ML21020A104

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11 Public Forms
ML21020A104
Person / Time
Site: Palo Verde  Arizona Public Service icon.png
Issue date: 12/10/2020
From: Greg Werner
Operations Branch IV
To:
Arizona Public Service Co
References
Download: ML21020A104 (26)
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Text

Clyde Osterholtz/ 7/9/2020 Gregory E. Werner/ 07/14/2020

C. Osterholtz/ 11/19/2020 Gregory E. Werner / 11/20/2020

PVNGS 11/30/2020 C. Osterholtz/ 11/19/2020 Gregory E. Werner / 11/20/2020

Gregory/E. Werner / 01/20/2021 ES-301 Transient and Event Checklist Form ES-301-5 Facility: PVNGS Date of Exam: 11/30/2020 Operating Test No.: 2020 A E Scenarios P V 1 2 (spare) 3 4 T M P E O I L N CREW POSITION CREW POSITION CREW POSITION CREW POSITION T N I T S O B S O B S O B S O B I C A R A O R A O R A O R A O M A T L O T P O T P O T P O T P U N Y C C C C M(*)

T P E R I U RX - - - - - - 0 1 NOR - - - - - - 0 1 I/C 2,4,5, 3,5,6 1,3,4, I1 2,3,6 6,7 7 1,4,5 5,6 3,4 10 4 MAJ 4 8 8 8 7 5,6 4 2 TS - 2,5 - - 1,6 - 2 2 RX - - - 0 1 NOR - - - 0 1 I/C 1,2,3, 2,3,4, I2 5 6,8 1,3,4 12 4 MAJ 4 7 5,6 4 2 TS - - 1,3 2 2 RX - - - 0 1 NOR - - - 0 1 I/C 1,2,3, I3 5 1,5 2,3,7 9 4 MAJ 4 7 5,6 4 2 TS 1,2,3 - - 3 2 RX - - - 0 1 NOR - - - 0 1 I/C 1,3,4, I4 2,3,6 5,6 3,4 10 4 MAJ 4 7 5,6 4 2 TS - 1,6 - 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 instrument or component 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 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.

2020 PVNGS NRC Initial Exam Form ES-301-5 Rev 2

ES-301 Transient and Event Checklist Form ES-301-5 Facility: PVNGS Date of Exam: 11/30/2020 Operating Test No.: 2020 A E Scenarios P V 1 2 (spare) 3 4 T M P E O I L N CREW POSITION CREW CREW POSITION CREW POSITION T N I T POSITION I

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

T P E C C C C R I U RX - - - 0 1 NOR - - - 0 1 I/C 1,2,3, 2,3,4,6 I5 5 ,8 1,3,4 12 4 MAJ 4 7 5,6 4 2 TS - - 1,3 2 2 RX - - - 0 1 NOR - - - 0 1 I/C 1,2,3, I6 5 1,5 2,3,7 9 4 MAJ 4 7 5,6 4 2 TS 1,2,3 - - 3 2 RX - - - 0 1 NOR - - - 0 1 I7 I/C 2,3,6 1,3,4,5,6 3,4 10 4 MAJ 4 7 5,6 4 2 TS - 1,6 - - 2 2 RX - - - 0 1 NOR - - - 0 1 I/C 1,2,3, 2,3,4,6 I8 5 ,8 1,3,4 12 4 MAJ 4 7 5,6 4 2 TS - - 1,3 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 instrument or component 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 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.

2020 PVNGS NRC Initial Exam Form ES-301-5 Rev 2

ES-301 Transient and Event Checklist Form ES-301-5 Facility: PVNGS Date of Exam: 11/30/2020 Operating Test No.: 2020 A E Scenarios P V 1 2 (spare) 3 4 T M P E O I L N CREW POSITION CREW CREW POSITION CREW POSITION T N I T POSITION I

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

T P E C C C C R I U RX - - - 0 1 NOR - - - 0 1 I9 I/C 1,2,3,5 1,5 2,3,7 9 4 MAJ 4 7 5,6 4 2 TS 1,2,3 - - 3 2 RX - - - 0 1 NOR - - - 0 1 I/C 2,3, I10 6 1,3,4,5,6 3,4 10 4 MAJ 4 7 5,6 4 2 TS - 1,6 - 2 2 RX - - - 0 1 NOR - - - 0 1 I/C 2,3,4 I11 1,2,3,5

,6,8 1,3,4 12 4 MAJ 4 7 5,6 4 2 TS - - 1,3 2 2 RX - - - 0 1 NOR - - - 0 1 I12 I/C 1,2,3,5 1,5 2,3,7 9 4 MAJ 4 7 5,6 4 2 TS 1,2,3 - - 3 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 instrument or component 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 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.

2020 PVNGS NRC Initial Exam Form ES-301-5 Rev 2

ES-301 Transient and Event Checklist Form ES-301-5 Facility: PVNGS Date of Exam: 11/30/2020 Operating Test No.: 2020 A E Scenarios P V 1 2 (spare) 3 4 T M P E O I L N CREW POSITION CREW POSITION CREW POSITION CREW POSITION T N I T S O B S O B S O B S O B I C A R A O R A O R A O R A O M A T L O T P O T P O T P O T P U N Y C C C C M(*)

T P E R I U RX - - 0 1 NOR - - 0 1 I/C 1,3,4, I13 5,6 2,3,7 8 4 MAJ 7 5,6 3 2 TS 1,6 - 2 2 RX - - 0 1 NOR - - 0 1 I/C 2,3,4, I14 6,8 1,3,4 8 4 MAJ 7 5,6 3 2 TS - 1,3 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 instrument or component 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 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.

2020 PVNGS NRC Initial Exam Form ES-301-5 Rev 2

ES-301 Competencies Checklist Form ES-301-6 Facility: PVNGS Date of Examination: 11/30/2020 Operating Test No.: 2020 APPLICANTS RO RO RO RO SRO-I 1 SRO-I 2 SRO-I 3 SRO-I 4 SRO-U SRO-U SRO-U SRO-U Competencies SCENARIO SCENARIO SCENARIO SCENARIO 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 Interpret/Diagnose Events 2,3, ALL 3,4, 2,3, 2,3, ALL ALL 1,5, 2,3, 2,3, ALL 3,4,5, 4,6 5,6 4,5. 4,6, 7 5,6, 4,6 6 and Conditions 7 7,8 7 Comply with and 2,3, ALL 3,4, 2,3, 2,3, ALL ALL 1,5, 2,3, 2,3, ALL 3,4,5, 4,6 5,6 4,5, 4,6, 7 5,6, 4,6 6 Use Procedures (1) 7 7,8 7 Operate Control 2,3, ALL 3,4, 2,3, 2,3, ALL ALL 1,5, 2,3, 2,3, ALL 3,4,5, 4,6 5,6 4,5, 4,6, 7 5,6, 4,6 6 Boards (2) 7 7,8 7 Communicate ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL and Interact Demonstrate Supervisory ALL ALL ALL ALL Ability (3)

Comply with and 1,6 1,3 1,2, 1,6 3

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.)

ES-301 Competencies Checklist Form ES-301-6 Facility: PVNGS Date of Examination: 11/30/2020 Operating Test No.: 2020 APPLICANTS RO RO RO RO SRO-I 5 SRO-I 6 SRO-I 7 SRO-I 8 SRO-U SRO-U SRO-U SRO-U Competencies SCENARIO SCENARIO SCENARIO SCENARIO 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 Interpret/Diagnose Events 2,3, 2,3, ALL ALL 1,5, 2,3,5 2,3, ALL 3,4, 2,3, 2,3, ALL 4,5. 4,6, 7 ,6,7 4,6 5,6 4,5. 4,6, and Conditions 7 7,8 7 7,8 Comply with and 2,3, 2,3, ALL ALL 1,5, 2,3,5 2,3, ALL 3,4, 2,3, 2,3, ALL 4,5, 4,6, 7 ,6,7 4,6 5,6 4,5, 4,6, Use Procedures (1) 7 7,8 7 7,8 Operate Control 2,3, 2,3, ALL ALL 1,5, 2,3,5 2,3, ALL 3,4, 2,3, 2,3, ALL 4,5, 4,6, 7 ,6,7 4,6 5,6 4,5, 4,6, Boards (2) 7 7,8 7 7,8 Communicate ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL ALL and Interact Demonstrate Supervisory ALL ALL ALL ALL Ability (3)

Comply with and 1,3 1,2, 1,6 1,3 3

Use TS (3)

Notes:

(1) Includes TS compliance for an RO.

(2) Optional for an SRO-U.

(3) Only applicable to SROs.

ES-301 Competencies Checklist Form ES-301-6 Facility: PVNGS Date of Examination: 11/30/2020 Operating Test No.: 2020 APPLICANTS RO RO RO RO SRO-I 9 SRO-I 10 SRO-I 11 SRO-I 12 SRO-U SRO-U SRO-U SRO-U Competencies SCENARIO SCENARIO SCENARIO SCENARIO 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 Interpret/Diagnose Events ALL 1,5,7 2,3,5, 2,3, ALL 3,4, 2,3, 2,3, AL ALL 1,5, 2,3,5, 6,7 4,6 5,6 4,5. 4,6, L 7 6,7 and Conditions 7 7,8 Comply with and ALL 1,5,7 2,3,5, 2,3, ALL 3,4, 2,3, 2,3, AL ALL 1,5, 2,3,5, 6,7 4,6 5,6 4,5, 4,6, L 7 6,7 Use Procedures (1) 7 7,8 Operate Control ALL 1,5,7 2,3,5, 2,3, ALL 3,4, 2,3, 2,3, AL ALL 1,5, 2,3,5, 6,7 4,6 5,6 4,5, 4,6, L 7 6,7 Boards (2) 7 7,8 Communicate ALL ALL ALL ALL ALL ALL ALL ALL AL ALL ALL ALL L

and Interact Demonstrate Supervisory ALL ALL AL ALL L

Ability (3)

Comply with and 1,2, 1,6 1,3 1,2, 3 3 Use TS (3)

Notes:

(1) Includes TS compliance for an RO.

(2) Optional for an SRO-U.

(3) Only applicable to SROs.

ES-301 Competencies Checklist Form ES-301-6 Facility: PVNGS Date of Examination: 11/30/2020 Operating Test No.: 2020 APPLICANTS RO RO RO RO SRO-I 13 SRO-I 14 SRO-I SRO-I SRO-U SRO-U SRO-U SRO-U Competencies SCENARIO SCENARIO SCENARIO SCENARIO 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 Interpret/Diagnose Events ALL 3,4, 2,3,4 ALL 5,6 ,6,7, and Conditions 8 Comply with and ALL 3,4, 2,3,4 ALL 5,6 ,6,7, Use Procedures (1) 8 Operate Control ALL 3,4, 2,3,4 ALL 5,6 ,6,7, Boards (2) 8 Communicate ALL ALL ALL ALL and Interact Demonstrate Supervisory ALL ALL Ability (3)

Comply with and 1,6 1,3 Use TS (3)

Notes:

(1) Includes TS compliance for an RO.

(2) Optional for an SRO-U.

(3) Only applicable to SROs.

IP 21 Operator Licensing Exam Schedule From 10/01/2020 to 04/02/2021 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 11/29/2020 Palo Verde / 05000528, 05000529, 05000530 0 0 14 0 FB-OR- NFF Osterholtz, Clyde Bergeon,Bryan

/ 2020301 INITIAL Doyle,Matthew CAC #: 000500 LICENSE Farina,Thomas EXAM Hedger,Sean ADMINIS Kirkland,John TRATION Osterholtz,Clyde (EXAD)

Sites: PALO Orgs: ALL Exam Author: NFF Activity Codes: EXAD, NEXAD, NOV, OV 1/13/2021 7:03:30 PM Page 1 of 4

IP 21 Operator Licensing Exam Schedule From 10/01/2020 to 04/02/2021 Phase Code: 2 - Construction, 5 - Operational Region: 4 Summary by Date RO SROI SROU LSRO Total 11/2020 0 14 0 0 14 Sites: PALO Orgs: ALL Exam Author: NFF Activity Codes: EXAD, NEXAD, NOV, OV 1/13/2021 7:03:30 PM Page 2 of 4

IP 21 Operator Licensing Exam Schedule From 10/01/2020 to 04/02/2021 Phase Code: 2 - Construction, 5 - Operational Region: 4 Summary by Site RO SROI SROU LSRO Total Palo Verde 0 14 0 0 14 Sites: PALO Orgs: ALL Exam Author: NFF Activity Codes: EXAD, NEXAD, NOV, OV 1/13/2021 7:03:30 PM Page 3 of 4

IP 21 Operator Licensing Exam Schedule From 10/01/2020 to 04/02/2021 Phase Code: 2 - Construction, 5 - Operational Region: 4 Summary by Region RO SROI SROU LSRO Total Region 4 0 14 0 0 14 Sites: PALO Orgs: ALL Exam Author: NFF Activity Codes: EXAD, NEXAD, NOV, OV 1/13/2021 7:03:30 PM Page 4 of 4

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