ML20324A044

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CN-2020-09-Public Forms, Exam Assignment Tickler
ML20324A044
Person / Time
Site: Cooper Entergy icon.png
Issue date: 09/29/2020
From: Greg Werner
Operations Branch IV
To:
Nebraska Public Power District (NPPD)
References
Download: ML20324A044 (27)
v • d • e


Text

EXAM ASSIGNMENT TICKLER Chief: John Kirkland Facility: CNS Date of Written Exam: 9/29/2020 U/I: Start of Op Test: 9/21/2020 End of Op Test: 9/25/2020 Written Exam Developed By: NRC / Facility Operating Test Developed By: NRC / Facility Due Date Description Date Complete Initials Notes For NRC prepared exams, arrangements made 1/20/2020 Examination administration date confirmed 12/18/19 for the facility to submit reference materials 2/24/2020 NRC examiners and facility contact assigned 12/18/19 2/24/2020 Facility contact briefed on security and other requirements 12/18/19 2/24/2020 Reference material due for NRC prepared exams 12/18/19 ES-201 Att-3 2/24/2020 Corporate Notification Letter sent 01/13/20 ES-201 Att-4 produced by CE NRC developed written examination outline sent to facility 3/9/2020 contact 12/18/19 ES-401-1/2 and ES-401-3 4/20/2020 Operating test outline(s) and other checklists due 04/20/20 ES-201-2, 201-3, 301-1, 301-2, 301-5, D-1 Operating test outline(s) reviewed by NRC and feedback 5/4/2020 provided to facility licensee 05/11/20 ES-201-2 signed by CE & BC Proposed exams, outlines, supporting documentation, and Exams prepared by the NRC are approved by 7/6/2020 reference materials due. 07/06/20 BC and forwarded for facility licensee review 7/13/2020 Peer review of written exam complete N/A N/A Document review on ES-401-9 8/3/2020 Written exam and operating test reviews completed 07/17/20 Document review on ES-401-9 8/17/2020 Feedback approved by Branch Chief 08/17/20 Examination review results discussed between NRC and facility 8/17/2020 licensee 08/17/20 8/24/2020 Preliminary license applications & waiver/excusal requests due 08/21/20 NRC Forms 398/396 8/24/2020 On-site validation & 10% audit of license applications 08/24/20 8/31/2020 Preliminary license applications and waivers reviewed 08/21/20 9/7/2020 Final license applications & waiver/excusal requests due 09/03/20 ES-201-4 prepared by LA 9/14/2020 Written exams and operating tests approved by Branch Chief 09/08/20 9/14/2020 Request facility licensee management feedback on the exam N/A N/A Final applications reviewed and audited; exam approval and LA produces / BC signs Exam Approval Letter 9/14/2020 waiver/excusal letters sent 09/10/20 (ES-201 Att-5)

Proctoring/written exam administration guidelines reviewed with 9/14/2020 facility licensee 09/09/20 9/14/2020 Approved scenarios and JPMs distributed to examiners 09/08/20 9/21/2020 Administer Operating Test 09/21/20 10/2/2020 Examiner's document op test results on ES 303's 10/07/20 10/19/2020 Post exam comments and graded exams received 10/13/20 ES-403-1 to BC Post exam written comments reviewed and incorporated and 10/27/2020 NRC grading completed 10/15/20 Post exam operating test comments reviewed and ES-303-1 10/27/2020 updated 10/15/20 Chief examiner review of operating test and/or written exam 11/3/2020 grading completed 10/19/20 Signed ES 303's to BC 11/10/2020 Branch Chief review of exam results completed 10/19/20 11/17/2020 Waivers/deferrals reviewed for impact on licensing decision 10/19/20 License/Proposed Denial letters mailed; Facility notified of 11/17/2020 results 10/26/20 11/17/2020 RPS/IP number of examinees updated 10/26/20 print Report-21 12/8/2020 Final Denial Letters mailed (if no request for informal review) 11/18/20 21 days after proposed denial letters mailed.

12/15/2020 Examination Report Issued 11/18/20 produced by CE 12/22/2020 Ref Mat'l Returned after Final Resolution of Appeals N/A N/A Replaces NUREG-1021, Revision 11, Forms ES-201-1 and ES-501-1 Rev. 9

ES-201 Examination Outline Quality Checklist Form ES-201-2 Facility: Cooper Nuclear Station Date of Examination: 9/21/2020 Initials Item Task Description a b* c-

1. a. Verify that the outline(s) fit(s) the appropriate model in accordance with ES-401 or ES-401 N. ,pr- NA I

w b. Assess whether the outline was systematically and randomly prepared in accordance with NA R

I Section D.1 of ES-401 or ES-401 N and whether all KIA categories are appropriately sampled. ~ .,µ T

T

c. Assess whether the outline overemphasizes any systems, evolutions, or generic topics. # NA .p--

E N

d. Assess whether the justifications for deselected or rejected K/A statements are appropriate. µ NA

'P--

2. a. Using Form ES-301 -5, verify that the proposed scenario sets cover the required number of NA s

normal evolutions, instrument and component failures , technical specifications, and major transients. p µ-

I M b. Assess whether there are enough scenario sets (and spares) to test the projected number and NA u mix of applicants in accordance with the expected crew composition and rotation schedule L without compromising exam integrity, and ensure that each applicant can be tested using at p:-

A least one new or significantly modified scenario, that no scenarios are duplicated from the applicants' audit test(s), and that scenarios will not be repeated on subsequent days.

µ-

T 0 NA C. To the extent possible, assess whether the outline(s) conforms with the qualitative and R

quantitative criteria specified on Form ES-301-4 and described in Appendix D and in Section D.5, "Specific Instructions for the 'Simulator Operating Test,"' of ES-301 (including .µ ~

overlap).

3. a. Verify that the systems walkthrough outline meets the criteria specified on Form ES-301-2: NA (1) The outline(s) contains the required number of control room and in-plant tasks distributed w among the safety functions as specified on the form.

A L

(2) Task repetition from the last two NRC examinations is within the limits specified on the form.

(3) No tasks are duplicated from the applicant's audit test(s).

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K (4) The number of new or modified tasks meets or exceeds the minimums specified on the form.

T (5) The number of alternate-path, low-power, emergency, and radiologically controlled area H tasks meets the criteria on the form.

R 0 b. Verify that the administrative outline meets the criteria specified on Form ES-301-1: NA u (1) The tasks are distributed among the topics as specified on the form.

G (2) At least one task is new or significantly modified. ~ ip--

H (3) No more than one task is repeated from the last two NRC licensing examinations.

C. Determine whether there are enough different outlines to test the projected number and mix of NA applicants and ensure that no items are duplicated on subsequent days. # ~

4. a. Assess whether plant-specific priorities (including probabilistic risk assessment and individual NA plant examination insights) are covered in the appropriate exam sections. .µ, "ftL--

G E b. Assess whether the 10 CFR 55.41, 55.43, and 55.45 sampling is appropriate. ~ NA vj:'L-N E

C. Ensure that KIA importance ratings (except for plant-specific priorities) are at least 2.5. .pJ-- NA .p:_.,.

R d. Check for duplication and overlap among exam sections and the last two NRC exams. NA I <4f'/_

A I

L e. Check the entire exam for balance of coverage. ~l- NA l/('/.-

f. Assess whether the exam fits the appropriate job level (RO or SRO). .µ.. NA v/&-

, 7

~ ed Na~ nature Date

a. Author John Kirkland CL>... '--"'. 5/8/20 I
b. Facility Reviewer (*) N/A // N/A C. NRC Chief Examiner (#) John Kirkland ~ J I ~ ~ ./ 5/8/20
d. NRC Supervisor Gregory E. Werner &naorwE. WP-rl1P-r V V 05/11/2020
  • Not applicable for NRG-prepared examination outlines.
  1. The independent NRC reviewer initials items in column "c"; the chief examiner's concurrence is required.

Rev. 11

ES-401 Written Examination Quality Checklist Form ES-401-6 Facility: Cooper Nuclear Station Date of Exam: September 29, 2020 Exam Level: RO IZI SRO IZI Initial Item Description a b* c*#

1 Questions and answers are technically accurate and applicable to the facility. vf"(. N/A vjllL

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2. a. NRC K/As are referenced for all questions.
b. Facility learning objectives are referenced as available. N/A
c. Correct answer explanation and distractor analysis provided (ES-401, D.2.g) '1U-- ~
3. SRO questions are appropriate in accordance with Section D.2.d of ES-401

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N/A tr/-

4 The sampling process was random and systematic. (If more than four RO or two SRO N/A questions were repeated from the last two NRC licensing exams, consult the NRR/NRO OL program office).

-µ__ ~

5. Question duplication from the licensee screening/audit exam was controlled as indicated below (check the item that applies) and appears appropriate.

_ The audit exam was systematically and randomly developed, or

_ the audit exam was completed before the license exam was started, or N/A

~ the examinations were developed independently, or

_ the licensee certifies that there is no duplication, or

_ other (explain).

6. Bank use meets limits (no more than 75% from the bank, Bank Modified New at least 10% new; and the rest new or modified); enter the 10.7 / 14.7 / 74.7 I actual RO/SRO-only question distribution(s) at right. N/A 24.0 12.0 64.0
7. Between 38 and 45 questions of the questions on the RO Memory C/A exam and at least 13 questions of the questions on the SRO-only portion of the exam are written at the comprehension/analysis level (see ES-401, D.2.c); enter 37 / 6 38 / 19 N/A the actual RO/SRO-only question distribution(s) at right.
8. References/handouts provided do not give away answers or aid in the elimination of N/A distractors.
9. Question content conforms to specific KIA statements in the previously approved examination N/A outline and is appropriate for the tier to which they are assigned; deviations are justified.
10. Question psychometric quality and format meet the guidelines in Appendix B. N/A
11. The exam contains the required number of one-point, multiple-choice items; the total is N/A correct and agrees with the value on the cover sheet. ~

,..f rii;,t e~ o / 5~ ty re Date

a. Author John Kirkland 1tCM ~ 7/20/20
b. Facility Reviewer (*) NIA I / . .

C. NRC Chief Examiner (#) John Kirkland/ {,,,/1-;t... 8-..!. V "

d. NRC Supervisor Gregory Wernrfr I// ~

......., , -< ~ ~ ( J V I Note: The facility reviewer's initials or signature are not applicable for NRG-developed examinations.

  1. Independent NRC reviewer initials items in Column "c"; chief examiner concurrence is required 0 Rev. 11

ES-301 Operating Test Quality Checklist Form ES-301-3 Facilit : Coo er Nuclear Station Date of Examination: 09/21/20 0 eratin Test Number: 2020-9 Initials

1. General Criteria a b* c'
a. The operating test conforms to the previously approved outline; changes are consistent with sam lin uirements e.. , 10 CFR 55.45, o erational im ortance, safet function distribution .
b. There is no day-to-day repetition between this and other operating tests to be administered durin this examination.

C. Theo eratin test shall not du licate items from the a licants' audit tests see Section D.1.a.) .

d. Overlap with the written examination and between different parts of the operating test is within acce table limits.
e. It appears that the operating test will differentiate between competent and less-than-competent a licants at the desi nated license level.
2. Walkthrou h Criteria
a. Each JPM includes the following, as applicable:

initial conditions initiating cues references and tools, including associated procedures reasonable and validated time limits (average time allowed for completion) and specific designation if deemed to be time critical by the facility licensee operationally important specific performance criteria that include-detailed expected actions with exact criteria and nomenclature system response and other examiner cues statements describing important observations to be made by the applicant criteria for successful completion of the task identification of critical steps and their associated performance standards restrictions on the se uence of ste s, if a licable

b. Ensure that any changes from the previously approved systems and administrative walkthrough outlines (Forms ES-301-1 and ES-301-2) have not caused the test to deviate from any of the acceptance criteria (e.g., item distribution, bank use, repetition from the last two NRC examinations s ecified on those forms and Form ES-201-2.
3. Simulator Criteria The associated simulator operating tests (scenario sets) have been reviewed in accordance with Form ES-301-4, and a co is attached.

Date

'b,1S-2c?

8"f'2.Sl2o

c. NRG Chief Examiner (#) Sh)/ 20
d. NRG Supervisor (~ - --....:~-:.':.~ ..JL....:....,;_.:::::.. .. !......~~~---=:...._-+-,__.,,;,=~:.+--,l';,-l<~~,-
  • The facility licensee signature is not applicable for NRG-developed tests.
  1. The inde ndent NRG reviewer initials items in column "c"; the chief examiner concurrence is r uired.

ES-301, Page 24 of 33

ES-301 Simulator Scenario Quality Checklist Form ES-301-4 Facility: Cooper Nuclear Station Date of Exam : 9/21/2020 Scenario Numbers: 1 /2/3/4 Operating Test No.: 2020-9 QUALITATIVE ATTRIBUTES Initials a b* c#

1. The initial conditions are realistic in that some equipment and/or instrumentation may be out of service, but it does not cue the operators into expected events. ~< ~ pt
2. The scenarios consist mostly of related events. -14 ~ -
3. Each event description consists of the following:

.* the the point in the scenario when it is to be initiated malfunction(s) or conditions that are entered to initiate the event .1-' ~ ~

  • the symptoms/cues that will be visible to the crew
  • the expected operator actions (by shift position)
  • the event termination point (if applicable) 4.

5.

The events are valid with regard to physics and thermodynamics.

Sequencing and timing of events is reasonable and allows the examination team to obtain complete evaluation results commensurate with the scenario objectives.

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6. If time compression techniques are used, the scenario summary clearly so indicates. N/A N/A Operators have sufficient time to carry out expected activities without undue time constraints.

,J/A Cues are given.

7. The simulator modeling is not altered. ~ *~ '{IL
8. The scenarios have been validated . Pursuant to 10 CFR 55.46(d), any open simulator performance deficiencies or deviations from the referenced plant have been evaluated to ensure that functional ~ ~ ~

fidelity is maintained while running the planned scenarios.

9. Scenarios are new or significantly modified in accordance with Section 0.5 of ES-301 . ~ I~ ~

~ ~

10. All individual operator competencies can be evaluated, as verified using Form ES-301-6 (submit the form along with the simulator scenarios). ~
11. The scenario set provides the opportunity for each applicant to be evaluated in each of the applicable rating factors. (Competency rating factors as described on Forms ES-303-1 and ES-303-3.) k:,. ~ '{IL
12. Each applicant will be significantly involved in the minimum number of transients and events specified on Form ES-301-5 (submit the form with the simulator scenarios). \t:, ~ {)-

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

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14. The level of difficulty is appropriate to support licensing decisions for each crew position. t;, dV #--'

Target Quantitative Attributes per Scenario (See Section D.5.d) Actual Attributes -- -- --

1. Malfunctions after EOP entry (1-2) 3/ 3 I 3 /4 b 'W' ilf£
2. Abnormal events (2-4) 2/ 2 I 2 /2 t;;. d/ :a,
3. Major transients (1-2) 2/ 2 I 1 /1 Iii;_ <2./ #
4. EOPs entered/requiring substantive actions (1-2) 3I 2 I 2 /2 .-', cl ~

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5. Entry into a contingency EOP with substantive actions (.::: 1 per scenario 1/ 1 I 1 /1 set)

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6. Preidentified critical tasks (.::: 2) 21 3 I 2 /2 ~ q,<_ i(J!,,
  • The facility licensee signature is not applicable for NRG-developed tests.
  1. An independent NRG reviewer initials items in column "c"; chief examiner concurrence is required .

ES-403 Written Examination Grading Form ES-403;.1 Quality Checkllst Facility: Cooper Nuclear Station Date of Exam: 09/29/20 Exam Level: RO IXl SRO 00 Item Description Initials a b C

1. Clean answer sheets copied before grading CAF JBF .ljt((_..
2. Proposed answer key changes and question deletions justified and documented (facility reviewer initials not required CAF JBF (N/R) if NO post-examination comments are submitted) 'fL-
3. Applicants' scores checked for addition errors (reviewers spot check > 25% of examinations) CAF JBF

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4. Grading for all borderline cases (80% :1:2% overall and 70% or 80%, as applicable, :1:4% on the SRO-only exam) reviewed in detail CAF JBF -µ-
5. All other failing examinations checked to ensure that grades are justified CAF JBF p--
6. Performance on missed questions checked for training deficiencies and wording problems; evaluate validity of CAF JBF questions missed by one-half or more of the applicants ~
  • Date Pmted Name/Signature ~ --

~

a. Grader Clyde A Edgington / C 10/07/20

~

/

b. Facility Reviewer(") James B. Florence 1t:1BF\ 1/ .J\ o_uo...---, 10/07/20

@~c_-~_:> 10

/n /20 C. NRC Chief Examiner (") John Kirkland , . . . . ._

d. NRC SupeNisor (")

u Gregory E. Werner 11/02/2020

(*) The facility reviewer's signature is not applicable for examinations graded by the NRC; two independent NRC reviews are required.

ES-403, Page 6 of 6

ES-301 Transient and Event Checklist Form ES-301-5 Facility: Cooper Nuclear Station Date of Exam: 9/21/2020 Operating Test No.: 2020-9 A E Scenarios P V 2 4 1 3 T M P E O I L N CREW CREW CREW POSITION CREW POSITION T N I T POSITION POSITION I

C A S A B S A B S A B S A B M A T L R T O R T O R T O R T O U N Y O C P O C P O C P O C P M(*)

T P E R I U RO RX 0 0 0 0 1 1 0 NOR 1 0 0 1 1 1 1 SRO-I (I1) I/C 6 4 4 14 4 4 2 SRO-U MAJ 2 1 1 4 2 2 1 TS 2 N/A N/A 2 0 2 2 RO RX 0 0 1 1 1 1 0 NOR 0 0 0 0 1 1 1 SRO-I (I2) I/C 4 3 8 15 4 4 2 SRO-U MAJ 2 1 1 4 2 2 1 TS N/A N/A 2 2 0 2 2 RO RX 0 0 1 1 1 1 0 NOR 1 0 0 1 1 1 1 SRO-I (I3) I/C 4 7 5 16 4 4 2 SRO-U MAJ 2 1 1 4 2 2 1 TS N/A 2 N/A 2 0 2 2 RO RX 1 1 0 NOR 1 1 1 SRO-I I/C 4 4 2 SRO-U MAJ 2 2 1 TS 0 2 2 Instructions:

1. Check the applicant level and enter the operating test number and Form ES-D-1 event numbers for each event type; TS are not applicable for RO applicants. ROs must serve in both the at-the-controls (ATC) and balance-of-plant (BOP) positions. Instant SROs (SRO-I) must serve in both the SRO and the ATC positions, including at least two instrument or component (I/C) malfunctions and one major transient, in the ATC position. If an SRO-I additionally serves in the BOP position, one I/C malfunction can be credited toward the two I/C malfunctions required for the ATC position.
2. Reactivity manipulations may be conducted under normal or controlled abnormal conditions (refer to Section D.5.d) but must be significant per Section C.2.a of Appendix D. (*) Reactivity and normal evolutions may be replaced with additional I/C malfunctions on a one-for-one basis.
3. Whenever practical, both instrument and component malfunctions should be included; only those that require verifiable actions that provide insight to the applicants competence count toward the minimum requirements specified for the applicants license level in the right-hand columns.
4. For new reactor facility licensees that use the ATC operator primarily for monitoring plant parameters, the chief examiner may place SRO-I applicants in either the ATC or BOP position to best evaluate the SRO-I in manipulating plant controls.

Rev 5

ES-301 Transient and Event Checklist Form ES-301-5 Facility: Cooper Nuclear Station Date of Exam: 9/21/2020 Operating Test No.: 2020-9 A E Scenarios P V 2 4 1 3 T M P E O I L N CREW CREW POSITION CREW POSITION CREW POSITION T N I T POSITION I

C A S A B S A B S A B S A B M A T L R T O R T O R T O R T O U N Y O C P O C P O C P O C P M(*)

T P E R I U RO RX 0 0 1 1 1 1 0 NOR 1 0 0 1 1 1 1 SRO-I (I4) I/C 4 7 5 16 4 4 2 SRO-U MAJ 2 1 1 4 2 2 1 TS N/A 2 N/A 2 0 2 2 RO RX 0 0 0 0 1 1 0 NOR 1 0 0 1 1 1 1 SRO-I (I5) I/C 6 4 4 14 4 4 2 SRO-U MAJ 2 1 1 4 2 2 1 TS 2 N/A N/A 2 0 2 2 RO RX 0 0 1 1 1 1 0 NOR 0 0 0 0 1 1 1 SRO-I (I6) I/C 4 3 8 15 4 4 2 SRO-U MAJ 2 1 1 4 2 2 1 TS N/A N/A 2 2 0 2 2 RO RX 1 1 0 NOR 1 1 1 SRO-I I/C 4 4 2 SRO-U MAJ 2 2 1 TS 0 2 2 Instructions:

1. Check the applicant level and enter the operating test number and Form ES-D-1 event numbers for each event type; TS are not applicable for RO applicants. ROs must serve in both the at-the-controls (ATC) and balance-of-plant (BOP) positions. Instant SROs (SRO-I) must serve in both the SRO and the ATC positions, including at least two instrument or component (I/C) malfunctions and one major transient, in the ATC position. If an SRO-I additionally serves in the BOP position, one I/C malfunction can be credited toward the two I/C malfunctions required for the ATC position.
2. Reactivity manipulations may be conducted under normal or controlled abnormal conditions (refer to Section D.5.d) but must be significant per Section C.2.a of Appendix D. (*) Reactivity and normal evolutions may be replaced with additional I/C malfunctions on a one-for-one basis.
3. Whenever practical, both instrument and component malfunctions should be included; only those that require verifiable actions that provide insight to the applicants competence count toward the minimum requirements specified for the applicants license level in the right-hand columns.
4. For new reactor facility licensees that use the ATC operator primarily for monitoring plant parameters, the chief examiner may place SRO-I applicants in either the ATC or BOP position to best evaluate the SRO-I in manipulating plant controls.

Rev 5

ES-301 Transient and Event Checklist Form ES-301-5 Facility: Cooper Nuclear Station Date of Exam: 9/21/2020 Operating Test No.: 2020-9 A E Scenarios P V 4 3 2 1 T M P E O I L N CREW CREW POSITION CREW POSITION CREW POSITION T N I T POSITION I

C A S A B S A B S A B S A B M A T L R T O R T O R T O R T O U N Y O C P O C P O C P O C P M(*)

T P E R I U RO RX 0 0 0 1 1 0 NOR 1 0 1 1 1 1 SRO-I I/C 4 7 11 4 4 2 SRO-U MAJ 2 1 3 2 2 1 (U1)

TS N/A 2 2 0 2 2 RO RX 0 0 0 1 1 0 (R1) NOR 0 0 0 1 1 1 SRO-I I/C 4 3 7 4 4 2 SRO-U MAJ 2 1 3 2 2 1 TS N/A N/A 0 0 2 2 RO RX 0 0 0 1 1 0 NOR 1 0 1 1 1 1 SRO-I (I7) I/C 6 4 10 4 4 2 SRO-U MAJ 2 1 3 2 2 1 TS 2 N/A 2 0 2 2 RO RX 1 1 0 NOR 1 1 1 SRO-I I/C 4 4 2 SRO-U MAJ 2 2 1 TS 0 2 2 Instructions:

1. Check the applicant level and enter the operating test number and Form ES-D-1 event numbers for each event type; TS are not applicable for RO applicants. ROs must serve in both the at-the-controls (ATC) and balance-of-plant (BOP) positions. Instant SROs (SRO-I) must serve in both the SRO and the ATC positions, including at least two instrument or component (I/C) malfunctions and one major transient, in the ATC position. If an SRO-I additionally serves in the BOP position, one I/C malfunction can be credited toward the two I/C malfunctions required for the ATC position.
2. Reactivity manipulations may be conducted under normal or controlled abnormal conditions (refer to Section D.5.d) but must be significant per Section C.2.a of Appendix D. (*) Reactivity and normal evolutions may be replaced with additional I/C malfunctions on a one-for-one basis.
3. Whenever practical, both instrument and component malfunctions should be included; only those that require verifiable actions that provide insight to the applicants competence count toward the minimum requirements specified for the applicants license level in the right-hand columns.
4. For new reactor facility licensees that use the ATC operator primarily for monitoring plant parameters, the chief examiner may place SRO-I applicants in either the ATC or BOP position to best evaluate the SRO-I in manipulating plant controls.

Rev 5

ES-301 Transient and Event Checklist Form ES-301-5 Facility: Cooper Nuclear Station Date of Exam: 9/21/2020 Operating Test No.: 2020-9 A E Scenarios P V 2 4 1 3 (spare) T M P E O I L N CREW CREW POSITION CREW POSITION CREW POSITION T N I T POSITION I

C A S A B S A B S A B S A B M A T L R T O R T O R T O R T O U N Y O C P O C P O C P O C P M(*)

T P E R I U RO RX 1 1 0 1 1 0 NOR 0 0 0 1 1 1 SRO-I I/C 7 4 5 4 4 2 SRO-U MAJ 1 1 1 2 2 1 TS 2 N/A N/A 0 2 2 RO RX 1 1 0 NOR 1 1 1 SRO-I I/C 4 4 2 SRO-U MAJ 2 2 1 TS 0 2 2 RO RX 1 1 0 NOR 1 1 1 SRO-I I/C 4 4 2 SRO-U MAJ 2 2 1 TS 0 2 2 RO RX 1 1 0 NOR 1 1 1 SRO-I I/C 4 4 2 SRO-U MAJ 2 2 1 TS 0 2 2 Instructions:

1. Check the applicant level and enter the operating test number and Form ES-D-1 event numbers for each event type; TS are not applicable for RO applicants. ROs must serve in both the at-the-controls (ATC) and balance-of-plant (BOP) positions. Instant SROs (SRO-I) must serve in both the SRO and the ATC positions, including at least two instrument or component (I/C) malfunctions and one major transient, in the ATC position. If an SRO-I additionally serves in the BOP position, one I/C malfunction can be credited toward the two I/C malfunctions required for the ATC position.
2. Reactivity manipulations may be conducted under normal or controlled abnormal conditions (refer to Section D.5.d) but must be significant per Section C.2.a of Appendix D. (*) Reactivity and normal evolutions may be replaced with additional I/C malfunctions on a one-for-one basis.
3. Whenever practical, both instrument and component malfunctions should be included; only those that require verifiable actions that provide insight to the applicants competence count toward the minimum requirements specified for the applicants license level in the right-hand columns.
4. For new reactor facility licensees that use the ATC operator primarily for monitoring plant parameters, the chief examiner may place SRO-I applicants in either the ATC or BOP position to best evaluate the SRO-I in manipulating plant controls.

Rev 5

ES-301 Competencies Checklist Form ES-301-6 Facility: CNS Date of Examination: 09/21/2020 Operating Test No.: 2020-9 APPLICANTS I2, I6 U1, I3, I4 I1, I5, I7 R1 RO RO RO RO SRO-I SRO-I SRO-I SRO-I SRO-U SRO-U SRO-U SRO-U Competencies SCENARIO SCENARIO SCENARIO SCENARIO ATC BOP CRS ATC 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 Interpret/Diagnose Events 2,4, 1,2, 2,3, 2,4, and Conditions 5,6, 3,4, 4,5, 5,6, 8,9, 5,6, 6,7, 8,9, 10 7,8, 8,9, 10 10 10 Comply with and 2,4, 1,2, 1,2, 2,4, Use Procedures (1) 5,6, 5,6, 3,4, 5,6, 8,9, 7,8, 5,6, 8,9, 10 10 7,8, 10 10 Operate Control 4,5, 1,2, NA 4,5, Boards (2) 6,8, 5,6, 6,8, 9,10 7,8, 9,10 10 Communicate 2,4, 1,2, ALL 2,4, and Interact 5,6, 3,4, 5,6, 8,9, 5,6, 8,9, 10 7,10 10 Demonstrate Supervisory NA NA ALL NA Ability (3)

Comply with and NA NA 2,3 NA Use TS (3)

Notes:

(1) Includes TS compliance for an RO.

(2) Optional for an SRO-U.

(3) Only applicable to SROs.

Rev 4

ES-301 Competencies Checklist Form ES-301-6 Facility: CNS Date of Examination: 09/21/2020 Operating Test No.: 2020-9 APPLICANTS I1, I5, I7 R1 U1, I3, I4 I2, I6 RO RO RO RO SRO-I SRO-I SRO-I SRO-I SRO-U SRO-U SRO-U SRO-U Competencies SCENARIO SCENARIO SCENARIO SCENARIO 1 ATC BOP CRS BOP 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 Interpret/Diagnose Events 2,4, 1,2, ALL 1,2, and Conditions 5,6, 3,4, 3,4, 7 8 8 Comply with and 2,4, 1,2, ALL 1,2, Use Procedures (1) 5,6, 3,4, 3,4, 7 8 8 Operate Control 2,4, 1,3, NA 1,3, Boards (2) 5,6, 4,8 4,8 7

Communicate 2,4, 1,2, ALL 1,2, and Interact 5,6, 3,4, 3,4, 7 8 8 Demonstrate Supervisory NA NA ALL NA Ability (3)

Comply with and NA NA 1,3 NA Use TS (3)

Notes:

(1) Includes TS compliance for an RO.

(2) Optional for an SRO-U.

(3) Only applicable to SROs.

Rev 4

ES-301 Competencies Checklist Form ES-301-6 Facility: CNS Date of Examination: 09/21/2020 Operating Test No.: 2020-9 APPLICANTS I3, I4 I1, I5 I2, I6 RO RO RO RO SRO-I SRO-I SRO-I SRO-I SRO-U SRO-U SRO-U SRO-U Competencies SCENARIO SCENARIO SCENARIO SCENARIO ATC BOP CRS 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 Interpret/Diagnose Events 1,2, 3,4, 2,3, and Conditions 4,5, 5,7, 4,5, 6,7 10 6,7, 10 Comply with and 1,2, 3,4, 1,2, Use Procedures (1) 4,5, 5,6, 3,4, 6,7, 7,10 5,6, 8,9 7,10 Operate Control 1,2, 3,4, NA Boards (2) 5,6, 5,6, 7,8, 10 9

Communicate 1,2, ALL ALL and Interact 4,5, 6,7, 8,9 Demonstrate Supervisory NA NA 1,2, Ability (3) 3,4, 5,6, 7

Comply with and NA NA 3,4 Use TS (3)

Notes:

(1) Includes TS compliance for an RO.

(2) Optional for an SRO-U.

(3) Only applicable to SROs.

Rev 4

ES-301 Competencies Checklist Form ES-301-6 Facility: CNS Date of Examination: 09/21/2020 Operating Test No.: 2020-9 APPLICANTS RO RO RO RO SRO-I SRO-I SRO-I SRO-I SRO-U SRO-U SRO-U SRO-U Competencies SCENARIO SCENARIO SCENARIO SCENARIO ATC BOP CRS 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 Interpret/Diagnose Events 1,2, 1,2, ALL and Conditions 4,5, 3,5, 6,8 6,7, 8,9 Comply with and 1,2, 2,3, ALL Use Procedures (1) 4,5, 5,6, 6,8 7,8, 9

Operate Control 1,2, 3,5, NA Boards (2) 4,5, 7,8, 6,8 9 Communicate 1,2, ALL ALL and Interact 4,5, 6,8 Demonstrate Supervisory NA NA ALL Ability (3)

Comply with and NA NA 3,5 Use TS (3)

Notes:

(1) Includes TS compliance for an RO.

(2) Optional for an SRO-U.

(3) Only applicable to SROs.

Instructions:

Check the applicants license type and enter one or more event numbers that will allow the examiners to evaluate every applicable competency for every applicant. (This includes all rating factors for each competency.) (Forms ES 303 1 and ES 303 3 describe the competency rating factors.)

Rev 4

IP 21 Operator Licensing Exam Schedule From 09/20/2020 to 09/30/2021 Phase Code: 2 - Construction, 5 - Operational Region: 4

  1. Candidates Exam Site / Docket # / Insp Rpt # RO LSRO SROI SROU Type Exam Author Chief Examiner Examiners Assigned Week 09/20/2020 Cooper / 05000298 / 2020302 1 0 7 1 FB-OR- NNN Kirkland, John Farina,Thomas CAC #: 000500 INITIAL Kirkland,John LICENSE Osterholtz,Clyde EXAM ADMINIS TRATION (EXAD)

Sites: CNS Orgs: ALL Exam Author: ALL Activity Codes: EXAD, NEXAD, NOV, OV 11/19/2020 8:09:59 AM Page 1 of 4

IP 21 Operator Licensing Exam Schedule From 09/20/2020 to 09/30/2021 Phase Code: 2 - Construction, 5 - Operational Region: 4 Summary by Date RO SROI SROU LSRO Total 09/2020 1 7 1 0 9 Sites: CNS Orgs: ALL Exam Author: ALL Activity Codes: EXAD, NEXAD, NOV, OV 11/19/2020 8:09:59 AM Page 2 of 4

IP 21 Operator Licensing Exam Schedule From 09/20/2020 to 09/30/2021 Phase Code: 2 - Construction, 5 - Operational Region: 4 Summary by Site RO SROI SROU LSRO Total Cooper 1 7 1 0 9 Sites: CNS Orgs: ALL Exam Author: ALL Activity Codes: EXAD, NEXAD, NOV, OV 11/19/2020 8:09:59 AM Page 3 of 4

IP 21 Operator Licensing Exam Schedule From 09/20/2020 to 09/30/2021 Phase Code: 2 - Construction, 5 - Operational Region: 4 Summary by Region RO SROI SROU LSRO Total Region 4 1 7 1 0 9 Sites: CNS Orgs: ALL Exam Author: ALL Activity Codes: EXAD, NEXAD, NOV, OV 11/19/2020 8:09:59 AM Page 4 of 4

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