ML21113A007

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CG-2021-02-Public Forms, Exam Assignment Tickler
ML21113A007
Person / Time
Site: Columbia Energy Northwest icon.png
Issue date: 03/04/2021
From: Greg Werner
Operations Branch IV
To:
References
Download: ML21113A007 (23)
v • d • e


Text

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

password es1021 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 (r R Section 0.1 of ES-401 or ES-401N and whether all KIA categories are appropriately sampled. IL *?L Ii. ,-

I T T

c. Assess whether the outline overemohasizes any systems, evolutions, or m,neric topics. i:a--

E N

d. Assess whether the justifications for deselected or rejected KIA statements are appropriate. l 6-- .,:£-
2. a. Using Form ES-301-5, verify that the proposed scenario sets cover the required number of s

normal evolutions, instrument and component failures, technical specifications, and major transients. ll. Ir 'P-- 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 without compromising exam lntegnty, and ensure that each applicant can be tested using at least one new or significantly modified scenario, that no scenarios are duplicated from the l( 6- ~ A 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 Section 0.5, "Specific Instructions for the 'Simulator Operating Test,'" of ES-301 (including &l 6- ~ 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. L (3) No tasks are duplicated from the appli1;+1i'll's "udit test(s). IL 6-- i<<- 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 G (1) The tasks are distributed among the topics as specified on the fonn. (2) At least one task is new or significantly modified. (3) No more than one task Is repeated from the last two NRC llcenslng examinations. 

                                                                                                                       /l           ?-       ~

H Determine whether there are enough different outlines to test the projected number and mix of d-- .µ C. aPPlican~ and ensure that no Items are ijUp!i¢ate~ on subsequent day1;; M

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

G E N E

b. Assess whether the 10 CFR 55.41, 55.43, and 55.45 sampling Is aP1)tQpflate.
c. Ensure that KIA frnpQm,ince_ riltfngs (1:1xcept for plant,specific priorities) are at least 2.5.
                                                                                                                      ,..(/...,.,_   6-6-
                                                                                                                                             ~
                                                                                                                                             .µ.

R d. Check for dllplicatlon and overlap among exam sections and the last two NRC exams. &- ,p A L e. Check the entire exam for balance of coverage. ~ 6- ..µ,,

f. Assess whether the exam fits the appropriate Job level JRO or SRO). It,.. ~ ,p:,
a. Author Kelly Robertson Printed~
                                                                                                    -                                  D~h
                                                                                                                                   ...,,. Z./
b. Facility Reviewer (*) Mk:hael Garcia ~
  • z_) 1.//oYu
c. NRC Chief Examiner (#) .John ll 1r k..bV\ d 2./ 17 / 2..I
d. NRC Supervisor Gregory E. Werner / 02/17/2021

" Not applicable for NRG-prepared examination outlines.

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

ES-401 Written Examination Quality Checklist Form ES-401-6 Facility: C olumbia Date of Exam: 2/22/21 Exam Level: RO 

                                                                                                                          ~       SRO
                                                                                                                                         ~

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

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 office).
                                                                                                                    ,,,,,     6-          .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 

                                                                                                                              ?-

_ 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 least 10% new, and the rest new or modified); enter the actual RO/SRO-only question distribution(s) at right.

Bank 25 / 2 Modified 5/1 New 45/ 22 

                                                                                                                   ,.,,          C-        ~
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 the actual RO/SRO-only question distribution(s) at right.

32 / 8 43/ 17 /ii--- t- ~

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 outline and is appropriate for the tier to which they are assigned; deviations are justified. l'--  ? .µ-

10. 11 . Question psychometric quality and format meet the guidelines in Appendix B. The exam contains the required number of one-point, multiple-choice items; the total is correct 

                                                                                                                               ~
                                                                                                                                           ~

and agrees with the value on the cover sheet. t'- .-pt-Printed Name/Signature Date

a. Author Kell~ Robertson c~~ -
b. Facility Reviewer(*) Michael Garcia ~~> .,,,..-~

i~ I C. NRC Chief Examiner (#) JolAV\. t,ck.l,,_~JIZ<< ~ z. /r1 /z.J

d. NRC Regional Supervisor Gregory E. Werner / #- cw(U;U1., 02/17/2021 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 required 0

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 Initials

1. General Criteria 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 acceptable limits.

Jl ~ 

                                                                                                                                         ~
e. lt appears that the operating test will differentiate between competent and less-than-competent applicants al the des ionated license level t-- 6- -fl-
2. Walkth rou11h 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 operationally important specilic pertmmance crileria Iha\ include-                                  ft--   (r      vp_
                      -      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 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 t- fr .pt-examlnall ons) 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 Form ES-301-4, and a coov is attached 

                                                                                                                          ~     tr      ,µ-

a. b. Author Facility Reviewer (*) Kel~ Robertson MikeGarcia A JUI= Printed Name/S\gnalure 

                                                                          ,-      ~---::~

Date 2-/16/Z,L 1./ ( o 1/i-(

c. NRC Chief Examiner (#) Jo \.--in \.LL,IJ cl ~ cf 4vL li!r'I'--__) ! 7. (11 (Z.}
d. NRC Supervisor Gregory E. Werner /

rr~ t1w~ 02/17/2021 

 . The facility licensee signature is not applicable for NRG-developed tests .
 # 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, but it does not cue the operators into expected events. 

                                                                                                                      ,;..      Ir      .p-yi....-    I-
2. The scenarios consist mostly of related events. I-#-
3. Each event description consists of the following:
      ...      the point in the scenario when it is to be initiated
                                                                                                                                ~      !t,L-the malfunction(s) or conditions that are entered to initiate the event 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...

Sequencing and liming of events is reasonable and allows the examination team to obtain complete 5 evaluation results commensurate with the scenario objectives. t f- 

                                                                                                                                        -p-
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
                                                                                                                      ~        ?

fidelity is maintained while running the planned scenarios. P-

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 form along with the simulator scenarios). "'- 6- Pl-
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.)

IL-- Ir 1L-

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). 11--- &-- P-
13. Applicants are evaluated on a similar number of preidenlified critical tasks across scenarios, when possible.

IL- f-- 

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

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

1. Malfunctions after EOP entry (1-2) 3 I 1 I 2 ~ 6- -ft-3 4 4 fr
2. Abnormal events (2-4) I I tJ...- ..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 set) 'fr--
6. Preidentified critical tasks ~ 2) 2 I 2 I 2 II--' ?- ~
 . The facility licensee signature is not applicable for NRG-developed tests .
 # 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 Form ES-403-1 Quality Checklist 

  ;-a1.,i1iLy: ~OLUVV\6l t\               Date of Exam:  3/~/t..i     Exam Level: RO ~       SRO     ~

Item Description Initials a b C

1. Clean answer sheets copied before grading "4--- K vfL-
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)
                                                                                   /,h-     {        rfb
3. Applicants' scores checked for addition errors (reviewers spot check> 25% of examinations) ~ { 'IL--
4. Grading for all borderline cases (80% +/-2% overall and 70% or 80%, as applicable, +/-4% on the SRO-only exam) reviewed in detail th-- ( *tL-
5. All other failing examinations checked to ensure that grades are justified Jh_ ( vf,t--
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 Jk- ( ~

Printed Name/Signature Date

a. Grader k'eLt--.1 RoP.e n..1"",orJ If ,A,_ 3/,~/-z..J
b. Facility Reviewer(*) (tt ~ e:tQ~ '/

( 3/1,/z.t C. NRC Chief Examiner (*) Jc \r,'7 .k. 1, \L,\2 en d ':>/1_2)2,

d. NRC Supervisor(*)

Gregory E. Werner / 03/24/2021 (*) 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

(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 E Scenarios P V P E 1 2 3 - SPARE 4 T M L N O I CREW POSITION CREW POSITION CREW POSITION CREW POSITION N I T T C S A B S A B S A B S A B I A A T R T O R T O R T O R T O M L U N Y O C P O C P O C P O C P T P M(*) E R I U RO RX 1/4 3 3 1 1 0 NOR - - 0 1 1 1 SRO-I U1 I/C 2/3/4/ 4/6 5 6 4 4 2 SRO-U MAJ 5/9 6/7 4 2 2 1 TS 2/3 2/3/5 5 0 2 2 RX NOR Surrogate I/C MAJ TS RO RX 1/4 - 2 1 1 0 NOR 1 1 2 1 1 1 R4 SRO-I I/C 2/4/6 2/3/5 6 4 4 2 SRO-U 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.

(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 E Scenarios P V P E 1 2 3 - SPARE 4 T M L N O I CREW POSITION CREW POSITION CREW POSITION CREW POSITION N I T T C S A B S A B S A B S A B I A A T R T O R T O R T O R T O M L U N Y O C P O C P O C P O C P T P M(*) E R I U RO RX 1/4 - 1 3 1 1 0 NOR - 1 1 2 1 1 1 SRO-I I1 I/C 4/6 2/3/5 2 6 4 4 2 SRO-U MAJ 5/9 6/7 5/7 6 2 2 1 TS 2/3 - 2 0 2 2 RX 1/4 3 1 4 1 1 0 RO NOR 1 - 1 2 1 1 1 I2 SRO-I I/C 2/4/7 2/3/4/ 5 2/3/6 10 4 4 2 SRO-U MAJ 5/9 6/7 5/7 6 2 2 1 TS - 2/3/5 2/3 5 0 2 2 RO RX - 3 - 1 1 1 0 NOR 1 - - 1 1 1 1 SRO-I R1 I/C 7/8 3/4 3/4/6 7 4 4 2 SRO-U 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.

(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 E Scenarios P V P E 1 2 3 - SPARE 4 T M L N O I CREW POSITION CREW POSITION CREW POSITION CREW POSITION N I T T C S A B S A B S A B S A B I A A T R T O R T O R T O R T O M L U N Y O C P O C P O C P O C P T P M(*) E R I U RO RX 1/4 - 1 3 1 1 0 I3 SRO-I NOR - 1 1 2 1 1 1 I/C 4/6 2/3/5 2 6 4 4 2 SRO-U MAJ 5/9 6/7 5/7 6 2 2 1 TS 2/3 - - 2 0 2 2 RX 1/4 3 1 4 1 1 0 RO I4 NOR 1 - 1 1 1 1 1 SRO-I I/C 2/3/4/ 2/3/6 2/4/7 5 10 4 4 2 SRO-U MAJ 5/9 6/7 5/7 6 2 2 1 TS - 2/3/5 2/3 5 0 2 2 RO RX - 3 - 1 1 1 0 R2 SRO-I NOR 1 - - 1 1 1 1 I/C 7/8 3/4 3/4/6 7 4 4 2 SRO-U 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.

(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 E Scenarios P V P E 1 2 3 - SPARE 4 T M L N O I CREW POSITION CREW POSITION CREW POSITION CREW POSITION N I T T C S A B S A B S A B S A B I A A T R T O R T O R T O R T O M L U N Y O C P O C P O C P O C P T P M(*) E R I U RO RX 1/4 3 1 4 1 1 0 I5 SRO-I NOR - - 1 1 1 1 1 I/C 4/6 2/3/4/ 2 8 4 4 2 SRO-U 5 MAJ 5/9 6/7 5/7 6 2 2 1 TS 2/3 2/3/5 - 5 0 2 2 RO RX 1/4 - 1 3 1 1 0 I6 NOR 1 1 1 3 1 1 1 SRO-I I/C 2/4/7 2/3/5 2/3/6 9 4 4 2 SRO-U MAJ 5/9 6/7 5/7 6 2 2 1 TS - - 2/3 2 0 2 2 RO RX - 3 - 1 1 1 0 R3 SRO-I NOR 1 - - 1 1 1 1 I/C 7/8 3/4 3/4/6 7 4 4 2 SRO-U 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.

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 U1 R4 B = BOP A = ATC RO RO RO SRO-I SRO-I SRO-I SRO-U SRO-U SRO-U SCENARIO SCENARIO SCENARIO SCENARIO Competencies 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 S S A B 4/5/9 5/6/7 2/4/5/6/9 2/3/5/6 Interpret/Diagnose Events and Conditions 1/2/4/5/9 3/5/6/7 2/4/5 1/3/5/6 Comply With and Use Procedures (1) 1/2/4/5/9 1/3/6/7 Operate Control Boards (2) 2/3/4/5/9 2/3/4/5/6/7 2/4/5/9 2/3/5/6/7 Communicate and Interact 1/2/4/6/9 3/5/6/7 Demonstrate Supervisory Ability (3) 2/3 2/3/5 Comply With and Use Tech. Specs. (3) 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 I1 I2 R1 B = BOP A = ATC RO RO RO SRO-I SRO-I SRO-I SRO-U SRO-U SRO-U SCENARIO SCENARIO SCENARIO SCENARIO Competencies 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 S B A A S S B A B 3/4/5/6 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 Interpret/Diagnose 4/7 Events and Conditions 4/6/7/8 3/4/6 1/2/4/5/9 1/3/5/6 1/2/6 2/4/5 3/5/6/7 1/2/3/5/7 Comply With and 3/7 Use Procedures (1) 3/4/7 1/3/6/7 1/2/5 1/2/4/5/9 1/6/7/8 3/4/6/7 Operate Control Boards (2) 2/3/4/5/9 2/3/5/6/7 1/2/3/5/7 3/4/5/6/7 2/4/5/9 2/3/4/5/6/7 1/2/3/4 2/3/4/9 3/4/6/7 Communicate and Interact 1/2/4/6/9 3/5/6/7 2/5/6/7 Demonstrate Supervisory Ability (3) 2/3 2/3/5 Comply With and 2/3 Use Tech. Specs. (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 I3 I4 R2 B = BOP A = ATC RO RO RO SRO-I SRO-I SRO-I SRO-U SRO-U SRO-U SCENARIO SCENARIO SCENARIO SCENARIO Competencies 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 S B A A S S B A B 3/4/5/6 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 Interpret/Diagnose 4/7 Events and Conditions 4/6/7/8 3/4/6 1/2/4/5/9 1/3/5/6 1/2/6 2/4/5 3/5/6/7 1/2/3/5/7 Comply With and 3/7 Use Procedures (1) 3/4/7 1/3/6/7 1/2/5 1/2/4/5/9 1/6/7/8 3/4/6/7 Operate Control Boards (2) 2/3/4/5/9 2/3/5/6/7 1/2/3/5/7 3/4/5/6/7 2/4/5/9 2/3/4/5/6/7 1/2/3/4 2/3/4/9 3/4/6/7 Communicate and Interact 1/2/4/6/9 3/5/6/7 2/5/6/7 Demonstrate Supervisory Ability (3) 2/3 2/3/5 Comply With and 2/3 Use Tech. Specs. (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 I5 I6 R3 B = BOP A = ATC RO RO RO SRO-I SRO-I SRO-I SRO-U SRO-U SRO-U SCENARIO SCENARIO SCENARIO SCENARIO Competencies 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 S S A A B S B A B 3/4/5/6 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 Interpret/Diagnose 4/7 Events and Conditions 4/6/7/8 3/4/6 1/2/4/5/9 3/5/6/7 1/2/6 2/4/5 1/3/5/6 1/2/3/5/7 Comply With and 3/7 Use Procedures (1) 1/2/5 3/4/7 1/2/4/5/9 1/3/6/7 1/6/7/8 3/4/6/7 Operate Control Boards (2) 2/3/4/5/9 3/4/5/6/7 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 Communicate and Interact 1/2/4/6/9 3/5/6/7 2/5/6/7 Demonstrate Supervisory Ability (3) 2/3 2/3/5 Comply With and 2/3 Use Tech. Specs. (3) Notes: (1) Includes Technical Specification compliance for an RO. (2) Optional for an SRO-U. (3) Only applicable to SROs.

ILC -24 Exam secun :v- Major Rev: 016 Number: TDl-24 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 Attachment 9.10, Exam Security Checklist

xl11IA 

                                                                                                                         ,    , l.: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.

JCfl: ~ -1£. l J: l£. ~ z.~ ~ee'?--'::> c?° --z..{~ -z-{ z. I ~ '3 / 1 "Z../ END Attachment 9.10, Written Exam Security Checklist

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.

PRINTED NAME JOB TITLE/RESPONSIBILITY ~ ~~~ DATE D!"Iz.. NOTE BADGE# ~:3. /!/¥ 6 "~ ~lii ~r~ ---=.~~~~,~~--~-_-~---ii:ii:~ 

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10._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _____ __ __ 11 ._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

12. _ _ _ _ _ _ _ _ _ _ _ _ __ _ __ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

13.- - - - - - - - ---- 14._ _ __ _ _ _ _ _ _ _ _ _ _ _ __ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

15. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ ___ _ _ _ _ _ _ _ __

NOTES: END Attachment 9.10, 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.

IP 21 Operator Licensing Exam Schedule From 10/01/2020 to 09/30/2021 Phase Code: 2 - Construction, 5 - Operational Region: 4 

                                                           # Candidates Exam           Site / Docket # / Insp Rpt #             RO LSRO SROI SROU    Type  Exam Author Chief Examiner Examiners Assigned Week 02/21/2021     Columbia Generating Station / 05000397 /  4    0    6     1 FB-OR-      NFF     Kirkland, John Bergeon,Bryan 2021301                                                     INITIAL                            Hayes,Mahdi CAC #: 000500                                               LICENSE                            Hernandez,Nick EXAM                               Kirkland,John ADMINIS TRATION (EXAD)

Sites: WNP Orgs: ALL Exam Author: ALL Activity Codes: EXAD 4/6/2021 11:05:11 AM Page 1 of 4

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

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

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

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