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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           09/26/05             2.1.18             N/A   2.913.0 APPl.          JPM Number                     Rev. No.       Date             NUREG 1123           WA No. WA Imp.
No. Date NUREG 1123 WA No. WA Imp. To Sys. No. APPl. Task Title:
To                                                                               Sys. No.
Completed By: Validated Document a Failed LPRM Detector Rich Chin 09/26/05 Writer Date lnst ructorNV riter Date Approval:
Task Title:             Document a Failed LPRM Detector Completed By:                                                      Validated Rich Chin                                     09/26/05 Writer                                         Date               lnst ructorNVriter                  Date Approval:
Nuclear Trng. Supv. -- Date of Performance:
Nuclear Trng. Supv.                                 Date
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:
--                                                                   15/25 Date of Performance:                                 Validation Time (Min.)             Time Taken (Min.)
Evaluator Name: Signature Typed or Printed Comments:
JPM Performed By:
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.
Student Name:
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.
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 III. REACTIVITY MAN1PULATIONS 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 48-178. LPRM detector 48-17 8 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 48-178.
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.
h m n 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.
 
Refers to correct section.
j PERFORMANCE CHECKLIST                      Page 3 of 8 Appl. To/JPM No.: S/RO 78.AD.001.lo1                                               Student Name:
*Critical Step #Critical Sequence Student Name: Standard Controlled copy of 01-078-001 obtained.
Step                                     Action                                         Standard                  Comments EVALUATOR NOTE:
Refers to section 4. Page 3 of 8 Comments Fonn NTP-QA-31.8-2.
Ensure the following material is available to support performance of this JPM:
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:
A COPY of 01-078-001.
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.
0       Prepare attachments A & B with zone 4 having exactly 50% operable LPRM upscale alarms.
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.
0      Blank copy of attachment A & 6.
Notify Reactor Engineering of all LPRM upscale alarms determined inoperable.  
EVALUATOR NOTE:
*Critical Step #Critical Sequence Student Name:
To begin this JPM, provide the candidate with the Task Conditions and Initiating Cue Sheet.
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.
Obtains a controlled copy of procedure.                 Controlled copy of 01-078-001 obtained.
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  
Refers to correct section.                            Refers to section 4.
< required # of LPRM Upscale Alarms.
*Critical Step                            #Critical Sequence Fonn NTP-QA-31.8-2. Rev.0. P q c I of I 2005 NRC Exam Rev.1
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 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  
PERFORMANCE CHECKLIST                                  Page 4 of 8 Appl. To/JPM No.: S/RO 78.AD.001.101                                         Student Name:
'6 Level. Submit the completed Attachment A and 8 to the Unit Supervisor.
-Step                                                                               Standard                  Eva1        Comments Action Determines current LPRM status.                   Obtains the Operations Special Log Book in the Unit 1 control room and locates the previously completed copy of Attachment A & B.
Eva1 i Page 6 of 8 Comments Form NTP-QA-31.8-2.
EVALUATOR 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:
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.
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
EVALUATOR NOTE:
*Critical Step #Critical Sequence Student Name: Standard
Allow candidate to use blank attachments from the copy of the procedure provided.
Obtains a blank copy of Attachment A & B.         Blank copy obtained.
Completes new Attachment A.                       Enters 1 for Unit.
*Critical Step                         #Critical Sequence Form NTP-QA-31.8-2. Rev. 0, Page I of I 2005 NRC Exam Rev.1
 
                                                                                                                                      /
PERFORMANCE CHECKLIST                                    Page 5 of 8 Appl. To/JPM No.: S/RO 78.AD.001.101                                             Student Name:
Action                                         Standard                    Eva1        Comments EVALUATOR CUE:                                       Transfers the previous LPRM data to the new Attachment A.
If candidate elects to verify position of switches in lower relay room, provide the cue that the switches are in the positions indicated on                                   OR Attachment A (Special log book)
Candidate may desire to verify switches in lower relay room.
Enter a check (d) in column (2) for LPRM             Place a checkmark in column 2 adjacent to alarms determined inoperable or bypassed for         LPRM detector 48-17B in Zone 4.
all other reasons.
Consider all LPRM Upscale Alarms with a             Circles YES for zone 1, 2, 3, 5, 6, 7, 8, and 9.
check in column (1) or (2) of Attachment A as inoperable Determine if 250% of LPRM Upscale alarms in each zone are operable.
Circles NO for zone 4.
Notify Reactor Engineering of all LPRM upscale       N/A alarms determined inoperable.
Previously noted in JPM cue.
*Critical Step                         #Critical Sequence Fotm NTP-QA-31.8-2. Rev. 0. Page I of I 2005 NRC Exam Rev.1
 
I i
PERFORMANCE CHECKLIST                                  Page 6 of 8 Appl. To/JPM No.: S/RO 78.AD.001.101                                           Student Name:
  -Step                                 Action                                      Standard                  Eva1        Comments
    *10       Attach placard to 1C651 indicating < required #   Attaches placard to operating panel 1C651.
of LPRM Upscale Alarms.
EVALUATOR NOTE:
The placard is required to remain posted until all zones have 930% upscale alarms operable.
    *11        Refer to TRO 3.3.9 LPRM, upscale alarm           Notifies the Unit Supervisor to Refer to TRO instrumentation                                 3.3.9 LPRM 12        Complete an LPRM vs. APRWLPRM Group               Enters 1 for Unit.
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).
13                                                          Transfers the previous LPRM data to the new Attachment B.
14                                                          Circles LPRM detector 48-17 for APRM E, under the column 6Level.
15        Obtains review.                                   Submit the completed Attachment A and 8 to the Unit Supervisor.
*Critical Step                          #Critical Sequence Form NTP-QA-31.8-2. Rev. 0. Page I of I 2005 NRC Exam Rw.1
 
1 PERFORMANCE CHECKLIST                                    Page 7 of 8 Appl. To/JPM No.: S/RO 78.AD.001.101                                         Student Name:
                                                                                                                  -
Step                                   Action                                     Standard                    Eva1        Comments 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.
16          Obtains a copy of the Tech Specs and TRM      


==References:==
==References:==


TRO 3.3.9 Determines the following actions are required:
TRO 3.3.9
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.
    *17          Determines required actions                    Determines the following actions are required:
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
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
: 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  
*Critical Step                          #Critical Sequence h,rm NIT-QA-31.8-2. Rev. 0. Page I of 1 2005 NRC Exam Rev.1
-...- 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.
00
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  
0 00 a,
< 50% of LPRM Upscale alarms in zone 4 are operable.
rn a
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
a
: 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.
TASK CONDITIONS
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.
-...-  A. Unit 1 is in MODE l a t 80% power.
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.
: 8. Reactor Engineering has completed their evaluation of a downscale alarm condition for LPRM detector 48-178. LPRM detector 48-178 is failed C. The PCOP has just NOW bypassed LPRM detector 48-178 in the lower relay room.
Supv. Date of Performance:
D. All OPRM channels are INOPERABLE INITIATING CUE Complete all required hardcopy documentation in accordance with the appropriate instruction for LPRM detector 48-178.
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:
2005 NRC Exam Rev.1                         Page 1 of 4
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.
TASK CONDITIONS
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.
-   A. Unit 1 is in MODE l a t 80% power.
B. Reactor Engineering has completed their evaluation of a downscale alarm condition for LPRM detector 48-178. LPRM detector 48-17 8 is failed C. The PCOP has just NOW bypassed LPRM detector 48-178 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 48-178.
--
2005 NRC Exam Rev.1                           Page 2 of 4
 
SRO ONLY TASK CONDITIONS A. Unit 1 is in MODE l a t 80% power.
B. Reactor Engineering has completed evaluation of a downscale alarm condition for LPRM detector 48-178.
C. LPRM detector 48-176 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 l a t 80% power.
B. Reactor Engineering has completed evaluation of a downscale alarm condition for LPRM detector 48-178.
C. LPRM detector 48-178 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:                                                   Validated Rich Chin                                     09/26/05 Writer                                         Date              InstructorNVriter                Date A pprovaI:
Nuclear Trng. Supv.                                 Date 15 Date of Performance:                                 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 01 2 2M)S NRC Exam Rev. 1
 
REQUIRED TASK INFORMATION JOB PERFORMANCE MEASURE SRO 00.AD.273.002 I. 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
II. 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 111. 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 IV. 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-energized30 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-158-001, 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-158-001, LOSS OF RPS attachment 6, a problem was encountered. NONE of the CRM AIR SAMPLE IS0 LOOP valves (HS-15711OAl, 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.
V. 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.
 
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.
PERFORMANCE CHECKLIST                       Page 3 of 9 Appl. To/JPM No.: 00.AD.273.002                                               Student Name:
Enter the reference documents, if applicable.
Step                                   Action                                       Standard                Comments EVALUATOR NOTE:
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)
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.
Records a 1 in the space provided to designate Unit 1 Records a 79 in the space provided.
1        Obtain a controlled copy of NDAP-QA-0312,                 Controlled copy obtained.
Circles or records LCO Then records 3.4.6. Records 1,2,3. Determines NO reference documents are applicable.
CONTROLS OF LCOS, TROS AND SAFETY FUNCTION DETERMINATION PROGRAM 2        Selects the correct section to perform.                   Selects section 6.3 3        Review applicable TS LCO and Bases or TRM TRO            Reviews TS LCO and Bases and TRM and Bases.                                                TRO and Bases.
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.
Determines LCO 3.4.6 is applicable.
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.
EVALUATOR NOTE:
One for action B.l, and one for 8.2. See attached answer key for specifics of this form should be completed. Student Name:
Placing Unit 1 in either of the appropriate blocks in the next 2 steps will satisfy the Critical portion for BOTH I
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?"
steps.
NA space provided.
*Critical Step                        #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.
                                                                                                                          ,
The REQUIRED ACTION should be listed by number and include a brief noun description.
PERFORMANCE CHECKLIST                          Page 4 of 9 Appl. To/JPM No.: 00.AD.273.002                                             Student Name:
Enter the Date and Time by when the REQUIRED ACTION must be completed.
  -Step                                   Action                                    Standard            Eva1    Comments
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.
    *4       In accordance with the applicable TS/TRM, complete     Fills out a copy of Attachment C of a LCO/TRO log sheet (Form NDAP-QA-0312-1) as           NDAP-QA-0312 (Form follows:                                               NDAP-QA-0312-1)
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:
Enter the applicable unit for which the log sheet is   Records a 1 in the space provided to being completed.                                       designate Unit 1 t 5      Enter the unit containing the inoperable equipment. Records a 1 in the space provided to designate Unit 1 6      Enter the system number.                               Records a 79 in the space provided.
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.
t 7      Circle or enter whether the Action is an LCO or TRO   Circles or records LCO and enter the specification number.
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.
Then records 3.4.6.
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.
t 8      Enter the applicable MODES.                           Records 1,2,3.
Page 7 of 9 Comments - *Critical Step #Critical Sequence Form NTP-QA-31.8-2.
EVALUATOR NOTE:
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:
Candidate may choose to place references in the reference document section, however this is not required.
Completing the top section of FORM NDAP-QA-0312-3.
9      Enter the reference documents, if applicable. The     Determines NO reference documents Reference Documents section may also be used to       are applicable.
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:
provide clarifying information for the reason the LCO/TRO is being entered.
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.
*Critical Step                          #Critical Sequence Form NTP-QA-31.8-2, Rev. 0. Page 1 01 1 2005 NRC Exam Rev.1
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:
PERFORMANCE CHECKLIST                                Page 5 of 9 Appl. To/JPM No.: 00.AD.273.002                                              Student Name:
That completes this JPM Page 9 of 9 *Critical Step #Critical Sequence Form NTP-OA-31.8-2.
Step                                      Action                                    Standard                Eva1     Comments
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.
  *lo        Reviewhevise all active LOSF worksheets based on      Determines from initial conditions that the above inoperable equipment.                       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
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:
  *11        Determine if LCO 3.0.6 has been applied for any other Determines from initial conditions that system on both Units 1 and 2.                         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.
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
EVALUATOR NOTE:
__ - ~~~~ 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
The next 4 steps of this JPM will require 2 separate line item entries on Attachment C of NDAP-QA-0312.
: 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.
One for action B.l, and one for 8.2.
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.
See attached answer key for specifics of this form should be completed.
                                                                                                              -
*Critical Step                          #Critical Sequence F o n NTP-QA-31.8-2. Rev. 0. Page 1 01 1 2005 NRC Exam Rev 1
 
i PERFORMANCE CHECKLIST                      Page 6 of 9 Appl. To/JPM No.: 00.AD.273.002                                          Student Name:
Action                                    Standard                Comments Enter the Date and Time that the CONDITION was      Records B in CONDITION block for entered.                                            both line items Records date and time for each of the actions in the space provided.
Enter the reason for CONDITION and the appropriate    Records all of the following REQUIRED ACTION. The REQUIRED ACTION                  Required Primary Containment should be listed by number and include a brief noun  Atmospheric Monitoring System description.
INOPERABLE B.l Analyze grab samples of primary containment atmosphere AND 8.2 Restore required Primary Containment Atmospheric Monitoring System to OPERABLE status Enter the Date and Time by when the REQUIRED        In the spaces provided Records:
ACTION must be completed.                             Once per 12 hours B.l Within 30 days for item 8.2 Initial that the CONDITION has been entered.         Records candidate initials in the spaces provided
*Critical Step                        #Critical Sequence Form NTP-QA-31.82, Rev. 0. Paw 1 of 1 2005 NRC Exam Rev.1
 
I PERFORMANCE CHECKLIST                          Page 7 of 9 Appl. To/JPM No.: 00.AD.273.002                                            Student Name:
Step 16 Action Have another SRO Peer Check the LCORRO entry
                                                                    -            Standard Asks another SRO to Peer Check the
                                                                                                          - -    Comments and also initial in the "Entered By" box.              LCO/TRO entry and 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.
17      If required, additional CONDITION(S) can be entered    Determines:
within the same LCORRO as follows:
Form NDAP-QA-0312-5 "LCO/TRO If the REQUIRED ACTION requires a repetitive action   Repetitive Required Action Completion (ex; perform action once every 8 hours);               Sheet" IS NOT REQUIRED.
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.
*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.: 00.AD.273.002                                            Student Name:
Step                                    Action                                  Standard                Eva1    Comments 18      If the LCO/TRO Condition requires Chemistry or        Determines:
Health Physics to sample or perform a survey, Shift Supervision shall initiate a Chemistry/Health Physics Chemistry/Health Physics LCO/TRO LCO/TRO Sample/Survey Log (FORM                      Sample/Survey Log (FORM NDAP-QA-0312-3) by:                                   NDAP-QA-0312-3)
IS REQUIRED
  *19        Completing the top section of FORM                   Places the following information on top NDAP-QA-0312-3.                                       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 2 hours
  *20        Notifying Chemistry/Health Physics to pick up the log Contacts Chemistry to pick up the log sheet in the Control Room.                            sheet in the Control Room.
EVALUATOR CUE:
Role-play Chemistry and acknowledge the report.
*Critical Step                          #Critical Sequence Form NTP-QA-31.8-2, Rev. 0. Page 1 of 1 2005 NRC Exam Rev.1
 
PERFORMANCE CHECKLIST          Page 9 of 9 Appl. To/JPM No.: 00.AD.273.002                                      Student Name:
Step                                    Action                            Standard Eva1     Comments EVALUATOR CUE:
That completes this JPM
*Critical Step                         #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                SYSTEM                          MODE 1              79                                1,293 Reference Documents                                                                                            ChedHP Reviewhevise all active LOSF worksheets based on the above inoperable equipment.         Review Complete N/A Is this a Safety Function Determination support system?                    YES    0 NO 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.
t  6 Date/
Time Entered Todays date and time LCO/TRO CONDITION Entered REASON AND REQUIRED ACTION Required Primary Containment Atmospheric Monitoring System INOPERABLE 6.1 Analyze grab samples of primary containment atmosphere Completion Date/Time Once per 12 hours Entered candidate initials LCO/TRO CONDITION Cleared Datemime Cleared By AND B     Todays    6.2 Restore required Primary Containment             Within 30 days  candidate date and  Atmospheric Monitoring System to OPERABLE                             initials time      status I                I Reviewed OPS Supv-Nuc: LCO Entered I              I
                                                                                                                    .CO Cleared I
2005 NRC Exam Rev 1
 
ANSWER KEY DO NOT GIVE TO CANDIDATES Unit          1 CHEMISTRY/HEALTH PHYSICS LCO/TRO SAMPLWSURVEY LOG 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 TSnR                    ACTION                  WITHIN            COMPLETED WITHIN LCO 3.4.6                      B.l            Once per 12 hours 1                                                I Report chemistry analysis results to Shift Supervision.
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.
CHEMISTRY FIRST SAMPLE DUE DATWIME
--OR--
FIRST ANALYSIS COMPLETION DUE DATEnlME 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. 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-158-001, LOSS OF RPS attachment 6.
D. 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.
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 6 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.
2005 NRC Exam Rev. 1                             1 of2
 
TASK CONDITIONS A. Unit 1 is in Mode 1 at 100% power.
B. 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-158-001, LOSS OF RPS attachment B.
D. 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.
E. Electrical maintenance was dispatched to determine the problem with the CRM AIR SAMPLE I S 0 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.
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         09/26/05           2.1.25             N/A         2.813.1 APPl-         JPM Number                     Rev.       Date             NUREG 1123         WA No.     WA Imp.
: Evaluator Name: Signature Typed or Printed Comments:
To                                           No.                           Sys. No.
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  
Task Title:         Determine Cause for Reactor Water Level Indication Anomalylldentify required Tech Spec Actions Completed By:                                                   Validated:
Rich Chin                                     09126/05 Writer                                       Date               I nstructorNVriter              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 R e v 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.
\ 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.
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 MANI PULATlONS 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.
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 #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.
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


LI-l4203A
I PERFORMANCE CHECKLIST                          Page 3 of 9 Appl. To/JPM No.:                      45.0N.007.101                                          Student Name:
Step                                        Action                                  Standard                      Comments 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.
    $1        Reviews RPV water level instruments indications in      Determines the following level indicators the simulator to determine which indicators are          are reading zero:
affected.
LI-14201B1 on 1C651 LI-14201B on C601 LI-142038 on C601 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.
2        Obtains a controlled copy of ON-145-004.                Controlled copy obtained.
3        Reviews Symptoms and Observations for                    Ensures the Symptoms and Observations applicability.                                          are applicable.
*Critical Step                              #Critical Sequence Form NTP-QA-31 8-2, Rev 0.P a p I of I 2005 NRC Exam Rev.1


LI-B21 1R604 LI-C23 1 R606B LWPR 14201A Comments 
i PERFORMANCE CHECKLIST                          Page 4 of 9 Appl. To/JPM No.:                             45.0N.007.101                                         Student Name:
, 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:
Step                                                 Action                               Standard                    Comments Records date and time of event.                       Enter current date and time.
If requested, inform candidate all instrumentation power is selected to its normal source. *Critical Step Fonn NIT-QA-31.8-2.
Selects the appropriate section and attachment.       Selects Section 3.5 and Attachment B.
Rev. 0. Papc I of I 2005 NRC Exam Rev.1 #Critical Sequence Student Name:
Perform following for level instrumentation            On Attachment 6 pages land 2 malfunction:                                          determines the following common reference leg condensing chambers and Refer to Attachment B checking following:
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  
excess flow check valves are still indicating normal values and are NOT the source of the anomaly:
Instruments with common reference leg condensing chambers or excess flow check valves.
LI-B21 1R605 LR-C32 1R608 LI-14201A LI-14201A1 LI-l4203A LI-B21 1R604 LI-C23 1R606B LWPR 14201A
*Critical Step                                      #Critical Sequence Form h T I - Q A - 3 1 8-2. Rev 0. Page I of I 2005 NRC Exam Rev 1


LI-14201 A LI-14201 A1 LI-l4203A  
              ,
PERFORMANCE CHECKLIST                              Page 5 of 9 Appl. To/JPM No.:                      45.0N.007.101                                          Student Name:
  -Step 7
Action Instruments and indications with common variable leg Standard On Attachment B pages 1and 2 Eva1    Comments supplies or excess flow check valves.                  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-14201A LI-14201A1 LI-l4203A LI-621 1R604 LI-C23 1R606B LWPR 14201A EVALUATOR CUE:
If requested, inform candidate all instrumentation power is selected to its normal source.
*Critical Step                                #Critical Sequence Fonn NIT-QA-31.8-2. Rev. 0. Papc 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.
j PERFORMANCE CHECKLIST                               Page 6 of 9 Appl. To/JPM No.:                       45.0N.007.101                                             Student Name:
Automatic actions and alarms.
Action                                   Standard                      Comments 8-Instruments with common power supplies.                  Determines the following indicators a common power supply:
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:
LI-14201B1 on 1C651 LI-14201B on 1C601 LI-142038 on 1C601 Identifies a loss of 1Y125 breaker 01 as the common mode failure.
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.
Automatic actions and alarms.                           NONE IF level cannot be determined 2 +13" by at least two     Determines this is N/A since other level (2) independent indications, Enter EO 100 102, RPV       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 PERFORMANCE CHECKLIST Appl. To/JPM No.: 45.0N.007.101 Step 12 13 *14 Action IF applicable, Restore power supplies for failed instrumentation.
Control.
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:
Comply with TS 3.3.1.1, 3.3.2.2, 3.3.6.1, 3.3.6.2,       Recognizes the need to Comply with TS 3.3.5.1, 3.3.4.2 and 3.3.5.2.                             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.
*Critical Step                                 #Critical Sequence Form NIP-QA-31 8-2. Rev. 0. Page I of I 2005 NAC Exam Rev.1
 
I PERFORMANCE CHECKLIST                         Page 7 of 9 Appl. To/JPM No.:                   45.0N.007.101                                         Student Name:
                                                                                                                ~
Step                                         Action                                  Standard                  Comments 12       IF applicable, Restore power supplies for failed       Contacts NPO to check status of 1Y125 instrumentation.                                       breaker 01 EVALUATOR CUE:
Role-play NPO and repoi. 1Y125 breaker 01 is tripped.
13        Informs Unit Supervisor that 1Y125 breaker 01 is       Informs Unit Supervisor that 1Y125 tripped.                                               breaker 01 is tripped.
EVALUATOR CUE:
Role-play Unit Supervisor and acknowledge the report And Instruct candidate to attempt one closure of 1Y125 breaker 01 is tripped.
  *14        Contact NPO and instruct NPO to close 1Y125            Contacts NPO and instructs NPO to close breaker 01.                                            1Y125 breaker 01.
BOOTH OPERATOR CUE:
Remove malfunction on 1Y125 breaker 01.
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 Appl. To/JPM No.: 45.0N.007.101 PERFORMANCE CHECKLIST Page 8 of 9 Action EVALUATOR CUE:
MRF DB117271 CLOSE
Role-play NPO and report 1Y125 breaker 01 is CLOSED. Verifies level instruments are reading NORMAL EVALUATOR CUE:
*Critical Step                             #Critical Sequence hmnhTPQA-31 8-2. Rev. 0.P q c I of I 2005 NRC Exam Rev 1
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
 
PERFORMANCE CHECKLIST                          Page 8 of 9 Appl. To/JPM No.:                     45.0N.007.101                                           Student Name:
Action                                 Standard                    Comments EVALUATOR CUE:
Role-play NPO and report 1Y125 breaker 01 is CLOSED.
Verifies level instruments are reading NORMAL         Verifies the following indicators are now reading normal:
LI-14201B1 on 1C65 LI-14201B on 1C601 LI-142038 on 1C601 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                    


==References:==
==References:==


Tech Spec 3.3.3.1 Comments *Critical Step #Critical Sequence Form NTP-QA-31.8-2.
Tech Spec 3.3.3.1
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:
*Critical Step                             #Critical Sequence Form NTP-QA-31.8-2. Rev 0. Pqr 1 uf 1 2005 NRC Exam Rev.1
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.
PERFORMANCE CHECKLIST                                 Page 9 of 9 Appl. To/JPM No.:                       45.0N.007.101                                         Student Name:
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.
Step                                           Action                                  Standard                  Eva1    Comments
C. It has been determined that extended range level transmitter LT-142038 has lost power. INITIATING CUE Determine the required Tech Spec actions.
  +I7       Determines required actions                               Determines the following action is required:
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.
Within 30 days restore required channel to operable status.
EVALUATOR CUE:
This completes the JPM.
                                                        -
*Critical Step                                 #Critical Sequence Form NTF-QA 31.8-2, Rev 0. P q c 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.
Page 1 of 4 2005 NRC. Exam Rev. 1
 
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.
Page 2 of 4 2005 NRC. Exam Rev. 1
 
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.
Page 3 of 4 2005 NRC. Exam Rev. 1
 
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.
Page 4 of 4 2005 NRC. Exam Rev. 1
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 S/RO        00.AD.269.101              0          09/26/05            2.2.24            N/A   2.6/3.8 APPl.       JPM Number             Rev. No.       Date             NUREG 1123         WA No. WA Imp.
Supv. Date of Performance:
To                                                                   Sys. No.
JPM Performed By: Validated 09/26/05 Date InstructorNVriter Date Date 20/30 Validation Time (Min.) Time Taken (Min.) Student Name:
Task Title:       Determine Trip Inputs to Zone 3 Is0 Signals Lockout Relay XY07553A Using Controlled Electrical Prints Completed By:                                           Validated Rich Chin                           09/26/05 Writer                             Date                InstructorNVriter                Date Approval:
Last First M.I. Employee # / S.S. # Performance ( ) Satisfactory ( ) Unsatisfactory Evaluation: Evaluator Name: Signature Typed or Printed Comments:
Nuclear Trng. Supv.                       Date 20/30 Date of Performance:                       Validation Time (Min.)           Time Taken (Min.)
Form NTP-QA-31.8-1, Rev. 0, Page I of 2 2005 NRC Exam Rev. 1
JPM Performed By:
.- REQUIRED TASK INFORMATION JOB PERFORMANCE MEASURE S/RO 00.AD.269.101  
Student Name:
\ 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.
Last                           First           M.I. Employee # / S.S. #
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.
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.
III. REACTIVITY MANIPULATIONS 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.
Candidate determines Unit 2 High radiation inputs a trip signal to relay XY07553A.
Form NTP-QA-31.8-1,   Rev. 0, Page 2 of 2 2005 NRC Exam Rev. I
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 #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
I PERFORMANCE CHECKLIST                          Page 3 of 7 Appl. To/JPM No.: S/RO 00.AD.269.101                                     Student Name:
~ 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.
Step                                 Action                                     Standard          Eva1    Comments EVALUATOR NOTE Candidate may use any number of different mediums to obtain the controlled copy of the electrical drawings.
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
These would all be acceptable.
: 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.
: 1. Candidate obtains the controlled copy of the electrical    References the electrical print print.                                                     index, OR the operating manuals and determine the appropriate print is E 201 sheet 1.
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.
: 2.      Locates relay XY07553A on print E 201 sheet 1.             Locates relay XY07553A at grid location C6.
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:
EVALUATOR NOTE The following steps 3 - 9 may be done in any order.
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:
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.
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.
*Critical Step                   #Critical Sequence Form NTP-QA-3 I .8-2, Rev. 0,Page 1 of 1 2005 NRC Exam Rev. I
 
PERFORMANCE CHECKLIST                                Page 4 of 7 Appl. To/JPM No.: S/RO 00.AD.269.101                                   Student Name:
Step                                 Action                                      Standard            Eva1    Comments
  *3       Candidate determines Unit 1 High radiation inputs a trip Determines that High radiation signal to relay XY07553A.                               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 t4      Candidate determines Unit 2 High radiation inputs a trip Determines that High radiation signal to relay XY07553A.                                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
                                                                                                        =
*Critical Step                 #Critical Sequence Form NTP-QA-3 1.8-2, Rev. 0,Page 1 of 1 2005 NRC Exam Rev. I
 
(
PERFORMANCE CHECKLIST                          Page 5 of 7 Appl. To/JPM No.: S/RO 00.AD.269.101                                 Student Name:
                                            ~
Step                                  Action                                   Standard                  Comments 5      Determines the need to transition to another electrical Determines the other 2 inputs to drawing.                                                trip relay XY07553A are on drawings 184 sheet 1 and 3 by observing the notes 6      Candidate obtains the controlled copy of the electrical Obtains the controlled copy of the print E 184 sheet 1.                                    electrical print E 184 sheet 1.
wc7    Candidate determines Unit 1 Div 1 LOCA isolation signal Determines Unit 1 Div 1 LOCA inputs a trip signal to relay XY07553A.                isolation signal inputs a trip signal to relay XY07553A and this signal is generated by :
0   Manual isolation Lo-Lo water reactor level (trip2) 0   Hi drywell pressure Switch in TEST mode AND Reports this to the supervisor 8      Candidate obtains the controlled copy of the electrical Obtains the controlled copy of the print E 184 sheet 3.                                    electrical print E 184 sheet 3.
*Critical Step                   #Critical Sequence Form NTP-QA-3 1.8-2,Rev. 0,Page 1 of 1 2005 NRC Exam Rev. 1
 
I PERFORMANCE CHECKLIST                            Page 6 of 7 Appl. To/JPM No.: S/RO 00.AD.269.101                                 Student Name:
Step                                 Action                                  Standard                    Comments U9     Candidate determines Unit 2 Div 1 LOCA isolation signal Determines Unit 2 Div 1 LOCA inputs a trip signal to relay XY07553A.                 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 10      Candidate determines there are no more inputs to relay Determines there are no more XY07553A                                              inputs to relay XY07553A, and reports this to the supervisor.
EVALUATOR CUE:
This completes the JPM for the ROs ONLY
*Critical Step                   #Critical Sequence Form NTP-QA-3 1.8-2, Rev. 0,Page 1 of I 2005 NRC Exam Rev. 1
 
PERFORMANCE CHECKLIST                          Page 7 of 7 Appl. To/JPM No.: S/RO 00.AD.269.101                                 Student Name:
                                                                                                            ~
Action                                 Standard          Eva1      Comments 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                       References Tech Spec 3.3.6.2 Determines required actions for 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 EVALUATOR CUE:
This completes the JPM
*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.
Page 2 of 4 2005 NRC Exam Rev. I
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:
Page 3 of 4 2005 NRC Exam Rev. 1
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.
Page 4 of 4 2005 NRC Exam Rev. 1
 
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:       Review and Approve A Radioactive Liquid Release Permit Completed By:                                              Validated:
Rich Chin                               9/27/05 Writer                                 Date               InstructorNVriter               Date Approval :
Nuclear Trng. Supv.                     Date 15 Date of Performance:                         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.
: 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.
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 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.
I11. R EACTlVlTY MANIPULATIONS 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 A. Both Units are at 100% power, all systems in normal alignment.
TASK STANDARD Identifies INCORRECT settings for Actual High Rad setpoint and Actual Alert Rad setpoint.
B. Total Site Blowdown Flow Transmitter FIT-01596 is out of service.
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.
C. A Radioactive Liquid Release Permit is being prepared for Laundry Drain Sample Tank OT-312.
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:
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-064331is 3.1OE3 CPM V. 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.
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:
VI TASK STANDARD I
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:
Identifies INCORRECT settings for Actual High Rad setpoint and Actual Alert Rad setpoint.
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:
Form NTP-QA-31.8-1,Rev. 0. Page 2 of 2 2005 NRC Exam Rev. 1
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 
1 PERFORMANCE CHECKLIST                    Page 3 of 6 Appl. To/JPM No.: 69.0P.044.051                                             Student Name:
/ 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:
Step EVALUATOR NOTE:
Standard Checks required setpoint and actual setpoint for Alert Rad setpoint.
                            -          Action                                      Standard    Eva1    Comments Provide the candidate with a filled out copy of OP-069-050, Release of Liquid Radioactive Waste Attachment A Laundry Drain Sample Tank OT-312 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.
Determines Setpoints have been incorrectly set to the setpoints determined by the math error. Determines:
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, G Iand H.
1      Obtain a controlled copy of OP-069-050, Release of         Controlled copy obtained.
Liquid Radioactive Waste
-
*Critical Step                       #Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1
 
I                                                             i                                              i PERFORMANCE CHECKLIST                          Page 4 of 6 Appl. To/JPM No.: 69.0P.044.051                                           Student Name:
Step                                 Action                                      Standard                    Comments 2       Selects the correct section to perform.               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 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
 
PERFORMANCE CHECKLIST                        Page 5 of 6 Appl. To/JPM No.: 69.0P.044.051                                         Student Name:
Step                                 Action                                  Standard                  Comments
  *3     Verifies High Rad setpoint                           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 454    Verifies Alert Rad setpoint                          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 455    Verifies Liquid Radwaste Radiation h,dnitor Setpoint Checks required setpoint and actua inputs for Function Switch position 0                setpoint for High Rad setpoint.
Determines Setpoints have been incorrectly set to the setpoints determined by the math error.
*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 6 Appl. To/JPM No.: 69.0P.044.051                                        Student Name:
I Step 3K6
                      -                Action Verifies Liquid Radwaste Radiation Monitor Setpoint Standard Checks required setpoint and actual Eva1    Comments inputs for Function Switch position 1              setpoint for Alert Rad setpoint.
Determines Setpoints have been incorrectly set to the setpoints determined by the math error.
7      Resolves the discrepancy                            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.
EVALUATOR CUE:
: 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.
That completes this JPM.
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.
*Critical Step                      #Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1
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:
TASK CONDITIONS A. Both Units are at 100% power, all systems in normal alignment.
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
: 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-312.
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 3.1OE3 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-01596 is out of service.
C. A Radioactive Liquid Release Permit is being prepared for Laundry Drain Sample Tank OT-312.
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 3.1OE3 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 Time Critical 15 Minutes Date of Performance:                          Validated Time (Min.)             Time Taken (Min.)
JPM Performed By:
Student Name:
Last                               First           M.I. Employee # / S.S. #
Performance                               ) Satisfactory             (       ) Unsatisfactory Evaluation:
Eva1uator 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 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.
: 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.
B. All applicable safety precautions shall be taken in accordance with established PPL safety policies and the Safety Rule Book, for example:
: 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.
: 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
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.
  . . To/JPM No.: RO 00.EP.004.002 Appl.                                                                  Student Name:
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.
Step                                 Action                                       Standard Eva1        Comments EVALUATOR NOTE:
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:
This is a time critical JPM.
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.
Ensure a copy of EP-PS-100, EP-TP-003, and EP-PS-126 are available to support performance of this JPM.
My telephone number is: 570-759-4902 Notification time is: Current Time Communicates the following for line 3: EMERGENCY CLASSIFICATION:
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:
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  
570-759-4902 EVALUATOR NOTE:
.. 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  
To begin this JPM, provide the candidate with the Tasl Conditions and Initiating Cue Sheet.
.. = Step
Role play as Control Room ED and give student filled-out ENR Form.
* Action EVALUATOWBOOTH CUE: Candidate may choose to have one of the offsite agencies "REPEAT" back the communicated information.
*Critical Step                     #Critical Sequence Form NTP-QA-31.8-2,Rev. 0.Page 1 of 1 2005 NRC Exam Rev. 1
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.
PERFORMANCE CHECKLIST                                    Page 4 of 9 Appl. To/JPM No.: RO 00.EP.004.002                                       Student Name:
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.
Step                                   Action                                        Standard                      Eva1        Comments
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:
*l     Obtain and review Event Notification Report (ENR)     Reviews ENR form to verify Lines 1, 3, 4, 5, 6, and 7 form with the Shift Manager/ED.                       are all filled out.
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.
Determines:
Supv. Date of Performance:
Line 4 is NOT filled out Reports to the ED that line 4 MUST be filled out 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
*Critical Step                      #Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NAC Exam Rev. 1
 
                                                                                                                            !
PERFORMANCE CHECKLIST                                Page 5 of 9 Appl. To/JPM No.: RO 00.EP.004.002                                       Student Name:
Action                                          Standard                Eva1        Comments 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     Dials 191 on the purple colored button colored phone button, dial 1 91 to transmit the ENR form to the following:
(Dialing 191 will simultaneously connect the listed   Verifies the following agencies are on the line:
agencies in a conference call.)
(1)    Penna. Emergency Management Agency (2)    Columbia County EMA (3)    Luzerne County EMA Media Operations Center EVALUATOWBOOTH CUE:
Role-play the receiving agencies and confirm each agency is on the line and you are Ready to Copy
*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.: RO 00.EP.004.002                                      Student Name:
Action                                       Standard                    Eva1        Comments 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                                 Communicates the following for line Call status:
This is a Drill
*Critical Step                     #Critical Sequence Form NTP-QA-31.8-2, Rev. 0,Page 1 of 1 2005 NRC Exam Rev. 1
 
PERFORMANCE CHECKLIST                                Page 7 of 9 Appl. To/JPM No.: RO 00.EP.004.002                                     Student Name:
Step                                  Action                                        Standard              1 Eva1       Comments 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 46    EVALUATOR NOTE:                                    Communicates the following for line 3:
Initial Declaration is not critical                  EMERGENCY CLASSIFICATION:
ALERT UNIT:
ONE and TWO Declaration Time:
5 MINUTES AGO DATE:
TODAYS DATE THIS REPRESENTS NAN:
INIT1AL DECLARATION
*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 8 of 9 Appl.
  . . To/JPM No.: RO 00.EP.004.002                                   Student Name:
Step                                   Action                                     Standard         Eva1        Comments f 6                                                        Communicates the following for line 4:
The Classification Designation is:
OA3 BRIEF NON-TECHNICAL DESCRIPTION OF THE EVENT:
OA3 7                                                          Communicates the following for line 5:
THERE IS:
NO NON-ROUTINE RADIOLOGICAL RELEASE IN PROGRESS 8                                                          Communicates the following for line 6:
WIND DIRECTION IS FROM:
21O WIND SPEED IS:
85 mph 9                                                          Communicates the following for line 7:
THIS IS A DRILL
*Critical Step                       #Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1
 
(,
PERFORMANCE CHECKLIST         Page 9 of 9 Appl.
  . . To/JPM No.: RO 00.EP.004.002                                     Student Name:
=
Step                                 Action                                       Standard Eva1        Comments 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.
*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.
Page 1 of 2 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.
Page 2 of 2 2005 NRC Exam Rev. 1
 
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 Time Critical 15 Minutes Date of Performance:                          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. EP-PS-100, EMERGENCY DIRECTOR CONTROL ROOM, REV. 18 B. ILO-304, SIMULATOR EVALUATION SCENARIO C. EP-PS-1OO-A D. EP-PS-100-C E. EP-PS-100-9 111. 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 N R C Exam Rev. 1
 
I PERFORMANCE CHECKLIST         Page 3 of 10 Appl. To/JPM No.: SRO 00.EP.001.304 Step Student Name:
                                                                                            -
Action                                     Standard  Eva1        Comments 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.
Identifies appropriate Tab Evaluates information.
EVALUATOR NOTE:
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.
After the candidate reviews the Task Conditions /
Standard Controlled copy obtained.
Initiating Cue Sheet:
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.
0   Ask if the candidate is ready to begin the JPM.
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.
0   When the candidate is ready to begin the JPM inform the candidate that this is a Time Critical JPM.
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.
Record Start Time
If not performed earlier appoint an Emergency Plan Communicator If not performed earlier, appoint an NRC communicator.
-
Standard Announces to Control Room Personnel:
*Critical Step                       #Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1
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.
 
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.
I PERFORMANCE CHECKLIST                                     Page 4 of 10 Appl. To/JPM No.:     SRO 00.EP.001.304 Student Name:
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).
Step                                   Action                                       Standard                      Eva1        Comments Obtains a copy of EP-PS-100.                         Controlled copy obtained.
Standard Refers to ENR Form under Tab
Identifies appropriate Tab                          Determines Tab A is appropriate Tab to classify the event.
: 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.
Evaluates information.                              Identifies from participation as The Unit Supervisor, that an RCS leak > 50 gpm has occurred, and a momentary ATWS.
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.:
EVALUATOR CUE:
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:
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.
Candidate may review the filled out ENR form with the E Plan Communicator.
*Critical Step                       #Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1
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.
I PERFORMANCE CHECKLIST                                     Page 5 of 10 Appl. To/JPM No.: SRO 00.EP.001.304 Student Name:
                                                                                                                                ~~
Step                                 Action                                         Standard                      Eva1          Comments
                            ~ ~~
*4    Choose appropriate emergency classification level. 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%
5    Record Time of Alert Emergency declaration 6      Determines appropriate procedure section for the    Determines TAB C Manage the Alert classification.                                      Emergency is the appropriate TAB.
*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                                       Standard                      Eva1          Comments Document and communicate the Emergency               Announces to Control Room Personnel:
Classification.                                      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.
If not performed earlier appoint an Emergency Plan  Appoints an Emergency Plan Communicator and Communicator                                          instruct hidher to immediately perform EP-PS-126 E Plan Communicator.
If not performed earlier, appoint an NRC            Appoints an NRC Communicator and instruct hidher communicator.                                        to perform EP-PS-135 NRC Communicator
*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                                 Action                                          Standard                    Eva1        Comments 10     Generate and approve an ENR form to be                 Refers to ENR Form under Tab 9.
transmitted by the Emergency Plan Communicator.
EVALUATOR CUE:
Inform the candidate that the Control # in the next step will be CR-ILO-304 11    Fill out and approve the Emergency Notification         Fills out and approves the Emergency Notification Report Form.                                            Report Form as follows:
Control # CR-ILO-304 LINE 1.
Call Status:
Places checkmark in This is a drill box 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                     #Critical Sequence Form NTP-QA-31.8-2,Rev. 0.Page 1 of 1 2005 NRC Exam Rev. 1
 
PERFORMANCE CHECKLIST                                 Page 8 of 10 Appl. To/JPM No.: SRO 00.EP.001.304 Student Name:
Step                                 Action                                          Standard                    Eva1        Comments
*12     Completes line 3                                         LINE 3.
EVALUATOR NOTE:                                         Emergency Classification:
Initial Declaration is not critical                     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.
EVALUATOR NOTE:
FA1 or MA3 alone is sufficient for the Brief Non-Technical Description for the initial notification.
Candidate may paraphrase this description
*13    Completes line 4                                        LINE 4.
The Emergency action level (EAL) number is:
Records EAL FA1 OR MA3 Brief non -technical description of the event:
RecordsFAl OR MA3
*Critical Step                     #Critical Sequence Form NTP-QA-31.8-2,Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1
 
PERFORMANCE CHECKLIST                          Page 9 of 10 Appl. To/JPM No.: SRO 00.EP.001.304 Student Name:
Step                                 Action                                      Standard              Eva1        Comments
                          ~
*14     Completes line 5                                   LINE 5.
Places a checkmark in the No non-routine radiological release box 15    Completes line 6                                    LINE 6 Records Wind Direction is from 10" Wind Speed is: 5 mph 16    Completes line 7                                    LINE 7.


== Conclusion:==
== Conclusion:==


10" Places a checkmark in this is a drill box. Records the following on space provided:
Places a checkmark in this is a drill box.
Approved: - HidHer name Time: - Current time Date: - Current Date Eva1 Comments *Critical Step #Critical Sequence Form NTP-QA-31.8-2.
Approves the Emergency Notification Report Form    Records the following on space provided:
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:
Approved: - HidHer name Time: - Current time Date: - Current Date EVALUATOR NOTE:
If necessary, Role-play the communicator and accept the filled out form. EVALUATOR CUE:
Candidate may review the filled out ENR form with the E Plan Communicator.
*Critical Step                     #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                                 Action                                          Standard                Eva1        Comments 18     Give the approved ENR form to the E Plan              Provides the filled out ENR form to the E Plan Communicator.                                         Communicator.
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 15 minutes in order for the time critical portion of the JPM to be satisfactory.
*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.
Page 1 of 2 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 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:
Page 2 of 2 2005 NRC Exam Rev. 1
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:
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.
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:
To                                                                   Sys. No.
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.
Task Title:     Perform Emergency Plan Classification (Scenario ILO-305) and Complete the ENR form Completed By:                                          Validated:
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.
Rich Chin                           9/27/05 Writer                               Date               InstructorNVriter                 Date Approval:
Nuclear Trng. Supv.                       Date Time Critical 15 Minutes Date of Performance:                        Validated Time (Min.)             Time Taken (Min.)
JPM Performed By:
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.001.305
-
: 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. EP-PS-100, EMERGENCY DIRECTOR CONTROL ROOM, REV. 18 B. ILO-305, SIMULATOR EVALUATION SCENARIO C. EP-PS-1OO-A D. EP-PS-1OO-D E. EP-PS-100-9 III. R EACTlVlTY MAN1PULATIONS This JPM satisfies the following Operational Activity(s):
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.
 
Identifies appropriate Tab Evaluates information.
I PERFORMANCE CHECKLIST         Page 3 of 9 Appl. To/JPM No.: SRO 00.EP.001.305 Student Name:
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.
                                                                                            -
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.
Step                                 Action                                       Standard Eva1        Comments EVALUATOR NOTE:
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  
0     This JPM must be performed in the simulator following completion of the scenario ILO-305 as Unit Supervisor.
! 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.
0    This is a time critical JPM.
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:
0    Ensure a copy of EP-PS-100 is available to support performance of this JPM.
Inform the candidate that the Control
EVALUATOR NOTE:
# in the next step will be CR-ILO-305 Standard ~ Announces to Control Room Personnel:
To begin this JPM, provide the candidate with the Initiating Cue Sheet.
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.
EVALUATOR NOTE:
Appoints an NRC Communicator and instruct hidher to perform EP-PS-135 NRC Communicator Refers to ENR Form under Tab
After the candidate reviews the Task Conditions /
: 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:
Initiating Cue Sheet:
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:
0     Ask if the candidate is ready to begin the JPM.
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.
0    When the candidate is ready to begin the JPM inform the candidate that this is a Time Critical JPM.
Candidate may paraphrase this description Completes line 4 Completes line 5 Completes line 6 Standard LINE 4. The Emergency action level (EAL) number is:
Record Start Time
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.
*Critical Step                     #Critical Sequence Form NTP-QA-31.8-2,Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1
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:
I PERFORMANCE CHECKLIST                                      Page 4 of 9 Appl. To/JPM No.: SRO 00.EP.001.305 Student Name:
Step                                   Action                                        Standard                      Eva1        Comments 1     Obtains a copy of EP-PS-100.                        Controlled copy obtained.
2    Identifies appropriate Tab                           Determines Tab A is appropriate Tab to classify the event.
3    Evaluates information.                                Identifies from participation as The Unit Supervisor, that 2 Reactor Building Areas exceeded Max Safe Radiation levels.
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.
*4    Choose appropriate emergency classification level. FSl Loss or Potential loss of ANY 2 Fission Product Barriers 5    Record Time of Site Area Emergency declaration 6      Determines appropriate procedure section for the     Determines TAB D Manage the Site Area classification.                                      Emergency is the appropriate TAB.
*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.001.305 Student Name:
Step                                   Action                                          Standard                    Eva1        Comments
                                                                ~
7     Document and communicate the Emergency                 Announces to Control Room Personnel:
Classification.                                        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.
8    If not performed earlier appoint an Emergency Plan    Appoints an Emergency Plan Communicator and Communicator                                            instruct hidher to immediately perform EP-PS-126 E Plan Communicator.
9    If not performed earlier, appoint an NRC              Appoints an NRC Communicator and instruct hidher communicator.                                          to perform EP-PS-135 NRC Communicator 10    Generate and approve an ENR form to be                  Refers to ENR Form under Tab 9.
transmitted by the Emergency Plan Communicator.
EVALUATOR CUE:
Inform the candidate that the Control # in the next step will be CR-ILO-305
*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 6 of 9 Appl. To/JPM No.: SRO 00.EP.001.305 Student Name:
                                                                                                                              ~
Step                                 Action                                          Standard                    Eva1          Comments 11     Fill out and approve the Emergency Notification         Fills out and approves the Emergency Notification Report Form.                                            Report Form as follows:
Control # CR-ILO-305 LINE 1.
Call Status:
Places checkmark in This is a drill box 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).
*12    Completes line 3                                         LINE 3.
EVALUATOR NOTE:                                          Emergency Classification:
Initial Declaration is not critical                     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.
*Critical Step                     #Critical Sequence Form NTP-OA-31.8-2, Rev. 0,Page 1 of 1 2005 NRC Exam Rev. 1
 
PERFORMANCE CHECKLIST                                 Page 7 of 9 Appl. To/JPM No.: SRO 00.EP.001.305 Student Name:
Step                                   Action                                       Standard                  Eva1        Comments EVALUATOR NOTE:
FSl alone is sufficient for the Brief Non-Technical Description for the initial notification.
Candidate may paraphrase this description Completes line 4                                       LINE 4.
The Emergency action level (EAL) number is:
Records EAL FS1 Brief non -technical description of the event:
Records FS1 3k14    Completes line 5                                      LINE 5.
Places a checkmark in the AN Airborne Non-routine radiological release box 15    Completes line 6                                      LINE 6 Records Wind Direction is from: 10" Wind Speed is: 5 mph
*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                                   Action                                        Standard              Eva1        Comments 16     Completes line 7                                     LINE 7.
 
== Conclusion:==
 
Places a checkmark in this is a drill box.
*17    Approves the Emergency Notification Report Form       Records the following on space provided:
Approved: - HidHer name Time: - Current time Date: - Current Date EVALUATOR NOTE:
Candidate may review the filled out ENR form with the E Plan Communicator.
18    Give the approved ENR form to the E Plan             Provides the filled out ENR form to the E Plan Communicator .                                        Communicator.
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.
*Critical Step                      #Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1


== Conclusion:==
0, c
0 Q,
c
      .-0 CI 2
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  ..
0 Z
  -
a 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.
Page 1 of 2 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.
Page 2 of 2 2005 NRC Exam Rev. 1
 
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:      Perform Emergency Plan Classification (Scenario ILO-504) and Complete the ENR form Completed By:                                          Validated:
Rich Chin                            9/27/05 Writer                              Date              InstructorNVriter                Date Approval:
Nuclear Trng. Supv.                        Date Time Critical 15 Minutes Date of Performance:                        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-QA91.8-1, Rev. 0,Page 1 of 2 2005 NRC Exam Rev. 1


Places a checkmark in this is a drill box. Records the following on space provided:
REQUIRED TASK INFORMATION JOB PERFORMANCE MEASURE SRO 00.EP.001.504
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 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.
: 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.
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. EP-PS-100, EMERGENCY DIRECTOR CONTROL ROOM, REV. 18 B. ILO-504, SIMULATOR EVALUATION SCENARIO C. EP-PS-1OO-A D. EP-PS-1OO-D E. EP-PS-100-9 111. REACTIVITY MANIPULATIONS This JPM satisfies the following Operational Activity(s):
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:
V. INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form.
5 mph throughout the scenario.
VI. TASK STANDARD Emergency classification of Site Area Emergency declared within 15 minutes.
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  
Form NTP-QA-31.8-1, Rev. 0, Page 2 of 2 2005 NRC Exam Rev. 1
/ 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 candidate's request.
i PERFORMANCE CHECKLIST         Page 3 of 9 Appl. To/JPM No.: SRO 00.EP.001.504 Student Name:
Choose appropriate emergency classification level. Record Time of Site Area Emergency declaration Determines appropriate procedure section for the classification.
Step                                 Action                                     Standard Eva1 EVALUATOR NOTE:
Standard Controlled copy obtained.
0   This JPM must be performed in the simulator following completion of the scenario ILO-504 as Unit Supervisor.
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.
0    This is a time critical JPM.
If not performed earlier appoint an Emergency Plan Communicator If not performed earlier, appoint an NRC communicator.
0    Ensure a copy of EP-PS-100 is available to support performance of this JPM.
Generate and approve an ENR form to be transmitted by the Emergency Plan Communicator. EVALUATOR CUE:
EVALUATOR NOTE:
Inform the candidate that the Control
To begin this JPM, provide the candidate with the Initiating Cue Sheet.
# in the next step will be CR-ILO-504 Standard Announces to Control Room Personnel:
EVALUATOR NOTE:
I am assuming duties of the Emergency Director.
After the candidate reviews the Task Conditions /
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
Initiating Cue Sheet:
: 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:
0   Ask if the candidate is ready to begin the JPM.
Control # CR-ILO-504 LINE 1. Call Status: Places checkmark in This is a drill box LINE 3. Emergency Classification:
0    When the candidate is ready to begin the JPM inform the candidate that this is a Time Critical JPM.
Places checkmark in Site Area Emergency box Places checkmark in Unit one box Records the Declaration time and date.
Record Start Time
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.
*Critical Step                     #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 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.
i PERFORMANCE CHECKLIST                                     Page 4 of 9 Appl. To/JPM No.: SRO 00.EP.001.504 Student Name:
Give the approved ENR form to the E Plan Communicator.
Step                                 Action                                         Standard                      Eva1        Comments
EVALUATOR CUE: If necessary, Role-play the communicator and accept the filled out form. EVALUATOR CUE:
                                        ~~
1    Obtains a copy of EP-PS-100.                         Controlled copy obtained.
2      Identifies appropriate Tab                           Determines Tab A is appropriate Tab to classify the event.
3      Evaluates information.                               Identifies from participation as The Unit Supervisor, RPV water level dropped below -1 61 inches 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.
*4    Choose appropriate emergency classification level. FS1 Loss or Potential loss of ANY 2 Fission Product Barriers 5      Record Time of Site Area Emergency declaration 6      Determines appropriate procedure section for the     Determines TAB D Manage the Site Area classification.                                        Emergency is the appropriate TAB.
*Critical Step                     #Critical Sequence Form NTP-QA31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1
 
i PERFORMANCE CHECKLIST                                   Page 5 of 9 Appl. To/JPM No.: SRO OO.EP.OO1 SO4 Student Name:
Step                                   Action                                        Standard                    Eva1        Comments 7     Document and communicate the Emergency               Announces to Control Room Personnel:
Classification.                                      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.
a    If not performed earlier appoint an Emergency Plan    Appoints an Emergency Plan Communicator and Communicator                                          instruct hidher to immediately perform EP-PS-126 E Plan Communicator.
9    If not performed earlier, appoint an NRC              Appoints an NRC Communicator and instruct hidher communicator.                                        to perform EP-PS-135 NRC Communicator 10    Generate and approve an ENR form to be                Refers to ENR Form under Tab 9.
transmitted by the Emergency Plan Communicator.
EVALUATOR CUE:
Inform the candidate that the Control # in the next step will be CR-ILO-504
*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 6 of 9 Appl. To/JPM No.: SRO 00.EP.001.504 Student Name:
Step                                 Action                                          Standard                    Eva1        Comments
                                                                -~
11     Fill out and approve the Emergency Notification        Fills out and approves the Emergency Notification Report Form.                                           Report Form as follows:
Control # CR-ILO-504 LINE 1.
Call Status:
Places checkmark in This is a drill box 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).
5 12    Completes line 3                                         LINE 3.
EVALUATOR NOTE:                                         Emergency Classification:
Initial Declaration is not critical                     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.
                                                                                                                  -
*Critical Step                     #Critical Sequence Form NTP-QA91.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1
 
PERFORMANCE CHECKLIST                               Page 7 of 9 Appl. To/JPM No.: SRO 00.EP.001.504 Student Name:
Step                                   Action                                       Standard                Eva1        Comments EVALUATOR NOTE:
FS1 alone is sufficient for the Brief Non-Technical Description for the initial notification.
Candidate may paraphrase this description Completes line 4                                     LINE 4.
The Emergency action level EAL) number is:
Records EAL FS1 Brief non -technical description of the event:
Records FS1
*14    Completes line 5                                      LINE 5.
Places a checkmark in the NO Non-routine radiological release box 15    Completes line 6                                      LINE 6 Records Wind Direction is from: 10" Wind Speed is: 5 mph
*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.001.504 Student Name:
Step                                 Action                                          Standard                          Comments 16     Completes line 7                                   LINE 7.
 
== Conclusion:==
 
Places a checkmark in this is a drill box.
*17    Approves the Emergency Notification Report Form     Records the following on space provided:
Approved: - HidHer name Time: - Current time Date: - Current Date EVALUATOR NOTE:
Candidate may review the filled out ENR form with the E Plan Communicator.
18    Give the approved ENR form to the E Plan            Provides the filled out ENR form to the E Plan Communicator.                                        Communicator.
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.
*Critical Step                      #Critical Sequence Form NTP-QA-31.8-2, Rev. 0,Page 1 of 1 2005 NRC Exam Rev. 1


== Conclusion:==
PERFORMANCE CHECKLIST        Page 9 of 9 Appl. To/JPM No.: SRO OO.EP.OO1 SO4 Step                                 Action                                     Standard Eva1       Comments EVALUATOR NOTE:
Places a checkmark in this is a drill box. Records the following on space provided:
The total time from the JPM start to step 5 of the JPM must be 5 15 minutes in order for the time critical portion of the JPM to be satisfactory.
Approved: - HidHer name Time: - Current time Date: - Current Date Provides the filled out ENR form to the E Plan Communicator.
*Critical Step                     #Critical Sequence Form NTP-QA-31.8-2. Rev. 0.Page 1 of 1 2005 NRC Exam Rev. 1
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.  
 
*Critical Step #Critical Sequence Form NTP-QA-31.8-2.
TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario.
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.
Page 1 of 2 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 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.
Page 2 of 2 2005 NRC Exam Rev. 1
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           9/27/05             2.4.41             NIA     4.0 APPl.       JPM Number                 Rev. No. Date             NUREG 1123         WA No. K/A Imp.
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
To                                                                   Sys. No.
Task Title:     Perform Emergency Plan Classification (Scenario ILO-505) and Complete the ENR form Completed By:                                            Validated:
Rich Chin                             9/27/05 Writer                               Date               InstructorANriter                 Date Approval:
Nuclear Trng. Supv.                         Date Time Critical 15 Minutes Date of Performance:                        Validated Time (Min.)             Time Taken (Min.)
JPM Performed By:
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.
: 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.
B. All applicable safety precautions shall be taken in accordance with established PPL safety policies and the Safety Rule Book, for example:
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.
: 1. Whenever any electrical panel is opened for inspection during JPM performance.
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.
: 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.
18 111. REACTIVITY MAN1 PU LATlO NS This JPM satisfies the following Operational Activity(s):
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, REV. 18 B. ILO-505, SIMULATOR EVALUATION SCENARIO C. EP-PS-1OO-A D. EP-PS-1OO-D E. EP-PS-100-9 111. REACTIVITY MAN1PULATlONS 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.
0 This JPM must be performed in the simulator following completion of the scenario ILO-505 as Unit Supervisor.
VI. TASK STANDARD Emergency classification of Site Area Emergency declared within 15 minutes.
This is a time critical JPM. Ensure a copy of EP-PS-100 is available to support performance of this JPM. 0 EVALUATOR NOTE:
Form NTP-QA-31.8-1,Rev. 0, Page 2 of 2 2005 NRC Exam Rev. 1
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 #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.
PERFORMANCE CHECKLIST         Page 3 of 9 Appl. To/JPM No.: SRO OO.EP.OO1 SO5 Student Name:
Choose appropriate emergency classification level. Record Time of Site Area Emergency declaration Determines appropriate procedure section for the classification.
Step                                 Action                                       Standard Eva1        Comments EVALUATOR NOTE:
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.
0     This JPM must be performed in the simulator following completion of the scenario ILO-505 as Unit Supervisor.
If not performed earlier appoint an Emergency Plan Communicator If not performed earlier, appoint an NRC communicator.
0    This is a time critical JPM.
Generate and approve an ENR form to be transmitted by the Emergency Plan Communicator. EVALUATOR CUE: Inform the candidate that the Control
Ensure a copy of EP-PS-100 is available to support performance of this JPM.
# in the next step will be CR-ILO-505 - Standard Announces to Control Room Personnel:
EVALUATOR NOTE:
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.
To begin this JPM, provide the candidate with the Initiating Cue Sheet.
Appoints an Emergency Plan Communicator and instruct hidher to immediately perform EP-PS-126 E Plan Communicator.
EVALUATOR NOTE:
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:
After the candidate reviews the Task Conditions /
Step 11 *12 Action Fill out and approve the Emergency Notification Report Form.
Initiating Cue Sheet:
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).
Ask if the candidate is ready to begin the JPM.
Completes line 3 EVALUATOR NOTE: Initial Declaration is not critical Standard Fills out and approves the Emergency Notification Report Form as follows:
0    When the candidate is ready to begin the JPM inform the candidate that this is a Time Critical JPM.
Control # CR-ILO-505 LINE 1. Call Status: Places checkmark in This is a drill box LINE 3. Emergency Classification:
Record Start Time
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
*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.001.505 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:
1 PERFORMANCE CHECKLIST                                     Page 4 of 9 Appl. To/JPM No.: SRO 00.EP.001.505 Student Name:
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:
Step                                   Action                                        Standard                      Eva1        Comments 1     Obtains a copy of EP-PS-100.                         Sontrolled copy obtained.
If necessary, Role-play the communicator and accept the filled out form. EVALUATOR CUE: Inform the candidate the JPM is complete.
2    Identifies appropriate Tab                           Determines Tab A is appropriate Tab to classify the event.
Student Name: Standard LINE 7.
3    Evaluates information.                               Identifies from participation as The Unit Supervisor, RPV water level dropped below -161 inches 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.
*4    Choose appropriate emergency classification level. FS1 Loss or Potential loss of ANY 2 Fission Product Barriers 5      Record Time of Site Area Emergency declaration 6    Determines appropriate procedure section for the     Determines TAB D Manage the Site Area classification.                                      Emergency is the appropriate TAB.
                                                                                                                    -
*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.001.505
                                                              -          Student Name:
Step                                 Action                                          Standard                    Eva1        Comments 7     Document and communicate the Emergency               Announces to Control Room Personnel:
Classification.
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.
8      If not performed earlier appoint an Emergency Plan    Appoints an Emergency Plan Communicator and Communicator                                          instruct hidher to immediately perform EP-PS-126 E Plan Communicator.
9      If not performed earlier, appoint an NRC              Appoints an NRC Communicator and instruct hidher communicator.                                          to perform EP-PS-135 NRC Communicator 10      Generate and approve an ENR form to be                Refers to ENR Form under Tab 9.
transmitted by the Emergency Plan Communicator.
EVALUATOR CUE:
Inform the candidate that the Control # in the next step will be CR-ILO-505
*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 Step Student Name:
                                                                                                                    -
Eva1        Comments Action                                          Standard 11     Fill out and approve the Emergency Notification        Fills out and approves the Emergency Notification Report Form.                                            Report Form as follows:
Control # CR-ILO-505 LINE 1.
Call Status:
Places checkmark in This is a drill box 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).
*12    Completes line 3                                         LINE 3.
EVALUATOR NOTE:                                         Emergency Classification:
Initial Declaration is not critical                     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.
*Critical Step                       #Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1
 
                                                                      ;
PERFORMANCE CHECKLIST                             Page 7 of 9 Appl. To/JPM No.: SRO 00.EP.001.505 Student Name:
Step                                 Action                                         Standard                Eva1        Comments EVALUATOR NOTE:
FS1 alone is sufficient for the Brief Non-Technical Description for the initial notification.
Candidate may paraphrase this description 3k13    Completes line 4                                     LINE 4.
The Emergency action level (EAL) number is:
Records EAL FS1 Brief non -technical description of the event:
Records FSl 3k14    Completes line 5                                      LINE 5.
Places a checkmark in the NO Non-routine radiological release box 15    Completes line 6                                      LINE 6 Records Wind Direction is from: 10" Wind Speed is: 5 mph
*Critical Step                     #Critical Sequence Form NTP-OA-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.001.505 Student Name:
                                                                                                            -
Step                               Action                                          Standard              Eva1        Comments 16     Completes line 7                                   LINE 7.


== Conclusion:==
== 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.
Places a checkmark in this is a drill box.
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.
jk17    Approves the Emergency Notification Report Form    Records the following on space provided:
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.
Approved: - HidHer name Time: - Current time Date: - Current Date EVALUATOR NOTE:
Assume Wind Direction was from:
Candidate may review the filled out ENR form with the E Plan Communicator.
10" and Wind Speed was: 5 mph throughout the scenario.
18    Give the approved ENR form to the E Plan            Provides the filled out ENR form to the E Plan Communicator.                                        Communicator.
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.
EVALUATOR CUE:
Assume Wind Direction was from:
If necessary, Role-play the communicator and accept the filled out form.
10" and Wind Speed was: 5 mph throughout the scenario.
EVALUATOR CUE:
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:
Inform the candidate the JPM is complete.
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                     #Critical Sequence Form NTP-QA-31.8-2,Rev. 0.Page 1 of 1 2005 NRC Exam Rev. 1
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:
PERFORMANCE CHECKLIST        Page 9 of 9 Appl. To/JPM No.: SRO 00.EP.001.505 Student Name:
Form NTP-QA-31.8-1, Rev.
Step                                Action                                       Standard Eva1       Comments EVALUATOR NOTE:
0, Page 1 of 2 2005 NRC Exam Rev. 1 REQUIRED TASK INFORMATION JOB PERFORMANCE MEASURE SRO 00.EP.001.602
The total time from the JPM start to step 5 of the JPM must be 5 15 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.
INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form.
Page 1 of 2 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, Page 2 of 2 2005 NRC Exam Rev. 1
 
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.
I ,
JPM Number                   Rev. No. Date             NUREG 1123           KIA No. KIA ImD.
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               InstructorMl riter                 Date Approval:
Nuclear Trng. Supv.                           Date Time Critical 15 Minutes Date of Performance:                            Validated Time (Min.)             Time Taken (Min.)
JPM Performed By:
Student Name:
Last                               First           M.I.     Employee # I S.S. #
Performance                       (       ) Satisfactory             (       ) Unsatisfactory Eva1uation:
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.
: 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.
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. EP-PS-100, EMERGENCY DIRECTOR CONTROL ROOM, REV. 18 B. ILO-602, SIMULATOR EVALUATION SCENARIO C. EP-PS-1OO-A D. EP-PS-1OO-D E. EP-PS-100-9 111. 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.
 
Identifies appropriate Tab Evaluates information.
PERFORMANCE CHECKLIST         Page 3 of 9 Appl. To/JPM No.: SRO 00.EP.001.602 Student Name:
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
Step                                   Action                                     Standard Eva1        Comments EVALUATOR NOTE:
-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.
0   This JPM must be performed in the simulator following completion of the scenario ILO-602 as Unit Supervisor.
Document and communicate the Emergency Classification.
0    This is a time critical JPM.
If not performed earlier appoint an Emergency Plan Communicator If not performed earlier, appoint an NRC com mu n icato
0    Ensure a copy of EP-PS-100 is available to support performance of this JPM.
: r. Standard Determines TAB D Manage the Site Area Emergency is the appropriate TAB. Announces to Control Room Personnel:
EVALUATOR NOTE:
I am assuming duties of the Emergency Director.
To begin this JPM, provide the candidate with the Initiating Cue Sheet.
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.
EVALUATOR NOTE:
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.
After the candidate reviews the Task Conditions /
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.
Initiating Cue Sheet:
EVALUATOR CUE: Inform the candidate that the Control  
0   Ask if the candidate is ready to begin the JPM.
# in the next step will be CR-ILO-602 Fill out and approve the Emergency Notification Report Form.
0    When the candidate is ready to begin the JPM inform the candidate that this is a Time Critical JPM.
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).
Record Start Time
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.
*Critical Step                       #Critical Sequence Form NTP-OA-31.8-2. Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1
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 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.
i PERFORMANCE CHECKLIST                                     Page 4 of 9 Appl. To/JPM No.: SRO 00.EP.001.602 Student Name:
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:
Step                                   Action                                        Standard                      Eva1        Comments 1     Obtains a copy of EP-PS-100.                        Controlled copy obtained.
5 mph LINE 7.
2    Identifies appropriate Tab                           Determines Tab A is appropriate Tab to classify the event.
3    Evaluates information.                               Identifies from participation as The Unit Supervisor, ATWS and RPV water level dropped below -161 inches 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.
*4    Choose appropriate emergency classification level. MS3 ATWS and ARI fail to reduce power to less than 5%
OR FS Loss or Potential loss of ANY 2 Fission Product Barriers
                                                                                                                  -     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 Step Student Name:
                                                                                                                -
Eva1        Comments Action                                        Standard 5     Record Time of Site Area Emergency declaration 6    Determines appropriate procedure section for the     Determines TAB D Manage the Site Area classification.                                      Emergency is the appropriate TAB.
7    Document and communicate the Emergency              Announces to Control Room Personnel:
Classification.                                      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%
OR FS1 Loss or Potential loss of ANY 2 Fission Product Barriers Time and Date of Classification.
8      If not performed earlier appoint an Emergency Plan  Appoints an Emergency Plan Communicator and Communicator                                          instruct hidher to immediately perform EP-PS-126 E Plan Communicator.
9      If not performed earlier, appoint an NRC            Appoints an NRC Communicator and instruct hidher communicator.                                        to perform EP-PS-135 NRC Communicator
*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.001.602
-                                                                            Student Name:
                                                                                                                  -
Step                                   Action                                          Standard                    Eva1        Comments 10     Generate and approve an ENR form to be                 Refers to ENR Form under Tab 9.
transmitted by the Emergency Plan Communicator.
EVALUATOR CUE:
Inform the candidate that the Control # in the next step will be CR-ILO-602 11    Fill out and approve the Emergency Notification          Fills out and approves the Emergency Notification Report Form.                                             Report Form as follows:
Control # CR-ILO-602 LINE 1.
Call Status:
Places checkmark in This is a drill box 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                       #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 9 Appl. To/JPM No.: SRO 00.EP.001.602 Student Name:
Step                                   Action                                          Standard                    Eva1        Comments
*12     Completes line 3                                         LINE 3.
EVALUATOR NOTE:                                         Emergency Classification:
Initial Declaration is not critical                     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.
EVALUATOR NOTE:
MS3 or FS1 alone is sufficient for the Brief Non-Technical Description for the initial notification.
Candidate may paraphrase this description
*13    Completes line 4                                        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
                                                                                                                  -
*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.001.602
-
Step
                                  ~
Student Name:
Standard                        Comments Action
            ~
+k14    Completes line 5                                   LINE 5.
Places a checkmark in the NO Non-routine radiological release box 15    Completes line 6                                    LINE 6 Records Wind Direction is from: 10" Wind Speed is: 5 mph 16    Completes line 7                                    LINE 7.


== Conclusion:==
== Conclusion:==


Places a checkmark in this is a drill box. Records the following on space provided:
Places a checkmark in this is a drill box.
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.
+k17    Approves the Emergency Notification Report Form      Records the following on space provided:
EVALUATORC If necessary, Role-play the communicator and accept the filled out form. EVALUATOR CUE: Inform the candidate the JPM is complete.
Approved: - HidHer name Time: - Current time Date: - Current Date EVALUATOR NOTE:
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:
Candidate may review the filled out ENR form with the E Plan Communicator.
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.
*Critical Step                     #Critical Sequence Form NTP-QA-31.8-2,Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1
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.
 
PERFORMANCE CHECKLIST                               Page 9 of 9 Appl. To/JPM No.: SRO 00.EP.001.602 Student Name:
Step                                   Action                                            Standard              Eva1        Comments 18     Give the approved ENR form to the E Plan                Provides the filled out ENR form to the E Plan Communicator.                                          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.
                                                                                                                -
*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.
Page 1 of 2 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 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.
Page 2 of 2 2005 NRC Exam Rev. 1}}

Revision as of 23:49, 23 November 2019

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)
v • d • e


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 APPl. JPM Number Rev. No. Date NUREG 1123 WA No. WA Imp.

To Sys. No.

Task Title: Document a Failed LPRM Detector Completed By: Validated Rich Chin 09/26/05 Writer Date lnst ructorNVriter Date Approval:

Nuclear Trng. Supv. Date

-- 15/25 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:

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 III. REACTIVITY MAN1PULATIONS 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 48-178. LPRM detector 48-17 8 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 48-178.

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.

h m n KIP-QA-31.8-1. Rev. 0. Page 2 of 2 2005 NRC Exam Rev. 1

j PERFORMANCE CHECKLIST Page 3 of 8 Appl. To/JPM No.: S/RO 78.AD.001.lo1 Student Name:

Step Action Standard Comments 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.

0 Blank copy of attachment A & 6.

EVALUATOR NOTE:

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

Obtains a controlled copy of procedure. Controlled copy of 01-078-001 obtained.

Refers to correct section. Refers to section 4.

  • Critical Step #Critical Sequence Fonn NTP-QA-31.8-2. Rev.0. P q c I of I 2005 NRC Exam Rev.1

PERFORMANCE CHECKLIST Page 4 of 8 Appl. To/JPM No.: S/RO 78.AD.001.101 Student Name:

-Step Standard Eva1 Comments Action Determines current LPRM status. Obtains the Operations Special Log Book in the Unit 1 control room and locates the previously completed copy of Attachment A & B.

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. Blank copy obtained.

Completes new Attachment A. Enters 1 for Unit.

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

/

PERFORMANCE CHECKLIST Page 5 of 8 Appl. To/JPM No.: S/RO 78.AD.001.101 Student Name:

Action Standard Eva1 Comments EVALUATOR CUE: Transfers the previous LPRM data to the new Attachment A.

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

Candidate may desire to verify switches in lower relay room.

Enter a check (d) in column (2) for LPRM Place a checkmark in column 2 adjacent to alarms determined inoperable or bypassed for LPRM detector 48-17B in Zone 4.

all other reasons.

Consider all LPRM Upscale Alarms with a Circles YES for zone 1, 2, 3, 5, 6, 7, 8, and 9.

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

Circles NO for zone 4.

Notify Reactor Engineering of all LPRM upscale N/A alarms determined inoperable.

Previously noted in JPM cue.

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

I i

PERFORMANCE CHECKLIST Page 6 of 8 Appl. To/JPM No.: S/RO 78.AD.001.101 Student Name:

-Step Action Standard Eva1 Comments

  • 10 Attach placard to 1C651 indicating < required # Attaches placard to operating panel 1C651.

of LPRM Upscale Alarms.

EVALUATOR NOTE:

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

  • 11 Refer to TRO 3.3.9 LPRM, upscale alarm Notifies the Unit Supervisor to Refer to TRO instrumentation 3.3.9 LPRM 12 Complete an LPRM vs. APRWLPRM Group Enters 1 for Unit.

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).

13 Transfers the previous LPRM data to the new Attachment B.

14 Circles LPRM detector 48-17 for APRM E, under the column 6Level.

15 Obtains review. Submit the completed Attachment A and 8 to the Unit Supervisor.

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

1 PERFORMANCE CHECKLIST Page 7 of 8 Appl. To/JPM No.: S/RO 78.AD.001.101 Student Name:

-

Step Action Standard Eva1 Comments 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.

16 Obtains a copy of the Tech Specs and TRM

References:

TRO 3.3.9

  • 17 Determines required actions 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

  • Critical Step #Critical Sequence 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. Unit 1 is in MODE l a t 80% power.

8. Reactor Engineering has completed their evaluation of a downscale alarm condition for LPRM detector 48-178. LPRM detector 48-178 is failed C. The PCOP has just NOW bypassed LPRM detector 48-178 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 48-178.

2005 NRC Exam Rev.1 Page 1 of 4

TASK CONDITIONS

- A. Unit 1 is in MODE l a t 80% power.

B. Reactor Engineering has completed their evaluation of a downscale alarm condition for LPRM detector 48-178. LPRM detector 48-17 8 is failed C. The PCOP has just NOW bypassed LPRM detector 48-178 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 48-178.

--

2005 NRC Exam Rev.1 Page 2 of 4

SRO ONLY TASK CONDITIONS A. Unit 1 is in MODE l a t 80% power.

B. Reactor Engineering has completed evaluation of a downscale alarm condition for LPRM detector 48-178.

C. LPRM detector 48-176 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 l a t 80% power.

B. Reactor Engineering has completed evaluation of a downscale alarm condition for LPRM detector 48-178.

C. LPRM detector 48-178 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: Validated Rich Chin 09/26/05 Writer Date InstructorNVriter Date A pprovaI:

Nuclear Trng. Supv. Date 15 Date of Performance: 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 01 2 2M)S NRC Exam Rev. 1

REQUIRED TASK INFORMATION JOB PERFORMANCE MEASURE SRO 00.AD.273.002 I. 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.

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

Tech Specs 111. REACTIVITY MANIPULATIONS This JPM satisfies the requirements of Operational Activity(s):

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

6. B RPS Bus De-energized30 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-158-001, LOSS OF RPS attachment 6.

D. 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-15711OAl, 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.

V. 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 Page 3 of 9 Appl. To/JPM No.: 00.AD.273.002 Student Name:

Step Action Standard Comments 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.

1 Obtain a controlled copy of NDAP-QA-0312, Controlled copy obtained.

CONTROLS OF LCOS, TROS AND SAFETY FUNCTION DETERMINATION PROGRAM 2 Selects the correct section to perform. Selects section 6.3 3 Review applicable TS LCO and Bases or TRM TRO Reviews TS LCO and Bases and TRM and Bases. TRO and Bases.

Determines LCO 3.4.6 is applicable.

EVALUATOR NOTE:

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

steps.

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

,

PERFORMANCE CHECKLIST Page 4 of 9 Appl. To/JPM No.: 00.AD.273.002 Student Name:

-Step Action Standard Eva1 Comments

  • 4 In accordance with the applicable TS/TRM, complete Fills out a copy of Attachment C of a LCO/TRO log sheet (Form NDAP-QA-0312-1) as NDAP-QA-0312 (Form follows: NDAP-QA-0312-1)

Enter the applicable unit for which the log sheet is Records a 1 in the space provided to being completed. designate Unit 1 t 5 Enter the unit containing the inoperable equipment. Records a 1 in the space provided to designate Unit 1 6 Enter the system number. Records a 79 in the space provided.

t 7 Circle or enter whether the Action is an LCO or TRO Circles or records LCO and enter the specification number.

Then records 3.4.6.

t 8 Enter the applicable MODES. Records 1,2,3.

EVALUATOR NOTE:

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

9 Enter the reference documents, if applicable. The Determines NO reference documents Reference Documents section may also be used to are applicable.

provide clarifying information for the reason the LCO/TRO is being entered.

-

  • 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 Student Name:

Step Action Standard Eva1 Comments

  • lo Reviewhevise all active LOSF worksheets based on Determines from initial conditions that the above inoperable equipment. 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
  • 11 Determine if LCO 3.0.6 has been applied for any other Determines from initial conditions that system on both Units 1 and 2. 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.

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.

-

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

i PERFORMANCE CHECKLIST Page 6 of 9 Appl. To/JPM No.: 00.AD.273.002 Student Name:

Action Standard Comments Enter the Date and Time that the CONDITION was Records B in CONDITION block for entered. both line items Records date and time for each of the actions in the space provided.

Enter the reason for CONDITION and the appropriate Records all of the following REQUIRED ACTION. The REQUIRED ACTION Required Primary Containment should be listed by number and include a brief noun Atmospheric Monitoring System description.

INOPERABLE B.l Analyze grab samples of primary containment atmosphere AND 8.2 Restore required Primary Containment Atmospheric Monitoring System to OPERABLE status Enter the Date and Time by when the REQUIRED In the spaces provided Records:

ACTION must be completed. 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 Initial that the CONDITION has been entered. Records candidate initials in the spaces provided

  • Critical Step #Critical Sequence Form NTP-QA-31.82, Rev. 0. Paw 1 of 1 2005 NRC Exam Rev.1

I PERFORMANCE CHECKLIST Page 7 of 9 Appl. To/JPM No.: 00.AD.273.002 Student Name:

Step 16 Action Have another SRO Peer Check the LCORRO entry

- Standard Asks another SRO to Peer Check the

- - Comments and also initial in the "Entered By" box. LCO/TRO entry and 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.

17 If required, additional CONDITION(S) can be entered Determines:

within the same LCORRO as follows:

Form NDAP-QA-0312-5 "LCO/TRO If the REQUIRED ACTION requires a repetitive action Repetitive Required Action Completion (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 />); Sheet" IS NOT REQUIRED.

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.

  • 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.: 00.AD.273.002 Student Name:

Step Action Standard Eva1 Comments 18 If the LCO/TRO Condition requires Chemistry or Determines:

Health Physics to sample or perform a survey, Shift Supervision shall initiate a Chemistry/Health Physics Chemistry/Health Physics LCO/TRO LCO/TRO Sample/Survey Log (FORM Sample/Survey Log (FORM NDAP-QA-0312-3) by: NDAP-QA-0312-3)

IS REQUIRED

  • 19 Completing the top section of FORM Places the following information on top NDAP-QA-0312-3. 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 2 hours2.314815e-5 days <br />5.555556e-4 hours <br />3.306878e-6 weeks <br />7.61e-7 months <br />

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

EVALUATOR CUE:

Role-play Chemistry and acknowledge the report.

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

PERFORMANCE CHECKLIST Page 9 of 9 Appl. To/JPM No.: 00.AD.273.002 Student Name:

Step Action Standard Eva1 Comments EVALUATOR CUE:

That completes this JPM

  • Critical Step #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 SYSTEM MODE 1 79 1,293 Reference Documents ChedHP Reviewhevise all active LOSF worksheets based on the above inoperable equipment. Review Complete N/A Is this a Safety Function Determination support system? YES 0 NO 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.

t 6 Date/

Time Entered Todays date and time LCO/TRO CONDITION Entered REASON AND REQUIRED ACTION Required Primary Containment Atmospheric Monitoring System INOPERABLE 6.1 Analyze grab samples of primary containment atmosphere 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 /> Entered candidate initials LCO/TRO CONDITION Cleared Datemime Cleared By AND B Todays 6.2 Restore required Primary Containment Within 30 days candidate date and Atmospheric Monitoring System to OPERABLE initials time status I I Reviewed OPS Supv-Nuc: LCO Entered I I

.CO Cleared I

2005 NRC Exam Rev 1

ANSWER KEY DO NOT GIVE TO CANDIDATES Unit 1 CHEMISTRY/HEALTH PHYSICS LCO/TRO SAMPLWSURVEY LOG 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 TSnR ACTION WITHIN COMPLETED WITHIN LCO 3.4.6 B.l Once per 12 hours1.388889e-4 days <br />0.00333 hours <br />1.984127e-5 weeks <br />4.566e-6 months <br /> 1 I Report chemistry analysis results to Shift Supervision.

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.

CHEMISTRY FIRST SAMPLE DUE DATWIME

--OR--

FIRST ANALYSIS COMPLETION DUE DATEnlME 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. 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-158-001, LOSS OF RPS attachment 6.

D. 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.

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 6 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.

2005 NRC Exam Rev. 1 1 of2

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

B. 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-158-001, LOSS OF RPS attachment B.

D. 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.

E. Electrical maintenance was dispatched to determine the problem with the CRM AIR SAMPLE I S 0 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.

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 09126/05 Writer Date I nstructorNVriter 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 R e v 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 MANI PULATlONS 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

I PERFORMANCE CHECKLIST Page 3 of 9 Appl. To/JPM No.: 45.0N.007.101 Student Name:

Step Action Standard Comments 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.

$1 Reviews RPV water level instruments indications in Determines the following level indicators the simulator to determine which indicators are are reading zero:

affected.

LI-14201B1 on 1C651 LI-14201B on C601 LI-142038 on C601 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.

2 Obtains a controlled copy of ON-145-004. Controlled copy obtained.

3 Reviews Symptoms and Observations for Ensures the Symptoms and Observations applicability. are applicable.

  • 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 Page 4 of 9 Appl. To/JPM No.: 45.0N.007.101 Student Name:

Step Action Standard Comments Records date and time of event. Enter current date and time.

Selects the appropriate section and attachment. Selects Section 3.5 and Attachment B.

Perform following for level instrumentation On Attachment 6 pages land 2 malfunction: determines the following common reference leg condensing chambers and Refer to Attachment B checking following:

excess flow check valves are still indicating normal values and are NOT the source of the anomaly:

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

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

  • Critical Step #Critical Sequence Form h T I - Q A - 3 1 8-2. Rev 0. Page I of I 2005 NRC Exam Rev 1

,

PERFORMANCE CHECKLIST Page 5 of 9 Appl. To/JPM No.: 45.0N.007.101 Student Name:

-Step 7

Action Instruments and indications with common variable leg Standard On Attachment B pages 1and 2 Eva1 Comments supplies or excess flow check valves. 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-14201A LI-14201A1 LI-l4203A LI-621 1R604 LI-C23 1R606B LWPR 14201A EVALUATOR CUE:

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

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

j PERFORMANCE CHECKLIST Page 6 of 9 Appl. To/JPM No.: 45.0N.007.101 Student Name:

Action Standard Comments 8-Instruments with common power supplies. Determines the following indicators a common power supply:

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

Automatic actions and alarms. NONE IF level cannot be determined 2 +13" by at least two Determines this is N/A since other level (2) independent indications, Enter EO 100 102, RPV indications are available.

Control.

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

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

I PERFORMANCE CHECKLIST Page 7 of 9 Appl. To/JPM No.: 45.0N.007.101 Student Name:

~

Step Action Standard Comments 12 IF applicable, Restore power supplies for failed Contacts NPO to check status of 1Y125 instrumentation. breaker 01 EVALUATOR CUE:

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

13 Informs Unit Supervisor that 1Y125 breaker 01 is Informs Unit Supervisor that 1Y125 tripped. breaker 01 is tripped.

EVALUATOR CUE:

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

  • 14 Contact NPO and instruct NPO to close 1Y125 Contacts NPO and instructs NPO to close breaker 01. 1Y125 breaker 01.

BOOTH OPERATOR CUE:

Remove malfunction on 1Y125 breaker 01.

MRF DB117271 CLOSE

  • Critical Step #Critical Sequence hmnhTPQA-31 8-2. Rev. 0.P q c I of I 2005 NRC Exam Rev 1

PERFORMANCE CHECKLIST Page 8 of 9 Appl. To/JPM No.: 45.0N.007.101 Student Name:

Action Standard Comments EVALUATOR CUE:

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

Verifies level instruments are reading NORMAL Verifies the following indicators are now reading normal:

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

References:

Tech Spec 3.3.3.1

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

PERFORMANCE CHECKLIST Page 9 of 9 Appl. To/JPM No.: 45.0N.007.101 Student Name:

Step Action Standard Eva1 Comments

+I7 Determines required actions Determines the following action is required:

Within 30 days restore required channel to operable status.

EVALUATOR CUE:

This completes the JPM.

-

  • Critical Step #Critical Sequence Form NTF-QA 31.8-2, Rev 0. P q c 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.

Page 1 of 4 2005 NRC. Exam Rev. 1

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.

Page 2 of 4 2005 NRC. Exam Rev. 1

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.

Page 3 of 4 2005 NRC. Exam Rev. 1

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.

Page 4 of 4 2005 NRC. Exam Rev. 1

PPL SUSQUEHANNA, LLC JOB PERFORMANCE MEASURE APPROVAL AND ADMINISTRATIVE DATA SHEET S/RO 00.AD.269.101 0 09/26/05 2.2.24 N/A 2.6/3.8 APPl. JPM Number Rev. No. Date NUREG 1123 WA No. WA Imp.

To Sys. No.

Task Title: Determine Trip Inputs to Zone 3 Is0 Signals Lockout Relay XY07553A Using Controlled Electrical Prints Completed By: Validated Rich Chin 09/26/05 Writer Date InstructorNVriter Date Approval:

Nuclear Trng. Supv. Date 20/30 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-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)

III. REACTIVITY MANIPULATIONS 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

I PERFORMANCE CHECKLIST Page 3 of 7 Appl. To/JPM No.: S/RO 00.AD.269.101 Student Name:

Step Action Standard Eva1 Comments EVALUATOR NOTE Candidate may use any number of different mediums to obtain the controlled copy of the electrical drawings.

These would all be acceptable.

1. Candidate obtains the controlled copy of the electrical References the electrical print print. index, OR the operating manuals and determine the appropriate print is E 201 sheet 1.
2. Locates relay XY07553A on print E 201 sheet 1. Locates relay XY07553A at grid location C6.

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.

-

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

PERFORMANCE CHECKLIST Page 4 of 7 Appl. To/JPM No.: S/RO 00.AD.269.101 Student Name:

Step Action Standard Eva1 Comments

  • 3 Candidate determines Unit 1 High radiation inputs a trip Determines that High radiation signal to relay XY07553A. 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 t4 Candidate determines Unit 2 High radiation inputs a trip Determines that High radiation signal to relay XY07553A. 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

=

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

(

PERFORMANCE CHECKLIST Page 5 of 7 Appl. To/JPM No.: S/RO 00.AD.269.101 Student Name:

~

Step Action Standard Comments 5 Determines the need to transition to another electrical Determines the other 2 inputs to drawing. trip relay XY07553A are on drawings 184 sheet 1 and 3 by observing the notes 6 Candidate obtains the controlled copy of the electrical Obtains the controlled copy of the print E 184 sheet 1. electrical print E 184 sheet 1.

wc7 Candidate determines Unit 1 Div 1 LOCA isolation signal Determines Unit 1 Div 1 LOCA inputs a trip signal to relay XY07553A. isolation signal inputs a trip signal to relay XY07553A and this signal is generated by :

0 Manual isolation Lo-Lo water reactor level (trip2) 0 Hi drywell pressure Switch in TEST mode AND Reports this to the supervisor 8 Candidate obtains the controlled copy of the electrical Obtains the controlled copy of the print E 184 sheet 3. electrical print E 184 sheet 3.

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

I PERFORMANCE CHECKLIST Page 6 of 7 Appl. To/JPM No.: S/RO 00.AD.269.101 Student Name:

Step Action Standard Comments U9 Candidate determines Unit 2 Div 1 LOCA isolation signal Determines Unit 2 Div 1 LOCA inputs a trip signal to relay XY07553A. 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 10 Candidate determines there are no more inputs to relay Determines there are no more XY07553A inputs to relay XY07553A, and reports this to the supervisor.

EVALUATOR CUE:

This completes the JPM for the ROs ONLY

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

PERFORMANCE CHECKLIST Page 7 of 7 Appl. To/JPM No.: S/RO 00.AD.269.101 Student Name:

~

Action Standard Eva1 Comments 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 References Tech Spec 3.3.6.2 Determines required actions for 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 EVALUATOR CUE:

This completes the JPM

  • 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?

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?

Page 2 of 4 2005 NRC Exam Rev. I

- 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.

Page 3 of 4 2005 NRC Exam Rev. 1

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.

Page 4 of 4 2005 NRC Exam Rev. 1

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: Review and Approve A Radioactive Liquid Release Permit Completed By: Validated:

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

Nuclear Trng. Supv. Date 15 Date of Performance: 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. 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 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)

I11. R EACTlVlTY MANIPULATIONS This JPM satisfies the requirements of Operational Activity(s):

NONE IV. TASK CONDITIONS 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-312.

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-064331is 3.1OE3 CPM V. 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.

VI TASK STANDARD I

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 PERFORMANCE CHECKLIST Page 3 of 6 Appl. To/JPM No.: 69.0P.044.051 Student Name:

Step EVALUATOR NOTE:

- Action Standard Eva1 Comments Provide the candidate with a filled out copy of OP-069-050, Release of Liquid Radioactive Waste Attachment A Laundry Drain Sample Tank OT-312 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, G Iand H.

1 Obtain a controlled copy of OP-069-050, Release of Controlled copy obtained.

Liquid Radioactive Waste

-

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

I i i PERFORMANCE CHECKLIST Page 4 of 6 Appl. To/JPM No.: 69.0P.044.051 Student Name:

Step Action Standard Comments 2 Selects the correct section to perform. 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 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

PERFORMANCE CHECKLIST Page 5 of 6 Appl. To/JPM No.: 69.0P.044.051 Student Name:

Step Action Standard Comments

  • 3 Verifies High Rad setpoint 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 454 Verifies Alert Rad setpoint 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 455 Verifies Liquid Radwaste Radiation h,dnitor Setpoint Checks required setpoint and actua inputs for Function Switch position 0 setpoint for High Rad setpoint.

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

  • 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 6 Appl. To/JPM No.: 69.0P.044.051 Student Name:

I Step 3K6

- Action Verifies Liquid Radwaste Radiation Monitor Setpoint Standard Checks required setpoint and actual Eva1 Comments inputs for Function Switch position 1 setpoint for Alert Rad setpoint.

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

7 Resolves the discrepancy Determines:

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

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

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-312.

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 3.1OE3 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-01596 is out of service.

C. A Radioactive Liquid Release Permit is being prepared for Laundry Drain Sample Tank OT-312.

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 3.1OE3 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 Time Critical 15 Minutes Date of Performance: Validated Time (Min.) Time Taken (Min.)

JPM Performed By:

Student Name:

Last First M.I. Employee # / S.S. #

Performance ) Satisfactory ( ) Unsatisfactory Evaluation:

Eva1uator 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 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

. . To/JPM No.: RO 00.EP.004.002 Appl. Student Name:

_____ ~~~

Step Action Standard Eva1 Comments 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.

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

PERFORMANCE CHECKLIST Page 4 of 9 Appl. To/JPM No.: RO 00.EP.004.002 Student Name:

Step Action Standard Eva1 Comments

  • l Obtain and review Event Notification Report (ENR) Reviews ENR form to verify Lines 1, 3, 4, 5, 6, and 7 form with the Shift Manager/ED. are all filled out.

Determines:

Line 4 is NOT filled out Reports to the ED that line 4 MUST be filled out 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

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

!

PERFORMANCE CHECKLIST Page 5 of 9 Appl. To/JPM No.: RO 00.EP.004.002 Student Name:

Action Standard Eva1 Comments 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 Dials 191 on the purple colored button colored phone button, dial 1 91 to transmit the ENR form to the following:

(Dialing 191 will simultaneously connect the listed Verifies the following agencies are on the line:

agencies in a conference call.)

(1) Penna. Emergency Management Agency (2) Columbia County EMA (3) Luzerne County EMA Media Operations Center EVALUATOWBOOTH CUE:

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

  • 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.: RO 00.EP.004.002 Student Name:

Action Standard Eva1 Comments 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 Communicates the following for line Call status:

This is a Drill

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

PERFORMANCE CHECKLIST Page 7 of 9 Appl. To/JPM No.: RO 00.EP.004.002 Student Name:

Step Action Standard 1 Eva1 Comments 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 46 EVALUATOR NOTE: Communicates the following for line 3:

Initial Declaration is not critical EMERGENCY CLASSIFICATION:

ALERT UNIT:

ONE and TWO Declaration Time:

5 MINUTES AGO DATE:

TODAYS DATE THIS REPRESENTS NAN:

INIT1AL DECLARATION

  • 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 8 of 9 Appl.

. . To/JPM No.: RO 00.EP.004.002 Student Name:

Step Action Standard Eva1 Comments f 6 Communicates the following for line 4:

The Classification Designation is:

OA3 BRIEF NON-TECHNICAL DESCRIPTION OF THE EVENT:

OA3 7 Communicates the following for line 5:

THERE IS:

NO NON-ROUTINE RADIOLOGICAL RELEASE IN PROGRESS 8 Communicates the following for line 6:

WIND DIRECTION IS FROM:

21O WIND SPEED IS:

85 mph 9 Communicates the following for line 7:

THIS IS A DRILL

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

(,

PERFORMANCE CHECKLIST Page 9 of 9 Appl.

. . To/JPM No.: RO 00.EP.004.002 Student Name:

=

Step Action Standard Eva1 Comments 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.

  • 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.

Page 1 of 2 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.

Page 2 of 2 2005 NRC Exam Rev. 1

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 Time Critical 15 Minutes Date of Performance: 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. EP-PS-100, EMERGENCY DIRECTOR CONTROL ROOM, REV. 18 B. ILO-304, SIMULATOR EVALUATION SCENARIO C. EP-PS-1OO-A D. EP-PS-100-C E. EP-PS-100-9 111. 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 N R C Exam Rev. 1

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

-

Action Standard Eva1 Comments 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

-

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

Step Action Standard Eva1 Comments Obtains a copy of EP-PS-100. Controlled copy obtained.

Identifies appropriate Tab Determines Tab A is appropriate Tab to classify the event.

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

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.

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

~~

Step Action Standard Eva1 Comments

~ ~~

  • 4 Choose appropriate emergency classification level. 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%

5 Record Time of Alert Emergency declaration 6 Determines appropriate procedure section for the Determines TAB C Manage the Alert classification. Emergency is the appropriate TAB.

  • 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 Standard Eva1 Comments Document and communicate the Emergency Announces to Control Room Personnel:

Classification. 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.

If not performed earlier appoint an Emergency Plan Appoints an Emergency Plan Communicator and Communicator instruct hidher to immediately perform EP-PS-126 E Plan Communicator.

If not performed earlier, appoint an NRC Appoints an NRC Communicator and instruct hidher communicator. to perform EP-PS-135 NRC Communicator

  • 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 Action Standard Eva1 Comments 10 Generate and approve an ENR form to be Refers to ENR Form under Tab 9.

transmitted by the Emergency Plan Communicator.

EVALUATOR CUE:

Inform the candidate that the Control # in the next step will be CR-ILO-304 11 Fill out and approve the Emergency Notification Fills out and approves the Emergency Notification Report Form. Report Form as follows:

Control # CR-ILO-304 LINE 1.

Call Status:

Places checkmark in This is a drill box 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 #Critical Sequence Form NTP-QA-31.8-2,Rev. 0.Page 1 of 1 2005 NRC Exam Rev. 1

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

Step Action Standard Eva1 Comments

  • 12 Completes line 3 LINE 3.

EVALUATOR NOTE: Emergency Classification:

Initial Declaration is not critical 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.

EVALUATOR NOTE:

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

Candidate may paraphrase this description

  • 13 Completes line 4 LINE 4.

The Emergency action level (EAL) number is:

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

RecordsFAl OR MA3

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

PERFORMANCE CHECKLIST Page 9 of 10 Appl. To/JPM No.: SRO 00.EP.001.304 Student Name:

Step Action Standard Eva1 Comments

~

  • 14 Completes line 5 LINE 5.

Places a checkmark in the No non-routine radiological release box 15 Completes line 6 LINE 6 Records Wind Direction is from 10" Wind Speed is: 5 mph 16 Completes line 7 LINE 7.

Conclusion:

Places a checkmark in this is a drill box.

Approves the Emergency Notification Report Form Records the following on space provided:

Approved: - HidHer name Time: - Current time Date: - Current Date EVALUATOR NOTE:

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

  • Critical Step #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 Action Standard Eva1 Comments 18 Give the approved ENR form to the E Plan Provides the filled out ENR form to the E Plan Communicator. 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 15 minutes in order for the time critical portion of the JPM to be satisfactory.

  • 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.

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

Page 1 of 2 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.

Page 2 of 2 2005 NRC Exam Rev. 1

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: Perform Emergency Plan Classification (Scenario ILO-305) and Complete the ENR form Completed By: Validated:

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

Nuclear Trng. Supv. Date Time Critical 15 Minutes Date of Performance: Validated Time (Min.) Time Taken (Min.)

JPM Performed By:

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.001.305

-

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. EP-PS-100, EMERGENCY DIRECTOR CONTROL ROOM, REV. 18 B. ILO-305, SIMULATOR EVALUATION SCENARIO C. EP-PS-1OO-A D. EP-PS-1OO-D E. EP-PS-100-9 III. R EACTlVlTY MAN1PULATIONS 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

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

-

Step Action Standard Eva1 Comments EVALUATOR NOTE:

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

0 This is a time critical JPM.

0 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

-

  • 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 4 of 9 Appl. To/JPM No.: SRO 00.EP.001.305 Student Name:

Step Action Standard Eva1 Comments 1 Obtains a copy of EP-PS-100. Controlled copy obtained.

2 Identifies appropriate Tab Determines Tab A is appropriate Tab to classify the event.

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

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.

  • 4 Choose appropriate emergency classification level. FSl Loss or Potential loss of ANY 2 Fission Product Barriers 5 Record Time of Site Area Emergency declaration 6 Determines appropriate procedure section for the Determines TAB D Manage the Site Area classification. Emergency is the appropriate TAB.
  • 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.001.305 Student Name:

Step Action Standard Eva1 Comments

~

7 Document and communicate the Emergency Announces to Control Room Personnel:

Classification. 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.

8 If not performed earlier appoint an Emergency Plan Appoints an Emergency Plan Communicator and Communicator instruct hidher to immediately perform EP-PS-126 E Plan Communicator.

9 If not performed earlier, appoint an NRC Appoints an NRC Communicator and instruct hidher communicator. to perform EP-PS-135 NRC Communicator 10 Generate and approve an ENR form to be Refers to ENR Form under Tab 9.

transmitted by the Emergency Plan Communicator.

EVALUATOR CUE:

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

  • 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 6 of 9 Appl. To/JPM No.: SRO 00.EP.001.305 Student Name:

~

Step Action Standard Eva1 Comments 11 Fill out and approve the Emergency Notification Fills out and approves the Emergency Notification Report Form. Report Form as follows:

Control # CR-ILO-305 LINE 1.

Call Status:

Places checkmark in This is a drill box 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).

  • 12 Completes line 3 LINE 3.

EVALUATOR NOTE: Emergency Classification:

Initial Declaration is not critical 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.

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

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

Step Action Standard Eva1 Comments EVALUATOR NOTE:

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

Candidate may paraphrase this description Completes line 4 LINE 4.

The Emergency action level (EAL) number is:

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

Records FS1 3k14 Completes line 5 LINE 5.

Places a checkmark in the AN Airborne Non-routine radiological release box 15 Completes line 6 LINE 6 Records Wind Direction is from: 10" Wind Speed is: 5 mph

  • 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 Action Standard Eva1 Comments 16 Completes line 7 LINE 7.

Conclusion:

Places a checkmark in this is a drill box.

  • 17 Approves the Emergency Notification Report Form Records the following on space provided:

Approved: - HidHer name Time: - Current time Date: - Current Date EVALUATOR NOTE:

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

18 Give the approved ENR form to the E Plan Provides the filled out ENR form to the E Plan Communicator . Communicator.

EVALUATOR CUE:

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

EVALUATOR CUE:

Inform the candidate the JPM is complete.

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

0, c

0 Q,

c

.-0 CI 2

0-

..

0 Z

-

a 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.

Page 1 of 2 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.

Page 2 of 2 2005 NRC Exam Rev. 1

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: Perform Emergency Plan Classification (Scenario ILO-504) and Complete the ENR form Completed By: Validated:

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

Nuclear Trng. Supv. Date Time Critical 15 Minutes Date of Performance: 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-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. EP-PS-100, EMERGENCY DIRECTOR CONTROL ROOM, REV. 18 B. ILO-504, SIMULATOR EVALUATION SCENARIO C. EP-PS-1OO-A D. EP-PS-1OO-D E. EP-PS-100-9 111. 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

i PERFORMANCE CHECKLIST Page 3 of 9 Appl. To/JPM No.: SRO 00.EP.001.504 Student Name:

Step Action Standard Eva1 EVALUATOR NOTE:

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

0 This is a time critical JPM.

0 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

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

Step Action Standard Eva1 Comments

~~

1 Obtains a copy of EP-PS-100. Controlled copy obtained.

2 Identifies appropriate Tab Determines Tab A is appropriate Tab to classify the event.

3 Evaluates information. Identifies from participation as The Unit Supervisor, RPV water level dropped below -1 61 inches 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.

  • 4 Choose appropriate emergency classification level. FS1 Loss or Potential loss of ANY 2 Fission Product Barriers 5 Record Time of Site Area Emergency declaration 6 Determines appropriate procedure section for the Determines TAB D Manage the Site Area classification. Emergency is the appropriate TAB.
  • Critical Step #Critical Sequence Form NTP-QA31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1

i PERFORMANCE CHECKLIST Page 5 of 9 Appl. To/JPM No.: SRO OO.EP.OO1 SO4 Student Name:

Step Action Standard Eva1 Comments 7 Document and communicate the Emergency Announces to Control Room Personnel:

Classification. 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.

a If not performed earlier appoint an Emergency Plan Appoints an Emergency Plan Communicator and Communicator instruct hidher to immediately perform EP-PS-126 E Plan Communicator.

9 If not performed earlier, appoint an NRC Appoints an NRC Communicator and instruct hidher communicator. to perform EP-PS-135 NRC Communicator 10 Generate and approve an ENR form to be Refers to ENR Form under Tab 9.

transmitted by the Emergency Plan Communicator.

EVALUATOR CUE:

Inform the candidate that the Control # in the next step will be CR-ILO-504

  • 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 6 of 9 Appl. To/JPM No.: SRO 00.EP.001.504 Student Name:

Step Action Standard Eva1 Comments

-~

11 Fill out and approve the Emergency Notification Fills out and approves the Emergency Notification Report Form. Report Form as follows:

Control # CR-ILO-504 LINE 1.

Call Status:

Places checkmark in This is a drill box 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).

5 12 Completes line 3 LINE 3.

EVALUATOR NOTE: Emergency Classification:

Initial Declaration is not critical 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.

-

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

PERFORMANCE CHECKLIST Page 7 of 9 Appl. To/JPM No.: SRO 00.EP.001.504 Student Name:

Step Action Standard Eva1 Comments EVALUATOR NOTE:

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

Candidate may paraphrase this description Completes line 4 LINE 4.

The Emergency action level EAL) number is:

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

Records FS1

  • 14 Completes line 5 LINE 5.

Places a checkmark in the NO Non-routine radiological release box 15 Completes line 6 LINE 6 Records Wind Direction is from: 10" Wind Speed is: 5 mph

  • 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.001.504 Student Name:

Step Action Standard Comments 16 Completes line 7 LINE 7.

Conclusion:

Places a checkmark in this is a drill box.

  • 17 Approves the Emergency Notification Report Form Records the following on space provided:

Approved: - HidHer name Time: - Current time Date: - Current Date EVALUATOR NOTE:

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

18 Give the approved ENR form to the E Plan Provides the filled out ENR form to the E Plan Communicator. Communicator.

EVALUATOR CUE:

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

EVALUATOR CUE:

Inform the candidate the JPM is complete.

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

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

The total time from the JPM start to step 5 of the JPM must be 5 15 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.

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

Page 1 of 2 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.

Page 2 of 2 2005 NRC Exam Rev. 1

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: Perform Emergency Plan Classification (Scenario ILO-505) and Complete the ENR form Completed By: Validated:

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

Nuclear Trng. Supv. Date Time Critical 15 Minutes Date of Performance: Validated Time (Min.) Time Taken (Min.)

JPM Performed By:

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. EP-PS-100, EMERGENCY DIRECTOR CONTROL ROOM, REV. 18 B. ILO-505, SIMULATOR EVALUATION SCENARIO C. EP-PS-1OO-A D. EP-PS-1OO-D E. EP-PS-100-9 111. REACTIVITY MAN1PULATlONS 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 OO.EP.OO1 SO5 Student Name:

Step Action Standard Eva1 Comments EVALUATOR NOTE:

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

0 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:

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

  • 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 Action Standard Eva1 Comments 1 Obtains a copy of EP-PS-100. Sontrolled copy obtained.

2 Identifies appropriate Tab Determines Tab A is appropriate Tab to classify the event.

3 Evaluates information. Identifies from participation as The Unit Supervisor, RPV water level dropped below -161 inches 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.

  • 4 Choose appropriate emergency classification level. FS1 Loss or Potential loss of ANY 2 Fission Product Barriers 5 Record Time of Site Area Emergency declaration 6 Determines appropriate procedure section for the Determines TAB D Manage the Site Area classification. Emergency is the appropriate TAB.

-

  • 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.001.505

- Student Name:

Step Action Standard Eva1 Comments 7 Document and communicate the Emergency Announces to Control Room Personnel:

Classification.

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.

8 If not performed earlier appoint an Emergency Plan Appoints an Emergency Plan Communicator and Communicator instruct hidher to immediately perform EP-PS-126 E Plan Communicator.

9 If not performed earlier, appoint an NRC Appoints an NRC Communicator and instruct hidher communicator. to perform EP-PS-135 NRC Communicator 10 Generate and approve an ENR form to be Refers to ENR Form under Tab 9.

transmitted by the Emergency Plan Communicator.

EVALUATOR CUE:

Inform the candidate that the Control # in the next step will be CR-ILO-505

  • 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 Step Student Name:

-

Eva1 Comments Action Standard 11 Fill out and approve the Emergency Notification Fills out and approves the Emergency Notification Report Form. Report Form as follows:

Control # CR-ILO-505 LINE 1.

Call Status:

Places checkmark in This is a drill box 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).

  • 12 Completes line 3 LINE 3.

EVALUATOR NOTE: Emergency Classification:

Initial Declaration is not critical 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.

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

PERFORMANCE CHECKLIST Page 7 of 9 Appl. To/JPM No.: SRO 00.EP.001.505 Student Name:

Step Action Standard Eva1 Comments EVALUATOR NOTE:

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

Candidate may paraphrase this description 3k13 Completes line 4 LINE 4.

The Emergency action level (EAL) number is:

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

Records FSl 3k14 Completes line 5 LINE 5.

Places a checkmark in the NO Non-routine radiological release box 15 Completes line 6 LINE 6 Records Wind Direction is from: 10" Wind Speed is: 5 mph

  • Critical Step #Critical Sequence Form NTP-OA-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.001.505 Student Name:

-

Step Action Standard Eva1 Comments 16 Completes line 7 LINE 7.

Conclusion:

Places a checkmark in this is a drill box.

jk17 Approves the Emergency Notification Report Form Records the following on space provided:

Approved: - HidHer name Time: - Current time Date: - Current Date EVALUATOR NOTE:

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

18 Give the approved ENR form to the E Plan Provides the filled out ENR form to the E Plan Communicator. Communicator.

EVALUATOR CUE:

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

EVALUATOR CUE:

Inform the candidate the JPM is complete.

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

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

Step Action Standard Eva1 Comments EVALUATOR NOTE:

The total time from the JPM start to step 5 of the JPM must be 5 15 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.

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

Page 1 of 2 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, Page 2 of 2 2005 NRC Exam Rev. 1

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.

I ,

JPM Number Rev. No. Date NUREG 1123 KIA No. KIA ImD.

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 InstructorMl riter Date Approval:

Nuclear Trng. Supv. Date Time Critical 15 Minutes Date of Performance: Validated Time (Min.) Time Taken (Min.)

JPM Performed By:

Student Name:

Last First M.I. Employee # I S.S. #

Performance ( ) Satisfactory ( ) Unsatisfactory Eva1uation:

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. EP-PS-100, EMERGENCY DIRECTOR CONTROL ROOM, REV. 18 B. ILO-602, SIMULATOR EVALUATION SCENARIO C. EP-PS-1OO-A D. EP-PS-1OO-D E. EP-PS-100-9 111. 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 Standard Eva1 Comments EVALUATOR NOTE:

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

0 This is a time critical JPM.

0 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

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

i PERFORMANCE CHECKLIST Page 4 of 9 Appl. To/JPM No.: SRO 00.EP.001.602 Student Name:

Step Action Standard Eva1 Comments 1 Obtains a copy of EP-PS-100. Controlled copy obtained.

2 Identifies appropriate Tab Determines Tab A is appropriate Tab to classify the event.

3 Evaluates information. Identifies from participation as The Unit Supervisor, ATWS and RPV water level dropped below -161 inches 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.

  • 4 Choose appropriate emergency classification level. MS3 ATWS and ARI fail to reduce power to less than 5%

OR FS Loss or Potential loss of ANY 2 Fission Product Barriers

- 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 Step Student Name:

-

Eva1 Comments Action Standard 5 Record Time of Site Area Emergency declaration 6 Determines appropriate procedure section for the Determines TAB D Manage the Site Area classification. Emergency is the appropriate TAB.

7 Document and communicate the Emergency Announces to Control Room Personnel:

Classification. 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%

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

8 If not performed earlier appoint an Emergency Plan Appoints an Emergency Plan Communicator and Communicator instruct hidher to immediately perform EP-PS-126 E Plan Communicator.

9 If not performed earlier, appoint an NRC Appoints an NRC Communicator and instruct hidher communicator. to perform EP-PS-135 NRC Communicator

  • 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.001.602

- Student Name:

-

Step Action Standard Eva1 Comments 10 Generate and approve an ENR form to be Refers to ENR Form under Tab 9.

transmitted by the Emergency Plan Communicator.

EVALUATOR CUE:

Inform the candidate that the Control # in the next step will be CR-ILO-602 11 Fill out and approve the Emergency Notification Fills out and approves the Emergency Notification Report Form. Report Form as follows:

Control # CR-ILO-602 LINE 1.

Call Status:

Places checkmark in This is a drill box 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 #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 9 Appl. To/JPM No.: SRO 00.EP.001.602 Student Name:

Step Action Standard Eva1 Comments

  • 12 Completes line 3 LINE 3.

EVALUATOR NOTE: Emergency Classification:

Initial Declaration is not critical 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.

EVALUATOR NOTE:

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

Candidate may paraphrase this description

  • 13 Completes line 4 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

-

  • 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.001.602

-

Step

~

Student Name:

Standard Comments Action

~

+k14 Completes line 5 LINE 5.

Places a checkmark in the NO Non-routine radiological release box 15 Completes line 6 LINE 6 Records Wind Direction is from: 10" Wind Speed is: 5 mph 16 Completes line 7 LINE 7.

Conclusion:

Places a checkmark in this is a drill box.

+k17 Approves the Emergency Notification Report Form Records the following on space provided:

Approved: - HidHer name Time: - Current time Date: - Current Date EVALUATOR NOTE:

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

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

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

Step Action Standard Eva1 Comments 18 Give the approved ENR form to the E Plan Provides the filled out ENR form to the E Plan Communicator. 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.

-

  • 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.

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

Page 1 of 2 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.

Page 2 of 2 2005 NRC Exam Rev. 1

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