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{{#Wiki_filter:Davis-Besse Initial License Exam 2015             Admin JPM RO-A1.1 Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A1.1 AG  1 of 10  Facility:             Davis-Besse    Task No:  002-003-02-0100    Task Title:      Perform manual RCS Leakage Calculation     K/A  
{{#Wiki_filter:Davis-Besse Initial License Exam 2015 Admin JPM RO-A1.1 Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO
-A1.1 AG  1 of 10  Facility:
Davis-Besse    Task No:  002-003-02-0100    Task Title
:      Perform manual RCS Leakage Calculation K/A  


==Reference:==
==Reference:==
2.1.20 (4.6) Job Performance Measure No:      RO-A1.1 (New)    Examinee:           NRC Examiner:       Date:      Method of testing: Simulated Performance ___  Actual Performance _X_  Classroom _X_  Simulator ___  Plant ___
 
Read to the examinee: I will explain the initial conditions, which steps to simulate or discuss, and provide initiating cues.
2.1.20 (4.6) Job Performance Measure No
When you complete the task successfully, the objective for this job performance measure will be satisfied. Initial Conditions: The plant conditions are specified in the Initial Conditions and Initiating Cues. Task Standard: Perform manual RCS Leakage calculation and determine RCS Leakage within 0.5 gpm Required Materials: DB-SP-03357, RCS Water Inventory Balance with Attachment 2 table values documented Curves CC 3.1 and CC 3.2a to CC3.2k from DB-PF-06703, Miscellaneous Curves Straight edge Calculator General  
:      RO-A1.1 (New)    Examinee:
NRC Examiner:
Date:      Method of testing:
Simulated Performance
___  Actual Performance
_X_  Classroom
_X_  Simulator
___  Plant ___
Read to the examinee:
I will explain the initial conditions, which steps to simulate or discuss, and provide initiating cues.
When you complete the task successfully, the objective for this job performance measure will be satisfied.
Initial Conditions:
The plant conditions are specified in the Initial Conditions and Initiating Cues.
Task Standard:
Perform manual RCS Leakage calculation and determine RCS Leakage within 0.5 gpm Required Materials:
DB-SP-03357, RCS Water Inventory Balance with Attachment 2 table values documented Curves CC 3.1 and CC 3.2a to CC3.2k from DB-PF-06703, Miscellaneous Curves Straight edge Calculator General  


==References:==
==References:==
None  Initiating Cue: The plant conditions are specified in the Initial Conditions and Initiating Cues. Time Critical Task: No    Alternate Path: No Validation Time:  35 minutes Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A1.1 AG  2 of 10  EXAMINER COPY  INITIAL CONDITIONS:  The Plant is at 100% Power Makeup Tank Pressure is 25 psig The Computer is unavailable  INITIATION CUE:  The Unit Supervisor has directed you to perform steps 4.2.2.a through 4.2.2.k of DB-SP-03357, RCS Water Inventory Balance, manually calculate RCS leak rate on Attachment 2, RCS/MU and Purification Leak Rate Calculation Sheet. NOTE: DB-SP-03357, Attachment 2 has 4 pages (there is a page count error on Attachment 2 - page 1 of 3, 2 of 3, 3 of 3 and 4 of 4)  (Hand Candidate a copy of the DB-SP-03357, RCS Water Inventory Balance Procedure and DB-PF-06703, Miscellaneous Curves CC 3.1 and CC 3.2a to CC3.2k. 


Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A1.1 AG  3 of 10  CANDIDATE COPY INITIAL CONDITIONS:  The Plant is at 100% Power Makeup Tank Pressure is 25 psig The Computer is unavailable   INITIATION CUE: The Unit Supervisor has directed you to perform steps 4.2.2.a through 4.2.2.k of DB-SP-03357, RCS Water Inventory Balance, manually calculate RCS leak rate on Attachment 2, RCS/MU and Purification Leak Rate Calculation Sheet. NOTE: DB-SP-03357, Attachment 2 has 4 pages (there is a page count error on Attachment 2 - page 1 of 3, 2 of 3, 3 of 3 and 4 of 4)
None  Initiating Cue:
The plant conditions are specified in the Initial Conditions and Initiating Cues.
Time Critical Task:
No    Alternate Path:
No Validation Time:
35 minutes
 
Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO
-A1.1 AG  2 of 10  EXAMINER COPY INITIAL CONDITIONS
:  The Plant is at 100% Power Makeup Tank Pressure is 25 psig
 
The Computer is unavailable INITIATION CUE:
The Unit Supervisor has directed you to perform steps 4.2.2.a through 4.2.2.k of DB-SP-03357, RCS Water Inventory Balance, manually calculate RCS leak rate on Attachment 2, RCS/MU and Purification Leak Rate Calculation Sheet.
NOTE: DB-SP-03357, Attachment 2 has 4 pages (there is a page count error on Attachment 2
- page 1 of 3, 2 of 3, 3 of 3 and 4 of 4)
  (Hand Candidate a copy of the DB-SP-03357, RCS Water Inventory Balance Procedure and DB-PF-06703, Miscellaneous Curves CC 3.1 and CC 3.2a to CC3.2k
 
Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO
-A1.1 AG  3 of 10  CANDIDATE COPY INITIAL CONDITIONS
:  The Plant is at 100% Power Makeup Tank Pressure is 25 psig The Computer is unavailable INITIATION CUE:
The Unit Supervisor has directed you to perform steps 4.2.2.a through 4.2.2.k of DB-SP-03357, RCS Water Inventory Balance, manually calculate RCS leak rate on Attachment 2, RCS/MU and Purification Leak Rate Calculation Sheet.
NOTE: DB-SP-03357, Attachment 2 has 4 pages (there is a page count error on Attachment 2  
- page 1 of 3, 2 of 3, 3 of 3 and 4 of 4)


Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A1.1 AG  4 of 10 PERFORMANCE INFORMATION NOTE: Critical steps denoted with a "C". Failure to meet any one of these standards for this item constitutes failure. Sequence is NOT critical unless denoted in the "Comments". START TIME:  _______   1. PERFORMANCE STEP: Performs step 4.2.2.a, Record Makeup Tank Water Density from Attachment 4 ........C........
Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO
STANDARD: Identifies that Makeup Tank initial and final temperature is 100 °F, locates Attachment 4 and determines the MU Tank Water Density is 62.0038 lbm/ft3 and records this on Attachment 2 step 4.2.2.a. COMMENT:    CUE: None        __________       SAT  UNSAT   2. PERFORMANCE STEP: Complete the Initial Makeup Tank Inventory equations step 4.2.2.b  ........C........ STANDARD: Water Inventory = (Tank level
-A1.1 AG  4 of 10 PERFORMANCE INFORMATION NOTE: Critical steps denoted with a "C". Failure to meet any one of these standards for this item constitutes failure. Sequence is NOT critical unless denoted in the "Comments".
START TIME:  _______
: 1. PERFORMANCE STEP: Performs step 4.2.2.a, Record Makeup Tank Water Density from Attachment 4
  ........C........
 
STANDARD:
Identifies that Makeup Tank initial and final temperature is 100 °F, locates Attachment 4 and determines the MU Tank Water Density is 62.0038 lbm/ft3 and records this on Attachment 2 step 4.2.2.a.
COMMENT:    CUE: None        __________
SAT  UNSAT
: 2. PERFORMANCE STEP: Complete the Initial Makeup Tank Inventory equations step 4.2.2.b  ........C........
STANDARD:
Water Inventory = (Tank level
* 4.124 ft³/in
* 4.124 ft³/in
* Calibration Density) + (77.85 ft³
* Calibration Density) + (77.85 ft³
* Water Density)          = (Tank level
* Water Density)  
         = (Tank level
* 4.124 ft³/in
* 4.124 ft³/in
* 62.325lbm/ ft³) + (77.85 ft³
* 62.325lbm/ ft³) + (77.85 ft³
* Water Density) Initial:     ( __67__ in.* 257 lbm/in ) + ( 77.85 ft³
* Water Density)
* _62.0038    lbm/ft³) = _22046 (+/- 10)_ lbm  CUE: Another Operator will perform the Independent Verification of the calculation       __________       SAT  UNSAT Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A1.1 AG  5 of 10  3. PERFORMANCE STEP: Complete the Final Makeup Tank Inventory equations step 4.2.2.b  ........C........
Initial:
STANDARD: Water Inventory = (Tank level
  ( __67__ in.* 257 lbm/in ) + ( 77.85 ft³
* _62.0038    lbm/ft³) = _22046 (+/- 10)_ lbm  CUE: Another Operator will perform the Independent Verification of the calculation
__________
SAT  UNSAT
 
Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO
-A1.1 AG  5 of 10  3. PERFORMANCE STEP: Complete the Final Makeup Tank Inventory equations step 4.2.2.b  ........C........
 
STANDARD:
Water Inventory = (Tank level
* 4.124 ft³/in
* 4.124 ft³/in
* Calibration Density) + (77.85 ft³
* Calibration Density) + (77.85 ft³
* Water Density)          = (Tank level
* Water Density)  
         = (Tank level
* 4.124 ft³/in
* 4.124 ft³/in
* 62.325lbm/ ft³) + (77.85 ft³
* 62.325lbm/ ft³) + (77.85 ft³
* Water Density) Final:    ( __64__ in.* 257 lbm/in ) + ( 77.85 ft³
* Water Density)
* _62.0038    lbm/ft³) = _21275 (+/- 10)_ lbm  CUE: Another Operator will perform the Independent Verification of the calculation       __________       SAT  UNSAT   4. PERFORMANCE STEP: Determine Pressurizer Inventory Water and Steam Density values using the initial and final values and Attachment 6, per step 4.2.2.c ........C....... STANDARD: Locates Attachment 6, uses initial RCS pressure value of 2156 psig and final RCS pressure value of 2161 psig to record Density values in step 4.2.2.c of Attachment 2 Pressurizer Inventory Density (from Attachment 6)   Water Initial ___37.71________  lbm/ft³ Steam Initial ____6.02_________ lbm/ft³   Water Final ____37.68________ lbm/ft³ Steam Final  ____6.04_________ lbm/ft³     CUE: None      __________       SAT  UNSAT  
Final:    ( __64__ in.* 257 lbm/in ) + ( 77.85 ft³
: 5. PERFORMANCE STEP: Complete the Initial Pressurizer Inventory equation for Water Inventory step 4.2.2.d ........C........ STANDARD: Water Inventory = (level
* _62.0038    lbm/ft³) =
_21275 (+/- 10)_ lbm  CUE: Another Operator will perform the Independent Verification of the calculation
__________
SAT  UNSAT
: 4. PERFORMANCE STEP: Determine Pressurizer Inventory Water and Steam Density values using the initial and final values and Attachment 6, per step 4.2.2.c
  ........C....... STANDARD:
Locates Attachment 6, uses initial RCS pressure value of 2156 psig and final RCS pressure value of 2161 psig to record Density values in step 4.2.2.c of Attachment 2 Pressurizer Inventory Density (from Attachment 6)
Water Initial ___37.71________  lbm/ft³ Steam Initial ____6.02_________ lbm/ft³ Water Final ____37.68________ lbm/ft³ Steam Final  ____6.04_________ lbm/ft³ CUE: None      __________
SAT  UNSAT
: 5. PERFORMANCE STEP: Complete the Initial Pressurizer Inventory equation for Water Inventory step 4.2.2.d
  ........C........
STANDARD:
Water Inventory = (level
* 3.173 ft³/in + 239.6 ft³)
* 3.173 ft³/in + 239.6 ft³)
* Water Density   Water Initial:  [(_218_ in.
* Water Density Water Initial:  
   [(_218_ in.
* 3.173 ft³/in) + 239.6 ft³]
* 3.173 ft³/in) + 239.6 ft³]
* 37.71 lbm/ft³ = _35119.85 (+/- 250)  lbm  CUE: None      __________       SAT  UNSAT Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A1.1 AG  6 of 10  6. PERFORMANCE STEP: Complete the Final Pressurizer Inventory equation for Water Inventory step 4.2.2.d ........C........
* 37.71 lbm/ft³ = _35119.85 (+/- 250)  lbm  CUE: None      __________
STANDARD: Water Inventory = (level
SAT  UNSAT
 
Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO
-A1.1 AG  6 of 10  6. PERFORMANCE STEP: Complete the Final Pressurizer Inventory equation for Water Inventory step 4.2.2.d
  ........C........
 
STANDARD:
Water Inventory = (level
* 3.173 ft³/in + 239.6 ft³)
* 3.173 ft³/in + 239.6 ft³)
* Water Density   Water Final:  [(_222_ in.
* Water Density Water Final
:  [(_222_ in.
* 3.173 ft³/in) + 239.6 ft³]
* 3.173 ft³/in) + 239.6 ft³]
* 37.68 lbm/ft³ = _35570.146 (+/- 250 )  lbm  CUE: None      __________       SAT  UNSAT   7. PERFORMANCE STEP: Complete the Initial Pressurizer Inventory equation for Steam Inventory step 4.2.2.d ........C........ STANDARD: Steam Inventory =[((320 - level)
* 37.68 lbm/ft³ = _
35570.146 (+/- 250 )  lbm  CUE: None      __________
SAT  UNSAT
: 7. PERFORMANCE STEP: Complete the Initial Pressurizer Inventory equation for Steam Inventory step 4.2.2.d
  ........C........
STANDARD:
Steam Inventory =[((320  
- level)
* 3.173 ft³/in) + 242.2 ft³]
* 3.173 ft³/in) + 242.2 ft³]
* Steam Density  Steam Initial:  [((320 - 218 in)
* Steam Density  Steam Initial:  
   [((320 - 218 in)
* 3.173 ft³/in) + 242.2 ft³]
* 3.173 ft³/in) + 242.2 ft³]
* 6.02 lbm/ft³) = _3406.393 (+/-50) lbm CUE: None      __________       SAT  UNSAT  
* 6.02 lbm/ft³) = _3406.393 (+/
: 8. PERFORMANCE STEP: Complete the Final Pressurizer Inventory equation for Steam Inventory step 4.2.2.d ........C........
-50) lbm CUE: None      __________
STANDARD: Steam Inventory =[((320 - level)
SAT  UNSAT
: 8. PERFORMANCE STEP: Complete the Final Pressurizer Inventory equation for Steam Inventory step 4.2.2.d
  ........C........
 
STANDARD:
Steam Inventory =[((320  
- level)
* 3.173 ft³/in) + 242.2 ft³]
* 3.173 ft³/in) + 242.2 ft³]
* Steam Density  Steam Final:  [((320 - 222 in)
* Steam Density  Steam Final:  [((320 - 222 in)
* 3.173 ft³/in) + 242.2 ft³]
* 3.173 ft³/in) + 242.2 ft³]
* 6.04 lbm/ft³) = _3341.05 (+/-50) lbm  CUE: None      __________       SAT  UNSAT Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A1.1 AG  7 of 10  9. PERFORMANCE STEP: Input the Power Correction Factor data on Attachment 2 step 4.2.2.e  ........C........
* 6.04 lbm/ft³) = _
STANDARD: Power is 100% from initial conditions, refers to DB-PF-06703 Curve CC3.1 to obtain the Power Correction Factors 4.2.2.e Power Correction Factor   Initial __135_(+/ 5)  _ lbm Final      135  (+/-5)  lbm CUE: None      __________       SAT  UNSAT  
3341.05 (+/-50) lbm  CUE: None      __________
: 10. PERFORMANCE STEP: Input the Temperature Correction Factor data on Attachment 2 step  4.2.2.f ........C........
SAT  UNSAT
STANDARD: Initial Temperature is 581.8 °F and Final Temperature is 582.3 °F from Attachment 2, refers to DB-PF-06703 Curve CC3.1 to obtain the Power Correction Factors   4.2.2.f Temperature Correction Factor (Tave  °F)  Initial __-35200 (+/- 50) _ lbm Final      -35600 (+/- 50)  lbm CUE: None      __________       SAT  UNSAT  
 
: 11. PERFORMANCE STEP: If Tave is less than 528 °F, then complete Temperature Factor Equation per step 4.2.2.g   STANDARD: Determines step 4.2.2.g is N/A since temperature is greater than 528 °F  CUE: None      __________       SAT  UNSAT Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A1.1 AG  8 of 10  12. PERFORMANCE STEP: Complete the RCS Inventory Table to determine Initial and Final total RCS Inventory per step 4.2.2.h ........C........
Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO
STANDARD: Transfers data calculated to the RCS Inventory Table and calculates the Initial and Final RCS Water Inventory MU Tank Inventory (lbm) + Pzr Steam Inventory (lbm) + Pzr Water Inventory (lbm) + Power Correction (lbm) + Temperature Correction (lbm) = Water Inventory (lbm) Initial:  22046  lbm +  3406.393  lbm +  35119.85  lbm +  135  lbm +  -35200  lbm =  25507.243 (+/- 250) lbm Final:  21275  lbm +  3341.05  lbm +  35570.146 lbm +  135  lbm +  -35600  lbm =  24721.196  (+/- 250) lbm    CUE: None      __________       SAT  UNSAT   13. PERFORMANCE STEP: Calculates the Change in RCS Inventory ........C........ STANDARD: Completes step 4.2.2.i to determine RCS Inventory Change Change  = Initial inventory - Final inventory     Change = 25507.243 lbm - 24721.196_ lbm =  786.047 (+/- 80)_ lbm    CUE: Another Operator will perform the Independent Verification of the calculation       __________       SAT  UNSAT Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A1.1 AG  9 of 10  14. PERFORMANCE STEP: Calculates the Time Period  .......C......... STANDARD: Completes step 4.2.2.j by subtracting Initial Time from the Final Time Period  = Final time - Initial time   Period = [(23 hr x 60) + ( 11  min)] - [(_19 hr x 60) + (5  min)]  = _246__ min  CUE: Another Operator will perform the Independent Verification of the calculation       __________       SAT  UNSAT   15. PERFORMANCE STEP: Calculates the Total RCS Leak Rate per step 4.2.2.k .......C.........
-A1.1 AG  7 of 10  9. PERFORMANCE STEP: Input the Power Correction Factor data on Attachment 2 step 4.2.2.e  ........C........
STANDARD: Completes step 4.2.2.k by subtracting Initial Time from the Final Time   lbm 62.32ft  x  ftgallons 7.481  x  timeInventory RCSin  Change    Leakrate33    Leakrate =  ( 786.047 lbm) ÷ ( 246 min) x  (0.120 gal/lbm)     Leakrate = 0.383 (+/- 0.05)  gpm CUE: Another Operator will perform the Independent Verification of the calculation       __________       SAT  UNSAT   TERMINATING CUES:  This JPM is complete (Terminated by the examiner)        __________       END TIME   
 
STANDARD:
Power is 100% from initial conditions, refers to DB
-PF-06703 Curve CC3.1 to obtain the Power Correction Factors  
 
4.2.2.e Power Correction Factor Initial __135_(+/ 5)  _ lbm Final      135  (+/-5)  lbm CUE: None      __________
SAT  UNSAT
: 10. PERFORMANCE STEP: Input the Temperature Correction Factor data on Attachment 2 step  4.2.2.f
  ........C........
 
STANDARD:
Initial Temperature is 581.8
°F and Final Temperature is 582.3
°F from Attachment 2, refers to DB
-PF-06703 Curve CC3.1 to obtain the Power Correction Factors 4.2.2.f Temperature Correction Factor (Tave  °F)  Initial __-35200 (+/- 50) _ lbm Final      -35600 (+/- 50)  lbm CUE: None      __________
SAT  UNSAT
: 11. PERFORMANCE STEP: If Tave is less than 528 °F, then complete Temperature Factor Equation per step 4.2.2.g STANDARD:
Determines step 4.2.2.g is N/A since temperature is greater than 528
°F  CUE: None      __________
SAT  UNSAT
 
Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO
-A1.1 AG  8 of 10  12. PERFORMANCE STEP: Complete the RCS Inventory Table to determine Initial and Final total RCS Inventory per step 4.2.2.h
  ........C........
STANDARD:
Transfers data calculated to the RCS Inventor y Table and calculate s the Initial and Final RCS Water Inventory MU Tank Inventory (lbm) + Pzr Steam Inventory (lbm) + Pzr Water Inventory (lbm) + Power Correction (lbm) + Temperature Correction (lbm) = Water Inventory (lbm) Initial:  22046  lbm +  3406.393  lbm +  35119.85  lbm +  135  lbm +  -35200  lbm =  25507.243
  (+/- 250) lbm Final:  21275  lbm +  3341.05  lbm +  35570.146 lbm +  135  lbm +  -35600  lbm =  24721.196  (+/- 250) lbm    CUE: None      __________
SAT  UNSAT
: 13. PERFORMANCE STEP: Calculates the Change in RCS Inventory
  ........C........
STANDARD:
Completes step 4.2.2.i to determine RCS Inventory Change Change  = Initial inventory  
- Final inventory Change = 25507.243 lbm - 24721.196_ lbm =  786.047 (+/- 80)_ lbm    CUE: Another Operator will perform the Independent Verification of the calculation
__________
SAT  UNSAT
 
Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO
-A1.1 AG  9 of 10  14. PERFORMANCE STEP: Calculates the Time Period  .......C.........
STANDARD:
Completes step 4.2.2.
j by subtracting Initial Time from the Final Time Period  = Final time  
- Initial time Period = [(
23 hr x 60) + (
11  min)] - [(_19 hr x 60) + (
5  min)]  = _
246__ min  CUE: Another Operator will perform the Independent Verification of the calculation
__________
SAT  UNSAT
: 15. PERFORMANCE STEP: Calculates the Total RCS Leak Rate per step 4.2.2.k
  .......C.........
 
STANDARD:
Completes step 4.2.2.k by subtracting Initial Time from the Final Time lbm 62.32ft  x  ftgallons 7.481  x  timeInventory RCSin  Change    Leakrate33    Leakrate =  (
786.047 lbm) ÷ (
246 min) x  (0.120 gal/lbm)
Leakrate =
0.383 (+/- 0.05)  gpm CUE: Another Operator will perform the Independent Verification of the calculation
__________
SAT  UNSAT TERMINATING CUES:  This JPM is complete (Terminated by the examine r)        __________
END TIME   
 
Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO
-A1.1 AG  10 of 10  Verification of Completion Job Performance Measure No.
Examinee's Name:
Examiner's Name:
Date Performed:
Facility Evaluator:
 
Number of Attempts:
Time to Complete:
 
Question Documentation:
 
Question:_____________________________________________________________
____________________________________________________________________________
________________________________________________________________
 
===Response===
_____________________________________________________________
___________________________________________
___________________________
 
______________________________________________________________________
______________________________________________________________________
Result:  Satisfactory/Unsatisfactory Examiner's signature and date:
_______________________________________


Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A1.1 AG  10 of 10  Verification of Completion  Job Performance Measure No.      Examinee's Name:          Examiner's Name:          Date Performed:          Facility Evaluator:
20    Revision ATTACHMENT 2:
Number of Attempts:        Time to Complete:
RCS/MU AND PURIFICATION LEAK RATE CALCULATION SHEET Page 1 of 3 Note: For parameters which utilize averaging of redundant channels, eliminate inoperable channels from the average and reduce the denominator accordingly.
Question Documentation:
If a Th or Tc point is unavailable, eliminate it and the opposing point (Tc or Th) from the same loop, and reduce the denominator by 2.
Question:_____________________________________________________________ ____________________________________________________________________________________________________________________________________________  Response:_____________________________________________________________ ______________________________________________________________________
ITEM PARAMETER SOURCE UNITS INITIAL VALUE FINAL  VALUE  1 Time Control Room clock or computer hr:min Step 4.1.4 Step 4.1.10 1905 2311  2 Makeup Tank Temp T769 or TI MU8  °F 100 100  3 Makeup Tank Level (2 channel ave)
______________________________________________________________________ ______________________________________________________________________  Result:  Satisfactory/Unsatisfactory    Examiner's signature and date:  _______________________________________
[L761+L763]2, or LR MU16  in. 67 64 4 RCS Pressure (4 ch ave)
20    Revision   ATTACHMENT 2: RCS/MU AND PURIFICATION LEAK RATE CALCULATION SHEET Page 1 of 3 Note: For parameters which utilize averaging of redundant channels, eliminate inoperable channels from the average and reduce the denominator accordingly. If a Th or Tc point is unavailable, eliminate it and the opposing point (Tc or Th) from the same loop, and reduce the denominator by 2. ITEM PARAMETER SOURCE UNITS INITIAL VALUE FINAL  VALUE  1 Time Control Room clock or computer hr:min Step 4.1.4 Step 4.1.10 1905 2311  2 Makeup Tank Temp T769 or TI MU8  °F 100 100  3 Makeup Tank Level (2 channel ave) [L761+L763]2, or LR MU16  in. 67 64 4 RCS Pressure (4 ch ave) [P721+P722+P729+P730]4, PRSRC2A2, or PRSRC2B (1)  psi 2156 2161  5 Pressurizer Level LRS RC14 or L768  in. 218 222 6 Ave Power [R795+R804+R814+R820]4,C913, or NR NI6 % 100 100 7 Tave  (8 ch ave) TI RC7, or: [T719+T720+T728+T729+ T780+T800+T820+T840]8 (2) °F 581.8 582.3  (1)  If less than 1700 psig RCS Pressure use the average of P725 and P732 (loop 1 and loop 2 WR Pressure).  (2)  If less than 520°F RCS Temperature then average T753 and T782 (loop 1 and loop 2 WR Temperature).
[P721+P722+P729+P730]4, PRSRC2A2, or PRS RC2B (1)  psi 2156 2161  5 Pressurizer Level LRS RC14 or L768  in. 218 222 6 Ave Power
4.2.2.a Makeup Tank Water Density (from Attachment 4) Initial ____62.0038______ lbm/ft³  Final  ___ 62.0038______ lbm/ft³ 4.2.2.b Makeup Tank Inventory Note: 77.85 ft³ accounts for water volume below the level indicating range. Water Inventory = (Tank level
[R795+R804+R814+R820]4,C913, or NR NI6 % 100 100 7 Tave  (8 ch ave)
TI RC7, or: [T719+T720+T728+T729+
T780+T800+T820+T840]8 (2) °F 581.8 582.3  (1)  If less than 1700 psig RCS Pressure use the average of P725 and P732 (loop 1 and loop 2 WR Pressure).  
  (2)  If less than 520°F RCS Temperature then average T753 and T782 (loop 1 and loop 2 WR Temperature).  
 
4.2.2.a Makeup Tank Water Density (from Attachment 4)
Initial ____62.0038______ lbm/ft³  Final  ___ 62.0038______ lbm/ft³ 4.2.2.b Makeup Tank Inventory Note: 77.85 ft³ accounts for water volume below the level indicating range.
Water Inventory = (Tank level
* 4.124 ft³/in
* 4.124 ft³/in
* Calibration Density) + (77.85 ft³
* Calibration Density) + (77.85 ft³
* Water Density)          = (Tank level
* Water Density)  
         = (Tank level
* 4.124 ft³/in
* 4.124 ft³/in
* 62.325lbm/ ft³) + (77.85 ft³
* 62.325lbm/ ft³) + (77.85 ft³
* Water Density) Initial:     ( ___67______ in.* 257 lbm/in ) + ( 77.85 ft³
* Water Density)
* _62.0038    lbm/ft³) = _22046_ lbm  ________ IV Final:      (___64______ in.* 257 lbm/in ) + ( 77.85 ft³
Initial:
* _62.0038    lbm/ft³) = _21275_ lbm  ________ IV 21    Revision   ATTACHMENT 2: RCS/MU AND PURIFICATION LEAK RATE CALCULATION SHEET Page 2 of 3 4.2.2.c Pressurizer Inventory Density (from Attachment 6)   Water Initial ___37.71________  lbm/ft³ Steam Initial ____6.02_________ lbm/ft³   Water Final ____37.68________ lbm/ft³ Steam Final  ____6.04_________ lbm/ft³   4.2.2.d Pressurizer Inventory Note:  239.6 ft³ accounts for water volume below the level indicating range. 242.2 ft³ accounts for steam volume above the level indicating range. Water Inventory = (level
  ( ___67______ in.* 257 lbm/in ) + ( 77.85 ft³
* _62.0038    lbm/ft³) =
_22046_ lbm  ________ IV Final:      (___64______ in.* 257 lbm/in ) + ( 77.85 ft³
* _62.0038    lbm/ft³) =
_21275_ lbm  ________ IV 21    Revision ATTACHMENT 2:
RCS/MU AND PURIFICATION LEAK RATE CALCULATION SHEET Page 2 of 3 4.2.2.c Pressurizer Inventory Density (from Attachment 6)
Water Initial ___37.71________  lbm/ft³ Steam Initial ____6.02_________ lbm/ft³ Water Final ____37.68________ lbm/ft³ Steam Final  ____6.04_________ lbm/ft³ 4.2.2.d Pressurizer Inventory Note:  239.6 ft³ accounts for water volume below the level indicating range.
242.2 ft³ accounts for steam volume above the level indicating range.
Water Inventory = (level
* 3.173 ft³/in + 239.6 ft³)
* 3.173 ft³/in + 239.6 ft³)
* Water Density   Water Initial:    [(___218_____ in.
* Water Density Water Initial:  
   [(___218_____ in.
* 3.173 ft³/in) + 239.6 ft³]
* 3.173 ft³/in) + 239.6 ft³]
* 37.71  lbm/ft³ = _35119.85 lbm ________ IV Water Final:   [(___222_____ in.
* 37.71  lbm/ft³ = _
35119.85 lbm ________ IV Water Final:
  [(___222_____ in.
* 3.173 ft³/in) + 239.6 ft³]
* 3.173 ft³/in) + 239.6 ft³]
* 37.68  lbm/ft³ = _35570.146 lbm ________ IV  Steam Inventory =[((320 - level)
* 37.68  lbm/ft³ = _
35570.146 lbm ________ IV  Steam Inventory =[((320  
- level)
* 3.173 ft³/in) + 242.2 ft³]
* 3.173 ft³/in) + 242.2 ft³]
* Steam Density   Steam Initial:   [((320 - _218__in)
* Steam Density Steam Initial:
  [((320 - _218__in)
* 3.173 ft³/in) + 242.2 ft³]
* 3.173 ft³/in) + 242.2 ft³]
* 6.02 lbm/ft³) = _3406.393________ lbm ________ IV  Steam Final:   [((320 - __222__in)
* 6.02 lbm/ft³) = _3406.393________ lbm
________ IV  Steam Final:
  [((320 - __222__in)
* 3.173 ft³/in) + 242.2 ft³]
* 3.173 ft³/in) + 242.2 ft³]
* 6.04  lbm/ft&#xb3;) = _3341.05        __ lbm ________ IV 4.2.2.e Power Correction Factor   Initial _____135_____________ lbm   Final  _____135____________ lbm 4.2.2.f Temperature Correction Factor (Tave >528&deg;)  Initial ______-35200___________ lbm   Final  _____-35600___________ lbm 22    Revision   ATTACHMENT 2: RCS/MU AND PURIFICATION LEAK RATE CALCULATION SHEET Page 3 of 3 4.2.2.g Temperature Correction Factor (Tave <528&deg;)  Reactor Coolant System Density (from Attachment 5) N/A  At initial Tave ___________________ lbm/ft&#xb3; At final Tave ___________________ lbm/ft&#xb3; Temperature Correction Factor (TCF)
* 6.04  lbm/ft&#xb3;) = _
3341.05        __ lbm ________ IV 4.2.2.e Power Correction Factor Initial _____
135_____________ lbm Final  _____
135____________ lbm 4.2.2.f Temperature Correction Factor (Tave >528&deg;)  Initial ______
-35200___________ lbm Final  _____
-35600___________ lbm
 
22    Revision ATTACHMENT 2:
RCS/MU AND PURIFICATION LEAK RATE CALCULATION SHEET Page 3 of 3 4.2.2.g Temperature Correction Factor (Tave <528&deg;)  Reactor Coolant System Density (from Attachment 5)
N/A  At initial Tave ___________________ lbm/ft&#xb3;
 
At final Tave ___________________ lbm/ft&#xb3; Temperature Correction Factor (TCF)
 
TCF = [(10,277 + (0.24828
TCF = [(10,277 + (0.24828
* Tave))
* Tave))
* Reactor Coolant System Density] - 498,800  Initial: [(10,277 ft&#xb3; + (0.24828 ft&#xb3;/&deg;F* _______&deg;F))
* Reactor Coolant System Density]  
* _______ lbm/ft&#xb3;] - 498,800 lbm = _______ lbm ________ IV Final: [(10,277 ft&#xb3; + (0.24828 ft&#xb3;/&deg;F* _______&deg;F))
- 498,800  Initial: [(10,277 ft&#xb3; + (0.24828 ft&#xb3;/&deg;F* _______&deg;F))
* _______ lbm/ft&#xb3;] - 498,800 lbm = _______ lbm ________ IV 4.2.2.h RCS Inventory MU Tank Inventory (lbm) + Pzr Steam Inventory (lbm) + Pzr Water Inventory (lbm) + Power Correction (lbm) + Temperature Correction (lbm) = Water Inventory (lbm) Initial:  22046  lbm +  3406.393  lbm +  35119.85  lbm +  135  lbm +  -35200  lbm =  25507.243 lbm Final:  21275  lbm +  3341.05  lbm +  35570.146 lbm +  135  lbm +  -35600  lbm =  24721.196 lbm  4.2.2.i  Change in RCS Inventory Change  = Initial inventory - Final inventory     Change = 25507.243_ lbm - 24721.196 lbm =  786.047_ lbm  ________ IV 23    Revision   ATTACHMENT 2: RCS/MU AND PURIFICATION LEAK RATE CALCULATION SHEET Page 4 of 4  4.2.2.j Time period   Period  = Final time - Initial time   Period = [(_23___ hr x 60) + (   11      min)] - [(__19__ hr x 60) + ( 5    min)]  =  _246____ min ________ IV 4.2.2.k  Total RCS Leak Rate    lbm 62.32ft  x  ftgallons 7.481  x  timeInventory RCSin  Change    Leakrate33    Leakrate =  ( 786.047  lbm) &#xf7; ( 246 min) x  (0.120 gal/lbm)     Leakrate =  .383  gpm  ________ IV Independent Verification Completed by _________________________________ Date ______
* _______ lbm/ft&#xb3;]  
24    Revision   ATTACHMENT 3: UNIDENTIFIED RCS LEAKAGE CALCULATION SHEET Page 1 of 1 4.2.1.f RCP Seals Leak Rate from computer printout, or from Attachment 1. (4.2.1.e)    __________ gpm   4.2.1.j Quench Tank In-Leakage Rate from computer printout, or from Attachment 1. (4.2.1.i). Only record Positive values  (exclude negative values by entering 0.000). __________ gpm 4.2.2.l RCS Total Leak Rate from computer printout, or from Attachment 2. ___.383___ gpm   4.2.3.a Primary to Secondary Tube Leakage from computer printout, or from most recent entry in RCS Leakage Log, RO Log, or as determined by Chemistry. __________ gpm   (0.104 allowed) 4.2.3.b Other Identified Leakage, or from RCS Leakage Log. __________ gpm   4.2.3.c Total Identified Leak Rate from computer printout, or from; RCP Seals + Quench Tk + Pri to Sec + Other                                          ( 4.2.1.e  +  4.2.1.i [positive values only] +  4.2.3.a  +  4.2.3.b ). ________      IV __________ gpm   (10 gpm allowed) 4.2.3.d Unidentified Leak Rate from computer printout, or from; Total Leak Rate - Total Identified Leak Rate                                       ( 4.2.2.k  -  4.2.3.c ) ________      IV __________ gpm   (1 gpm allowed)   4.2.3.e Reactor Coolant Pressure Boundary Leakage __________ gpm   (0 gpm allowed)
- 498,800 lbm = _______ lbm
Independent Verification Completed by _________________________________ Date ______ Performed by:         Date:
________ IV Final: [(10,277 ft&#xb3; + (0.24828 ft&#xb3;/&deg;F* _______&deg;F))
Davis-Besse Initial License Exam 2015             Admin JPM RO-A1.2 Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A1.2 AG  1 of 6  Facility:             Davis-Besse    Task No:  119-002-03-0100    Task Title:      Determine Maintenance of Active License Status     K/A  
* _______ lbm/ft&#xb3;]  
- 498,800 lbm = _______ lbm
________ IV 4.2.2.h RCS Inventory MU Tank Inventory (lbm) + Pzr Steam Inventory (lbm) + Pzr Water Inventory (lbm) + Power Correction (lbm) + Temperature Correction (lbm) = Water Inventory (lbm) Initial:  22046  lbm +  3406.393  lbm +  35119.85  lbm +  135  lbm +  -35200  lbm =  25507.243 lbm Final:  21275  lbm +  3341.05  lbm +  35570.146 lbm +  135  lbm +  -35600  lbm =  24721.196 lbm  4.2.2.i  Change in RCS Inventory Change  = Initial inventory  
- Final inventory Change = 25507.243
_ lbm - 24721.196 lbm =  786.047_ lbm  ________ IV 23    Revision ATTACHMENT 2:
RCS/MU AND PURIFICATION LEAK RATE CALCULATION SHEET Page 4 of 4  4.2.2.j Time period Period  = Final time  
- Initial time Period = [(_
23___ hr x 60) + (
11      min)] - [(__19__ hr x 60) + (
5    min)]  =  _
246____ min ________ IV 4.2.2.k  Total RCS Leak Rate    lbm 62.32ft  x  ftgallons 7.481  x  timeInventory RCSin  Change    Leakrate33    Leakrate =  (
786.047  lbm) &#xf7; (
246 min) x  (0.120 gal/lbm)
Leakrate =  
  .383  gpm  ________ IV Independent Verification Completed by _________________________________ Date ______
 
24    Revision ATTACHMENT 3:
UNIDENTIFIED RCS LEAKAGE CALCULATION SHEET Page 1 of 1 4.2.1.f RCP Seals Leak Rate from computer printout, or from Attachment
: 1. (4.2.1.e)    __________ gpm 4.2.1.j Quench Tank In-Leakage Rate from computer printout, or from Attachment 1. (4.2.1.i). Only record Positive values  (exclude negative values by entering 0.000).
__________ gpm 4.2.2.l RCS Total Leak Rate from computer printout, or from Attachment
: 2. ___.383___ gpm 4.2.3.a Primary to Secondary Tube Leakage from computer printout, or from most recent entry in RCS Leakage Log, RO Log, or as determined by Chemistry.
__________ gpm (0.104 allowed) 4.2.3.b Other Identified Leakage,  
 
or from RCS Leakage Log.
__________ gpm 4.2.3.c Total Identified Leak Rate from computer printout, or from; RCP Seals + Quench Tk + Pri to Sec + Other                                           
( 4.2.1.e  +  4.2.1.i [positive values only] +  4.2.3.a  +  4.2.3.b ). ________      IV __________ gpm (10 gpm allowed) 4.2.3.d Unidentified Leak Rate from computer printout, or from; Total Leak Rate  
- Total Identified Leak Rate                                
      ( 4.2.2.k  -  4.2.3.c ) ________      IV __________ gpm (1 gpm allowed) 4.2.3.e Reactor Coolant Pressure Boundary Leakage
__________ gpm (0 gpm allowed)
 
Independent Verification Completed by _________________________________ Date ______
Performed by:
Date:
Davis-Besse Initial License Exam 2015 Admin JPM RO-A1.2 Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A1.2 AG  1 of 6  Facility:
Davis-Besse    Task No:  119-002-03-0100    Task Title
:      Determine Maintenance of Active License Status K/A  


==Reference:==
==Reference:==
2.1.4 (3.3) Job Performance Measure No:      RO-A1.2 (JPM New)    Examinee:           NRC Examiner:       Date:      Method of testing: Simulated Performance ___  Actual Performance _X_  Classroom _X_  Simulator ___  Plant ___
 
Read to the examinee: I will explain the initial conditions, which steps to simulate or discuss, and provide initiating cues.
2.1.4 (3.3) Job Performance Measure No
When you complete the task successfully, the objective for this job performance measure will be satisfied. Initial Conditions: The plant conditions are specified in the Initial Conditions and Initiating Cues. Task Standard: Determine active license status is not maintained, evaluate whether each shift meets the requirements.
:      RO-A1.2 (JPM New)    Examinee:
Required Materials: DBBP-TRAN-0014, License Requirements for Licensed Individuals NT-OT-07001, Training and Qualification of Operations Personnel General  
NRC Examiner:
Date:      Method of testing:
Simulated Performance
___  Actual Performance
_X_  Classroom
_X_  Simulator
___  Plant ___
Read to the examinee:
I will explain the initial conditions, which steps to simulate or discuss, and provide initiating cues.
When you complete the task successfully, the objective for this job performance measure will be satisfied.
Initial Conditions:
The plant conditions are specified in the Initial Conditions and Initiating Cues.
Task Standard:
Determine active license status is not maintained, evaluate whether each shift meets the requirements.
 
Required Materials:
DBBP-TRAN-0014, License Requirements for Licensed Individuals NT-OT-07001, Training and Qualification of Operations Personnel General  


==References:==
==References:==
None  Initiating Cue: The plant conditions are specified in the Initial Conditions and Initiating Cues.
 
Time Critical Task: No    Alternate Path: No Validation Time: 20 minutes Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A1.2 AG  2 of 6  EXAMINER COPY INITIAL CONDITIONS:  Today is 7/1/15. You are a Reactor Operator. You are scheduled to stand a Reactor Operator ATC watch tomorrow. Your work history for the previous quarter is as follows:  4/12/15 Worked 12 hours as BOP in Mode 1 (day shift). Took turnover at the beginning of shift and gave turnover at end of shift.
None  Initiating Cue:
4/13/15 Worked 8 hours as BOP in Mode 1 (day shift). Took turnover at beginning of shift and did NOT give turnover at end of shift. 4/14/15 Worked 6 hours in Mode 1 as ATC and 6 hours ATC doing Crew JIT training on Simulator (day shift). Took turnover at beginning and gave turnover at end of both of these assignments. 5/19/15 Worked 12 hours in Mode 5 as BOP (night shift). Took turnover at beginning of shift and gave turnover at end of shift. 5/20/15 Worked 12 hours in Mode 5 as ATC (night shift). Took turnover at beginning of shift and gave turnover at end of shift   5/21/15 Worked 12 hours in Mode 3 as BOP (night shift). Took turnover at beginning of shift and did gave turnover at end of shift. 6/27/15 Worked 12 hours I Mode 1 as the 3rd RO in the Control Room (day shift). Took turnover at beginning of shift and gave turnover at end of shift.
The plant conditions are specified in the Initial Conditions and Initiating Cues.
INITIATION CUE: Determine if your license status is active or inactive based on the previous quarters work history and document as ACTIVE or INACTIVE on this page. Report whether each shift meets the watch credit or not.  (Provide copy of DBBP-TRAN-0014, License Requirements for Licensed Individuals and NT-OT-07001, Training and Qualification of Operations Personnel) RESULTS:
 
Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A1.2 AG  3 of 6  CANDIDATE COPY INITIAL CONDITIONS:  Today is 7/1/15. You are a Reactor Operator. You are scheduled to stand a Reactor Operator ATC watch tomorrow. Your work history for the previous quarter is as follows:  4/12/15 Worked 12 hours as BOP in Mode 1 (day shift). Took turnover at the beginning of shift and gave turnover at end of shift. 4/13/15 Worked 8 hours as BOP in Mode 1 (day shift). Took turnover at beginning of shift and did NOT give turnover at end of shift.
Time Critical Task:
4/14/15 Worked 6 hours in Mode 1 as ATC and 6 hours ATC doing Crew JIT training on Simulator (day shift). Took turnover at beginning and gave turnover at end of both of these assignments. 5/19/15 Worked 12 hours in Mode 5 as BOP (night shift). Took turnover at beginning of shift and gave turnover at end of shift. 5/20/15 Worked 12 hours in Mode 5 as ATC (night shift). Took turnover at beginning of shift and gave turnover at end of shift   5/21/15 Worked 12 hours in Mode 3 as BOP (night shift). Took turnover at beginning of shift and did gave turnover at end of shift.
No    Alternate Path:
6/27/15 Worked 12 hours I Mode 1 as the 3rd RO in the Control Room (day shift). Took turnover at beginning of shift and gave turnover at end of shift. INITIATION CUE: Determine if your license status is active or inactive based on the previous quarters work history and document as ACTIVE or INACTIVE on this page. Report whether each shift meets the watch credit or not. RESULTS:
No Validation Time:
Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A1.2 AG  4 of 6 PERFORMANCE INFORMATION NOTE: Critical steps denoted with a "C". Failure to meet any one of these standards for this item constitutes failure. Sequence is NOT critical unless denoted in the "Comments". START TIME:  _______   1. PERFORMANCE STEP: Evaluate 4/12/15 work period ........C........ STANDARD: Reviews DBBP-TRAN-0014, License Requirements for Licensed Individuals and determines requirement for credit is met. CUE: None      __________       SAT  UNSAT   2. PERFORMANCE STEP: Evaluate 4/13/15 work period ........C........ STANDARD: Reviews DBBP-TRAN-0014, License Requirements for Licensed Individuals and determines requirement for credit is not met. Did not stand complete watch  CUE: None        __________       SAT  UNSAT   3. PERFORMANCE STEP: Evaluate 4/14/15 work period ........C........ STANDARD: Reviews DBBP-TRAN-0014, License Requirements for Licensed Individuals and determines requirement for credit is not met. No credit is given for Simulator time   CUE: None      __________       SAT  UNSAT  
20 minutes
: 4. PERFORMANCE STEP: Evaluate 5/19/15 work period ........C........ STANDARD: Reviews DBBP-TRAN-0014, License Requirements for Licensed Individuals and determines requirement for credit is not met. Credit for BOP is not given in Mode 5. CUE: None        __________       SAT  UNSAT Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A1.2 AG  5 of 6  5. PERFORMANCE STEP: Evaluate 5/20/15 work period ........C........ STANDARD: Reviews DBBP-TRAN-0014, License Requirements for Licensed Individuals and determines requirement for credit is met. CUE: None      __________       SAT  UNSAT   6. PERFORMANCE STEP: Evaluate 5/21/15 work period ........C........ STANDARD: Reviews DBBP-TRAN-0014, License Requirements for Licensed Individuals and determines requirement for credit is met   CUE: None      __________       SAT  UNSAT   7. PERFORMANCE STEP: Evaluate 6/27/15 work period ........C........ STANDARD: Reviews DBBP-TRAN-0014, License Requirements for Licensed Individuals and determines requirement for credit is not met. No credit is given for 3rd Reactor Operator   CUE: None      __________       SAT  UNSAT   8. PERFORMANCE STEP: Evaluates credited time versus required time ........C........ STANDARD: Determines there are only three 12 hour shifts that can be credited and therefore minimum requirements to maintain active Reactor Operator license are not met.
 
CUE: None      __________       SAT  UNSAT   TERMINATING CUES:  This JPM is complete (Terminated by the examiner)        __________       END TIME Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A1.2 AG  6 of 6  Verification of Completion Job Performance Measure No.       Examinee's Name:         Examiner's Name:         Date Performed:         Facility Evaluator:
Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A1.2 AG  2 of 6  EXAMINER COPY INITIAL CONDITIONS
Number of Attempts:         Time to Complete:
:  Today is 7/1/15
Question Documentation:
. You are a Reactor Operator.
Question:_____________________________________________________________ ____________________________________________________________________________________________________________________________________________  Response:_____________________________________________________________ ______________________________________________________________________
You are scheduled to stand a Reactor Operator ATC watch tomorrow.
______________________________________________________________________ ______________________________________________________________________  Result:  Satisfactory/Unsatisfactory   Examiner's signature and date: _______________________________________
Your work history for the previous quarter is as follows
Davis-Besse Initial License Exam 2015             Admin JPM RO-A2 Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A2 AG  1 of 7  Facility:             Davis-Besse    Task No:    119-035-0100    Task Title:  Determine isolation boundary and effect on plant equipment     K/A  
:  4/12/15 Worked 12 hours as BOP in Mode 1 (day shift). Took turnover at the beginning of shift and gave turnover at end of shift.
 
4/13/15 Worked 8 hours as BOP in Mode 1 (day shift). Took turnover at beginning of shift and did NOT give turnover at end of shift
. 4/14/15 Worked 6 hours in Mode 1 as ATC and 6 hours ATC doing Crew JIT training on Simulator (day shift). Took turnover at beginning and gave turnover at end of both of these assignments.
5/19/15 Worked 12 hours in Mode 5 as BOP (night shift). Took turnover at beginning of shift and gave turnover at end of shift.
5/20/15 Worked 12 hours in Mode 5 as ATC (night shift). Took turnover at beginning of shift an d gave turnover at end of shift 5/21/15 Worked 12 hours in Mode 3 as BOP (night shift)
. Took turnover at beginning of shift and did gave turnover at end of shift.
6/27/15 Worked 12 hours I Mode 1 as the 3rd RO in the Control Room (day shift). Took turnover at beginning of shift and gave turnover at end of shift.
 
INITIATION CUE:
Determine if your license status is active or inactive based on the previous quarters work history and document as ACTIVE or INACTIVE on this page. Report whether each shift meets the watch credit or not.  
   (Provide copy of DBBP
-TRAN-0014, License Requirements for Licensed Individuals and NT-OT-07001, Training and Qualification of Operations Personnel)
RESULTS:
Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A1.2 AG  3 of 6  CANDIDATE COPY INITIAL CONDITIONS
:  Today is 7/1/15. You are a Reactor Operator.
You are scheduled to stand a Reactor Operator ATC watch tomorrow.
Your work history for the previous quarter is as follows
:  4/12/15 Worked 12 hours as BOP in Mode 1 (day shift). Took turnover at the beginning of shift and gave turnover at end of shift.
4/13/15 Worked 8 hours as BOP in Mode 1 (day shift). Took turnover at beginning of shift and did NOT give turnover at end of shift.
 
4/14/15 Worked 6 hours in Mode 1 as ATC and 6 hours ATC doing Crew JIT training on Simulator (day shift). Took turnover at beginning and gave turnover at end of both of these assignments.
5/19/15 Worked 12 hours in Mode 5 as BOP (night shift). Took turnover at beginning of shift and gave turnover at end of shift.
5/20/15 Worked 12 hours in Mode 5 as ATC (night shift). Took turnover at beginning of shift an d gave turnover at end of shift 5/21/15 Worked 12 hours in Mode 3 as BOP (night shift)
. Took turnover at beginning of shift and did gave turnover at end of shift.
 
6/27/15 Worked 12 hours I Mode 1 as the 3rd RO in the Control Room (day shift). Took turnover at beginning of shift and gave turnover at end of shift.
INITIATION CUE:
Determine if your license status is active or inactive based on the previous quarters work history and document as ACTIVE or INACTIVE on this page. Report whether each shift meets t he watch credit or not. RESULTS:
Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A1.2 AG  4 of 6 PERFORMANCE INFORMATION NOTE: Critical steps denoted with a "C". Failure to meet any one of these standards for this item constitutes failure. Sequence is NOT critical unless denoted in the "Comments".
START TIME:  _______
: 1. PERFORMANCE STEP: Evaluate 4/12/15 work period
  ........C........
STANDARD:
Reviews DBBP-TRAN-0014, License Requirements for Licensed Individuals and determines requirement for credit is met
. CUE: None      __________
SAT  UNSAT
: 2. PERFORMANCE STEP: Evaluate 4/13/15 work period
  ........C........
STANDARD:
Reviews DBBP-TRAN-0014, License Requirements for Licensed Individuals and determines requirement for credit is not met. Did not stand complete watch  CUE: None        __________
SAT  UNSAT
: 3. PERFORMANCE STEP: Evaluate 4/14/15 work period
  ........C........
STANDARD:
Reviews DBBP-TRAN-0014, License Requirements for Licensed Individuals and determines requirement for credit is not met. No credit is given for Simulator time CUE: None      __________
SAT  UNSAT
: 4. PERFORMANCE STEP: Evaluate 5/19/15 work period
  ........C........
STANDARD:
Reviews DBBP-TRAN-0014, License Requirements for Licensed Individuals and determines requirement for credit is not met. Credit for BOP is not given in Mode 5
. CUE: None        __________
SAT  UNSAT
 
Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A1.2 AG  5 of 6  5. PERFORMANCE STEP: Evaluate 5/20/15 work period
  ........C........
STANDARD:
Reviews DBBP-TRAN-0014, License Requirements for Licensed Individuals and determines requirement for credit is met.
CUE: None      __________
SAT  UNSAT
: 6. PERFORMANCE STEP: Evaluate 5/21/15 work period
  ........C........
STANDARD:
Reviews DBBP-TRAN-0014, License Requirements for Licensed Individuals and determines requirement for credit is met CUE: None      __________
SAT  UNSAT
: 7. PERFORMANCE STEP: Evaluate 6/27/15 work period
  ........C........
STANDARD:
Reviews DBBP-TRAN-0014, License Requirements for Licensed Individuals and determines requirement for credit is not met. No credit is given for 3 rd Reactor Operator CUE: None      __________
SAT  UNSAT
: 8. PERFORMANCE STEP: Evaluates credited time versus required time
  ........C........
STANDARD:
Determines there are only three 12 hour shifts that can be credited and therefore minimum requirements to maintain active Reactor Operator license are not met.
 
CUE: None      __________
SAT  UNSAT TERMINATING CUES:  This JPM is complete (Terminated by the examiner)        __________
END TIME Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A1.2 AG  6 of 6  Verification of Completion Job Performance Measure No.
Examinee's Name:
Examiner's Name:
Date Performed:
Facility Evaluator:
 
Number of Attempts:
Time to Complete:  
 
Question Documentation:  
 
Question:_____________________________________________________________
____________________________________________________________________________
________________________________________________________________
 
===Response===
_____________________________________________________________
___________________________________________
___________________________
 
______________________________________________________________________
______________________________________________________________________
Result:  Satisfactory/Unsatisfactory Examiner's signature and date:
____________
___________________________
 
Davis-Besse Initial License Exam 2015 Admin JPM RO-A2 Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A2 AG  1 of 7  Facility:
Davis-Besse    Task No:    119-035-0100    Task Title
:  Determine isolation boundary and effect on plant equipment K/A  


==Reference:==
==Reference:==
2.2.41 (3.5) Job Performance Measure No:      RO-A2 (NEW)    Examinee:           NRC Examiner:       Date:      Method of testing: Simulated Performance ___  Actual Performance _X_  Classroom _X_  Simulator ___  Plant ___
 
Read to the examinee: I will explain the initial conditions, which steps to simulate or discuss, and provide initiating cues.
2.2.41 (3.5) Job Performance Measure No
When you complete the task successfully, the objective for this job performance measure will be satisfied. Initial Conditions: The plant conditions are specified in the Initial Conditions and Initiating Cues. Task Standard: Identify boundary for leaking Turbine Plant Cooling Water Valve and determine isolation will result in loss of cooling to bearing lube oil for both Main Feedwater Pumps Required Materials: OS-022, Turbine Plant Cooling Water System General  
:      RO-A2 (NEW)    Examinee:
NRC Examiner:
Date:      Method of testing:
Simulated Performance
___  Actual Performance
_X_  Classroom
_X_  Simulator
___  Plant ___
Read to the examinee:
I will explain the initial conditions, which steps to simulate or discuss, and provide initiating cues.
When you complete the task successfully, the objective for this job performance measure will be satisfied.
Initial Conditions:
The plant conditions are specified in the Initial Conditions and Initiating Cues.
Task Standard:
Identify boundary for leaking Turbine Plant Cooling Water Valve and determine isolation will  
 
result in loss of cooling to bearing lube oil for both Main Feedwater Pump s
Required Materials:
OS-022, Turbine Plant Cooling Water System
 
General  


==References:==
==References:==
11x17 Copy of Operational Schematics       Initiating Cue: The plant conditions are specified in the Initial Conditions and Initiating Cues. Time Critical Task: No Alternate Path: No  Validation Time: 15 minutes Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A2 AG  2 of 7  EXAMINER COPY INITIAL CONDITIONS:  The Plant is at 100% Power CW112, MFPT LUBE OIL COOLER 1-2-2 INLET ISOLATION is spraying water from a leak in the valve body. The valve has been closed and is still leaking. INITIATION CUE: The Shift Manager directs you to determine how CW112 can be isolated and what equipment will be affected. List isolation boundaries and equipment impacts on this page below.  (Hand Candidate 11x17  Copy of Operational Schematics)
 
Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A2 AG  3 of 7  CANDIDATE COPY INITIAL CONDITIONS:  The Plant is at 100% Power CW112, MFPT LUBE OIL COOLER 1-2-2 INLET ISOLATION is spraying water from a leak in the valve body. The valve has been closed and is still leaking. INITIATION CUE: The Shift Manager directs you to determine how CW112 can be isolated and what equipment will be affected. List isolation boundaries and equipment impacts on this page below.
11x17 Copy of Operation al Schematics Initiating Cue:
Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A2 AG  4 of 7 PERFORMANCE INFORMATION NOTE: Critical steps denoted with a "C". Failure to meet any one of these standards for this item constitutes failure. Sequence is NOT critical unless denoted in the "Comments". START TIME:  _______   NOTE: STEPS CAN BE PERFORMED IN ANY SEQUENCE   1. PERFORMANCE STEP: Locates plant drawing OS-022 Turbine Plant Cooling Water System    STANDARD: References drawing index, identifies and locates drawing OS-022 or equivalent drawing COMMENT:  Once drawing is located, provide a copy for markup. CUE: None        __________       SAT  UNSAT   2. PERFORMANCE STEP: Determines that valve CW-106 must be closed ........C........ STANDARD: Identifies CW-106 supply side isolation valve will be closed   CUE: None      __________       SAT  UNSAT   3. PERFORMANCE STEP: Determines that valve CW-107 must be closed ........C........ STANDARD: Identifies CW-107 supply side isolation valve will be closed, due to cross connected piping   CUE: None      __________       SAT  UNSAT Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A2 AG  5 of 7  4. PERFORMANCE STEP: Determines that either valve CW-114 OR CW-1254B must be closed  ........C........
The plant conditions are specified in the Initial Conditions and Initiating Cues.
STANDARD: Identifies CW-114 OR CW-1254B downstream isolation side valve will be closed COMMENT: Either valve will provide downstream isolation. CUE: None      __________       SAT  UNSAT   5. PERFORMANCE STEP: Determines that valve CW-113 must be closed  ........C........
Time Critical Task:
STANDARD: Identifies CW-113 supply side valve to MFPT Lube Oil Cooler 1-2-1 will be closed  COMMENT: Another downstream valve will accomplish this isolation, if another valve is selected evaluate the isolation point as an alternative. CUE: None      __________       SAT  UNSAT   6. PERFORMANCE STEP: Determines that valve CW-125 must be closed ........C........ STANDARD: Identifies CW-125 supply side valve supply valve to MFPT Lube Oil Cooler 1-1-1 will be closed   COMMENT: Another downstream valve will accomplish this isolation, if another valve is selected evaluate the isolation point as an alternative.
No Alternate Path:
CUE: None      __________       SAT  UNSAT Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A2 AG  6 of 7  7. PERFORMANCE STEP: Determines that valve CW-124 must be closed ........C........ STANDARD: Identifies CW-124 supply side valve supply valve to MFPT Lube Oil Cooler 1-1-2 will be closed   COMMENT: Another downstream isolation valve will accomplish this isolation, if another valve is selected evaluate the isolation point as an alternative. CUE: None      __________       SAT  UNSAT   8. PERFORMANCE STEP: Determines that valve CW-196 must remain closed  ........C........ STANDARD: Identifies CW-196 cooler bypass valve will remain closed  COMMENT: This valve is normally shut. CUE: None      __________       SAT  UNSAT   9. PERFORMANCE STEP: Identifies the effect of isolating CW-112 will have on plant equipment ........C........ STANDARD: Determines that stopping the water leak on valve CW-112 will isolate all cooling water flow to the MFP Lube Oil Coolers for both MFPs   CUE: None      __________       SAT  UNSAT   TERMINATING CUES:  This JPM is complete (Terminated by the examinee)        __________       END TIME Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A2 AG  7 of 7  Verification of Completion Job Performance Measure No.       Examinee's Name:         Examiner's Name:         Date Performed:         Facility Evaluator:
No  Validation Time:
Number of Attempts:         Time to Complete:
15 minutes
Question Documentation:
 
Question:_____________________________________________________________ ____________________________________________________________________________________________________________________________________________  Response:_____________________________________________________________ ______________________________________________________________________
Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A2 AG  2 of 7  EXAMINER COPY INITIAL CONDITIONS
______________________________________________________________________ ______________________________________________________________________   Result:  Satisfactory/Unsatisfactory   Examiner's signature and date: _______________________________________
:  The Plant is at 100% Power
ANSWER KEY Davis-Besse Initial License Exam 2015             Admin JPM RO-A4 Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A4 AG  Page 1 of 7  Facility:             Davis-Besse    Task No:  085-002-01-0100    Task Title:      Emergency Plan Notification of Off-Site Agencies     K/A  
 
CW112, MFPT LUBE OIL COOLER 1-2-2 INLET ISOLATION is spraying water from a leak in the valve body. The valve has been closed and is still leaking.
INITIATION CUE:
The Shift Manager directs you to determine how CW112 can be isolated and what equipment will be affected. List isolation boundaries and equipment impacts on this page below.  (Hand Candidate 11x17  Copy of Operational Schematics
)
Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A2 AG  3 of 7  CANDIDATE COPY INITIAL CONDITIONS
:  The Plant is at 100% Power CW112, MFPT LUBE OIL COOLER 1-2-2 INLET ISOLATION is spraying water from a leak in the valve body. The valve has been closed and is still leaking.
INITIATION CUE:
The Shift Manager directs you to determine how CW112 can be isolated and what equipment will be affected. List isolation boundaries and equipment impacts on this page below.
Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A2 AG  4 of 7 PERFORMANCE INFORMATION NOTE: Critical steps denoted with a "C". Failure to meet any one of these standards for this item constitutes failure. Sequence is NOT critical unless denoted in the "Comments".
START TIME:  _______
NOTE: STEPS CAN BE PERFORMED IN ANY SEQUENCE
: 1. PERFORMANCE STEP: Locates plant drawing OS
-022 Turbine Plant Cooling Water System    STANDARD:
References drawing index, identifies and locates drawing OS
-022 or equivalent drawing
 
COMMENT:  Once drawing is located, provide a copy for markup.
CUE: None        __________
SAT  UNSAT
: 2. PERFORMANCE STEP: Determines that valve CW-106 must be closed
  ........C........
STANDARD:
Identifies CW
-106 supply side isolation valve will be closed CUE: None      __________
SAT  UNSAT
: 3. PERFORMANCE STEP: Determines that valve CW
-107 must be closed
  ........C........
STANDARD:
Identifies CW
-107 supply side isolation valve will be closed, due to cross connected piping CUE: None      __________
SAT  UNSAT
 
Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A2 AG  5 of 7  4. PERFORMANCE STEP: Determines that either valve CW
-114 OR CW
-1254B must be closed  ........C........
 
STANDARD:
Identifies CW
-114 OR CW
-1254B downstream isolation side valve will be closed COMMENT:
Either valve will provide downstream isolation.
CUE: None      __________
SAT  UNSAT
: 5. PERFORMANCE STEP: Determines that valve CW
-113 must be closed  ........C........
 
STANDARD:
Identifies CW
-113 supply side valve to MFPT Lube Oil Cooler 1 1 will be closed  COMMENT:
Another downstream valve will accomplish this isolation, if another valve is selected evaluate the isolation point as an alternative. CUE: None      __________
SAT  UNSAT
: 6. PERFORMANCE STEP: Determines that valve CW
-125 must be closed
  ........C........
STANDARD:
Identifies CW
-125 supply side valve supply valve to MFPT Lube Oil Cooler 1 1 will be closed COMMENT:
Another downstream valve will accomplish this isolation, if another valve is selected evaluate the isolation point as an alternative.
 
CUE: None      __________
SAT  UNSAT
 
Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A2 AG  6 of 7  7. PERFORMANCE STEP: Determines that valve CW
-124 must be closed
  ........C........
STANDARD:
Identifies CW
-124 supply side valve supply valve to MFPT Lube Oil Cooler 1 2 will be closed COMMENT:
Another downstream isolation valve will accomplish this isolation, if another valve is selected evaluate the isolation point as an alternative.
CUE: None      __________
SAT  UNSAT
: 8. PERFORMANCE STEP: Determines that valve CW
-196 must remain closed  ........C........
STANDARD:
Identifies CW
-196 cooler bypass valve will remain closed  COMMENT:
This valve is normally shut
. CUE: None      __________
SAT  UNSAT
: 9. PERFORMANCE STEP: Identifies the effect of isolating CW
-112 will have on plant equipment
  ........C........
STANDARD:
Determines that stopping the water leak on valve CW-112 will isolate all cooling water flow to the MFP Lube Oil Coolers for both MFPs CUE: None      __________
SAT  UNSAT TERMINATING CUES:  This JPM is complete (Terminated by the examine e)        __________
END TIME Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A2 AG  7 of 7  Verification of Completion Job Performance Measure No.
Examinee's Name:
Examiner's Name:
Date Performed:
Facility Evaluator:
 
Number of Attempts:
Time to Complete:  
 
Question Documentation:  
 
Question:_____________________________________________________________
____________________________________________________________________________
________________________________________________________________
 
===Response===
__________________________________
___________________________
______________________________________________________________________
 
______________________________________________________________________
______________________________________________________________________
Result:  Satisfactory/Unsatisfactory Examiner's signature and date:
_______________________________________
 
ANSWER KEY
 
Davis-Besse Initial License Exam 2015 Admin JPM RO-A4 Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A4 AG  Page 1 of 7  Facility:
Davis-Besse    Task No:  085-002-01-0100    Task Title
:      Emergency Plan Notification of Off
-Site Agencies K/A  


==Reference:==
==Reference:==
2.4.43 (3.2) Job Performance Measure No:      RO-A4 (JPM 241)    Examinee:           NRC Examiner:       Date:      Method of testing: Simulated Performance ___  Actual Performance _X_  Classroom _X_  Simulator _X_  Plant ___
 
Read to the examinee: I will explain the initial conditions, which steps to simulate or discuss, and provide initiating cues.
2.4.43 (3.2) Job Performance Measure No
When you complete the task successfully, the objective for this job performance measure will be satisfied. Initial Conditions: The plant conditions are specified in the Initial Conditions and Initiating Cues. Task Standard: Emergency notification of Ottawa and Lucas County within 15 minutes and Emergency notification of State of Ohio.
:      RO-A4 (JPM 241)    Examinee:
Required Materials: Form DBEP-010 Form DBEP-012 (General References listed below required if performing in classroom) (Phone for simulation required if performing in classroom) General  
NRC Examiner:
Date:      Method of testing:
Simulated Performance
___  Actual Performance
_X_  Classroom
_X_  Simulator
_X_  Plant ___
Read to the examinee:
I will explain the initial conditions, which steps to simulate or discuss, and provide initiating cues.
When you complete the task successfully, the objective for this job performance measure will be satisfied.
Initial Conditions:
The plant conditions are specified in the Initial Conditions and Initiating Cues.
Task Standard:
Emergency notification of Ottawa and Lucas County within 15 minutes and Emergency notification of State of Ohio.
 
Required Materials:
Form DBEP
-010 Form DBEP
-012 (General References listed below required if performing in classroom)
(Phone for simulation required if performing in classroom)
General  


==References:==
==References:==
RA-EP-02110, Emergency Notification Davis-Besse Emergency Plan Telephone Directory Initiating Cue: The plant conditions are specified in the Initial Conditions and Initiating Cues. Time Critical Task: Yes    Alternate Path: No  Validation Time: 15 minutes Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A4 AG  Page 2 of 7  EXAMINER COPY  INITIAL CONDITIONS:  You are a third Reactor Operator in the Control Room.
 
RA-EP-02110, Emergency Notification Davis-Besse Emergency Plan Telephone Directory Initiating Cue:
The plant conditions are specified in the Initial Conditions and Initiating Cues.
Time Critical Task:
Yes    Alternate Path:
No  Validation Time:
15 minutes
 
Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A4 AG  Page 2 of 7  EXAMINER COPY INITIAL CONDITIONS
:  You are a third Reactor Operator in the Control Room.
 
The plant is being shut down due to Reactor Coolant System leak calculated to be 35 gpm.
 
5 minutes ago the Shift Manager declared an Unusual Event based on the leakage INITIATING CUES
:
You are to locate and review RA
-EP-02110, Emergency Notifications Procedure while the Shift Manager completes the Initial Notification form. Be prepared to start the notifications of the Offsite Agencies in 5 minutes.
 
CUE: This is a time critical JPM.
NOTES TO EVALUATOR Write the current time minus 5 minutes in the declaration time (item 3a) on the Initial Notification form Five minutes after reading the Initiating Cues hand the Initial Notification form s to the candidate
.
Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A4 AG  Page 3 of 7  CANDIDATE COPY INITIAL CONDITIONS
:  You are a third Reactor Operator in the Control Room.
The plant is being shut down due to Reactor Coolant System leak calculated to be 35 gpm.
The plant is being shut down due to Reactor Coolant System leak calculated to be 35 gpm.
5 minutes ago the Shift Manager declared an Unusual Event based on the leakage   INITIATING CUES:
5 minutes ago the Shift Manager declared an Unusual Event based on the leakage
You are to locate and review RA-EP-02110, Emergency Notifications Procedure while the Shift Manager completes the Initial Notification form. Be prepared to start the notifications of the Offsite Agencies in 5 minutes.
 
CUE:  This is a time critical JPM. NOTES TO EVALUATOR Write the current time minus 5 minutes in the declaration time (item 3a) on the Initial Notification form Five minutes after reading the Initiating Cues hand the Initial Notification forms to the candidate.
INITIATING CUES
Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A4 AG  Page 3 of 7 CANDIDATE COPY  INITIAL CONDITIONS: You are a third Reactor Operator in the Control Room. The plant is being shut down due to Reactor Coolant System leak calculated to be 35 gpm. 5 minutes ago the Shift Manager declared an Unusual Event based on the leakage INITIATING CUES:   You are to locate and review RA-EP-02110, Emergency Notifications Procedure while the Shift Manager completes the Initial Notification form. Be prepared to start the notifications of the Offsite Agencies in 5 minutes.
:   You are to locate and review RA
CUE: This is a time critical JPM. The clock starts now, the form will be available in five minutes.
-EP-02110, Emergency Notifications Procedure while the Shift Manager completes the Initial Notification form. Be prepared to start the notifications of the Offsite Agencies in 5 minutes.
Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A4 AG   Page 4 of 7 PERFORMANCE INFORMATION  NOTE: Critical steps denoted with a "C". Failure to meet any one of these standards for this item constitutes failure. Sequence is NOT critical unless denoted in the "Comments". START TIME:  _______  1. PERFORMANCE STEP: Locate the correct procedure for emergency notification. STANDARD: Obtains RA-EP-02110, Emergency Notification. CUE: When located hand candidate copy of RA-EP-02110, Emergency Notification   (5 minutes after providing the initiating cue) hand Initial Notification forms to Candidate and state: "Shift Manager directs you to notify Ottawa and Lucas Counties and the State of Ohio of the emergency in accordance with RA-EP-02110, Emergency Notifications"       __________      SAT  UNSAT  2. PERFORMANCE STEP: Make Initial Notification using the 4-Way Ring-Down Circuit ........C........ STANDARD: Picks up the 4-Way Ring-Down phone in the Control Room. When the two parties answer, reads the Initial Notification information. Documents the time notified on the Davis-Besse Notification Cover Sheet (DBEP-012).
 
COMMENT: Notification must be made within 15 minutes of the event declaration time; Record the time the first Sheriff's Dispatcher answers the phone. This stops the "critical time" clock. CUE: "Ottawa Country Sheriff's Dispatcher and the Lucas County Sheriff's Dispatcher answer the phone."        NOTE: Ohio State Highway Patrol Dispatcher does NOT answer.       Repeat back the information as it is communicated.                                                                               Time: __________                  __________      SAT  UNSAT Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A4 AG  Page 5 of 7 3. PERFORMANCE STEPNotify Shift Manager that the Ohio State Highway Patrol Dispatcher was not notified.     STANDARD: Informs Shift Manager that the Ohio State Highway Patrol Dispatcher did not answer the 4-Way Ring-Down Circuit. COMMENT: This step may not be needed if operator proceeds to use alternate notification methods without being prompted. CUE: If notified, tell the operator to continue with notifications as directed by procedure RA-EP-02110, Emergency Notification.
CUE:  This is a time critical JPM. The clock starts now, the form will be available in five minutes.       
__________       SAT  UNSAT  
 
: 4. PERFORMANCE STEP: Contact Ohio State Highway Patrol Dispatcher. ........C........      STANDARD: Locates the Ohio State Highway Patrol Dispatcher or Administrative Office telephone number. COMMENT: The phone numbers are located in the Immediate Notification Numbers tab of the Davis-Besse Emergency Plan Telephone Directory. Have the examinee point out and then dial one of the correct numbers.     (614) 466-2660 OR (614) 644-7622    CUE: Answer the phone as either the Ohio Highway Patrol Dispatcher or the Administrative Office depending on who was dialed.             __________       SAT  UNSAT  
Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A4 AG  Page 4 of 7 PERFORMANCE INFORMATION NOTE: Critical steps denoted with a "C".
: 4. PERFORMANCE STEP: Make Initial Notification to the Ohio State Highway Patrol.  ........C........      STANDARD: Reads Initial Notification information to the Ohio State Highway Patrol Dispatcher or Administrative Office staffer. Documents the time notified on the Davis-Besse Notification Cover Sheet (DBEP-012). Examinee should also request a call back from the person receiving the information. COMMENT: Requesting callback is not critical  CUE: Repeat back information as it is communicated. Provide your name as requested by the caller.       __________       SAT  UNSAT Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A4 AG  Page 6 of 7 5. PERFORMANCE STEP: Notify Shift Manager that the Ohio State Highway Patrol or Administrative Office was notified. STANDARDInforms the Shift Manager that all notifications have all been completed. This notification may be done after step 7. CUE: Acknowledge the report.      __________       SAT  UNSAT   6. PERFORMANCE STEP: Receive call back from State of Ohio representative. STANDARD: Answers the phone and acknowledges the Ohio State Highway Patrol or Administrative Office call back to verify the information came from Davis-Besse. Documents the time of the call and the name of the caller on the Davis-Besse Notification Cover Sheet (DBEP-012). CUE: Call the simulator Control Room phone and indicate you are calling back to verify the notification of the emergency is real and came from Davis-Besse.       If needed, prompt the operator to answer the phone.
Failure to meet any one of these standards for this item constitutes failure. Sequence is NOT critical unless denoted in the "Comments".
__________      SAT  UNSAT   7. PERFORMANCE STEP: Complete form DBEP-0012. STANDARD: Signs form DBEP-0012 and checks Control Room. Returns form to Shift Manager. CUE: If required, tell the examinee not to fax form DBEP-0010 to the EOF.        __________      SAT  UNSAT    TERMINATING CUESThis JPM is complete (Terminated by the examiner)
START TIME:  _______
__________      END TIME Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A4 AG   Page 7 of 7  Verification of Completion Job Performance Measure No.
: 1. PERFORMANCE STEP: Locate the correct procedure for emergency notification.
Examinee's Name:          Examiner's Name:          Date Performed:          Facility Evaluator:
STANDARD:
Number of Attempts:        Time to Complete:
Obtains RA
Question Documentation:
-EP-02110, Emergency Notification. CUE: When located hand candidate copy of RA-EP-02110, Emergency Notification (5 minutes after providing the initiating cue) hand Initial Notification forms to Candidate and state: "Shift Manager directs you to notify Ottawa and Lucas Counties and the State of Ohio of the emergency in accordance with RA
Question:_____________________________________________________________ ____________________________________________________________________________________________________________________________________________  Response:_____________________________________________________________ ______________________________________________________________________
-EP-02110, Emergency Notifications"
______________________________________________________________________ ______________________________________________________________________  Result: Satisfactory/Unsatisfactory    Examiner's signature and date: _______________________________________
__________
FENOC NUCLEAR POWER PLANT INITIAL NOTIFICATION FORM Davis Besse DBEP-010-10  USE FOR: INITIAL CLASSIFICATIONS,  CHANGES IN CLASSIFICATIONS,  CHANGES IN PROTECTIVE ACTION RECOMMENDATIONS. EVENT TERMINATION STATE / COUNTY USE ONLY DATE: TIME: MESSAGE NO:         ____________  1. This is the:  Davis-Besse Nuclear Power Station    2. This is:    An Actual Emergency                                      A Drill  3. a. A(n) GENERAL EMERGENCY  SITE AREA EMERGENCY  ALERT  UNUSUAL EVENT  was declared at: ______ on _Today based on EAL: __SU7__    (TIME)  (DATE)    b. The Emergency situation has been terminated at: ______ on ______    (TIME)  (DATE)    c. The Protective Action Recommendation is being changed at:  ______ on ______  (TIME)  (DATE) 4. Brief non-technical description of event: Reactor Coolant System leak of 35 gallons per minute        5. The radiological conditions are:   a. A non-routine release of radioactive material, as a result of this event, is in progress    b. The release of radioactive material associated with this event has been terminated. c. NO Radiological Release in progress as a result of this event. 6. Utility Protective Action Recommendations (PAR's):   a. Evacuation:   (check applicable subareas)    1       2       3      4       5      6      7      8      9      10      11      12 AND that potassium iodide (KI) be administered to the general public in accordance with State procedures. The general public in unaffected areas should be advised to go indoors and monitor EAS broadcasts.                           b. Sheltering:  (check applicable subareas)    1      2      3      4      5      6      7      8      9                        11  AND that potassium iodide (KI) be administered to the general public in accordance with State procedures. The general public in unaffected areas should be advised to go indoors and monitor EAS broadcasts. c. None            For Utility Use Only Approved: _    __________________       
SAT  UNSAT
: 2. PERFORMANCE STEP: Make Initial Notification using the 4
-Way Ring-Down Circuit
   ........C........
STANDARD:
Picks up the 4-Way Ring-Down phone in the Control Room. When the two parties answer, reads the Initial Notification information. Documents the time notified on the Davis
-Besse Notification Cover Sheet (DBEP
-012).
COMMENT:  Notification must be made within 15 minutes of the event declaration time; Record the time the first Sheriff's Dispatcher answers the phone. This stops the "critical time" clock.
CUE: "Ottawa Country Sheriff's Dispatcher and the Lucas County Sheriff's Dispatcher answer the phone."
NOTE: Ohio State Highway Patrol Dispatcher does NOT answer.       Repeat back the information as it is communicated.
Time: __________
__________
SAT  UNSAT
 
Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A4 AG  Page 5 of 7 3. PERFORMANCE STEP: Notify Shift Manager that the Ohio State Highway Patrol Dispatcher was not notified.
STANDARD:  Informs Shift Manager that the Ohio State Highway Patrol Dispatcher did not answer the 4
-Way Ring-Down Circuit.
COMMENT: This step may not be needed if operator proceeds to use alternate notification methods without being prompted.
CUE: If notified, tell the operator to continue with notifications as directed by procedure RA
-EP-02110, Emergency Notification.
 
__________
SAT  UNSAT
: 4. PERFORMANCE STEP: Contact Ohio State Highway Patrol Dispatcher.
  ........C........
STANDARDLocates the Ohio State Highway Patrol Dispatcher or Administrative Office telephone number.
COMMENT: The phone numbers are located in the Immediate Notification Numbers tab of the Davis
-Besse Emergency Plan Telephone Directory. Have the examinee point out and then dial one of the correct numbers.
    (614) 466-2660 OR (614) 644
-7622    CUE: Answer the phone as either the Ohio Highway Patrol Dispatcher or the Administrative Office depending on who was dialed.
__________
SAT  UNSAT
: 4. PERFORMANCE STEP: Make Initial Notification to the Ohio State Highway Patrol.
  ........C........      STANDARD:
Reads Initial Notification information to the Ohio State Highway Patrol Dispatcher or Administrative Office staffer. Documents the time notified on the Davis
-Besse Notification Cover Sheet (DBEP
-012). Examinee should also request a call back from the person receiving the information.
COMMENT: Requesting callback is not critical CUE: Repeat back information as it is communicated. Provide your name as requested by the caller.
__________
SAT  UNSAT
 
Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A4 AG  Page 6 of 7 5. PERFORMANCE STEP: Notify Shift Manager that the Ohio State Highway Patrol or Administrative Office was notified.
STANDARD: Informs the Shift Manager that all notifications have all been completed. This notification may be done after step 7. CUE: Acknowledge the report.
__________
SAT  UNSAT
: 6. PERFORMANCE STEP: Receive call back from State of Ohio representative.
STANDARD:
Answers the phone and acknowledges the Ohio State Highway Patrol or Administrative Office call back to verify the information came from Davis
-Besse. Documents the time of the call and the name of the caller on the Davis-Besse Notification Cover Sheet (DBEP
-012). CUE: Call the simulator Control Room phone and indicate you are calling back to verify the notification of the emergency is real and came from Davis
-Besse.       If needed, prompt the operator to answer the phone.
 
__________
SAT  UNSAT
: 7. PERFORMANCE STEP: Complete form DBEP
-0012. STANDARD: Signs form DBEP
-0012 and checks Control Room. Returns form to Shift Manager. CUEIf required, tell the examinee not to fax form DBEP
-0010 to the EOF.
__________
SAT  UNSAT TERMINATING CUES:  This JPM is complete (Terminated by the examine r)
__________
END TIME Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A4 AG  Page 7 of 7   Verification of Completion Job Performance Measure No.  
 
Examinee's Name:
Examiner's Name:
Date Performed:
Facility Evaluator:
 
Number of Attempts:
Time to Complete:
 
Question Documentation:
 
Question:_____________________________________________________________
____________________________________________________________________________
________________________________________________________________
 
===Response===
__________________________________
___________________________
______________________________________________________________________
 
______________________________________________________________________
______________________________________________________________________
Result:  Satisfactory/Unsatisfactory Examiner's signature and date:
_______________________________________
 
FENOC NUCLEAR POWER PLANT INITIAL NOTIFICATION FORM Davis Besse DBEP-010-10  USE FOR: INITIAL CLASSIFICATIONS, CHANGES IN CLASSIFICATIONS, CHANGES IN PROTECTIVE ACTION RECOMMENDATIONS.
EVENT TERMINATION STATE / COUNTY USE ONLY DATE:  TIME:  MESSAGE NO:
____________
: 1. This is the:
Davis-Besse Nuclear Power Station
: 2. This is:
An Actual Emergency A Drill   3. a. A(n) GENERAL EMERGENCY SITE AREA EMERGENCY ALERT  UNUSUAL EVENT was declared at:
______ on _Today based on EAL:
__SU7__    (TIME) (DATE)     b. The Emergency situation has been terminated at:
______ on ______    (TIME)  (DATE)    c. The Protective Action Recommendation is being changed at:
______ on ______   (TIME) (DATE)  4. Brief non
-technical description of event:
Reactor Coolant System leak of 35 gallons per minute        5. The radiological conditions are:
: a. A non-routine release of radioactive material, as a result of this event, is in progress
: b. The release of radioactive material associated with this event has been terminated.
: c. NO Radiological Release in progress as a result of this event.
: 6. Utility Protective Action Recommendations (PAR's):
: a. Evacuation:  
  (check applicable subareas) 1       2       3       4      5      6      7      8      9      10      11      12  AND that potassium iodide (KI) be administered to the general public in accordance with State procedures. The general public in unaffected areas should be advised to go indoors and monitor EAS broadcasts.
: b. Sheltering:
  (check applicable subareas) 1      2      3      4      5      6      7      8      9 11 AND that potassium iodide (KI) be administered to the general public in accordance with State procedures. The general public in unaffected areas should be advised to go indoors and monitor EAS broadcasts.
: c. None            For Utility Use Only Approved:
_    __________________       
 
DAVIS-BESSE EMERGENCY NOTIFICATION COVER SHEET DBEP-012-09    INITIAL NOTIFICATION ACTUAL EMERGENCY USE FOR:  INITIAL CLASSIFICATIONS, CHANGES IN CLASSIFICATION, CHANGES IN PROTECTIVE ACTION RECOMMENDATIONS.
(Check Actual Emergency only if a real plant emergency exists)
PERIODIC UPDATE DRILL USE ONLY FOR UPDATING STATUS OF CURRENT CLASSIFICATION.
DO NOT USE FOR CHANGING CLASSIFICATIONS OR CHANGING PROTECTIVE ACTION RECOMMENDATIONS
. Initial Notification Form
/ Periodic Update Form completed by:
Joe Shift Manager Initial Notification Form / Periodic Update Form accuracy verified by:
John Shift Technical Advisor Communicator:
: 1. Ensure the Emergency Director has signed the Initial Notification Form / Periodic Update Form.
: 2. Initiate the 4
-Way Ringdown.
: 3. As parties answer, identify yourself and your facility.
: 4. Obtain and fill in information below:
TIME INITIAL CONTACT MADE COMPLETION TIME OF CALL 4-WAY RINGDOWN USED? YES          NO TIME OF CALLBACK (IF 4-WAY NOT USED)
INDIVIDUAL CALLING BACK (IF 4-WAY NOT USED)
OTTAWA COUNTY
 
LUCAS COUNTY
 
STATE OF OHIO
: 5. Initial Notification Form: Read information on the attached Initial Notification Form over the phone, document above the time lines 1 through 6 have been communicated, and then fax the form to Ottawa Co, Lucas Co, and the State of Ohio.
OR  Periodic Update Form:  Fax the attached Periodic Update Form to Ottawa Co, Lucas Co, and the State of Ohio, and then verify the information over the phone.
NOTE:  This coversheet should NOT be FAXED offsite. Control Room Emergency Operations Facility Signature of Communicator transmitting information


DAVIS-BESSE EMERGENCY NOTIFICATION COVER SHEET  DBEP-012-09    INITIAL NOTIFICATION  ACTUAL EMERGENCY USE FOR:  INITIAL CLASSIFICATIONS,  CHANGES IN CLASSIFICATION,  CHANGES IN PROTECTIVE ACTION RECOMMENDATIONS. (Check Actual Emergency only if a real plant emergency exists)  PERIODIC UPDATE  DRILL USE ONLY FOR UPDATING STATUS OF CURRENT CLASSIFICATION. DO NOT USE FOR CHANGING CLASSIFICATIONS OR CHANGING PROTECTIVE ACTION RECOMMENDATIONS. Initial Notification Form / Periodic Update Form completed by: Joe Shift Manager  Initial Notification Form / Periodic Update Form accuracy verified by: John Shift Technical Advisor  Communicator: 1. Ensure the Emergency Director has signed the Initial Notification Form / Periodic Update Form. 2. Initiate the 4-Way Ringdown. 3. As parties answer, identify yourself and your facility. 4. Obtain and fill in information below:  TIME INITIAL CONTACT MADE  COMPLETION TIME OF CALL 4-WAY RINGDOWN USED? YES          NO TIME OF CALLBACK (IF 4-WAY NOT USED)  INDIVIDUAL CALLING BACK (IF 4-WAY NOT USED)  OTTAWA COUNTY                                            LUCAS COUNTY                                            STATE OF OHIO                                              5. Initial Notification Form: Read information on the attached Initial Notification Form over the phone, document above the time lines 1 through 6 have been communicated, and then fax the form to Ottawa Co, Lucas Co, and the State of Ohio. OR  Periodic Update Form:  Fax the attached Periodic Update Form to Ottawa Co, Lucas Co, and the State of Ohio, and then verify the information over the phone. NOTE:  This coversheet should NOT be FAXED offsite. Control Room  Emergency Operations Facility Signature of Communicator transmitting information ANSWER KEY DO NOT GIVE TO CANDIDATE DAVIS-BESSE EMERGENCY NOTIFICATION COVER SHEET DBEP-012-09    INITIAL NOTIFICATION   ACTUAL EMERGENCY USE FOR:  INITIAL CLASSIFICATIONS, CHANGES IN CLASSIFICATION,   CHANGES IN PROTECTIVE ACTION RECOMMENDATIONS. (Check Actual Emergency only if a real plant emergency exists)   PERIODIC UPDATE   DRILL USE ONLY FOR UPDATING STATUS OF CURRENT CLASSIFICATION. DO NOT USE FOR CHANGING CLASSIFICATIONS OR CHANGING PROTECTIVE ACTION RECOMMENDATIONS. Initial Notification Form / Periodic Update Form completed by: Joe Shift Manager   Initial Notification Form / Periodic Update Form accuracy verified by: John Shift Technical Advisor Communicator: 1. Ensure the Emergency Director has signed the Initial Notification Form / Periodic Update Form. 2. Initiate the 4-Way Ringdown. 3. As parties answer, identify yourself and your facility. 4. Obtain and fill in information below:   TIME INITIAL CONTACT MADE  COMPLETION TIME OF CALL 4-WAY RINGDOWN USED? YES          NO TIME OF CALLBACK (IF 4-WAY NOT USED) INDIVIDUAL CALLING BACK (IF 4-WAY NOT USED) OTTAWA COUNTY < 15 min  Time                               LUCAS COUNTY < 15 min  Time                               STATE OF OHIO         Time                 Time Name  5. Initial Notification Form: Read information on the attached Initial Notification Form over the phone, document above the time lines 1 through 6 have been communicated, and then fax the form to Ottawa Co, Lucas Co, and the State of Ohio. OR  Periodic Update Form:  Fax the attached Periodic Update Form to Ottawa Co, Lucas Co, and the State of Ohio, and then verify the information over the phone. NOTE:  This coversheet should NOT be FAXED offsite. Signature of Communicator   Control Room   Emergency Operations Facility Signature of Communicator transmitting information Davis-Besse Initial License Exam 2015             Admin JPM SRO-A1.1 Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A1.1 AG  Page 2 of 8  Facility:             Davis-Besse    Task No:  332-004-02-0300    Task Title:      Review manual RCS Leakage Calculation     K/A  
ANSWER KEY DO NOT GIVE TO CANDIDATE DAVIS-BESSE EMERGENCY NOTIFICATION COVER SHEET DBEP-012-09    INITIAL NOTIFICATION ACTUAL EMERGENCY USE FOR:  INITIAL CLASSIFICATIONS, CHANGES IN CLASSIFICATION, CHANGES IN PROTECTIVE ACTION RECOMMENDATIONS.
(Check Actual Emergency only if a real plant emergency exists)
PERIODIC UPDATE DRILL USE ONLY FOR UPDATING STATUS OF CURRENT CLASSIFICATION.
DO NOT USE FOR CHANGING CLASSIFICATIONS OR CHANGING PROTECTIVE ACTION RECOMMENDATIONS.
Initial Notification Form
/ Periodic Update Form completed by:
Joe Shift Manager Initial Notification Form / Periodic Update Form accuracy verified by:
John Shift Technical Advisor Communicator:
: 1. Ensure the Emergency Director has signed the Initial Notification Form / Periodic Update Form.
: 2. Initiate the 4
-Way Ringdown.
: 3. As parties answer, identify yourself and your facility.
: 4. Obtain and fill in information below:
TIME INITIAL CONTACT MADE  COMPLETION TIME OF CALL 4-WAY RINGDOWN USED? YES          NO TIME OF CALLBACK (IF 4-WAY NOT USED)
INDIVIDUAL CALLING BACK (IF 4-WAY NOT USED)
OTTAWA COUNTY
  < 15 min  Time LUCAS COUNTY
  < 15 min  Time STATE OF OHIO Time Time Name  5. Initial Notification Form: Read information on the attached Initial Notification Form over the phone, document above the time lines 1 through 6 have been communicated, and then fax the form to Ottawa Co, Lucas Co, and the State of Ohio.
OR  Periodic Update Form:  Fax the attached Periodic Update Form to Ottawa Co, Lucas Co, and the State of Ohio, and then verify the information over the phone.
NOTE:  This coversheet should NOT be FAXED offsite.
Signature of Communicator Control Room Emergency Operations Facility Signature of Communicator transmitting information
 
Davis-Besse Initial License Exam 2015 Admin JPM SRO-A1.1 Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A1.1 AG  Page 2 of 8  Facility:
Davis-Besse    Task No:  332-004-02-0300    Task Title
:      Review manual RCS Leakage Calculation K/A  


==Reference:==
==Reference:==
2.1.20 (4.6) Job Performance Measure No:      SRO-A1.1 (New)    Examinee:           NRC Examiner:       Date:      Method of testing: Simulated Performance ___  Actual Performance _X_  Classroom _X_  Simulator ___  Plant ___
 
Read to the examinee: I will explain the initial conditions, which steps to simulate or discuss, and provide initiating cues.
2.1.20 (4.6) Job Performance Measure No
When you complete the task successfully, the objective for this job performance measure will be satisfied. Initial Conditions: The plant conditions are specified in the Initial Conditions and Initiating Cues. Task Standard: Perform manual RCS Leakage calculation and determine RCS Leakage within 0.5 gpm Required Materials: DB-SP-03357, RCS Water Inventory Balance with step 4.2.2 and Attachment 2 completed Curves CC 3.1 and CC 3.2a to CC3.2k from DB-PF-06703, Miscellaneous Curves Straight edge Calculator General  
:      SRO-A1.1 (New)    Examinee:
NRC Examiner:
Date:      Method of testing:
Simulated Performance
___  Actual Performance
_X_  Classroom
_X_  Simulator
___  Plant ___
Read to the examinee:
I will explain the initial conditions, which steps to simulate or discuss, and provide initiating cues.
When you complete the task successfully, the objective for this job performance measure will be satisfied.
Initial Conditions:
The plant conditions are specified in the Initial Conditions and Initiating Cues.
Task Standard:
Perform manual RCS Leakage calculation and determine RCS Leakage within 0.5 gpm Required Materials:
DB-SP-03357, RCS Water Inventory Balance with step 4.2.2 and Attachment 2 completed Curves CC 3.1 and CC 3.2a to CC3.2k from DB-PF-06703, Miscellaneous Curves Straight edge Calculator General  


==References:==
==References:==
Technical Specifications Initiating Cue: The plant conditions are specified in the Initial Conditions and Initiating Cues. Time Critical Task: No    Alternate Path: No Validation Time: 50 minutes Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A1.1 AG  Page 3 of 8  EXAMINER COPY INITIAL CONDITIONS:  The Plant is at 100% Power Makeup Tank Pressure is 25 psig The Computer is unavailable   INITIATION CUE: A Reactor Operator has performed a Manual Calculation of Leakage Rates per step 4.2.2 of DB SP-03357, RCS Water Inventory Balance. DB SP-03357 Section 4.1, Data Acquisition section data was verified correct and transferred to Attachment 3 from another procedure. Review the completed calculations for correctness. Correct any errors, if necessary, and determine if there are any Technical Specifications implications NOTE: DB-SP-03357, Attachment 2 has 4 pages (there is a page count error on Attachment 2 - page 1 of 3, 2 of 3, 3 of 3 and 4 of 4)  DOCUMENT THE RESULTS OF YOUR REVIEW ON THIS CUE SHEET  (Hand Candidate the following: DB-SP-03357, RCS Water Inventory Balance with step 4.2.2 and Attachment 2 completed DB-PF-06703, Miscellaneous Curves CC 3.1 and CC 3.2a to CC3.2k)
 
Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A1.1 AG  Page 4 of 8  CANDIDATE COPY  INITIAL CONDITIONS:  The Plant is at 100% Power Makeup Tank Pressure is 25 psig The Computer is unavailable   INITIATION CUE: A Reactor Operator has performed a Manual Calculation of Leakage Rates per step 4.2.2 of DB SP-03357, RCS Water Inventory Balance. DB SP-03357 Section 4.1, Data Acquisition section data was verified correct and transferred to Attachment 3 from another procedure. Review the completed calculations for correctness. Correct any errors, if necessary, and determine if there are any Technical Specifications implications NOTE: DB-SP-03357, Attachment 2 has 4 pages (there is a page count error on Attachment 2 - page 1 of 3, 2 of 3, 3 of 3 and 4 of 4) DOCUMENT THE RESULTS OF YOUR REVIEW ON THIS CUE SHEET Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A1.1 AG  Page 5 of 8 PERFORMANCE INFORMATION NOTE: Critical steps denoted with a "C". Failure to meet any one of these standards for this item constitutes failure. Sequence is NOT critical unless denoted in the "Comments". START TIME:  _______   1. PERFORMANCE STEP: Reviews the Initial Makeup Tank Inventory equations step 4.2.2.b ........C........ STANDARD: Recognize 67 inches was used versus 71 and corrects calculation:
Technical Specifications Initiating Cue:
The plant conditions are specified in the Initial Conditions and Initiating Cues.
Time Critical Task:
No    Alternate Path:
No Validation Time:
50 minutes
 
Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A1.1 AG  Page 3 of 8  EXAMINER COPY INITIAL CONDITIONS
:  The Plant is at 100% Power Makeup Tank Pressure is 25 psig
 
The Computer is unavailable INITIATION CUE:
A Reactor Operator has performed a Manual Calculation of Leakage Rates per step 4.2.2 of DB SP-03357, RCS Water Inventory Balance
. DB SP-03357 Section 4.1, Data Acquisition section data was verified correct and transferred to Attachment 3 from another procedure.
Review the completed calculations for correctness. Correct any errors, if necessary, and determine if there are any Technical Specifications implications NOTE: DB-SP-03357, Attachment 2 has 4 pages (there is a page count error on Attachment 2  
- page 1 of 3, 2 of 3, 3 of 3 and 4 of 4)  DOCUMENT THE RESULTS OF YOU R REVIEW ON THIS CUE SHEET  (Hand Candidate the following:
DB-SP-03357, RCS Water Inventory Balance with step 4.2.2 and Attachment 2 completed DB-PF-06703, Miscellaneous Curves CC 3.1 and CC 3.2a to CC3.2k
)
Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A1.1 AG  Page 4 of 8  CANDIDATE COPY  INITIAL CONDITIONS
:  The Plant is at 100% Power Makeup Tank Pressure is 25 psig The Computer is unavailable INITIATION CUE:
A Reactor Operator has performed a Manual Calculation of Leakage Rates per step 4.2.2 of DB SP-03357, RCS Water Inventory Balance.
DB SP-03357 Section 4.1, Data Acquisition section data was verified correct and transferred to Attachment 3 from another procedure.
Review the completed calculations for correctness. Correct any errors, if necessary, and determine if there are any Technical Specifications implications
 
NOTE: DB-SP-03357, Attachment 2 has 4 pages (there is a page count error on Attachment 2  
- page 1 of 3, 2 of 3, 3 of 3 and 4 of 4)
DOCUMENT THE RESULTS OF YOU R REVIEW ON THIS C UE SHEET Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A1.1 AG  Page 5 of 8 PERFORMANCE INFORMATION NOTE: Critical steps denoted with a "C". Failure to meet any one of these standards for this item constitutes failure. Sequence is NOT critical unless denoted in the "Comments".
START TIME:  _______
: 1. PERFORMANCE STEP: Reviews the Initial Makeup Tank Inventory equations step 4.2.2.b
  ........C........
STANDARD:
Recognize 67 inches was used versus 71 and corrects calculation:
 
Water Inventory = (Tank level
Water Inventory = (Tank level
* 4.124 ft&#xb3;/in
* 4.124 ft&#xb3;/in
* Calibration Density) + (77.85 ft&#xb3;
* Calibration Density) + (77.85 ft&#xb3;
* Water Density)          = (Tank level
* Water Density)  
         = (Tank level
* 4.124 ft&#xb3;/in
* 4.124 ft&#xb3;/in
* 62.325lbm/ ft&#xb3;) + (77.85 ft&#xb3;
* 62.325lbm/ ft&#xb3;) + (77.85 ft&#xb3;
* Water Density) Initial:     ( __71__ in.* 257 lbm/in ) + ( 77.85 ft&#xb3;
* Water Density)
* _62.0038    lbm/ft&#xb3;) = _23074 (+/- 10)_ lbm    CUE: None      __________       SAT  UNSAT   
Initial:
: 2. PERFORMANCE STEP: Reviews the Temperature Correction Factor data on Attachment 2 step 4.2.2.f ........C........
  ( __71__ in.* 257 lbm/in ) + ( 77.85 ft&#xb3;
STANDARD: Recognize curve was read incorrectly and corrects:   Temperature Correction Factor (Tave  &deg;F) Initial __-34350_(+/-50)  _ lbm Final      -35600  (+/-50)    lbm COMMENT: Error results from reading curve at 581.8 instead of 580.8   CUE: None      __________       SAT  UNSAT Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A1.1 AG  Page 6 of 8  3. PERFORMANCE STEP: Reviews the RCS Inventory Table to determine Initial and Final total RCS Inventory per step 4.2.2.h ........C........
* _62.0038    lbm/ft&#xb3;) =
STANDARD: Corrects data entered in the RCS Inventory Table and calculates the Initial and Final RCS Water Inventory MU Tank Inventory (lbm) + Pzr Steam Inventory (lbm) + Pzr Water Inventory (lbm) + Power Correction (lbm) + Temperature Correction (lbm) = Water Inventory (lbm) Initial:  23074  lbm +  3406.393  lbm +
_23074 (+/- 10)_ lbm    CUE: None      __________
35119.85  lbm +  135  lbm +  -34350  lbm =  27385.243 (+/- 250) lbm Final:  21275  lbm +  3341.05  lbm +  35570.146 lbm +  135  lbm +  -35600  lbm =  24721.196 (+/- 250) lbm CUE: None      __________       SAT  UNSAT   4. PERFORMANCE STEP: Reviews Change in RCS Inventory calculation .......C......... STANDARD: Recognizes error and corrects step 4.2.2.i to determine RCS Inventory Change  Change  = Initial inventory - Final inventory     Change = 27385.243_ lbm - _24721.196 lbm 2664.047 (+/- 40)_ lbm    CUE: None      __________       SAT  UNSAT Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A1.1 AG  Page 7 of 8  5. PERFORMANCE STEP: Verifies the Total RCS Leak Rate calculation per step 4.2.2.k .......C......... STANDARD: Corrects step 4.2.2.k error to determine correct Leak Rate   lbm 62.32ft  x  ftgallons 7.481  x  timeInventory RCSin  Change    Leakrate33    Leakrate =  ( 2664.047 lbm) &#xf7; ( 246 min) x  (0.120 gal/lbm)    Leakrate = 1.299 (+/- 0.02)  gpm    CUE: None      __________       SAT  UNSAT   6. PERFORMANCE STEP: Determines Unidentified Leakage .......C......... STANDARD: Determines Unidentified Leakage is 1.288 (+/- .2) gpm     1.299 gpm (Total Leak Rate from Attachment 2)     - Identified leakage 0.011 gpm (Given) = 1.288 gpm   CUE: None      __________       SAT  UNSAT   7. PERFORMANCE STEP: Reviews Technical Specification applicability .......C......... STANDARD: Determines Technical Specification 3.4.13 RCS Operational Leakage applies  for LCO 3.4.13 b. Condition A should be entered for unidentified leakage greater than 1.0 GPM    CUE: None      __________       SAT  UNSAT   TERMINATING CUES:  This JPM is complete (Terminated by the examiner)        __________       END TIME Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A1.1 AG  Page 8 of 8  Verification of Completion Job Performance Measure No.       Examinee's Name:
SAT  UNSAT   
Examiner's Name:         Date Performed:         Facility Evaluator:
: 2. PERFORMANCE STEP: Reviews the Temperature Correction Factor data on Attachment 2 step 4.2.2.f
Number of Attempts:         Time to Complete:
  ........C........
Question Documentation:
 
Question:_____________________________________________________________ ____________________________________________________________________________
STANDARD:
________________________________________________________________ Response:_____________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________  Result:  Satisfactory/Unsatisfactory Examiner's signature and date: _______________________________________
Recognize curve was read incorrectly and corrects:
20    Revision   ATTACHMENT 2: RCS/MU AND PURIFICATION LEAK RATE CALCULATION SHEET Page 1 of 3 Note: For parameters which utilize averaging of redundant channels, eliminate inoperable channels from the average and reduce the denominator accordingly. If a Th or Tc point is unavailable, eliminate it and the opposing point (Tc or Th) from the same loop, and reduce the denominator by 2. ITEM PARAMETER SOURCE UNITS INITIAL VALUE FINAL  VALUE  1 Time Control Room clock or computer hr:min Step 4.1.4 Step 4.1.10 1905 2311  2 Makeup Tank Temp T769 or TI MU8  &deg;F 100 100  3 Makeup Tank Level (2 channel ave) [L761+L763]2, or LR MU16  in. 71 64 4 RCS Pressure (4 ch ave) [P721+P722+P729+P730]4, PRSRC2A2, or PRSRC2B (1)  psi 2156 2161  5 Pressurizer Level LRS RC14 or L768  in. 218 222 6 Ave Power [R795+R804+R814+R820]4,C913, or NR NI6 % 100 100 7 Tave  (8 ch ave) TI RC7, or: [T719+T720+T728+T729+ T780+T800+T820+T840]8 (2) &deg;F 580.8 582.3  (1)  If less than 1700 psig RCS Pressure use the average of P725 and P732 (loop 1 and loop 2 WR Pressure).  (2)  If less than 520&deg;F RCS Temperature then average T753 and T782 (loop 1 and loop 2 WR Temperature).
Temperature Correction Factor (Tave  &deg;F) Initial __-34350_(+/-50)  _ lbm Final      -35600  (+/-50)    lbm COMMENT: Error results from reading curve at 581.8 instead of 580.8 CUE: None      __________
4.2.2.a Makeup Tank Water Density (from Attachment 4) Initial ____62.0038______ lbm/ft&#xb3;  Final  ___ 62.0038______ lbm/ft&#xb3; 4.2.2.b Makeup Tank Inventory Note: 77.85 ft&#xb3; accounts for water volume below the level indicating range. Water Inventory = (Tank level
SAT  UNSAT
 
Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A1.1 AG  Page 6 of 8  3. PERFORMANCE STEP: Reviews the RCS Inventory Table to determine Initial and Final total RCS Inventory per step 4.2.2.h
  ........C........
 
STANDARD:
Corrects data entered in the RCS Inventor y Table and calculate s the Initial and Final RCS Water Inventory MU Tank Inventory (lbm) + Pzr Steam Inventory (lbm) + Pzr Water Inventory (lbm) + Power Correction (lbm) + Temperature Correction (lbm) = Water Inventory (lbm) Initial:  23074  lbm +  3406.393  lbm +
35119.85  lbm +  135  lbm +  -34350  lbm =  27385.243 (+/- 250) lbm Final:  21275  lbm +  3341.05  lbm +  35570.146 lbm +  135  lbm +  -35600  lbm =  24721.196 (+/- 250) lbm CUE: None      __________
SAT  UNSAT
: 4. PERFORMANCE STEP: Reviews Change in RCS Inventory calculation
  .......C.........
STANDARD:
Recognizes error and corrects step 4.2.2.i to determine RCS Inventory Change  Change  = Initial inventory  
- Final inventory Change = 27385.243_ lbm - _24721.196 lbm 2664.047 (+/- 40)_ lbm    CUE: None      __________
SAT  UNSAT
 
Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A1.1 AG  Page 7 of 8  5. PERFORMANCE STEP: Verifies the Total RCS Leak Rate calculation per step 4.2.2.k
  .......C.........
STANDARD:
Corrects step 4.2.2.k error to determine correct Leak Rate lbm 62.32ft  x  ftgallons 7.481  x  timeInventory RCSin  Change    Leakrate33    Leakrate =  (
2664.047 lbm) &#xf7; (
246 min) x  (0.120 gal/lbm)    Leakrate =
1.299 (+/- 0.02)  gpm    CUE: None      __________
SAT  UNSAT
: 6. PERFORMANCE STEP: Determines Unidentified Leakage
  .......C.........
STANDARD:
Determines Unidentified Leakage is 1.288 (+/- .2) gpm 1.299 gpm (Total Leak Rate from Attachment 2)
    - Identified leakage 0.011 gpm (Given) = 1.288 gpm CUE: None      __________
SAT  UNSAT
: 7. PERFORMANCE STEP: Reviews Technical Specification applicability
  .......C.........
STANDARD:
Determines Technical Specification 3.4.13 RCS Operational Leakage applies  for LCO 3.4.13 b. Condition A should be entered for unidentified leakage greater than 1.0 GPM    CUE: None      __________
SAT  UNSAT TERMINATING CUES:  This JPM is complete (Terminated by the examine r)        __________
END TIME Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A1.1 AG  Page 8 of 8  Verification of Completion Job Performance Measure No.
Examinee's Name:  
 
Examiner's Name:
Date Performed:
Facility Evaluator:
 
Number of Attempts:
Time to Complete:  
 
Question Documentation:  
 
Question:_____________________________________________________________
____________________________________________________________________________
 
_________________________________________________________
_______ Response:
_____________________________________________________________
______________________________________________________________________
______________________________________________________________________
__________________________________
____________________________________
Result:  Satisfactory/Unsatisfactory
 
Examiner's signature and date:
_______________________________________
 
20    Revision ATTACHMENT 2:
RCS/MU AND PURIFICATION LEAK RATE CALCULATION SHEET Page 1 of 3 Note: For parameters which utilize averaging of redundant channels, eliminate inoperable channels from the average and reduce the denominator accordingly.
If a Th or Tc point is unavailable, eliminate it and the opposing point (Tc or Th) from the same loop, and reduce the denominator by 2.
ITEM PARAMETER SOURCE UNITS INITIAL VALUE FINAL  VALUE  1 Time Control Room clock or computer hr:min Step 4.1.4 Step 4.1.10 1905 2311  2 Makeup Tank Temp T769 or TI MU8  &deg;F 100 100  3 Makeup Tank Level (2 channel ave)
[L761+L763]2, or LR MU16  in. 71 64 4 RCS Pressure (4 ch ave)
[P721+P722+P729+P730]4, PRSRC2A2, or PRSRC2B (1)  psi 2156 2161  5 Pressurizer Level LRS RC14 or L768  in. 218 222 6 Ave Power
[R795+R804+R814+R820]4,C913, or NR NI6 % 100 100 7 Tave  (8 ch ave)
TI RC7, or: [T719+T720+T728+T729+
T780+T800+T820+T840]8 (2) &deg;F 580.8 582.3  (1)  If less than 1700 psig RCS Pressure use the average of P725 and P732 (loop 1 and loop 2 WR Pressure).  
  (2)  If less than 520&deg;F RCS Temperature then average T753 and T782 (loop 1 and loop 2 WR Temperature).  
 
4.2.2.a Makeup Tank Water Density (from Attachment 4)
Initial ____62.0038______ lbm/ft&#xb3;  Final  ___ 62.0038______ lbm/ft&#xb3; 4.2.2.b Makeup Tank Inventory Note: 77.85 ft&#xb3; accounts for water volume below the level indicating range.
Water Inventory = (Tank level
* 4.124 ft&#xb3;/in
* 4.124 ft&#xb3;/in
* Calibration Density) + (77.85 ft&#xb3;
* Calibration Density) + (77.85 ft&#xb3;
* Water Density)          = (Tank level
* Water Density)  
         = (Tank level
* 4.124 ft&#xb3;/in
* 4.124 ft&#xb3;/in
* 62.325lbm/ ft&#xb3;) + (77.85 ft&#xb3;
* 62.325lbm/ ft&#xb3;) + (77.85 ft&#xb3;
* Water Density) Initial:     ( ___67______ in.* 257 lbm/in ) + ( 77.85 ft&#xb3;
* Water Density)
* _62.0038    lbm/ft&#xb3;) = _22046_ lbm  __mlk__ IV Final:      (___64______ in.* 257 lbm/in ) + ( 77.85 ft&#xb3;
Initial:
* _62.0038    lbm/ft&#xb3;) = _21275_ lbm  __mlk__ IV 21    Revision   ATTACHMENT 2: RCS/MU AND PURIFICATION LEAK RATE CALCULATION SHEET Page 2 of 3 4.2.2.c Pressurizer Inventory Density (from Attachment 6)   Water Initial ___37.71________ lbm/ft&#xb3; Steam Initial ____6.02_________ lbm/ft&#xb3;   Water Final ____37.68________ lbm/ft&#xb3; Steam Final  ____6.04_________ lbm/ft&#xb3;   4.2.2.d Pressurizer Inventory Note:  239.6 ft&#xb3; accounts for water volume below the level indicating range. 242.2 ft&#xb3; accounts for steam volume above the level indicating range. Water Inventory = (level
  ( ___67______ in.* 257 lbm/in ) + ( 77.85 ft&#xb3;
* _62.0038    lbm/ft&#xb3;) = _22046_ lbm  __mlk__ IV Final:      (___64______
in.* 257 lbm/in ) + ( 77.85 ft&#xb3;
* _62.0038    lbm/ft&#xb3;) = _21275_ lbm  __mlk__ IV 21    Revision ATTACHMENT 2:
RCS/MU AND PURIFICATION LEAK RATE CALCULATION SHEET Page 2 of 3 4.2.2.c Pressurizer Inventory Density (from Attachment 6)
Water Initial ___37.71________
lbm/ft&#xb3; Steam Initial ____6.02_________ lbm/ft&#xb3; Water Final ____37.68________ lbm/ft&#xb3; Steam Final  ____6.04_________ lbm/ft&#xb3; 4.2.2.d Pressurizer Inventory Note:  239.6 ft&#xb3; accounts for water volume below the level indicating range.
242.2 ft&#xb3; accounts for steam volume above the level indicating range.
Water Inventory = (level
* 3.173 ft&#xb3;/in + 239.6 ft&#xb3;)
* 3.173 ft&#xb3;/in + 239.6 ft&#xb3;)
* Water Density   Water Initial:    [(___218_____ in.
* Water Density Water Initial:    [(___218_____ in.
* 3.173 ft&#xb3;/in) + 239.6 ft&#xb3;]
* 3.173 ft&#xb3;/in) + 239.6 ft&#xb3;]
* 37.71  lbm/ft&#xb3; = _35119.85 lbm __mlk__ IV Water Final:   [(___222_____ in.
* 37.71  lbm/ft&#xb3; = _35119.85 lbm __mlk__ IV Water Final:
  [(___222_____ in.
* 3.173 ft&#xb3;/in) + 239.6 ft&#xb3;]
* 3.173 ft&#xb3;/in) + 239.6 ft&#xb3;]
* 37.68  lbm/ft&#xb3; = _35570.146 lbm __mlk__ IV  Steam Inventory =[((320 - level)
* 37.68  lbm/ft&#xb3; = _35570.146 lbm __mlk__ IV  Steam Inventory =[((320  
- level)
* 3.173 ft&#xb3;/in) + 242.2 ft&#xb3;]
* 3.173 ft&#xb3;/in) + 242.2 ft&#xb3;]
* Steam Density   Steam Initial:   [((320 - _218__in)
* Steam Density Steam Initial:
  [((320 - _218__in)
* 3.173 ft&#xb3;/in) + 242.2 ft&#xb3;]
* 3.173 ft&#xb3;/in) + 242.2 ft&#xb3;]
* 6.02 lbm/ft&#xb3;) = _3406.393________ lbm __mlk__ IV  Steam Final:   [((320 - __222__in)
* 6.02 lbm/ft&#xb3;) = _3406.393________ lbm
__mlk__ IV  Steam Final:
  [((320 - __222__in)
* 3.173 ft&#xb3;/in) + 242.2 ft&#xb3;]
* 3.173 ft&#xb3;/in) + 242.2 ft&#xb3;]
* 6.04  lbm/ft&#xb3;) = _3341.05         __ lbm __mlk__ IV 4.2.2.e Power Correction Factor   Initial _____135____________ lbm   Final  _____135____________ lbm 4.2.2.f Temperature Correction Factor (Tave >528&deg;)  Initial ______-35200________ lbm   Final  _____-35600_________ lbm 22    Revision   ATTACHMENT 2: RCS/MU AND PURIFICATION LEAK RATE CALCULATION SHEET Page 3 of 3 4.2.2.g Temperature Correction Factor (Tave <528&deg;)  Reactor Coolant System Density (from Attachment 5) N/A  At initial Tave ___________________ lbm/ft&#xb3; At final Tave ___________________ lbm/ft&#xb3; Temperature Correction Factor (TCF)
* 6.04  lbm/ft&#xb3;) = _3341.05
__ lbm __mlk__ IV 4.2.2.e Power Correction Factor Initial _____
135____________ lbm Final  _____
135____________ lbm 4.2.2.f Temperature Correction Factor (Tave >528&deg;)  Initial ______-35200________ lbm Final  _____
-35600_________ lbm
 
22    Revision ATTACHMENT 2:
RCS/MU AND PURIFICATION LEAK RATE CALCULATION SHEET Page 3 of 3 4.2.2.g Temperature Correction Factor (Tave <528&deg;)  Reactor Coolant System Density (from Attachment 5)
N/A  At initial Tave ___________________ lbm/ft&#xb3;
 
At final Tave ___________________ lbm/ft&#xb3; Temperature Correction Factor (TCF)
 
TCF = [(10,277 + (0.24828
TCF = [(10,277 + (0.24828
* Tave))
* Tave))
* Reactor Coolant System Density] - 498,800  Initial: [(10,277 ft&#xb3; + (0.24828 ft&#xb3;/&deg;F* _______&deg;F))
* Reactor Coolant System Density]  
* _______ lbm/ft&#xb3;] - 498,800 lbm = _______ lbm ________ IV Final: [(10,277 ft&#xb3; + (0.24828 ft&#xb3;/&deg;F* _______&deg;F))
- 498,800  Initial: [(10,277 ft&#xb3;
* _______ lbm/ft&#xb3;] - 498,800 lbm = _______ lbm ________ IV 4.2.2.h RCS Inventory  MU Tank Inventory (lbm) + Pzr Steam Inventory (lbm) + Pzr Water Inventory (lbm) + Power Correction (lbm) + Temperature Correction (lbm) = Water Inventory (lbm) Initial:  22046  lbm +  3406.393  lbm +  35119.85  lbm +  135  lbm +  -35200  lbm =  25507.243 lbm Final:
+ (0.24828 ft&#xb3;/&deg;F* _______&deg;F))
21275  lbm +  3341.05  lbm +  35570.146 lbm +  135  lbm +  -35600  lbm =  24721.196 lbm  4.2.2.i  Change in RCS Inventory Change  = Initial inventory - Final inventory     Change = 25507.243_ lbm - 24721.196 lbm =  786.047_ lbm  __mlk__ IV 23    Revision   ATTACHMENT 2: RCS/MU AND PURIFICATION LEAK RATE CALCULATION SHEET Page 4 of 4 4.2.2.j Time period   Period  = Final time - Initial time   Period = [(_23___ hr x 60) + (  11      min)] - [(__19__ hr x 60) + ( 5    min)]  =  _246____ min __mlk__ IV 4.2.2.k  Total RCS Leak Rate   lbm 62.32ft  x  ftgallons 7.481  x  timeInventory RCSin  Change    Leakrate33    Leakrate =  ( 786.047  lbm) &#xf7; ( 246 min) x  (0.120 gal/lbm)     Leakrate =  .383  gpm  __mlk__ IV Independent Verification Completed by ___MLKlein__________________________ Date  Today 24    Revision   ATTACHMENT 3: UNIDENTIFIED RCS LEAKAGE CALCULATION SHEET Page 1 of 1 4.2.1.f RCP Seals Leak Rate from computer printout, or from Attachment 1. (4.2.1.e)    ___.011___ gpm   4.2.1.j Quench Tank In-Leakage Rate from computer printout, or from Attachment 1. (4.2.1.i). Only record Positive values  (exclude negative values by entering 0.000). _____.0___ gpm 4.2.2.l RCS Total Leak Rate from computer printout, or from Attachment 2. ___.383___ gpm  4.2.3.a Primary to Secondary Tube Leakage from computer printout, or from most recent entry in RCS Leakage Log, RO Log, or as determined by Chemistry. _____.0___ gpm   (0.104 allowed) 4.2.3.b Other Identified Leakage, or from RCS Leakage Log. _____.0___ gpm   4.2.3.c Total Identified Leak Rate from computer printout, or from; RCP Seals + Quench Tk + Pri to Sec + Other                                          ( 4.2.1.e  +  4.2.1.i [positive values only] +  4.2.3.a  +  4.2.3.b ). ___mlk___      IV ____.011__ gpm   (10 gpm allowed) 4.2.3.d Unidentified Leak Rate from computer printout, or from; Total Leak Rate - Total Identified Leak Rate                                      ( 4.2.2.k  -  4.2.3.c ) ___mlk____      IV ____.382__ gpm   (1 gpm allowed)   4.2.3.e Reactor Coolant Pressure Boundary Leakage _____.0___ gpm   (0 gpm allowed)
* _______ lbm/ft&#xb3;]  
Independent Verification Completed by ___MLKlein________Date    Today  Performed by:                   Rx Operator     Date:    Today 20    Revision   ATTACHMENT 2: RCS/MU AND PURIFICATION LEAK RATE CALCULATION SHEET Page 1 of 3 Note: For parameters which utilize averaging of redundant channels, eliminate inoperable channels from the average and reduce the denominator accordingly. If a Th or Tc point is unavailable, eliminate it and the opposing point (Tc or Th) from the same loop, and reduce the denominator by 2. ITEM PARAMETER SOURCE UNITS INITIAL VALUE FINAL  VALUE  1 Time Control Room clock or computer hr:min Step 4.1.4 Step 4.1.10 1905 2311  2 Makeup Tank Temp T769 or TI MU8  &deg;F 100 100  3 Makeup Tank Level (2 channel ave) [L761+L763]2, or LR MU16  in. 71 64 4 RCS Pressure (4 ch ave) [P721+P722+P729+P730]4, PRSRC2A2, or PRSRC2B (1)  psi 2156 2161  5 Pressurizer Level LRS RC14 or L768  in. 218 222 6 Ave Power [R795+R804+R814+R820]4,C913, or NR NI6 % 100 100 7 Tave  (8 ch ave) TI RC7, or: [T719+T720+T728+T729+ T780+T800+T820+T840]8 (2) &deg;F 580.8 582.3  (1)  If less than 1700 psig RCS Pressure use the average of P725 and P732 (loop 1 and loop 2 WR Pressure).  (2)  If less than 520&deg;F RCS Temperature then average T753 and T782 (loop 1 and loop 2 WR Temperature).
- 498,800 lbm = _______ lbm
4.2.2.a Makeup Tank Water Density (from Attachment 4) Initial ____62.0038______ lbm/ft&#xb3;  Final  ___ 62.0038______ lbm/ft&#xb3; 4.2.2.b Makeup Tank Inventory Note: 77.85 ft&#xb3; accounts for water volume below the level indicating range. Water Inventory = (Tank level
________ IV Final: [(10,277 ft&#xb3; + (0.24828 ft&#xb3;/&deg;F* _______&deg;F))
* _______ lbm/ft&#xb3;]  
- 498,800 lbm = _______ lbm
________ IV 4.2.2.h RCS Inventory  MU Tank Inventory (lbm) + Pzr Steam Inventory (lbm) + Pzr Water Inventory (lbm) + Power Correction (lbm) + Temperature Correction (lbm) = Water Inventory (lbm) Initial:  22046  lbm +  3406.393  lbm +  35119.85  lbm +  135  lbm +  -35200  lbm =  25507.243 lbm Final:
21275  lbm +  3341.05  lbm +  35570.146 lbm +  135  lbm +  -35600  lbm =  24721.196 lbm  4.2.2.i  Change in RCS Inventory Change  = Initial inventory  
- Final inventory Change =
25507.243_ lbm - 24721.196 lbm =  786.047_ lbm  __mlk__ IV 23    Revision ATTACHMENT 2:
RCS/MU AND PURIFICATION LEAK RATE CALCULATION SHEET Page 4 of 4 4.2.2.j Time period Period  = Final time  
- Initial time Period = [(_
23___ hr x 60)
+ (  11      min)] - [(__19__ hr x 60) + (
5    min)]  =  _
246____ min __mlk__ IV 4.2.2.k  Total RCS Leak Rate lbm 62.32ft  x  ftgallons 7.481  x  timeInventory RCSin  Change    Leakrate33    Leakrate =  (
786.047  lbm) &#xf7; (
246 min) x  (0.120 gal/lbm)
Leakrate =  
  .383  gpm  __mlk__ IV Independent Verification Completed by ___MLKlein__________________________ Date  Today 24    Revision ATTACHMENT 3:
UNIDENTIFIED RCS LEAKAGE CALCULATION SHEET Page 1 of 1 4.2.1.f RCP Seals Leak Rate from computer printout, or from Attachment
: 1. (4.2.1.e)    ___.011___ gpm 4.2.1.j Quench Tank In
-Leakage Rate from computer printout, or from Attachment 1. (4.2.1.i). Only record Positive values  (exclude negative values by entering 0.000).
_____.0___ gpm 4.2.2.l RCS Total Leak Rate from computer printout, or from Attachment
: 2. ___.383___ gpm  4.2.3.a Primary to Secondary Tube Leakage from computer printout, or from most recent entry in RCS Leakage Log, RO Log, or as determined by Chemistry.
_____.0___ gpm (0.104 allowed) 4.2.3.b Other Identified Leakage,  
 
or from RCS Leakage Log.
_____.0___ gpm 4.2.3.c Total Identified Leak Rate from computer printout, or from; RCP Seals + Quench Tk + Pri to Sec + Other                                           
( 4.2.1.e  +  4.2.1.i [positive values only] +  4.2.3.a  +  4.2.3.b ). ___mlk___      IV ____.011__ gpm (10 gpm allowed) 4.2.3.d Unidentified Leak Rate from computer printout, or from; Total Leak Rate  
- Total Identified Leak Rate                                       
( 4.2.2.k  -  4.2.3.c ) ___mlk____      IV ____.382__ gpm (1 gpm allowed) 4.2.3.e Reactor Coolant Pressure Boundary Leakage
_____.0___ gpm (0 gpm allowed)
 
Independent Verification Completed by
___MLKlein________Date    Today  Performed by:
Rx Operator Date:    Today 20    Revision ATTACHMENT 2:
RCS/MU AND PURIFICATION LEAK RATE CALCULATION SHEET Page 1 of 3 Note: For parameters which utilize averaging of redundant channels, eliminate inoperable channels from the average and reduce the denominator accordingly.
If a Th or Tc point is unavailable, eliminate it and the opposing point (Tc or Th) from the same loop, and reduce the denominator by 2.
ITEM PARAMETER SOURCE UNITS INITIAL VALUE FINAL  VALUE  1 Time Control Room clock or computer hr:min Step 4.1.4 Step 4.1.10 1905 2311  2 Makeup Tank Temp T769 or TI MU8  &deg;F 100 100  3 Makeup Tank Level (2 channel ave)
[L761+L763]2, or LR MU16  in. 71 64 4 RCS Pressure (4 ch ave)
[P721+P722+P729+P730]4, PRSRC2A2, or PRSRC2B (1)  psi 2156 2161  5 Pressurizer Level LRS RC14 or L768  in. 218 222 6 Ave Power
[R795+R804+R814+R820]4,C913, or NR NI6 % 100 100 7 Tave  (8 ch ave)
TI RC7, or: [T719+T720+T728+T729+
T780+T800+T820+T840]8 (2) &deg;F 580.8 582.3  (1)  If less than 1700 psig RCS Pressure use the average of P725 and P732 (loop 1 and loop 2 WR Pressure).  
  (2)  If less than 520&deg;F RCS Temperature then average T753 and T782 (loop 1 and loop 2 WR Temperature).  
 
4.2.2.a Makeup Tank Water Density (from Attachment 4)
Initial ____62.0038______ lbm/ft&#xb3;  Final  ___ 62.0038______ lbm/ft&#xb3; 4.2.2.b Makeup Tank Inventory Note: 77.85 ft&#xb3; accounts for water volume below the level indicating range.
Water Inventory = (Tank level
* 4.124 ft&#xb3;/in
* 4.124 ft&#xb3;/in
* Calibration Density) + (77.85 ft&#xb3;
* Calibration Density) + (77.85 ft&#xb3;
* Water Density)          = (Tank level
* Water Density)  
         = (Tank level
* 4.124 ft&#xb3;/in
* 4.124 ft&#xb3;/in
* 62.325lbm/ ft&#xb3;) + (77.85 ft&#xb3;
* 62.325lbm/ ft&#xb3;) + (77.85 ft&#xb3;
* Water Density) Initial:     ( ___71______ in.* 257 lbm/in ) + ( 77.85 ft&#xb3;
* Water Density)
* _62.0038    lbm/ft&#xb3;) = _23074_ lbm  __mlk__ IV Final:      (___64______ in.* 257 lbm/in ) + ( 77.85 ft&#xb3;
Initial:
* _62.0038    lbm/ft&#xb3;) = _21275_ lbm  __mlk__ IV 21    Revision   ATTACHMENT 2: RCS/MU AND PURIFICATION LEAK RATE CALCULATION SHEET Page 2 of 3 4.2.2.c Pressurizer Inventory Density (from Attachment 6)   Water Initial ___37.71________ lbm/ft&#xb3; Steam Initial ____6.02_________ lbm/ft&#xb3;   Water Final ____37.68________ lbm/ft&#xb3; Steam Final  ____6.04_________ lbm/ft&#xb3;   4.2.2.d Pressurizer Inventory Note:  239.6 ft&#xb3; accounts for water volume below the level indicating range. 242.2 ft&#xb3; accounts for steam volume above the level indicating range. Water Inventory = (level
  ( ___71______ in.* 257 lbm/in ) + ( 77.85 ft&#xb3;
* _62.0038    lbm/ft&#xb3;) = _23074_ lbm  __mlk__ IV Final:      (___64______
in.* 257 lbm/in ) + ( 77.85 ft&#xb3;
* _62.0038    lbm/ft&#xb3;) = _21275_ lbm  __mlk__ IV 21    Revision ATTACHMENT 2:
RCS/MU AND PURIFICATION LEAK RATE CALCULATION SHEET Page 2 of 3 4.2.2.c Pressurizer Inventory Density (from Attachment 6)
Water Initial ___37.71________
lbm/ft&#xb3; Steam Initial ____6.02_________ lbm/ft&#xb3; Water Final ____37.68________ lbm/ft&#xb3; Steam Final  ____6.04_________ lbm/ft&#xb3; 4.2.2.d Pressurizer Inventory Note:  239.6 ft&#xb3; accounts for water volume below the level indicating range.
242.2 ft&#xb3; accounts for steam volume above the level indicating range.
Water Inventory = (level
* 3.173 ft&#xb3;/in + 239.6 ft&#xb3;)
* 3.173 ft&#xb3;/in + 239.6 ft&#xb3;)
* Water Density   Water Initial:    [(___218_____ in.
* Water Density Water Initial:    [(___218_____ in.
* 3.173 ft&#xb3;/in) + 239.6 ft&#xb3;]
* 3.173 ft&#xb3;/in) + 239.6 ft&#xb3;]
* 37.71  lbm/ft&#xb3; = _35119.85 lbm ___mlk__ IV Water Final:   [(___222_____ in.
* 37.71  lbm/ft&#xb3; = _35119.85 lbm ___mlk__ IV Water Final:
  [(___222_____ in.
* 3.173 ft&#xb3;/in) + 239.6 ft&#xb3;]
* 3.173 ft&#xb3;/in) + 239.6 ft&#xb3;]
* 37.68  lbm/ft&#xb3; = _35570.146 lbm __mlk__ IV  Steam Inventory =[((320 - level)
* 37.68  lbm/ft&#xb3; = _35570.146 lbm __mlk__ IV  Steam Inventory =[((320  
- level)
* 3.173 ft&#xb3;/in) + 242.2 ft&#xb3;]
* 3.173 ft&#xb3;/in) + 242.2 ft&#xb3;]
* Steam Density   Steam Initial:   [((320 - _218__in)
* Steam Density Steam Initial:
  [((320 - _218__in)
* 3.173 ft&#xb3;/in) + 242.2 ft&#xb3;]
* 3.173 ft&#xb3;/in) + 242.2 ft&#xb3;]
* 6.02 lbm/ft&#xb3;) = _3406.393________ lbm __mlk__ IV  Steam Final:   [((320 - __222__in)
* 6.02 lbm/ft&#xb3;) = _3406.393________ lbm
__mlk__ IV  Steam Final:
  [((320 - __222__in)
* 3.173 ft&#xb3;/in) + 242.2 ft&#xb3;]
* 3.173 ft&#xb3;/in) + 242.2 ft&#xb3;]
* 6.04  lbm/ft&#xb3;) = _3341.05         __ lbm __mlk__ IV 4.2.2.e Power Correction Factor   Initial _____135_____________ lbm   Final  _____135____________ lbm 4.2.2.f Temperature Correction Factor (Tave >528&deg;)  Initial ______-34350___________ lbm   Final  _____-35600___________ lbm 22    Revision   ATTACHMENT 2: RCS/MU AND PURIFICATION LEAK RATE CALCULATION SHEET Page 3 of 3 4.2.2.g Temperature Correction Factor (Tave <528&deg;)  Reactor Coolant System Density (from Attachment 5) N/A  At initial Tave ___________________ lbm/ft&#xb3; At final Tave ___________________ lbm/ft&#xb3; Temperature Correction Factor (TCF)
* 6.04  lbm/ft&#xb3;) = _3341.05
__ lbm __mlk__ IV 4.2.2.e Power Correction Factor Initial _____
135_____________ lbm Final  _____
135____________ lbm 4.2.2.f Temperature Correction Factor (Tave >528&deg;)  Initial ______
-34350___________ lbm Final  _____
-35600___________ lbm
 
22    Revision ATTACHMENT 2:
RCS/MU AND PURIFICATION LEAK RATE CALCULATION SHEET Page 3 of 3 4.2.2.g Temperature Correction Factor (Tave <528&deg;)  Reactor Coolant System Density (from Attachment 5)
N/A  At initial Tave ___________________ lbm/ft&#xb3;
 
At final Tave ___________________ lbm/ft&#xb3; Temperature Correction Factor (TCF)
 
TCF = [(10,277 + (0.24828
TCF = [(10,277 + (0.24828
* Tave))
* Tave))
* Reactor Coolant System Density] - 498,800  Initial: [(10,277 ft&#xb3; + (0.24828 ft&#xb3;/&deg;F* _______&deg;F))
* Reactor Coolant System Density]  
* _______ lbm/ft&#xb3;] - 498,800 lbm = _______ lbm ________ IV Final: [(10,277 ft&#xb3; + (0.24828 ft&#xb3;/&deg;F* _______&deg;F))
- 498,800  Initial: [(10,277 ft&#xb3; + (0.24828 ft&#xb3;/&deg;F* _______&deg;F))
* _______ lbm/ft&#xb3;] - 498,800 lbm = _______ lbm ________ IV 4.2.2.h RCS Inventory MU Tank Inventory (lbm) + Pzr Steam Inventory (lbm) + Pzr Water Inventory (lbm) + Power Correction (lbm) + Temperature Correction (lbm) = Water Inventory (lbm) Initial:  23074  lbm +  3406.393  lbm +  35119.85  lbm +  135  lbm +  -34350  lbm =  27385.243  lbm Final:
* _______ lbm/ft&#xb3;]  
21275  lbm +  3341.05  lbm +  35570.146 lbm +  135  lbm +  -35600  lbm =  24721.196 lbm  4.2.2.i  Change in RCS Inventory Change  = Initial inventory - Final inventory     Change = 27385.243_ lbm - 24721.196 lbm =  2664.047_ lbm  __mlk__ IV 23    Revision   ATTACHMENT 2: RCS/MU AND PURIFICATION LEAK RATE CALCULATION SHEET Page 4 of 4 4.2.2.j Time period   Period  = Final time - Initial time   Period = [(_23___ hr x 60) + (   11      min)] - [(__19__ hr x 60) + ( 5    min)]  =  _246____ min __mlk__ IV 4.2.2.k  Total RCS Leak Rate   lbm 62.32ft  x  ftgallons 7.481  x  timeInventory RCSin  Change    Leakrate33    Leakrate =  ( 2664.047  lbm) &#xf7; ( 246 min) x  (0.120 gal/lbm)    Leakrate = 1.299  gpm  __mlk__ IV Independent Verification Completed by MLKlein__________________________ Date  Today 24    Revision   ATTACHMENT 3: UNIDENTIFIED RCS LEAKAGE CALCULATION SHEET Page 1 of 1 4.2.1.f RCP Seals Leak Rate from computer printout, or from Attachment 1. (4.2.1.e)    _____.011_ gpm  4.2.1.j Quench Tank In-Leakage Rate from computer printout, or from Attachment 1. (4.2.1.i). Only record Positive values  (exclude negative values by entering 0.000). _____.0___ gpm 4.2.2.l RCS Total Leak Rate from computer printout, or from Attachment 2. ___1.299__ gpm  4.2.3.a Primary to Secondary Tube Leakage from computer printout, or from most recent entry in RCS Leakage Log, RO Log, or as determined by Chemistry. ____.0 ___ gpm   (0.104 allowed) 4.2.3.b Other Identified Leakage, or from RCS Leakage Log. ____.0____ gpm   4.2.3.c Total Identified Leak Rate from computer printout, or from; RCP Seals + Quench Tk + Pri to Sec + Other                                          ( 4.2.1.e  +  4.2.1.i [positive values only] +  4.2.3.a  +  4.2.3.b ). __mlk__      IV _____.011_ gpm    (10 gpm allowed) 4.2.3.d Unidentified Leak Rate from computer printout, or from; Total Leak Rate - Total Identified Leak Rate                                      ( 4.2.2.k  -  4.2.3.c ) __mlk__      IV ___1.288__ gpm   (1 gpm allowed)   4.2.3.e Reactor Coolant Pressure Boundary Leakage ____.0 ____ gpm   (0 gpm allowed)
- 498,800 lbm = _______ lbm
Independent Verification Completed by ___MLKlein________Date   Today  Performed by:                   Rx Operator     Date:    Today Davis-Besse Initial License Exam 2015             Admin JPM SRO-A1.2 Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A1.2 AG  1 of 6  Facility:             Davis-Besse    Task No:  336-004-03-0300    Task Title:      Determine Maintenance of Active License Status     K/A  
________ IV Final: [(10,277 ft&#xb3; + (0.24828 ft&#xb3;/&deg;F* _______&deg;F))
* _______ lbm/ft&#xb3;]  
- 498,800 lbm = _______ lbm
________ IV 4.2.2.h RCS Inventory MU Tank Inventory (lbm) + Pzr Steam Inventory (lbm) + Pzr Water Inventory (lbm) + Power Correction (lbm) + Temperature Correction (lbm) = Water Inventory (lbm) Initial:  23074  lbm +  3406.393  lbm +  35119.85  lbm +  135  lbm +  -34350  lbm =  27385.243  lbm Final:
21275  lbm +  3341.05  lbm +  35570.146 lbm +  135  lbm +  -35600  lbm =  24721.196 lbm  4.2.2.i  Change in RCS Inventory Change  = Initial inventory  
- Final inventory Change = 27385.243
_ lbm - 24721.196 lbm =  2664.047_ lbm  __mlk__ IV 23    Revision ATTACHMENT 2:
RCS/MU AND PURIFICATION LEAK RATE CALCULATION SHEET Page 4 of 4 4.2.2.j Time period Period  = Final time  
- Initial time Period = [
(_23___ hr x 60) + (
11      min)] - [(__19__ hr x 60) + (
5    min)]  =  _
246____ min __mlk__ IV 4.2.2.k  Total RCS Leak Rate lbm 62.32ft  x  ftgallons 7.481  x  timeInventory RCSin  Change    Leakrate33    Leakrate =  (
2664.047  lbm) &#xf7; (
246 min) x  (0.120 gal/lb m)    Leakrate =
1.299  gpm  __mlk__ IV Independent Verification Completed by MLKlein__________________________ Date  Today 24    Revision ATTACHMENT 3:
UNIDENTIFIED RCS LEAKAGE CALCULATION SHEET Page 1 of 1 4.2.1.f RCP Seals Leak Rate from computer printout, or from Attachment
: 1. (4.2.1.e)    _____.011_ gpm  4.2.1.j Quench Tank In
-Leakage Rate from computer printout, or from Attachment 1. (4.2.1.i). Only record Positive values  (exclude negative values by entering 0.000).
_____.0___ gpm 4.2.2.l RCS Total Leak Rate from computer printout, or from Attachment
: 2. ___1.299__ gpm  4.2.3.a Primary to Secondary Tube Leakage from computer printout, or from most recent entry in RCS Leakage Log, RO Log, or as determined by Chemistry.
____.0 ___ gpm (0.104 allowed) 4.2.3.b Other Identified Leakage, or from RCS Leakage Log.
____.0____ gpm 4.2.3.c Total Identified Leak Rate from computer printout, or from; RCP Seals + Quench Tk + Pri to Sec + Other                                           
( 4.2.1.e  +  4.2.1.i [positive values only] +  4.2.3.a  +  4.2.3.b ). __mlk__      IV _____.011_ gpm    (10 gpm allowed) 4.2.3.d Unidentified Leak Rate from computer printout, or from; Total Leak Rate  
- Total Identified Leak Rate                                       
( 4.2.2.k  -  4.2.3.c ) __mlk__      IV ___1.288__ gpm (1 gpm allowed) 4.2.3.e Reactor Coolant Pressure Boundary Leakage
____.0 ____ gpm (0 gpm allowed)
 
Independent Verification Completed by
___MLKlein________Date Today  Performed by:
Rx Operator Date:    Today Davis-Besse Initial License Exam 2015 Admin JPM SRO-A1.2 Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A1.2 AG  1 of 6  Facility:
Davis-Besse    Task No:  336-004-03-0300    Task Title
:      Determine Maintenance of Active License Status K/A  


==Reference:==
==Reference:==
2.1.4 (3.8) Job Performance Measure No:  SRO-A1.2 (JPM New)    Examinee:           NRC Examiner:       Date:      Method of testing: Simulated Performance ___  Actual Performance _X_  Classroom _X_  Simulator ___  Plant ___
 
Read to the examinee: I will explain the initial conditions, which steps to simulate or discuss, and provide initiating cues.
2.1.4 (3.8) Job Performance Measure No
When you complete the task successfully, the objective for this job performance measure will be satisfied. Initial Conditions: The plant conditions are specified in the Initial Conditions and Initiating Cues. Task Standard: Determine SRO 1 and SRO 3 are Inactive. Determine SRO 2 and SRO 4 are Active. Required Materials: DBBP-TRAN-0014, License Requirements for Licensed Individuals NT-OT-07001, Training and Qualification of Operations Personnel General  
:  SRO-A1.2 (JPM New)    Examinee:
NRC Examiner:
Date:      Method of testing:
Simulated Performance
___  Actual Performance
_X_  Classroom
_X_  Simulator
___  Plant ___
Read to the examinee:
I will explain the initial conditions, which steps to simulate or discuss, and provide initiating cues.
When you complete the task successfully, the objective for this job performance measure will be satisfied.
Initial Conditions:
The plant conditions are specified in the Initial Conditions and Initiating Cues.
Task Standard:
Determine SRO 1 and SRO 3 are Inactive. Determine SRO 2 and SRO 4 are Active.
Required Materials:
DBBP-TRAN-0014, License Requirements for Licensed Individuals NT-OT-07001, Training and Qualification of Operations Personnel General  


==References:==
==References:==
None  Initiating Cue: The plant conditions are specified in the Initial Conditions and Initiating Cues.
Time Critical Task: No    Alternate Path: No  Validation Time:  15 minutes Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A1.2 AG  2 of 6  EXAMINER COPY  INITIAL CONDITIONS:  It is 7/1/15. Four Senior Reactor Operators have the following work history for the second quarter of 2015 (Plant was in Mode 1 the entire quarter):  SRO 1 Entered second quarter with active license 4/01/2015 Worked 0700-1900 as Command SRO 4/02/2015 Worked 0700-1900 as Command SRO 4/03/2015 Worked 0700-1900 as Command SRO 4/07/2015 Worked 0700-1900 as Command SRO. Was relieved for 3 hours to obtain required biennial License Physical at the Health Center 4/08/2015 Worked 0700-1900 as Command SRO  SRO 2 Entered second quarter with inactive license Completed all requirements for license reactivation 4/15/15 through 4/20/15 4/23/15 Worked 0700-1900 as Command SRO 4/24/15 Worked 0700-1900 as Command SRO 4/28/15 Worked 0700-1900 as Shift Technical Advisor    SRO 3 Entered second quarter with active license 4/10/15 Worked 0700-1900 as Shift Manager 4/11/15 Worked 0700-1900 as Shift Manager 4/18/15 Worked 0700-1900 as Shift Manager 4/19/15 Worked 0700-1900 as Shift Technical Advisor 4/20/15 Worked 0700-1900 as Shift Manager  SRO 4 License issued at the beginning of the second quarter 5/1/15 Worked 0700-1900 as Command SRO 5/2/15 Worked 0700-1900 as Command SRO 5/3/15 Worked 0700-1900 as Command SRO 5/9/15 Worked 0700-1900 as Command SRO 5/10/15 Worked 0700-1900 as Shift Technical Advisor    INITIATION CUE:
Based on the previous quarters work history determine the license status as of today, 7/1/15, for each Senior Reactor Operator and document as ACTIVE or INACTIVE on this page.  (Provide copy of DBBP-TRAN-0014, License Requirements for Licensed Individuals and NT-OT-07001, Training and Qualification of Operations Personnel) 


Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A1.2 AG  3 of 6  CANDIDATE COPY INITIAL CONDITIONS:  It is 7/1/15. Four Senior Reactor Operators have the following work history for the second quarter of 2015 (Plant was in Mode 1 the entire quarter): SRO 1 Entered second quarter with active license 4/01/2015 Worked 0700-1900 as Command SRO 4/02/2015 Worked 0700-1900 as Command SRO 4/03/2015 Worked 0700-1900 as Command SRO 4/07/2015 Worked 0700-1900 as Command SRO. Was relieved for 3 hours to obtain required biennial License Physical at the Health Center 4/08/2015 Worked 0700-1900 as Command SRO   SRO 2 Entered second quarter with inactive license Completed all requirements for license reactivation 4/15/15 through 4/20/15 4/23/15 Worked 0700-1900 as Command SRO 4/24/15 Worked 0700-1900 as Command SRO 4/28/15 Worked 0700-1900 as Shift Technical Advisor     SRO 3 Entered second quarter with active license 4/10/15 Worked 0700-1900 as Shift Manager 4/11/15 Worked 0700-1900 as Shift Manager 4/18/15 Worked 0700-1900 as Shift Manager 4/19/15 Worked 0700-1900 as Shift Technical Advisor 4/20/15 Worked 0700-1900 as Shift Manager SRO 4 License issued at the beginning of the second quarter 5/1/15 Worked 0700-1900 as Command SRO 5/2/15 Worked 0700-1900 as Command SRO 5/3/15 Worked 0700-1900 as Command SRO 5/9/15 Worked 0700-1900 as Command SRO 5/10/15 Worked 0700-1900 as Shift Technical Advisor   INITIATION CUE: Based on the previous quarters work history determine the license status as of today, 7/1/15, for each Senior Reactor Operator and document as ACTIVE or INACTIVE on this page.
None  Initiating Cue:
Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A1.2 AG  4 of 6 PERFORMANCE INFORMATION NOTE: Critical steps denoted with a "C". Failure to meet any one of these standards for this item constitutes failure. Sequence is NOT critical unless denoted in the "Comments". START TIME:  _______   1. PERFORMANCE STEP: Evaluate SRO 1 work history  ........C........ STANDARD: Reviews DBBP-TRAN-0014, License Requirements for Licensed Individuals and determines license is Inactive.
The plant conditions are specified in the Initial Conditions and Initiating Cues.
COMMENT: Credit not received for complete watch due to absence to Health Center   CUE: None      __________       SAT  UNSAT   2. PERFORMANCE STEP: Evaluate SRO 2 work History ........C........ STANDARD: Reviews DBBP-TRAN-0014, License Requirements for Licensed Individuals and determines license is Active   COMMENT: Reactivation meets proficiency requirements for the quarter   CUE: None        __________       SAT  UNSAT   3. PERFORMANCE STEP: Evaluate SRO 3 work history ........C........ STANDARD: Reviews DBBP-TRAN-0014, License Requirements for Licensed Individuals and determines license is Inactive   COMMENT: No credit given for Shift Technical position   CUE: None      __________       SAT  UNSAT Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A1.2 AG  5 of 6  4. PERFORMANCE STEP: Evaluate SRO 4 work history ........C........ STANDARD: Reviews DBBP-TRAN-0014, License Requirements and NT-OT-01007, Training and Qualification of Operations Personnel for Licensed Individuals and determines license is Active. COMMENT: A newly issued license meets the proficiency requirement for the quarter in which it was issued   CUE: None        __________       SAT  UNSAT   TERMINATING CUES:  This JPM is complete (Terminated by the examiner)        __________       END TIME Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A1.2 AG  6 of 6  Verification of Completion Job Performance Measure No.       Examinee's Name:         Examiner's Name:         Date Performed:         Facility Evaluator:
 
Number of Attempts:         Time to Complete:
Time Critical Task:
Question Documentation:
No    Alternate Path:
Question:_____________________________________________________________ ____________________________________________________________________________________________________________________________________________  Response:_____________________________________________________________ ______________________________________________________________________
No  Validation Time:
______________________________________________________________________ ______________________________________________________________________   Result:  Satisfactory/Unsatisfactory   Examiner's signature and date: _______________________________________
15 minutes
Davis-Besse Initial License Exam 2015             Admin JPM SRO-A2 Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A2 AG  1 of 6  Facility:             Davis-Besse    Task No:  331-041-02-0300    Task Title:      Perform Risk Assessment     K/A  
 
Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A1.2 AG  2 of 6  EXAMINER COPY INITIAL CONDITIONS
:  It is 7/1/15. Four Senior Reactor Operators have the following work history for the second quarter of 2015 (Plant was in Mode 1 the entire quarter)
:  SRO 1 Entered second quarter with active license 4/01/2015 Worked 0700
-1900 as Command SRO 4/02/2015 Worked 0700
-1900 as Command SRO 4/03/2015 Worked 0700
-1900 as Command SRO 4/07/2015 Worked 0700
-1900 as Command SRO. Was relieved for 3 hours to obtain required biennial License Physical at the Health Center 4/08/2015 Worked 0700
-1900 as Command SRO SRO 2 Entered second quarter with inactive license Completed all requirements for license reactivation 4/15/15 through 4/20/15 4/23/15 Worked 0700
-1900 as Command SRO 4/24/15 Worked 0700
-1900 as Command SRO 4/28/15 Worked 0700
-1900 as Shift Technical Advisor SRO 3 Entered second quarter with active license 4/10/15 Worked 0700
-1900 as Shift Manager 4/11/15 Worked 0700
-1900 as Shift Manager 4/18/15 Worked 0700
-1900 as Shift Manager 4/19/15 Worked 0700
-1900 as Shift Technical Advisor 4/20/15 Worked 0700
-1900 as Shift Manager SRO 4 License issued at the beginning of the second quarter 5/1/15 Worked 0700
-1900 as Command SRO 5/2/15 Worked 0700
-1900 as Command SRO 5/3/15 Worked 0700
-1900 as Command SRO 5/9/15 Worked 0700
-1900 as Command SRO 5/10/15 Worked 0700
-1900 as Shift Technical Advisor INITIATION CUE:
 
Based on the previous quarters work history determine the license status as of today, 7/1/15, for each Senior Reactor Operator and document as ACTIVE or INACTIVE on this page.  (Provide copy of DBBP
-TRAN-0014, License Requirements for Licensed Individuals and NT-OT-07001, Training and Qualification of Operations Personnel)
 
Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A1.2 AG  3 of 6  CANDIDATE COPY INITIAL CONDITIONS
:  It is 7/1/15. Four Senior Reactor Operators have the following work history for the second quarter of 2015 (Plant was in Mode 1 the entire quarter):
SRO 1 Entered second quarter with active license 4/01/2015 Worked 0700
-1900 as Command SRO 4/02/2015 Worked 0700
-1900 as Command SRO 4/03/2015 Worked 0700
-1900 as Command SRO 4/07/2015 Worked 0700
-1900 as Command SRO. Was relieved for 3 hours to obtain required biennial License Physical at the Health Center 4/08/2015 Worked 0700
-1900 as Command SRO SRO 2 Entered second quarter with inactive license Completed all requirements for license reactivation 4/15/15 through 4/20/15 4/23/15 Worked 0700
-1900 as Command SRO 4/24/15 Worked 0700
-1900 as Command SRO 4/28/15 Worked 0700
-1900 as Shift Technical Advisor SRO 3 Entered second quarter with active license 4/10/15 Worked 0700
-1900 as Shift Manager 4/11/15 Worked 0700
-1900 as Shift Manager 4/18/15 Worked 0700
-1900 as Shift Manager 4/19/15 Worked 0700
-1900 as Shift Technical Advisor 4/20/15 Worked 0700
-1900 as Shift Manager SRO 4 License issued at the beginning of the second quarter 5/1/15 Worked 0700
-1900 as Command SRO 5/2/15 Worked 0700
-1900 as Command SRO 5/3/15 Worked 0700-1900 as Command SRO 5/9/15 Worked 0700
-1900 as Command SRO 5/10/15 Worked 0700
-1900 as Shift Technical Advisor INITIATION CUE:
Based on the previous quarters work history determine the license status as of today, 7/1/15, for each Senior Reactor Operator and document as ACTIVE or INACTIVE on this page
.
Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A1.2 AG  4 of 6 PERFORMANCE INFORMATION NOTE: Critical steps denoted with a "C". Failure to meet any one of these standards for this item constitutes failure. Sequence is NOT critical unless denoted in the "Comments".
START TIME:  _______
: 1. PERFORMANCE STEP: Evaluate SRO 1 work history  
   ........C........
STANDARD:
Reviews DBBP-TRAN-0014, License Requirements for Licensed Individuals and determines license is Inactive
.
COMMENT: Credit not received for complete watch due to absence to Health Center CUE: None      __________
SAT  UNSAT
: 2. PERFORMANCE STEP: Evaluate SRO 2 work History
  ........C........
STANDARD:
Reviews DBBP-TRAN-0014, License Requirements for Licensed Individuals and determines license is Active COMMENT: Reactivation meets proficiency requirements for the quarter CUE: None        __________
SAT  UNSAT
: 3. PERFORMANCE STEP: Evaluate SRO 3 work history
  ........C........
STANDARD:
Reviews DBBP-TRAN-0014, License Requirements for Licensed Individuals and determines license is Inactive COMMENT: No credit given for Shift Technical position CUE: None      __________
SAT  UNSAT
 
Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A1.2 AG  5 of 6  4. PERFORMANCE STEP: Evaluate SRO 4 work history
  ........C........
STANDARD:
Reviews DBBP-TRAN-0014, License Requirements and NT-OT-01007, Training and Qualification of Operations Personnel for Licensed Individuals and determines license is Active.
COMMENT: A newly issued license meets the proficiency requirement for the quarter in which it was issued CUE: None        __________
SAT  UNSAT TERMINATING CUES:  This JPM is complete (Terminated by the examine r)        __________
END TIME Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A1.2 AG  6 of 6  Verification of Completion Job Performance Measure No.
Examinee's Name:
Examiner's Name:
Date Performed:
Facility Evaluator:
 
Number of Attempts:
Time to Complete:  
 
Question Documentation:  
 
Question:_____________________________________________________________
____________________________________________________________________________
________________________________________________________________
 
===Response===
___________________________________________
__________________
______________________________________________________________________
 
______________________________________________________________________
______________________________________________________________________
Result:  Satisfactory/Unsatisfactory Examiner's signature and date:
_______________________________________
 
Davis-Besse Initial License Exam 2015 Admin JPM SRO-A2 Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A2 AG  1 of 6  Facility:
Davis-Besse    Task No:  331-041-02-0300    Task Title
:      Perform Risk Assessment K/A  


==Reference:==
==Reference:==
2.2.17 (3.8) Job Performance Measure No:      SRO-A2 (JPM New)    Examinee:           NRC Examiner:       Date:      Method of testing: Simulated Performance ___  Actual Performance _X_  Classroom _X_  Simulator ___  Plant ___
 
Read to the examinee: I will explain the initial conditions, which steps to simulate or discuss, and provide initiating cues. When you complete the task successfully, the objective for this job performance measure will be satisfied. Initial Conditions: The plant conditions are specified in the Initial Conditions and Initiating Cues. Task Standard: Evaluate Generation Risk as Orange. Determine Director of Site Operations approval with documentation in Unit Log is required Determine Supervisor continuous job site coverage is required Required Materials: NOP-OP-1007, Risk Management DB-OP-06011, High Pressure Injection System, section 4.1 General  
2.2.17 (3.8) Job Performance Measure No
:      SRO-A2 (JPM New)    Examinee:
NRC Examiner:
Date:      Method of testing:
Simulated Performance
___  Actual Performance
_X_  Classroom
_X_  Simulator
___  Plant ___
Read to the examinee:
I will explain the initial conditions, which steps to simulate or discuss, and provide initiating cues. When you complete the task successfully, the objective for this job performance measure will be satisfied.
Initial Conditions:
The plant conditions are specified in the Initial Conditions and Initiating Cues.
Task Standard:
Evaluate Generation Risk as Orange
. Determine Director of Site Operations approval with documentation in Unit Log is required Determine Supervisor continuous job site coverage is required Required Materials:
NOP-OP-1007, Risk Management DB-OP-06011, High Pressure Injection System, section 4.1 General  


==References:==
==References:==
Technical Specifications  Initiating Cue: The plant conditions are specified in the Initial Conditions and Initiating Cues. Time Critical Task: No Alternate Path: No  Validation Time: 25 minutes Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A2 AG  2 of 6  EXAMINER COPY  INITIAL CONDITIONS:  The Plant is at 100% Power. All systems normal. INITIATION CUE:  Engineering has discovered a design question potentially affecting long term Operability of High Pressure Injection Pump (HPI) 1. Engineering requests HPI Pump 1 be placed on recirculation through the flow test line per DB-OP-06011, High Pressure Injection System, section 4.1 for 48 hours to gather data. The Shift Manager directs you to perform a Risk Assessment for the Non-Emergent work per DB-OP-1007, Risk Assessment to determine the following only:  1. Risk Level  2. Permission required and documentation method  3. Level of Supervision required  Document your results on this page  (Provide a copy of DB-OP-06011, Section 4.1 and NOP-OP-1007. Make Technical Specifications available) 


Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A2 AG  3 of 6  CANDIDATE COPY INITIAL CONDITIONS:  The Plant is at 100% Power. All systems normal. INITIATION CUE: Engineering has discovered a design question potentially affecting long term Operability of High Pressure Injection Pump (HPI) 1. Engineering requests HPI Pump 1 be placed on recirculation through the flow test line per DB-OP-06011, High Pressure Injection System, section 4.1 for 48 hours to gather data. The Shift Manager directs you to perform a Risk Assessment for the Non-Emergent work per DB-OP-1007, Risk Assessment to determine the following only:  1. Risk Level 2. Permission required and documentation method 3. Level of Supervision required   Document your results on this page Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A2 AG  4 of 6 PERFORMANCE INFORMATION NOTE: Critical steps denoted with a "C". Failure to meet any one of these standards for this item constitutes failure. Sequence is NOT critical unless denoted in the "Comments". START TIME:  _______   NOTE: STEPS CAN BE PERFORMED IN ANY SEQUENCE  
Technical Specifications Initiating Cue:
: 1. PERFORMANCE STEP: Evaluate effect on HPI Train 1   STANDARD: Reviews DB-OP-06011, section 4.1 and determines HPI 1 will be Inoperable while lined up through the flow test line CUE: None      __________       SAT  UNSAT   2. PERFORMANCE STEP: Reviews Technical Specification 3.5.2 for HPI Pump 1   STANDARD: Determines 72 hour action statement will be entered CUE: None      __________       SAT  UNSAT  
The plant conditions are specified in the Initial Conditions and Initiating Cues.
: 3. PERFORMANCE STEP: Determines Risk Level ........C........ STANDARD: Refers to Attachment 2 and/or 3 of NOP-OP-1007, Risk Assessment and identifies Risk level will be Orange   COMMENT: Greater than 50% of a shutdown LCO action time (for less than 14 day LCO) requires Orange Risk. HPI 1 will be Inoperable for 48 hours which is greater than 50% of the 72 hour shutdown LCO. CUE: None
Time Critical Task:
__________       SAT  UNSAT Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A2 AG  5 of 6  4. PERFORMANCE STEP: Determines Approval required and method of documentation ........C........ STANDARD: Reviews Attachment 2 and/or step 4.3.3.3 of NOP-OP-1007, Risk Assessment and determines the Director of Site Operations (or designee) approval is required and documented in the Work Implementation Schedule. CUE: None      __________       SAT  UNSAT   5. PERFORMANCE STEP: Determines level of Supervision required ........C........ STANDARD: Reviews Attachment 2 and/or step 4.3.3.3 of NOP-OP-1007, Risk Assessment and determines Supervisor continuous job site coverage is required  CUE: None      __________       SAT  UNSAT   TERMINATING CUES:  This JPM is complete (Terminated by the examiner)
No Alternate Path:
__________       END TIME Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A2 AG  6 of 6  Verification of Completion Job Performance Measure No.       Examinee's Name:         Examiner's Name:         Date Performed:         Facility Evaluator:
No  Validation Time:
Number of Attempts:         Time to Complete:
25 minutes
Question Documentation:
 
Question:_____________________________________________________________ ____________________________________________________________________________________________________________________________________________  Response:_____________________________________________________________ ______________________________________________________________________
Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A2 AG  2 of 6  EXAMINER COPY INITIAL CONDITIONS
______________________________________________________________________ ______________________________________________________________________   Result:  Satisfactory/Unsatisfactory   Examiner's signature and date: _______________________________________
:  The Plant is at 100% Power. All systems normal.
Davis-Besse Initial License Exam 2015             Admin JPM SRO-A3 Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A3 AG  1 of 6  Facility:             Davis-Besse    Task No:  334-005-05-0300    Task Title:      Emergency Dose Authorization     K/A  
INITIATION CUE:
Engineering has discovered a design question potentially affecting long term Operability of High Pressure Injection Pump (HPI) 1. Engineering requests HPI Pump 1 be placed on recirculation through the flow test line per DB
-OP-06011, High Pressure Injection System, section 4.1 for 48 hours to gather data.
The Shift Manager directs you to perform a Risk Assessment for the Non
-Emergent work per DB-OP-1007, Risk Assessment to determine the following only:  1. Risk Level
: 2. Permission required and documentation method  3. Level of Supervision required Document your results on this page  (Provide a copy of DB-OP-06011, Section 4.1 and NOP
-OP-1007. Make Technical Specifications available
 
Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A2 AG  3 of 6  CANDIDATE COPY INITIAL CONDITIONS
:  The Plant is at 100% Power. All systems normal. INITIATION CUE:
Engineering has discovered a design question potentially affecting long term Operability of High Pressure Injection Pump (HPI) 1. Engineering requests HPI Pump 1 be placed on recirculation through the flow test line per DB
-OP-06011, High Pressure Injection System, section 4.1 for 48 hours to gather data.
The Shift Manager directs you to perform a Risk Assessment for the Non-Emergent work per DB-OP-1007, Risk Assessment to determine the following only:  1. Risk Level
: 2. Permission required and documentation method
: 3. Level of Supervision required Document your results on this page
 
Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A2 AG  4 of 6 PERFORMANCE INFORMATION NOTE: Critical steps denoted with a "C". Failure to meet any one of these standards for this item constitutes failure. Sequence is NOT critical unless denoted in the "Comments".
START TIME:  _______
NOTE: STEPS CAN BE PERFORMED IN ANY SEQUENCE
: 1. PERFORMANCE STEP: Evaluate effect on HPI Train 1 STANDARD:
Reviews DB
-OP-06011, section 4.1 and determines HPI 1 will be Inoperable while line d up through the flow test line
 
CUE: None      __________
SAT  UNSAT
: 2. PERFORMANCE STEP: Reviews Technical Specification 3.5.2 for HPI Pump 1 STANDARD:
Determines 72 hour action statement will be entered
 
CUE: None      __________
SAT  UNSAT
: 3. PERFORMANCE STEP: Determines Risk Level
  ........C........
STANDARD:
Refers to Attachment 2 and/or 3 of NOP-OP-1007, Risk Assessment and identifies Risk level will be Orange COMMENT:
Greater than 50% of a shutdown LCO action time (for less than 14 day LCO) requires Orange Risk. HPI 1 will be Inoperable for 48 hours which is greater than 50% of the 72 hour shutdown LCO.
CUE: None
__________
SAT  UNSAT
 
Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A2 AG  5 of 6  4. PERFORMANCE STEP: Determines Approval required and method of documentation
  ........C........
STANDARD:
Reviews Attachment 2 and/or step 4.3.3.3 of NOP-OP-1007, Risk Assessment and determines the Director of Site Operations (or designee) approval is required and documented in the Work Implementation Schedule.
CUE: None      __________
SAT  UNSAT
: 5. PERFORMANCE STEP: Determines level of Supervision required
  ........C........
STANDARD:
Reviews Attachment 2 and/or step 4.3.3.3 of NOP-OP-1007, Risk Assessment and determines Supervisor continuous job site coverage is required  CUE: None      __________
SAT  UNSAT TERMINATING CUES:  This JPM is complete (Terminated by the examine r)
__________
END TIME Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A2 AG  6 of 6  Verification of Completion Job Performance Measure No.
Examinee's Name:
Examiner's Name:
Date Performed:
Facility Evaluator:
 
Number of Attempts:
Time to Complete:  
 
Question Documentation:  
 
Question:_____________________________________________________________
____________________________________________________________________________
________________________________________________________________
 
===Response===
__________________________________
___________________________
______________________________________________________________________
 
______________________________________________________________________
______________________________________________________________________
Result:  Satisfactory/Unsatisfactory Examiner's signature and date:
_______________________________________
 
Davis-Besse Initial License Exam 2015 Admin JPM SRO-A3 Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO
-A3 AG  1 of 6  Facility:
Davis-Besse    Task No:  334-005-05-0300    Task Title
:      Emergency Dose Authorization K/A  


==Reference:==
==Reference:==
2.3.4 (3.7) Job Performance Measure No:      SRO-A3 (JPM New)    Examinee:           NRC Examiner:       Date:      Method of testing: Simulated Performance ___  Actual Performance _X_  Classroom _X_  Simulator ___  Plant ___
 
Read to the examinee: I will explain the initial conditions, which steps to simulate or discuss, and provide initiating cues. When you complete the task successfully, the objective for this job performance measure will be satisfied. Initial Conditions: The plant conditions are specified in the Initial Conditions and Initiating Cues. Task Standard:
2.3.4 (3.7) Job Performance Measure No
Select the two mechanic method and authorize Emergency dose for mechanic 2 and 4 only Required Materials: RA-EP-02620, Emergency Dose Control and Potassium Iodide Distribution Emergency Dose Authorization form for each mechanic Calculator General  
:      SRO-A3 (JPM New)    Examinee:
NRC Examiner:
Date:      Method of testing:
Simulated Performance
___  Actual Performance
_X_  Classroom
_X_  Simulator
___  Plant ___
Read to the examinee:
I will explain the initial conditions, which steps to simulate or discuss, and provide initiating cues. When you complete the task successfully, the objective for this job performance measure will be satisfied.
Initial Conditions:
The plant conditions are specified in the Initial Conditions and Initiating Cues.
Task Standard:
 
Select the two mechanic method and authorize Emergency dose for mechanic 2 and 4 only
 
Required Materials:
RA-EP-02620, Emergency Dose Control and Potassium Iodide Distribution Emergency Dose Authorization form for each mechanic Calculator General  


==References:==
==References:==
None  Initiating Cue: The plant conditions are specified in the Initial Conditions and Initiating Cues. Time Critical Task: No Alternate Path: No  Validation Time: 25 minutes Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A3 AG  2 of 6  EXAMINER COPY INITIAL CONDITIONS:  The Plant has experienced a Loss of Coolant Accident and fuel damage. Emergency Core Cooling Train (ECCS) 1 is in operation at full flow. Low Pressure Injection Pump (LPI) 2 is out of service for maintenance. Just before the accident it was determined LPI Pump 1 was losing oil through a loose bearing housing. Plans were being made to tighten the housing and add oil. It is determined that this task is required to be performed immediately to prevent pump failure.
 
INITIATION CUE: You are an extra SRO on shift. The ERO is not yet activated. The Shift Manager acting as the Emergency Director in the Control Room has directed you to prepare an Emergency Dose Authorization, using the following information. Radiation levels in ECCS Room 1 are indicating 50 Rem/hr These two tasks (tighten the housing and add oil) can be performed by the mechanic(s) working in series or two mechanics working in parallel.
None  Initiating Cue:
One mechanic would obtain 48 minutes of exposure Two mechanics simultaneously would obtain 24 minutes of exposure each Three mechanics in rotation would obtain 18 minutes of exposure each Four mechanics in rotation would obtain 12 minutes of exposure each Four Mechanics have volunteered to perform this work: Mechanic 1 is a 52 year old male with 2 Rem lifetime dose and no dose for current year. This individual also received a 28 Rem dose during a lifesaving rescue 10 years ago at another plant Mechanic 2 is a 27 year old male with 600 mrem lifetime dose and 5 mrem for current year Mechanic 3 is a 34 year old female, who has a declared pregnancy, with 125 mrem lifetime dose and no dose for current year   Mechanic 4 is a 37 year old male with 4.2 mrem lifetime and 700 mrem for the current year Select the method desired and mechanic(s) to perform this task and document (up to the review and approval signatures) on the attached Emergency Dose Authorization Forms. The remainder of each form will be completed if necessary when the Emergency RP Manager has been contacted.   
The plant conditions are specified in the Initial Conditions and Initiating Cues.
Time Critical Task:
No Alternate Path:
No  Validation Time:
25 minutes
 
Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO
-A3 AG  2 of 6  EXAMINER COPY INITIAL CONDITIONS
:  The Plant has experienced a Loss of Coolant Accident and fuel damage. Emergency Core Cooling Train (ECCS) 1 is in operation at full flow. Low Pressure Injection Pump (LPI) 2 is out of service for maintenance. Just before the accident it was determined LPI Pump 1 was losing oil through a loose bearing housing. Plans were being made to tighten the housing and add oil. It is determined that this task is required to be performed immediately to prevent pump failure.
 
INITIATION CUE:
You are an extra SRO on shift. The ERO is not yet activated. The Shift Manager acting as the Emergency Director in the Control Room has directed you to prepare an Emergency Dose Authorization, using the following information.
Radiation levels in ECCS Room 1 are indicating 50 Rem/hr These two tasks (tighten the housing and add oil) can be performed by the mechanic(s) working in series or two mechanics working in parallel.
 
One mechanic would obtain 48 minutes of exposure Two mechanics simultaneously would obtain 24 minutes of exposure each Three mechanics in rotation would obtain 18 minutes of exposure each Four mechanics in rotation would obtain 12 minutes of exposure each
 
Four Mechanics have volunteered to perform this work:
Mechanic 1 is a 52 year old male with 2 Rem lifetime dose and no dose for current year. This individual also received a 28 Rem dose during a lifesaving rescue 10 years ago at another plant Mechanic 2 is a 27 year old male with 600 mrem lifetime dose and 5 mrem for current year Mechanic 3 is a 34 year old female, who has a declared pregnancy, with 125 mrem lifetime dose and no dose for current yea r   Mechanic 4 is a 37 year old male with 4.2 mrem lifetime and 700 mrem for the current year
 
Select the method desired and mechanic(s) to perform this task and document (up to the review and approval signatures) on the attached Emergency Dose Authorization Forms
. The remainder of each form will be completed if necessary when the Emergency RP Manager has been contacted
.   
   (Hand Candidate a copy of RA-EP-02620, Emergency Dose Control and Potassium Iodide Distribution and the four recommended Emergency Dose Authorization Forms)
   (Hand Candidate a copy of RA-EP-02620, Emergency Dose Control and Potassium Iodide Distribution and the four recommended Emergency Dose Authorization Forms)
Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A3 AG  3 of 6  CANDIDATE COPY  INITIAL CONDITIONS:  The Plant has experienced a Loss of Coolant Accident and fuel damage. Emergency Core Cooling Train (ECCS) 1 is in operation at full flow. Low Pressure Injection Pump (LPI) 2 is out of service for maintenance. Just before the accident it was determined LPI Pump 1 was losing oil through a loose bearing housing. Plans were being made to tighten the housing and add oil. It is determined that this task is required to be performed immediately to prevent pump failure. INITIATION CUE:  You are acting as the Emergency Director in the Control Room and the ERO is not yet activated. Radiation levels in ECCS Room 1 are indicating 50 Rem/hr These two tasks (tighten the housing and add oil) can be performed by the mechanic(s) working in series or two mechanics working in parallel.
One mechanic would obtain 48 minutes of exposure Two mechanics simultaneously would obtain 24 minutes of exposure each Three mechanics in rotation would obtain 18 minutes of exposure each Four mechanics in rotation would obtain 12 minutes of exposure each    Four Mechanics have volunteered to perform this work:  Mechanic 1 is a 52 year old male with 2 Rem lifetime dose and no dose for current year. This individual also received a 28 Rem dose during a lifesaving rescue 10 years ago at another plant  Mechanic 2 is a 27 year old male with 600 mrem lifetime dose and 5 mrem for current year  Mechanic 3 is a 34 year old female, who has a declared pregnancy, with 125 mrem lifetime dose and no dose for current year    Mechanic 4 is a 37 year old male with 4.2 mrem lifetime and 700 mrem for the current year  Select the method desired and mechanic(s) to perform this task and document on this form. Authorize Emergency Dose if necessary per RA-EP-02620, Emergency Dose Control and Potassium Iodide Distribution by signing for Emergency Director Approval on the appropriate Emergency Dose Authorization Forms. The remainder of each form will be completed if necessary when the Emergency RP Manager has been contacted. 


Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A3 AG  4 of 6 PERFORMANCE INFORMATION NOTE: Critical steps denoted with a "C". Failure to meet any one of these standards for this item constitutes failure. Sequence is NOT critical unless denoted in the "Comments". START TIME:  _______  1. PERFORMANCE STEP: Evaluate the dose that would be received for each method STANDARD: One mechanic would obtain 40 Rem    Two mechanics simultaneously would obtain 20 Rem each     Three mechanics in rotation would obtain 15 Rem each     Four mechanics in rotation would obtain 10 Rem each COMMENT: JPM step sequence not critical. May evaluate mechanics and select method first in which case only the method selected will need dose evaluated  CUE: None      __________      SAT  UNSAT  2. PERFORMANCE STEP: Evaluate Mechanic 1 acceptability for receiving Emergency Dose   STANDARD:. Determines Mechanic 1 should not be authorized to receive emergency dose CUE: If asked - "received 28 Rem 10 years ago at previous place of employment during a lifesaving rescue"
Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO
__________      SAT  UNSAT  3. PERFORMANCE STEP: Evaluate Mechanic 2 acceptability for receiving Emergency Dose    STANDARD: Determines Mechanic 2 can be authorized for Emergency Dose  CUE: If asked - "have never received emergency dose"        __________      SAT  UNSAT Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A3 AG  5 of 6  4. PERFORMANCE STEP: Evaluate Mechanic 3 acceptability for receiving Emergency Dose    STANDARD:  Determines Mechanic 3 SHALL NOT be authorized to receive emergency dose. Since mechanic is female, and is a declared pregnant worker      CUE: If asked - "have never received emergency dose"    If asked - "have just found out is pregnant"        __________       SAT  UNSAT   5. PERFORMANCE STEP: Evaluate Mechanic 4 acceptability for receiving Emergency Dose STANDARD: Determines Mechanic 4 can be authorized for Emergency Dose  CUE: If asked - "have never received emergency dose"       __________       SAT  UNSAT   6. PERFORMANCE STEP: Determine method for repair  ........C........ STANDARD: Determines 2 mechanics in parallel is proper method due to condition in RA-EP-02620, step 6.1.3.b 25,000 mrem TEDE  CUE: None      __________      SAT UNSAT 
-A3 AG  3 of 6  CANDIDATE COPY INITIAL CONDITIONS
: 7. PERFORMANCE STEP: Select Mechanic 2 and Mechanic 4 to perform work  ........C........ STANDARD: Recommend Emergency Dose for Mechanic 2 and Mechanic 4  CUE: None      __________       SAT  UNSAT   TERMINATING CUES: This JPM is complete (Terminated by the examiner)
: The Plant has experienced a Loss of Coolant Accident and fuel damage. Emergency Core Cooling Train (ECCS) 1 is in operation at full flow. Low Pressure Injection Pump (LPI) 2 is out of service for maintenance. Just before the accident it was determined LPI Pump 1 was losing oil through a loose bearing housing. Plans were being made to tighten the housing and add oil. It is determined that this task is required to be performed immediately to prevent pump failure.
__________      END TIME Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A3 AG 6 of 6  Verification of Completion  Job Performance Measure No.       Examinee's Name:          Examiner's Name:          Date Performed:          Facility Evaluator:
INITIATION CUE:
Number of Attempts:        Time to Complete:
You are acting as the Emergency Director in the Control Room and the ERO is not yet activated.
Question Documentation:
Radiation levels in ECCS Room 1 are indicating 50 Rem/hr These two tasks (tighten the housing and add oil) can be performed by the mechanic(s) working in series or two mechanics working in parallel.
Question:_____________________________________________________________ ____________________________________________________________________________________________________________________________________________ Response:_____________________________________________________________ ______________________________________________________________________
 
______________________________________________________________________ ______________________________________________________________________   Result:  Satisfactory/Unsatisfactory    Examiner's signature and date: _______________________________________
One mechanic would obtain 48 minutes of exposure Two mechanics simultaneously would obtain 24 minutes of exposure each Three mechanics in rotation would obtain 18 minutes of exposure each Four mechanics in rotation would obtain 12 minutes of exposure each Four Mechanics have volunteered to perform this work:
EMERGENCY DOSE AUTHORIZATION DBEP-204-01  INDIVIDUAL (Last, First, Middle) Mechanic 1 SOCIAL SECURITY NUMBER 111-11-1111 DATE Today TLD NO. 1 EMPLOYER FENOC BRIEF DESCRIPTION OF TASK                          RECOMMENDED EMERGENCY DOSE AUTHORIZATION    YES    NO RECOMMENDED EMERGENCY DOSE LIMIT  REM { TOTAL EFFECTIVE DOSE EQUIVALENT (TEDE) } COMMENTS        EMERGENCY RP MANAGER RECOMMENDATION (Signature) EMERGENCY DIRECTOR APPROVAL (Signature) AUTHORIZATION DATE          AUTHORIZATION LIMIT            REM  { TEDE } I have been briefed on the radiological consequences and hazards associated with the  authorized emergency dose and I have volunteered to perform the above described task. INDIVIDUAL (Signature) DATE      BRIEFED BY (Signature) DATE      (TOTAL DOSE - TEDE) =       (EXTERNAL - DDE)      PLUS (INTERNAL - CEDE)      RADIOBIOASSAY RESULTS      EMERGENCY RP MANAGER REVIEW (Signature) DATE      EMERGENCY DIRECTOR REVIEW (Signature) DATE EMERGENCY DOSE AUTHORIZATION DBEP-204-01  INDIVIDUAL (Last, First, Middle) Mechanic 2 SOCIAL SECURITY NUMBER 222-22-2222 DATE Today TLD NO. 2 EMPLOYER FENOC BRIEF DESCRIPTION OF TASK                               RECOMMENDED EMERGENCY DOSE AUTHORIZATION   YES    NO RECOMMENDED EMERGENCY DOSE LIMIT       REM { TOTAL EFFECTIVE DOSE EQUIVALENT (TEDE) } COMMENTS             EMERGENCY RP MANAGER RECOMMENDATION (Signature) EMERGENCY DIRECTOR APPROVAL (Signature) AUTHORIZATION DATE         AUTHORIZATION LIMIT             REM  { TEDE } I have been briefed on the radiological consequences and hazards associated with the authorized emergency dose and I have volunteered to perform the above described task. INDIVIDUAL (Signature) DATE      BRIEFED BY (Signature) DATE      (TOTAL DOSE - TEDE) =      (EXTERNAL - DDE)      PLUS (INTERNAL - CEDE)      RADIOBIOASSAY RESULTS       EMERGENCY RP MANAGER REVIEW (Signature) DATE      EMERGENCY DIRECTOR REVIEW (Signature) DATE EMERGENCY DOSE AUTHORIZATION DBEP-204-01  INDIVIDUAL (Last, First, Middle) Mechanic 3 SOCIAL SECURITY NUMBER 333-33-3333 DATE Today TLD NO. 3 EMPLOYER FENOC BRIEF DESCRIPTION OF TASK                               RECOMMENDED EMERGENCY DOSE AUTHORIZATION   YES    NO RECOMMENDED EMERGENCY DOSE LIMIT       REM { TOTAL EFFECTIVE DOSE EQUIVALENT (TEDE) } COMMENTS              EMERGENCY RP MANAGER RECOMMENDATION (Signature) EMERGENCY DIRECTOR APPROVAL (Signature) AUTHORIZATION DATE         AUTHORIZATION LIMIT             REM  { TEDE } I have been briefed on the radiological consequences and hazards associated with the authorized emergency dose and I have volunteered to perform the above described task. INDIVIDUAL (Signature) DATE      BRIEFED BY (Signature) DATE      (TOTAL DOSE - TEDE) =      (EXTERNAL - DDE)      PLUS (INTERNAL - CEDE)      RADIOBIOASSAY RESULTS       EMERGENCY RP MANAGER REVIEW (Signature) DATE      EMERGENCY DIRECTOR REVIEW (Signature) DATE EMERGENCY DOSE AUTHORIZATION DBEP-204-01  INDIVIDUAL (Last, First, Middle) Mechanic 4 SOCIAL SECURITY NUMBER 444-44-4444 DATE Today TLD NO. 4 EMPLOYER FENOC BRIEF DESCRIPTION OF TASK                               RECOMMENDED EMERGENCY DOSE AUTHORIZATION   YES    NO RECOMMENDED EMERGENCY DOSE LIMIT       REM { TOTAL EFFECTIVE DOSE EQUIVALENT (TEDE) } COMMENTS              EMERGENCY RP MANAGER RECOMMENDATION (Signature) EMERGENCY DIRECTOR APPROVAL (Signature) AUTHORIZATION DATE         AUTHORIZATION LIMIT             REM  { TEDE } I have been briefed on the radiological consequences and hazards associated with the authorized emergency dose and I have volunteered to perform the above described task. INDIVIDUAL (Signature) DATE      BRIEFED BY (Signature) DATE      (TOTAL DOSE - TEDE) =      (EXTERNAL - DDE)      PLUS (INTERNAL - CEDE)      RADIOBIOASSAY RESULTS       EMERGENCY RP MANAGER REVIEW (Signature) DATE      EMERGENCY DIRECTOR REVIEW (Signature) DATE Davis-Besse Initial License Exam 2015              Admin JPM SRO-A4 Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A4 AG 1 of 8  Facility:            Davis-Besse    Task No:  334-004-05-0300    Task Title:  Emergency Response Organization Notification       K/A  
Mechanic 1 is a 52 year old male with 2 Rem lifetime dose and no dose for current year. This individual also received a 28 Rem dose during a lifesaving rescue 10 years ago at another plant Mechanic 2 is a 27 year old male with 600 mrem lifetime dose and 5 mrem for current year Mechanic 3 is a 34 year old female, who has a declared pregnancy, with 125 mrem lifetime dose and no dose for current yea r   Mechanic 4 is a 37 year old male with 4.2 mrem lifetime and 700 mrem for the current year Select the method desired and mechanic(s) to perform this task and document on this form. Authorize Emergency Dose if necessary per RA
-EP-02620, Emergency Dose Control and Potassium Iodide Distribution by signing for Emergency Director Approval on the appropriate Emergency Dose Authorization Forms. The remainder of each form will be completed if necessary when the Emergency RP Manager has been contacted.
 
Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO
-A3 AG  4 of 6 PERFORMANCE INFORMATION NOTE: Critical steps denoted with a "C". Failure to meet any one of these standards for this item constitutes failure. Sequence is NOT critical unless denoted in the "Comments".
START TIME: _______
: 1. PERFORMANCE STEP: Evaluate the dose that would be received for each method
 
STANDARD:
One mechanic would obtain 40 Rem    Two mechanics simultaneously would obtain 20 Rem each Three mechanics in rotation would obtain 15 Rem each Four mechanics in rotation would obtain 10 Rem each
 
COMMENT: JPM step sequence not critical. May evaluate mechanics and select method first in which case only the method selected will need dose evaluated CUE: None      __________
SAT  UNSAT
: 2. PERFORMANCE STEP: Evaluate Mechanic 1 acceptability for receiving Emergency Dose STANDARD:. Determines Mechanic 1 should not be authorized to receive emergency dose
 
CUE: If asked  
- "received 2 8 Rem 10 years ago at previous place of employment during a lifesaving rescue"
 
__________
SAT  UNSAT
: 3. PERFORMANCE STEP: Evaluate Mechanic 2 acceptability for receiving Emergency Dose STANDARD:
Determines Mechanic 2 can be authorized for Emergency Dose CUE: If asked
- "have never received emergency dose"
__________
SAT  UNSAT
 
Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO
-A3 AG  5 of 6 4. PERFORMANCE STEP: Evaluate Mechanic 3 acceptability for receiving Emergency Dose STANDARD:
Determines Mechanic 3 SHALL NOT be authorized to receive emergency dose. Since mechanic is female, and is a declared pregnant worker      CUE: If asked
- "have never received emergency dose" If asked
- "have just found out is pregnant"
__________
SAT  UNSAT
: 5. PERFORMANCE STEP: Evaluate Mechanic 4 acceptability for receiving Emergency Dose
 
STANDARD:
Determines Mechanic 4 can be authorized for Emergency Dose CUE: If asked
- "have never received emergency dose"      __________
SAT UNSAT
: 6. PERFORMANCE STEP: Determine method for repair
  ........C........
STANDARD:
Determines 2 mechanics in parallel is proper method due to condition in RA
-EP-02620, step 6.1.3.b 25,000 mrem TEDE CUE: None      __________
SAT UNSAT
: 7. PERFORMANCE STEP: Select Mechanic 2 and Mechanic 4 to perform work
   ........C........
STANDARD:
Recommend Emergency Dose for Mechanic 2 and Mechanic 4 CUE: None      __________
SAT  UNSAT TERMINATING CUES:  This JPM is complete (Terminated by the examine r)
__________
END TIME Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO
-A3 AG 6 of 6  Verification of Completion Job Performance Measure No.
Examinee's Name:
Examiner's Name:
Date Performed:
Facility Evaluator:
 
Number of Attempts:
Time to Complete:
 
Question Documentation:
 
Question:_____________________________________________________________
____________________________________________________________________________
_____________________________
___________________________________
 
===Response===
_____________________________________________________________
______________________________________________________________________
 
______________________________________________________________________
______________________________________________________________________
Result:  Satisfactory/Unsatisfactory Examiner's signature and date:
_______________________________________
 
EMERGENCY DOSE AUTHORIZATION DBEP-204-01  INDIVIDUAL (Last, First, Middle)
Mechanic 1 SOCIAL SECURITY NUMBER 111-11-1111 DATE Today TLD NO. 1 EMPLOYER FENOC BRIEF DESCRIPTION OF TASK RECOMMENDED EMERGENCY DOSE AUTHORIZATION YES    NO RECOMMENDED EMERGENCY DOSE LIMIT REM { TOTAL EFFECTIVE DOSE EQUIVALENT (TEDE)
} COMMENTS         EMERGENCY RP MANAGER RECOMMENDATION (Signature)
EMERGENCY DIRECTOR APPROVAL (Signature)
AUTHORIZATION DATE AUTHORIZATION LIMIT REM  { TEDE } I have been briefed on the radiological consequences and hazards associated with the authorized emergency dose and I have volunteered to perform the above described task.
INDIVIDUAL (Signature)
DATE      BRIEFED BY (Signature)
DATE      (TOTAL DOSE  
- TEDE) =      (EXTERNAL  
- DDE)      PLUS (INTERNAL  
- CEDE)      RADIOBIOASSAY RESULTS EMERGENCY RP MANAGER REVIEW (Signature)
DATE      EMERGENCY DIRECTOR REVIEW (Signature)
DATE EMERGENCY DOSE AUTHORIZATION DBEP-204-01  INDIVIDUAL (Last, First, Middle)
Mechanic 2 SOCIAL SECURITY NUMBER 222-22-2222 DATE Today TLD NO. 2 EMPLOYER FENOC BRIEF DESCRIPTION OF TASK RECOMMENDED EMERGENCY DOSE AUTHORIZATION YES    NO RECOMMENDED EMERGENCY DOSE LIMIT REM { TOTAL EFFECTIVE DOSE EQUIVALENT (TEDE)
} COMMENTS              EMERGENCY RP MANAGER RECOMMENDATION (Signature)
EMERGENCY DIRECTOR APPROVAL (Signature)
AUTHORIZATION DATE AUTHORIZATION LIMIT REM  { TEDE } I have been briefed on the radiological consequences and hazards associated with the authorized emergency dose and I have volunteered to perform the above described task.
INDIVIDUAL (Signature)
DATE      BRIEFED BY (Signature)
DATE      (TOTAL DOSE  
- TEDE) =      (EXTERNAL  
- DDE)      PLUS (INTERNAL  
- CEDE)      RADIOBIOASSAY RESULTS EMERGENCY RP MANAGER REVIEW (Signature)
DATE      EMERGENCY DIRECTOR REVIEW (Signature)
DATE EMERGENCY DOSE AUTHORIZATION DBEP-204-01  INDIVIDUAL (Last, First, Middle)
Mechanic 3 SOCIAL SECURITY NUMBER 333-33-3333 DATE Today TLD NO. 3 EMPLOYER FENOC BRIEF DESCRIPTION OF TASK RECOMMENDED EMERGENCY DOSE AUTHORIZATION YES    NO RECOMMENDED EMERGENCY DOSE LIMIT REM { TOTAL EFFECTIVE DOSE EQUIVALENT (TEDE)
} COMMENTS              EMERGENCY RP MANAGER RECOMMENDATION (Signature)
EMERGENCY DIRECTOR APPROVAL (Signature)
AUTHORIZATION DATE AUTHORIZATION LIMIT REM  { TEDE } I have been briefed on the radiological consequences and hazards associated with the authorized emergency dose and I have volunteered to perform the above described task.
INDIVIDUAL (Signature)
DATE      BRIEFED BY (Signature)
DATE      (TOTAL DOSE  
- TEDE) =      (EXTERNAL  
- DDE)      PLUS (INTERNAL  
- CEDE)      RADIOBIOASSAY RESULTS EMERGENCY RP MANAGER REVIEW (Signature)
DATE      EMERGENCY DIRECTOR REVIEW (Signature)
DATE EMERGENCY DOSE AUTHORIZATION DBEP-204-01  INDIVIDUAL (Last, First, Middle)
Mechanic 4 SOCIAL SECURITY NUMBER 444-44-4444 DATE Today TLD NO. 4 EMPLOYER FENOC BRIEF DESCRIPTION OF TASK RECOMMENDED EMERGENCY DOSE AUTHORIZATION YES    NO RECOMMENDED EMERGENCY DOSE LIMIT REM { TOTAL EFFECTIVE DOSE EQUIVALENT (TEDE)
} COMMENTS              EMERGENCY RP MANAGER RECOMMENDATION (Signature)
EMERGENCY DIRECTOR APPROVAL (Signature)
AUTHORIZATION DATE AUTHORIZATION LIMIT REM  { TEDE } I have been briefed on the radiological consequences and hazards associated with the authorized emergency dose and I have volunteered to perform the above described task.
INDIVIDUAL (Signature)
DATE      BRIEFED BY (Signature)
DATE      (TOTAL DOSE
- TEDE) =      (EXTERNAL
- DDE)      PLUS (INTERNAL
- CEDE)      RADIOBIOASSAY RESULTS EMERGENCY RP MANAGER REVIEW (Signature)
DATE      EMERGENCY DIRECTOR REVIEW (Signature)
DATE Davis-Besse Initial License Exam 2015 Admin JPM SRO-A4 Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A4 AG 1 of 8  Facility:
Davis-Besse    Task No:  334-004-05-0300    Task Title
:  Emergency Response Organization Notification K/A  


==Reference:==
==Reference:==
2.4.43 (3.8) Job Performance Measure No:      SRO-A4 (JPM 253)    Examinee:           NRC Examiner:       Date:      Method of testing: Simulated Performance ___  Actual Performance _X_  Classroom ___  Simulator _X_  Plant ___
 
Read to the examinee: I will explain the initial conditions, which steps to simulate or discuss, and provide initiating cues. When you complete the task successfully, the objective for this job performance measure will be satisfied. Initial Conditions: The plant conditions are specified in the Initial Conditions and Initiating Cues. Task Standard: Activate the ERO Numeric Group Page Required Materials: RA-EP-01700, Alert RA-EP-02110, Emergency Notification Davis- Besse Emergency Plan Telephone Directory Phone General  
2.4.43 (3.8
) Job Performance Measure No
:      SRO-A4 (JPM 253)    Examinee:
NRC Examiner:
Date:      Method of testing:
Simulated Performance
___  Actual Performance
_X_  Classroom
___  Simulator
_X_  Plant ___
Read to the examinee:
I will explain the initial conditions, which steps to simulate or discuss, and provide initiating cues. When you complete the task successfully, the objective for this job performance measure will be satisfied.
Initial Conditions:
The plant conditions are specified in the Initial Conditions and Initiating Cues.
Task Standard:
Activate the ERO Numeric Group Page Required Materials:
RA-EP-01700, Alert RA-EP-02110, Emergency Notification Davis- Besse Emergency Plan Telephone Directory Phone General  


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


Initiating Cue: The plant conditions are specified in the Initial Conditions and Initiating Cues.
Initiating Cue:
Time Critical Task: No    Alternate Path: No Validation Time: 10 minutes Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A4 AG  2 of 8  EXAMINER COPY   INITIAL CONDITIONS: You are an extra Senior Reactor Operator in the Control Room. The plant is in Mode 1 operating at 100% power. The Shift Manager has declared an Alert on EAL HA3 due to an Operating Basis Earthquake being detected at the plant and he has assumed the Emergency Director position.
The plant conditions are specified in the Initial Conditions and Initiating Cues.
The Unit Supervisor is directing plant responses in accordance with RA-EP-02820, Earthquake. INITIATING CUES: Due to performing plant walk-downs and responding to other issues associated with response to the earthquake, Security personnel are not available to make any emergency notifications. The Emergency Director directs you to notify the Emergency Response Organization in accordance with RA-EP-02110.  (Provide RA-EP-2110 and the Emergency Plan Telephone Directory)
 
Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A4 AG  3 of 8  CANDIDATE COPY INITIAL CONDITIONS: You are an extra Senior Reactor Operator in the Control Room. The plant is in Mode 1 operating at 100% power. The Shift Manager has declared an Alert on EAL HA3 due to an Operating Basis Earthquake being detected at the plant and he has assumed the Emergency Director position.
Time Critical Task:
The Unit Supervisor is directing plant responses in accordance with RA-EP-02820, Earthquake. INITIATING CUES: Due to performing plant walk-downs and responding to other issues associated with response to the earthquake, Security personnel are not available to make any emergency notifications. The Emergency Director directs you to notify the Emergency Response Organization in accordance with RA-EP-02110.   
No    Alternate Path:
No Validation Time:
10 minutes
 
Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A4 AG  2 of 8  EXAMINER COPY INITIAL CONDITIONS:
You are an extra Senior Reactor Operator in the Control Room.
The plant is in Mode 1 operating at 100% power.
The Shift Manager has declared an Alert on EAL HA3 due to an Operating Basis Earthquake being detected at the plant and he has assumed the Emergency Director position.
 
The Unit Supervisor is directing plant responses in accordance with RA
-EP-02820, Earthquake.
INITIATING CUES:
Due to performing plant walk
-downs and responding to other issues associated with response to the earthquake, Security personnel are not available to make any emergency notifications. The Emergency Director directs you to notify the Emergency Response Organization in accordance with RA
-EP-02110.  (Provide RA
-EP-2110 and the Emergency Plan Telep hone Directory
)
Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A4 AG  3 of 8  CANDIDATE COPY INITIAL CONDITIONS:
You are an extra Senior Reactor Operator in the Control Room.
The plant is in Mode 1 operating at 100% power.
The Shift Manager has declared an Alert on EAL HA3 due to an Operating Basis Earthquake being detected at the plant and he has assumed the Emergency Director position.
 
The Unit Supervisor is directing plant responses in accordance with RA
-EP-02820, Earthquake.
INITIATING CUES:
Due to performing plant walk
-downs and responding to other issues associated with response to the earthquake, Security personnel are not available to make any emergency notifications.
The Emergency Director directs you to notify the Emergency Response Organization in accordance with RA
-EP-02110. 
 
Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A4 AG  4 of 8 PERFORMANCE INFORMATION NOTE: Critical steps denoted with a "C". Failure to meet any one of these standards for this item constitutes failure. Sequence is NOT critical unless denoted in the "Comments".
  . START TIME:  _______
: 1. PERFORMANCE STEP
:  Reviews the procedure.
STANDARD:  Reviews RA-EP-02110, Emergency Notification, for notifying the Emergency Response Organization and off
-site agencies.
CUE:  If asked, a security event is NOT in progress.
 
__________
SAT  UNSAT
: 2. PERFORMANCE STEP:  Obtain CANS access numbers from Davis
-Besse Emergency Plan Telephone Directory and dial them.
STANDARD:  Locates the ERO Notification Flow Chart behind the Immediate Notification Numbers tab in the Davis
-Besse Emergency Plan Telephone Directory
. CUE:  Provide a copy of the Emergency Plan Telephone directory only if the JPM is NOT performed in the simulator.
__________
SAT  UNSAT
: 3. PERFORMANCE STEP:  Dial the primary CANS access number.
STANDARD:
Locates a touch tone phone and correctly dials the primary CANS number.
COMMENT: The primary CANS number is 9 877-686-7612.      IF the incorrect number is dialed, THEN say, "The phone continues to ring."
 
CUE: Say, "You hear a "busy" signal."
__________
SAT  UNSAT
 
Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A4 AG  5 of 8  4. PERFORMANCE STEP:  Dial the backup CANS access number.
STANDARD:
Locates a touch tone phone and correctly dials the backup CANS number.
 
COMMENT: The CANS backup number is 9 866-334-6556. CUE: "The phone continues to ring."
__________
SAT  UNSAT
: 5. PERFORMANCE STEP:  Determine the need to activate a group page.
STANDARD:  Locates the ERO Numeric Group Page instructions in the ERO Notification Flow Chart behind the Immediate Notification Numbers tab in the Davis
-Besse Emergency Plan Telephone Directory
. COMMENT:  The Group Pager number is 9 800-405-4758. CUE:  None.                  __________
SAT  UNSAT
: 6. PERFORMANCE STEP:  Contact the Group Pager system.                                                 
........C........
STANDARD:  Locates a touch tone phone and correctly dials 9-1-800-405-4758. CUE:  IF the correct number is dialed, THEN say, "This is the Remote Activation Module. Please enter a pager number."  IF any other number is dialed, THEN say, "The number you have dialed is no longer in service. Please check the number and try again"
__________
SAT  UNSAT
: 7. PERFORMANCE STEP:  Enter the pager number.                                                     
........C........
STANDARD:  Enters pager number "2533024."
CUE:  IF pager number 2533024 is entered, THEN say, "Please enter the event code followed by the pound key."
IF the wrong pager number is entered, THEN say, "The number you entered is not valid, please check the number and try again."
__________
SAT  UNSAT
 
Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A4 AG  6 of 8  8. PERFORMANCE STEP:  Enter the event code.                                         
........C........
STANDARD:  Enters 2222#.
CUE:  IF the # is not entered, THEN say, "Your input is not valid, Please enter the event code followed by the pound key."
__________
SAT  UNSAT
: 9. PERFORMANCE STEP:  Terminate the call.                                                     
 
STANDARD:  Hangs up the telephone.
COMMENT:  The E-Plant Telephone Directory step directs the operator to "Send the page two times."  The second page actions are not critical if the first page was SAT.
CUE:  None.                  __________
SAT  UNSAT
: 10. PERFORMANCE STEP:  Contact the pager system.
STANDARD:  Locates a touch tone phone and correctly dials 9-1-800-405-4758. CUE:  IF the correct number is dialed, THEN say, "This is the Remote Activation Module. Please enter a pager number."  IF any other number is dialed, THEN say, "The number you have dialed is no longer in service. Please check the number and try again"
__________
SAT  UNSAT
: 11. PERFORMANCE STEP:  Enter the pager number.
STANDARD:  Enters pager number "2533024."
CUE:  IF pager number 2533024 is entered, THEN say, "Please enter the event code followed by the pound key."
IF the wrong pager number is entered, THEN say, "The number you entered is not valid, please check the number and try again."
__________
SAT  UNSAT
 
Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A4 AG  7 of 8  12  PERFORMANCE STEP:  Enter the event code.                                         
 
STANDARD:  Enters 2222#.
CUE:  IF the # is not entered, THEN say, "Your input is not valid, Please enter the event code followed by the pound key."
__________
SAT  UNSAT 13  PERFORMANCE STEP:  Terminate the call.                                                     
 
STANDARD:  Hangs up the telephone.
CUE:  None.        __________
SAT  UNSAT TERMINATING CUES:  This JPM is complete (Terminated by Evaluator
)
__________
END TIME Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A4 AG  8 of 8   Verification of Completion Job Performance Measure No.
Examinee's Name:
Examiner's Name:
Date Performed:
Facility Evaluator:
 
Number of Attempts:
Time to Complete:
 
Question Documentation:
 
Question:_____________________________________________________________
____________________________________________________________________________
________________________________________________________________


Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A4 AG  4 of 8 PERFORMANCE INFORMATION  NOTE: Critical steps denoted with a "C". Failure to meet any one of these standards for this item constitutes failure. Sequence is NOT critical unless denoted in the "Comments".  . START TIME:  _______  1. PERFORMANCE STEP:  Reviews the procedure. STANDARD:  Reviews RA-EP-02110, Emergency Notification, for notifying the Emergency Response Organization and off-site agencies.                                                                      CUE:  If asked, a security event is NOT in progress.                                                __________      SAT  UNSAT  2. PERFORMANCE STEP:  Obtain CANS access numbers from Davis-Besse Emergency      Plan Telephone Directory and dial them. STANDARD:  Locates the ERO Notification Flow Chart behind the Immediate Notification    Numbers tab in the Davis-Besse Emergency Plan Telephone Directory. CUE:  Provide a copy of the Emergency Plan Telephone directory only if the JPM is  NOT performed in the simulator.          __________      SAT  UNSAT  3. PERFORMANCE STEP:  Dial the primary CANS access number. STANDARD:  Locates a touch tone phone and correctly dials the primary CANS number.      COMMENT: The primary CANS number is 9-1-877-686-7612.      IF the incorrect number is dialed,    THEN say, "The phone continues to ring."
===Response===
CUE: Say, "You hear a "busy" signal."      __________      SAT  UNSAT 
_____________________________________________________________
______________________________________________________________________


Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A4 AG  5 of 8  4. PERFORMANCE STEP:  Dial the backup CANS access number. STANDARD:  Locates a touch tone phone and correctly dials the backup CANS number.
______________________________________________________________________
COMMENT: The CANS backup number is 9-1-866-334-6556. CUE: "The phone continues to ring." __________      SAT  UNSAT  5. PERFORMANCE STEP:  Determine the need to activate a group page. STANDARD:  Locates the ERO Numeric Group Page instructions in the ERO Notification Flow Chart behind the Immediate Notification Numbers tab in the Davis-Besse Emergency Plan Telephone Directory. COMMENT:  The Group Pager number is 9-1-800-405-4758. CUE:  None.                  __________      SAT  UNSAT  6. PERFORMANCE STEP:  Contact the Group Pager system.                                                    ........C........ STANDARD:  Locates a touch tone phone and correctly dials 9-1-800-405-4758. CUE:  IF the correct number is dialed,  THEN say, "This is the Remote Activation Module. Please enter a pager number."  IF any other number is dialed,  THEN say, "The number you have dialed is no longer  in service. Please check the number and try again"                          __________      SAT  UNSAT  7. PERFORMANCE STEP:  Enter the pager number.                                                      ........C........ STANDARD:  Enters pager number "2533024."                                                                    CUE:  IF pager number 2533024 is entered,  THEN say, "Please enter the event code followed by the pound key."  IF the wrong pager number is entered,  THEN say, "The number you entered is not valid,  please check the number and try again."      __________      SAT  UNSAT Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A4 AG  6 of 8  8. PERFORMANCE STEP:  Enter the event code.                                            ........C........ STANDARD:  Enters 2222#.                                                                CUE:  IF the # is not entered, THEN say, "Your input is not valid, Please enter  the event code followed by the pound key."      __________      SAT  UNSAT  9. PERFORMANCE STEP:  Terminate the call.
____________________________________________________
STANDARD:  Hangs up the telephone. COMMENT:  The E-Plant Telephone Directory step directs the operator to "Send the page two times."  The second page actions are not critical if the first page was SAT. CUE:  None.                  __________      SAT  UNSAT 
__________________
: 10. PERFORMANCE STEP:  Contact the pager system.                                                    STANDARD:  Locates a touch tone phone and correctly dials 9-1-800-405-4758. CUE:  IF the correct number is dialed,  THEN say, "This is the Remote Activation Module. Please enter a pager number."  IF any other number is dialed,  THEN say, "The number you have dialed is no longer  in service. Please check the number and try again"        __________      SAT  UNSAT  11. PERFORMANCE STEP:  Enter the pager number.                                                        STANDARD:  Enters pager number "2533024."                                                                    CUE:  IF pager number 2533024 is entered,  THEN say, "Please enter the event code followed by the pound key."  IF the wrong pager number is entered,  THEN say, "The number you entered is not valid,  please check the number and try again."      __________      SAT  UNSAT Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A4 AG  7 of 8  12  PERFORMANCE STEP:  Enter the event code.
Result:  Satisfactory/Unsatisfactory Examiner's signature and date:
STANDARD:  Enters 2222#.                                                                CUE:  IF the # is not entered, THEN say, "Your input is not valid, Please enter  the event code followed by the pound key."      __________      SAT  UNSAT  13  PERFORMANCE STEP:  Terminate the call.
_______________________________________}}
STANDARD:  Hangs up the telephone. CUE:  None.        __________      SAT  UNSAT  TERMINATING CUES:  This JPM is complete (Terminated by Evaluator)
__________      END TIME Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A4 AG  8 of 8  Verification of Completion  Job Performance Measure No.      Examinee's Name:          Examiner's Name:          Date Performed:          Facility Evaluator:
Number of Attempts:        Time to Complete:
Question Documentation:
Question:_____________________________________________________________ ____________________________________________________________________________________________________________________________________________  Response:_____________________________________________________________ ______________________________________________________________________
______________________________________________________________________ ______________________________________________________________________  Result:  Satisfactory/Unsatisfactory   Examiner's signature and date: _______________________________________}}

Revision as of 20:38, 30 June 2018

2015 Davis-Besse Nuclear Power Station Initial License Examination As-Administered RO-SRO Admin JPMs
ML15245A271
Person / Time
Site: Davis Besse Cleveland Electric icon.png
Issue date: 06/22/2015
From:
Division of Reactor Safety III
To:
FirstEnergy Nuclear Operating Co
Reeser, D W
Shared Package
ML15217A121 List:
References
Download: ML15245A271 (95)


Text

Davis-Besse Initial License Exam 2015 Admin JPM RO-A1.1 Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO

-A1.1 AG 1 of 10 Facility:

Davis-Besse Task No: 002-003-02-0100 Task Title

Perform manual RCS Leakage Calculation K/A

Reference:

2.1.20 (4.6) Job Performance Measure No

RO-A1.1 (New) Examinee:

NRC Examiner:

Date: Method of testing:

Simulated Performance

___ Actual Performance

_X_ Classroom

_X_ Simulator

___ Plant ___

Read to the examinee:

I will explain the initial conditions, which steps to simulate or discuss, and provide initiating cues.

When you complete the task successfully, the objective for this job performance measure will be satisfied.

Initial Conditions:

The plant conditions are specified in the Initial Conditions and Initiating Cues.

Task Standard:

Perform manual RCS Leakage calculation and determine RCS Leakage within 0.5 gpm Required Materials:

DB-SP-03357, RCS Water Inventory Balance with Attachment 2 table values documented Curves CC 3.1 and CC 3.2a to CC3.2k from DB-PF-06703, Miscellaneous Curves Straight edge Calculator General

References:

None Initiating Cue:

The plant conditions are specified in the Initial Conditions and Initiating Cues.

Time Critical Task:

No Alternate Path:

No Validation Time:

35 minutes

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO

-A1.1 AG 2 of 10 EXAMINER COPY INITIAL CONDITIONS

The Plant is at 100% Power Makeup Tank Pressure is 25 psig

The Computer is unavailable INITIATION CUE:

The Unit Supervisor has directed you to perform steps 4.2.2.a through 4.2.2.k of DB-SP-03357, RCS Water Inventory Balance, manually calculate RCS leak rate on Attachment 2, RCS/MU and Purification Leak Rate Calculation Sheet.

NOTE: DB-SP-03357, Attachment 2 has 4 pages (there is a page count error on Attachment 2

- page 1 of 3, 2 of 3, 3 of 3 and 4 of 4)

(Hand Candidate a copy of the DB-SP-03357, RCS Water Inventory Balance Procedure and DB-PF-06703, Miscellaneous Curves CC 3.1 and CC 3.2a to CC3.2k

.

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO

-A1.1 AG 3 of 10 CANDIDATE COPY INITIAL CONDITIONS

The Plant is at 100% Power Makeup Tank Pressure is 25 psig The Computer is unavailable INITIATION CUE:

The Unit Supervisor has directed you to perform steps 4.2.2.a through 4.2.2.k of DB-SP-03357, RCS Water Inventory Balance, manually calculate RCS leak rate on Attachment 2, RCS/MU and Purification Leak Rate Calculation Sheet.

NOTE: DB-SP-03357, Attachment 2 has 4 pages (there is a page count error on Attachment 2

- page 1 of 3, 2 of 3, 3 of 3 and 4 of 4)

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO

-A1.1 AG 4 of 10 PERFORMANCE INFORMATION NOTE: Critical steps denoted with a "C". Failure to meet any one of these standards for this item constitutes failure. Sequence is NOT critical unless denoted in the "Comments".

START TIME: _______

1. PERFORMANCE STEP: Performs step 4.2.2.a, Record Makeup Tank Water Density from Attachment 4

........C........

STANDARD:

Identifies that Makeup Tank initial and final temperature is 100 °F, locates Attachment 4 and determines the MU Tank Water Density is 62.0038 lbm/ft3 and records this on Attachment 2 step 4.2.2.a.

COMMENT: CUE: None __________

SAT UNSAT

2. PERFORMANCE STEP: Complete the Initial Makeup Tank Inventory equations step 4.2.2.b ........C........

STANDARD:

Water Inventory = (Tank level

  • 4.124 ft³/in
  • Calibration Density) + (77.85 ft³
  • Water Density)

= (Tank level

  • 4.124 ft³/in
  • 62.325lbm/ ft³) + (77.85 ft³
  • Water Density)

Initial:

( __67__ in.* 257 lbm/in ) + ( 77.85 ft³

  • _62.0038 lbm/ft³) = _22046 (+/- 10)_ lbm CUE: Another Operator will perform the Independent Verification of the calculation

__________

SAT UNSAT

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO

-A1.1 AG 5 of 10 3. PERFORMANCE STEP: Complete the Final Makeup Tank Inventory equations step 4.2.2.b ........C........

STANDARD:

Water Inventory = (Tank level

  • 4.124 ft³/in
  • Calibration Density) + (77.85 ft³
  • Water Density)

= (Tank level

  • 4.124 ft³/in
  • 62.325lbm/ ft³) + (77.85 ft³
  • Water Density)

Final: ( __64__ in.* 257 lbm/in ) + ( 77.85 ft³

  • _62.0038 lbm/ft³) =

_21275 (+/- 10)_ lbm CUE: Another Operator will perform the Independent Verification of the calculation

__________

SAT UNSAT

4. PERFORMANCE STEP: Determine Pressurizer Inventory Water and Steam Density values using the initial and final values and Attachment 6, per step 4.2.2.c

........C....... STANDARD:

Locates Attachment 6, uses initial RCS pressure value of 2156 psig and final RCS pressure value of 2161 psig to record Density values in step 4.2.2.c of Attachment 2 Pressurizer Inventory Density (from Attachment 6)

Water Initial ___37.71________ lbm/ft³ Steam Initial ____6.02_________ lbm/ft³ Water Final ____37.68________ lbm/ft³ Steam Final ____6.04_________ lbm/ft³ CUE: None __________

SAT UNSAT

5. PERFORMANCE STEP: Complete the Initial Pressurizer Inventory equation for Water Inventory step 4.2.2.d

........C........

STANDARD:

Water Inventory = (level

  • 3.173 ft³/in + 239.6 ft³)
  • Water Density Water Initial:

[(_218_ in.

  • 3.173 ft³/in) + 239.6 ft³]
  • 37.71 lbm/ft³ = _35119.85 (+/- 250) lbm CUE: None __________

SAT UNSAT

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO

-A1.1 AG 6 of 10 6. PERFORMANCE STEP: Complete the Final Pressurizer Inventory equation for Water Inventory step 4.2.2.d

........C........

STANDARD:

Water Inventory = (level

  • 3.173 ft³/in + 239.6 ft³)
  • Water Density Water Final
[(_222_ in.
  • 3.173 ft³/in) + 239.6 ft³]
  • 37.68 lbm/ft³ = _

35570.146 (+/- 250 ) lbm CUE: None __________

SAT UNSAT

7. PERFORMANCE STEP: Complete the Initial Pressurizer Inventory equation for Steam Inventory step 4.2.2.d

........C........

STANDARD:

Steam Inventory =[((320

- level)

  • 3.173 ft³/in) + 242.2 ft³]
  • Steam Density Steam Initial:

[((320 - 218 in)

  • 3.173 ft³/in) + 242.2 ft³]
  • 6.02 lbm/ft³) = _3406.393 (+/

-50) lbm CUE: None __________

SAT UNSAT

8. PERFORMANCE STEP: Complete the Final Pressurizer Inventory equation for Steam Inventory step 4.2.2.d

........C........

STANDARD:

Steam Inventory =[((320

- level)

  • 3.173 ft³/in) + 242.2 ft³]
  • Steam Density Steam Final: [((320 - 222 in)
  • 3.173 ft³/in) + 242.2 ft³]
  • 6.04 lbm/ft³) = _

3341.05 (+/-50) lbm CUE: None __________

SAT UNSAT

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO

-A1.1 AG 7 of 10 9. PERFORMANCE STEP: Input the Power Correction Factor data on Attachment 2 step 4.2.2.e ........C........

STANDARD:

Power is 100% from initial conditions, refers to DB

-PF-06703 Curve CC3.1 to obtain the Power Correction Factors

4.2.2.e Power Correction Factor Initial __135_(+/ 5) _ lbm Final 135 (+/-5) lbm CUE: None __________

SAT UNSAT

10. PERFORMANCE STEP: Input the Temperature Correction Factor data on Attachment 2 step 4.2.2.f

........C........

STANDARD:

Initial Temperature is 581.8

°F and Final Temperature is 582.3

°F from Attachment 2, refers to DB

-PF-06703 Curve CC3.1 to obtain the Power Correction Factors 4.2.2.f Temperature Correction Factor (Tave °F) Initial __-35200 (+/- 50) _ lbm Final -35600 (+/- 50) lbm CUE: None __________

SAT UNSAT

11. PERFORMANCE STEP: If Tave is less than 528 °F, then complete Temperature Factor Equation per step 4.2.2.g STANDARD:

Determines step 4.2.2.g is N/A since temperature is greater than 528

°F CUE: None __________

SAT UNSAT

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO

-A1.1 AG 8 of 10 12. PERFORMANCE STEP: Complete the RCS Inventory Table to determine Initial and Final total RCS Inventory per step 4.2.2.h

........C........

STANDARD:

Transfers data calculated to the RCS Inventor y Table and calculate s the Initial and Final RCS Water Inventory MU Tank Inventory (lbm) + Pzr Steam Inventory (lbm) + Pzr Water Inventory (lbm) + Power Correction (lbm) + Temperature Correction (lbm) = Water Inventory (lbm) Initial: 22046 lbm + 3406.393 lbm + 35119.85 lbm + 135 lbm + -35200 lbm = 25507.243

(+/- 250) lbm Final: 21275 lbm + 3341.05 lbm + 35570.146 lbm + 135 lbm + -35600 lbm = 24721.196 (+/- 250) lbm CUE: None __________

SAT UNSAT

13. PERFORMANCE STEP: Calculates the Change in RCS Inventory

........C........

STANDARD:

Completes step 4.2.2.i to determine RCS Inventory Change Change = Initial inventory

- Final inventory Change = 25507.243 lbm - 24721.196_ lbm = 786.047 (+/- 80)_ lbm CUE: Another Operator will perform the Independent Verification of the calculation

__________

SAT UNSAT

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO

-A1.1 AG 9 of 10 14. PERFORMANCE STEP: Calculates the Time Period .......C.........

STANDARD:

Completes step 4.2.2.

j by subtracting Initial Time from the Final Time Period = Final time

- Initial time Period = [(

23 hr x 60) + (

11 min)] - [(_19 hr x 60) + (

5 min)] = _

246__ min CUE: Another Operator will perform the Independent Verification of the calculation

__________

SAT UNSAT

15. PERFORMANCE STEP: Calculates the Total RCS Leak Rate per step 4.2.2.k

.......C.........

STANDARD:

Completes step 4.2.2.k by subtracting Initial Time from the Final Time lbm 62.32ft x ftgallons 7.481 x timeInventory RCSin Change Leakrate33 Leakrate = (

786.047 lbm) ÷ (

246 min) x (0.120 gal/lbm)

Leakrate =

0.383 (+/- 0.05) gpm CUE: Another Operator will perform the Independent Verification of the calculation

__________

SAT UNSAT TERMINATING CUES: This JPM is complete (Terminated by the examine r) __________

END TIME

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO

-A1.1 AG 10 of 10 Verification of Completion Job Performance Measure No.

Examinee's Name:

Examiner's Name:

Date Performed:

Facility Evaluator:

Number of Attempts:

Time to Complete:

Question Documentation:

Question:_____________________________________________________________

____________________________________________________________________________

________________________________________________________________

Response

_____________________________________________________________

___________________________________________

___________________________

______________________________________________________________________

______________________________________________________________________

Result: Satisfactory/Unsatisfactory Examiner's signature and date:

_______________________________________

20 Revision ATTACHMENT 2:

RCS/MU AND PURIFICATION LEAK RATE CALCULATION SHEET Page 1 of 3 Note: For parameters which utilize averaging of redundant channels, eliminate inoperable channels from the average and reduce the denominator accordingly.

If a Th or Tc point is unavailable, eliminate it and the opposing point (Tc or Th) from the same loop, and reduce the denominator by 2.

ITEM PARAMETER SOURCE UNITS INITIAL VALUE FINAL VALUE 1 Time Control Room clock or computer hr:min Step 4.1.4 Step 4.1.10 1905 2311 2 Makeup Tank Temp T769 or TI MU8 °F 100 100 3 Makeup Tank Level (2 channel ave)

[L761+L763]2, or LR MU16 in. 67 64 4 RCS Pressure (4 ch ave)

[P721+P722+P729+P730]4, PRSRC2A2, or PRS RC2B (1) psi 2156 2161 5 Pressurizer Level LRS RC14 or L768 in. 218 222 6 Ave Power

[R795+R804+R814+R820]4,C913, or NR NI6 % 100 100 7 Tave (8 ch ave)

TI RC7, or: [T719+T720+T728+T729+

T780+T800+T820+T840]8 (2) °F 581.8 582.3 (1) If less than 1700 psig RCS Pressure use the average of P725 and P732 (loop 1 and loop 2 WR Pressure).

(2) If less than 520°F RCS Temperature then average T753 and T782 (loop 1 and loop 2 WR Temperature).

4.2.2.a Makeup Tank Water Density (from Attachment 4)

Initial ____62.0038______ lbm/ft³ Final ___ 62.0038______ lbm/ft³ 4.2.2.b Makeup Tank Inventory Note: 77.85 ft³ accounts for water volume below the level indicating range.

Water Inventory = (Tank level

  • 4.124 ft³/in
  • Calibration Density) + (77.85 ft³
  • Water Density)

= (Tank level

  • 4.124 ft³/in
  • 62.325lbm/ ft³) + (77.85 ft³
  • Water Density)

Initial:

( ___67______ in.* 257 lbm/in ) + ( 77.85 ft³

  • _62.0038 lbm/ft³) =

_22046_ lbm ________ IV Final: (___64______ in.* 257 lbm/in ) + ( 77.85 ft³

  • _62.0038 lbm/ft³) =

_21275_ lbm ________ IV 21 Revision ATTACHMENT 2:

RCS/MU AND PURIFICATION LEAK RATE CALCULATION SHEET Page 2 of 3 4.2.2.c Pressurizer Inventory Density (from Attachment 6)

Water Initial ___37.71________ lbm/ft³ Steam Initial ____6.02_________ lbm/ft³ Water Final ____37.68________ lbm/ft³ Steam Final ____6.04_________ lbm/ft³ 4.2.2.d Pressurizer Inventory Note: 239.6 ft³ accounts for water volume below the level indicating range.

242.2 ft³ accounts for steam volume above the level indicating range.

Water Inventory = (level

  • 3.173 ft³/in + 239.6 ft³)
  • Water Density Water Initial:

[(___218_____ in.

  • 3.173 ft³/in) + 239.6 ft³]
  • 37.71 lbm/ft³ = _

35119.85 lbm ________ IV Water Final:

[(___222_____ in.

  • 3.173 ft³/in) + 239.6 ft³]
  • 37.68 lbm/ft³ = _

35570.146 lbm ________ IV Steam Inventory =[((320

- level)

  • 3.173 ft³/in) + 242.2 ft³]
  • Steam Density Steam Initial:

[((320 - _218__in)

  • 3.173 ft³/in) + 242.2 ft³]
  • 6.02 lbm/ft³) = _3406.393________ lbm

________ IV Steam Final:

[((320 - __222__in)

  • 3.173 ft³/in) + 242.2 ft³]
  • 6.04 lbm/ft³) = _

3341.05 __ lbm ________ IV 4.2.2.e Power Correction Factor Initial _____

135_____________ lbm Final _____

135____________ lbm 4.2.2.f Temperature Correction Factor (Tave >528°) Initial ______

-35200___________ lbm Final _____

-35600___________ lbm

22 Revision ATTACHMENT 2:

RCS/MU AND PURIFICATION LEAK RATE CALCULATION SHEET Page 3 of 3 4.2.2.g Temperature Correction Factor (Tave <528°) Reactor Coolant System Density (from Attachment 5)

N/A At initial Tave ___________________ lbm/ft³

At final Tave ___________________ lbm/ft³ Temperature Correction Factor (TCF)

TCF = [(10,277 + (0.24828

  • Tave))

- 498,800 Initial: [(10,277 ft³ + (0.24828 ft³/°F* _______°F))

  • _______ lbm/ft³]

- 498,800 lbm = _______ lbm

________ IV Final: [(10,277 ft³ + (0.24828 ft³/°F* _______°F))

  • _______ lbm/ft³]

- 498,800 lbm = _______ lbm

________ IV 4.2.2.h RCS Inventory MU Tank Inventory (lbm) + Pzr Steam Inventory (lbm) + Pzr Water Inventory (lbm) + Power Correction (lbm) + Temperature Correction (lbm) = Water Inventory (lbm) Initial: 22046 lbm + 3406.393 lbm + 35119.85 lbm + 135 lbm + -35200 lbm = 25507.243 lbm Final: 21275 lbm + 3341.05 lbm + 35570.146 lbm + 135 lbm + -35600 lbm = 24721.196 lbm 4.2.2.i Change in RCS Inventory Change = Initial inventory

- Final inventory Change = 25507.243

_ lbm - 24721.196 lbm = 786.047_ lbm ________ IV 23 Revision ATTACHMENT 2:

RCS/MU AND PURIFICATION LEAK RATE CALCULATION SHEET Page 4 of 4 4.2.2.j Time period Period = Final time

- Initial time Period = [(_

23___ hr x 60) + (

11 min)] - [(__19__ hr x 60) + (

5 min)] = _

246____ min ________ IV 4.2.2.k Total RCS Leak Rate lbm 62.32ft x ftgallons 7.481 x timeInventory RCSin Change Leakrate33 Leakrate = (

786.047 lbm) ÷ (

246 min) x (0.120 gal/lbm)

Leakrate =

.383 gpm ________ IV Independent Verification Completed by _________________________________ Date ______

24 Revision ATTACHMENT 3:

UNIDENTIFIED RCS LEAKAGE CALCULATION SHEET Page 1 of 1 4.2.1.f RCP Seals Leak Rate from computer printout, or from Attachment

1. (4.2.1.e) __________ gpm 4.2.1.j Quench Tank In-Leakage Rate from computer printout, or from Attachment 1. (4.2.1.i). Only record Positive values (exclude negative values by entering 0.000).

__________ gpm 4.2.2.l RCS Total Leak Rate from computer printout, or from Attachment

2. ___.383___ gpm 4.2.3.a Primary to Secondary Tube Leakage from computer printout, or from most recent entry in RCS Leakage Log, RO Log, or as determined by Chemistry.

__________ gpm (0.104 allowed) 4.2.3.b Other Identified Leakage,

or from RCS Leakage Log.

__________ gpm 4.2.3.c Total Identified Leak Rate from computer printout, or from; RCP Seals + Quench Tk + Pri to Sec + Other

( 4.2.1.e + 4.2.1.i [positive values only] + 4.2.3.a + 4.2.3.b ). ________ IV __________ gpm (10 gpm allowed) 4.2.3.d Unidentified Leak Rate from computer printout, or from; Total Leak Rate

- Total Identified Leak Rate

( 4.2.2.k - 4.2.3.c ) ________ IV __________ gpm (1 gpm allowed) 4.2.3.e Reactor Coolant Pressure Boundary Leakage

__________ gpm (0 gpm allowed)

Independent Verification Completed by _________________________________ Date ______

Performed by:

Date:

Davis-Besse Initial License Exam 2015 Admin JPM RO-A1.2 Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A1.2 AG 1 of 6 Facility:

Davis-Besse Task No: 119-002-03-0100 Task Title

Determine Maintenance of Active License Status K/A

Reference:

2.1.4 (3.3) Job Performance Measure No

RO-A1.2 (JPM New) Examinee:

NRC Examiner:

Date: Method of testing:

Simulated Performance

___ Actual Performance

_X_ Classroom

_X_ Simulator

___ Plant ___

Read to the examinee:

I will explain the initial conditions, which steps to simulate or discuss, and provide initiating cues.

When you complete the task successfully, the objective for this job performance measure will be satisfied.

Initial Conditions:

The plant conditions are specified in the Initial Conditions and Initiating Cues.

Task Standard:

Determine active license status is not maintained, evaluate whether each shift meets the requirements.

Required Materials:

DBBP-TRAN-0014, License Requirements for Licensed Individuals NT-OT-07001, Training and Qualification of Operations Personnel General

References:

None Initiating Cue:

The plant conditions are specified in the Initial Conditions and Initiating Cues.

Time Critical Task:

No Alternate Path:

No Validation Time:

20 minutes

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A1.2 AG 2 of 6 EXAMINER COPY INITIAL CONDITIONS

Today is 7/1/15

. You are a Reactor Operator.

You are scheduled to stand a Reactor Operator ATC watch tomorrow.

Your work history for the previous quarter is as follows

4/12/15 Worked 12 hours1.388889e-4 days <br />0.00333 hours <br />1.984127e-5 weeks <br />4.566e-6 months <br /> as BOP in Mode 1 (day shift). Took turnover at the beginning of shift and gave turnover at end of shift.

4/13/15 Worked 8 hours9.259259e-5 days <br />0.00222 hours <br />1.322751e-5 weeks <br />3.044e-6 months <br /> as BOP in Mode 1 (day shift). Took turnover at beginning of shift and did NOT give turnover at end of shift

. 4/14/15 Worked 6 hours6.944444e-5 days <br />0.00167 hours <br />9.920635e-6 weeks <br />2.283e-6 months <br /> in Mode 1 as ATC and 6 hours6.944444e-5 days <br />0.00167 hours <br />9.920635e-6 weeks <br />2.283e-6 months <br /> ATC doing Crew JIT training on Simulator (day shift). Took turnover at beginning and gave turnover at end of both of these assignments.

5/19/15 Worked 12 hours1.388889e-4 days <br />0.00333 hours <br />1.984127e-5 weeks <br />4.566e-6 months <br /> in Mode 5 as BOP (night shift). Took turnover at beginning of shift and gave turnover at end of shift.

5/20/15 Worked 12 hours1.388889e-4 days <br />0.00333 hours <br />1.984127e-5 weeks <br />4.566e-6 months <br /> in Mode 5 as ATC (night shift). Took turnover at beginning of shift an d gave turnover at end of shift 5/21/15 Worked 12 hours1.388889e-4 days <br />0.00333 hours <br />1.984127e-5 weeks <br />4.566e-6 months <br /> in Mode 3 as BOP (night shift)

. Took turnover at beginning of shift and did gave turnover at end of shift.

6/27/15 Worked 12 hours1.388889e-4 days <br />0.00333 hours <br />1.984127e-5 weeks <br />4.566e-6 months <br /> I Mode 1 as the 3rd RO in the Control Room (day shift). Took turnover at beginning of shift and gave turnover at end of shift.

INITIATION CUE:

Determine if your license status is active or inactive based on the previous quarters work history and document as ACTIVE or INACTIVE on this page. Report whether each shift meets the watch credit or not.

(Provide copy of DBBP

-TRAN-0014, License Requirements for Licensed Individuals and NT-OT-07001, Training and Qualification of Operations Personnel)

RESULTS:

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A1.2 AG 3 of 6 CANDIDATE COPY INITIAL CONDITIONS

Today is 7/1/15. You are a Reactor Operator.

You are scheduled to stand a Reactor Operator ATC watch tomorrow.

Your work history for the previous quarter is as follows

4/12/15 Worked 12 hours1.388889e-4 days <br />0.00333 hours <br />1.984127e-5 weeks <br />4.566e-6 months <br /> as BOP in Mode 1 (day shift). Took turnover at the beginning of shift and gave turnover at end of shift.

4/13/15 Worked 8 hours9.259259e-5 days <br />0.00222 hours <br />1.322751e-5 weeks <br />3.044e-6 months <br /> as BOP in Mode 1 (day shift). Took turnover at beginning of shift and did NOT give turnover at end of shift.

4/14/15 Worked 6 hours6.944444e-5 days <br />0.00167 hours <br />9.920635e-6 weeks <br />2.283e-6 months <br /> in Mode 1 as ATC and 6 hours6.944444e-5 days <br />0.00167 hours <br />9.920635e-6 weeks <br />2.283e-6 months <br /> ATC doing Crew JIT training on Simulator (day shift). Took turnover at beginning and gave turnover at end of both of these assignments.

5/19/15 Worked 12 hours1.388889e-4 days <br />0.00333 hours <br />1.984127e-5 weeks <br />4.566e-6 months <br /> in Mode 5 as BOP (night shift). Took turnover at beginning of shift and gave turnover at end of shift.

5/20/15 Worked 12 hours1.388889e-4 days <br />0.00333 hours <br />1.984127e-5 weeks <br />4.566e-6 months <br /> in Mode 5 as ATC (night shift). Took turnover at beginning of shift an d gave turnover at end of shift 5/21/15 Worked 12 hours1.388889e-4 days <br />0.00333 hours <br />1.984127e-5 weeks <br />4.566e-6 months <br /> in Mode 3 as BOP (night shift)

. Took turnover at beginning of shift and did gave turnover at end of shift.

6/27/15 Worked 12 hours1.388889e-4 days <br />0.00333 hours <br />1.984127e-5 weeks <br />4.566e-6 months <br /> I Mode 1 as the 3rd RO in the Control Room (day shift). Took turnover at beginning of shift and gave turnover at end of shift.

INITIATION CUE:

Determine if your license status is active or inactive based on the previous quarters work history and document as ACTIVE or INACTIVE on this page. Report whether each shift meets t he watch credit or not. RESULTS:

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A1.2 AG 4 of 6 PERFORMANCE INFORMATION NOTE: Critical steps denoted with a "C". Failure to meet any one of these standards for this item constitutes failure. Sequence is NOT critical unless denoted in the "Comments".

START TIME: _______

1. PERFORMANCE STEP: Evaluate 4/12/15 work period

........C........

STANDARD:

Reviews DBBP-TRAN-0014, License Requirements for Licensed Individuals and determines requirement for credit is met

. CUE: None __________

SAT UNSAT

2. PERFORMANCE STEP: Evaluate 4/13/15 work period

........C........

STANDARD:

Reviews DBBP-TRAN-0014, License Requirements for Licensed Individuals and determines requirement for credit is not met. Did not stand complete watch CUE: None __________

SAT UNSAT

3. PERFORMANCE STEP: Evaluate 4/14/15 work period

........C........

STANDARD:

Reviews DBBP-TRAN-0014, License Requirements for Licensed Individuals and determines requirement for credit is not met. No credit is given for Simulator time CUE: None __________

SAT UNSAT

4. PERFORMANCE STEP: Evaluate 5/19/15 work period

........C........

STANDARD:

Reviews DBBP-TRAN-0014, License Requirements for Licensed Individuals and determines requirement for credit is not met. Credit for BOP is not given in Mode 5

. CUE: None __________

SAT UNSAT

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A1.2 AG 5 of 6 5. PERFORMANCE STEP: Evaluate 5/20/15 work period

........C........

STANDARD:

Reviews DBBP-TRAN-0014, License Requirements for Licensed Individuals and determines requirement for credit is met.

CUE: None __________

SAT UNSAT

6. PERFORMANCE STEP: Evaluate 5/21/15 work period

........C........

STANDARD:

Reviews DBBP-TRAN-0014, License Requirements for Licensed Individuals and determines requirement for credit is met CUE: None __________

SAT UNSAT

7. PERFORMANCE STEP: Evaluate 6/27/15 work period

........C........

STANDARD:

Reviews DBBP-TRAN-0014, License Requirements for Licensed Individuals and determines requirement for credit is not met. No credit is given for 3 rd Reactor Operator CUE: None __________

SAT UNSAT

8. PERFORMANCE STEP: Evaluates credited time versus required time

........C........

STANDARD:

Determines there are only three 12 hour1.388889e-4 days <br />0.00333 hours <br />1.984127e-5 weeks <br />4.566e-6 months <br /> shifts that can be credited and therefore minimum requirements to maintain active Reactor Operator license are not met.

CUE: None __________

SAT UNSAT TERMINATING CUES: This JPM is complete (Terminated by the examiner) __________

END TIME Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A1.2 AG 6 of 6 Verification of Completion Job Performance Measure No.

Examinee's Name:

Examiner's Name:

Date Performed:

Facility Evaluator:

Number of Attempts:

Time to Complete:

Question Documentation:

Question:_____________________________________________________________

____________________________________________________________________________

________________________________________________________________

Response

_____________________________________________________________

___________________________________________

___________________________

______________________________________________________________________

______________________________________________________________________

Result: Satisfactory/Unsatisfactory Examiner's signature and date:

____________

___________________________

Davis-Besse Initial License Exam 2015 Admin JPM RO-A2 Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A2 AG 1 of 7 Facility:

Davis-Besse Task No: 119-035-0100 Task Title

Determine isolation boundary and effect on plant equipment K/A

Reference:

2.2.41 (3.5) Job Performance Measure No

RO-A2 (NEW) Examinee:

NRC Examiner:

Date: Method of testing:

Simulated Performance

___ Actual Performance

_X_ Classroom

_X_ Simulator

___ Plant ___

Read to the examinee:

I will explain the initial conditions, which steps to simulate or discuss, and provide initiating cues.

When you complete the task successfully, the objective for this job performance measure will be satisfied.

Initial Conditions:

The plant conditions are specified in the Initial Conditions and Initiating Cues.

Task Standard:

Identify boundary for leaking Turbine Plant Cooling Water Valve and determine isolation will

result in loss of cooling to bearing lube oil for both Main Feedwater Pump s

Required Materials:

OS-022, Turbine Plant Cooling Water System

General

References:

11x17 Copy of Operation al Schematics Initiating Cue:

The plant conditions are specified in the Initial Conditions and Initiating Cues.

Time Critical Task:

No Alternate Path:

No Validation Time:

15 minutes

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A2 AG 2 of 7 EXAMINER COPY INITIAL CONDITIONS

The Plant is at 100% Power

CW112, MFPT LUBE OIL COOLER 1-2-2 INLET ISOLATION is spraying water from a leak in the valve body. The valve has been closed and is still leaking.

INITIATION CUE:

The Shift Manager directs you to determine how CW112 can be isolated and what equipment will be affected. List isolation boundaries and equipment impacts on this page below. (Hand Candidate 11x17 Copy of Operational Schematics

)

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A2 AG 3 of 7 CANDIDATE COPY INITIAL CONDITIONS

The Plant is at 100% Power CW112, MFPT LUBE OIL COOLER 1-2-2 INLET ISOLATION is spraying water from a leak in the valve body. The valve has been closed and is still leaking.

INITIATION CUE:

The Shift Manager directs you to determine how CW112 can be isolated and what equipment will be affected. List isolation boundaries and equipment impacts on this page below.

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A2 AG 4 of 7 PERFORMANCE INFORMATION NOTE: Critical steps denoted with a "C". Failure to meet any one of these standards for this item constitutes failure. Sequence is NOT critical unless denoted in the "Comments".

START TIME: _______

NOTE: STEPS CAN BE PERFORMED IN ANY SEQUENCE

1. PERFORMANCE STEP: Locates plant drawing OS

-022 Turbine Plant Cooling Water System STANDARD:

References drawing index, identifies and locates drawing OS

-022 or equivalent drawing

COMMENT: Once drawing is located, provide a copy for markup.

CUE: None __________

SAT UNSAT

2. PERFORMANCE STEP: Determines that valve CW-106 must be closed

........C........

STANDARD:

Identifies CW

-106 supply side isolation valve will be closed CUE: None __________

SAT UNSAT

3. PERFORMANCE STEP: Determines that valve CW

-107 must be closed

........C........

STANDARD:

Identifies CW

-107 supply side isolation valve will be closed, due to cross connected piping CUE: None __________

SAT UNSAT

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A2 AG 5 of 7 4. PERFORMANCE STEP: Determines that either valve CW

-114 OR CW

-1254B must be closed ........C........

STANDARD:

Identifies CW

-114 OR CW

-1254B downstream isolation side valve will be closed COMMENT:

Either valve will provide downstream isolation.

CUE: None __________

SAT UNSAT

5. PERFORMANCE STEP: Determines that valve CW

-113 must be closed ........C........

STANDARD:

Identifies CW

-113 supply side valve to MFPT Lube Oil Cooler 1 1 will be closed COMMENT:

Another downstream valve will accomplish this isolation, if another valve is selected evaluate the isolation point as an alternative. CUE: None __________

SAT UNSAT

6. PERFORMANCE STEP: Determines that valve CW

-125 must be closed

........C........

STANDARD:

Identifies CW

-125 supply side valve supply valve to MFPT Lube Oil Cooler 1 1 will be closed COMMENT:

Another downstream valve will accomplish this isolation, if another valve is selected evaluate the isolation point as an alternative.

CUE: None __________

SAT UNSAT

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A2 AG 6 of 7 7. PERFORMANCE STEP: Determines that valve CW

-124 must be closed

........C........

STANDARD:

Identifies CW

-124 supply side valve supply valve to MFPT Lube Oil Cooler 1 2 will be closed COMMENT:

Another downstream isolation valve will accomplish this isolation, if another valve is selected evaluate the isolation point as an alternative.

CUE: None __________

SAT UNSAT

8. PERFORMANCE STEP: Determines that valve CW

-196 must remain closed ........C........

STANDARD:

Identifies CW

-196 cooler bypass valve will remain closed COMMENT:

This valve is normally shut

. CUE: None __________

SAT UNSAT

9. PERFORMANCE STEP: Identifies the effect of isolating CW

-112 will have on plant equipment

........C........

STANDARD:

Determines that stopping the water leak on valve CW-112 will isolate all cooling water flow to the MFP Lube Oil Coolers for both MFPs CUE: None __________

SAT UNSAT TERMINATING CUES: This JPM is complete (Terminated by the examine e) __________

END TIME Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A2 AG 7 of 7 Verification of Completion Job Performance Measure No.

Examinee's Name:

Examiner's Name:

Date Performed:

Facility Evaluator:

Number of Attempts:

Time to Complete:

Question Documentation:

Question:_____________________________________________________________

____________________________________________________________________________

________________________________________________________________

Response

__________________________________

___________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

Result: Satisfactory/Unsatisfactory Examiner's signature and date:

_______________________________________

ANSWER KEY

Davis-Besse Initial License Exam 2015 Admin JPM RO-A4 Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A4 AG Page 1 of 7 Facility:

Davis-Besse Task No: 085-002-01-0100 Task Title

Emergency Plan Notification of Off

-Site Agencies K/A

Reference:

2.4.43 (3.2) Job Performance Measure No

RO-A4 (JPM 241) Examinee:

NRC Examiner:

Date: Method of testing:

Simulated Performance

___ Actual Performance

_X_ Classroom

_X_ Simulator

_X_ Plant ___

Read to the examinee:

I will explain the initial conditions, which steps to simulate or discuss, and provide initiating cues.

When you complete the task successfully, the objective for this job performance measure will be satisfied.

Initial Conditions:

The plant conditions are specified in the Initial Conditions and Initiating Cues.

Task Standard:

Emergency notification of Ottawa and Lucas County within 15 minutes and Emergency notification of State of Ohio.

Required Materials:

Form DBEP

-010 Form DBEP

-012 (General References listed below required if performing in classroom)

(Phone for simulation required if performing in classroom)

General

References:

RA-EP-02110, Emergency Notification Davis-Besse Emergency Plan Telephone Directory Initiating Cue:

The plant conditions are specified in the Initial Conditions and Initiating Cues.

Time Critical Task:

Yes Alternate Path:

No Validation Time:

15 minutes

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A4 AG Page 2 of 7 EXAMINER COPY INITIAL CONDITIONS

You are a third Reactor Operator in the Control Room.

The plant is being shut down due to Reactor Coolant System leak calculated to be 35 gpm.

5 minutes ago the Shift Manager declared an Unusual Event based on the leakage INITIATING CUES

You are to locate and review RA

-EP-02110, Emergency Notifications Procedure while the Shift Manager completes the Initial Notification form. Be prepared to start the notifications of the Offsite Agencies in 5 minutes.

CUE: This is a time critical JPM.

NOTES TO EVALUATOR Write the current time minus 5 minutes in the declaration time (item 3a) on the Initial Notification form Five minutes after reading the Initiating Cues hand the Initial Notification form s to the candidate

.

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A4 AG Page 3 of 7 CANDIDATE COPY INITIAL CONDITIONS

You are a third Reactor Operator in the Control Room.

The plant is being shut down due to Reactor Coolant System leak calculated to be 35 gpm.

5 minutes ago the Shift Manager declared an Unusual Event based on the leakage

INITIATING CUES

You are to locate and review RA

-EP-02110, Emergency Notifications Procedure while the Shift Manager completes the Initial Notification form. Be prepared to start the notifications of the Offsite Agencies in 5 minutes.

CUE: This is a time critical JPM. The clock starts now, the form will be available in five minutes.

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A4 AG Page 4 of 7 PERFORMANCE INFORMATION NOTE: Critical steps denoted with a "C".

Failure to meet any one of these standards for this item constitutes failure. Sequence is NOT critical unless denoted in the "Comments".

START TIME: _______

1. PERFORMANCE STEP: Locate the correct procedure for emergency notification.

STANDARD:

Obtains RA

-EP-02110, Emergency Notification. CUE: When located hand candidate copy of RA-EP-02110, Emergency Notification (5 minutes after providing the initiating cue) hand Initial Notification forms to Candidate and state: "Shift Manager directs you to notify Ottawa and Lucas Counties and the State of Ohio of the emergency in accordance with RA

-EP-02110, Emergency Notifications"

__________

SAT UNSAT

2. PERFORMANCE STEP: Make Initial Notification using the 4

-Way Ring-Down Circuit

........C........

STANDARD:

Picks up the 4-Way Ring-Down phone in the Control Room. When the two parties answer, reads the Initial Notification information. Documents the time notified on the Davis

-Besse Notification Cover Sheet (DBEP

-012).

COMMENT: Notification must be made within 15 minutes of the event declaration time; Record the time the first Sheriff's Dispatcher answers the phone. This stops the "critical time" clock.

CUE: "Ottawa Country Sheriff's Dispatcher and the Lucas County Sheriff's Dispatcher answer the phone."

NOTE: Ohio State Highway Patrol Dispatcher does NOT answer. Repeat back the information as it is communicated.

Time: __________

__________

SAT UNSAT

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A4 AG Page 5 of 7 3. PERFORMANCE STEP: Notify Shift Manager that the Ohio State Highway Patrol Dispatcher was not notified.

STANDARD: Informs Shift Manager that the Ohio State Highway Patrol Dispatcher did not answer the 4

-Way Ring-Down Circuit.

COMMENT: This step may not be needed if operator proceeds to use alternate notification methods without being prompted.

CUE: If notified, tell the operator to continue with notifications as directed by procedure RA

-EP-02110, Emergency Notification.

__________

SAT UNSAT

4. PERFORMANCE STEP: Contact Ohio State Highway Patrol Dispatcher.

........C........

STANDARD: Locates the Ohio State Highway Patrol Dispatcher or Administrative Office telephone number.

COMMENT: The phone numbers are located in the Immediate Notification Numbers tab of the Davis

-Besse Emergency Plan Telephone Directory. Have the examinee point out and then dial one of the correct numbers.

(614) 466-2660 OR (614) 644

-7622 CUE: Answer the phone as either the Ohio Highway Patrol Dispatcher or the Administrative Office depending on who was dialed.

__________

SAT UNSAT

4. PERFORMANCE STEP: Make Initial Notification to the Ohio State Highway Patrol.

........C........ STANDARD:

Reads Initial Notification information to the Ohio State Highway Patrol Dispatcher or Administrative Office staffer. Documents the time notified on the Davis

-Besse Notification Cover Sheet (DBEP

-012). Examinee should also request a call back from the person receiving the information.

COMMENT: Requesting callback is not critical CUE: Repeat back information as it is communicated. Provide your name as requested by the caller.

__________

SAT UNSAT

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A4 AG Page 6 of 7 5. PERFORMANCE STEP: Notify Shift Manager that the Ohio State Highway Patrol or Administrative Office was notified.

STANDARD: Informs the Shift Manager that all notifications have all been completed. This notification may be done after step 7. CUE: Acknowledge the report.

__________

SAT UNSAT

6. PERFORMANCE STEP: Receive call back from State of Ohio representative.

STANDARD:

Answers the phone and acknowledges the Ohio State Highway Patrol or Administrative Office call back to verify the information came from Davis

-Besse. Documents the time of the call and the name of the caller on the Davis-Besse Notification Cover Sheet (DBEP

-012). CUE: Call the simulator Control Room phone and indicate you are calling back to verify the notification of the emergency is real and came from Davis

-Besse. If needed, prompt the operator to answer the phone.

__________

SAT UNSAT

7. PERFORMANCE STEP: Complete form DBEP

-0012. STANDARD: Signs form DBEP

-0012 and checks Control Room. Returns form to Shift Manager. CUE: If required, tell the examinee not to fax form DBEP

-0010 to the EOF.

__________

SAT UNSAT TERMINATING CUES: This JPM is complete (Terminated by the examine r)

__________

END TIME Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A4 AG Page 7 of 7 Verification of Completion Job Performance Measure No.

Examinee's Name:

Examiner's Name:

Date Performed:

Facility Evaluator:

Number of Attempts:

Time to Complete:

Question Documentation:

Question:_____________________________________________________________

____________________________________________________________________________

________________________________________________________________

Response

__________________________________

___________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

Result: Satisfactory/Unsatisfactory Examiner's signature and date:

_______________________________________

FENOC NUCLEAR POWER PLANT INITIAL NOTIFICATION FORM Davis Besse DBEP-010-10 USE FOR: INITIAL CLASSIFICATIONS, CHANGES IN CLASSIFICATIONS, CHANGES IN PROTECTIVE ACTION RECOMMENDATIONS.

EVENT TERMINATION STATE / COUNTY USE ONLY DATE: TIME: MESSAGE NO:

____________

1. This is the:

Davis-Besse Nuclear Power Station

2. This is:

An Actual Emergency A Drill 3. a. A(n) GENERAL EMERGENCY SITE AREA EMERGENCY ALERT UNUSUAL EVENT was declared at:

______ on _Today based on EAL:

__SU7__ (TIME) (DATE) b. The Emergency situation has been terminated at:

______ on ______ (TIME) (DATE) c. The Protective Action Recommendation is being changed at:

______ on ______ (TIME) (DATE) 4. Brief non

-technical description of event:

Reactor Coolant System leak of 35 gallons per minute 5. The radiological conditions are:

a. A non-routine release of radioactive material, as a result of this event, is in progress
b. The release of radioactive material associated with this event has been terminated.
c. NO Radiological Release in progress as a result of this event.
6. Utility Protective Action Recommendations (PAR's):
a. Evacuation:

(check applicable subareas) 1 2 3 4 5 6 7 8 9 10 11 12 AND that potassium iodide (KI) be administered to the general public in accordance with State procedures. The general public in unaffected areas should be advised to go indoors and monitor EAS broadcasts.

b. Sheltering:

(check applicable subareas) 1 2 3 4 5 6 7 8 9 11 AND that potassium iodide (KI) be administered to the general public in accordance with State procedures. The general public in unaffected areas should be advised to go indoors and monitor EAS broadcasts.

c. None For Utility Use Only Approved:

_ __________________

DAVIS-BESSE EMERGENCY NOTIFICATION COVER SHEET DBEP-012-09 INITIAL NOTIFICATION ACTUAL EMERGENCY USE FOR: INITIAL CLASSIFICATIONS, CHANGES IN CLASSIFICATION, CHANGES IN PROTECTIVE ACTION RECOMMENDATIONS.

(Check Actual Emergency only if a real plant emergency exists)

PERIODIC UPDATE DRILL USE ONLY FOR UPDATING STATUS OF CURRENT CLASSIFICATION.

DO NOT USE FOR CHANGING CLASSIFICATIONS OR CHANGING PROTECTIVE ACTION RECOMMENDATIONS

. Initial Notification Form

/ Periodic Update Form completed by:

Joe Shift Manager Initial Notification Form / Periodic Update Form accuracy verified by:

John Shift Technical Advisor Communicator:

1. Ensure the Emergency Director has signed the Initial Notification Form / Periodic Update Form.
2. Initiate the 4

-Way Ringdown.

3. As parties answer, identify yourself and your facility.
4. Obtain and fill in information below:

TIME INITIAL CONTACT MADE COMPLETION TIME OF CALL 4-WAY RINGDOWN USED? YES NO TIME OF CALLBACK (IF 4-WAY NOT USED)

INDIVIDUAL CALLING BACK (IF 4-WAY NOT USED)

OTTAWA COUNTY

LUCAS COUNTY

STATE OF OHIO

5. Initial Notification Form: Read information on the attached Initial Notification Form over the phone, document above the time lines 1 through 6 have been communicated, and then fax the form to Ottawa Co, Lucas Co, and the State of Ohio.

OR Periodic Update Form: Fax the attached Periodic Update Form to Ottawa Co, Lucas Co, and the State of Ohio, and then verify the information over the phone.

NOTE: This coversheet should NOT be FAXED offsite. Control Room Emergency Operations Facility Signature of Communicator transmitting information

ANSWER KEY DO NOT GIVE TO CANDIDATE DAVIS-BESSE EMERGENCY NOTIFICATION COVER SHEET DBEP-012-09 INITIAL NOTIFICATION ACTUAL EMERGENCY USE FOR: INITIAL CLASSIFICATIONS, CHANGES IN CLASSIFICATION, CHANGES IN PROTECTIVE ACTION RECOMMENDATIONS.

(Check Actual Emergency only if a real plant emergency exists)

PERIODIC UPDATE DRILL USE ONLY FOR UPDATING STATUS OF CURRENT CLASSIFICATION.

DO NOT USE FOR CHANGING CLASSIFICATIONS OR CHANGING PROTECTIVE ACTION RECOMMENDATIONS.

Initial Notification Form

/ Periodic Update Form completed by:

Joe Shift Manager Initial Notification Form / Periodic Update Form accuracy verified by:

John Shift Technical Advisor Communicator:

1. Ensure the Emergency Director has signed the Initial Notification Form / Periodic Update Form.
2. Initiate the 4

-Way Ringdown.

3. As parties answer, identify yourself and your facility.
4. Obtain and fill in information below:

TIME INITIAL CONTACT MADE COMPLETION TIME OF CALL 4-WAY RINGDOWN USED? YES NO TIME OF CALLBACK (IF 4-WAY NOT USED)

INDIVIDUAL CALLING BACK (IF 4-WAY NOT USED)

OTTAWA COUNTY

< 15 min Time LUCAS COUNTY

< 15 min Time STATE OF OHIO Time Time Name 5. Initial Notification Form: Read information on the attached Initial Notification Form over the phone, document above the time lines 1 through 6 have been communicated, and then fax the form to Ottawa Co, Lucas Co, and the State of Ohio.

OR Periodic Update Form: Fax the attached Periodic Update Form to Ottawa Co, Lucas Co, and the State of Ohio, and then verify the information over the phone.

NOTE: This coversheet should NOT be FAXED offsite.

Signature of Communicator Control Room Emergency Operations Facility Signature of Communicator transmitting information

Davis-Besse Initial License Exam 2015 Admin JPM SRO-A1.1 Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A1.1 AG Page 2 of 8 Facility:

Davis-Besse Task No: 332-004-02-0300 Task Title

Review manual RCS Leakage Calculation K/A

Reference:

2.1.20 (4.6) Job Performance Measure No

SRO-A1.1 (New) Examinee:

NRC Examiner:

Date: Method of testing:

Simulated Performance

___ Actual Performance

_X_ Classroom

_X_ Simulator

___ Plant ___

Read to the examinee:

I will explain the initial conditions, which steps to simulate or discuss, and provide initiating cues.

When you complete the task successfully, the objective for this job performance measure will be satisfied.

Initial Conditions:

The plant conditions are specified in the Initial Conditions and Initiating Cues.

Task Standard:

Perform manual RCS Leakage calculation and determine RCS Leakage within 0.5 gpm Required Materials:

DB-SP-03357, RCS Water Inventory Balance with step 4.2.2 and Attachment 2 completed Curves CC 3.1 and CC 3.2a to CC3.2k from DB-PF-06703, Miscellaneous Curves Straight edge Calculator General

References:

Technical Specifications Initiating Cue:

The plant conditions are specified in the Initial Conditions and Initiating Cues.

Time Critical Task:

No Alternate Path:

No Validation Time:

50 minutes

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A1.1 AG Page 3 of 8 EXAMINER COPY INITIAL CONDITIONS

The Plant is at 100% Power Makeup Tank Pressure is 25 psig

The Computer is unavailable INITIATION CUE:

A Reactor Operator has performed a Manual Calculation of Leakage Rates per step 4.2.2 of DB SP-03357, RCS Water Inventory Balance

. DB SP-03357 Section 4.1, Data Acquisition section data was verified correct and transferred to Attachment 3 from another procedure.

Review the completed calculations for correctness. Correct any errors, if necessary, and determine if there are any Technical Specifications implications NOTE: DB-SP-03357, Attachment 2 has 4 pages (there is a page count error on Attachment 2

- page 1 of 3, 2 of 3, 3 of 3 and 4 of 4) DOCUMENT THE RESULTS OF YOU R REVIEW ON THIS CUE SHEET (Hand Candidate the following:

DB-SP-03357, RCS Water Inventory Balance with step 4.2.2 and Attachment 2 completed DB-PF-06703, Miscellaneous Curves CC 3.1 and CC 3.2a to CC3.2k

)

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A1.1 AG Page 4 of 8 CANDIDATE COPY INITIAL CONDITIONS

The Plant is at 100% Power Makeup Tank Pressure is 25 psig The Computer is unavailable INITIATION CUE:

A Reactor Operator has performed a Manual Calculation of Leakage Rates per step 4.2.2 of DB SP-03357, RCS Water Inventory Balance.

DB SP-03357 Section 4.1, Data Acquisition section data was verified correct and transferred to Attachment 3 from another procedure.

Review the completed calculations for correctness. Correct any errors, if necessary, and determine if there are any Technical Specifications implications

NOTE: DB-SP-03357, Attachment 2 has 4 pages (there is a page count error on Attachment 2

- page 1 of 3, 2 of 3, 3 of 3 and 4 of 4)

DOCUMENT THE RESULTS OF YOU R REVIEW ON THIS C UE SHEET Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A1.1 AG Page 5 of 8 PERFORMANCE INFORMATION NOTE: Critical steps denoted with a "C". Failure to meet any one of these standards for this item constitutes failure. Sequence is NOT critical unless denoted in the "Comments".

START TIME: _______

1. PERFORMANCE STEP: Reviews the Initial Makeup Tank Inventory equations step 4.2.2.b

........C........

STANDARD:

Recognize 67 inches was used versus 71 and corrects calculation:

Water Inventory = (Tank level

  • 4.124 ft³/in
  • Calibration Density) + (77.85 ft³
  • Water Density)

= (Tank level

  • 4.124 ft³/in
  • 62.325lbm/ ft³) + (77.85 ft³
  • Water Density)

Initial:

( __71__ in.* 257 lbm/in ) + ( 77.85 ft³

  • _62.0038 lbm/ft³) =

_23074 (+/- 10)_ lbm CUE: None __________

SAT UNSAT

2. PERFORMANCE STEP: Reviews the Temperature Correction Factor data on Attachment 2 step 4.2.2.f

........C........

STANDARD:

Recognize curve was read incorrectly and corrects:

Temperature Correction Factor (Tave °F) Initial __-34350_(+/-50) _ lbm Final -35600 (+/-50) lbm COMMENT: Error results from reading curve at 581.8 instead of 580.8 CUE: None __________

SAT UNSAT

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A1.1 AG Page 6 of 8 3. PERFORMANCE STEP: Reviews the RCS Inventory Table to determine Initial and Final total RCS Inventory per step 4.2.2.h

........C........

STANDARD:

Corrects data entered in the RCS Inventor y Table and calculate s the Initial and Final RCS Water Inventory MU Tank Inventory (lbm) + Pzr Steam Inventory (lbm) + Pzr Water Inventory (lbm) + Power Correction (lbm) + Temperature Correction (lbm) = Water Inventory (lbm) Initial: 23074 lbm + 3406.393 lbm +

35119.85 lbm + 135 lbm + -34350 lbm = 27385.243 (+/- 250) lbm Final: 21275 lbm + 3341.05 lbm + 35570.146 lbm + 135 lbm + -35600 lbm = 24721.196 (+/- 250) lbm CUE: None __________

SAT UNSAT

4. PERFORMANCE STEP: Reviews Change in RCS Inventory calculation

.......C.........

STANDARD:

Recognizes error and corrects step 4.2.2.i to determine RCS Inventory Change Change = Initial inventory

- Final inventory Change = 27385.243_ lbm - _24721.196 lbm 2664.047 (+/- 40)_ lbm CUE: None __________

SAT UNSAT

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A1.1 AG Page 7 of 8 5. PERFORMANCE STEP: Verifies the Total RCS Leak Rate calculation per step 4.2.2.k

.......C.........

STANDARD:

Corrects step 4.2.2.k error to determine correct Leak Rate lbm 62.32ft x ftgallons 7.481 x timeInventory RCSin Change Leakrate33 Leakrate = (

2664.047 lbm) ÷ (

246 min) x (0.120 gal/lbm) Leakrate =

1.299 (+/- 0.02) gpm CUE: None __________

SAT UNSAT

6. PERFORMANCE STEP: Determines Unidentified Leakage

.......C.........

STANDARD:

Determines Unidentified Leakage is 1.288 (+/- .2) gpm 1.299 gpm (Total Leak Rate from Attachment 2)

- Identified leakage 0.011 gpm (Given) = 1.288 gpm CUE: None __________

SAT UNSAT

7. PERFORMANCE STEP: Reviews Technical Specification applicability

.......C.........

STANDARD:

Determines Technical Specification 3.4.13 RCS Operational Leakage applies for LCO 3.4.13 b. Condition A should be entered for unidentified leakage greater than 1.0 GPM CUE: None __________

SAT UNSAT TERMINATING CUES: This JPM is complete (Terminated by the examine r) __________

END TIME Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A1.1 AG Page 8 of 8 Verification of Completion Job Performance Measure No.

Examinee's Name:

Examiner's Name:

Date Performed:

Facility Evaluator:

Number of Attempts:

Time to Complete:

Question Documentation:

Question:_____________________________________________________________

____________________________________________________________________________

_________________________________________________________

_______ Response:

_____________________________________________________________

______________________________________________________________________

______________________________________________________________________

__________________________________

____________________________________

Result: Satisfactory/Unsatisfactory

Examiner's signature and date:

_______________________________________

20 Revision ATTACHMENT 2:

RCS/MU AND PURIFICATION LEAK RATE CALCULATION SHEET Page 1 of 3 Note: For parameters which utilize averaging of redundant channels, eliminate inoperable channels from the average and reduce the denominator accordingly.

If a Th or Tc point is unavailable, eliminate it and the opposing point (Tc or Th) from the same loop, and reduce the denominator by 2.

ITEM PARAMETER SOURCE UNITS INITIAL VALUE FINAL VALUE 1 Time Control Room clock or computer hr:min Step 4.1.4 Step 4.1.10 1905 2311 2 Makeup Tank Temp T769 or TI MU8 °F 100 100 3 Makeup Tank Level (2 channel ave)

[L761+L763]2, or LR MU16 in. 71 64 4 RCS Pressure (4 ch ave)

[P721+P722+P729+P730]4, PRSRC2A2, or PRSRC2B (1) psi 2156 2161 5 Pressurizer Level LRS RC14 or L768 in. 218 222 6 Ave Power

[R795+R804+R814+R820]4,C913, or NR NI6 % 100 100 7 Tave (8 ch ave)

TI RC7, or: [T719+T720+T728+T729+

T780+T800+T820+T840]8 (2) °F 580.8 582.3 (1) If less than 1700 psig RCS Pressure use the average of P725 and P732 (loop 1 and loop 2 WR Pressure).

(2) If less than 520°F RCS Temperature then average T753 and T782 (loop 1 and loop 2 WR Temperature).

4.2.2.a Makeup Tank Water Density (from Attachment 4)

Initial ____62.0038______ lbm/ft³ Final ___ 62.0038______ lbm/ft³ 4.2.2.b Makeup Tank Inventory Note: 77.85 ft³ accounts for water volume below the level indicating range.

Water Inventory = (Tank level

  • 4.124 ft³/in
  • Calibration Density) + (77.85 ft³
  • Water Density)

= (Tank level

  • 4.124 ft³/in
  • 62.325lbm/ ft³) + (77.85 ft³
  • Water Density)

Initial:

( ___67______ in.* 257 lbm/in ) + ( 77.85 ft³

  • _62.0038 lbm/ft³) = _22046_ lbm __mlk__ IV Final: (___64______

in.* 257 lbm/in ) + ( 77.85 ft³

  • _62.0038 lbm/ft³) = _21275_ lbm __mlk__ IV 21 Revision ATTACHMENT 2:

RCS/MU AND PURIFICATION LEAK RATE CALCULATION SHEET Page 2 of 3 4.2.2.c Pressurizer Inventory Density (from Attachment 6)

Water Initial ___37.71________

lbm/ft³ Steam Initial ____6.02_________ lbm/ft³ Water Final ____37.68________ lbm/ft³ Steam Final ____6.04_________ lbm/ft³ 4.2.2.d Pressurizer Inventory Note: 239.6 ft³ accounts for water volume below the level indicating range.

242.2 ft³ accounts for steam volume above the level indicating range.

Water Inventory = (level

  • 3.173 ft³/in + 239.6 ft³)
  • Water Density Water Initial: [(___218_____ in.
  • 3.173 ft³/in) + 239.6 ft³]
  • 37.71 lbm/ft³ = _35119.85 lbm __mlk__ IV Water Final:

[(___222_____ in.

  • 3.173 ft³/in) + 239.6 ft³]
  • 37.68 lbm/ft³ = _35570.146 lbm __mlk__ IV Steam Inventory =[((320

- level)

  • 3.173 ft³/in) + 242.2 ft³]
  • Steam Density Steam Initial:

[((320 - _218__in)

  • 3.173 ft³/in) + 242.2 ft³]
  • 6.02 lbm/ft³) = _3406.393________ lbm

__mlk__ IV Steam Final:

[((320 - __222__in)

  • 3.173 ft³/in) + 242.2 ft³]
  • 6.04 lbm/ft³) = _3341.05

__ lbm __mlk__ IV 4.2.2.e Power Correction Factor Initial _____

135____________ lbm Final _____

135____________ lbm 4.2.2.f Temperature Correction Factor (Tave >528°) Initial ______-35200________ lbm Final _____

-35600_________ lbm

22 Revision ATTACHMENT 2:

RCS/MU AND PURIFICATION LEAK RATE CALCULATION SHEET Page 3 of 3 4.2.2.g Temperature Correction Factor (Tave <528°) Reactor Coolant System Density (from Attachment 5)

N/A At initial Tave ___________________ lbm/ft³

At final Tave ___________________ lbm/ft³ Temperature Correction Factor (TCF)

TCF = [(10,277 + (0.24828

  • Tave))

- 498,800 Initial: [(10,277 ft³

+ (0.24828 ft³/°F* _______°F))

  • _______ lbm/ft³]

- 498,800 lbm = _______ lbm

________ IV Final: [(10,277 ft³ + (0.24828 ft³/°F* _______°F))

  • _______ lbm/ft³]

- 498,800 lbm = _______ lbm

________ IV 4.2.2.h RCS Inventory MU Tank Inventory (lbm) + Pzr Steam Inventory (lbm) + Pzr Water Inventory (lbm) + Power Correction (lbm) + Temperature Correction (lbm) = Water Inventory (lbm) Initial: 22046 lbm + 3406.393 lbm + 35119.85 lbm + 135 lbm + -35200 lbm = 25507.243 lbm Final:

21275 lbm + 3341.05 lbm + 35570.146 lbm + 135 lbm + -35600 lbm = 24721.196 lbm 4.2.2.i Change in RCS Inventory Change = Initial inventory

- Final inventory Change =

25507.243_ lbm - 24721.196 lbm = 786.047_ lbm __mlk__ IV 23 Revision ATTACHMENT 2:

RCS/MU AND PURIFICATION LEAK RATE CALCULATION SHEET Page 4 of 4 4.2.2.j Time period Period = Final time

- Initial time Period = [(_

23___ hr x 60)

+ ( 11 min)] - [(__19__ hr x 60) + (

5 min)] = _

246____ min __mlk__ IV 4.2.2.k Total RCS Leak Rate lbm 62.32ft x ftgallons 7.481 x timeInventory RCSin Change Leakrate33 Leakrate = (

786.047 lbm) ÷ (

246 min) x (0.120 gal/lbm)

Leakrate =

.383 gpm __mlk__ IV Independent Verification Completed by ___MLKlein__________________________ Date Today 24 Revision ATTACHMENT 3:

UNIDENTIFIED RCS LEAKAGE CALCULATION SHEET Page 1 of 1 4.2.1.f RCP Seals Leak Rate from computer printout, or from Attachment

1. (4.2.1.e) ___.011___ gpm 4.2.1.j Quench Tank In

-Leakage Rate from computer printout, or from Attachment 1. (4.2.1.i). Only record Positive values (exclude negative values by entering 0.000).

_____.0___ gpm 4.2.2.l RCS Total Leak Rate from computer printout, or from Attachment

2. ___.383___ gpm 4.2.3.a Primary to Secondary Tube Leakage from computer printout, or from most recent entry in RCS Leakage Log, RO Log, or as determined by Chemistry.

_____.0___ gpm (0.104 allowed) 4.2.3.b Other Identified Leakage,

or from RCS Leakage Log.

_____.0___ gpm 4.2.3.c Total Identified Leak Rate from computer printout, or from; RCP Seals + Quench Tk + Pri to Sec + Other

( 4.2.1.e + 4.2.1.i [positive values only] + 4.2.3.a + 4.2.3.b ). ___mlk___ IV ____.011__ gpm (10 gpm allowed) 4.2.3.d Unidentified Leak Rate from computer printout, or from; Total Leak Rate

- Total Identified Leak Rate

( 4.2.2.k - 4.2.3.c ) ___mlk____ IV ____.382__ gpm (1 gpm allowed) 4.2.3.e Reactor Coolant Pressure Boundary Leakage

_____.0___ gpm (0 gpm allowed)

Independent Verification Completed by

___MLKlein________Date Today Performed by:

Rx Operator Date: Today 20 Revision ATTACHMENT 2:

RCS/MU AND PURIFICATION LEAK RATE CALCULATION SHEET Page 1 of 3 Note: For parameters which utilize averaging of redundant channels, eliminate inoperable channels from the average and reduce the denominator accordingly.

If a Th or Tc point is unavailable, eliminate it and the opposing point (Tc or Th) from the same loop, and reduce the denominator by 2.

ITEM PARAMETER SOURCE UNITS INITIAL VALUE FINAL VALUE 1 Time Control Room clock or computer hr:min Step 4.1.4 Step 4.1.10 1905 2311 2 Makeup Tank Temp T769 or TI MU8 °F 100 100 3 Makeup Tank Level (2 channel ave)

[L761+L763]2, or LR MU16 in. 71 64 4 RCS Pressure (4 ch ave)

[P721+P722+P729+P730]4, PRSRC2A2, or PRSRC2B (1) psi 2156 2161 5 Pressurizer Level LRS RC14 or L768 in. 218 222 6 Ave Power

[R795+R804+R814+R820]4,C913, or NR NI6 % 100 100 7 Tave (8 ch ave)

TI RC7, or: [T719+T720+T728+T729+

T780+T800+T820+T840]8 (2) °F 580.8 582.3 (1) If less than 1700 psig RCS Pressure use the average of P725 and P732 (loop 1 and loop 2 WR Pressure).

(2) If less than 520°F RCS Temperature then average T753 and T782 (loop 1 and loop 2 WR Temperature).

4.2.2.a Makeup Tank Water Density (from Attachment 4)

Initial ____62.0038______ lbm/ft³ Final ___ 62.0038______ lbm/ft³ 4.2.2.b Makeup Tank Inventory Note: 77.85 ft³ accounts for water volume below the level indicating range.

Water Inventory = (Tank level

  • 4.124 ft³/in
  • Calibration Density) + (77.85 ft³
  • Water Density)

= (Tank level

  • 4.124 ft³/in
  • 62.325lbm/ ft³) + (77.85 ft³
  • Water Density)

Initial:

( ___71______ in.* 257 lbm/in ) + ( 77.85 ft³

  • _62.0038 lbm/ft³) = _23074_ lbm __mlk__ IV Final: (___64______

in.* 257 lbm/in ) + ( 77.85 ft³

  • _62.0038 lbm/ft³) = _21275_ lbm __mlk__ IV 21 Revision ATTACHMENT 2:

RCS/MU AND PURIFICATION LEAK RATE CALCULATION SHEET Page 2 of 3 4.2.2.c Pressurizer Inventory Density (from Attachment 6)

Water Initial ___37.71________

lbm/ft³ Steam Initial ____6.02_________ lbm/ft³ Water Final ____37.68________ lbm/ft³ Steam Final ____6.04_________ lbm/ft³ 4.2.2.d Pressurizer Inventory Note: 239.6 ft³ accounts for water volume below the level indicating range.

242.2 ft³ accounts for steam volume above the level indicating range.

Water Inventory = (level

  • 3.173 ft³/in + 239.6 ft³)
  • Water Density Water Initial: [(___218_____ in.
  • 3.173 ft³/in) + 239.6 ft³]
  • 37.71 lbm/ft³ = _35119.85 lbm ___mlk__ IV Water Final:

[(___222_____ in.

  • 3.173 ft³/in) + 239.6 ft³]
  • 37.68 lbm/ft³ = _35570.146 lbm __mlk__ IV Steam Inventory =[((320

- level)

  • 3.173 ft³/in) + 242.2 ft³]
  • Steam Density Steam Initial:

[((320 - _218__in)

  • 3.173 ft³/in) + 242.2 ft³]
  • 6.02 lbm/ft³) = _3406.393________ lbm

__mlk__ IV Steam Final:

[((320 - __222__in)

  • 3.173 ft³/in) + 242.2 ft³]
  • 6.04 lbm/ft³) = _3341.05

__ lbm __mlk__ IV 4.2.2.e Power Correction Factor Initial _____

135_____________ lbm Final _____

135____________ lbm 4.2.2.f Temperature Correction Factor (Tave >528°) Initial ______

-34350___________ lbm Final _____

-35600___________ lbm

22 Revision ATTACHMENT 2:

RCS/MU AND PURIFICATION LEAK RATE CALCULATION SHEET Page 3 of 3 4.2.2.g Temperature Correction Factor (Tave <528°) Reactor Coolant System Density (from Attachment 5)

N/A At initial Tave ___________________ lbm/ft³

At final Tave ___________________ lbm/ft³ Temperature Correction Factor (TCF)

TCF = [(10,277 + (0.24828

  • Tave))

- 498,800 Initial: [(10,277 ft³ + (0.24828 ft³/°F* _______°F))

  • _______ lbm/ft³]

- 498,800 lbm = _______ lbm

________ IV Final: [(10,277 ft³ + (0.24828 ft³/°F* _______°F))

  • _______ lbm/ft³]

- 498,800 lbm = _______ lbm

________ IV 4.2.2.h RCS Inventory MU Tank Inventory (lbm) + Pzr Steam Inventory (lbm) + Pzr Water Inventory (lbm) + Power Correction (lbm) + Temperature Correction (lbm) = Water Inventory (lbm) Initial: 23074 lbm + 3406.393 lbm + 35119.85 lbm + 135 lbm + -34350 lbm = 27385.243 lbm Final:

21275 lbm + 3341.05 lbm + 35570.146 lbm + 135 lbm + -35600 lbm = 24721.196 lbm 4.2.2.i Change in RCS Inventory Change = Initial inventory

- Final inventory Change = 27385.243

_ lbm - 24721.196 lbm = 2664.047_ lbm __mlk__ IV 23 Revision ATTACHMENT 2:

RCS/MU AND PURIFICATION LEAK RATE CALCULATION SHEET Page 4 of 4 4.2.2.j Time period Period = Final time

- Initial time Period = [

(_23___ hr x 60) + (

11 min)] - [(__19__ hr x 60) + (

5 min)] = _

246____ min __mlk__ IV 4.2.2.k Total RCS Leak Rate lbm 62.32ft x ftgallons 7.481 x timeInventory RCSin Change Leakrate33 Leakrate = (

2664.047 lbm) ÷ (

246 min) x (0.120 gal/lb m) Leakrate =

1.299 gpm __mlk__ IV Independent Verification Completed by MLKlein__________________________ Date Today 24 Revision ATTACHMENT 3:

UNIDENTIFIED RCS LEAKAGE CALCULATION SHEET Page 1 of 1 4.2.1.f RCP Seals Leak Rate from computer printout, or from Attachment

1. (4.2.1.e) _____.011_ gpm 4.2.1.j Quench Tank In

-Leakage Rate from computer printout, or from Attachment 1. (4.2.1.i). Only record Positive values (exclude negative values by entering 0.000).

_____.0___ gpm 4.2.2.l RCS Total Leak Rate from computer printout, or from Attachment

2. ___1.299__ gpm 4.2.3.a Primary to Secondary Tube Leakage from computer printout, or from most recent entry in RCS Leakage Log, RO Log, or as determined by Chemistry.

____.0 ___ gpm (0.104 allowed) 4.2.3.b Other Identified Leakage, or from RCS Leakage Log.

____.0____ gpm 4.2.3.c Total Identified Leak Rate from computer printout, or from; RCP Seals + Quench Tk + Pri to Sec + Other

( 4.2.1.e + 4.2.1.i [positive values only] + 4.2.3.a + 4.2.3.b ). __mlk__ IV _____.011_ gpm (10 gpm allowed) 4.2.3.d Unidentified Leak Rate from computer printout, or from; Total Leak Rate

- Total Identified Leak Rate

( 4.2.2.k - 4.2.3.c ) __mlk__ IV ___1.288__ gpm (1 gpm allowed) 4.2.3.e Reactor Coolant Pressure Boundary Leakage

____.0 ____ gpm (0 gpm allowed)

Independent Verification Completed by

___MLKlein________Date Today Performed by:

Rx Operator Date: Today Davis-Besse Initial License Exam 2015 Admin JPM SRO-A1.2 Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A1.2 AG 1 of 6 Facility:

Davis-Besse Task No: 336-004-03-0300 Task Title

Determine Maintenance of Active License Status K/A

Reference:

2.1.4 (3.8) Job Performance Measure No

SRO-A1.2 (JPM New) Examinee:

NRC Examiner:

Date: Method of testing:

Simulated Performance

___ Actual Performance

_X_ Classroom

_X_ Simulator

___ Plant ___

Read to the examinee:

I will explain the initial conditions, which steps to simulate or discuss, and provide initiating cues.

When you complete the task successfully, the objective for this job performance measure will be satisfied.

Initial Conditions:

The plant conditions are specified in the Initial Conditions and Initiating Cues.

Task Standard:

Determine SRO 1 and SRO 3 are Inactive. Determine SRO 2 and SRO 4 are Active.

Required Materials:

DBBP-TRAN-0014, License Requirements for Licensed Individuals NT-OT-07001, Training and Qualification of Operations Personnel General

References:

None Initiating Cue:

The plant conditions are specified in the Initial Conditions and Initiating Cues.

Time Critical Task:

No Alternate Path:

No Validation Time:

15 minutes

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A1.2 AG 2 of 6 EXAMINER COPY INITIAL CONDITIONS

It is 7/1/15. Four Senior Reactor Operators have the following work history for the second quarter of 2015 (Plant was in Mode 1 the entire quarter)
SRO 1 Entered second quarter with active license 4/01/2015 Worked 0700

-1900 as Command SRO 4/02/2015 Worked 0700

-1900 as Command SRO 4/03/2015 Worked 0700

-1900 as Command SRO 4/07/2015 Worked 0700

-1900 as Command SRO. Was relieved for 3 hours3.472222e-5 days <br />8.333333e-4 hours <br />4.960317e-6 weeks <br />1.1415e-6 months <br /> to obtain required biennial License Physical at the Health Center 4/08/2015 Worked 0700

-1900 as Command SRO SRO 2 Entered second quarter with inactive license Completed all requirements for license reactivation 4/15/15 through 4/20/15 4/23/15 Worked 0700

-1900 as Command SRO 4/24/15 Worked 0700

-1900 as Command SRO 4/28/15 Worked 0700

-1900 as Shift Technical Advisor SRO 3 Entered second quarter with active license 4/10/15 Worked 0700

-1900 as Shift Manager 4/11/15 Worked 0700

-1900 as Shift Manager 4/18/15 Worked 0700

-1900 as Shift Manager 4/19/15 Worked 0700

-1900 as Shift Technical Advisor 4/20/15 Worked 0700

-1900 as Shift Manager SRO 4 License issued at the beginning of the second quarter 5/1/15 Worked 0700

-1900 as Command SRO 5/2/15 Worked 0700

-1900 as Command SRO 5/3/15 Worked 0700

-1900 as Command SRO 5/9/15 Worked 0700

-1900 as Command SRO 5/10/15 Worked 0700

-1900 as Shift Technical Advisor INITIATION CUE:

Based on the previous quarters work history determine the license status as of today, 7/1/15, for each Senior Reactor Operator and document as ACTIVE or INACTIVE on this page. (Provide copy of DBBP

-TRAN-0014, License Requirements for Licensed Individuals and NT-OT-07001, Training and Qualification of Operations Personnel)

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A1.2 AG 3 of 6 CANDIDATE COPY INITIAL CONDITIONS

It is 7/1/15. Four Senior Reactor Operators have the following work history for the second quarter of 2015 (Plant was in Mode 1 the entire quarter):

SRO 1 Entered second quarter with active license 4/01/2015 Worked 0700

-1900 as Command SRO 4/02/2015 Worked 0700

-1900 as Command SRO 4/03/2015 Worked 0700

-1900 as Command SRO 4/07/2015 Worked 0700

-1900 as Command SRO. Was relieved for 3 hours3.472222e-5 days <br />8.333333e-4 hours <br />4.960317e-6 weeks <br />1.1415e-6 months <br /> to obtain required biennial License Physical at the Health Center 4/08/2015 Worked 0700

-1900 as Command SRO SRO 2 Entered second quarter with inactive license Completed all requirements for license reactivation 4/15/15 through 4/20/15 4/23/15 Worked 0700

-1900 as Command SRO 4/24/15 Worked 0700

-1900 as Command SRO 4/28/15 Worked 0700

-1900 as Shift Technical Advisor SRO 3 Entered second quarter with active license 4/10/15 Worked 0700

-1900 as Shift Manager 4/11/15 Worked 0700

-1900 as Shift Manager 4/18/15 Worked 0700

-1900 as Shift Manager 4/19/15 Worked 0700

-1900 as Shift Technical Advisor 4/20/15 Worked 0700

-1900 as Shift Manager SRO 4 License issued at the beginning of the second quarter 5/1/15 Worked 0700

-1900 as Command SRO 5/2/15 Worked 0700

-1900 as Command SRO 5/3/15 Worked 0700-1900 as Command SRO 5/9/15 Worked 0700

-1900 as Command SRO 5/10/15 Worked 0700

-1900 as Shift Technical Advisor INITIATION CUE:

Based on the previous quarters work history determine the license status as of today, 7/1/15, for each Senior Reactor Operator and document as ACTIVE or INACTIVE on this page

.

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A1.2 AG 4 of 6 PERFORMANCE INFORMATION NOTE: Critical steps denoted with a "C". Failure to meet any one of these standards for this item constitutes failure. Sequence is NOT critical unless denoted in the "Comments".

START TIME: _______

1. PERFORMANCE STEP: Evaluate SRO 1 work history

........C........

STANDARD:

Reviews DBBP-TRAN-0014, License Requirements for Licensed Individuals and determines license is Inactive

.

COMMENT: Credit not received for complete watch due to absence to Health Center CUE: None __________

SAT UNSAT

2. PERFORMANCE STEP: Evaluate SRO 2 work History

........C........

STANDARD:

Reviews DBBP-TRAN-0014, License Requirements for Licensed Individuals and determines license is Active COMMENT: Reactivation meets proficiency requirements for the quarter CUE: None __________

SAT UNSAT

3. PERFORMANCE STEP: Evaluate SRO 3 work history

........C........

STANDARD:

Reviews DBBP-TRAN-0014, License Requirements for Licensed Individuals and determines license is Inactive COMMENT: No credit given for Shift Technical position CUE: None __________

SAT UNSAT

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A1.2 AG 5 of 6 4. PERFORMANCE STEP: Evaluate SRO 4 work history

........C........

STANDARD:

Reviews DBBP-TRAN-0014, License Requirements and NT-OT-01007, Training and Qualification of Operations Personnel for Licensed Individuals and determines license is Active.

COMMENT: A newly issued license meets the proficiency requirement for the quarter in which it was issued CUE: None __________

SAT UNSAT TERMINATING CUES: This JPM is complete (Terminated by the examine r) __________

END TIME Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A1.2 AG 6 of 6 Verification of Completion Job Performance Measure No.

Examinee's Name:

Examiner's Name:

Date Performed:

Facility Evaluator:

Number of Attempts:

Time to Complete:

Question Documentation:

Question:_____________________________________________________________

____________________________________________________________________________

________________________________________________________________

Response

___________________________________________

__________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

Result: Satisfactory/Unsatisfactory Examiner's signature and date:

_______________________________________

Davis-Besse Initial License Exam 2015 Admin JPM SRO-A2 Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A2 AG 1 of 6 Facility:

Davis-Besse Task No: 331-041-02-0300 Task Title

Perform Risk Assessment K/A

Reference:

2.2.17 (3.8) Job Performance Measure No

SRO-A2 (JPM New) Examinee:

NRC Examiner:

Date: Method of testing:

Simulated Performance

___ Actual Performance

_X_ Classroom

_X_ Simulator

___ Plant ___

Read to the examinee:

I will explain the initial conditions, which steps to simulate or discuss, and provide initiating cues. When you complete the task successfully, the objective for this job performance measure will be satisfied.

Initial Conditions:

The plant conditions are specified in the Initial Conditions and Initiating Cues.

Task Standard:

Evaluate Generation Risk as Orange

. Determine Director of Site Operations approval with documentation in Unit Log is required Determine Supervisor continuous job site coverage is required Required Materials:

NOP-OP-1007, Risk Management DB-OP-06011, High Pressure Injection System, section 4.1 General

References:

Technical Specifications Initiating Cue:

The plant conditions are specified in the Initial Conditions and Initiating Cues.

Time Critical Task:

No Alternate Path:

No Validation Time:

25 minutes

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A2 AG 2 of 6 EXAMINER COPY INITIAL CONDITIONS

The Plant is at 100% Power. All systems normal.

INITIATION CUE:

Engineering has discovered a design question potentially affecting long term Operability of High Pressure Injection Pump (HPI) 1. Engineering requests HPI Pump 1 be placed on recirculation through the flow test line per DB

-OP-06011, High Pressure Injection System, section 4.1 for 48 hours5.555556e-4 days <br />0.0133 hours <br />7.936508e-5 weeks <br />1.8264e-5 months <br /> to gather data.

The Shift Manager directs you to perform a Risk Assessment for the Non

-Emergent work per DB-OP-1007, Risk Assessment to determine the following only: 1. Risk Level

2. Permission required and documentation method 3. Level of Supervision required Document your results on this page (Provide a copy of DB-OP-06011, Section 4.1 and NOP

-OP-1007. Make Technical Specifications available

)

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A2 AG 3 of 6 CANDIDATE COPY INITIAL CONDITIONS

The Plant is at 100% Power. All systems normal. INITIATION CUE:

Engineering has discovered a design question potentially affecting long term Operability of High Pressure Injection Pump (HPI) 1. Engineering requests HPI Pump 1 be placed on recirculation through the flow test line per DB

-OP-06011, High Pressure Injection System, section 4.1 for 48 hours5.555556e-4 days <br />0.0133 hours <br />7.936508e-5 weeks <br />1.8264e-5 months <br /> to gather data.

The Shift Manager directs you to perform a Risk Assessment for the Non-Emergent work per DB-OP-1007, Risk Assessment to determine the following only: 1. Risk Level

2. Permission required and documentation method
3. Level of Supervision required Document your results on this page

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A2 AG 4 of 6 PERFORMANCE INFORMATION NOTE: Critical steps denoted with a "C". Failure to meet any one of these standards for this item constitutes failure. Sequence is NOT critical unless denoted in the "Comments".

START TIME: _______

NOTE: STEPS CAN BE PERFORMED IN ANY SEQUENCE

1. PERFORMANCE STEP: Evaluate effect on HPI Train 1 STANDARD:

Reviews DB

-OP-06011, section 4.1 and determines HPI 1 will be Inoperable while line d up through the flow test line

CUE: None __________

SAT UNSAT

2. PERFORMANCE STEP: Reviews Technical Specification 3.5.2 for HPI Pump 1 STANDARD:

Determines 72 hour8.333333e-4 days <br />0.02 hours <br />1.190476e-4 weeks <br />2.7396e-5 months <br /> action statement will be entered

CUE: None __________

SAT UNSAT

3. PERFORMANCE STEP: Determines Risk Level

........C........

STANDARD:

Refers to Attachment 2 and/or 3 of NOP-OP-1007, Risk Assessment and identifies Risk level will be Orange COMMENT:

Greater than 50% of a shutdown LCO action time (for less than 14 day LCO) requires Orange Risk. HPI 1 will be Inoperable for 48 hours5.555556e-4 days <br />0.0133 hours <br />7.936508e-5 weeks <br />1.8264e-5 months <br /> which is greater than 50% of the 72 hour8.333333e-4 days <br />0.02 hours <br />1.190476e-4 weeks <br />2.7396e-5 months <br /> shutdown LCO.

CUE: None

__________

SAT UNSAT

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A2 AG 5 of 6 4. PERFORMANCE STEP: Determines Approval required and method of documentation

........C........

STANDARD:

Reviews Attachment 2 and/or step 4.3.3.3 of NOP-OP-1007, Risk Assessment and determines the Director of Site Operations (or designee) approval is required and documented in the Work Implementation Schedule.

CUE: None __________

SAT UNSAT

5. PERFORMANCE STEP: Determines level of Supervision required

........C........

STANDARD:

Reviews Attachment 2 and/or step 4.3.3.3 of NOP-OP-1007, Risk Assessment and determines Supervisor continuous job site coverage is required CUE: None __________

SAT UNSAT TERMINATING CUES: This JPM is complete (Terminated by the examine r)

__________

END TIME Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A2 AG 6 of 6 Verification of Completion Job Performance Measure No.

Examinee's Name:

Examiner's Name:

Date Performed:

Facility Evaluator:

Number of Attempts:

Time to Complete:

Question Documentation:

Question:_____________________________________________________________

____________________________________________________________________________

________________________________________________________________

Response

__________________________________

___________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

Result: Satisfactory/Unsatisfactory Examiner's signature and date:

_______________________________________

Davis-Besse Initial License Exam 2015 Admin JPM SRO-A3 Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO

-A3 AG 1 of 6 Facility:

Davis-Besse Task No: 334-005-05-0300 Task Title

Emergency Dose Authorization K/A

Reference:

2.3.4 (3.7) Job Performance Measure No

SRO-A3 (JPM New) Examinee:

NRC Examiner:

Date: Method of testing:

Simulated Performance

___ Actual Performance

_X_ Classroom

_X_ Simulator

___ Plant ___

Read to the examinee:

I will explain the initial conditions, which steps to simulate or discuss, and provide initiating cues. When you complete the task successfully, the objective for this job performance measure will be satisfied.

Initial Conditions:

The plant conditions are specified in the Initial Conditions and Initiating Cues.

Task Standard:

Select the two mechanic method and authorize Emergency dose for mechanic 2 and 4 only

Required Materials:

RA-EP-02620, Emergency Dose Control and Potassium Iodide Distribution Emergency Dose Authorization form for each mechanic Calculator General

References:

None Initiating Cue:

The plant conditions are specified in the Initial Conditions and Initiating Cues.

Time Critical Task:

No Alternate Path:

No Validation Time:

25 minutes

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO

-A3 AG 2 of 6 EXAMINER COPY INITIAL CONDITIONS

The Plant has experienced a Loss of Coolant Accident and fuel damage. Emergency Core Cooling Train (ECCS) 1 is in operation at full flow. Low Pressure Injection Pump (LPI) 2 is out of service for maintenance. Just before the accident it was determined LPI Pump 1 was losing oil through a loose bearing housing. Plans were being made to tighten the housing and add oil. It is determined that this task is required to be performed immediately to prevent pump failure.

INITIATION CUE:

You are an extra SRO on shift. The ERO is not yet activated. The Shift Manager acting as the Emergency Director in the Control Room has directed you to prepare an Emergency Dose Authorization, using the following information.

Radiation levels in ECCS Room 1 are indicating 50 Rem/hr These two tasks (tighten the housing and add oil) can be performed by the mechanic(s) working in series or two mechanics working in parallel.

One mechanic would obtain 48 minutes of exposure Two mechanics simultaneously would obtain 24 minutes of exposure each Three mechanics in rotation would obtain 18 minutes of exposure each Four mechanics in rotation would obtain 12 minutes of exposure each

Four Mechanics have volunteered to perform this work:

Mechanic 1 is a 52 year old male with 2 Rem lifetime dose and no dose for current year. This individual also received a 28 Rem dose during a lifesaving rescue 10 years ago at another plant Mechanic 2 is a 27 year old male with 600 mrem lifetime dose and 5 mrem for current year Mechanic 3 is a 34 year old female, who has a declared pregnancy, with 125 mrem lifetime dose and no dose for current yea r Mechanic 4 is a 37 year old male with 4.2 mrem lifetime and 700 mrem for the current year

Select the method desired and mechanic(s) to perform this task and document (up to the review and approval signatures) on the attached Emergency Dose Authorization Forms

. The remainder of each form will be completed if necessary when the Emergency RP Manager has been contacted

.

(Hand Candidate a copy of RA-EP-02620, Emergency Dose Control and Potassium Iodide Distribution and the four recommended Emergency Dose Authorization Forms)

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO

-A3 AG 3 of 6 CANDIDATE COPY INITIAL CONDITIONS

The Plant has experienced a Loss of Coolant Accident and fuel damage. Emergency Core Cooling Train (ECCS) 1 is in operation at full flow. Low Pressure Injection Pump (LPI) 2 is out of service for maintenance. Just before the accident it was determined LPI Pump 1 was losing oil through a loose bearing housing. Plans were being made to tighten the housing and add oil. It is determined that this task is required to be performed immediately to prevent pump failure.

INITIATION CUE:

You are acting as the Emergency Director in the Control Room and the ERO is not yet activated.

Radiation levels in ECCS Room 1 are indicating 50 Rem/hr These two tasks (tighten the housing and add oil) can be performed by the mechanic(s) working in series or two mechanics working in parallel.

One mechanic would obtain 48 minutes of exposure Two mechanics simultaneously would obtain 24 minutes of exposure each Three mechanics in rotation would obtain 18 minutes of exposure each Four mechanics in rotation would obtain 12 minutes of exposure each Four Mechanics have volunteered to perform this work:

Mechanic 1 is a 52 year old male with 2 Rem lifetime dose and no dose for current year. This individual also received a 28 Rem dose during a lifesaving rescue 10 years ago at another plant Mechanic 2 is a 27 year old male with 600 mrem lifetime dose and 5 mrem for current year Mechanic 3 is a 34 year old female, who has a declared pregnancy, with 125 mrem lifetime dose and no dose for current yea r Mechanic 4 is a 37 year old male with 4.2 mrem lifetime and 700 mrem for the current year Select the method desired and mechanic(s) to perform this task and document on this form. Authorize Emergency Dose if necessary per RA

-EP-02620, Emergency Dose Control and Potassium Iodide Distribution by signing for Emergency Director Approval on the appropriate Emergency Dose Authorization Forms. The remainder of each form will be completed if necessary when the Emergency RP Manager has been contacted.

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO

-A3 AG 4 of 6 PERFORMANCE INFORMATION NOTE: Critical steps denoted with a "C". Failure to meet any one of these standards for this item constitutes failure. Sequence is NOT critical unless denoted in the "Comments".

START TIME: _______

1. PERFORMANCE STEP: Evaluate the dose that would be received for each method

STANDARD:

One mechanic would obtain 40 Rem Two mechanics simultaneously would obtain 20 Rem each Three mechanics in rotation would obtain 15 Rem each Four mechanics in rotation would obtain 10 Rem each

COMMENT: JPM step sequence not critical. May evaluate mechanics and select method first in which case only the method selected will need dose evaluated CUE: None __________

SAT UNSAT

2. PERFORMANCE STEP: Evaluate Mechanic 1 acceptability for receiving Emergency Dose STANDARD:. Determines Mechanic 1 should not be authorized to receive emergency dose

CUE: If asked

- "received 2 8 Rem 10 years ago at previous place of employment during a lifesaving rescue"

__________

SAT UNSAT

3. PERFORMANCE STEP: Evaluate Mechanic 2 acceptability for receiving Emergency Dose STANDARD:

Determines Mechanic 2 can be authorized for Emergency Dose CUE: If asked

- "have never received emergency dose"

__________

SAT UNSAT

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO

-A3 AG 5 of 6 4. PERFORMANCE STEP: Evaluate Mechanic 3 acceptability for receiving Emergency Dose STANDARD:

Determines Mechanic 3 SHALL NOT be authorized to receive emergency dose. Since mechanic is female, and is a declared pregnant worker CUE: If asked

- "have never received emergency dose" If asked

- "have just found out is pregnant"

__________

SAT UNSAT

5. PERFORMANCE STEP: Evaluate Mechanic 4 acceptability for receiving Emergency Dose

STANDARD:

Determines Mechanic 4 can be authorized for Emergency Dose CUE: If asked

- "have never received emergency dose" __________

SAT UNSAT

6. PERFORMANCE STEP: Determine method for repair

........C........

STANDARD:

Determines 2 mechanics in parallel is proper method due to condition in RA

-EP-02620, step 6.1.3.b 25,000 mrem TEDE CUE: None __________

SAT UNSAT

7. PERFORMANCE STEP: Select Mechanic 2 and Mechanic 4 to perform work

........C........

STANDARD:

Recommend Emergency Dose for Mechanic 2 and Mechanic 4 CUE: None __________

SAT UNSAT TERMINATING CUES: This JPM is complete (Terminated by the examine r)

__________

END TIME Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO

-A3 AG 6 of 6 Verification of Completion Job Performance Measure No.

Examinee's Name:

Examiner's Name:

Date Performed:

Facility Evaluator:

Number of Attempts:

Time to Complete:

Question Documentation:

Question:_____________________________________________________________

____________________________________________________________________________

_____________________________

___________________________________

Response

_____________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

Result: Satisfactory/Unsatisfactory Examiner's signature and date:

_______________________________________

EMERGENCY DOSE AUTHORIZATION DBEP-204-01 INDIVIDUAL (Last, First, Middle)

Mechanic 1 SOCIAL SECURITY NUMBER 111-11-1111 DATE Today TLD NO. 1 EMPLOYER FENOC BRIEF DESCRIPTION OF TASK RECOMMENDED EMERGENCY DOSE AUTHORIZATION YES NO RECOMMENDED EMERGENCY DOSE LIMIT REM { TOTAL EFFECTIVE DOSE EQUIVALENT (TEDE)

} COMMENTS EMERGENCY RP MANAGER RECOMMENDATION (Signature)

EMERGENCY DIRECTOR APPROVAL (Signature)

AUTHORIZATION DATE AUTHORIZATION LIMIT REM { TEDE } I have been briefed on the radiological consequences and hazards associated with the authorized emergency dose and I have volunteered to perform the above described task.

INDIVIDUAL (Signature)

DATE BRIEFED BY (Signature)

DATE (TOTAL DOSE

- TEDE) = (EXTERNAL

- DDE) PLUS (INTERNAL

- CEDE) RADIOBIOASSAY RESULTS EMERGENCY RP MANAGER REVIEW (Signature)

DATE EMERGENCY DIRECTOR REVIEW (Signature)

DATE EMERGENCY DOSE AUTHORIZATION DBEP-204-01 INDIVIDUAL (Last, First, Middle)

Mechanic 2 SOCIAL SECURITY NUMBER 222-22-2222 DATE Today TLD NO. 2 EMPLOYER FENOC BRIEF DESCRIPTION OF TASK RECOMMENDED EMERGENCY DOSE AUTHORIZATION YES NO RECOMMENDED EMERGENCY DOSE LIMIT REM { TOTAL EFFECTIVE DOSE EQUIVALENT (TEDE)

} COMMENTS EMERGENCY RP MANAGER RECOMMENDATION (Signature)

EMERGENCY DIRECTOR APPROVAL (Signature)

AUTHORIZATION DATE AUTHORIZATION LIMIT REM { TEDE } I have been briefed on the radiological consequences and hazards associated with the authorized emergency dose and I have volunteered to perform the above described task.

INDIVIDUAL (Signature)

DATE BRIEFED BY (Signature)

DATE (TOTAL DOSE

- TEDE) = (EXTERNAL

- DDE) PLUS (INTERNAL

- CEDE) RADIOBIOASSAY RESULTS EMERGENCY RP MANAGER REVIEW (Signature)

DATE EMERGENCY DIRECTOR REVIEW (Signature)

DATE EMERGENCY DOSE AUTHORIZATION DBEP-204-01 INDIVIDUAL (Last, First, Middle)

Mechanic 3 SOCIAL SECURITY NUMBER 333-33-3333 DATE Today TLD NO. 3 EMPLOYER FENOC BRIEF DESCRIPTION OF TASK RECOMMENDED EMERGENCY DOSE AUTHORIZATION YES NO RECOMMENDED EMERGENCY DOSE LIMIT REM { TOTAL EFFECTIVE DOSE EQUIVALENT (TEDE)

} COMMENTS EMERGENCY RP MANAGER RECOMMENDATION (Signature)

EMERGENCY DIRECTOR APPROVAL (Signature)

AUTHORIZATION DATE AUTHORIZATION LIMIT REM { TEDE } I have been briefed on the radiological consequences and hazards associated with the authorized emergency dose and I have volunteered to perform the above described task.

INDIVIDUAL (Signature)

DATE BRIEFED BY (Signature)

DATE (TOTAL DOSE

- TEDE) = (EXTERNAL

- DDE) PLUS (INTERNAL

- CEDE) RADIOBIOASSAY RESULTS EMERGENCY RP MANAGER REVIEW (Signature)

DATE EMERGENCY DIRECTOR REVIEW (Signature)

DATE EMERGENCY DOSE AUTHORIZATION DBEP-204-01 INDIVIDUAL (Last, First, Middle)

Mechanic 4 SOCIAL SECURITY NUMBER 444-44-4444 DATE Today TLD NO. 4 EMPLOYER FENOC BRIEF DESCRIPTION OF TASK RECOMMENDED EMERGENCY DOSE AUTHORIZATION YES NO RECOMMENDED EMERGENCY DOSE LIMIT REM { TOTAL EFFECTIVE DOSE EQUIVALENT (TEDE)

} COMMENTS EMERGENCY RP MANAGER RECOMMENDATION (Signature)

EMERGENCY DIRECTOR APPROVAL (Signature)

AUTHORIZATION DATE AUTHORIZATION LIMIT REM { TEDE } I have been briefed on the radiological consequences and hazards associated with the authorized emergency dose and I have volunteered to perform the above described task.

INDIVIDUAL (Signature)

DATE BRIEFED BY (Signature)

DATE (TOTAL DOSE

- TEDE) = (EXTERNAL

- DDE) PLUS (INTERNAL

- CEDE) RADIOBIOASSAY RESULTS EMERGENCY RP MANAGER REVIEW (Signature)

DATE EMERGENCY DIRECTOR REVIEW (Signature)

DATE Davis-Besse Initial License Exam 2015 Admin JPM SRO-A4 Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A4 AG 1 of 8 Facility:

Davis-Besse Task No: 334-004-05-0300 Task Title

Emergency Response Organization Notification K/A

Reference:

2.4.43 (3.8

) Job Performance Measure No

SRO-A4 (JPM 253) Examinee:

NRC Examiner:

Date: Method of testing:

Simulated Performance

___ Actual Performance

_X_ Classroom

___ Simulator

_X_ Plant ___

Read to the examinee:

I will explain the initial conditions, which steps to simulate or discuss, and provide initiating cues. When you complete the task successfully, the objective for this job performance measure will be satisfied.

Initial Conditions:

The plant conditions are specified in the Initial Conditions and Initiating Cues.

Task Standard:

Activate the ERO Numeric Group Page Required Materials:

RA-EP-01700, Alert RA-EP-02110, Emergency Notification Davis- Besse Emergency Plan Telephone Directory Phone General

References:

Initiating Cue:

The plant conditions are specified in the Initial Conditions and Initiating Cues.

Time Critical Task:

No Alternate Path:

No Validation Time:

10 minutes

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A4 AG 2 of 8 EXAMINER COPY INITIAL CONDITIONS:

You are an extra Senior Reactor Operator in the Control Room.

The plant is in Mode 1 operating at 100% power.

The Shift Manager has declared an Alert on EAL HA3 due to an Operating Basis Earthquake being detected at the plant and he has assumed the Emergency Director position.

The Unit Supervisor is directing plant responses in accordance with RA

-EP-02820, Earthquake.

INITIATING CUES:

Due to performing plant walk

-downs and responding to other issues associated with response to the earthquake, Security personnel are not available to make any emergency notifications. The Emergency Director directs you to notify the Emergency Response Organization in accordance with RA

-EP-02110. (Provide RA

-EP-2110 and the Emergency Plan Telep hone Directory

)

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A4 AG 3 of 8 CANDIDATE COPY INITIAL CONDITIONS:

You are an extra Senior Reactor Operator in the Control Room.

The plant is in Mode 1 operating at 100% power.

The Shift Manager has declared an Alert on EAL HA3 due to an Operating Basis Earthquake being detected at the plant and he has assumed the Emergency Director position.

The Unit Supervisor is directing plant responses in accordance with RA

-EP-02820, Earthquake.

INITIATING CUES:

Due to performing plant walk

-downs and responding to other issues associated with response to the earthquake, Security personnel are not available to make any emergency notifications.

The Emergency Director directs you to notify the Emergency Response Organization in accordance with RA

-EP-02110.

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A4 AG 4 of 8 PERFORMANCE INFORMATION NOTE: Critical steps denoted with a "C". Failure to meet any one of these standards for this item constitutes failure. Sequence is NOT critical unless denoted in the "Comments".

. START TIME: _______

1. PERFORMANCE STEP
Reviews the procedure.

STANDARD: Reviews RA-EP-02110, Emergency Notification, for notifying the Emergency Response Organization and off

-site agencies.

CUE: If asked, a security event is NOT in progress.

__________

SAT UNSAT

2. PERFORMANCE STEP: Obtain CANS access numbers from Davis

-Besse Emergency Plan Telephone Directory and dial them.

STANDARD: Locates the ERO Notification Flow Chart behind the Immediate Notification Numbers tab in the Davis

-Besse Emergency Plan Telephone Directory

. CUE: Provide a copy of the Emergency Plan Telephone directory only if the JPM is NOT performed in the simulator.

__________

SAT UNSAT

3. PERFORMANCE STEP: Dial the primary CANS access number.

STANDARD:

Locates a touch tone phone and correctly dials the primary CANS number.

COMMENT: The primary CANS number is 9 877-686-7612. IF the incorrect number is dialed, THEN say, "The phone continues to ring."

CUE: Say, "You hear a "busy" signal."

__________

SAT UNSAT

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A4 AG 5 of 8 4. PERFORMANCE STEP: Dial the backup CANS access number.

STANDARD:

Locates a touch tone phone and correctly dials the backup CANS number.

COMMENT: The CANS backup number is 9 866-334-6556. CUE: "The phone continues to ring."

__________

SAT UNSAT

5. PERFORMANCE STEP: Determine the need to activate a group page.

STANDARD: Locates the ERO Numeric Group Page instructions in the ERO Notification Flow Chart behind the Immediate Notification Numbers tab in the Davis

-Besse Emergency Plan Telephone Directory

. COMMENT: The Group Pager number is 9 800-405-4758. CUE: None. __________

SAT UNSAT

6. PERFORMANCE STEP: Contact the Group Pager system.

........C........

STANDARD: Locates a touch tone phone and correctly dials 9-1-800-405-4758. CUE: IF the correct number is dialed, THEN say, "This is the Remote Activation Module. Please enter a pager number." IF any other number is dialed, THEN say, "The number you have dialed is no longer in service. Please check the number and try again"

__________

SAT UNSAT

7. PERFORMANCE STEP: Enter the pager number.

........C........

STANDARD: Enters pager number "2533024."

CUE: IF pager number 2533024 is entered, THEN say, "Please enter the event code followed by the pound key."

IF the wrong pager number is entered, THEN say, "The number you entered is not valid, please check the number and try again."

__________

SAT UNSAT

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A4 AG 6 of 8 8. PERFORMANCE STEP: Enter the event code.

........C........

STANDARD: Enters 2222#.

CUE: IF the # is not entered, THEN say, "Your input is not valid, Please enter the event code followed by the pound key."

__________

SAT UNSAT

9. PERFORMANCE STEP: Terminate the call.

STANDARD: Hangs up the telephone.

COMMENT: The E-Plant Telephone Directory step directs the operator to "Send the page two times." The second page actions are not critical if the first page was SAT.

CUE: None. __________

SAT UNSAT

10. PERFORMANCE STEP: Contact the pager system.

STANDARD: Locates a touch tone phone and correctly dials 9-1-800-405-4758. CUE: IF the correct number is dialed, THEN say, "This is the Remote Activation Module. Please enter a pager number." IF any other number is dialed, THEN say, "The number you have dialed is no longer in service. Please check the number and try again"

__________

SAT UNSAT

11. PERFORMANCE STEP: Enter the pager number.

STANDARD: Enters pager number "2533024."

CUE: IF pager number 2533024 is entered, THEN say, "Please enter the event code followed by the pound key."

IF the wrong pager number is entered, THEN say, "The number you entered is not valid, please check the number and try again."

__________

SAT UNSAT

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A4 AG 7 of 8 12 PERFORMANCE STEP: Enter the event code.

STANDARD: Enters 2222#.

CUE: IF the # is not entered, THEN say, "Your input is not valid, Please enter the event code followed by the pound key."

__________

SAT UNSAT 13 PERFORMANCE STEP: Terminate the call.

STANDARD: Hangs up the telephone.

CUE: None. __________

SAT UNSAT TERMINATING CUES: This JPM is complete (Terminated by Evaluator

)

__________

END TIME Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A4 AG 8 of 8 Verification of Completion Job Performance Measure No.

Examinee's Name:

Examiner's Name:

Date Performed:

Facility Evaluator:

Number of Attempts:

Time to Complete:

Question Documentation:

Question:_____________________________________________________________

____________________________________________________________________________

________________________________________________________________

Response

_____________________________________________________________

______________________________________________________________________

______________________________________________________________________

____________________________________________________

__________________

Result: Satisfactory/Unsatisfactory Examiner's signature and date:

_______________________________________