Text

2015 Davis-Besse Nuclear Power Station Initial License Examination Proposed RO-SRO Admin JPMs
	ML15245A236
Person / Time
Site:	Davis Besse
Issue date:	04/09/2015
From:	; NRC/RGN-III/DRS/OLB
To:	; FirstEnergy Nuclear Operating Co
	Reeser, D B
Shared Package
ML15217A093	List: ML15217A607; ML15245A236; ML15245A261; ML15245A264; ML15245A266;
References
	Download: ML15245A236 (97)
	v • d • e

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 r1 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 1 of 10

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A1.1 r1 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 step 4.2.2 of DB-SP-03357, RCS Water Inventory Balance, manually calculate RCS leak rate on Attachment 2, RCS/MU and Purification Leak Rate Calculation Sheet.

(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.

2 of 10

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A1.1 r1 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 step 4.2.2 of DB-SP-03357, RCS Water Inventory Balance, manually calculate RCS leak rate on Attachment 2, RCS/MU and Purification Leak Rate Calculation Sheet.

3 of 10

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A1.1 r1 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: Refers to copy of DB-SP-03357 and locates step 4.2.2 STANDARD: Locates step 4.2, Manual Calculation of Leakage Rates, section 4.2.2 for RCS/MU and Purification Leak Rate Calculation Sheet CUE: None SAT UNSAT

2. PERFORMANCE STEP: Reviews the information provided on Attachment 2 STANDARD: Locates Attachment 2RCS/MU and Purification Leak Rate Calculation Sheet, reviews the provided data and Note CUE: If asked, All inputs are available SAT UNSAT

3. PERFORMANCE STEP: Performs step 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 4 of 10

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A1.1 r1

4. 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 (+/- 250)_ lbm CUE: Another Operator will perform the Independent Verification of the calculation SAT UNSAT

5. 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)

Initial:

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

_62.0038 lbm/ft³) = _21275 (+/- 250)_ lbm CUE: Another Operator will perform the Independent Verification of the calculation SAT UNSAT

6. 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 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 of 10

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A1.1 r1

7. 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 (+/- 350) lbm CUE: None SAT UNSAT

8. 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 Initial:

[(_222_ in.

3.173 ft³/in) + 239.6 ft³]

37.68 lbm/ft³ = _35570.146 (+/- 350 ) lbm CUE: None SAT UNSAT

9. 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 (+/-40) lbm CUE: None SAT UNSAT 6 of 10

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A1.1 r1

10. 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 (+/-40) lbm CUE: None SAT UNSAT

11. 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

12. 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 528 °F)

Initial __-35200 (+/- 100) _ lbm Final -35600 (+/-100) lbm CUE: None SAT UNSAT 7 of 10

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A1.1 r1

13. 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

14. 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 Inventory Table and calculates the Initial and Final RCS Water Inventory MU Tank Pzr Steam Pzr Water Power Temperature Water Inventory + Inventory + Inventory + Correction + Correction = Inventory (lbm) (lbm) (lbm) (lbm) (lbm) (lbm)

Initial:

22046 3406.393 35119.85 135 -35200 25507.243

(+/- 250) lbm + lbm + lbm + lbm + lbm = lbm Final:

21275 3341.05 35570.146 135 -35600 24721.196

(+/- 250) lbm + lbm + lbm + lbm + lbm = lbm CUE: None SAT UNSAT

15. PERFORMANCE STEP: Calculates the Change in RCS Inventory 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 8 of 10

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A1.1 r1

16. 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

17. 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 Change in RCS Inventory 7.481 gallons ft 3 Leakrate = x x time ft 3 62.32 lbm 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 9 of 10

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A1.1 r1 Verification of Completion Job Performance Measure No.

Examinees Name:

Examiners Name:

Date Performed:

Facility Evaluator:

Number of Attempts:

Time to Complete:

Question Documentation:

Question:_____________________________________________________________

Response:_____________________________________________________________

Result: Satisfactory/Unsatisfactory Examiners signature and date: _______________________________________

10 of 10

ANSWER KEY - DO NOT GIVE TO CANDIDATE - Admin JPM RO-A1.1 r0 11 of 10

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.

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

[L761+L763]÷2, 3 Level in. 67 64 or LR MU16 (2 channel ave)

RCS Pressure [P721+P722+P729+P730]÷4, 4 (4 ch ave) psi 2156 2161 PRSRC2A2, or PRSRC2B (1)

Pressurizer LRS RC14 or 5 in. 218 222 Level L768

[R795+R804+R814+R820]÷4, 6 Ave Power %

C913, or NR NI6 100 100 TI RC7, or:

7 Tave °F

[T719+T720+T728+T729+

(8 ch ave) 581.8 582.3 T780+T800+T820+T840]÷8 (2)

(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))

Reactor Coolant System Density] - 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 Pzr Steam Pzr Water Power Temperature Water Inventory + Inventory + Inventory + Correction + Correction = Inventory (lbm) (lbm) (lbm) (lbm) (lbm) (lbm)

Initial:

22046 3406.393 35119.85 135 -35200 25507.243 lbm + lbm + lbm + lbm + lbm = lbm Final:

21275 3341.05 35570.146 135 -35600 24721.196 lbm + lbm + lbm + lbm + lbm = 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 Change in RCS Inventory 7.481 gallons ft 3 Leakrate = x x time ft 3 62.32 lbm 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 RCP Seals Leak Rate from computer printout, 4.2.1.f or from Attachment 1. (4.2.1.e) __________ gpm Quench Tank In-Leakage Rate from computer printout, 4.2.1.j or from Attachment 1. (4.2.1.i). Only record Positive values __________ gpm (exclude negative values by entering 0.000).

RCS Total Leak Rate from computer printout, 4.2.2.l or from Attachment 2. ___.383___ gpm Primary to Secondary Tube Leakage from computer printout,

__________ gpm 4.2.3.a or from most recent entry in RCS Leakage Log, RO Log, or as (0.104 allowed) determined by Chemistry.

Other Identified Leakage, 4.2.3.b __________ gpm or from RCS Leakage Log.

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 ). __________ gpm 4.2.3.c (10 gpm allowed)

IV Unidentified Leak Rate from computer printout, or from; Total Leak Rate - Total Identified Leak Rate

( 4.2.2.k - 4.2.3.c ) __________ gpm 4.2.3.d (1 gpm allowed)

IV

__________ gpm 4.2.3.e Reactor Coolant Pressure Boundary Leakage (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 r1 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 1 of 6

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A1.2 r1 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 0.00333 hours 1.984127e-5 weeks 4.566e-6 months 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 0.00222 hours 1.322751e-5 weeks 3.044e-6 months 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 0.00167 hours 9.920635e-6 weeks 2.283e-6 months in Mode 1 as ATC and 6 hours6.944444e-5 days 0.00167 hours 9.920635e-6 weeks 2.283e-6 months 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 0.00333 hours 1.984127e-5 weeks 4.566e-6 months 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 0.00333 hours 1.984127e-5 weeks 4.566e-6 months 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 hours1.388889e-4 days 0.00333 hours 1.984127e-5 weeks 4.566e-6 months 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 0.00333 hours 1.984127e-5 weeks 4.566e-6 months 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 form. 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) 2 of 6

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A1.2 r1 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 0.00333 hours 1.984127e-5 weeks 4.566e-6 months 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 0.00222 hours 1.322751e-5 weeks 3.044e-6 months 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 0.00167 hours 9.920635e-6 weeks 2.283e-6 months in Mode 1 as ATC and 6 hours6.944444e-5 days 0.00167 hours 9.920635e-6 weeks 2.283e-6 months 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 0.00333 hours 1.984127e-5 weeks 4.566e-6 months 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 0.00333 hours 1.984127e-5 weeks 4.566e-6 months 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 hours1.388889e-4 days 0.00333 hours 1.984127e-5 weeks 4.566e-6 months 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 0.00333 hours 1.984127e-5 weeks 4.566e-6 months 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 form. Report whether each shift meets the watch credit or not.

3 of 6

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A1.2 r1 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 4 of 6

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A1.2 r1

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 hour1.388889e-4 days 0.00333 hours 1.984127e-5 weeks 4.566e-6 months 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 5 of 6

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A1.2 r1 Verification of Completion Job Performance Measure No.

Examinees Name:

Examiners Name:

Date Performed:

Facility Evaluator:

Number of Attempts:

Time to Complete:

Question Documentation:

Question:_____________________________________________________________

Response:_____________________________________________________________

Result: Satisfactory/Unsatisfactory Examiners signature and date: _______________________________________

6 of 6

Davis-Besse Initial License Exam 2015 Admin JPM RO-A2

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A2 r1 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 Pumps Required Materials:

OS-022, Turbine Plant Cooling Water System 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 1 of 6

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A2 r1 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. You are to identify how to isolate all flow paths to the valve to ensure that the leakage stops. Report to the Shift Manager your results and affected equipment.

2 of 6

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A2 r1 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. You are to identify how to isolate all flow paths to the valve to ensure that the leakage stops. Report to the Shift Manager your results and affected equipment.

3 of 6

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A2 r1 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 COMMENT: Once drawing is located, provide a copy for markup.

CUE: None SAT UNSAT

2. PERFORMANCE STEP: Locates leaking valve CW-112 on drawing STANDARD: Recognizes that leaking valve CW-112 (Grid location 2J) is on the supply line to MFPT Lube Oil Cooler 1-2-2 CUE: None SAT UNSAT

3. 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 4 of 6

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A2 r1

4. 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

5. 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

6. PERFORMANCE STEP: Determines that valve CW-113 must be closed

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

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

7. 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.

CUE: None SAT UNSAT 5 of 6

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A2 r1

8. 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

9. PERFORMANCE STEP: Determines that valve CW-196 must remain closed STANDARD: Identifies CW-196 cooler bypass valve will remain closed COMMENT: This valve is normally shut.

CUE: None SAT UNSAT

10. 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 6 of 6

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A2 r1 Verification of Completion Job Performance Measure No.

Examinees Name:

Examiners Name:

Date Performed:

Facility Evaluator:

Number of Attempts:

Time to Complete:

Question Documentation:

Question:_____________________________________________________________

Response:_____________________________________________________________

Result: Satisfactory/Unsatisfactory Examiners signature and date: _______________________________________

7 of 6

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 r1 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 Page 1 of 7

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A4 r1 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.

The Shift Manager has declared an Unusual Event based on the leakage.

INITIATING CUES:

The Shift Manager directs you to make notify Ottawa and Lucas Counties and the State of Ohio of the emergency in accordance with RA-EP-02110, Emergency Notifications.

(Write the present time for declared at time on step 3 of form DBEP-010-10. Provide the examinee with forms DBEP-012 and DBEP-010)

CUE: This is a time critical JPM. The clock starts now.

Page 2 of 7

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A4 r1 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 Shift Manager has declared an Unusual Event based on the leakage.

INITIATING CUES:

The Shift Manager directs you to make notify Ottawa and Lucas Counties and the State of Ohio of the emergency in accordance with RA-EP-02110, Emergency Notifications.

NOTE: This is a time critical JPM. The clock starts now.

Page 3 of 7

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A4 r1 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: None (if performed in classroom - provide procedure)

SAT UNSAT

2. PERFORMANCE STEP: Verify the Shift Manager has signed the Initial Notification form

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

STANDARD: Recognizes the Shift Manager has not signed the Initial Notification form CUE: When prompted by the examinee, sign the Davis-Besse Notification Cover Sheet and direct that the notification proceed SAT UNSAT

3. 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; the clock stops when the 4-Way Ring-Down phone is picked up.

CUE: (I/S CUE) Ottawa Country Sheriff's Dispatcher and the Lucas County Sheriffs Dispatcher answer the phone.

NOTE: Ohio State Highway Patrol Dispatcher does NOT answer.

(I/S CUE) Repeat back the information as it is communicated.

Time: __________

SAT UNSAT Page 4 of 7

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A4 r1

4. 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

5. 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.

CUE: (I/S CUE) Answer the phone as either the Ohio Highway Patrol Dispatcher or the Administrative Office depending on who was dialed.

SAT UNSAT

6. 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.

CUE: (I/S CUE) Repeat back information as it is communicated. Provide your name as requested by the caller.

SAT UNSAT Page 5 of 7

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A4 r1

7. 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 8.

CUE: Acknowledge the report.

SAT UNSAT

8. 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: (I/S 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

9. 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 examiner)

END TIME Page 6 of 7

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM RO-A4 r1 Verification of Completion Job Performance Measure No.

Examinees Name:

Examiners Name:

Date Performed:

Facility Evaluator:

Number of Attempts:

Time to Complete:

Question Documentation:

Question:_____________________________________________________________

Response:_____________________________________________________________

Result: Satisfactory/Unsatisfactory Examiners signature and date: _______________________________________

Page 7 of 7

FENOC NUCLEAR POWER USE FOR: STATE / COUNTY USE ONLY INITIAL CLASSIFICATIONS, PLANT INITIAL NOTIFICATION CHANGES IN CLASSIFICATIONS, DATE: TIME:

FORM CHANGES IN PROTECTIVE ACTION Davis Besse RECOMMENDATIONS. MESSAGE NO:

DBEP-010-10 EVENT TERMINATION ____________

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 (PARs):

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: (Check Actual INITIAL CLASSIFICATIONS, Emergency only if a real CHANGES IN CLASSIFICATION, CHANGES IN PROTECTIVE ACTION RECOMMENDATIONS. 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:

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

MADE 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: (Check Actual INITIAL CLASSIFICATIONS, Emergency only if a real CHANGES IN CLASSIFICATION, CHANGES IN PROTECTIVE ACTION RECOMMENDATIONS. 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:

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

MADE 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.

Control Room Signature of Communicator 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 r1 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 Page 2 of 9

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A1.1 r1 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 RCS Leakage per step 4.2.2 of DB SP-03357, RCS Water Inventory Balance on Attachment 2, RCS/MU and Purification Leak Rate Calculation Sheet Given the following data on Attachment 3:

Identified LEAKAGE is .011 gpm No other Identified Leakage Primary to secondary LEAKAGE is 0 gpm Pressure boundary LEAKAGE is 0 gpm Review the completed calculation for correctness. Correct any errors, if necessary, and determine if there are any Technical Specifications implications 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)

Page 3 of 9

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A1.1 r1 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 RCS Leakage per step 4.2.2 of DB SP-03357, RCS Water Inventory Balance on Attachment 2, RCS/MU and Purification Leak Rate Calculation Sheet Given the following data:

Identified LEAKAGE is .011 gpm No other Identified Leakage Primary to secondary LEAKAGE is 0 gpm Pressure boundary LEAKAGE is 0 gpm Review the completed calculation for correctness. Correct any errors, if necessary, and determine if there are any Technical Specifications implications DOCUMENT THE RESULTS OF YOUR REVIEW ON THIS CUE SHEET Page 4 of 9

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A1.1 r1 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: Refers to copy of DB-SP-03357 and locates step 4.2.2 STANDARD: Reviews step 4.2, Manual Calculation of Leakage Rates, section 4.2.2 for RCS/MU and Purification Leak Rate Calculation Sheet CUE: None SAT UNSAT

2. PERFORMANCE STEP: Reviews the information provided on Attachment 2 STANDARD: Locates Attachment 2RCS/MU and Purification Leak Rate Calculation Sheet, reviews the provided data and Note CUE: None SAT UNSAT

3. 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 (+/- 250)_ lbm CUE: None SAT UNSAT Page 5 of 9

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A1.1 r1

4. 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 528 °F)

Initial __-34350_(+/-100) _ lbm Final -35600 (+/-100) lbm COMMENT: Error results from reading curve at 581.8 instead of 580.8 CUE: None SAT UNSAT

5. 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 Inventory Table and calculates the Initial and Final RCS Water Inventory MU Tank Pzr Steam Pzr Water Power Temperature Water Inventory + Inventory + Inventory + Correction + Correction = Inventory (lbm) (lbm) (lbm) (lbm) (lbm) (lbm)

Initial:

23074 35119.85 3406.393 135 -34350 27385.243

(+/- 650) lbm + lbm + lbm + lbm + lbm = lbm Final:

21275 35570.146 3341.05 135 -35600 24721.196

(+/- 650) lbm + lbm + lbm + lbm + lbm = lbm CUE: None SAT UNSAT Page 6 of 9

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A1.1 r1

6. 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

7. 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 Change in RCS Inventory 7.481 gallons ft 3 Leakrate = x x time ft 3 62.32 lbm Leakrate = ( 2664.047 lbm) ÷ ( 246 min) x (0.120 gal/lbm)

Leakrate = 1.299 (+/- 0.02) gpm CUE: None SAT UNSAT

8. 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 Page 7 of 9

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A1.1 r1

9. 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 Page 8 of 9

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A1.1 r1 Verification of Completion Job Performance Measure No.

Examinees Name:

Examiners Name:

Date Performed:

Facility Evaluator:

Number of Attempts:

Time to Complete:

Question Documentation:

Question:_____________________________________________________________

Response:_____________________________________________________________

Result: Satisfactory/Unsatisfactory Examiners signature and date: _______________________________________

Page 9 of 9

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.

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

[L761+L763]÷2, 3 Level in. 71 64 or LR MU16 (2 channel ave)

RCS Pressure [P721+P722+P729+P730]÷4, 4 (4 ch ave) psi 2156 2161 PRSRC2A2, or PRSRC2B (1)

Pressurizer LRS RC14 or 5 in. 218 222 Level L768

[R795+R804+R814+R820]÷4, 6 Ave Power %

C913, or NR NI6 100 100 TI RC7, or:

7 Tave °F

[T719+T720+T728+T729+

(8 ch ave) 580.8 582.3 T780+T800+T820+T840]÷8 (2)

(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))

Reactor Coolant System Density] - 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 Pzr Steam Pzr Water Power Temperature Water Inventory + Inventory + Inventory + Correction + Correction = Inventory (lbm) (lbm) (lbm) (lbm) (lbm) (lbm)

Initial:

22046 3406.393 35119.85 135 -35200 25507.243 lbm + lbm + lbm + lbm + lbm = lbm Final:

21275 3341.05 35570.146 135 -35600 24721.196 lbm + lbm + lbm + lbm + lbm = 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 Change in RCS Inventory 7.481 gallons ft 3 Leakrate = x x time ft 3 62.32 lbm 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 RCP Seals Leak Rate from computer printout, 4.2.1.f or from Attachment 1. (4.2.1.e) ___.011___ gpm Quench Tank In-Leakage Rate from computer printout, 4.2.1.j or from Attachment 1. (4.2.1.i). Only record Positive values _____.0___ gpm (exclude negative values by entering 0.000).

RCS Total Leak Rate from computer printout, 4.2.2.l or from Attachment 2. ___.383___ gpm Primary to Secondary Tube Leakage from computer printout,

_____.0___ gpm 4.2.3.a or from most recent entry in RCS Leakage Log, RO Log, or as (0.104 allowed) determined by Chemistry.

Other Identified Leakage, 4.2.3.b _____.0___ gpm or from RCS Leakage Log.

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 ). ____.011__ gpm 4.2.3.c (10 gpm allowed)

___mlk___

IV Unidentified Leak Rate from computer printout, or from; Total Leak Rate - Total Identified Leak Rate

( 4.2.2.k - 4.2.3.c ) ____.382__ gpm 4.2.3.d (1 gpm allowed)

___mlk____

IV

_____.0___ gpm 4.2.3.e Reactor Coolant Pressure Boundary Leakage (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.

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

[L761+L763]÷2, 3 Level in. 71 64 or LR MU16 (2 channel ave)

RCS Pressure [P721+P722+P729+P730]÷4, 4 (4 ch ave) psi 2156 2161 PRSRC2A2, or PRSRC2B (1)

Pressurizer LRS RC14 or 5 in. 218 222 Level L768

[R795+R804+R814+R820]÷4, 6 Ave Power %

C913, or NR NI6 100 100 TI RC7, or:

7 Tave °F

[T719+T720+T728+T729+

(8 ch ave) 580.8 582.3 T780+T800+T820+T840]÷8 (2)

(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))

Reactor Coolant System Density] - 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 Pzr Steam Pzr Water Power Temperature Water Inventory + Inventory + Inventory + Correction + Correction = Inventory (lbm) (lbm) (lbm) (lbm) (lbm) (lbm)

Initial: +

23074 3406.393 35119.85 135 -34350 27385.243 lbm + lbm + lbm + lbm lbm = lbm Final:

21275 3341.05 35570.146 135 -35600 24721.196 lbm + lbm + lbm + lbm + lbm = 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 Change in RCS Inventory 7.481 gallons ft 3 Leakrate = x x time ft 3 62.32 lbm Leakrate = ( 2664.047 lbm) ÷ ( 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 RCP Seals Leak Rate from computer printout, 4.2.1.f or from Attachment 1. (4.2.1.e) _____.011_ gpm Quench Tank In-Leakage Rate from computer printout, 4.2.1.j or from Attachment 1. (4.2.1.i). Only record Positive values _____.0___ gpm (exclude negative values by entering 0.000).

RCS Total Leak Rate from computer printout, ___1.299__ gpm 4.2.2.l or from Attachment 2.

Primary to Secondary Tube Leakage from computer printout,

____.0 ___ gpm 4.2.3.a or from most recent entry in RCS Leakage Log, RO Log, or as (0.104 allowed) determined by Chemistry.

Other Identified Leakage, 4.2.3.b ____.0____ gpm or from RCS Leakage Log.

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 ). _____.011_ gpm 4.2.3.c (10 gpm allowed)

__mlk__

IV Unidentified Leak Rate from computer printout, or from; Total Leak Rate - Total Identified Leak Rate

( 4.2.2.k - 4.2.3.c ) ___1.288__ gpm 4.2.3.d (1 gpm allowed)

__mlk__

IV

____.0 ____ gpm 4.2.3.e Reactor Coolant Pressure Boundary Leakage (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 r1 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 1 of 6

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A1.2 r1 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 8.333333e-4 hours 4.960317e-6 weeks 1.1415e-6 months 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 form.

(Provide copy of DBBP-TRAN-0014, License Requirements for Licensed Individuals and NT-OT-07001, Training and Qualification of Operations Personnel) 2 of 6

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A1.2 r1 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 8.333333e-4 hours 4.960317e-6 weeks 1.1415e-6 months 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 form.

3 of 6

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A1.2 r1 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 4 of 6

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A1.2 r1

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 5 of 6

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A1.2 r1 Verification of Completion Job Performance Measure No.

Examinees Name:

Examiners Name:

Date Performed:

Facility Evaluator:

Number of Attempts:

Time to Complete:

Question Documentation:

Question:_____________________________________________________________

Response:_____________________________________________________________

Result: Satisfactory/Unsatisfactory Examiners signature and date: _______________________________________

6 of 6

Davis-Besse Initial License Exam 2015 Admin JPM SRO-A2

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A2 r1 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 1 of 6

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A2 r1 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 0.0133 hours 7.936508e-5 weeks 1.8264e-5 months 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 form (Provide a copy of DB-OP-06011, Section 4.1 and NOP-OP-1007. Make Technical Specifications available) 2 of 6

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A2 r1 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 0.0133 hours 7.936508e-5 weeks 1.8264e-5 months 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 form 3 of 6

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A2 r1 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 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 hour8.333333e-4 days 0.02 hours 1.190476e-4 weeks 2.7396e-5 months 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 0.0133 hours 7.936508e-5 weeks 1.8264e-5 months which is greater than 50% of the 72 hour8.333333e-4 days 0.02 hours 1.190476e-4 weeks 2.7396e-5 months shutdown LCO.

CUE: None SAT UNSAT 4 of 6

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A2 r1

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)

END TIME 5 of 6

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A2 r1 Verification of Completion Job Performance Measure No.

Examinees Name:

Examiners Name:

Date Performed:

Facility Evaluator:

Number of Attempts:

Time to Complete:

Question Documentation:

Question:_____________________________________________________________

Response:_____________________________________________________________

Result: Satisfactory/Unsatisfactory Examiners signature and date: _______________________________________

6 of 6

Davis-Besse Initial License Exam 2015 Admin JPM SRO-A3

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A3 r1 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 1 of 6

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A3 r1 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 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. The Emergency RP Manager has been unable to be contacted (Hand Candidate a copy of RA-EP-02620, Emergency Dose Control and Potassium Iodide Distribution and the four recommended Emergency Dose Authorization Forms) 2 of 6

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A3 r1 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. The Emergency RP Manager has been unable to be contacted 3 of 6

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A3 r1 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 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 4 of 6

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A3 r1

4. PERFORMANCE STEP: Evaluate Mechanic 3 acceptability for receiving Emergency Dose STANDARD: . Determines Mechanic 3 should not be authorized to receive emergency dose. Since mechanic is female, and is pregnant 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 CUE: None SAT UNSAT

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

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

STANDARD: Authorize Emergency Dose for Mechanic 2 and Mechanic 4 CUE: None SAT UNSAT TERMINATING CUES: This JPM is complete (Terminated by the examiner)

END TIME 5 of 6

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A3 r1 Verification of Completion Job Performance Measure No.

Examinees Name:

Examiners Name:

Date Performed:

Facility Evaluator:

Number of Attempts:

Time to Complete:

Question Documentation:

Question:_____________________________________________________________

Response:_____________________________________________________________

Result: Satisfactory/Unsatisfactory Examiners signature and date: _______________________________________

6 of 6

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

Mechanic 1 SOCIAL SECURITY NUMBER 111-11-1111 DATE TLD NO. EMPLOYER Today 1 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 TLD NO. EMPLOYER Today 2 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 TLD NO. EMPLOYER Today 3 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 TLD NO. EMPLOYER Today 4 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 r1 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 1 of 7

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A4 r1 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 as directed by procedure RA-EP-01700, Alert, step 6.1.1.f.2.

2 of 7

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A4 r1 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 as directed by procedure RA-EP-01700, Alert, step 6.1.1.f.2.

3 of 7

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A4 r1 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 procedures.

STANDARD: Obtains RA-EP-02110, Emergency Notification, for notifying the Emergency Response Organization and off-site agencies.

COMMENT: Hand a clean copy of the procedure to the examinee if desired.

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.

CUE: Say, You hear a busy signal.

SAT UNSAT 4 of 7

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A4 r1

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 5 of 7

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A4 r1

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 6 of 7

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A4 r1 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 7 of 7

Appendix C Job Performance Measure Form ES-C-1 Worksheet Admin JPM SRO-A4 r1 Verification of Completion Job Performance Measure No.

Examinees Name:

Examiners Name:

Date Performed:

Facility Evaluator:

Number of Attempts:

Time to Complete:

Question Documentation:

Question:_____________________________________________________________

Response:_____________________________________________________________

Result: Satisfactory/Unsatisfactory Examiners signature and date: _______________________________________

8 of 7

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