ML21113A007

CG-2021-02-Public Forms, Exam Assignment Tickler

ML21113A007
Person / Time
Site:	Columbia
Issue date:	03/04/2021
From:	Greg Werner Operations Branch IV
To:
References
Download: ML21113A007 (23)

Text

{{#Wiki_filter:EXAM ASSIGNMENT TICKLER Chief: John Kirkland Facility: CGS 3/4/2021 U/I: Start of Op Test: 2/22/2021 2/26/2021 Due Date Date Complete Initials 6/22/2020 4/14/20 7/27/2020 4/14/20 7/27/2020 4/14/20 7/27/2020 N/A N/A 7/27/2020 4/14/20 8/10/2020 4/14/20 9/21/2020 9/24/20 10/5/2020 10/5/20 12/7/2020 12/14/20 12/14/2020 12/17/20 1/4/2021 1/6/21 1/18/2021 12/28/20 1/18/2021 1/14/21 1/25/2021 1/25/21 1/11/2021 1/11/21 1/25/2021 1/27/21 2/8/2021 2/8/21 2/15/2021 2/17/21 2/15/2021 3/8/21 2/15/2021 2/17/21 2/15/2021 2/16/21 2/15/2021 2/16/21 2/22/2021 2/22/21 3/5/2021 3/9/21 3/24/2021 3/22/21 4/1/2021 3/22/21 4/1/2021 3/22/21 4/8/2021 3/29/21 4/15/2021 3/31/21 4/22/2021 4/5/21 4/22/2021 4/6/21 4/22/2021 4/6/21 5/13/2021 N/A N/A 5/20/2021 4/21/21 5/27/2021 N/A N/A 6/24/2021 4/23/21 Rev. 9 21 days after proposed denial letters mailed. Preliminary license applications and waivers reviewed Request facility licensee management feedback on the exam Operating test outline(s) reviewed by NRC and feedback provided to facility licensee ES-201-2 signed by CE & BC Peer review of written exam complete Document review on ES-401-9 Proposed exams, outlines, supporting documentation, and reference materials due. Exams prepared by the NRC are approved by BC and forwarded for facility licensee review Written exam and operating test reviews completed Written exams and operating tests approved by Branch Chief Administer Operating Test NRC examiners and facility contact assigned Facility contact briefed on security and other requirements Operating test outline(s) and other checklists due ES-201-2, 201-3, 301-1, 301-2, 301-5, D-1 Reference material due for NRC prepared exams ES-201 Att-3 Corporate Notification Letter sent ES-201 Att-4 produced by CE NRC developed written examination outline sent to facility contact ES-401-1/2 and ES-401-3 Date of Written Exam: Description Notes Examination administration date confirmed For NRC prepared exams, arrangements made for the facility to submit reference materials End of Op Test: Written Exam Developed By: NRC / Facility Operating Test Developed By: NRC / Facility Document review on ES-401-9 Preliminary license applications & waiver/excusal requests due NRC Forms 398/396 Feedback approved by Branch Chief Examination review results discussed between NRC and facility licensee On-site validation & 10% audit of license applications Final license applications & waiver/excusal requests due ES-201-4 prepared by LA Proctoring/written exam administration guidelines reviewed with facility licensee RPS/IP number of examinees updated print Report-21 Waivers/deferrals reviewed for impact on licensing decision Post exam written comments reviewed and incorporated and NRC grading completed Chief examiner review of operating test and/or written exam grading completed Branch Chief review of exam results completed Approved scenarios and JPMs distributed to examiners Examiner's document op test results on ES 303's Final applications reviewed and audited; exam approval and waiver/excusal letters sent LA produces / BC signs Exam Approval Letter (ES-201 Att-5) Post exam comments and graded exams received ES-403-1 to BC Final Denial Letters mailed (if no request for informal review) Replaces NUREG-1021, Revision 11, Forms ES-201-1 and ES-501-1 Post exam operating test comments reviewed and ES-303-1 updated Signed ES 303's to BC produced by CE License/Proposed Denial letters mailed; Facility notified of results SUNSI checklist complete and exam docs to ADAMS SUNSI checklist to LA Ref Mat'l Returned after Final Resolution of Appeals Examination Report Issued

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ES-201 Examination Outline Quality Checklist Form ES-201-2 Facility: Columbia Date of Examination: 2/22/21 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. t,. r -ft' w

b. Assess whether the ouUlne was systematically and randomly prepared In accordance with IL (r R

Section 0.1 of ES-401 or ES-401N and whether all KIA categories are appropriately sampled.

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c. Assess whether the outline overemohasizes any systems, evolutions, or m,neric topics.

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d. Assess whether the justifications for deselected or rejected KIA statements are appropriate.

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2.

a. Using Form ES-301-5, verify that the proposed scenario sets cover the required number of normal evolutions, instrument and component failures, technical specifications, and major ll. Ir 'P--

s transients. I M

b. Assess whether there are enough scenario sets (and spares) to test the projected number and u

mix of applicants in accordance with the expected crew composition and rotation schedule l( L without compromising exam lntegnty, and ensure that each applicant can be tested using at 6- ~ A least one new or significantly modified scenario, that no scenarios are duplicated from the T applleants' audit test(&), and that scenarios will not be repeated on subsequent days. 0 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 O and In &l 6- ~ Section 0.5, "Specific Instructions for the 'Simulator Operating Test,'" of ES-301 (including overlap).

3.

a. Verify that the systems walkthrough outline meets the criteria specified on Form ES-301-2:

(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 fonn. A (2) Task repetition from the last two NRC examinatiOns is within the limits specified on the fonn. IL 6-- i<<- L (3) No tasks are duplicated from the appli1;+1i'll's "udit test(s). K (4) The ill,lniber of~ or mQdlfied tasks meets or exceeds the minimums $pecilied on the fonn. T (5) The number of alternate-path, low-power, emergency, and racllofogically controlled area H tasks mJ,iets lhe erilelia on ttie f.om:i. R 0

b. Verify that the administrative outline meets the criteria specified on Form ES-301-1; u

(1) The tasks are distributed among the topics as specified on the fonn. /l ?- ~ G (2) At least one task is new or significantly modified. H (3) No more than one task Is repeated from the last two NRC llcenslng examinations. C. Determine whether there are enough different outlines to test the projected number and mix of M d--.µ aPPlican~ and ensure that no Items are ijUp!i¢ate~ on subsequent day1;;

4.

a. Assess whether plant-specific priorities (including probabilistic risk assessment and indlvldual piant examination insights)'. are covered in the appropriate exam sections.

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b. Assess whether the 10 CFR 55.41, 55.43, and 55.45 sampling Is aP1)tQpflate.

(/... 6- ~ N Ensure that KIA frnpQm,ince_ riltfngs (1:1xcept for plant,specific priorities) are at least 2.5. ,.. 6-.µ. E

c.

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d. Check for dllplicatlon and overlap among exam sections and the last two NRC exams.

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e. Check the entire exam for balance of coverage.

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f.

Assess whether the exam fits the appropriate Job level JRO or SRO). It,.. ~,p:, Printed~ D~h

a.

Author ...,,. Z./ Kelly Robertson

b.

Facility Reviewer (*) Mk:hael Garcia ~

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c.

NRC Chief Examiner (#) 2./17 / 2..I

d.

NRC Supervisor .John ll 1r k..bV\\d " Not applicable for NRG-prepared examination outlines.

1. The Independent NRC reviewer initials Items In column "c"; the chief examiner's concurrence is required.

Gregory E. Werner / 02/17/2021

Gregory E. Werner / 02/17/2021 ES-401 Written Examination Quality Checklist Form ES-401-6 Facility: Columbia Date of Exam: 2/22/21 Exam Level: RO ~ SRO ~ Initial Item Description a b* c*#

1.

Questions and answers are technically accurate and applicable to the facility ~ ~ vp-

2.

a.

NRC K/As are referenced for all questions.

b.

Facility learning objectives are referenced as available. t- ?- ~ C. Correct answer explanation and distractor analysis provided (ES-401, D.2.g)

3.

SRO questions are appropriate in accordance with Section D.2.d of ES-401 ii,- ~ .pL 4 The sampling process was random and systematic. (If more than four RO or two SRO questions,,,,, were repeated from the last two NRC licensing exams, consult the NRR/NRO OL program 6- .µ,,-- office).

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 ~ ?- _ 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, at Bank Modified New least 10% new, and the rest new or modified); enter the C-actual RO/SRO-only question distribution(s) at right. 25 / 2 5/1 45/ 22 ~

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 /ii--- comprehension/analysis level (see ES-401, D.2.c); enter the 32 / 8 43/ 17 t- ~ actual RO/SRO-only question distribution(s) at right.

8.

References/handouts provided do not give away answers or aid in the elimination of distractors. {It, I- ~

9.

Question content conforms to specific KIA statements in the previously approved examination l'-- ? .µ- 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. ~

11.

The exam contains the required number of one-point, multiple-choice items; the total is correct t'- ~.-pt-and agrees with the value on the cover sheet. Printed Name/Signature Date

a.

Author Kell~ Robertson c~~ - ~ I

b.

Facility Reviewer(*) Michael Garcia ~~ >.,,,..-~ i C. NRC Chief Examiner (#) JolAV\\. t,ck.l,,_~JIZ<<~

z. /r1 /z.J

d.

NRC Regional Supervisor cw(U;U1., Note: The facility reviewer's initials or signature are not applicable for NRG-developed examinations. Independent NRC reviewer initials items in Column "c"; chief examiner concurrence is required0

Gregory E. Werner / 02/17/2021 ES-301 Operating Test Quality Checklist Form ES-301-3 Fac\\1\\t,r. Date of Examination. 02/21 2/21 Operating Test Number: 1

1. General Criteria Initials a

b* c#

a.

The operating*test conforms to the previously approved outline; changes are consistent with sampling requirements {e.q., 10 CFR 55.45, operational importance, safely function distribution). tl &-- ~

b.

There is no day-to-day repetition between this and other operating tests to be administered curing ln\\s examination. t.. 6-- -pt-C. The operallnq lest shall not duplicate items from the applicants' audit test(s) (see Section D.1 a.). L i- -rt---

d.

Overlap with the written examination and between different parts of the operating test is within Jl ~ ~ acceptable limits.

e.

lt appears that the operating test will differentiate between competent and less-than-competent t- -fl-applicants al the desionated license level

2. Walkthrou11h Criteria

a.

Each JPM includes the following, as applicable: initial conditions initiating cues references and tools. including 1;1ssociated procedures reasonable and validated lime hmits (average time allowed for completion) and specific designation if deemed lo be time critical by the facility licensee ft-- (r vp_ operationally important specilic pertmmance crileria Iha\\ 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 sequence of steps, If aoolicable

b.

Ensure that any changes from the previously approved systems and administrative walkthrough t-fr.pt-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 examlnallons) specified on those forms and Form ES-201 -2.

3.

Simulator Criteria The associated simulator operating tests (scenario sets) have been reviewed in accordance with ~ tr,µ- Form ES-301-4, and a coov is attached Printed Name/S\\gnalure Date Kel~ Robertson A JUI= 2-/16/Z,L

a.

Author 1./ ( o1/i-(

b.

Facility Reviewer (*) MikeGarcia ~---::~

c.

NRC Chief Examiner (#) Jo \\.--in \\.LL,IJ cl ~ cf 4vL li!r'I'--__) !

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d.

NRC Supervisor rr~t1w~ . The facility licensee signature is not applicable for NRG-developed tests.

1. The indeoendent NRG reviewer initials items In column "c", the chief examiner concurrence 1s required.

ES-301, Page 24 of 33

ES-301 Simulator Scenario Quality Checklist Form ES-301-4 Facility: CGS Date of Exam:2/22/21 Scenario Numbers: 1 I 2 I 4 Operating Test No.: 1 QUALITATIVE ATTRIBUTES Initials a b* c* 1 The initial conditions are realistic in that some equipment and/or instrumentation may be out of service, ,;.. Ir.p-but it does not cue the operators into expected events.

2.

The scenarios consist mostly of related events. yi....- I-I-#-

3.

Each event description consists of the following: . the point in the scenario when it is to be initiated the malfunction(s) or conditions that are entered to initiate the event ~ !t,L-the symptoms/cues that will be visible to the crew the expected operator actions (by shift position) the event termination point (if applicable)

4.

The events are valid with regard to physics and thermodynamics. t6--- I-ip... 5 Sequencing and liming of events is reasonable and allows the examination team to obtain complete t f- -p-evaluation results commensurate with the scenario objectives.

6.

If time compression techniques are used, the scenario summary clearly so indicates. ~ Operators have sufficient lime to carry out expected activities without undue time constraints. 1-- f,t-- Cues are given.

7.

The simulator modeling is not altered. 1-- 6-- 1U(_

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 ~ P-fidelity is maintained while running the planned scenarios.

9.

Scenarios are new or significantly modified in accordance with Section D.5 of ES-301 Ii-- y -P-

10. All individual operator competencies can be evaluated, as verified using Form ES-301-6 (submit the 6-Pl-form along with the simulator scenarios).

11. The scenario set provides the opportunity for each applicant to be evaluated in each of the applicable IL-- Ir 1L-rating factors. (Competency rating factors as described on Forms ES-303-1 and ES-303-3.)

12. Each applicant will be significantly involved in the minimum number of transients and events specified 11---

&-- P-on Form ES-301-5 (submit the form with the simulator scenarios).

13. Applicants are evaluated on a similar number of preidenlified critical tasks across scenarios, when IL-f-- µ possible.

14. The level of difficulty is appropriate to support licensing decisions for each crew position.

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

1.

Malfunctions after EOP entry (1-2) 3 I 1 I 2 ~ 6- -ft-

2.

Abnormal events (2-4) 3 I 4 I 4 tJ...- fr ..µ_

3.

Major transients (1-2) 2 I 2 I 2 ll. 6-1..U..

4.

EOPs entered/requiring substantive actions (1-2) 1 I 1 I 2 ~ tr I~

5.

Entry into a contingency EOP with substantive actions e 1 per scenario 1 I 0 I 0 It-Ir 'fr-- set)

6.

Preidentified critical tasks ~ 2) 2 I 2 I 2 II--' ?- ~ . The facility licensee signature is not applicable for NRG-developed tests.

1. An independent NRC reviewer initials items in column "c"; chief examiner concurrence Is required.

ES-301, Page 25 of 33

ES-403 Written Examination Grading Quality Checklist

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Date of Exam: 3/~/t..i Exam Level: Item Description

1.

Clean answer sheets copied before grading

2.

Proposed answer key changes and question deletions justified and documented (facility reviewer initials not required (N/R) if NO post-examination comments are submitted)

3.

Applicants' scores checked for addition errors (reviewers spot check> 25% of examinations)

4.

Grading for all borderline cases (80% +/-2% overall and 70% or 80%, as applicable, +/-4% on the SRO-only exam) reviewed in detail

5.

All other failing examinations checked to ensure that grades are justified

6.

Performance on missed questions checked for training deficiencies and wording problems; evaluate validity of questions missed by one-half or more of the applicants Printed Name/Signature

a. Grader k'eLt--.1 RoP.e n..1"",orJ If,A,_

b. Facility Reviewer(*)

(tt ~ e:tQ~ ( '/ C. NRC Chief Examiner (*) Jc \\r,'7.k. 1, \\L,\\2 en d

d. NRC Supervisor(*)

Form ES-403-1 RO ~ SRO ~ Initials a b C "4--- K vfL- /,h- { rfb ~ { 'IL-- th-- (

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vf,t-- Jk- ( ~ Date 3/,~/-z..J 3/1,/z.t ':>/1_2)2, (*) 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 Gregory E. Werner / 03/24/2021

(Rev 1 - 01/25/21) ES-301 Transient and Event Checklist Form ES-301-5 Facility: Columbia Generating Station Date of Exam: 02/22/21 Operating Test No.: 1 A P P L I C A N T E V E N T T Y P E Scenarios 1 2 3 - SPARE 4 T O T A L M I N I M U M(*) CREW POSITION CREW POSITION CREW POSITION CREW POSITION S R O A T C B O P S R O A T C B O P S R O A T C B O P S R O A T C B O P R I U RO SRO-I SRO-U RX 1/4 3 3 1 1 0 NOR 0 1 1 1 I/C 4/6 2/3/4/ 5 6 4 4 2 MAJ 5/9 6/7 4 2 2 1 TS 2/3 2/3/5 5 0 2 2 Surrogate RX NOR I/C MAJ TS RO SRO-I SRO-U RX 1/4 2 1 1 0 NOR 1 1 2 1 1 1 I/C 2/4/6 2/3/5 6 4 4 2 MAJ 5/9 6/7 4 2 2 1 TS 0 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. U1 R4

(Rev 1 - 01/25/21) ES-301 Transient and Event Checklist Form ES-301-5 Facility: Columbia Generating Station Date of Exam: 02/22/21 Operating Test No.: 1 A P P L I C A N T E V E N T T Y P E Scenarios 1 2 3 - SPARE 4 T O T A L M I N I M U M(*) CREW POSITION CREW POSITION CREW POSITION CREW POSITION S R O A T C B O P S R O A T C B O P S R O A T C B O P S R O A T C B O P R I U RO SRO-I SRO-U RX 1/4 1 3 1 1 0 NOR 1 1 2 1 1 1 I/C 4/6 2/3/5 2 6 4 4 2 MAJ 5/9 6/7 5/7 6 2 2 1 TS 2/3 2 0 2 2 RO SRO-I SRO-U RX 1/4 3 1 4 1 1 0 NOR 1 1 2 1 1 1 I/C 2/4/7 2/3/4/ 5 2/3/6 10 4 4 2 MAJ 5/9 6/7 5/7 6 2 2 1 TS 2/3/5 2/3 5 0 2 2 RO SRO-I SRO-U RX 3 1 1 1 0 NOR 1 1 1 1 1 I/C 7/8 3/4 3/4/6 7 4 4 2 MAJ 5/9 6/7 5/7 6 2 2 1 TS 0 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. I1 I2 R1

(Rev 1 - 01/25/21) ES-301 Transient and Event Checklist Form ES-301-5 Facility: Columbia Generating Station Date of Exam: 02/22/21 Operating Test No.: 1 A P P L I C A N T E V E N T T Y P E Scenarios 1 2 3 - SPARE 4 T O T A L M I N I M U M(*) CREW POSITION CREW POSITION CREW POSITION CREW POSITION S R O A T C B O P S R O A T C B O P S R O A T C B O P S R O A T C B O P R I U RO SRO-I SRO-U RX 1/4 1 3 1 1 0 NOR 1 1 2 1 1 1 I/C 4/6 2/3/5 2 6 4 4 2 MAJ 5/9 6/7 5/7 6 2 2 1 TS 2/3 2 0 2 2 RO SRO-I SRO-U RX 1/4 3 1 4 1 1 0 NOR 1 1 1 1 1 1 I/C 2/4/7 2/3/4/ 5 2/3/6 10 4 4 2 MAJ 5/9 6/7 5/7 6 2 2 1 TS 2/3/5 2/3 5 0 2 2 RO SRO-I SRO-U RX 3 1 1 1 0 NOR 1 1 1 1 1 I/C 7/8 3/4 3/4/6 7 4 4 2 MAJ 5/9 6/7 5/7 6 2 2 1 TS 0 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. I3 I4 R2

(Rev 1 - 01/25/21) ES-301 Transient and Event Checklist Form ES-301-5 Facility: Columbia Generating Station Date of Exam: 02/22/21 Operating Test No.: 1 A P P L I C A N T E V E N T T Y P E Scenarios 1 2 3 - SPARE 4 T O T A L M I N I M U M(*) CREW POSITION CREW POSITION CREW POSITION CREW POSITION S R O A T C B O P S R O A T C B O P S R O A T C B O P S R O A T C B O P R I U RO SRO-I SRO-U RX 1/4 3 1 4 1 1 0 NOR 1 1 1 1 1 I/C 4/6 2/3/4/ 5 2 8 4 4 2 MAJ 5/9 6/7 5/7 6 2 2 1 TS 2/3 2/3/5 5 0 2 2 RO SRO-I SRO-U RX 1/4 1 3 1 1 0 NOR 1 1 1 3 1 1 1 I/C 2/4/7 2/3/5 2/3/6 9 4 4 2 MAJ 5/9 6/7 5/7 6 2 2 1 TS 2/3 2 0 2 2 RO SRO-I SRO-U RX 3 1 1 1 0 NOR 1 1 1 1 1 I/C 7/8 3/4 3/4/6 7 4 4 2 MAJ 5/9 6/7 5/7 6 2 2 1 TS 0 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. I5 I6 R3

ES-301 CREW 1 - Competencies Checklist (Rev 1 - 01/25/2021) Form ES-301-6 Facility: Columbia Date of Examination: 02/22/21 Operating Test No.: 1 For Scenarios S = SRO B = BOP A = ATC U1 R4 RO SRO-I SRO-U RO SRO-I SRO-U RO SRO-I SRO-U Competencies SCENARIO SCENARIO SCENARIO SCENARIO 1 S 2 S 3 4 1 A 2 B 3 4 1 2 3 4 1 2 3 4 Interpret/Diagnose Events and Conditions 4/5/9 5/6/7 2/4/5/6/9 2/3/5/6 Comply With and Use Procedures (1) 1/2/4/5/9 3/5/6/7 2/4/5 1/3/5/6 Operate Control Boards (2) 1/2/4/5/9 1/3/6/7 Communicate and Interact 2/3/4/5/9 2/3/4/5/6/7 2/4/5/9 2/3/5/6/7 Demonstrate Supervisory Ability (3) 1/2/4/6/9 3/5/6/7 Comply With and Use Tech. Specs. (3) 2/3 2/3/5 Notes: (1) Includes Technical Specification compliance for an RO. (2) Optional for an SRO-U. (3) Only applicable to SROs.

ES-301 CREW 2 - Competencies Checklist (Rev 1 - 01/25/2021) Form ES-301-6 Facility: Columbia Date of Examination: 02/22/21 Operating Test No.: 1 For Scenarios S = SRO B = BOP A = ATC I1 I2 R1 RO SRO-I SRO-U RO SRO-I SRO-U RO SRO-I SRO-U Competencies SCENARIO SCENARIO SCENARIO SCENARIO 1 S 2 B 3 4 A 1 A 2 S 3 4 S 1 B 2 A 3 4 B 1 2 3 4 Interpret/Diagnose Events and Conditions 4/5/9 2/3/5/6 2/5/6 2/4/5/6/9 5/6/7 2/3/5/7 3/4/6/7/8 4/7 3/4/5/6 Comply With and Use Procedures (1) 1/2/4/5/9 1/3/5/6 1/2/6 2/4/5 3/5/6/7 1/2/3/5/7 4/6/7/8 3/7 3/4/6 Operate Control Boards (2) 1/3/6/7 1/2/5 1/2/4/5/9 1/6/7/8 3/4/6/7 3/4/7 Communicate and Interact 2/3/4/5/9 2/3/5/6/7 1/2/3/5/7 2/4/5/9 2/3/4/5/6/7 1/2/3/4 2/3/4/9 3/4/6/7 3/4/5/6/7 Demonstrate Supervisory Ability (3) 1/2/4/6/9 3/5/6/7 2/5/6/7 Comply With and Use Tech. Specs. (3) 2/3 2/3/5 2/3 Notes: (1) Includes Technical Specification compliance for an RO. (2) Optional for an SRO-U. (3) Only applicable to SROs.

ES-301 CREW 3 - Competencies Checklist (Rev 1 - 01/25/2021) Form ES-301-6 Facility: Columbia Date of Examination: 02/22/21 Operating Test No.: 1 For Scenarios S = SRO B = BOP A = ATC I3 I4 R2 RO SRO-I SRO-U RO SRO-I SRO-U RO SRO-I SRO-U Competencies SCENARIO SCENARIO SCENARIO SCENARIO 1 S 2 B 3 4 A 1 A 2 S 3 4 S 1 B 2 A 3 4 B 1 2 3 4 Interpret/Diagnose Events and Conditions 4/5/9 2/3/5/6 2/5/6 2/4/5/6/9 5/6/7 2/3/5/7 3/4/6/7/8 4/7 3/4/5/6 Comply With and Use Procedures (1) 1/2/4/5/9 1/3/5/6 1/2/6 2/4/5 3/5/6/7 1/2/3/5/7 4/6/7/8 3/7 3/4/6 Operate Control Boards (2) 1/3/6/7 1/2/5 1/2/4/5/9 1/6/7/8 3/4/6/7 3/4/7 Communicate and Interact 2/3/4/5/9 2/3/5/6/7 1/2/3/5/7 2/4/5/9 2/3/4/5/6/7 1/2/3/4 2/3/4/9 3/4/6/7 3/4/5/6/7 Demonstrate Supervisory Ability (3) 1/2/4/6/9 3/5/6/7 2/5/6/7 Comply With and Use Tech. Specs. (3) 2/3 2/3/5 2/3

ES-301 CREW 4 - Competencies Checklist (Rev 1 - 01/25/2021) Form ES-301-6 Facility: Columbia Date of Examination: 02/22/21 Operating Test No.: 1 For Scenarios S = SRO B = BOP A = ATC I5 I6 R3 RO SRO-I SRO-U RO SRO-I SRO-U RO SRO-I SRO-U Competencies SCENARIO SCENARIO SCENARIO SCENARIO 1 S 2 S 3 4 A 1 A 2 B 3 4 S 1 B 2 A 3 4 B 1 2 3 4 Interpret/Diagnose Events and Conditions 4/5/9 5/6/7 2/5/6 2/4/5/6/9 2/3/5/6 2/3/5/7 3/4/6/7/8 4/7 3/4/5/6 Comply With and Use Procedures (1) 1/2/4/5/9 3/5/6/7 1/2/6 2/4/5 1/3/5/6 1/2/3/5/7 4/6/7/8 3/7 3/4/6 Operate Control Boards (2) 1/2/5 1/2/4/5/9 1/3/6/7 1/6/7/8 3/4/6/7 3/4/7 Communicate and Interact 2/3/4/5/9 2/3/4/5/6/7 1/2/3/5/7 2/4/5/9 2/3/5/6/7 1/2/3/4 2/3/4/9 3/4/6/7 3/4/5/6/7 Demonstrate Supervisory Ability (3) 1/2/4/6/9 3/5/6/7 2/5/6/7 Comply With and Use Tech. Specs. (3) 2/3 2/3/5 2/3 Notes: (1) Includes Technical Specification compliance for an RO. (2) Optional for an SRO-U. (3) Only applicable to SROs.

ILC 24 E xam s ecun :v - Number: TDl-24 Major Rev: 016 Minor Rev: 000

Title:

Exam Security Page: 4 7 of 48

1. Pre-Examination I acknowledge that I have acquired specialized knowledge about the U.S. Nuclear Regulatory Commission (NRC) licensing examinations scheduled for the week(s) of 2/22/21 - 3/1/21 as of the date of my signature. I agree that I will not knowingly divulge any information about these examinations to any persons who have not been authorized by the NRC's chief examiner. I understand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examinations from this date until completion of examination administration, except as specifically noted below and authorized by the NRC (e.g., acting as a simulator booth operator or communicator is acceptable if the individual does not select the training content or provide direct or indirect feedback). Furthermore, I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action against me or the facility licensee. I will immediately report to facility management or the NRC's chief examiner any indications or suggestions that examination security may have been compromised.

END.10, Exam Security Checklist

xl11IAl.:lfl0 Number: TDl-24 Major Rev: 016 Minor Rev: 000

Title:

Exam Security Page: 47 of 48

1. Pre-Examination I acknowledge that I have acquired specialized knowledge about the U.S. Nuclear Regulatory Commission (NRC) licensing examinations scheduled for the week(s) of as of the date of my signature. I agree that I will not knowingly divulge any information about these examinations to any persons who have not been authorized by the NRC's chief examiner. I understand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examinations from this date until completion of examination administration, except as specifically noted below and authorized by the NRC (e.g., acting as a simulator booth operator or communicator is acceptable if the individual does not select the training content or provide direct or indirect feedback). Furthermore, I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action against me or the facility licensee. I will immediately report to facility management or the NRC's chief examiner any indications or suggestions that examination security may have been compromised.

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ILC-24 NRC Exam Sequesters/Observers Number: TDl-24 Major Rev: 016 Minor Rev: 000

Title:

Exam Security Page: 47 of 48

1. Pre-Examination I acknowledge that I have acquired specialized knowledge about the U.S. Nuclear Regulatory Commission (NRC) licensing examinations scheduled for the week(s) of 2/22/21 - 3/4/21 as of the date of my signature. I agree that I will not knowingly divulge any information about these examinations to any persons who have not been authorized by the NRC's chief examiner. I understand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examinations from this date until completion of examination administration, except as specifically noted below and authorized by the NRC (e.g., acting as a simulator booth operator or communicator is acceptable if the individual does not select the training content or provide direct or indirect feedback). Furthermore, I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action against me or the facility licensee. I will immediately report to facility management or the NRC's chief examiner any indications or suggestions that examination security may have been compromised.

2. Post-Examination To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of ____________. From the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC.

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NOTES: END.10, Exam Security Checklist

j_ (_ (_

1. Pre-Examination I acknowledge that I have acquired specialized knowledge about the U.S. Nuclear Regulatory Commission (NRC) licensing examinations scheduled for the week(s) of as of the date of my signature. I agree that I will not knowingly divulge any information about these examinations to any persons who have not been authorized by the NRC's chief examiner. I understand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examinations from this date until completion of examination administration, except as specifically noted below and authorized by the NRC (e.g., acting as a simulator booth operator or communicator is acceptable if the individual does not select the training content or provide direct or indirect feedback). Furthermore, I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action against me or the facility licensee. I will immediately report to facility management or the NRC's chief examiner any indications or suggestions that examination security may have been compromised.

1. Candidates Exam Week Site / Docket # / Insp Rpt #

RO LSRO SROI SROU Type Exam Author Chief Examiner Examiners Assigned 02/21/2021 Columbia Generating Station / 05000397 / 2021301 CAC #: 000500 4 0 6 1 FB-OR-INITIAL LICENSE EXAM ADMINIS TRATION (EXAD) NFF Kirkland, John Bergeon,Bryan Hayes,Mahdi Hernandez,Nick Kirkland,John Page 1 of 4 4/6/2021 11:05:11 AM Orgs: ALL Sites: WNP Exam Author: ALL Activity Codes: EXAD IP 21 Operator Licensing Exam Schedule Phase Code: 2 - Construction, 5 - Operational Region: 4 From 10/01/2020 to 09/30/2021

Summary by Date RO SROI SROU LSRO Total 02/2021 4 6 1 0 11 Page 2 of 4 4/6/2021 11:05:11 AM Orgs: ALL Sites: WNP Exam Author: ALL Activity Codes: EXAD IP 21 Operator Licensing Exam Schedule Phase Code: 2 - Construction, 5 - Operational Region: 4 From 10/01/2020 to 09/30/2021

Summary by Site RO SROI SROU LSRO Total Columbia Generating Station 4 6 1 0 11 Page 3 of 4 4/6/2021 11:05:11 AM Orgs: ALL Sites: WNP Exam Author: ALL Activity Codes: EXAD IP 21 Operator Licensing Exam Schedule Phase Code: 2 - Construction, 5 - Operational Region: 4 From 10/01/2020 to 09/30/2021

Summary by Region RO SROI SROU LSRO Total Region 4 4 6 1 0 11 Page 4 of 4 4/6/2021 11:05:11 AM Orgs: ALL Sites: WNP Exam Author: ALL Activity Codes: EXAD IP 21 Operator Licensing Exam Schedule Phase Code: 2 - Construction, 5 - Operational Region: 4 From 10/01/2020 to 09/30/2021}}