JOB PERFORMANCE MEASURE APPROVAL AND ADMINISTRATIVE DATA SHEET SRO 00.EP.001.504 0 9/27/05 2.4.41 N/A 4.0 APPl. JPM Number Rev. No. Date NUREG 1123 WA No. WA Imp. To Sys. No. Task Title: Completed By: Validated:
WA Imp.
To Sys. No.
Task
 
==Title:==
Completed By:
Validated:
Perform Emergency Plan Classification (Scenario ILO-504) and Complete the ENR form Rich Chin 9/27/05 Writer Date InstructorNVriter Date Approval:
Perform Emergency Plan Classification (Scenario ILO-504) and Complete the ENR form Rich Chin 9/27/05 Writer Date InstructorNVriter Date Approval:
Nuclear Trng. Supv.
Nuclear Trng. Supv.
Date of Performance: JPM Performed By: - Date Time Critical 15 Minutes Validated Time (Min.) Time Taken (Min.) Student Name: Last First M.I. Employee # / S.S. # Performance ( ) Satisfactory ( ) Unsatisfactory Evaluation
Date of Performance:
: Evaluator Name: Signature Typed or Printed Comments:  
JPM Performed By:
-- Form NTP-QA91.8-1, Rev. 0, Page 1 of 2 2005 NRC Exam Rev. 1 REQUIRED TASK INFORMATION JOB PERFORMANCE MEASURE SRO 00.EP.001.504
Date Time Critical 15 Minutes Validated Time (Min.)
: 1. SAFETY CONSIDERATIONS A. All Operations personnel are responsible for maintaining their radiation exposure As Low As Reasonably Achievable in accordance with OP-AD-002, Standards for Shift Operations.
Time Taken (Min.)
B. All applicable safety precautions shall be taken in accordance with established PPL safety policies and the Safety Rule Book, for example: 1. Whenever any electrical panel is opened for inspection during JPM performance.
Student Name:
Last First M.I.
Employee # / S.S. #
Performance
(  
) Satisfactory
(  
) Unsatisfactory Evaluation :
Evaluator Name:
Signature Typed or Printed Comments:
Form NTP-QA91.8-1, Rev. 0, Page 1 of 2 2005 NRC Exam Rev. 1  
 
REQUIRED TASK INFORMATION JOB PERFORMANCE MEASURE SRO 00.EP.001.504
: 1.
SAFETY CONSIDERATIONS A. All Operations personnel are responsible for maintaining their radiation exposure As Low As Reasonably Achievable in accordance with OP-AD-002, Standards for Shift Operations.
B. All applicable safety precautions shall be taken in accordance with established PPL safety policies and the Safety Rule Book, for example:
: 1. Whenever any electrical panel is opened for inspection during JPM performance.
: 2. Whenever entering any plant area where specific safety equipment; such as hearing or eye protection, safety shoes, hardhats, etc; is required and/or posted as being necessary.
: 2. Whenever entering any plant area where specific safety equipment; such as hearing or eye protection, safety shoes, hardhats, etc; is required and/or posted as being necessary.
C. If in the judgment of the evaluator any safety issue occurs during the performance of a JPM, the JPM will be terminated until the issue is resolved.
C. If in the judgment of the evaluator any safety issue occurs during the performance of a JPM, the JPM will be terminated until the issue is resolved.
D. Peer checking is the expectation for all evolutions; however, since a JPM is an individual effort, no peer check will be provided and Self Checking is required.
D. Peer checking is the expectation for all evolutions; however, since a JPM is an individual effort, no peer check will be provided and Self Checking is required.
It. REFERENCES A. B. ILO-504, SIMULATOR EVALUATION SCENARIO C. EP-PS-1 OO-A D. EP-PS-1 OO-D E. EP-PS-100-9 EP-PS-100, EMERGENCY DIRECTOR CONTROL ROOM, REV.
It. REFERENCES A.
18 111. REACTIVITY MANIPULATIONS This JPM satisfies the following Operational Activity(s):
B. ILO-504, SIMULATOR EVALUATION SCENARIO C. EP-PS-1 OO-A D. EP-PS-1 OO-D E. EP-PS-100-9 EP-PS-100, EMERGENCY DIRECTOR CONTROL ROOM, REV. 18 111. REACTIVITY MANIPULATIONS This JPM satisfies the following Operational Activity(s):
None IV. TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario. Assume Wind Direction was from: 10" and Wind Speed was:
None IV. TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario. Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.
5 mph throughout the scenario.
V. INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form.
V. INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form. VI. TASK STANDARD Emergency classification of Site Area Emergency declared within 15 minutes. Form NTP-QA-31.8-1, Rev. 0, Page 2 of 2 2005 NRC Exam Rev. 1 PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO 00.EP.001.504 i Page 3 of 9 Student Name: Step Action EVALUATOR NOTE: 0 This JPM must be performed in the simulator following completion of the scenario ILO-504 as Unit Supervisor. This is a time critical JPM. Ensure a copy of EP-PS-100 is available to support performance of this JPM. 0 0 EVALUATOR NOTE: To begin this JPM, provide the candidate with the Initiating Cue Sheet. EVALUATOR NOTE: After the candidate reviews the Task Conditions  
VI. TASK STANDARD Emergency classification of Site Area Emergency declared within 15 minutes.
/ Initiating Cue Sheet:
Form NTP-QA-31.8-1, Rev. 0, Page 2 of 2 2005 NRC Exam Rev. 1  
0 0 Ask if the candidate is ready to begin the JPM. When the candidate is ready to begin the JPM inform the candidate that this is a Time Critical JPM. Record Start Time Standard Eva1 *Critical Step #Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1 PERFORMANCE CHECKLIST i Page 4 of 9 Appl. To/JPM No.: SRO 00.EP.001.504 Student Name: Step 1 2 3 *4 5 6 Action ~~ Obtains a copy of EP-PS-100. Identifies appropriate Tab Evaluates information. EVALUATOR CUE: Assistance may be necessary for some specific scenario data or sequence of events. Use your judgment on acceptable levels of cueing based on candidate's request.
 
Choose appropriate emergency classification level. Record Time of Site Area Emergency declaration Determines appropriate procedure section for the classification.
PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO 00.EP.001.504 i
Page 3 of 9 Student Name:
Step Action EVALUATOR NOTE:
0 This JPM must be performed in the simulator following completion of the scenario ILO-504 as Unit Supervisor.
This is a time critical JPM.
Ensure a copy of EP-PS-100 is available to support performance of this JPM.
0 0
EVALUATOR NOTE:
To begin this JPM, provide the candidate with the Initiating Cue Sheet.
EVALUATOR NOTE:
After the candidate reviews the Task Conditions /
Initiating Cue Sheet:
0 0
Ask if the candidate is ready to begin the JPM.
When the candidate is ready to begin the JPM inform the candidate that this is a Time Critical JPM.
Record Start Time Standard Eva1  
*Critical Step  
#Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1  
 
PERFORMANCE CHECKLIST i
Page 4 of 9 Appl. To/JPM No.: SRO 00.EP.001.504 Student Name:
Step 1
2 3  
*4 5
6 Action  
~~
Obtains a copy of EP-PS-100.
Identifies appropriate Tab Evaluates information.
EVALUATOR CUE:
Assistance may be necessary for some specific scenario data or sequence of events. Use your judgment on acceptable levels of cueing based on candidates request.
Choose appropriate emergency classification level.
Record Time of Site Area Emergency declaration Determines appropriate procedure section for the classification.
Standard Controlled copy obtained.
Standard Controlled copy obtained.
Determines Tab A is appropriate Tab to classify the event. Identifies from participation as The Unit Supervisor, RPV water level dropped below -1 61 inches FS 1 Loss or Potential loss of ANY 2 Fission Product Barriers Determines TAB D Manage the Site Area Emergency is the appropriate TAB. Eva1 Comments *Critical Step #Critical Sequence Form NTP-QA31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1 PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO OO.EP.OO1 SO4 Student Name: Step 7 a 9 10 Action Document and communicate the Emergency Classification.
Determines Tab A is appropriate Tab to classify the event.
Identifies from participation as The Unit Supervisor, RPV water level dropped below -1 61 inches FS 1 Loss or Potential loss of ANY 2 Fission Product Barriers Determines TAB D Manage the Site Area Emergency is the appropriate TAB.
Eva1 Comments  
*Critical Step  
#Critical Sequence Form NTP-QA31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1  
 
PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO OO.EP.OO1 SO4 Student Name:
Step 7
a 9
10 Action Document and communicate the Emergency Classification.
If not performed earlier appoint an Emergency Plan Communicator If not performed earlier, appoint an NRC communicator.
If not performed earlier appoint an Emergency Plan Communicator If not performed earlier, appoint an NRC communicator.
Generate and approve an ENR form to be transmitted by the Emergency Plan Communicator. EVALUATOR CUE:
Generate and approve an ENR form to be transmitted by the Emergency Plan Communicator.
Inform the candidate that the Control  
EVALUATOR CUE:
# in the next step will be CR-ILO-504 Standard Announces to Control Room Personnel:
Inform the candidate that the Control # in the next step will be CR-ILO-504 Standard Announces to Control Room Personnel:
I am assuming duties of the Emergency Director.
I am assuming duties of the Emergency Director.
Site Area Emergency Classification declared based on FS1 Loss or Potential loss of ANY 2 Fission Product Barriers Time and Date of Classification. Appoints an Emergency Plan Communicator and instruct hidher to immediately perform EP-PS-126 E Plan Com m u n icato r. Appoints an NRC Communicator and instruct hidher to perform EP-PS-135 NRC Communicator Refers to ENR Form under Tab
Site Area Emergency Classification declared based on FS1 Loss or Potential loss of ANY 2 Fission Product Barriers Time and Date of Classification.
: 9. i Page 5 of 9 Eva1 Comments *Critical Step #Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1 I PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO 00.EP.001.504 Page 6 of 9 Student Name: Step 11 51 2 Action Fill out and approve the Emergency Notification Report Form. EVALUATOR NOTE: The communicator will fill out the communicator name, callback telephone number, and time notification is initiated. (Line 2 of the Emergency Notification Report Form). Completes line 3 EVALUATOR NOTE: Initial Declaration is not critical Standard -~ Fills out and approves the Emergency Notification Report Form as follows:
Appoints an Emergency Plan Communicator and instruct hidher to immediately perform EP-PS-126 E Plan Com m u n icato r.
Control # CR-ILO-504 LINE 1. Call Status: Places checkmark in This is a drill box LINE 3. Emergency Classification:
Appoints an NRC Communicator and instruct hidher to perform EP-PS-135 NRC Communicator Refers to ENR Form under Tab 9.
i Page 5 of 9 Eva1 Comments  
*Critical Step  
#Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1  
 
I PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO 00.EP.001.504 Page 6 of 9 Student Name:
Step 11 5 1 2 Action Fill out and approve the Emergency Notification Report Form.
EVALUATOR NOTE:
The communicator will fill out the communicator name, callback telephone number, and time notification is initiated. (Line 2 of the Emergency Notification Report Form).
Completes line 3 EVALUATOR NOTE:
Initial Declaration is not critical Standard  
-~
Fills out and approves the Emergency Notification Report Form as follows:
Control # CR-ILO-504 LINE 1.
Call Status:
Places checkmark in This is a drill box LINE 3.
Emergency Classification:
Places checkmark in Site Area Emergency box Places checkmark in Unit one box Records the Declaration time and date.
Places checkmark in Site Area Emergency box Places checkmark in Unit one box Records the Declaration time and date.
Places a checkmark in this represents NAN initial declaration box in classification status. Eva1 - Comments *Critical Step #Critical Sequence Form NTP-QA91.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1 PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO 00.EP.001.504 Step *14 15 Action EVALUATOR NOTE: FS1 alone is sufficient for the Brief Non-Technical Description for the initial notification.
Places a checkmark in this represents NAN initial declaration box in classification status.
Candidate may paraphrase this description Completes line 4 Completes line 5 Completes line 6 Student Name: Standard LINE 4. The Emergency action level Records EAL FS1 EAL) number is: Brief non -technical description of the event: Records FS1 LINE 5. Places a checkmark in the NO Non-routine radiological release box LINE 6 Records Wind Direction is from: 10" Wind Speed is: 5 mph Page 7 of 9 Eva1 Comments *Critical Step #Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1 PERFORMANCE CHECKLIST Appl. To/JPM No.:
Eva1 Comments  
SRO 00.EP.001.504 Step 16 *17 18 Action Completes line 7 Approves the Emergency Notification Report Form EVALUATOR NOTE: Candidate may review the filled out ENR form with the E Plan Communicator.
*Critical Step  
#Critical Sequence Form NTP-QA91.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1  
 
PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO 00.EP.001.504 Step  
*14 15 Action EVALUATOR NOTE:
FS1 alone is sufficient for the Brief Non-Technical Description for the initial notification.
Candidate may paraphrase this description Completes line 4 Completes line 5 Completes line 6 Student Name:
Standard LINE 4.
The Emergency action level Records EAL FS1 EAL) number is:
Brief non -technical description of the event:
Records FS1 LINE 5.
Places a checkmark in the NO Non-routine radiological release box LINE 6 Records Wind Direction is from: 10" Wind Speed is: 5 mph Page 7 of 9 Eva1 Comments  
*Critical Step  
#Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1  
 
PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO 00.EP.001.504 Step 16  
*17 18 Action Completes line 7 Approves the Emergency Notification Report Form EVALUATOR NOTE:
Candidate may review the filled out ENR form with the E Plan Communicator.
Give the approved ENR form to the E Plan Communicator.
Give the approved ENR form to the E Plan Communicator.
EVALUATOR CUE: If necessary, Role-play the communicator and accept the filled out form. EVALUATOR CUE:
EVALUATOR CUE:
If necessary, Role-play the communicator and accept the filled out form.
EVALUATOR CUE:
Inform the candidate the JPM is complete.
Inform the candidate the JPM is complete.
Student Name: Standard LINE 7.
Student Name:
Standard LINE 7.  


== Conclusion:==
==
Places a checkmark in this is a drill box. Records the following on space provided:
Conclusion:==
Places a checkmark in this is a drill box.
Records the following on space provided:
Approved: - HidHer name Time: - Current time Date: - Current Date Provides the filled out ENR form to the E Plan Communicator.
Approved: - HidHer name Time: - Current time Date: - Current Date Provides the filled out ENR form to the E Plan Communicator.
Page 8 of 9 Comments *Critical Step #Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1 PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO OO.EP.OO1 SO4 Step Page 9 of 9 Action Standard Eva1 Comments EVALUATOR NOTE: The total time from the JPM start to step 5 of the JPM must be 51 5 minutes in order for the time critical portion of the JPM to be satisfactory.  
Page 8 of 9 Comments  
*Critical Step #Critical Sequence Form NTP-QA-31.8-2.
*Critical Step  
Rev. 0. Page 1 of 1 2005 NRC Exam Rev. 1 TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario.
#Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1  
 
PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO OO.EP.OO1 SO4 Step Page 9 of 9 Action Standard Eva1 Comments EVALUATOR NOTE:
The total time from the JPM start to step 5 of the JPM must be 5 1 5 minutes in order for the time critical portion of the JPM to be satisfactory.  
*Critical Step  
#Critical Sequence Form NTP-QA-31.8-2. Rev. 0. Page 1 of 1 2005 NRC Exam Rev. 1  
 
TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario.
Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.
Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.
INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form.
INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form.
2005 NRC Exam Rev. 1 Page 1 of 2 TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario.
2005 NRC Exam Rev. 1 Page 1 of 2  
 
TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario.
Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.
Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.
INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form. 2005 NRC Exam Rev. 1 Page 2 of 2 PPL SUSQUEHANNA, LLC JOB PERFORMANCE MEASURE APPROVAL AND ADMINISTRATIVE DATA SHEET SRO 00.EP.001.505 0 9/27/05 2.4.41 NIA 4.0 APPl. JPM Number Rev.
INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form.
No. Date NUREG 1123 WA No. K/A Imp. To Sys. No. Task Title: Completed By: Validated: Perform Emergency Plan Classification (Scenario ILO-505) and Complete the ENR form Rich Chin 9/27/05 Writer Date InstructorANriter Date Approval : Nuclear Trng.
2005 NRC Exam Rev. 1 Page 2 of 2  
Supv. Date of Performance:
 
JPM Performed By: Date Time Critical 15 Minutes Validated Time (Min.) Time Taken (Min.) Student Name: Last First M.I. Employee # I S.S. # Performance ( ) Satisfactory ( ) Unsatisfactory Evaluation: Evaluator Name: Signature Typed or Printed Comments:
PPL SUSQUEHANNA, LLC JOB PERFORMANCE MEASURE APPROVAL AND ADMINISTRATIVE DATA SHEET SRO 00.EP.001.505 0
Form NTP-QA-31.8-1, Rev. 0, Page 1 of 2 2005 NRC Exam Rev. 1 REQUIRED TASK INFORMATION JOB PERFORMANCE MEASURE SRO 00.EP.001.505
9/27/05 2.4.41 NIA 4.0 APPl.
: 1. SAFETY CONSIDERATIONS A. All Operations personnel are responsible for maintaining their radiation exposure As Low As Reasonably Achievable in accordance with OP-AD-002, Standards for Shift Operations.
JPM Number Rev. No.
B. All applicable safety precautions shall be taken in accordance with established PPL safety policies and the Safety Rule Book, for example: 1. Whenever any electrical panel is opened for inspection during JPM performance. 2. Whenever entering any plant area where specific safety equipment; such as hearing or eye protection, safety shoes, hardhats, etc; is required and/or posted as being necessary.
Date NUREG 1123 WA No.
C. If in the judgment of the evaluator any safety issue occurs during the performance of a JPM, the JPM will be terminated until the issue is resolved. D. Peer checking is the expectation for all evolutions; however, since a JPM is an individual effort, no peer check will be provided and Self Checking is required.
K/A Imp.
II. REFERENCES A. B. ILO-505, SIMULATOR EVALUATION SCENARIO C. EP-PS-1 OO-A D. EP-PS-1 OO-D E. EP-PS-100-9 EP-PS-100, EMERGENCY DIRECTOR CONTROL ROOM, REV.
To Sys. No.
18 111. REACTIVITY MAN1 PU LATlO NS This JPM satisfies the following Operational Activity(s):
Task
 
==Title:==
Completed By:
Validated:
Perform Emergency Plan Classification (Scenario ILO-505) and Complete the ENR form Rich Chin 9/27/05 Writer Date InstructorANriter Date Approval :
Nuclear Trng. Supv.
Date of Performance:
JPM Performed By:
Date Time Critical 15 Minutes Validated Time (Min.)
Time Taken (Min.)
Student Name:
Last First M.I.
Employee # I S.S. #
Performance
(  
) Satisfactory
(  
) Unsatisfactory Evaluation:
Evaluator Name:
Signature Typed or Printed Comments:
Form NTP-QA-31.8-1, Rev. 0, Page 1 of 2 2005 NRC Exam Rev. 1  
 
REQUIRED TASK INFORMATION JOB PERFORMANCE MEASURE SRO 00.EP.001.505
: 1.
SAFETY CONSIDERATIONS A. All Operations personnel are responsible for maintaining their radiation exposure As Low As Reasonably Achievable in accordance with OP-AD-002, Standards for Shift Operations.
B. All applicable safety precautions shall be taken in accordance with established PPL safety policies and the Safety Rule Book, for example:
: 1. Whenever any electrical panel is opened for inspection during JPM performance.
: 2. Whenever entering any plant area where specific safety equipment; such as hearing or eye protection, safety shoes, hardhats, etc; is required and/or posted as being necessary.
C. If in the judgment of the evaluator any safety issue occurs during the performance of a JPM, the JPM will be terminated until the issue is resolved.
D. Peer checking is the expectation for all evolutions; however, since a JPM is an individual effort, no peer check will be provided and Self Checking is required.
II. REFERENCES A.
B. ILO-505, SIMULATOR EVALUATION SCENARIO C. EP-PS-1 OO-A D. EP-PS-1 OO-D E. EP-PS-100-9 EP-PS-100, EMERGENCY DIRECTOR CONTROL ROOM, REV. 18 111. REACTIVITY MAN1 PU LATlO NS This JPM satisfies the following Operational Activity(s):
None IV. TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario. Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.
None IV. TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario. Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.
V. INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form. VI. TASK STANDARD Emergency classification of Site Area Emergency declared within 15 minutes. Form NTP-QA-31.8-1, Rev. 0, Page 2 of 2 2005 NRC Exam Rev. 1 PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO OO.EP.OO1 SO5 Step Action EVALUATOR NOTE:
V. INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form.
VI. TASK STANDARD Emergency classification of Site Area Emergency declared within 15 minutes.
Form NTP-QA-31.8-1, Rev. 0, Page 2 of 2 2005 NRC Exam Rev. 1  
 
PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO OO.EP.OO1 SO5 Step Action EVALUATOR NOTE:
0 This JPM must be performed in the simulator following completion of the scenario ILO-505 as Unit Supervisor.
0 This JPM must be performed in the simulator following completion of the scenario ILO-505 as Unit Supervisor.
This is a time critical JPM. Ensure a copy of EP-PS-100 is available to support performance of this JPM. 0 EVALUATOR NOTE:
This is a time critical JPM.
To begin this JPM, provide the candidate with the Initiating Cue Sheet. EVALUATOR NOTE: After the candidate reviews the Task Conditions  
Ensure a copy of EP-PS-100 is available to support performance of this JPM.
/ Initiating Cue Sheet: 0 Ask if the candidate is ready to begin the JPM. When the candidate is ready to begin the JPM inform the candidate that this is a Time Critical JPM. Record Start Time Student Name: Standard Page 3 of 9 Eva1 Comments *Critical Step #Critical Sequence Form NTP-QA91.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1 1 PERFORMANCE CHECKLIST Page 4 of 9 Appl. To/JPM No.: SRO 00.EP.001.505 Student Name: Step 1 2 3 *4 5 6 Action Obtains a copy of EP-PS-100. Identifies appropriate Tab Evaluates information. EVALUATOR CUE: Assistance may be necessary for some specific scenario data or sequence of events. Use your judgment on acceptable levels of cueing based on candidate's request.
0 EVALUATOR NOTE:
Choose appropriate emergency classification level. Record Time of Site Area Emergency declaration Determines appropriate procedure section for the classification.
To begin this JPM, provide the candidate with the Initiating Cue Sheet.
Standard Sontrolled copy obtained. Determines Tab A is appropriate Tab to classify the event. Identifies from participation as The Unit Supervisor, RPV water level dropped below -1 61 inches FS1 Loss or Potential loss of ANY 2 Fission Product Barriers Determines TAB D Manage the Site Area Emergency is the appropriate TAB. Eva1 - Comments *Critical Step #Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1 PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO 00.EP.001.505 Student Name: Step 7 8 9 10 Action Document and communicate the Emergency Classification.
EVALUATOR NOTE:
After the candidate reviews the Task Conditions /
Initiating Cue Sheet:
0 Ask if the candidate is ready to begin the JPM.
When the candidate is ready to begin the JPM inform the candidate that this is a Time Critical JPM.
Record Start Time Student Name:
Standard Page 3 of 9 Eva1 Comments  
*Critical Step  
#Critical Sequence Form NTP-QA91.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1  
 
1 PERFORMANCE CHECKLIST Page 4 of 9 Appl. To/JPM No.: SRO 00.EP.001.505 Student Name:
Step 1
2 3  
*4 5
6 Action Obtains a copy of EP-PS-100.
Identifies appropriate Tab Evaluates information.
EVALUATOR CUE:
Assistance may be necessary for some specific scenario data or sequence of events. Use your judgment on acceptable levels of cueing based on candidates request.
Choose appropriate emergency classification level.
Record Time of Site Area Emergency declaration Determines appropriate procedure section for the classification.
Standard Sontrolled copy obtained.
Determines Tab A is appropriate Tab to classify the event.
Identifies from participation as The Unit Supervisor, RPV water level dropped below -1 61 inches FS1 Loss or Potential loss of ANY 2 Fission Product Barriers Determines TAB D Manage the Site Area Emergency is the appropriate TAB.
Eva1 Comments  
*Critical Step  
#Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1  
 
PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO 00.EP.001.505 Student Name:
Step 7
8 9
10 Action Document and communicate the Emergency Classification.
If not performed earlier appoint an Emergency Plan Communicator If not performed earlier, appoint an NRC communicator.
If not performed earlier appoint an Emergency Plan Communicator If not performed earlier, appoint an NRC communicator.
Generate and approve an ENR form to be transmitted by the Emergency Plan Communicator. EVALUATOR CUE: Inform the candidate that the Control  
Generate and approve an ENR form to be transmitted by the Emergency Plan Communicator.
# in the next step will be CR-ILO-505 - Standard Announces to Control Room Personnel:
EVALUATOR CUE:
I am assuming duties of the Emergency Director. Site Area Emergency Classification declared based on FS1 Loss or Potential loss of ANY 2 Fission Product Barriers Time and Date of Classification.
Inform the candidate that the Control # in the next step will be CR-ILO-505 Standard Announces to Control Room Personnel:
I am assuming duties of the Emergency Director.
Site Area Emergency Classification declared based on FS1 Loss or Potential loss of ANY 2 Fission Product Barriers Time and Date of Classification.
Appoints an Emergency Plan Communicator and instruct hidher to immediately perform EP-PS-126 E Plan Communicator.
Appoints an Emergency Plan Communicator and instruct hidher to immediately perform EP-PS-126 E Plan Communicator.
Appoints an NRC Communicator and instruct hidher to perform EP-PS-135 NRC Communicator Refers to ENR Form under Tab 9. Page 5 of 9 Eva1 Comments *Critical Step #Critical Sequence Form NTP-QA-31.8-2, Rev. 0. Page 1 of 1 2005 NRC Exam Rev. 1 PERFORMANCE CHECKLIST Page 6 of 9 Appl. To/JPM No.: SRO 00.EP.001.505 Student Name:
Appoints an NRC Communicator and instruct hidher to perform EP-PS-135 NRC Communicator Refers to ENR Form under Tab 9.
Step 11 *12 Action Fill out and approve the Emergency Notification Report Form.
Page 5 of 9 Eva1 Comments  
EVALUATOR NOTE: The communicator will fill out the communicator name, callback telephone number, and time notification is initiated. (Line 2 of the Emergency Notification Report Form).
*Critical Step  
Completes line 3 EVALUATOR NOTE: Initial Declaration is not critical Standard Fills out and approves the Emergency Notification Report Form as follows:
#Critical Sequence Form NTP-QA-31.8-2, Rev. 0. Page 1 of 1 2005 NRC Exam Rev. 1  
Control # CR-ILO-505 LINE 1. Call Status: Places checkmark in This is a drill box LINE 3. Emergency Classification:
 
Places checkmark in Site Area Emergency box Places checkmark in Unit one box Records the Declaration time and date. Places a checkmark in this represents NAN initial declaration box in classification status. - Eva1 Comments *Critical Step #Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1
PERFORMANCE CHECKLIST Page 6 of 9 Appl. To/JPM No.: SRO 00.EP.001.505 Student Name:
; PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO 00.EP.001.505 Step 3k13 3k14 15 Action EVALUATOR NOTE: FS1 alone is sufficient for the Brief Non-Technical Description for the initial notification.
Step 11  
Candidate may paraphrase this description Completes line 4 Completes line 5 Completes line 6 Student Name: Standard LINE 4. The Emergency action level (EAL) number is: Records EAL FS1 Brief non -technical description of the event: Records FSl LINE 5. Places a checkmark in the NO Non-routine radiological release box LINE 6 Records Wind Direction is from: 10" Wind Speed is: 5 mph Page 7 of 9 Eva1 Comments *Critical Step #Critical Sequence Form NTP-OA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1 PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO 00.EP.001.505 Step 16 jk17 18 Action Completes line 7 Approves the Emergency Notification Report Form EVALUATOR NOTE:
*12 Action Fill out and approve the Emergency Notification Report Form.
Candidate may review the filled out ENR form with the E Plan Communicator. Give the approved ENR form to the E Plan Communicator. EVALUATOR CUE:
EVALUATOR NOTE:
If necessary, Role-play the communicator and accept the filled out form. EVALUATOR CUE: Inform the candidate the JPM is complete.
The communicator will fill out the communicator name, callback telephone number, and time notification is initiated. (Line 2 of the Emergency Notification Report Form).
Student Name: Standard LINE 7.
Completes line 3 EVALUATOR NOTE:
Initial Declaration is not critical Standard Fills out and approves the Emergency Notification Report Form as follows:
Control # CR-ILO-505 LINE 1.
Call Status:
Places checkmark in This is a drill box LINE 3.
Emergency Classification:
Places checkmark in Site Area Emergency box Places checkmark in Unit one box Records the Declaration time and date.
Places a checkmark in this represents N A N initial declaration box in classification status.
Eva1 Comments  
*Critical Step  
#Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1  
 
PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO 00.EP.001.505 Step 3k13 3k14 15 Action EVALUATOR NOTE:
FS1 alone is sufficient for the Brief Non-Technical Description for the initial notification.
Candidate may paraphrase this description Completes line 4 Completes line 5 Completes line 6 Student Name:
Standard LINE 4.
The Emergency action level (EAL) number is:
Records EAL FS1 Brief non -technical description of the event:
Records FSl LINE 5.
Places a checkmark in the NO Non-routine radiological release box LINE 6 Records Wind Direction is from: 10" Wind Speed is: 5 mph Page 7 of 9 Eva1 Comments  
*Critical Step  
#Critical Sequence Form NTP-OA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1  
 
PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO 00.EP.001.505 Step 16 jk17 18 Action Completes line 7 Approves the Emergency Notification Report Form EVALUATOR NOTE:
Candidate may review the filled out ENR form with the E Plan Communicator.
Give the approved ENR form to the E Plan Communicator.
EVALUATOR CUE:
If necessary, Role-play the communicator and accept the filled out form.
EVALUATOR CUE:
Inform the candidate the JPM is complete.
Student Name:
Standard LINE 7.  


== Conclusion:==
==
Places a checkmark in this is a drill box. Records the following on space provided:
Conclusion:==
Places a checkmark in this is a drill box.
Records the following on space provided:
Approved: - HidHer name Time: - Current time Date: - Current Date Provides the filled out ENR form to the E Plan Communicator.
Approved: - HidHer name Time: - Current time Date: - Current Date Provides the filled out ENR form to the E Plan Communicator.
Page 8 of 9 - Eva1 Comments *Critical Step #Critical Sequence Form NTP-QA-31.8-2, Rev. 0. Page 1 of 1 2005 NRC Exam Rev. 1 Appl. To/JPM No.: SRO 00.EP.001.505 Step PERFORMANCE CHECKLIST Student Name: Action Standard Eva1 Comments EVALUATOR NOTE: The total time from the JPM start to step 5 of the JPM must be 51 5 minutes in order for the time critical portion of the JPM to be satisfactory.
Page 8 of 9 Eva1 Comments  
Page 9 of 9 *Critical Step #Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1 TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario.
*Critical Step  
Assume Wind Direction was from:
#Critical Sequence Form NTP-QA-31.8-2, Rev. 0. Page 1 of 1 2005 NRC Exam Rev. 1  
10" and Wind Speed was: 5 mph throughout the scenario.
 
INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form. 2005 NRC Exam Rev. 1 Page 1 of 2 TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario.
Appl. To/JPM No.: SRO 00.EP.001.505 Step PERFORMANCE CHECKLIST Student Name:
Assume Wind Direction was from:
Action Standard Eva1 Comments EVALUATOR NOTE:
10" and Wind Speed was: 5 mph throughout the scenario.
The total time from the JPM start to step 5 of the JPM must be 5 1 5 minutes in order for the time critical portion of the JPM to be satisfactory.
INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form, 2005 NRC Exam Rev. 1 Page 2 of 2 PPL SUSQUEHANNA, LLC JOB PERFORMANCE MEASURE APPROVAL AND ADMINISTRATIVE DATA SHEET - SRO 00.EP.001.602 0 9/27/05 2.4.41 N/A 4.0 ADDI. JPM Number Rev. No. Date NUREG 1123 KIA No. KIA ImD. I, To Sys. No. Task Title:
Page 9 of 9  
Perform Emergency Plan Classification (Scenario ILO-602) and Complete the ENR form Completed By: Validated: Rich Chin 9/27/05 Writer Date I nstructorMl riter Date Approval:
*Critical Step  
Nuclear Trng. Supv. Date of Performance:
#Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1  
JPM Performed By: Date Time Critical 15 Minutes Validated Time (Min.) Time Taken (Min.) Student Name: Last First M.I. Employee #I S.S. # Performance Eva1 uation: ( ) Satisfactory ( ) Unsatisfactory Evaluator Name: Signature Typed or Printed Comments:
 
Form NTP-QA-31.8-1, Rev.
TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario.
0, Page 1 of 2 2005 NRC Exam Rev. 1 REQUIRED TASK INFORMATION JOB PERFORMANCE MEASURE SRO 00.EP.001.602
Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.
: 1. SAFETY CONSIDERATIONS A. All Operations personnel are responsible for maintaining their radiation exposure As Low As Reasonably Achievable in accordance with OP-AD-002, Standards for Shift Operations.
INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form.
B. All applicable safety precautions shall be taken in accordance with established PPL safety policies and the Safety Rule Book, for example: 1. Whenever any electrical panel is opened for inspection during JPM performance.
2005 NRC Exam Rev. 1 Page 1 of 2  
 
TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario.
Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.
INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form, 2005 NRC Exam Rev. 1 Page 2 of 2  
 
PPL SUSQUEHANNA, LLC JOB PERFORMANCE MEASURE APPROVAL AND ADMINISTRATIVE DATA SHEET SRO 00.EP.001.602 0
9/27/05 2.4.41 N/A 4.0 ADDI.
JPM Number Rev. No.
Date NUREG 1123 KIA No.
KIA ImD.
I To Sys. No.
Task
 
==Title:==
Perform Emergency Plan Classification (Scenario ILO-602) and Complete the ENR form Completed By:
Validated:
Rich Chin 9/27/05 Writer Date I nstructorMl riter Date Approval:
Nuclear Trng. Supv.
Date of Performance:
JPM Performed By:
Date Time Critical 15 Minutes Validated Time (Min.)
Time Taken (Min.)
Student Name:
Last First M.I.
Employee # I S.S. #
Performance Eva1 uation:
(  
) Satisfactory
(  
) Unsatisfactory Evaluator Name:
Signature Typed or Printed Comments:
Form NTP-QA-31.8-1, Rev. 0, Page 1 of 2 2005 NRC Exam Rev. 1  
 
REQUIRED TASK INFORMATION JOB PERFORMANCE MEASURE SRO 00.EP.001.602
: 1.
SAFETY CONSIDERATIONS A. All Operations personnel are responsible for maintaining their radiation exposure As Low As Reasonably Achievable in accordance with OP-AD-002, Standards for Shift Operations.
B. All applicable safety precautions shall be taken in accordance with established PPL safety policies and the Safety Rule Book, for example:
: 1. Whenever any electrical panel is opened for inspection during JPM performance.
: 2. Whenever entering any plant area where specific safety equipment; such as hearing or eye protection, safety shoes, hardhats, etc; is required and/or posted as being necessary.
: 2. Whenever entering any plant area where specific safety equipment; such as hearing or eye protection, safety shoes, hardhats, etc; is required and/or posted as being necessary.
C. If in the judgment of the evaluator any safety issue occurs during the performance of a JPM, the JPM will be terminated until the issue is resolved.
C. If in the judgment of the evaluator any safety issue occurs during the performance of a JPM, the JPM will be terminated until the issue is resolved.
D. Peer checking is the expectation for all evolutions; however, since a JPM is an individual effort, no peer check will be provided and Self Checking is required.
D. Peer checking is the expectation for all evolutions; however, since a JPM is an individual effort, no peer check will be provided and Self Checking is required.
II. REFERENCES A. B. ILO-602, SIMULATOR EVALUATION SCENARIO C. EP-PS-1 OO-A D. EP-PS-1 OO-D E. EP-PS-100-9 EP-PS-100, EMERGENCY DIRECTOR CONTROL ROOM, REV. 18 111. REACTIVITY MANIPULATIONS This JPM satisfies the following Operational Activity(s):
II. REFERENCES A.
B. ILO-602, SIMULATOR EVALUATION SCENARIO C. EP-PS-1 OO-A D. EP-PS-1 OO-D E. EP-PS-100-9 EP-PS-100, EMERGENCY DIRECTOR CONTROL ROOM, REV. 18 111. REACTIVITY MANIPULATIONS This JPM satisfies the following Operational Activity(s):
None IV. TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario. Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.
None IV. TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario. Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.
V. INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form. VI. TASK STANDARD Emergency classification of Site Area Emergency declared within 15 minutes. Form NTP-QA-31.8-1, Rev. 0, Page 2 of 2 2005 NRC Exam Rev. 1 PERFORMANCE CHECKLIST Page 3 of 9 Appl. To/JPM No.: SRO 00.EP.001.602 Student Name: Step Action EVALUATOR NOTE: 0 This JPM must be performed in the simulator following completion of the scenario ILO-602 as Unit Supervisor.
V. INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form.
This is a time critical JPM. Ensure a copy of EP-PS-100 is available to support performance of this JPM. 0 0 EVALUATOR NOTE: To begin this JPM, provide the candidate with the Initiating Cue Sheet. EVALUATOR NOTE: After the candidate reviews the Task Conditions  
VI. TASK STANDARD Emergency classification of Site Area Emergency declared within 15 minutes.
/ Initiating Cue Sheet: 0 0 Ask if the candidate is ready to begin the JPM. When the candidate is ready to begin the JPM inform the candidate that this is a Time Critical JPM. Record Start Time Standard Eva1 Comments *Critical Step #Critical Sequence Form NTP-OA-31.8-2.
Form NTP-QA-31.8-1, Rev. 0, Page 2 of 2 2005 NRC Exam Rev. 1  
Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1 i PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO 00.EP.001.602 Step 1 2 3 *4 Action Obtains a copy of EP-PS-100.
 
PERFORMANCE CHECKLIST Page 3 of 9 Appl. To/JPM No.: SRO 00.EP.001.602 Student Name:
Step Action EVALUATOR NOTE:
0 This JPM must be performed in the simulator following completion of the scenario ILO-602 as Unit Supervisor.
This is a time critical JPM.
Ensure a copy of EP-PS-100 is available to support performance of this JPM.
0 0
EVALUATOR NOTE:
To begin this JPM, provide the candidate with the Initiating Cue Sheet.
EVALUATOR NOTE:
After the candidate reviews the Task Conditions /
Initiating Cue Sheet:
0 0
Ask if the candidate is ready to begin the JPM.
When the candidate is ready to begin the JPM inform the candidate that this is a Time Critical JPM.
Record Start Time Standard Eva1 Comments  
*Critical Step  
#Critical Sequence Form NTP-OA-31.8-2. Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1  
 
i PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO 00.EP.001.602 Step 1
2 3  
*4 Action Obtains a copy of EP-PS-100.
Identifies appropriate Tab Evaluates information.
Identifies appropriate Tab Evaluates information.
EVALUATOR CUE: Assistance may be necessary for some specific scenario data or sequence of events. Use your judgment on acceptable levels of cueing based on candidate's request. Choose appropriate emergency classification level. Student Name: Standard Controlled copy obtained. Determines Tab A is appropriate Tab to classify the event. Identifies from participation as The Unit Supervisor, ATWS and RPV water level dropped below  
EVALUATOR CUE:
-1 61 inches MS3 ATWS and ARI fail to reduce power to less than 5% OR FS Loss or Potential loss of ANY 2 Fission Product Barriers Page 4 of 9 Eva1 - Comments c *Critical Step #Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1 PERFORMANCE CHECKLIST ( Page 5 of 9 Appl. To/JPM No.: SRO 00.EP.001.602 Student Name: Step 5 6 7 8 9 Action Record Time of Site Area Emergency declaration Determines appropriate procedure section for the classification.
Assistance may be necessary for some specific scenario data or sequence of events. Use your judgment on acceptable levels of cueing based on candidates request.
Choose appropriate emergency classification level.
Student Name:
Standard Controlled copy obtained.
Determines Tab A is appropriate Tab to classify the event.
Identifies from participation as The Unit Supervisor, ATWS and RPV water level dropped below -1 61 inches MS3 ATWS and ARI fail to reduce power to less than 5%
OR FS Loss or Potential loss of ANY 2 Fission Product Barriers Page 4 of 9 Eva1 Comments c  
*Critical Step  
#Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1  
 
PERFORMANCE CHECKLIST
(
Page 5 of 9 Appl. To/JPM No.: SRO 00.EP.001.602 Student Name:
Step 5
6 7
8 9
Action Record Time of Site Area Emergency declaration Determines appropriate procedure section for the classification.
Document and communicate the Emergency Classification.
Document and communicate the Emergency Classification.
If not performed earlier appoint an Emergency Plan Communicator If not performed earlier, appoint an NRC com mu n icato
If not performed earlier appoint an Emergency Plan Communicator If not performed earlier, appoint an NRC com mu n icato r.
: r. Standard Determines TAB D Manage the Site Area Emergency is the appropriate TAB. Announces to Control Room Personnel:
Standard Determines TAB D Manage the Site Area Emergency is the appropriate TAB.
Announces to Control Room Personnel:
I am assuming duties of the Emergency Director.
I am assuming duties of the Emergency Director.
Site Area Emergency Classification declared based on MS3 ATWS and ARI fail to reduce power to less than 5% FS1 Loss or Potential loss of ANY 2 Fission Product Barriers Time and Date of Classification.
Site Area Emergency Classification declared based on MS3 ATWS and ARI fail to reduce power to less than 5%
OR Appoints an Emergency Plan Communicator and instruct hidher to immediately perform EP-PS-126 E Plan Communicator. Appoints an NRC Communicator and instruct hidher to perform EP-PS-135 NRC Communicator - Eva1 Comments *Critical Step #Critical Sequence Form NTP-QA-31.8-2, Rev.
FS1 Loss or Potential loss of ANY 2 Fission Product Barriers Time and Date of Classification.
0, Page 1 of 1 2005 NRC Exam Rev. 1 PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO 00.EP.001.602 Student Name: - Step 10 11 Action Generate and approve an ENR form to be transmitted by the Emergency Plan Communicator.
OR Appoints an Emergency Plan Communicator and instruct hidher to immediately perform EP-PS-126 E Plan Communicator.
EVALUATOR CUE: Inform the candidate that the Control  
Appoints an NRC Communicator and instruct hidher to perform EP-PS-135 NRC Communicator Eva1 Comments  
# in the next step will be CR-ILO-602 Fill out and approve the Emergency Notification Report Form.
*Critical Step  
EVALUATOR NOTE: The communicator will fill out the communicator name, callback telephone number, and time notification is initiated. (Line 2 of the Emergency Notification Report Form).
#Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1  
Standard Refers to ENR Form under Tab 9. Fills out and approves the Emergency Notification Report Form as follows: Control # CR-ILO-602 LINE 1. Call Status: Places checkmark in This is a drill box Page 6 of 9 - Eva1 Comments *Critical Step #Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1 i PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO 00.EP.001.602 Step *12 *13 Action Completes line 3 EVALUATOR NOTE: Initial Declaration is not critical EVALUATOR NOTE: MS3 or FS1 alone is sufficient for the Brief Non- Technical Description for the initial notification.
 
Candidate may paraphrase this description Completes line 4 Student Name: Standard LINE 3. Emergency Classification: Places checkmark in Site Area Emergency box Places checkmark in Unit one box Records the Declaration time and date. Places a checkmark in this represents NAN initial declaration box in classification status.
PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO 00.EP.001.602 Student Name:
LINE 4. The Emergency action level (EAL) number is: Records EAL MS 3 or FS1 Brief non -technical description of the event: Records MS 3 or FS1 Page 7 of 9 Eva1 - Comments *Critical Step #Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1 PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO 00.EP.001.602 - Step +k14 15 16 +k17 ~ Action ~ Completes line 5 Completes line 6 Completes line 7 Approves the Emergency Notification Report Form EVALUATOR NOTE: Candidate may review the filled out ENR form with the E Plan Communicator.
Step 10 11 Action Generate and approve an ENR form to be transmitted by the Emergency Plan Communicator.
Student Name: Standard LINE 5. Places a checkmark in the NO Non-routine radiological release box LINE 6 Records Wind Direction is from: 10" Wind Speed is:
EVALUATOR CUE:
5 mph LINE 7.
Inform the candidate that the Control # in the next step will be CR-ILO-602 Fill out and approve the Emergency Notification Report Form.
EVALUATOR NOTE:
The communicator will fill out the communicator name, callback telephone number, and time notification is initiated. (Line 2 of the Emergency Notification Report Form).
Standard Refers to ENR Form under Tab 9.
Fills out and approves the Emergency Notification Report Form as follows:
Control # CR-ILO-602 LINE 1.
Call Status:
Places checkmark in This is a drill box Page 6 of 9 Eva1 Comments  
*Critical Step  
#Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1  
 
i PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO 00.EP.001.602 Step  
*12  
*13 Action Completes line 3 EVALUATOR NOTE:
Initial Declaration is not critical EVALUATOR NOTE:
MS3 or FS1 alone is sufficient for the Brief Non-Technical Description for the initial notification.
Candidate may paraphrase this description Completes line 4 Student Name:
Standard LINE 3.
Emergency Classification:
Places checkmark in Site Area Emergency box Places checkmark in Unit one box Records the Declaration time and date.
Places a checkmark in this represents NAN initial declaration box in classification status.
LINE 4.
The Emergency action level (EAL) number is:
Records EAL MS 3 or FS1 Brief non -technical description of the event:
Records MS 3 or FS1 Page 7 of 9 Eva1 Comments  
*Critical Step  
#Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1  


== Conclusion:==
PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO 00.EP.001.602 Step
+k14 15 16
+k17
~
Action
~
Completes line 5 Completes line 6 Completes line 7 Approves the Emergency Notification Report Form EVALUATOR NOTE:
Candidate may review the filled out ENR form with the E Plan Communicator.
Student Name:
Standard LINE 5.
Places a checkmark in the NO Non-routine radiological release box LINE 6 Records Wind Direction is from: 10" Wind Speed is: 5 mph LINE 7.


Places a checkmark in this is a drill box. Records the following on space provided:
==
Approved: - HidHer name Time: - Current time Date: - Current Date Page 8 of 9 Comments *Critical Step #Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1 PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO 00.EP.001.602 Step 18 Action Give the approved ENR form to the E Plan Communicator.
Conclusion:==
EVALUATORC If necessary, Role-play the communicator and accept the filled out form. EVALUATOR CUE: Inform the candidate the JPM is complete.
Places a checkmark in this is a drill box.
EVALUATOR NOTE: The total time from the JPM start to step 5 of the JPM must be 21 5 minutes in order for the time critical portion of the JPM to be satisfactory. EVALUATOR NOTE:
Records the following on space provided:
If RPV water level drops below -205 inches the EAL will escalate to a General Emergency under MG3, and the ENR form will also reflect AN airborne NON routine radiological release based on loss of the Fuel clad barrier. Student Name: Standard Provides the filled out ENR form to the E Plan Communicator.
Approved: - HidHer name Time: - Current time Date: - Current Date Page 8 of 9 Comments  
Page 9 of 9 Eva1 - Comments *Critical Step #Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1 TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario.
*Critical Step  
#Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1  
 
PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO 00.EP.001.602 Step 18 Action Give the approved ENR form to the E Plan Communicator.
EVALUATORC If necessary, Role-play the communicator and accept the filled out form.
EVALUATOR CUE:
Inform the candidate the JPM is complete.
EVALUATOR NOTE:
The total time from the JPM start to step 5 of the JPM must be 2 1 5 minutes in order for the time critical portion of the JPM to be satisfactory.
EVALUATOR NOTE:
If RPV water level drops below -205 inches the EAL will escalate to a General Emergency under MG3, and the ENR form will also reflect AN airborne NON routine radiological release based on loss of the Fuel clad barrier.
Student Name:
Standard Provides the filled out ENR form to the E Plan Communicator.
Page 9 of 9 Eva1 Comments  
*Critical Step  
#Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1  
 
TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario.
Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.
Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.
INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form. 2005 NRC Exam Rev. 1 Page 1 of 2 TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario.
INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form.
2005 NRC Exam Rev. 1 Page 1 of 2  
 
TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario.
Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.
Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.
INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form. 2005 NRC Exam Rev. 1 Page 2 of 2}}
INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form.
2005 NRC Exam Rev. 1 Page 2 of 2}}

Latest revision as of 13:27, 15 January 2025

Draft - Section a Operation Exam (Folder 2A)
ML053210417
Person / Time
Site: Susquehanna  Talen Energy icon.png
Issue date: 08/19/2005
From: Roush K
Susquehanna
To: Todd Fish
Operations Branch I
Conte R
References
Download: ML053210417 (124)


Text

PPL SUSQUEHANNA, LLC JOB PERFORMANCE MEASURE APPROVAL AND ADMINISTRATIVE DATA SHEET SIR0 78.AD.001.101 0

09/26/05 2.1.18 N/A 2.913.0 JPM Number Rev. No.

Date NUREG 1123 WA No.

WA Imp.

To Sys. No.

APPl.

Task

Title:

Completed By:

Validated Document a Failed LPRM Detector Rich Chin 09/26/05 Writer Date lnst ructorNV riter Date Approval:

Nuclear Trng. Supv.

Date of Performance:

Date 15/25 Validation Time (Min.)

Time Taken (Min.)

JPM Performed By:

Student Name:

Last First M.I.

Employee ## / S.S. #

Performance

(

)

Satisfactory

(

)

Unsatisfactory Evaluation:

Evaluator Name:

Signature Typed or Printed Comments:

Funn NTP-QA-31 8-1. Rev 0. Pagc 1 of 2 2005 NRC Exam Rev.1

REQUIRED TASK INFORMATION JOB PERFORMANCE MEASURE S/RO 78.AD.001.101

1.

SAFETY CONSIDERATIONS A. All Operations personnel are responsible for maintaining their radiation exposure As Low As Reasonably Achievable in accordance with OP-AD-002, Standards for Shift Operations.

B. All applicable safety precautions shall be taken in accordance with established PPL safety policies and the Safety Rule Book, for example:

1. Whenever any electrical panel is opened for inspection during JPM performance.
2. Whenever entering any plant area where specific safety equipment; such as hearing or eye protection, safety shoes, hardhats, etc; is required and/or posted as being necessary.

C. If in the judgment of the evaluator any safety issue occurs during the performance of a JPM, the JPM will be terminated until the issue is resolved.

D. Peer checking is the expectation for all evolutions; however, since a JPM is an individual effort, no peer check will be provided and Self Checking is required.

II. REFERENCES A. 01-078-001 LPRM STATUS CONTROL, (Rev. 8)

B. TS amendment 217 I II. REACTIVITY MAN1 PU LATIONS This JPM satisfies the requirements of Operational Activity(s):

None IV. TASK CONDITIONS A. Unit 1 is in MODE 1at 80% power.

B. Reactor Engineering has completed their evaluation of a downscale alarm condition for LPRM detector 48-1 78. LPRM detector 48-1 78 is failed C. The PCOP has just NOW bypassed LPRM detector 48-178 in the lower relay room.

D. All OPRM channels are INOPERABLE V. INITIATING CUE Complete all required hardcopy documentation in accordance with the appropriate instructions for LPRM detector 48-1 78.

VI. TASK STANDARD Zone 4 is identified as not having more than 50% upscale alarms operable, placard place on reactor panel, Unit Supervisor Notified to reference TRO 3.3.9, SROs must additionally identify required TRO actions.

hmn KIP-QA-31.8-1. Rev. 0. Page 2 of 2 2005 NRC Exam Rev. 1

Appl. To/JPM No.: S/RO 78.AD.001.lo1 Step j

PERFORMANCE CHECKLIST Action EVALUATOR NOTE:

Ensure the following material is available to support performance of this JPM:

A COPY of 01-078-001.

0 Prepare attachments A & B with zone 4 having exactly 50% operable LPRM upscale alarms.

Blank copy of attachment A & 6.

0 EVALUATOR NOTE:

To begin this JPM, provide the candidate with the Task Conditions and Initiating Cue Sheet.

Obtains a controlled copy of procedure.

Refers to correct section.

  • Critical Step
  1. Critical Sequence Student Name:

Standard Controlled copy of 01-078-001 obtained.

Refers to section 4.

Page 3 of 8 Comments Fonn NTP-QA-31.8-2. Rev. 0. Pqc I of I 2005 NRC Exam Rev.1

Appl. To/JPM No.: S/RO 78.AD.001.101 Step PERFORMANCE CHECKLIST Action Determines current LPRM status.

EVALUATOR CUE:

When the candidate identifies where the current LPRM Upscale Alarm Status Control Log is retained provide the candidate with previously filled-out copy of Attachments A & B.

EVALUATOR NOTE:

Allow candidate to use blank attachments from the copy of the procedure provided.

Obtains a blank copy of Attachment A & B.

Completes new Attachment A.

  • Critical Step
  1. Critical Sequence Student Name:

Standard Obtains the Operations Special Log Book in the Unit 1 control room and locates the previously completed copy of Attachment A & B.

Blank copy obtained.

Enters 1 for Unit.

Eva1 Page 4 of 8 Comments Form NTP-QA-31.8-2. Rev. 0, Page I of I 2005 NRC Exam Rev.1

Appl. To/JPM No.: S/RO 78.AD.001.101 PERFORMANCE CHECKLIST Action EVALUATOR CUE:

If candidate elects to verify position of switches in lower relay room, provide the cue that the switches are in the positions indicated on Attachment A (Special log book)

Enter a check (d) in column (2) for LPRM alarms determined inoperable or bypassed for all other reasons.

Consider all LPRM Upscale Alarms with a check in column (1) or (2) of Attachment A as inoperable Determine if 250% of LPRM Upscale alarms in each zone are operable.

Notify Reactor Engineering of all LPRM upscale alarms determined inoperable.

  • Critical Step
  1. Critical Sequence Student Name:

Standard Transfers the previous LPRM data to the new Attachment A.

OR Candidate may desire to verify switches in lower relay room.

Place a checkmark in column 2 adjacent to LPRM detector 48-1 7B in Zone 4.

Circles YES for zone 1, 2, 3, 5, 6, 7, 8, and 9.

Circles NO for zone 4.

N/A Previously noted in JPM cue.

Eva1

/

Page 5 of 8 Comments Fotm NTP-QA-31.8-2. Rev. 0. Page I of I 2005 NRC Exam Rev.1

I Appl. To/JPM No.: S/RO 78.AD.001.101 Step

  • 10
  • 11 12 13 14 15 PERFORMANCE CHECKLIST Action Attach placard to 1 C651 indicating < required #

of LPRM Upscale Alarms.

EVALUATOR NOTE:

The placard is required to remain posted until all zones have 930% upscale alarms operable.

Refer to TRO 3.3.9 LPRM, upscale alarm instrumentation Complete an LPRM vs. APRWLPRM Group Status Control Log (Attachment B) each time LPRM operability status is changed Circle all inoperable LPRMs on LPRM vs.

APRWLPRM Group Status Control Log (Attachment B).

Obtains review.

  • Critical Step
  1. Critical Sequence Student Name:

Standard Attaches placard to operating panel 1 C651.

Notifies the Unit Supervisor to Refer to TRO 3.3.9 LPRM Enters 1 for Unit.

Transfers the previous LPRM data to the new Attachment B.

Circles LPRM detector 48-1 7 for APRM E, under the column 6 Level.

Submit the completed Attachment A and 8 to the Unit Supervisor.

Eva1 i

Page 6 of 8 Comments Form NTP-QA-31.8-2. Rev. 0. Page I of I 2005 NRC Exam Rw.1

Appl. To/JPM No.: S/RO 78.AD.001.101 Step 16

  • 17 1

PERFORMANCE CHECKLIST Action EVALUATOR CUE:

This completes the JPM for the ROs ONLY EVALUATOR CUE:

FOR SRO CANDIDATES ONLY Give the SRO candidate the second cue sheet that addresses the Tech Spec and TRO for the INOPERABLE LPRMs Upscale alarms.

Obtains a copy of the Tech Specs and TRM Determines required actions

  • Critical Step
  1. Critical Sequence Student Name:

Standard

References:

TRO 3.3.9 Determines the following actions are required:

TRO 3.3.9 condition H Within 1 hour1.157407e-5 days <br />2.777778e-4 hours <br />1.653439e-6 weeks <br />3.805e-7 months <br /> Post a sign on the reactor panel that less than 50% of the LPRM Upscale alarms are OPERABLE AND TRO 3.3.9 Condition E Immediately Place the reactor mode switch in the shutdown position Eva1 Page 7 of 8 Comments h,rm NIT-QA-31.8-2. Rev. 0. Page I of 1 2005 NRC Exam Rev.1

00 0

00 a,

rn a

+

a

TASK CONDITIONS A.

8.

C.

D.

Unit 1 is in MODE lat 80% power.

Reactor Engineering has completed their evaluation of a downscale alarm condition for LPRM detector 48-1 78. LPRM detector 48-1 78 is failed The PCOP has just NOW bypassed LPRM detector 48-178 in the lower relay room.

All OPRM channels are INOPERABLE INITIATING CUE Complete all required hardcopy documentation in accordance with the appropriate instruction for LPRM detector 48-1 78.

2005 NRC Exam Rev.1 Page 1 of 4

TASK CONDITIONS A.

Unit 1 is in MODE lat 80% power.

B.

Reactor Engineering has completed their evaluation of a downscale alarm condition for LPRM detector 48-1 78. LPRM detector 48-1 78 is failed C. The PCOP has just NOW bypassed LPRM detector 48-1 78 in the lower relay room.

D. All OPRM channels are INOPERABLE INITIATING CUE Complete all required hardcopy documentation in accordance with the appropriate instruction for LPRM detector 48-1 78.

2005 NRC Exam Rev.1 Page 2 of 4

SRO ONLY TASK CONDITIONS A. Unit 1 is in MODE lat 80% power.

B. Reactor Engineering has completed evaluation of a downscale alarm condition for LPRM detector 48-1 78.

C. LPRM detector 48-1 76 is failed and bypassed.

D. All OPRM channels are INOPERABLE E. It has been determined that < 50% of LPRM Upscale alarms in zone 4 are operable.

F. The combination of thermal power and core flow is IN Region I1 of the power to Flow Map.

INITIATING CUE Determine the required Tech Spec and TRO actions.

2005 NRC Exam Rev.1 Page 3 of 4

SRO ONLY TASK CONDITIONS A. Unit 1 is in MODE lat 80% power.

B. Reactor Engineering has completed evaluation of a downscale alarm condition for LPRM detector 48-1 78.

C. LPRM detector 48-1 78 is failed and bypassed.

D. All OPRM channels are INOPERABLE E. It has been determined that e 50% of LPRM Upscale alarms in zone 4 are operable.

F. The combination of thermal power and core flow is IN Region II of the power to Flow Map.

INITIATING CUE Determine the required Tech Spec and TRO actions.

2005 NRC Exam Rev.1 Page 4 of 4

PPL SUSQUEHANNA, LLC JOB PERFORMANCE MEASURE 1

APPROVAL AND ADMINISTRATIVE DATA SHEET SRO 00.AD.273.002 0

09/26/05 2.1.12 N/A 4.0 APPl.

JPM Number Rev. No.

Date NUREG 1123 WA No.

WA Imp.

To Sys. No.

Task

Title:

Determine TRO applicability and complete the LCORRO log sheet.

Completed By:

Rich Chin Writer A pp rova I :

Nuclear Trng. Supv.

Date of Performance:

JPM Performed By:

Validated 09/26/05 Date InstructorNVriter Date Date 15 Validated Time (Min.)

Time Taken (Min.)

Student Name:

Last First M.I.

Employee # / S.S. #

Performance Evaluation:

(

)

Satisfactory

(

) Unsatisfactory Evaluator Name:

Signature Typed or Printed Comments:

Form NTP-QA-31.8-1. Rev. 0. Page 1 01 2 2M)S NRC Exam Rev. 1

I.

II.

111.

IV.

V.

REQUIRED TASK INFORMATION JOB PERFORMANCE MEASURE SRO 00.AD.273.002 SAFETY CONSIDERATIONS A. All Operations personnel are responsible for maintaining their radiation exposure As Low As Reasonably Achievable in accordance with OP-AD-002, Standards for Shift Operations.

B. All applicable safety precautions shall be taken in accordance with established PPL safety policies and the Safety Rule Book, for example:

1. Whenever any electrical panel is opened for inspection during JPM performance.
2. Whenever entering any plant area where specific safety equipment; such as hearing or eye protection, safety shoes, hardhats, etc; is required and/or posted as being necessary.

C. If in the judgement of the evaluator any safety issue occurs during the performance of a JPM, the JPM will be terminated until the issue is resolved.

D. Peer checking is the expectation for all evolutions; however, since a JPM is an individual effort, no peer check will be provided and Self Checking is required.

REFERENCES NDAP-QA-0312, CONTROLS OF LCOS, TROS AND SAFETY FUNCTION DETERMINATION PROGRAM (Revision 8)

Tech Specs REACTIVITY MANIPULATIONS This JPM satisfies the requirements of Operational Activity(s):

NONE TASK CONDITIONS A. Unit 1 is in Mode 1 at 100% power.

6. B RPS Bus De-energized 30 minutes ago due to a voltage regulator failure in the MG set.

C. B RPS has been transferred to the alternate power supply IAW ON-1 58-001, LOSS OF RPS attachment 6.

D. At step 9 of ON-1 58-001, LOSS OF RPS attachment 6, a problem was encountered. NONE of the CRM AIR SAMPLE IS0 LOOP valves (HS-15711 OAl, A2, B1, 82) could be OPENED. All other steps of the attachment were completed successfully.

E. Electrical maintenance was dispatched to determine the problem with the CRM AIR SAMPLE IS0 LOOP valves. Electrical maintenance has determined the cause to be a failure of the MDR relay.

F. AR-146-AO2 CONTN RAD DET SYSTEM A TROUBLE alarm is locked in.

G. AR-146-AO5 CONTN RAD DET SYSTEM B TROUBLE alarm is locked in.

H. No Tech Spec actions, TRO actions or Loss of safety function worksheets are in effect at either Unit.

INITIATING CUE Based on these plant conditions, IAW with the appropriate procedure, determine the required Tech Spec/TRM actions, and complete the necessary tracking forms.

VI. TASK STANDARD Entry into LCO 3.4.6 declared with LCO/TRO log and Operations portion of Chemistry/Health Physics LCO/TRO Sample /Survey Log sheet filled-out, and Chemistry notified.

Form NTP-QA-31.8-1, Rev. 0, Page 2 d 2 2005 NRC Exam Rev. 1

PERFORMANCE CHECKLIST Appl. To/JPM No.: 00.AD.273.002 Step 1

2 3

Action EVALUATOR NOTE:

Due to the nature of this JPM, the candidate may refer to several procedures before determining CRM A & B are both INOPERABLE and LCO 3.4.6 entry is required. Allow candidate to use the forms from the copy of NDAP-QA-0312 that is provided with this JPM.

Obtain a controlled copy of NDAP-QA-0312, CONTROLS OF LCOS, TROS AND SAFETY FUNCTION DETERMINATION PROGRAM Selects the correct section to perform.

Review applicable TS LCO and Bases or TRM TRO and Bases.

EVALUATOR NOTE:

Placing Unit 1 in either of the appropriate blocks in the next 2 steps will satisfy the Critical I portion for BOTH steps.

Student Name:

Standard Controlled copy obtained.

Selects section 6.3 Reviews TS LCO and Bases and TRM TRO and Bases.

Determines LCO 3.4.6 is applicable.

Page 3 of 9 Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2. Rev. 0. Page 1 01 1 2005 NRC Exam Rev.1

Appl. To/JPM No.: 00.AD.273.002 Step

  • 4 t 5 6

t 7 t 8 9

PERFORMANCE CHECKLIST Page 4 of 9 Action In accordance with the applicable TS/TRM, complete a LCO/TRO log sheet (Form NDAP-QA-0312-1) as follows:

Enter the applicable unit for which the log sheet is being completed.

Enter the unit containing the inoperable equipment.

Enter the system number.

Circle or enter whether the Action is an LCO or TRO and enter the specification number.

Enter the applicable MODES.

EVALUATOR NOTE:

Candidate may choose to place references in the reference document section, however this is not required.

Enter the reference documents, if applicable. The Reference Documents section may also be used to provide clarifying information for the reason the LCO/TRO is being entered.

Student Name:

Standard Fills out a copy of Attachment C of NDAP-QA-0312 (Form Records a 1 in the space provided to designate Unit 1 NDAP-QA-0312-1)

Records a 1 in the space provided to designate Unit 1 Records a 79 in the space provided.

Circles or records LCO Then records 3.4.6.

Records 1,2,3.

Determines NO reference documents are applicable.

Eva1 Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2, Rev. 0. Page 1 01 1 2005 NRC Exam Rev.1

PERFORMANCE CHECKLIST Page 5 of 9 Appl. To/JPM No.: 00.AD.273.002 Step

  • lo
  • 11 Action Reviewhevise all active LOSF worksheets based on the above inoperable equipment.

Determine if LCO 3.0.6 has been applied for any other system on both Units 1 and 2.

EVALUATOR NOTE:

The next 4 steps of this JPM will require 2 separate line item entries on Attachment C of NDAP-QA-0312.

One for action B.l, and one for 8.2.

See attached answer key for specifics of this form should be completed.

Student Name:

Standard Determines from initial conditions that No Tech Spec actions, TRO actions or Loss of safety function worksheets are in affect at either Unit and Records N/A in the space provided Determines from initial conditions that No Tech Spec actions, TRO actions or Loss of safety function worksheets are in affect at either Unit and Records an X in the Is this a Safety Function Determination support system? NO space provided AND Records an X in the If YES, is TS 3.0.6 to be applied? NA space provided.

Eva1 Comments

  • Critical Step
  1. Critical Sequence F o n NTP-QA-31.8-2. Rev. 0. Page 1 01 1 2005 NRC Exam Rev 1

Appl. To/JPM No.: 00.AD.273.002 i

PERFORMANCE CHECKLIST Page 6 of 9 Action Enter the Date and Time that the CONDITION was entered.

Enter the reason for CONDITION and the appropriate REQUIRED ACTION. The REQUIRED ACTION should be listed by number and include a brief noun description.

Enter the Date and Time by when the REQUIRED ACTION must be completed.

Initial that the CONDITION has been entered.

  • Critical Step
  1. Critical Sequence Student Name:

Standard Records B in CONDITION block for both line items Records date and time for each of the actions in the space provided.

Records all of the following Required Primary Containment Atmospheric Monitoring System INOPERABLE B.l Analyze grab samples of primary containment atmosphere AND 8.2 Restore required Primary Containment Atmospheric Monitoring System to OPERABLE status In the spaces provided Records:

Once per 12 hours1.388889e-4 days <br />0.00333 hours <br />1.984127e-5 weeks <br />4.566e-6 months <br /> B.l Within 30 days for item 8.2 Records candidate initials in the spaces provided Comments Form NTP-QA-31.82, Rev. 0. Paw 1 of 1 2005 NRC Exam Rev.1

I PERFORMANCE CHECKLIST Appl. To/JPM No.: 00.AD.273.002 Step 16 17 Action Have another SRO Peer Check the LCORRO entry and also initial in the "Entered By" box.

EVALUATOR CUE:

Role-play the second SRO and inform the candidate that you have Peer Checked the LCO/TRO entry, and they can assume that you have initialed the "Entered By" box.

If required, additional CONDITION(S) can be entered within the same LCORRO as follows:

If the REQUIRED ACTION requires a repetitive action (ex; perform action once every 8 hours9.259259e-5 days <br />0.00222 hours <br />1.322751e-5 weeks <br />3.044e-6 months <br />);

COMPLETE Form NDAP-QA-0312-5 "LCO/TRO Repetitive Required Action Completion Sheet" and attach to the LCORRO log sheet EVALUATOR NOTE:

It is not necessary to initiate a Chemistry/Health Physics LCORRO Sample/Survey Log if the LCO is expected to be cleared prior to the first required action/sample. However, caution must be used to ensure the sample/survey is not missed in the event the LCO is not cleared in a timely manner.

Student Name:

Standard Asks another SRO to Peer Check the LCO/TRO entry and initial in the "Entered By" box.

Determines:

Form NDAP-QA-0312-5 "LCO/TRO Repetitive Required Action Completion Sheet" IS NOT REQUIRED.

Page 7 of 9 Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2. Rev. 0. Page 1 of 1 2005 NRC Exam Rev.1

Appl. To/JPM No.: 00.AD.273.002 Step 18

  • 19
  • 20 PERFORMANCE CHECKLIST Page 8 of 9 Action If the LCO/TRO Condition requires Chemistry or Health Physics to sample or perform a survey, Shift Supervision shall initiate a Chemistry/Health Physics LCO/TRO Sample/Survey Log (FORM NDAP-QA-0312-3) by:

Completing the top section of FORM NDAP-QA-0312-3.

Notifying Chemistry/Health Physics to pick up the log sheet in the Control Room.

EVALUATOR CUE:

Role-play Chemistry and acknowledge the report.

Student Name:

Standard Determines:

Chemistry/Health Physics LCO/TRO Sample/Survey Log (FORM IS REQUIRED NDAP-QA-0312-3)

Places the following information on top section of FORM NDAP-QA-0312-3.

UNIT 1 The LCO/TRO for operation of the BOTH Primary Containment Atmospheric Monitoring System INOPERABLE Commenced at LCO entry time TS LCO 3.4.6 Action B.l Sample/Survey within Once per hours 2

Contacts Chemistry to pick up the log sheet in the Control Room.

Eva1 Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2, Rev. 0. Page 1 of 1 2005 NRC Exam Rev.1

PERFORMANCE CHECKLIST Step Appl. To/JPM No.: 00.AD.273.002 Student Name:

Action Standard Eva1 Comments EVALUATOR CUE:

That completes this JPM Page 9 of 9

  • Critical Step
  1. Critical Sequence Form NTP-OA-31.8-2. Rev. 0. Page 1 of 1 2005 NRC Exam Rev.1

ANSWER KEY DO NOT GIVE TO CANDIDATES UNIT 1

SYSTEM MODE 79 1,293 Reviewhevise all active LOSF worksheets based on the above inoperable equipment.

Is this a Safety Function Determination support system?

If YES, is TS 3.0.6 to be applied?

YES c] NO 0 NA If YES, perform a LOSF Determination using the Safety Function Determination Work Sheet. If NO, cascade LCOs.

Review Complete N/A YES 0 NO Reference Documents Date/

Time t Entered ChedHP REASON AND REQUIRED ACTION Required Primary Containment Atmospheric Monitoring System INOPERABLE 6.1 Analyze grab samples of primary containment atmosphere AND Completion Date/Time Once per 12 hours1.388889e-4 days <br />0.00333 hours <br />1.984127e-5 weeks <br />4.566e-6 months <br /> LCO/TRO CONDITION Entered Datemime Cleared By Entered candidate initials 6

Todays date and time I

I B

Todays date and time I

6.2 Restore required Primary Containment Atmospheric Monitoring System to OPERABLE status LCO/TRO CONDITION Cleared Within 30 days candidate initials Reviewed OPS Supv-Nuc:

I

.CO Cleared I

LCO Entered 2005 NRC Exam Rev 1

ANSWER KEY DO NOT GIVE TO TSnR LCO 3.4.6 CANDIDATES ACTION WITHIN COMPLETED WITHIN B.l Once per 12 hours1.388889e-4 days <br />0.00333 hours <br />1.984127e-5 weeks <br />4.566e-6 months <br /> Unit 1

1 CHEMISTRY/HEALTH PHYSICS LCO/TRO SAMPLWSURVEY LOG I

T h m R O for operation of the BOTH Primary Containment Atmospheric Monitoring System INOPERABLE commenced at LCO

/ Today

. Chemistry samples/Health Physics surveys shall be taken per:

entry time 1

I SAMPLWSURVEY I

ANALYSIS I

Report chemistry analysis results to Shift Supervision.

HEALTH PHYSICS The Desk Foreman - Health Physics or the HP Shift Lead Technicians shall notify the HP Duty Foreman immediately following receipt of this log.

Shift Supervision CHEMISTRY FIRST SAMPLE DUE DATWIME FIRST ANALYSIS COMPLETION DUE DATEnlME

--OR--

LCO/TRO cleared at BY Daterrime Shift Supervision Copy sent to Chemistry/HP Foreman.

Technician COMPLETED FORMS SHALL BE INCLUDED WITH THE LCOfiRO LOG SHEET FOR THE SAMPLING LCOTTRO.

Page 1 of 2005 NRC Exam Rev. 1

~~~~

TASK CONDITIONS A.

6.

C.

D.

E.

F.

G.

H.

Unit 1 is in Mode 1 at 100% power.

B, RPS Bus De-energized 30 minutes ago due to a voltage regulator failure in the MG set.

B RPS has been transferred to the alternate power supply IAW ON-158-001, LOSS OF RPS attachment 6.

At step 9 of ON-158-001, LOSS OF RPS attachment 6, a problem was encountered. NONE of the CRM AIR SAMPLE IS0 LOOP valves (HS-157110A1, A2, B1, 62) could be OPENED.

All other steps of the attachment were completed successfully.

Electrical maintenance was dispatched to determine the problem with the CRM AIR SAMPLE IS0 LOOP valves. Electrical maintenance has determined the cause to be a failure of the MDR relay.

AR-146-AO2 CONTN RAD DET SYSTEM A TROUBLE alarm is locked in.

AR-146-AO5 CONTN RAD DET SYSTEM 6 TROUBLE alarm is locked in.

No Tech Spec actions, TRO actions or Loss of safety function worksheets are in effect at either Unit.

INITIATING CUE Based on these plant conditions, IAW with the appropriate procedure, determine the required Tech Spec/TRM actions, and complete the necessary tracking forms.

2005 NRC Exam Rev. 1 1 of2

TASK CONDITIONS A.

B.

C.

D.

E.

F.

G.

H.

Unit 1 is in Mode 1 at 100% power.

B RPS Bus De-energized 30 minutes ago due to a voltage regulator failure in the MG set.

B RPS has been transferred to the alternate power supply IAW ON-158-001, LOSS OF RPS attachment B.

At step 9 of ON-158-001, LOSS OF RPS attachment B, a problem was encountered. NONE of the CRM AIR SAMPLE IS0 LOOP valves (HS-157110A1, A2, B1, 82) could be OPENED.

All other steps of the attachment were completed successfully.

Electrical maintenance was dispatched to determine the problem with the CRM AIR SAMPLE IS0 LOOP valves. Electrical maintenance has determined the cause to be a failure of the MDR relay.

AR-146-AO2 CONTN RAD DET SYSTEM A TROUBLE alarm is locked in.

AR-146-AO5 CONTN RAD DET SYSTEM B TROUBLE alarm is locked in.

No Tech Spec actions, TRO actions or Loss of safety function worksheets are in effect at either Unit.

INITIATING CUE Based on these plant conditions, IAW with the appropriate procedure, determine the required Tech Spec/TRM actions, and complete the necessary tracking forms.

2005 NRC Exam Rev. 1 2 of 2

PPL SUSQUEHANNA, LLC JOB PERFORMANCE MEASURE APPROVAL AND ADMINISTRATIVE DATA SHEET SIR0 45.0N.007101 1

09/26/05 2.1.25 N/A 2.813.1 APPl-JPM Number Rev.

Date NUREG 1123 WA No.

WA Imp.

To No.

Sys. No.

Task

Title:

Determine Cause for Reactor Water Level Indication Anomalylldentify required Tech Spec Actions Completed By:

Validated:

Rich Chin 0912 6/05 Writer Date I nstructorNV riter Date Approval:

Nuclear Trng. Supv.

Date 10120 Date of Performance:

Validation Time (Min.)

Time Taken (Min.)

JPM Performed By:

Student Name:

Last First M.I.

Employee # / S.S. #

Performance

(

)

Satisfactory

(

)

Unsatisfactory Evaluation :

Evaluator Name:

Signature Typed or Printed Comments:

Form NTP-QA-3 1.8-I, Rev. 0, Page 1 of 2 2005 N R C Exam Rev 1

REQUIRED TASK INFORMATION JOB PERFORMANCE MEASURE S/RO 45.0N.007.101

\\

1.

SAFETY CONSIDERATIONS A. All Operations personnel are responsible for maintaining their radiation exposure As Low As Reasonably Achievable in accordance with OP-AD-002, Standards for Shift Operations.

B. All applicable safety precautions shall be taken in accordance with established PPL safety policies and the Safety Rule Book, for example:

1. Whenever any electrical panel is opened for inspection during JPM performance.
2. Whenever entering any plant area where specific safety equipment; such as hearing or eye protection, safety shoes, hardhats, etc; is required and/or posted as being necessary.

C. If in the judgment of the evaluator any safety issue occurs during the performance of a JPM, the JPM will be terminated until the issue is resolved.

D. Peer checking is the expectation for all evolutions; however, since a JPM is an individual effort, no peer check will be provided and Self Checking is required.

II. REFERENCES A. ON-145-004, RPV WATER LEVEL ANOMALY (Rev. 8)

B. Tech Specs 111. REACTIVITY M ANI PU LATl ON S This JPM satisfies the requirements of Operational Activity(s):

None IV. TASK CONDITIONS A. Unit 1 is in MODE 1 at 100% reactor power.

B. An anomaly exists with RPV water level instrument indication.

V. INITIATING CUE Use the appropriate procedure to address the anomaly.

VI. TASK STANDARD Identifies instrument anomaly is due to Instrument Bus 1 1Y125 breaker 01 being tripped or de-energized, and re-energizes the instruments. SROs additionally, identify the Required Tech Spec Actions.

Form NTP-QA-31.8-1, Rev. 0, Page 2 of 2 2005 NRC. Exam Rev. 1

PERFORMANCE CHECKLIST Appl. To/JPM No.:

45.0N.007.101 I

Page 3 of 9 Student Name:

Step

$1 2

3 Action EVALUATOR NOTE:

0 This JPM must be performed in the simulator.

Establish task conditions as directed on attached setup instructions.

0 When the candidate is ready to begin JPM, place the simulator to RUN.

Reviews RPV water level instruments indications in the simulator to determine which indicators are affected.

EVALUATOR NOTE:

Candidate may reference ON-117-001, LOSS OF INSTRUMENT BUS instead of ON-145-004, RPV WATER LEVEL ANOMALY. As long as all critical steps are accomplished this would be acceptable.

However, it may be necessary to ask a follow-up question for the Tech Specs.

Obtains a controlled copy of ON-145-004.

Reviews Symptoms and Observations for applicability.

Standard Determines the following level indicators are reading zero:

LI-14201 B1 on 1 C651 C601 C601 LI-14201 B on LI-142038 on Controlled copy obtained.

Ensures the Symptoms and Observations are applicable.

Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-31 8-2, Rev 0. P a p I of I 2005 NRC Exam Rev.1

i PERFORMANCE CHECKLIST Appl. To/JPM No.:

45.0N.007.101 Step Action Records date and time of event.

Selects the appropriate section and attachment.

Perform following for level instrumentation malfunction:

Refer to Attachment B checking following:

Instruments with common reference leg condensing chambers or excess flow check valves.

  • Critical Step Form hTI-QA-31 8-2. Rev 0. Page I of I 2005 NRC Exam Rev 1
  1. Critical Sequence Page 4 of 9 Student Name:

Standard Enter current date and time.

Selects Section 3.5 and Attachment B.

On Attachment 6 pages land 2 determines the following common reference leg condensing chambers and excess flow check valves are still indicating normal values and are NOT the source of the anomaly:

LI-B21 1R605 LR-C32 1R608 LI-14201 A LI-14201A1 LI-l4203A LI-B21 1R604 LI-C23 1 R606B LWPR 14201A Comments

Appl. To/JPM No.:

45.0N.007.101 Step 7 -

PERFORMANCE CHECKLIST Page 5 of 9 Action Instruments and indications with common variable leg supplies or excess flow check valves.

EVALUATOR CUE:

If requested, inform candidate all instrumentation power is selected to its normal source.

  • Critical Step Fonn NIT-QA-31.8-2. Rev. 0. Papc I of I 2005 NRC Exam Rev.1
  1. Critical Sequence Student Name:

Standard On Attachment B pages 1 and 2 determines the following common variable leg condensing chambers and excess flow check valves are still indicating normal values and are NOT the source of the anomaly:

LI-B21 1R605 LR-C32 1R608 LI-14201 A LI-14201 A1 LI-l4203A LI-621 1R604 LI-C23 1 R606B LWPR 14201A Eva1 Comments

j PERFORMANCE CHECKLIST Appl. To/JPM No.:

45.0N.007.101 Action Instruments with common power supplies.

Automatic actions and alarms.

IF level cannot be determined 2 +13" by at least two (2) independent indications, Enter EO 100 102, RPV Control.

Comply with TS 3.3.1.1, 3.3.2.2, 3.3.6.1, 3.3.6.2, 3.3.5.1, 3.3.4.2 and 3.3.5.2.

EVALUATOR CUE:

If necessary, Role-play Unit Supervisor and acknowledge the request.

Page 6 of 9 Student Name:

Standard 8-Determines the following indicators a common power supply:

LI-14201 B1 on 1 C651 LI-14201 B on 1 C601 LI-142038 on 1 C601 Identifies a loss of 1 Y125 breaker 01 as the common mode failure.

NONE Determines this is N/A since other level indications are available.

Recognizes the need to Comply with TS 3.3.1.1, 3.3.2.2, 3.3.6.1, 3.3.6.2, 3.3.5.1, 3.3.4.2 and 3.3.5.2.

Comments

  • Critical Step
  1. Critical Sequence Form NIP-QA-31 8-2. Rev. 0. Page I of I 2005 NAC Exam Rev.1

PERFORMANCE CHECKLIST Appl. To/JPM No.:

45.0N.007.101 Step 12 13

  • 14 Action IF applicable, Restore power supplies for failed instrumentation.

EVALUATOR CUE:

Role-play NPO and repoi. 1Y125 breaker 01 is tripped.

Informs Unit Supervisor that 1Y125 breaker 01 is tripped.

EVALUATOR CUE:

Role-play Unit Supervisor and acknowledge the report And Instruct candidate to attempt one closure of 1 Y125 breaker 01 is tripped.

Contact NPO and instruct NPO to close 1Y125 breaker 01.

BOOTH OPERATOR CUE:

Remove malfunction on 1Y125 breaker 01.

MRF DB117271 CLOSE I

Page 7 of 9 Student Name:

Standard Contacts NPO to check status of 1Y125 breaker 01 Informs Unit Supervisor that 1 Y125 breaker 01 is tripped.

Contacts NPO and instructs NPO to close 1 Y125 breaker 01.

~

Comments

  • Critical Step
  1. Critical Sequence hmnhTPQA-31 8-2. Rev. 0. Pqc I of I 2005 NRC Exam Rev 1

Appl. To/JPM No.:

45.0N.007.101 PERFORMANCE CHECKLIST Page 8 of 9 Action EVALUATOR CUE:

Role-play NPO and report 1Y125 breaker 01 is CLOSED.

Verifies level instruments are reading NORMAL EVALUATOR CUE:

This completes the JPM for the RO ONLY EVALUATOR CUE:

FOR SRO CANDIDATES ONLY Give the SRO candidate the second cue sheet that addresses the Tech Spec required actions for the failed level transmitters.

Obtains a copy of the Tech Specs Student Name:

Standard Verifies the following indicators are now reading normal:

LI-14201 B1 on 1 C65 LI-14201 B on 1 C601 LI-142038 on 1 C601

References:

Tech Spec 3.3.3.1 Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2. Rev 0. Pqr 1 uf 1 2005 NRC Exam Rev.1

PERFORMANCE CHECKLIST Appl. To/JPM No.:

45.0N.007.101 Step

+ I 7 Action Determines required actions EVALUATOR CUE:

This completes the JPM.

Page 9 of 9 Student Name:

Standard Determines the following action is required:

Within 30 days restore required channel to operable status.

Eva1 Comments

  • Critical Step
  1. Critical Sequence Form NTF-QA 31.8-2, Rev 0. Pqc I of 1 2005 NRC Exam Rev.1

SRO ONLY TASK CONDITIONS A. Unit 1 is in MODE 1 at 100% reactor power.

8. An anomaly exists with RPV water level instrument indication.

C. It has been determined that extended range level transmitter LT-142038 has lost power.

INITIATING CUE Determine the required Tech Spec actions.

2005 NRC. Exam Rev. 1 Page 1 of 4

SRO ONLY TASK CONDITIONS A. Unit 1 is in MODE 1 at 100% reactor power.

B. An anomaly exists with RPV water level instrument indication.

C. It has been determined that extended range level transmitter LT-142038 has lost power.

INITIATING CUE Determine the required Tech Spec actions.

2005 NRC. Exam Rev. 1 Page 2 of 4

TASK CONDITIONS A. Unit 1 is in MODE 1 at 100% reactor power.

B. An anomaly exists in RPV water level instrument indication.

INITIATING CUE Use the appropriate procedure to address the anomaly.

2005 NRC. Exam Rev. 1 Page 3 of 4

TASK CONDITIONS A. Unit 1 is in MODE 1 at 100% reactor power.

B. An anomaly exists in RPV water level instrument indication.

INITIATING CUE Use the appropriate procedure to address the anomaly.

2005 NRC. Exam Rev. 1 Page 4 of 4

PPL SUSQUEHANNA, LLC JOB PERFORMANCE MEASURE APPROVAL AND ADMINISTRATIVE DATA SHEET N/A 2.6/3.8 APPl.

JPM Number Rev. No.

Date NUREG 1123 WA No.

WA Imp.

To Sys. No.

S/RO 00.AD.269.101 0

09/26/05 2.2.24 Task

Title:

Determine Trip Inputs to Zone 3 Is0 Signals Lockout Relay XY07553A Using Controlled Electrical Prints Completed By:

Rich Chin Writer Approval:

Nuclear Trng. Supv.

Date of Performance:

JPM Performed By:

Validated 09/26/05 Date InstructorNVriter Date Date 20/30 Validation Time (Min.)

Time Taken (Min.)

Student Name:

Last First M.I.

Employee # / S.S. #

Performance

(

)

Satisfactory

(

)

Unsatisfactory Evaluation:

Evaluator Name:

Signature Typed or Printed Comments:

Form NTP-QA-31.8-1, Rev. 0, Page I of 2 2005 NRC Exam Rev. 1

REQUIRED TASK INFORMATION JOB PERFORMANCE MEASURE S/RO 00.AD.269.101

\\

1.

SAFETY CONSIDERATIONS A. All Operations personnel are responsible for maintaining their radiation exposure As Low As Reasonably Achievable in accordance with OP-AD-002, Standards for Shift Operations.

B. All applicable safety precautions shall be taken in accordance with established PPL safety policies and the Safety Rule Book, for example:

1. Whenever any electrical panel is opened for inspection during JPM performance.
2. Whenever entering any plant area where specific safety equipment; such as hearing or eye protection, safety shoes, hardhats, etc; is required and/or posted as being necessary.

C. If in the judgment of the evaluator any safety issue occurs during the performance of a JPM, the JPM will be terminated until the issue is resolved.

D. Peer checking is the expectation for all evolutions; however, since a JPM is an individual effort, no peer check will be provided and Self Checking is required.

II. REFERENCES A. E 201 sheet 1 (Rev. 27)

B. E 184 sheet 1 (Rev. 19)

C. E 184 sheet 3 (Rev. 17)

I I I. REACTIVITY MAN I PU LATIONS This JPM satisfies the requirements of Operational Activity(s):

None IV. TASK CONDITIONS A. Electrical maintenance is preparing to replace the Zone 3 Is0 Signals Lockout Relay XY07553A on panel OC681.

V. INITIATING CUE Your supervisor asks you to use the controlled electrical prints to identify all of the trip input signals to this relay, and report your results to back to your supervisor.

VI. TASK STANDARD All of the trip input signals to Zone 3 Is0 Signals Lockout Relay XY07553A are identified. SROs must additionally identify the required Tech Spec actions for an inoperable input.

Form NTP-QA-31.8-1, Rev. 0, Page 2 of 2 2005 NRC Exam Rev. I

Appl. To/JPM No.: S/RO 00.AD.269.101 Step

1.
2.

I PERFORMANCE CHECKLIST Page 3 of 7 Action EVALUATOR NOTE Candidate may use any number of different mediums to obtain the controlled copy of the electrical drawings.

These would all be acceptable.

Candidate obtains the controlled copy of the electrical print.

Locates relay XY07553A on print E 201 sheet 1.

EVALUATOR NOTE The following steps 3 - 9 may be done in any order.

Candidate may also elect not to report result back to supervisor until they have completed the task. This JPM is written with a report back after each determination as a convenience to the evaluator.

Student Name:

Standard References the electrical print index, OR the operating manuals and determine the appropriate print is E 201 sheet 1.

Locates relay XY07553A at grid location C6.

Eva1 Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-3 I.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. I

Appl. To/JPM No.: S/RO 00.AD.269.101 Step

  • 3 t 4 PERFORMANCE CHECKLIST Page 4 of 7 Action Candidate determines Unit 1 High radiation inputs a trip signal to relay XY07553A.

Candidate determines Unit 2 High radiation inputs a trip signal to relay XY07553A.

Student Name:

Standard Determines that High radiation from the following Unit 1 locations will input a trip signal into relay XY07553A [Grid location B7]

Refuel floor exhaust 0 Refuel floor wall exhaust 0 Railroad access shaft exhaust AND Reports this to the supervisor Determines that High radiation from the following Unit 2 locations will input a trip signal into relay XY07553A [Grid location B8]

0 Refuel floor exhaust 0 Refuel floor wall exhaust AND Reports this to the supervisor Eva1

=

Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-3 1.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. I

Appl. To/JPM No.: S/RO 00.AD.269.101 Step 5

6 wc7 8

PERFORMANCE CHECKLIST

~

Action Determines the need to transition to another electrical drawing.

Candidate obtains the controlled copy of the electrical print E 184 sheet 1.

Candidate determines Unit 1 Div 1 LOCA isolation signal inputs a trip signal to relay XY07553A.

Candidate obtains the controlled copy of the electrical print E 184 sheet 3.

Student Name:

Standard Determines the other 2 inputs to trip relay XY07553A are on drawings 184 sheet 1 and 3 by observing the notes Obtains the controlled copy of the electrical print E 184 sheet 1.

Determines Unit 1 Div 1 LOCA isolation signal inputs a trip signal to relay XY07553A and this signal is generated by :

0 Manual isolation Lo-Lo water reactor level 0

Hi drywell pressure Switch in TEST mode (trip2)

AND Reports this to the supervisor Obtains the controlled copy of the electrical print E 184 sheet 3.

(

Page 5 of 7 Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-3 1.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1

Appl. To/JPM No.: S/RO 00.AD.269.101 Step U9 10 I

PERFORMANCE CHECKLIST Page 6 of 7 Action Candidate determines Unit 2 Div 1 LOCA isolation signal inputs a trip signal to relay XY07553A.

Candidate determines there are no more inputs to relay XY07553A EVALUATOR CUE:

This completes the JPM for the ROs ONLY Student Name:

Standard Determines Unit 2 Div 1 LOCA isolation signal inputs a trip signal to relay XY07553A and this signal is generated by :

Manual isolation RPV low level (trip 2) 0 Hi drywell pressure 0

Switch in TEST mode AND Reports this to the supervisor Determines there are no more inputs to relay XY07553A, and reports this to the supervisor.

Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-3 1.8-2, Rev. 0, Page 1 of I 2005 NRC Exam Rev. 1

Appl. To/JPM No.: S/RO 00.AD.269.101 PERFORMANCE CHECKLIST Page 7 of 7 Action EVALUATOR CUE:

FOR SRO CANDIDATES ONLY Give the SRO candidate the second cue sheet that addresses the Tech Spec LCO for the INOPERABLE relay.

Obtains a copy of the Tech Specs Determines required actions for Tech Spec 3.3.6.2 EVALUATOR CUE:

This completes the JPM Student Name:

Standard References Tech Spec 3.3.6.2 Determines the following actions will be required:

Within 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br /> place the following channel in TRIP:

Unit 1 Refuel floor high exhaust duct radiation-high Eva1

~

Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-3 1.8-2. Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1

SRO ONLY TASK CONDITIONS Unit 1 is in Mode 1 Unit 2 is in Mode 4 with:

NO Core alterations taking place and NO Irradiated fuel movements taking place and NO activities with the potential for draining the reactor vessel taking place.

A.

Electrical maintenance has determined the Unit 1 Refuel Floor High Exhaust Duct Radiation Monitor is INOPERABLE.

INITIATING CUE What Technical Specifications action(s), including time limits, idare required as a result of this determination?

Page 1 of 4 2005 NRC Exam Rev. 1

SRO ONLY TASK CONDITIONS Unit 1 is in Mode 1 Unit 2 is in Mode 4 with:

NO Core alterations taking place and NO Irradiated fuel movements taking place and NO activities with the potential for draining the reactor vessel taking place.

A.

Electrical maintenance has determined the Unit 1 Refuel Floor High Exhaust Duct Radiation Monitor is INOPERABLE.

INITIATING CUE What Technical Specifications action(s), including time limits, idare required as a result of this determination?

2005 NRC Exam Rev. I Page 2 of 4

TASK CONDITIONS A. Electrical maintenance is preparing to replace the Zone 3 Is0 Signals Lockout Relay XY07553A on panel OC681.

INITIATING CUE Your supervisor asks you to use the controlled electrical prints to identify all of the trip input signals to this relay, and report your results to back to your supervisor.

2005 NRC Exam Rev. 1 Page 3 of 4

TASK CONDITIONS A. Electrical maintenance is preparing to replace the Zone 3 Is0 Signals Lockout Relay XY07553A on panel OC681.

INITIATING CUE Your supervisor asks you to use the controlled electrical prints to identify all of the trip input signals to this relay, and report your results to back to your supervisor.

2005 NRC Exam Rev. 1 Page 4 of 4

PPL SUSQUEHANNA, LLC JOB PERFORMANCE MEASURE APPROVAL AND ADMINISTRATIVE DATA SHEET SRO 69.0P.044.051 1

9/27/05 2.3.6 N/A 3.1 Appl.

JPM Number Rev.

Date NUREG 1123 WA No.

WA Imp.

To No.

Sys. No.

Task

Title:

Completed By:

Validated:

Review and Approve A Radioactive Liquid Release Permit Rich Chin 9/27/05 Writer Date InstructorNVriter Date Approval :

Nuclear Trng. Supv.

Date Date of Performance:

15 Validation Time (Min.)

Time Taken (Min.)

JPM Performed By:

Student Name:

Last First M.I.

Employee ## / S.S. ##

Performance Evaluation:

(

) Satisfactory

(

) Unsatisfactory Evaluator Name:

Signature Typed or Printed Comments:

Form NTP-QA-31.8-1, Rev. 0, Page 1 of 2 2005 NRC Exam Rev. 1

REQUIRED TASK INFORMATION JOB PERFORMANCE MEASURE SRO 69.0P.044.051

1.

SAFETY CONSIDERATIONS A. All Operations personnel are responsible for maintaining their radiation exposure As Low As Reasonably Achievable in accordance with OP-AD-002, Standards for Shift Operations.

B. All applicable safety precautions shall be taken in accordance with established PPL safety policies and the Safety Rule Book, for example:

1.
2.

Whenever any electrical panel is opened for inspection during JPM performance.

Whenever entering any plant area where specific safety equipment; such as hearing or eye protection, safety shoes, hardhats, etc; is required and/or posted as being necessary.

C. If in the judgment of the evaluator any safety issue occurs during the performance of a JPM, the JPN will be terminated until the issue is resolved.

D. Peer checking is the expectation for all evolutions; however, since a JPM is an individual effort, no peer check will be provided and Self Checking is required.

II. REFERENCES OP-069-050, Release of Liquid Radioactive Waste (Revision 31 )

I 11. R EACTlVlTY MAN I PU LATIONS This JPM satisfies the requirements of Operational Activity(s):

NONE IV. TASK CONDITIONS V.

VI I A. Both Units are at 100% power, all systems in normal alignment.

B. Total Site Blowdown Flow Transmitter FIT-01596 is out of service.

C. A Radioactive Liquid Release Permit is being prepared for Laundry Drain Sample Tank OT-31 2.

D. OP-069-050, Release of Liquid Radioactive Waste Attachment A Laundry Drain Sample Tank OT-312 Radioactive Liquid Release Permit has been completed through step 2.1.7 E. Background reading for LIQUID RADWASTE RADIATION MONITOR [RITS-064331 is 3.1 OE3 CPM INITIATING CUE Verify completeness and accuracy of the permit and Independently verify Liquid Radwaste radiation monitor setup IAW OP-069-050, Release of Liquid Radioactive Waste Attachment A Laundry Drain Sample Tank OT-312 Radioactive Liquid Release Permit step 2.1.8 and sign the appropriate block on the form.

TASK STANDARD Identifies INCORRECT settings for Actual High Rad setpoint and Actual Alert Rad setpoint.

Form NTP-QA-31.8-1, Rev. 0. Page 2 of 2 2005 NRC Exam Rev. 1

1 Appl. To/JPM No.: 69.0P.044.051 Step 1 -

PERFORMANCE CHECKLIST Action EVALUATOR NOTE:

Provide the candidate with a filled out copy of OP-069-050, Release of Liquid Radioactive Waste Attachment A Laundry Drain Sample Tank OT-31 2 Radioactive Liquid Release Permit completed through step 2.1.8. Insure High Rad setpoint calculation (in step 2.1.6.n) AND ACTUAL High Rad setpoint (in step 2.1.7 Position 0) are filled out with the MATH errors specified in steps 3 and 4 of this JPM. Student may use OP-069-050, Release of Liquid Radioactive Waste for guidance, however no marks should be made on that copy.

Provide the candidate with a filled out OP-069-050, Release of Liquid Radioactive Waste Attachment F.

Provide the candidate with a blank OP-069-050, Release of Liquid Radioactive Waste Attachment G.

Provide the candidate with a filled out OP-069-050, Release of Liquid Radioactive Waste Attachment H.

A complete Release permit for Laundry Drain Sample Tank OT-312 will consist of Attachments A, F, GI and H.

Obtain a controlled copy of OP-069-050, Release of Liquid Radioactive Waste Student Name:

Standard Controlled copy obtained.

Eva1 Page 3 of 6 Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1

I Appl. To/JPM No.: 69.0P.044.051 Step 2

i PERFORMANCE CHECKLIST Action Selects the correct section to perform.

EVALUATOR NOTE:

Due to the nature of this JPM, the candidate may elect to perform the calculations FIRST before proceeding to Radwaste to Verify the proper setpoints. This is acceptable.

EVALUATOR NOTE:

If candidate indicates t,,at he/she would proceed to Radwaste to Verify the proper setpoints, provide the candidate with the necessary cues from the attached OP-069-050, Release of Liquid Radioactive Waste Attachment A Laundry Drain Sample Tank OT-312 Radioactive Liquid Release Permit for items 2.1 5.9, 2.1.6.f, 2.1.6.k, 2.1.6.1

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1 Student Name:

Standard Selects section step 2.1.8 which requires review of previously completed steps 2.1.5.g through 2.1.7 of OP-069-050, Release of Liquid Radioactive Waste Attachment A Laundry Drain Sample Tank OT-312 Radioactive Liquid Release Permit i

Page 4 of 6 Comments

Appl. To/JPM No.: 69.0P.044.051 Step

  • 3 454 455 PERFORMANCE CHECKLIST Action Verifies High Rad setpoint Verifies Alert Rad setpoint Verifies Liquid Radwaste Radiation h,dnitor Setpoint inputs for Function Switch position 0
  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2, Rev. 0. Page 1 of 1 2005 NRC Exam Rev. 1 Student Name:

Standard Performs the following calculation:

7.OE4 + 3.1 E3 = 7.31 E4 and compares this to the number in block 2.1.6.n (1.1 E5)

AND Determines there is a math error Performs the following calculation:

5.6E4 + 3.1 E3 = 5.91 E4 and compares this to the number in block 3.1.6.0 (8.7E5)

AND Determines there is a math error Checks required setpoint and actua setpoint for High Rad setpoint.

Determines Setpoints have been incorrectly set to the setpoints determined by the math error.

Page 5 of 6 Comments

/

Appl. To/JPM No.: 69.0P.044.051 I Step 3K6 7

PERFORMANCE CHECKLIST Action Verifies Liquid Radwaste Radiation Monitor Setpoint inputs for Function Switch position 1 Resolves the discrepancy EVALUATOR CUE:

That completes this JPM.

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1 Student Name:

Standard Checks required setpoint and actual setpoint for Alert Rad setpoint.

Determines Setpoints have been incorrectly set to the setpoints determined by the math error.

Determines:

The math errors and setpoint adjustments will need corrected before the permit can be authorized for discharge.

Eva1 Page 6 of 6 Comments

TASK CONDITIONS A.

Both Units are at 100% power, all systems in normal alignment.

6. Total Site Blowdown Flow Transmitter FIT-01596 is out of service.

C.

A Radioactive Liquid Release Permit is being prepared for Laundry Drain Sample Tank OT-31 2.

D.

OP-069-050, Release of Liquid Radioactive Waste Attachment A Laundry Drain Sample Tank OT-312 Radioactive Liquid Release Permit has been completed through step 2.1.7 E. Background reading for LIQUID RADWASTE RADIATION MONITOR [RITS-064331 is 3.1 OE3 CPM INITIATING CUE Verify completeness and accuracy of the permit and Independently verify Liquid Radwaste radiation monitor setup IAW OP-069-050, Release of Liquid Radioactive Waste Attachment A Laundry Drain Sample Tank OT-312 Radioactive Liquid Release Permit step 2.1.8 and sign the appropriate block on the form.

2005 NRC Exam Rev. 1 1 of2

TASK CONDITIONS A.

Both Units are at 100% power, all systems in normal alignment.

B. Total Site Blowdown Flow Transmitter FIT-01 596 is out of service.

C. A Radioactive Liquid Release Permit is being prepared for Laundry Drain Sample Tank OT-31 2.

D. OP-069-050, Release of Liquid Radioactive Waste Attachment A Laundry Drain Sample Tank OT-312 Radioactive Liquid Release Permit has been completed through step 2.1.7 E. Background reading for LIQUID RADWASTE RADIATION MONITOR [RITS-06433] is 3.1 OE3 CPM INITIATING CUE Verify completeness and accuracy of the permit and Independently verify Liquid Radwaste radiation monitor setup JAW OP-069-050, Release of Liquid Radioactive Waste Attachment A Laundry Drain Sample Tank OT-312 Radioactive Liquid Release Permit step 2.1.8 and sign the appropriate block on the form.

2005 NRC Exam Rev. 1 2 of 2

PPL SUSQUEHANNA, LLC JOB PERFORMANCE MEASURE APPROVAL AND ADMINISTRATIVE DATA SHEET RO

00. EP.004.002 0

9/27/05 2.4.43 NIA 2.8 APPl.

JPM Number Rev. No.

Date NUREG 1123 WA No.

WA Imp.

To Sys. No.

Task

Title:

Control Room Communicator Emergency Notification Completed By:

Validated:

Rich Chin 9/27/05 Writer Date InstructorANriter Date Approval :

Nuclear Trng. Supv.

Date of Performance:

JPM Performed By:

Date Time Critical 15 Minutes Validated Time (Min.)

Time Taken (Min.)

Student Name:

Last First M.I.

Employee # / S.S. #

Performance Evaluation:

) Satisfactory

(

)

Unsatisfactory Eva1 ua tor N a me:

Signature Typed or Printed Comments:

Form NTP-QA-31.8-1, Rev. 0, Page 1 of 2 2005 NRC Exam Rev. 1

REQUIRED TASK INFORMATION JOB PERFORMANCE MEASURE RO 00.EP.004.002

1.

SAFETY CONSIDERATIONS A. All Operations personnel are responsible for maintaining their radiation exposure As Low As Reasonably Achievable in accordance with OP-AD-002, Standards for Shift Operations.

B. All applicable safety precautions shall be taken in accordance with established PPL safety policies and the Safety Rule Book, for example:

1. Whenever any electrical panel is opened for inspection during JPM performance.
2. Whenever entering any plant area where specific safety equipment; such as hearing or eye protection, safety shoes, hardhats, etc; is required and/or posted as being necessary.

C. If in the judgment of the evaluator any safety issue occurs during the performance of a JPM, the JPM will be terminated until the issue is resolved.

D. Peer checking is the expectation for all evolutions; however, since a JPM is an individual effort, no peer check will be provided and Self Checking is required.

II. REFERENCES A. EP-PS-100 EMERGENCY DIRECTOR, CONTROL ROOM: Emergency-Plan-Position Specific Instruction (Rev. 22)

B. EP-PS-126, EMERGENCY PLAN COMMUNICATOR: Emergency Plan-Position Specific Instruction (Rev. 23)

C. EP-TP-003, COMMUNICATION PROCESS (Rev. 0) 111. REACTIVITY MANIPULATIONS This JPM satisfies the following Operational Activity(s):

None IV. TASK CONDITIONS An Alert has been declared due to sustained high winds greater than 80 mph resulting in visible damage to the ESSW pump house. (OA3)

V. INITIATING CUE You have been assigned as the Control Room Communicator. Transmit initial information about the Emergency Condition to required organizations, IAW the appropriate procedure.

VI. TASK STANDARD Identify the ENR form is incomplete; Contact the offsite agencies within 15 minutes from initiation of the ENR form; Communicate the Emergency Classification, Unit, declaration Time and Date to the off site agencies.

Form NTP-QA-31.8-1, Rev. 0, Page 2 of 2 2005 NRC Exam Rev. 1

PERFORMANCE CHECKLIST Page 3 of 9 Appl. To/JPM No.: RO 00.EP.004.002 Step Action EVALUATOR NOTE:

This is a time critical JPM.

Ensure a copy of EP-PS-100, EP-TP-003, and EP-PS-126 are available to support performance of this JPM.

Have current, filled-out copy of ENR Form available, with Line 4 BLANK If performing in the simulator, place a yellow sticky on each of the 2 communicator phones with the following call-back number:

570-759-4902 EVALUATOR NOTE:

To begin this JPM, provide the candidate with the Tasl Conditions and Initiating Cue Sheet.

Role play as Control Room ED and give student filled-out ENR Form.

Student Name:

Standard Eva1

~~~

Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2, Rev. 0. Page 1 of 1 2005 NRC Exam Rev. 1

Appl. To/JPM No.: RO 00.EP.004.002 Step

  • l PERFORMANCE CHECKLIST Action Obtain and review Event Notification Report (ENR) form with the Shift Manager/ED.

EVALUATOR CUE:

Role play as Control Room ED and Place OA3 on line 4 of the ENR Form.

Return completed ENR form to the candidate.

EVALUATOR CUE:

After the ENR has been corrected and returned to the candidate, the Time Critical Portion of the JPM begins.

Record Start Time Student Name:

Standard Reviews ENR form to verify Lines 1, 3, 4, 5, 6, and 7 are all filled out.

Determines:

Line 4 is NOT filled out Reports to the ED that line 4 MUST be filled out Page 4 of 9 Eva1 Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NAC Exam Rev. 1

PERFORMANCE CHECKLIST Appl. To/JPM No.: RO 00.EP.004.002 Action NOTE:

If the MOC does not answer, do not wait.

Transmit the ENR form information to the emergency agencies.

NOTE:

Do not communicate the control number to offsite agencies. This block is gray shaded on the ENR form.

Within 15 minutes of declaration, using the purple colored phone button, dial 1 91 to transmit the ENR form to the following:

(Dialing 191 will simultaneously connect the listed agencies in a conference call.)

EVALUATOWBOOTH CUE:

Role-play the receiving agencies and confirm each agency is on the line and you are Ready to Copy Student Name:

Page 5 of 9 Standard Dials 1 91 on the purple colored button Verifies the following agencies are on the line:

(1 )

(2)

Columbia County EMA (3)

Luzerne County EMA Media Operations Center Penna. Emergency Management Agency Eva1 Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1

PERFORMANCE CHECKLIST Appl. To/JPM No.: RO 00.EP.004.002 Action EVALUATOR NOTE:

After contact with the offsite agencies has been confirmed, the Time Critical Portion of the JPM ends.

Record stop Time NOTE:

When you communicate your phone number to the offsite agencies, the prefix for 4XXX numbers is (570) 759. (The 191 call originates from a 4XXX number.)

Communicate ENR Form Student Name:

Page 6 of 9 Standard Communicates the following for line This is a Drill Call status:

Eva1 Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1

Appl. To/JPM No.: RO 00.EP.004.002 Step PERFORMANCE CHECKLIST Page 7 of 9 Action 4 6 EVALUATOR NOTE:

Initial Declaration is not critical Student Name:

Standard 1 Eva1 Communicates the following for line 2:

This is: Candidates Name at Susquehanna Steam Electric Station.

My telephone number is: 570-759-4902 Notification time is: Current Time Communicates the following for line 3:

EMERGENCY CLASSIFICATION:

ALERT UNIT:

ONE and TWO Declaration Time:

5 MINUTES AGO DATE:

TODAYS DATE THIS REPRESENTS NAN:

IN IT1 AL DECLARATION Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2, Rev. 0. Page 1 of 1 2005 NRC Exam Rev. 1

Appl. To/JPM No.: RO 00.EP.004.002 Step f 6 7

8 9

PERFORMANCE CHECKLIST Action Student Name:

Standard Communicates the following for line 4:

The Classification Designation is:

OA3 BRIEF NON-TECHNICAL DESCRIPTION OF THE EVENT:

OA3 Communicates the following for line 5:

THERE IS:

NO NON-ROUTINE RADIOLOGICAL RELEASE IN PROGRESS Communicates the following for line 6:

WIND DIRECTION IS FROM:

21 O WIND SPEED IS:

85 mph Communicates the following for line 7:

THIS IS A DRILL i

Page 8 of 9 Eva1 Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1

PERFORMANCE CHECKLIST Appl. To/JPM No.: RO 00.EP.004.002

=

Step Action EVALUATOWBOOTH CUE:

Candidate may choose to have one of the offsite agencies REPEAT back the communicated information. If necessary, role-play the off site agency and Repeat back the information.

EVALUATOR CUE:

This completes the JPM EVALUATOR NOTE:

In order for the candidate to pass the Time Critical element of this JPM, they must complete step 2 of this JPM within 15 minutes.

Student Name:

Standard

(,

Page 9 of 9 Eva1 Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2, Rev. 0. Page 1 of 1 2005 NRC Exam Rev. 1

TASK CONDITIONS An Alert has been declared due to sustained high winds greater than 80 mph resulting in visible damage to the ESSW pump house. (OA3)

INITIATING CUE You have been assigned as the Control Room Communicator. Transmit initial information about the Emergency Condition to required organizations, IAW the appropriate procedure.

2005 NRC Exam Rev. 1 Page 1 of 2

TASK CONDITIONS An Alert has been declared due to sustained high winds greater than 80 mph resulting in visible damage to the ESSW pump house. (OA3)

INITIATING CUE You have been assigned as the Control Room Communicator. Transmit initial information about the Emergency Condition to required organizations, IAW the appropriate procedure.

2005 NRC Exam Rev. 1 Page 2 of 2

PPL SUSQUEHANNA, LLC JOB PERFORMANCE MEASURE APPROVAL AND ADMINISTRATIVE DATA SHEET SRO 00.EP.001.304 0

9/27/05 2.4.41 N/A 4.0 APPl.

JPM Number Rev. No.

Date NUREG 1123 KIA No.

KIA Imp.

To Sys. No.

Task

Title:

Perform Emergency Plan Classification (Scenario ILO-304) and Complete the ENR form Completed By:

Validated:

Rich Chin 9/27/05 Writer Date InstructorMlriter Date Approval:

Nuclear Trng. Supv.

Date of Performance:

Date Time Critical 15 Minutes Validated Time (Min.)

Time Taken (Min.)

JPM Performed By:

Student Name:

Last First M.I.

Employee # / S.S. #

Performance

(

) Satisfactory

(

) Unsatisfactory Evaluation:

Evaluator Name:

Signature Typed or Printed Comments:

Form NTP-QA-31.8-1, Rev. 0, Page 1 of 2 2005 NRC Exam Rev. 1

REQUIRED TASK INFORMATION JOB PERFORMANCE MEASURE SRO 00.EP.001.304

1.

SAFETY CONSIDERATIONS A. All Operations personnel are responsible for maintaining their radiation exposure As Low As Reasonably Achievable in accordance with OP-AD-002, Standards for Shift Operations.

B. All applicable safety precautions shall be taken in accordance with established PPL safety policies and the Safety Rule Book, for example:

1. Whenever any electrical panel is opened for inspection during JPM performance.
2. Whenever entering any plant area where specific safety equipment; such as hearing or eye protection, safety shoes, hardhats, etc; is required and/or posted as being necessary.

C. If in the judgment of the evaluator any safety issue occurs during the performance of a JPM, the JPM will be terminated until the issue is resolved.

D. Peer checking is the expectation for all evolutions; however, since a JPM is an individual effort, no peer check will be provided and Self Checking is required.

II. REFERENCES A.

B. ILO-304, SIMULATOR EVALUATION SCENARIO C. EP-PS-1 OO-A D. EP-PS-100-C E. EP-PS-100-9 EP-PS-100, EMERGENCY DIRECTOR CONTROL ROOM, REV. 18 111. REACTIVITY MANIPULATIONS This JPM satisfies the following Operational Activity(s):

None IV. TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario. Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.

V. INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form.

VI. TASK STANDARD Emergency classification of Alert Emergency declared within 15 minutes.

Form NTP-QA-31.8-1, Rev. 0, Page 2 of 2 2005 NRC Exam Rev. 1

PERFORMANCE CHECKLIST I

Page 3 of 10 Appl. To/JPM No.: SRO 00.EP.001.304 Student Name:

Step Action EVALUATOR NOTE:

This JPM must be performed in the simulator following completion of the scenario ILO-304 as Unit Supervisor.

This is a time critical JPM.

Ensure a copy of EP-PS-100 is available to support performance of this JPM.

EVALUATOR NOTE:

To begin this JPM, provide the candidate with the Initiating Cue Sheet.

EVALUATOR NOTE:

After the candidate reviews the Task Conditions /

Initiating Cue Sheet:

0 Ask if the candidate is ready to begin the JPM.

0 When the candidate is ready to begin the JPM inform the candidate that this is a Time Critical JPM.

Record Start Time Standard Eva1 Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1

PERFORMANCE CHECKLIST I

Page 4 of 10 Appl. To/JPM No.: SRO 00.EP.001.304 Student Name:

Step Action Obtains a copy of EP-PS-100.

Identifies appropriate Tab Evaluates information.

EVALUATOR CUE:

Assistance may be necessary for some specific scenario data or sequence of events. Use your judgment on acceptable levels of cueing based on candidates request.

Standard Controlled copy obtained.

Determines Tab A is appropriate Tab to classify the event.

Identifies from participation as The Unit Supervisor, that an RCS leak > 50 gpm has occurred, and a momentary ATWS.

Eva1 Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1

PERFORMANCE CHECKLIST I

Page 5 of 10 Appl. To/JPM No.: SRO 00.EP.001.304 Student Name:

Step

  • 4 5

6 Action

~

~~

Choose appropriate emergency classification level.

Record Time of Alert Emergency declaration Determines appropriate procedure section for the classification.

Standard FA1 Any loss or potential loss of either the Fuel clad or RCS OR MA3 RPS setpoint exceeded and RPS automatic scram did not reduce reactor power to c 5%

AND ARI initiated to reduce power below 5%

Determines TAB C Manage the Alert Emergency is the appropriate TAB.

Eva1

~~

Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1

PERFORMANCE CHECKLIST Page 6 of 10 Appl. To/JPM No.: SRO 00.EP.001.304 Student Name:

Step Action Document and communicate the Emergency Classification.

If not performed earlier appoint an Emergency Plan Communicator If not performed earlier, appoint an NRC communicator.

Standard Announces to Control Room Personnel:

I am assuming duties of the Emergency Director.

Alert Emergency Classification declared based on FA1 Any loss or potential loss of either the Fuel clad or RCS OR MA3 RPS setpoint exceeded and RPS automatic scram did not reduce reactor power to < 5%

AND ARI initiated to reduce power below 5%

Time and Date of Classification.

Appoints an Emergency Plan Communicator and instruct hidher to immediately perform EP-PS-126 E Plan Communicator.

Appoints an NRC Communicator and instruct hidher to perform EP-PS-135 NRC Communicator Eva1

~

Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1

i PERFORMANCE CHECKLIST Page 7 of 10 Appl. To/JPM No.: SRO 00.EP.001.304 Student Name:

Step 10 11 Action Generate and approve an ENR form to be transmitted by the Emergency Plan Communicator.

EVALUATOR CUE:

Inform the candidate that the Control # in the next step will be CR-ILO-304 Fill out and approve the Emergency Notification Report Form.

EVALUATOR NOTE:

The communicator will fill out the communicator name, callback telephone number, and time notification is initiated. (Line 2 of the Emergency Notification Report Form).

Standard Refers to ENR Form under Tab 9.

Fills out and approves the Emergency Notification Report Form as follows:

Control # CR-ILO-304 LINE 1.

Call Status:

Places checkmark in This is a drill box Eva1 Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2, Rev. 0. Page 1 of 1 2005 NRC Exam Rev. 1

PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO 00.EP.001.304 Page 8 of 10 Student Name:

Step

  • 12
  • 13 Action Completes line 3 EVALUATOR NOTE:

Initial Declaration is not critical EVALUATOR NOTE:

FA1 or MA3 alone is sufficient for the Brief Non-Technical Description for the initial notification.

Candidate may paraphrase this description Completes line 4 Standard LINE 3.

Emergency Classification:

Places checkmark in Alert Emergency box Places checkmark in Unit one box Records the Declaration time and date.

Places a checkmark in this represents NAN initial declaration box in classification status.

LINE 4.

The Emergency action level (EAL) number is:

Records EAL FA1 OR MA3 Brief non -technical description of the event:

RecordsFAl OR MA3 Eva1 Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1

Appl. To/JPM No.: SRO 00.EP.001.304 Step

  • 14 15 16 PERFORMANCE CHECKLIST Page 9 of 10 Action

~

Completes line 5 Completes line 6 Completes line 7 Approves the Emergency Notification Report Form EVALUATOR NOTE:

Candidate may review the filled out ENR form with the E Plan Communicator.

Student Name:

Standard LINE 5.

Places a checkmark in the No non-routine radiological release box LINE 6 Records Wind Direction is from Wind Speed is: 5 mph LINE 7.

==

Conclusion:==

10" Places a checkmark in this is a drill box.

Records the following on space provided:

Approved: - HidHer name Time: - Current time Date: - Current Date Eva1 Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2. Rev. 0, Page 1 of 1 2005 NRC Exam Rev. I

PERFORMANCE CHECKLIST Page 10 of 10 Appl. To/JPM No.: SRO 00.EP.001.304 Student Name:

Step 18 Action Give the approved ENR form to the E Plan Communicator.

EVALUATOR CUE:

If necessary, Role-play the communicator and accept the filled out form.

EVALUATOR CUE:

Inform the candidate the JPM is complete.

EVALUATOR NOTE:

The total time from the JPM start to step 5 of the JPM must be 5 1 5 minutes in order for the time critical portion of the JPM to be satisfactory.

Standard Provides the filled out ENR form to the E Plan Communicator.

Eva1 Comments

  • Critical Step
  1. Critical Sequence Form NTP-QAB1.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1

TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario.

Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.

INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form.

2005 NRC Exam Rev. 1 Page 1 of 2

TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario.

Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.

INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form.

2005 NRC Exam Rev. 1 Page 2 of 2

PPL SUSQUEHANNA, LLC JOB PERFORMANCE MEASURE APPROVAL AND ADMINISTRATIVE DATA SHEET SRO 00.EP.001.305 0

9/27/05 2.4.41 N/A 4.0 APPl.

JPM Number Rev. No.

Date NUREG 1123 KIA No.

KIA Imp.

To Sys. No.

Task

Title:

Completed By:

Validated:

Perform Emergency Plan Classification (Scenario ILO-305) and Complete the ENR form Rich Chin 9/27/05 Writer Date InstructorNVriter Date Approval:

Nuclear Trng. Supv.

Date of Performance:

JPM Performed By:

Date Time Critical 15 Minutes Validated Time (Min.)

Time Taken (Min.)

Student Name:

Last First M.I.

Employee # I S.S. #

Performance Evaluation:

(

) Satisfactory

(

) Unsatisfactory Evaluator Name:

Signature Typed or Printed Comments:

Form NTP-QA-31.8-1, Rev. 0, Page 1 of 2 2005 NRC Exam Rev. 1

REQUIRED TASK INFORMATION JOB PERFORMANCE MEASURE SRO 00.EP.001.305

1.

SAFETY CONSIDERATIONS A. All Operations personnel are responsible for maintaining their radiation exposure As Low As Reasonably Achievable in accordance with OP-AD-002, Standards for Shift Operations.

B. All applicable safety precautions shall be taken in accordance with established PPL safety policies and the Safety Rule Book, for example:

1. Whenever any electrical panel is opened for inspection during JPM performance.
2. Whenever entering any plant area where specific safety equipment; such as hearing or eye protection, safety shoes, hardhats, etc; is required and/or posted as being necessary.

C. If in the judgment of the evaluator any safety issue occurs during the performance of a JPM, the JPM will be terminated until the issue is resolved.

D. Peer checking is the expectation for all evolutions; however, since a JPM is an individual effort, no peer check will be provided and Self Checking is required.

II. REFERENCES A.

B. ILO-305, SIMULATOR EVALUATION SCENARIO C. EP-PS-1 OO-A D. EP-PS-1 OO-D E. EP-PS-100-9 EP-PS-100, EMERGENCY DIRECTOR CONTROL ROOM, REV. 18 II I. R EACTlVlTY MAN1 PU LATIONS This JPM satisfies the following Operational Activity(s):

None IV. TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario. Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.

V. INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form.

VI. TASK STANDARD Emergency classification of Site Area Emergency declared within 15 minutes.

Form NTP-QA-31.8-1, Rev. 0, Page 2 of 2 2005 NRC Exam Rev. 1

PERFORMANCE CHECKLIST I

Page 3 of 9 Appl. To/JPM No.: SRO 00.EP.001.305 Student Name:

Step Action EVALUATOR NOTE:

0 This JPM must be performed in the simulator following completion of the scenario ILO-305 as Unit Supervisor.

This is a time critical JPM.

Ensure a copy of EP-PS-100 is available to support performance of this JPM.

0 0

EVALUATOR NOTE:

To begin this JPM, provide the candidate with the Initiating Cue Sheet.

EVALUATOR NOTE:

After the candidate reviews the Task Conditions /

Initiating Cue Sheet:

0 0

Ask if the candidate is ready to begin the JPM.

When the candidate is ready to begin the JPM inform the candidate that this is a Time Critical JPM.

Record Start Time Standard Eva1 Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1

Appl. To/JPM No.: SRO 00.EP.001.305 Step 1

2 3

  • 4 5

6 PERFORMANCE CHECKLIST I

Page 4 of 9 Action Obtains a copy of EP-PS-100.

Identifies appropriate Tab Evaluates information.

EVALUATOR CUE:

Assistance may be necessary for some specific scenario data or sequence of events. Use your judgment on acceptable levels of cueing based on candidates request.

Choose appropriate emergency classification level.

Record Time of Site Area Emergency declaration Determines appropriate procedure section for the classification.

Student Name:

Standard Controlled copy obtained.

Determines Tab A is appropriate Tab to classify the event.

Identifies from participation as The Unit Supervisor, that 2 Reactor Building Areas exceeded Max Safe Radiation levels.

FSl Loss or Potential loss of ANY 2 Fission Product Barriers Determines TAB D Manage the Site Area Emergency is the appropriate TAB.

Eva1 Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1

PERFORMANCE CHECKLIST Page 5 of 9 Appl. To/JPM No.: SRO 00.EP.001.305 Student Name:

Step 7

8 9

10 Action Document and communicate the Emergency Classification.

If not performed earlier appoint an Emergency Plan Communicator If not performed earlier, appoint an NRC communicator.

Generate and approve an ENR form to be transmitted by the Emergency Plan Communicator.

EVALUATOR CUE:

Inform the candidate that the Control # in the next step will be CR-ILO-305 Standard

~

Announces to Control Room Personnel:

I am assuming duties of the Emergency Director.

Site Area Emergency Classification declared based on FS1 Loss or Potential loss of ANY 2 Fission Product Barriers Time and Date of Classification.

Appoints an Emergency Plan Communicator and instruct hidher to immediately perform EP-PS-126 E Plan Communicator.

Appoints an NRC Communicator and instruct hidher to perform EP-PS-135 NRC Communicator Refers to ENR Form under Tab 9.

Eva1 Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1

I PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO 00.EP.001.305 Page 6 of 9 Student Name:

Step 11

  • 12 Action Fill out and approve the Emergency Notification Report Form.

EVALUATOR NOTE:

The communicator will fill out the communicator name, callback telephone number, and time notification is initiated. (Line 2 of the Emergency Notification Report Form).

Completes line 3 EVALUATOR NOTE:

Initial Declaration is not critical Standard Fills out and approves the Emergency Notification Report Form as follows:

Control # CR-ILO-305 LINE 1.

Call Status:

Places checkmark in This is a drill box LINE 3.

Emergency Classification:

Places checkmark in Site Area Emergency box Places checkmark in Unit one box Records the Declaration time and date.

Places a checkmark in this represents NAN initial declaration box in classification status.

Eva1

~

Comments

  • Critical Step
  1. Critical Sequence Form NTP-OA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1

PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO 00.EP.001.305 Page 7 of 9 Student Name:

Step 3k14 15 Action EVALUATOR NOTE:

FSl alone is sufficient for the Brief Non-Technical Description for the initial notification.

Candidate may paraphrase this description Completes line 4 Completes line 5 Completes line 6 Standard LINE 4.

The Emergency action level (EAL) number is:

Records EAL FS1 Brief non -technical description of the event:

Records FS1 LINE 5.

Places a checkmark in the AN Airborne Non-routine radiological release box LINE 6 Records Wind Direction is from: 10" Wind Speed is: 5 mph Eva1 Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1

PERFORMANCE CHECKLIST

(

Page 8 of 9 Appl. To/JPM No.: SRO 00.EP.001.305 Student Name:

Step 16

  • 17 18 Action Completes line 7 Approves the Emergency Notification Report Form EVALUATOR NOTE:

Candidate may review the filled out ENR form with the E Plan Communicator.

Give the approved ENR form to the E Plan Com m u n icato r.

EVALUATOR CUE:

If necessary, Role-play the communicator and accept the filled out form.

EVALUATOR CUE:

Inform the candidate the JPM is complete.

Standard LINE 7.

==

Conclusion:==

Places a checkmark in this is a drill box.

Records the following on space provided:

Approved: - HidHer name Time: - Current time Date: - Current Date Provides the filled out ENR form to the E Plan Communicator.

Eva1 Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1

0, 0

Q, c

0 Z

a 2

c 0.-

CI 2 0-

TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario.

Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.

INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form.

2005 NRC Exam Rev. 1 Page 1 of 2

TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario.

Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.

INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form.

2005 NRC Exam Rev. 1 Page 2 of 2

PPL SUSQUEHANNA, LLC JOB PERFORMANCE MEASURE APPROVAL AND ADMINISTRATIVE DATA SHEET SRO 00.EP.001.504 0

9/27/05 2.4.41 N/A 4.0 APPl.

JPM Number Rev. No.

Date NUREG 1123 WA No.

WA Imp.

To Sys. No.

Task

Title:

Completed By:

Validated:

Perform Emergency Plan Classification (Scenario ILO-504) and Complete the ENR form Rich Chin 9/27/05 Writer Date InstructorNVriter Date Approval:

Nuclear Trng. Supv.

Date of Performance:

JPM Performed By:

Date Time Critical 15 Minutes Validated Time (Min.)

Time Taken (Min.)

Student Name:

Last First M.I.

Employee # / S.S. #

Performance

(

) Satisfactory

(

) Unsatisfactory Evaluation :

Evaluator Name:

Signature Typed or Printed Comments:

Form NTP-QA91.8-1, Rev. 0, Page 1 of 2 2005 NRC Exam Rev. 1

REQUIRED TASK INFORMATION JOB PERFORMANCE MEASURE SRO 00.EP.001.504

1.

SAFETY CONSIDERATIONS A. All Operations personnel are responsible for maintaining their radiation exposure As Low As Reasonably Achievable in accordance with OP-AD-002, Standards for Shift Operations.

B. All applicable safety precautions shall be taken in accordance with established PPL safety policies and the Safety Rule Book, for example:

1. Whenever any electrical panel is opened for inspection during JPM performance.
2. Whenever entering any plant area where specific safety equipment; such as hearing or eye protection, safety shoes, hardhats, etc; is required and/or posted as being necessary.

C. If in the judgment of the evaluator any safety issue occurs during the performance of a JPM, the JPM will be terminated until the issue is resolved.

D. Peer checking is the expectation for all evolutions; however, since a JPM is an individual effort, no peer check will be provided and Self Checking is required.

It. REFERENCES A.

B. ILO-504, SIMULATOR EVALUATION SCENARIO C. EP-PS-1 OO-A D. EP-PS-1 OO-D E. EP-PS-100-9 EP-PS-100, EMERGENCY DIRECTOR CONTROL ROOM, REV. 18 111. REACTIVITY MANIPULATIONS This JPM satisfies the following Operational Activity(s):

None IV. TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario. Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.

V. INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form.

VI. TASK STANDARD Emergency classification of Site Area Emergency declared within 15 minutes.

Form NTP-QA-31.8-1, Rev. 0, Page 2 of 2 2005 NRC Exam Rev. 1

PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO 00.EP.001.504 i

Page 3 of 9 Student Name:

Step Action EVALUATOR NOTE:

0 This JPM must be performed in the simulator following completion of the scenario ILO-504 as Unit Supervisor.

This is a time critical JPM.

Ensure a copy of EP-PS-100 is available to support performance of this JPM.

0 0

EVALUATOR NOTE:

To begin this JPM, provide the candidate with the Initiating Cue Sheet.

EVALUATOR NOTE:

After the candidate reviews the Task Conditions /

Initiating Cue Sheet:

0 0

Ask if the candidate is ready to begin the JPM.

When the candidate is ready to begin the JPM inform the candidate that this is a Time Critical JPM.

Record Start Time Standard Eva1

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1

PERFORMANCE CHECKLIST i

Page 4 of 9 Appl. To/JPM No.: SRO 00.EP.001.504 Student Name:

Step 1

2 3

  • 4 5

6 Action

~~

Obtains a copy of EP-PS-100.

Identifies appropriate Tab Evaluates information.

EVALUATOR CUE:

Assistance may be necessary for some specific scenario data or sequence of events. Use your judgment on acceptable levels of cueing based on candidates request.

Choose appropriate emergency classification level.

Record Time of Site Area Emergency declaration Determines appropriate procedure section for the classification.

Standard Controlled copy obtained.

Determines Tab A is appropriate Tab to classify the event.

Identifies from participation as The Unit Supervisor, RPV water level dropped below -1 61 inches FS 1 Loss or Potential loss of ANY 2 Fission Product Barriers Determines TAB D Manage the Site Area Emergency is the appropriate TAB.

Eva1 Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1

PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO OO.EP.OO1 SO4 Student Name:

Step 7

a 9

10 Action Document and communicate the Emergency Classification.

If not performed earlier appoint an Emergency Plan Communicator If not performed earlier, appoint an NRC communicator.

Generate and approve an ENR form to be transmitted by the Emergency Plan Communicator.

EVALUATOR CUE:

Inform the candidate that the Control # in the next step will be CR-ILO-504 Standard Announces to Control Room Personnel:

I am assuming duties of the Emergency Director.

Site Area Emergency Classification declared based on FS1 Loss or Potential loss of ANY 2 Fission Product Barriers Time and Date of Classification.

Appoints an Emergency Plan Communicator and instruct hidher to immediately perform EP-PS-126 E Plan Com m u n icato r.

Appoints an NRC Communicator and instruct hidher to perform EP-PS-135 NRC Communicator Refers to ENR Form under Tab 9.

i Page 5 of 9 Eva1 Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1

I PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO 00.EP.001.504 Page 6 of 9 Student Name:

Step 11 5 1 2 Action Fill out and approve the Emergency Notification Report Form.

EVALUATOR NOTE:

The communicator will fill out the communicator name, callback telephone number, and time notification is initiated. (Line 2 of the Emergency Notification Report Form).

Completes line 3 EVALUATOR NOTE:

Initial Declaration is not critical Standard

-~

Fills out and approves the Emergency Notification Report Form as follows:

Control # CR-ILO-504 LINE 1.

Call Status:

Places checkmark in This is a drill box LINE 3.

Emergency Classification:

Places checkmark in Site Area Emergency box Places checkmark in Unit one box Records the Declaration time and date.

Places a checkmark in this represents NAN initial declaration box in classification status.

Eva1 Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA91.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1

PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO 00.EP.001.504 Step

  • 14 15 Action EVALUATOR NOTE:

FS1 alone is sufficient for the Brief Non-Technical Description for the initial notification.

Candidate may paraphrase this description Completes line 4 Completes line 5 Completes line 6 Student Name:

Standard LINE 4.

The Emergency action level Records EAL FS1 EAL) number is:

Brief non -technical description of the event:

Records FS1 LINE 5.

Places a checkmark in the NO Non-routine radiological release box LINE 6 Records Wind Direction is from: 10" Wind Speed is: 5 mph Page 7 of 9 Eva1 Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1

PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO 00.EP.001.504 Step 16

  • 17 18 Action Completes line 7 Approves the Emergency Notification Report Form EVALUATOR NOTE:

Candidate may review the filled out ENR form with the E Plan Communicator.

Give the approved ENR form to the E Plan Communicator.

EVALUATOR CUE:

If necessary, Role-play the communicator and accept the filled out form.

EVALUATOR CUE:

Inform the candidate the JPM is complete.

Student Name:

Standard LINE 7.

==

Conclusion:==

Places a checkmark in this is a drill box.

Records the following on space provided:

Approved: - HidHer name Time: - Current time Date: - Current Date Provides the filled out ENR form to the E Plan Communicator.

Page 8 of 9 Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1

PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO OO.EP.OO1 SO4 Step Page 9 of 9 Action Standard Eva1 Comments EVALUATOR NOTE:

The total time from the JPM start to step 5 of the JPM must be 5 1 5 minutes in order for the time critical portion of the JPM to be satisfactory.

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2. Rev. 0. Page 1 of 1 2005 NRC Exam Rev. 1

TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario.

Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.

INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form.

2005 NRC Exam Rev. 1 Page 1 of 2

TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario.

Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.

INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form.

2005 NRC Exam Rev. 1 Page 2 of 2

PPL SUSQUEHANNA, LLC JOB PERFORMANCE MEASURE APPROVAL AND ADMINISTRATIVE DATA SHEET SRO 00.EP.001.505 0

9/27/05 2.4.41 NIA 4.0 APPl.

JPM Number Rev. No.

Date NUREG 1123 WA No.

K/A Imp.

To Sys. No.

Task

Title:

Completed By:

Validated:

Perform Emergency Plan Classification (Scenario ILO-505) and Complete the ENR form Rich Chin 9/27/05 Writer Date InstructorANriter Date Approval :

Nuclear Trng. Supv.

Date of Performance:

JPM Performed By:

Date Time Critical 15 Minutes Validated Time (Min.)

Time Taken (Min.)

Student Name:

Last First M.I.

Employee # I S.S. #

Performance

(

) Satisfactory

(

) Unsatisfactory Evaluation:

Evaluator Name:

Signature Typed or Printed Comments:

Form NTP-QA-31.8-1, Rev. 0, Page 1 of 2 2005 NRC Exam Rev. 1

REQUIRED TASK INFORMATION JOB PERFORMANCE MEASURE SRO 00.EP.001.505

1.

SAFETY CONSIDERATIONS A. All Operations personnel are responsible for maintaining their radiation exposure As Low As Reasonably Achievable in accordance with OP-AD-002, Standards for Shift Operations.

B. All applicable safety precautions shall be taken in accordance with established PPL safety policies and the Safety Rule Book, for example:

1. Whenever any electrical panel is opened for inspection during JPM performance.
2. Whenever entering any plant area where specific safety equipment; such as hearing or eye protection, safety shoes, hardhats, etc; is required and/or posted as being necessary.

C. If in the judgment of the evaluator any safety issue occurs during the performance of a JPM, the JPM will be terminated until the issue is resolved.

D. Peer checking is the expectation for all evolutions; however, since a JPM is an individual effort, no peer check will be provided and Self Checking is required.

II. REFERENCES A.

B. ILO-505, SIMULATOR EVALUATION SCENARIO C. EP-PS-1 OO-A D. EP-PS-1 OO-D E. EP-PS-100-9 EP-PS-100, EMERGENCY DIRECTOR CONTROL ROOM, REV. 18 111. REACTIVITY MAN1 PU LATlO NS This JPM satisfies the following Operational Activity(s):

None IV. TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario. Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.

V. INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form.

VI. TASK STANDARD Emergency classification of Site Area Emergency declared within 15 minutes.

Form NTP-QA-31.8-1, Rev. 0, Page 2 of 2 2005 NRC Exam Rev. 1

PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO OO.EP.OO1 SO5 Step Action EVALUATOR NOTE:

0 This JPM must be performed in the simulator following completion of the scenario ILO-505 as Unit Supervisor.

This is a time critical JPM.

Ensure a copy of EP-PS-100 is available to support performance of this JPM.

0 EVALUATOR NOTE:

To begin this JPM, provide the candidate with the Initiating Cue Sheet.

EVALUATOR NOTE:

After the candidate reviews the Task Conditions /

Initiating Cue Sheet:

0 Ask if the candidate is ready to begin the JPM.

When the candidate is ready to begin the JPM inform the candidate that this is a Time Critical JPM.

Record Start Time Student Name:

Standard Page 3 of 9 Eva1 Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA91.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1

1 PERFORMANCE CHECKLIST Page 4 of 9 Appl. To/JPM No.: SRO 00.EP.001.505 Student Name:

Step 1

2 3

  • 4 5

6 Action Obtains a copy of EP-PS-100.

Identifies appropriate Tab Evaluates information.

EVALUATOR CUE:

Assistance may be necessary for some specific scenario data or sequence of events. Use your judgment on acceptable levels of cueing based on candidates request.

Choose appropriate emergency classification level.

Record Time of Site Area Emergency declaration Determines appropriate procedure section for the classification.

Standard Sontrolled copy obtained.

Determines Tab A is appropriate Tab to classify the event.

Identifies from participation as The Unit Supervisor, RPV water level dropped below -1 61 inches FS1 Loss or Potential loss of ANY 2 Fission Product Barriers Determines TAB D Manage the Site Area Emergency is the appropriate TAB.

Eva1 Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1

PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO 00.EP.001.505 Student Name:

Step 7

8 9

10 Action Document and communicate the Emergency Classification.

If not performed earlier appoint an Emergency Plan Communicator If not performed earlier, appoint an NRC communicator.

Generate and approve an ENR form to be transmitted by the Emergency Plan Communicator.

EVALUATOR CUE:

Inform the candidate that the Control # in the next step will be CR-ILO-505 Standard Announces to Control Room Personnel:

I am assuming duties of the Emergency Director.

Site Area Emergency Classification declared based on FS1 Loss or Potential loss of ANY 2 Fission Product Barriers Time and Date of Classification.

Appoints an Emergency Plan Communicator and instruct hidher to immediately perform EP-PS-126 E Plan Communicator.

Appoints an NRC Communicator and instruct hidher to perform EP-PS-135 NRC Communicator Refers to ENR Form under Tab 9.

Page 5 of 9 Eva1 Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2, Rev. 0. Page 1 of 1 2005 NRC Exam Rev. 1

PERFORMANCE CHECKLIST Page 6 of 9 Appl. To/JPM No.: SRO 00.EP.001.505 Student Name:

Step 11

  • 12 Action Fill out and approve the Emergency Notification Report Form.

EVALUATOR NOTE:

The communicator will fill out the communicator name, callback telephone number, and time notification is initiated. (Line 2 of the Emergency Notification Report Form).

Completes line 3 EVALUATOR NOTE:

Initial Declaration is not critical Standard Fills out and approves the Emergency Notification Report Form as follows:

Control # CR-ILO-505 LINE 1.

Call Status:

Places checkmark in This is a drill box LINE 3.

Emergency Classification:

Places checkmark in Site Area Emergency box Places checkmark in Unit one box Records the Declaration time and date.

Places a checkmark in this represents N A N initial declaration box in classification status.

Eva1 Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1

PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO 00.EP.001.505 Step 3k13 3k14 15 Action EVALUATOR NOTE:

FS1 alone is sufficient for the Brief Non-Technical Description for the initial notification.

Candidate may paraphrase this description Completes line 4 Completes line 5 Completes line 6 Student Name:

Standard LINE 4.

The Emergency action level (EAL) number is:

Records EAL FS1 Brief non -technical description of the event:

Records FSl LINE 5.

Places a checkmark in the NO Non-routine radiological release box LINE 6 Records Wind Direction is from: 10" Wind Speed is: 5 mph Page 7 of 9 Eva1 Comments

  • Critical Step
  1. Critical Sequence Form NTP-OA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1

PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO 00.EP.001.505 Step 16 jk17 18 Action Completes line 7 Approves the Emergency Notification Report Form EVALUATOR NOTE:

Candidate may review the filled out ENR form with the E Plan Communicator.

Give the approved ENR form to the E Plan Communicator.

EVALUATOR CUE:

If necessary, Role-play the communicator and accept the filled out form.

EVALUATOR CUE:

Inform the candidate the JPM is complete.

Student Name:

Standard LINE 7.

==

Conclusion:==

Places a checkmark in this is a drill box.

Records the following on space provided:

Approved: - HidHer name Time: - Current time Date: - Current Date Provides the filled out ENR form to the E Plan Communicator.

Page 8 of 9 Eva1 Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2, Rev. 0. Page 1 of 1 2005 NRC Exam Rev. 1

Appl. To/JPM No.: SRO 00.EP.001.505 Step PERFORMANCE CHECKLIST Student Name:

Action Standard Eva1 Comments EVALUATOR NOTE:

The total time from the JPM start to step 5 of the JPM must be 5 1 5 minutes in order for the time critical portion of the JPM to be satisfactory.

Page 9 of 9

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1

TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario.

Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.

INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form.

2005 NRC Exam Rev. 1 Page 1 of 2

TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario.

Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.

INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form, 2005 NRC Exam Rev. 1 Page 2 of 2

PPL SUSQUEHANNA, LLC JOB PERFORMANCE MEASURE APPROVAL AND ADMINISTRATIVE DATA SHEET SRO 00.EP.001.602 0

9/27/05 2.4.41 N/A 4.0 ADDI.

JPM Number Rev. No.

Date NUREG 1123 KIA No.

KIA ImD.

I To Sys. No.

Task

Title:

Perform Emergency Plan Classification (Scenario ILO-602) and Complete the ENR form Completed By:

Validated:

Rich Chin 9/27/05 Writer Date I nstructorMl riter Date Approval:

Nuclear Trng. Supv.

Date of Performance:

JPM Performed By:

Date Time Critical 15 Minutes Validated Time (Min.)

Time Taken (Min.)

Student Name:

Last First M.I.

Employee # I S.S. #

Performance Eva1 uation:

(

) Satisfactory

(

) Unsatisfactory Evaluator Name:

Signature Typed or Printed Comments:

Form NTP-QA-31.8-1, Rev. 0, Page 1 of 2 2005 NRC Exam Rev. 1

REQUIRED TASK INFORMATION JOB PERFORMANCE MEASURE SRO 00.EP.001.602

1.

SAFETY CONSIDERATIONS A. All Operations personnel are responsible for maintaining their radiation exposure As Low As Reasonably Achievable in accordance with OP-AD-002, Standards for Shift Operations.

B. All applicable safety precautions shall be taken in accordance with established PPL safety policies and the Safety Rule Book, for example:

1. Whenever any electrical panel is opened for inspection during JPM performance.
2. Whenever entering any plant area where specific safety equipment; such as hearing or eye protection, safety shoes, hardhats, etc; is required and/or posted as being necessary.

C. If in the judgment of the evaluator any safety issue occurs during the performance of a JPM, the JPM will be terminated until the issue is resolved.

D. Peer checking is the expectation for all evolutions; however, since a JPM is an individual effort, no peer check will be provided and Self Checking is required.

II. REFERENCES A.

B. ILO-602, SIMULATOR EVALUATION SCENARIO C. EP-PS-1 OO-A D. EP-PS-1 OO-D E. EP-PS-100-9 EP-PS-100, EMERGENCY DIRECTOR CONTROL ROOM, REV. 18 111. REACTIVITY MANIPULATIONS This JPM satisfies the following Operational Activity(s):

None IV. TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario. Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.

V. INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form.

VI. TASK STANDARD Emergency classification of Site Area Emergency declared within 15 minutes.

Form NTP-QA-31.8-1, Rev. 0, Page 2 of 2 2005 NRC Exam Rev. 1

PERFORMANCE CHECKLIST Page 3 of 9 Appl. To/JPM No.: SRO 00.EP.001.602 Student Name:

Step Action EVALUATOR NOTE:

0 This JPM must be performed in the simulator following completion of the scenario ILO-602 as Unit Supervisor.

This is a time critical JPM.

Ensure a copy of EP-PS-100 is available to support performance of this JPM.

0 0

EVALUATOR NOTE:

To begin this JPM, provide the candidate with the Initiating Cue Sheet.

EVALUATOR NOTE:

After the candidate reviews the Task Conditions /

Initiating Cue Sheet:

0 0

Ask if the candidate is ready to begin the JPM.

When the candidate is ready to begin the JPM inform the candidate that this is a Time Critical JPM.

Record Start Time Standard Eva1 Comments

  • Critical Step
  1. Critical Sequence Form NTP-OA-31.8-2. Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1

i PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO 00.EP.001.602 Step 1

2 3

Identifies appropriate Tab Evaluates information.

EVALUATOR CUE:

Assistance may be necessary for some specific scenario data or sequence of events. Use your judgment on acceptable levels of cueing based on candidates request.

Choose appropriate emergency classification level.

Student Name:

Standard Controlled copy obtained.

Determines Tab A is appropriate Tab to classify the event.

Identifies from participation as The Unit Supervisor, ATWS and RPV water level dropped below -1 61 inches MS3 ATWS and ARI fail to reduce power to less than 5%

OR FS Loss or Potential loss of ANY 2 Fission Product Barriers Page 4 of 9 Eva1 Comments c

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1

PERFORMANCE CHECKLIST

(

Page 5 of 9 Appl. To/JPM No.: SRO 00.EP.001.602 Student Name:

Step 5

6 7

8 9

Action Record Time of Site Area Emergency declaration Determines appropriate procedure section for the classification.

Document and communicate the Emergency Classification.

If not performed earlier appoint an Emergency Plan Communicator If not performed earlier, appoint an NRC com mu n icato r.

Standard Determines TAB D Manage the Site Area Emergency is the appropriate TAB.

Announces to Control Room Personnel:

I am assuming duties of the Emergency Director.

Site Area Emergency Classification declared based on MS3 ATWS and ARI fail to reduce power to less than 5%

FS1 Loss or Potential loss of ANY 2 Fission Product Barriers Time and Date of Classification.

OR Appoints an Emergency Plan Communicator and instruct hidher to immediately perform EP-PS-126 E Plan Communicator.

Appoints an NRC Communicator and instruct hidher to perform EP-PS-135 NRC Communicator Eva1 Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1

PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO 00.EP.001.602 Student Name:

Step 10 11 Action Generate and approve an ENR form to be transmitted by the Emergency Plan Communicator.

EVALUATOR CUE:

Inform the candidate that the Control # in the next step will be CR-ILO-602 Fill out and approve the Emergency Notification Report Form.

EVALUATOR NOTE:

The communicator will fill out the communicator name, callback telephone number, and time notification is initiated. (Line 2 of the Emergency Notification Report Form).

Standard Refers to ENR Form under Tab 9.

Fills out and approves the Emergency Notification Report Form as follows:

Control # CR-ILO-602 LINE 1.

Call Status:

Places checkmark in This is a drill box Page 6 of 9 Eva1 Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1

i PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO 00.EP.001.602 Step

  • 12
  • 13 Action Completes line 3 EVALUATOR NOTE:

Initial Declaration is not critical EVALUATOR NOTE:

MS3 or FS1 alone is sufficient for the Brief Non-Technical Description for the initial notification.

Candidate may paraphrase this description Completes line 4 Student Name:

Standard LINE 3.

Emergency Classification:

Places checkmark in Site Area Emergency box Places checkmark in Unit one box Records the Declaration time and date.

Places a checkmark in this represents NAN initial declaration box in classification status.

LINE 4.

The Emergency action level (EAL) number is:

Records EAL MS 3 or FS1 Brief non -technical description of the event:

Records MS 3 or FS1 Page 7 of 9 Eva1 Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1

PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO 00.EP.001.602 Step

+k14 15 16

+k17

~

Action

~

Completes line 5 Completes line 6 Completes line 7 Approves the Emergency Notification Report Form EVALUATOR NOTE:

Candidate may review the filled out ENR form with the E Plan Communicator.

Student Name:

Standard LINE 5.

Places a checkmark in the NO Non-routine radiological release box LINE 6 Records Wind Direction is from: 10" Wind Speed is: 5 mph LINE 7.

==

Conclusion:==

Places a checkmark in this is a drill box.

Records the following on space provided:

Approved: - HidHer name Time: - Current time Date: - Current Date Page 8 of 9 Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1

PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO 00.EP.001.602 Step 18 Action Give the approved ENR form to the E Plan Communicator.

EVALUATORC If necessary, Role-play the communicator and accept the filled out form.

EVALUATOR CUE:

Inform the candidate the JPM is complete.

EVALUATOR NOTE:

The total time from the JPM start to step 5 of the JPM must be 2 1 5 minutes in order for the time critical portion of the JPM to be satisfactory.

EVALUATOR NOTE:

If RPV water level drops below -205 inches the EAL will escalate to a General Emergency under MG3, and the ENR form will also reflect AN airborne NON routine radiological release based on loss of the Fuel clad barrier.

Student Name:

Standard Provides the filled out ENR form to the E Plan Communicator.

Page 9 of 9 Eva1 Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1

TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario.

Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.

INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form.

2005 NRC Exam Rev. 1 Page 1 of 2

TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario.

Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.

INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form.

2005 NRC Exam Rev. 1 Page 2 of 2