ML21144A311

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Administered SRO Admin JPM
ML21144A311
Person / Time
Site: Clinton Constellation icon.png
Issue date: 04/13/2021
From: Gregory Roach
Operations Branch III
To:
Exelon Generation Co
Roach G
Shared Package
ML20136A307 List:
References
Download: ML21144A311 (64)


Text

TQ-AA-150-J020 Revision 01 Page 1 of 15 Job Performance Measure Review a Completed SRV Actuation Report JPM Number: JPM444 Revision Number: 04 Date: 8/19/2020 Developed By: Bill Kiser / 8/19/20 Instructor: Print / Sign Date Reviewed By: Brian Steele / 3/01/21 SME or Instructor: Print / Sign Date Reviewed By: Tim Windingland / 3/11/21 Operations Representative: Print / Sign Date Approved By: Matthew Beeler / 3/11/21 Training Department: Print / Sign Date SRRS: 3D.105 (when utilized for operator initial or continuing training)

TQ-AA-150-J020 Revision 01 Page 2 of 15 JPM444 JOB PERFORMANCE MEASURE VALIDATION CHECKLIST NOTE: All steps of this checklist should be performed upon initial validation.

Prior to JPM usage, revalidate JPM using steps 9 and 13 below.

1. Task description and number, JPM description and number are identified.
2. Knowledge and Abilities (K/A) references are included.
3. Performance location specified. (in-plant, control room, simulator, or other)
4. Initial setup conditions are identified.
5. Initiating cue (and terminating cue if required) are properly identified.
6. Task standards identified and verified by instructor or SME review.
7. Critical steps meet the criteria for critical steps and are identified with an asterisk (*).
8. IAW NUREG 1021 Appendix C, clearly identify the task standard (i.e., the predetermined qualitative or quantitative outcome) against which task performance will be measured.
9. Verify the procedure(s) referenced by this JPM reflects the current revision:

Procedure: CPS 3831.01 Revision: 6d Procedure: CPS 3831.01D002 Revision: 6 Procedure: CPS 9056.02 Revision: 29c Procedure: CPS 9056.02C001 Revision: 28 Procedure: CPS 3831.01F001 Revision: 4

10. Verify cues both verbal and visual are free of conflict.
11. Verify performance time is accurate.
12. If the JPM cannot be performed as written with proper responses, then revise the JPM.
13. When JPM is initially validated, sign and date JPM cover page. For subsequent validations, sign and date below:

/

SME / Instructor (Print/Sign) Date

/

SME / Instructor (Print/Sign) Date

/

SME / Instructor (Print/Sign) Date SRRS: 3D.100; There are no retention requirements for this section

TQ-AA-150-J020 Revision 01 Page 3 of 15 JPM444 Revision Record (Summary)

Revision # Summary 00 New JPM number (old 3831.0102) 01 2/22/11 - Updated for procedure revisions.

02 8/25/15 - Updated to new JPM template.

03 11/6/17 - Updated to new JPM template. Updated procedure references.

04 8/19/20 - Updated to new JPM template. Updated procedure references.

SRRS: 3D.100; There are no retention requirements for this section

TQ-AA-150-J020 Revision 01 Page 4 of 15 JPM444 SETUP INSTRUCTIONS

1. No setup is required for this JPM.

SRRS: 3D.100; There are no retention requirements for this section

TQ-AA-150-J020 Revision 01 Page 5 of 15 JPM444 INITIAL CONDITIONS CPS 9056.02, Safety/Relief Valve Actuation Test was completed during steady state operations at approximately 80% power.

The Reactor Operator has just completed CPS 3831.01, Safety Relief Valve Report.

INITIATING CUE As the CRS, perform the supervisory review of CPS 3831.01, Safety Relief Valve Report. As necessary, note/correct any identified discrepancies and initiate any appropriate actions.

Fill in the JPM Start Time when the student acknowledges the Initiating Cue.

Information For Evaluators Use:

UNSAT requires written comments on respective step.

  • Denotes critical steps.

Number any comments in the Comment Number column on the following pages. Then annotate that comment in the Comments section. The comment section should be used to document: the reason that a step is marked as unsatisfactory, marginal performance relating to management expectations, or problems the examinee had while performing the JPM.

Comments relating to procedural or equipment issues should be entered and tracked using the sites appropriate tracking system.

Some operations that are performed from outside of the control room may require multiple steps. These items may be listed as individual steps in this JPM. It is acceptable for the candidate to direct the local operator to perform groups of procedure steps instead of calling for each individual item to be performed.

The timeclock starts when the candidate acknowledges the initiating cue.

SRRS: 3D.100; There are no retention requirements for this section

TQ-AA-150-J020 Revision 01 Page 6 of 15 JPM444 JPM Start Time: JPM Sequence #: of Task Standard:

The examinee will review a completed SRV Actuation Report and identify errors on CPS 3831.01D002 Actuation Log blocks 305, 306 and 309.

Comment STEP ELEMENT STANDARD SAT UNSAT Number CUE Provide the examinee with the following marked up procedures and attached diagrams:

  • Initiating Cue (last page of JPM)
  • JPM Attachments 1-4 (pages 10 - 13) o SRV Tailpipe Temperature Graph o IRM/APRM PPC Screenshot o SPDS Summary Display PPC Screenshot o SPDS RPV, PRI-CNMT and H2 PPC Screenshot
  • CPS 9056.02 Safety/Relief Valve Actuation Test
  • CPS 9056.02C001 Safety/Relief Valve Manual Actuation Checklist
  • CPS 3831.01D002 Actuation Log NOTE: JPM steps 1 - 5 can be performed in any order.
  • 01 Reviews blocks 302 - 305 of Examinee determines that the CPS 3831.01D002 Actuation type of actuation recorded in Log. block 305 is incorrectly entered ___

as A and should be B.

CUE If the examinee reports the error, cue him/her to complete the review of the report.

If the examinee asks for a copy of CPS 4009.01 Inadvertent Opening Safety Relief Valve, inform him/her that the off-normal procedure is being completed by another operator.

SRRS: 3D.105 (when utilized for operator initial or continuing training)

TQ-AA-150-J020 Revision 01 Page 7 of 15 JPM444 Comment STEP ELEMENT STANDARD SAT UNSAT Number

  • 02 Reviews block 306 of CPS Examinee determines that the 3831.01D002 Actuation Log. cause/reason for actuation recorded in block 306 is ___

incorrectly entered as E and should be C.

CUE If the examinee reports the error, cue the examinee to complete the review of the report.

  • 03 Reviews blocks 307 - 309 of Examinee determines that the CPS 3831.01D002 Actuation time for tailpipe temperature to Log. return to normal recorded in block 309 is incorrectly entered ___

as 95 min (tailpipe temperature has not yet returned to normal).

04 Reviews blocks 310 - 314 of Examinee determines that the CPS 3831.01D002 Actuation block 314 entry is:

Log.

  • correct (entered as B) because the SRV passed the acceptance criteria of CPS 9056.02, OR ___
  • incorrect due to a SRV failure (based on seat leakage), THEN changes block 314 from B to A and/or E.

SRRS: 3D.105 (when utilized for operator initial or continuing training)

TQ-AA-150-J020 Revision 01 Page 8 of 15 JPM444 Comment STEP ELEMENT STANDARD SAT UNSAT Number CUE If the examinee requests an LER number, cue the examinee that the next available number is21-005.

05 Reviews block 315 of CPS Examinee determines that the 3831.01D002 Actuation Log. block 315 entry is:

  • correct based on the block 314 entry of B, OR
  • incorrect based on changing the block 314 entry to an A ___

and/or E (assumes SRV failure occurred), THEN changes block 315 from N/A to the next LER number.

CUE Upon request, provide the examinee with CPS 3831.01F001 Comment Sheet.

06 Reviews block 316 of CPS Examinee determines that the 3831.01D002 Actuation Log. block 316 entry is:

  • correct based on the block 314 entry of B, OR
  • incorrect based on changing the block 314 entry to an A and/or E (assumes SRV failure occurred), THEN ___

changes block 316 from No to Yes.

If examinee changes block 316 to Yes, the examinee will annotate the failure of SRV F047A to reseat in the comment section of CPS 3831.01F001.

CUE JPM is complete.

JPM Stop Time:

SRRS: 3D.105 (when utilized for operator initial or continuing training)

TQ-AA-150-J020 Revision 01 Page 9 of 15 JPM444 JPM

SUMMARY

Operators Name: Emp. ID#:

Job

Title:

EO RO SRO FS STA/IA SRO Cert JPM

Title:

Review a Completed SRV Actuation Report JPM Number: JPM444 Revision Number: 04 Task Number and

Title:

383101.01, Complete Control Room actions to document data on failures and actuations of the Safety Relief Valves in the Main Steam System and to generate reports required by the Nuclear Regulatory Commission.

Task Standard: The examinee will review a completed SRV Actuation Report and identify errors on CPS 3831.01D002 Actuation Log blocks 305, 306 and 309.

K/A Number and Importance:

K/A System K/A Number Importance (RO/SRO)

Generic 2.1.18 3.6 3.8 Suggested Testing Environment: Classroom Alternate Path: Yes No SRO Only: Yes No Time Critical: Yes No Reference(s):

Procedure: CPS 3831.01 Revision: 6d CPS 3831.01D002 Revision: 6 CPS 9056.02 Revision: 29c CPS 9056.02C001 Revision: 28 CPS 3831.01F001 Revision: 4 Actual Testing Environment: Simulator Control Room In-Plant Other Testing Method: Simulate Perform Estimated Time to Complete: 20 minutes Actual Time Used: minutes EVALUATION

SUMMARY

Were all the Critical Elements performed satisfactorily? Yes No The operators performance was evaluated against standards contained within this JPM and has been determined to be: Satisfactory Unsatisfactory SRRS: 3D.105 (when utilized for operator initial or continuing training)

TQ-AA-150-J020 Revision 01 Page 10 of 15 JPM444 NOTE: Enter finalized grading, comments, and notes relevant to this evaluation in the associated TQ-AA-150-F03A/B. (See AR 4282419).

Evaluators Name (Print):

Evaluators Signature: Date:

SRRS: 3D.105 (when utilized for operator initial or continuing training)

TQ-AA-150-J020 Revision 01 Page 11 of 15 JPM444 Attachment 1: SRV Tailpipe Temperature Graph SRV 47A Tailpipe Temperature (°F) 400 350 SRV 47A Tailpipe Temperature (°F) 300 250 200 150 100 50 0

0:00 0:28 0:57 1:26 1:55 2:24 2:52 3:21 3:50 4:19 4:48 Time (hr:min)

SRRS: 3D.105 (when utilized for operator initial or continuing training)

TQ-AA-150-J020 Revision 01 Page 12 of 15 JPM444 Attachment 2: IRM/APRM PPC Screenshot SRRS: 3D.100; There are no retention requirements for this section

TQ-AA-150-J020 Revision 01 Page 13 of 15 JPM444 Attachment 3: SPDS Summary Display PPC Screenshot SRRS: 3D.100; There are no retention requirements for this section

TQ-AA-150-J020 Revision 01 Page 14 of 15 JPM444 Attachment 4: SPDS RPV, PRI-CNMT and H2 PPC Screenshot SRRS: 3D.100; There are no retention requirements for this section

TQ-AA-150-J020 Revision 01 Page 15 of 15 JPM444 INITIAL CONDITIONS CPS 9056.02, Safety/Relief Valve Actuation Test was completed during steady state operations at approximately 80% power.

The Reactor Operator has just completed CPS 3831.01, Safety Relief Valve Report.

INITIATING CUE As the CRS, perform the supervisory review of CPS 3831.01, Safety Relief Valve Report. As necessary, note/correct any identified discrepancies and initiate any appropriate actions.

SRRS: 3D.100; There are no retention requirements for this section

TQ-AA-150-J020 Revision 01 Page 1 of 11 Job Performance Measure Failed SRM During Refuel JPM Number: JPM434 Revision Number: 00 Date: 8/19/2020 Developed By: Bill Kiser / 8/19/20 Instructor: Print / Sign Date Reviewed By: Brian Steele / 3/01/21 SME or Instructor: Print / Sign Date Reviewed By: Tim Windingland / 3/11/21 Operations Representative: Print / Sign Date Approved By: Matthew Beeler / 3/11/21 Training Department: Print / Sign Date SRRS: 3D.105 (when utilized for operator initial or continuing training)

TQ-AA-150-J020 Revision 01 Page 2 of 11 JPM434 JOB PERFORMANCE MEASURE VALIDATION CHECKLIST NOTE: All steps of this checklist should be performed upon initial validation.

Prior to JPM usage, revalidate JPM using steps 9 and 13 below.

1. Task description and number, JPM description and number are identified.
2. Knowledge and Abilities (K/A) references are included.
3. Performance location specified. (in-plant, control room, simulator, or other)
4. Initial setup conditions are identified.
5. Initiating cue (and terminating cue if required) are properly identified.
6. Task standards identified and verified by instructor or SME review.
7. Critical steps meet the criteria for critical steps and are identified with an asterisk (*).
8. IAW NUREG 1021 Appendix C, clearly identify the task standard (i.e., the predetermined qualitative or quantitative outcome) against which task performance will be measured.
9. Verify the procedure(s) referenced by this JPM reflects the current revision:

Procedure: CPS 9000.01D002 Revision: 39 Procedure: CPS 9000.03 Revision: 27c Procedure: ITS 3.3.1.2 Amend: 188 Procedure: Revision:

10. Verify cues both verbal and visual are free of conflict.
11. Verify performance time is accurate.
12. If the JPM cannot be performed as written with proper responses, then revise the JPM.
13. When JPM is initially validated, sign and date JPM cover page. For subsequent validations, sign and date below:

/

SME / Instructor (Print/Sign) Date

/

SME / Instructor (Print/Sign) Date

/

SME / Instructor (Print/Sign) Date SRRS: 3D.100; There are no retention requirements for this section

TQ-AA-150-J020 Revision 01 Page 3 of 11 JPM434 Revision Record (Summary)

Revision # Summary 00 8/19/20 - New JPM SRRS: 3D.100; There are no retention requirements for this section

TQ-AA-150-J020 Revision 01 Page 4 of 11 JPM434 SETUP INSTRUCTIONS

1. No setup is required for this JPM.

SRRS: 3D.100; There are no retention requirements for this section

TQ-AA-150-J020 Revision 01 Page 5 of 11 JPM434 INITIAL CONDITIONS You are the CRS on the Night shift.

The reactor plant is in Mode 5.

All core quadrants contain fuel assemblies.

All Control Rods are inserted and core alterations are in progress in the Northwest Quadrant.

The Reactor Operator has just completed CPS 9000.03, Core Alteration Surveillance Log and CPS 9000.01D002, Control Room Surveillance Log - Mode 4, 5 Data Sheet.

INITIATING CUE As the CRS, perform the supervisory review of CPS 9000.03, Core Alteration Surveillance Log and CPS 9000.01D002, Control Room Surveillance Log - Mode 4, 5 Data Sheet. As necessary, note/correct any identified discrepancies and initiate any appropriate actions.

Fill in the JPM Start Time when the student acknowledges the Initiating Cue.

Information For Evaluators Use:

UNSAT requires written comments on respective step.

  • Denotes critical steps.

Number any comments in the Comment Number column on the following pages. Then annotate that comment in the Comments section. The comment section should be used to document: the reason that a step is marked as unsatisfactory, marginal performance relating to management expectations, or problems the examinee had while performing the JPM.

Comments relating to procedural or equipment issues should be entered and tracked using the sites appropriate tracking system.

Some operations that are performed from outside of the control room may require multiple steps. These items may be listed as individual steps in this JPM. It is acceptable for the candidate to direct the local operator to perform groups of procedure steps instead of calling for each individual item to be performed.

The timeclock starts when the candidate acknowledges the initiating cue.

SRRS: 3D.100; There are no retention requirements for this section

TQ-AA-150-J020 Revision 01 Page 6 of 11 JPM434 JPM Start Time: JPM Sequence #: of Task Standard:

The examinee will review CPS 9000.01D002 & CPS 9000.03 and determine core alterations:

  • are being performed in a quadrant without an operable SRM.

Comment STEP ELEMENT STANDARD SAT UNSAT Number CUE Provide the examinee with a copy of:

  • Initiating Cue (last page of JPM)
  • Reactor Core Map (Attachment 1 of the JPM)
  • Marked Up procedures:

o CPS 9000.03 Core Alteration Surveillance Log o CPS 9000.01D002 Control Room Surveillance Log - Mode 4, 5 Data Sheet

  • CPS Technical Specifications (Books 1 & 2)
  • 01 Performs a supervisory review CPS 9000.01D002 of CPS 9000.03 and CPS Step 8.4.1.2.a 9000.01D002. ___
a. Examinee determines that SRM 'A' is downscale (less than 3 cps).

CPS 9000.03 Step 8.1.3.2.2

b. Examinee determines that an inoperable detector (SRM

'A') is located in the quadrant ___

where core alterations are occurring and step should not have been initialed.

CPS 9000.03 Step 8.1.3.2.3

c. Examinee determines that ___

adjacent quadrants have operable SRMs.

SRRS: 3D.105 (when utilized for operator initial or continuing training)

TQ-AA-150-J020 Revision 01 Page 7 of 11 JPM434 Comment STEP ELEMENT STANDARD SAT UNSAT Number

  • 02 Reviews CPS 9000.03 Step 9.0 Acceptance Criteria.

Examinee determines ___

Acceptance Criteria is not met.

CUE If the examinee fails to review ITS 3.3.1.2, cue him/her to determine required actions, if any.

  • 03 Reviews ITS 3.3.1.2 SRM ITS 3.3.1.2 Instrumentation to identify Examinee enters ITS 3.3.1.2 Action Statements for Required Actions E.1 and E.2 ___

implementation.

and reports that CORE ALTERATIONS are to be suspended immediately.

CUE If the examinee reports that core alterations should be suspended, acknowledge the report.

JPM is complete.

JPM Stop Time:

SRRS: 3D.105 (when utilized for operator initial or continuing training)

TQ-AA-150-J020 Revision 01 Page 8 of 11 JPM434 JPM

SUMMARY

Operators Name: Emp. ID#:

Job

Title:

EO RO SRO FS STA/IA SRO Cert JPM

Title:

Failed SRM During Refuel JPM Number: JPM434 Revision Number: 00 Task Number and

Title:

900003.01 / Core Alteration Surveillance Log Task Standard: The examinee will review CPS 9000.01D002 & CPS 9000.03 and determine core alterations:

  • are being performed in a quadrant without an operable SRM.

K/A Number and Importance:

K/A System K/A Number Importance (RO/SRO)

Generic 2.1.36 3.0 4.1 Suggested Testing Environment: Classroom Alternate Path: Yes No SRO Only: Yes No Time Critical: Yes No Reference(s):

Procedure: CPS 9000.01D002 Revision: 39 CPS 9000.03 Revision: 27c CPS ITS 3.3.1.2 Amend: 188 Actual Testing Environment: Simulator Control Room In-Plant Other Testing Method: Simulate Perform Estimated Time to Complete: 15 minutes Actual Time Used: minutes EVALUATION

SUMMARY

Were all the Critical Elements performed satisfactorily? Yes No The operators performance was evaluated against standards contained within this JPM and has been determined to be: Satisfactory Unsatisfactory SRRS: 3D.105 (when utilized for operator initial or continuing training)

TQ-AA-150-J020 Revision 01 Page 9 of 11 JPM434 NOTE: Enter finalized grading, comments, and notes relevant to this evaluation in the associated TQ-AA-150-F03A/B. (See AR 4282419).

Evaluators Name (Print):

Evaluators Signature: Date:

SRRS: 3D.105 (when utilized for operator initial or continuing training)

TQ-AA-150-J020 Revision 01 Page 10 of 11 JPM434 Attachment 1: Reactor Core Map SRRS: 3D.100; There are no retention requirements for this section

TQ-AA-150-J020 Revision 01 Page 11 of 11 JPM434 INITIAL CONDITIONS You are the CRS on the Night shift.

The reactor plant is in Mode 5.

All core quadrants contain fuel assemblies.

All Control Rods are inserted and core alterations are in progress in the Northwest Quadrant.

The Reactor Operator has just completed CPS 9000.03, Core Alteration Surveillance Log and CPS 9000.01D002, Control Room Surveillance Log - Mode 4, 5 Data Sheet.

INITIATING CUE As the CRS, perform the supervisory review of CPS 9000.03, Core Alteration Surveillance Log and CPS 9000.01D002, Control Room Surveillance Log - Mode 4, 5 Data Sheet. As necessary, note/correct any identified discrepancies and initiate any appropriate actions.

SRRS: 3D.100; There are no retention requirements for this section

TQ-AA-150-J020 Revision 01 Page 1 of 11 Job Performance Measure Review CPS 9071.01A Diesel Driven Fire Pump A Operability Test JPM Number: JPM556 Revision Number: 01 Date: 8/20/2020 Developed By: Bill Kiser / 8/20/20 Instructor: Print / Sign Date Reviewed By: Brian Steele / 3/01/21 SME or Instructor: Print / Sign Date Reviewed By: Tim Windingland / 3/11/21 Operations Representative: Print / Sign Date Approved By: Matthew Beeler / 3/11/21 Training Department: Print / Sign Date SRRS: 3D.105 (when utilized for operator initial or continuing training)

TQ-AA-150-J020 Revision 01 Page 2 of 11 JPM556 JOB PERFORMANCE MEASURE VALIDATION CHECKLIST NOTE: All steps of this checklist should be performed upon initial validation.

Prior to JPM usage, revalidate JPM using steps 9 and 13 below.

1. Task description and number, JPM description and number are identified.
2. Knowledge and Abilities (K/A) references are included.
3. Performance location specified. (in-plant, control room, simulator, or other)
4. Initial setup conditions are identified.
5. Initiating cue (and terminating cue if required) are properly identified.
6. Task standards identified and verified by instructor or SME review.
7. Critical steps meet the criteria for critical steps and are identified with an asterisk (*).
8. IAW NUREG 1021 Appendix C, clearly identify the task standard (i.e., the predetermined qualitative or quantitative outcome) against which task performance will be measured.
9. Verify the procedure(s) referenced by this JPM reflects the current revision:

Procedure: CPS 9071.01A Revision: 00b Procedure: CPS 1893.01 Revision: 22a Procedure: CPS 1893.06 Revision: 13 Procedure: Revision:

10. Verify cues both verbal and visual are free of conflict.
11. Verify performance time is accurate.
12. If the JPM cannot be performed as written with proper responses, then revise the JPM.
13. When JPM is initially validated, sign and date JPM cover page. For subsequent validations, sign and date below:

/

SME / Instructor (Print/Sign) Date

/

SME / Instructor (Print/Sign) Date

/

SME / Instructor (Print/Sign) Date SRRS: 3D.100; There are no retention requirements for this section

TQ-AA-150-J020 Revision 01 Page 3 of 11 JPM556 Revision Record (Summary)

Revision # Summary 00 3/5/18 - New JPM.

01 8/20/20 - Updated references. Updated JPM template.

SRRS: 3D.100; There are no retention requirements for this section

TQ-AA-150-J020 Revision 01 Page 4 of 11 JPM556 SETUP INSTRUCTIONS

1. No setup is required for this JPM.

SRRS: 3D.100; There are no retention requirements for this section

TQ-AA-150-J020 Revision 01 Page 5 of 11 JPM556 INITIAL CONDITIONS The plant is in Mode 1.

CPS 9071.01A, Diesel Driven Fire Pump A Operability Test is field complete.

INITIATING CUE As the CRS, perform the supervisory review of CPS 9071.01A, Diesel Driven Fire Pump A Operability Test. As necessary, note/correct any identified discrepancies and initiate any appropriate actions.

Fill in the JPM Start Time when the student acknowledges the Initiating Cue.

Information For Evaluators Use:

UNSAT requires written comments on respective step.

  • Denotes critical steps.

Number any comments in the Comment Number column on the following pages. Then annotate that comment in the Comments section. The comment section should be used to document: the reason that a step is marked as unsatisfactory, marginal performance relating to management expectations, or problems the examinee had while performing the JPM.

Comments relating to procedural or equipment issues should be entered and tracked using the sites appropriate tracking system.

Some operations that are performed from outside of the control room may require multiple steps. These items may be listed as individual steps in this JPM. It is acceptable for the candidate to direct the local operator to perform groups of procedure steps instead of calling for each individual item to be performed.

The timeclock starts when the candidate acknowledges the initiating cue.

SRRS: 3D.100; There are no retention requirements for this section

TQ-AA-150-J020 Revision 01 Page 6 of 11 JPM556 JPM Start Time: JPM Sequence #: of Task Standard:

The examinee will review CPS 9071.01A and determine:

  • Acceptance Criteria of sections 9.2.1.1 and 9.2.2 were not met, and
  • the pump must be restored to FUNCTIONAL status within 7 days or an alternate backup pump must be provided.

Comment STEP ELEMENT STANDARD SAT UNSAT Number CUE Provide the examinee with a copy of the Initiation Cue (last page of JPM) and a marked up copy of CPS 9071.01A Diesel Driven Fire Pump A Operability Test.

Upon request ONLY, provide the examinee with a copy of CPS 1893.06 Fire Protection Maintenance And Testing Program.

  • 01 Determines 0FP01PA coolant Reviews the procedure and temperature exceeded the discovers the following:

Normal Engine Coolant

  • 8.2.14 - Determines Temperature range (for using a that test performer surface contact pyrometer) per incorrectly applied the the Note Statement prior to step Normal Engine Coolant 8.2.14 at the top of page 14 and Temperature Range for section 9.2.2 Acceptance the installed Criteria.

temperature gauge 1TI-FP289 (160°F - 200°F).

Should be using the ___

Normal Engine Coolant Range for a surface contact pyrometer (140°F - 172°F).

  • Actual recorded engine coolant temperature (via surface contact pyrometer) exceeded 172°F.

SRRS: 3D.105 (when utilized for operator initial or continuing training)

TQ-AA-150-J020 Revision 01 Page 7 of 11 JPM556 Comment STEP ELEMENT STANDARD SAT UNSAT Number NOTE: Calculations for 8.2.22 are as follows:

  • 8.2.6.3 start time - 0124
  • 8.2.24 time - 0150
  • 8.3.5 time - 0152
  • Total time operating at full speed - 28 minutes.
  • 02 Determines 0FP01PA: Reviews the procedure and discovers the following:
  • was not run for the required time (section
  • 8.2.22 - test performer 9.2.1.1 Acceptance failed to run 0FP01PA ___

Criteria. for the required 30 minutes.

CUE If the examinee identifies at least one of the deficiencies in step 1, cue him/her to determine required actions, if any.

Upon request, provide examinee with a copy of CPS 1893.01 Fire Protection Impairment Reporting.

  • 03 Determines required action for a For high coolant temperature non-functional Fire Pump. (valid non-functional Fire Pump call):
  • Reviews CPS 1893.01 Fire Protection Impairment Reporting Appendix A Fire Protection Functionality ___

Requirements, and determines that the non-functional pump must be restored to FUNCTIONAL status within 7 days or provide an alternate backup pump.

SRRS: 3D.105 (when utilized for operator initial or continuing training)

TQ-AA-150-J020 Revision 01 Page 8 of 11 JPM556 Comment STEP ELEMENT STANDARD SAT UNSAT Number For time requirement not met:

  • Surveillance is not met and ___

cannot be credited as such.

CUE If requested, inform examinee that the surveillance is not past its late date.

CUE JPM is complete.

JPM Stop Time:

SRRS: 3D.105 (when utilized for operator initial or continuing training)

TQ-AA-150-J020 Revision 01 Page 9 of 11 JPM556 JPM

SUMMARY

Operators Name: Emp. ID#:

Job

Title:

EO RO SRO FS STA/IA SRO Cert JPM

Title:

Review CPS 9071.01A Diesel Driven Fire Pump A Operability Test JPM Number: JPM556 Revision Number: 01 Task Number and

Title:

101100.01 Apply the administrative requirements of SURVEILLANCE TESTING PROGRAM Task Standard: The examinee will review CPS 9071.01A and determine:

  • Acceptance Criteria of sections 9.2.1.1 and 9.2.2 were not met, and
  • the pump must be restored to FUNCTIONAL status within 7 days or an alternate backup pump must be provided.

K/A Number and Importance:

K/A System K/A Number Importance (RO/SRO)

Generic 2.2.12 3.7 4.1 Suggested Testing Environment: Classroom Alternate Path: Yes No SRO Only: Yes No Time Critical: Yes No Reference(s):

Procedure: CPS 9071.01A Revision: 00b CPS 1893.01 Revision: 22a CPS 1893.06 Revision: 13 Actual Testing Environment: Simulator Control Room In-Plant Other Testing Method: Simulate Perform Estimated Time to Complete: 15 minutes Actual Time Used: minutes EVALUATION

SUMMARY

Were all the Critical Elements performed satisfactorily? Yes No The operators performance was evaluated against standards contained within this JPM and has been determined to be: Satisfactory Unsatisfactory SRRS: 3D.105 (when utilized for operator initial or continuing training)

TQ-AA-150-J020 Revision 01 Page 10 of 11 JPM556 NOTE: Enter finalized grading, comments, and notes relevant to this evaluation in the associated TQ-AA-150-F03A/B. (See AR 4282419).

Evaluators Name (Print):

Evaluators Signature: Date:

SRRS: 3D.105 (when utilized for operator initial or continuing training)

TQ-AA-150-J020 Revision 01 Page 11 of 11 JPM556 INITIAL CONDITIONS The plant is in Mode 1.

CPS 9071.01A, Diesel Driven Fire Pump A Operability Test is field complete.

INITIATING CUE As the CRS, perform the supervisory review of CPS 9071.01A, Diesel Driven Fire Pump A Operability Test. As necessary, note/correct any identified discrepancies and initiate any appropriate actions.

SRRS: 3D.100; There are no retention requirements for this section

TQ-AA-150-J020 Revision 01 Page 1 of 14 Job Performance Measure Select Volunteers and Authorize an Emergency Exposure for a Life-Saving Operation JPM Number: JPM516 Revision Number: 02 Date: 8/20/2020 Developed By: Bill Kiser / 8/20/20 Instructor: Print / Sign Date Reviewed By: Brian Steele / 3/01/21 SME or Instructor: Print / Sign Date Reviewed By: Tim Windingland / 3/11/21 Operations Representative: Print / Sign Date Approved By: Matthew Beeler / 3/11/21 Training Department: Print / Sign Date SRRS: 3D.105 (when utilized for operator initial or continuing training)

TQ-AA-150-J020 Revision 01 Page 2 of 14 JPM516 JOB PERFORMANCE MEASURE VALIDATION CHECKLIST NOTE: All steps of this checklist should be performed upon initial validation.

Prior to JPM usage, revalidate JPM using steps 9 and 13 below.

1. Task description and number, JPM description and number are identified.
2. Knowledge and Abilities (K/A) references are included.
3. Performance location specified. (in-plant, control room, simulator, or other)
4. Initial setup conditions are identified.
5. Initiating cue (and terminating cue if required) are properly identified.
6. Task standards identified and verified by instructor or SME review.
7. Critical steps meet the criteria for critical steps and are identified with an asterisk (*).
8. IAW NUREG 1021 Appendix C, clearly identify the task standard (i.e., the predetermined qualitative or quantitative outcome) against which task performance will be measured.
9. Verify the procedure(s) referenced by this JPM reflects the current revision:

Procedure: EP-AA-113 Revision: 15 Procedure: EP-AA-113-f-02 Revision: B Procedure: Revision:

Procedure: Revision:

10. Verify cues both verbal and visual are free of conflict.
11. Verify performance time is accurate.
12. If the JPM cannot be performed as written with proper responses, then revise the JPM.
13. When JPM is initially validated, sign and date JPM cover page. For subsequent validations, sign and date below:

/

SME / Instructor (Print/Sign) Date

/

SME / Instructor (Print/Sign) Date

/

SME / Instructor (Print/Sign) Date SRRS: 3D.100; There are no retention requirements for this section

TQ-AA-150-J020 Revision 01 Page 3 of 14 JPM516 Revision Record (Summary)

Revision # Summary 6/14/13 - New JPM developed for the ILT 12-1 NRC Exam. JPM was 00 modeled after a JPM administered during an ILT Exam at LaSalle in 2012.

01 7/11/16 - Updated procedure references.

02 8/20/20 - Updated references. Updated JPM template.

SRRS: 3D.100; There are no retention requirements for this section

TQ-AA-150-J020 Revision 01 Page 4 of 14 JPM516 SETUP INSTRUCTIONS

1. No setup is required for this JPM.

SRRS: 3D.100; There are no retention requirements for this section

TQ-AA-150-J020 Revision 01 Page 5 of 14 JPM516 INITIAL CONDITIONS A General Emergency has been declared.

Fuel failure has occurred together with a large break LOCA.

Containment venting is in progress in order to maintain containment integrity.

The TSC has been activated, but has not been staffed.

The appropriate EAL has been declared.

An emergency lifesaving operation must be performed.

  • The operation is estimated to take between 12 and 15 minutes
  • There is a 200 R/hr field in the area The operation requires two (2) people to enter the field. Three (3) people have volunteered:
  • Bob Black, Employee # B537347 o Has never received an emergency exposure o He is familiar with the procedures for rescuing the victim, and is fully aware of the risks involved.
  • Gary Green, Employee # B734753 o Has never received an emergency exposure o He is familiar with the procedures for rescuing the victim, and is fully aware of the risks involved.
  • Walter White, Employee # B573472 o Received a 27 R dose at a reactor in South Africa when he volunteered to assist in a similar life-saving operation.

o He is familiar with the procedures for rescuing the victim, and is fully aware of the risks involved.

A Rad Protection Supervisor has briefed the three volunteers.

INITIATING CUE As the acting Station Emergency Director, perform the actions necessary to permit the life-saving operation.

Fill in the JPM Start Time when the student acknowledges the Initiating Cue.

SRRS: 3D.100; There are no retention requirements for this section

TQ-AA-150-J020 Revision 01 Page 6 of 14 JPM516 Information For Evaluators Use:

UNSAT requires written comments on respective step.

  • Denotes critical steps.

Number any comments in the Comment Number column on the following pages. Then annotate that comment in the Comments section. The comment section should be used to document: the reason that a step is marked as unsatisfactory, marginal performance relating to management expectations, or problems the examinee had while performing the JPM.

Comments relating to procedural or equipment issues should be entered and tracked using the sites appropriate tracking system.

Some operations that are performed from outside of the control room may require multiple steps. These items may be listed as individual steps in this JPM. It is acceptable for the candidate to direct the local operator to perform groups of procedure steps instead of calling for each individual item to be performed.

The timeclock starts when the candidate acknowledges the initiating cue.

SRRS: 3D.100; There are no retention requirements for this section

TQ-AA-150-J020 Revision 01 Page 7 of 14 JPM516 JPM Start Time: JPM Sequence #: of Task Standard:

The examinee will evaluate three candidates for a lifesaving operation in accordance with EP-AA-113:

  • determine one candidate is ineligible, and
  • authorize the remaining two candidates to perform the work.

Comment STEP ELEMENT STANDARD SAT UNSAT Number CUE Provide the examinee with copies of:

  • Initiating Cue (last page of JPM)
  • Marked Up copies of EP-AA-113-F-02 Authorization For Emergency Exposure (pages 11-14 of JPM)
  • When requested, EP-AA-113 Personnel Protective Actions 01 4.3.1 Examinee determines exposure is:

Makes emergency exposure determination.

  • for a bona fide emergency.

o calculated to be in excess of 25 Rem (12 to 15 minutes in a 200 Rem/Hr field is 40 to 50 Rem).

02 4.3.2.1 Examinee verifies applicable forms:

Verifies EP-AA-113-F-02 Authorization for Emergency

  • have Name / Date / Time /

Exposure form completed by Employee ID # / Current Emergency Worker. Annual Exposure / Reason ___

For Request blocks filled in.

  • have the REQUESTING AUTHORIZATION TO EXCEED box checked for 25 Rem TEDE.

SRRS: 3D.105 (when utilized for operator initial or continuing training)

TQ-AA-150-J020 Revision 01 Page 8 of 14 JPM516 Comment STEP ELEMENT STANDARD SAT UNSAT Number 03 4.3.2.2 - 4.3.2.3 Examinee recalls Initial Verifies that emergency workers Conditions and/or verifies signature of each emergency volunteered and have been worker on their respective EP- ___

briefed on the possible health AA-113-F-02.

effects of the anticipated exposure.

  • 04 4.3.3 NOTE Examinee recognizes the previous emergency Recognizes emergency exposure of 27 Rem by Walter exposure in excess of 25 Rem White and eliminates him as a TEDE is to be limited to once in ___

potential rescuer. The a lifetime.

examinee does not sign this volunteers form EP-AA-113-F-02.

  • 05 4.3.3.1 Examinee signs the EP-AA-113-F-02 for Bob Black and Completes Authorization for Gary Green as Station Emergency Exposure for Bob Emergency Director. ___

Black and Gary Green CUE JPM is complete.

JPM Stop Time:

SRRS: 3D.105 (when utilized for operator initial or continuing training)

TQ-AA-150-J020 Revision 01 Page 9 of 14 JPM516 JPM

SUMMARY

Operators Name: Emp. ID#:

Job

Title:

EO RO SRO FS STA/IA SRO Cert JPM

Title:

Select Volunteers and Authorize an Emergency Exposure for a Life-Saving Operation JPM Number: JPM516 Revision Number: 02 Task Number and

Title:

997777.03 Emergency Plan Activities performed by an SRO Task Standard: The examinee will evaluate three candidates for a lifesaving operation in accordance with EP-AA-113:

  • determine one candidate is ineligible, and
  • authorize the remaining two candidates to perform the work.

K/A Number and Importance:

K/A System K/A Number Importance (RO/SRO)

Generic 2.3.4 3.2 3.7 Suggested Testing Environment: Classroom Alternate Path: Yes No SRO Only: Yes No Time Critical: Yes No Reference(s):

Procedure: EP-AA-113 Revision: 15 EP-AA-113-F-02 Revision: B Revision:

Actual Testing Environment: Simulator Control Room In-Plant Other Testing Method: Simulate Perform Estimated Time to Complete: 15 minutes Actual Time Used: minutes EVALUATION

SUMMARY

Were all the Critical Elements performed satisfactorily? Yes No The operators performance was evaluated against standards contained within this JPM and has been determined to be: Satisfactory Unsatisfactory SRRS: 3D.105 (when utilized for operator initial or continuing training)

TQ-AA-150-J020 Revision 01 Page 10 of 14 JPM516 NOTE: Enter finalized grading, comments, and notes relevant to this evaluation in the associated TQ-AA-150-F03A/B. (See AR 4282419).

Evaluators Name (Print):

Evaluators Signature: Date:

SRRS: 3D.105 (when utilized for operator initial or continuing training)

TQ-AA-150-J020 Revision 01 Page 11 of 14 JPM516 Bob Black XX XX XXXX XX XX B537347 152 Lifesaving operation.

X Bob Black XX/XX/XXXX XX:XX R. P. Manager XX/XX/XXXX XX:XX SRRS: 3D.100; There are no retention requirements for this section

TQ-AA-150-J020 Revision 01 Page 12 of 14 JPM516 Gary Green XX XX XXXX XX XX B734753 57 Lifesaving operation.

X Gary Green XX/XX/XXXX XX:XX R. P. Manager XX/XX/XXXX XX:XX SRRS: 3D.100; There are no retention requirements for this section

TQ-AA-150-J020 Revision 01 Page 13 of 14 JPM516 Walter White XX XX XXXX XX XX B573472 98 Lifesaving operation.

X Walter White XX/XX/XXXX XX:XX R. P. Manager XX/XX/XXXX XX:XX SRRS: 3D.100; There are no retention requirements for this section

TQ-AA-150-J020 Revision 01 Page 14 of 14 JPM516 INITIAL CONDITIONS A General Emergency has been declared.

Fuel failure has occurred together with a large break LOCA.

Containment venting is in progress in order to maintain containment integrity.

The TSC has been activated, but has not been staffed.

The appropriate EAL has been declared.

An emergency lifesaving operation must be performed.

  • The operation is estimated to take between 12 and 15 minutes
  • There is a 200 R/hr field in the area The operation requires two (2) people to enter the field. Three (3) people have volunteered:
  • Bob Black, Employee # B537347 o Has never received an emergency exposure o He is familiar with the procedures for rescuing the victim, and is fully aware of the risks involved.
  • Gary Green, Employee # B734753 o Has never received an emergency exposure o He is familiar with the procedures for rescuing the victim, and is fully aware of the risks involved.
  • Walter White, Employee # B573472 o Received a 27 R dose at a reactor in South Africa when he volunteered to assist in a similar life-saving operation.

o He is familiar with the procedures for rescuing the victim, and is fully aware of the risks involved.

A Rad Protection Supervisor has briefed the three volunteers.

INITIATING CUE As the acting Station Emergency Director, perform the actions necessary to permit the life-saving operation.

SRRS: 3D.100; There are no retention requirements for this section

TQ-AA-150-J020 Revision 01 Page 1 of 13 Job Performance Measure Authorize Use Of KI JPM Number: JPM572 Revision Number: 00 Date: 2/16/2021 Developed By: Bill Kiser / 2/16/21 Instructor: Print / Sign Date Reviewed By: Brian Steele / 3/03/21 SME or Instructor: Print / Sign Date Reviewed By: Tim Windingland / 3/11/21 Operations Representative: Print / Sign Date Approved By: Matthew Beeler / 3/11/21 Training Department: Print / Sign Date SRRS: 3D.105 (when utilized for operator initial or continuing training)

TQ-AA-150-J020 Revision 01 Page 2 of 13 JPM572 JOB PERFORMANCE MEASURE VALIDATION CHECKLIST NOTE: All steps of this checklist should be performed upon initial validation.

Prior to JPM usage, revalidate JPM using steps 9 and 13 below.

1. Task description and number, JPM description and number are identified.
2. Knowledge and Abilities (K/A) references are included.
3. Performance location specified. (in-plant, control room, simulator, or other)
4. Initial setup conditions are identified.
5. Initiating cue (and terminating cue if required) are properly identified.
6. Task standards identified and verified by instructor or SME review.
7. Critical steps meet the criteria for critical steps and are identified with an asterisk (*).
8. IAW NUREG 1021 Appendix C, clearly identify the task standard (i.e., the predetermined qualitative or quantitative outcome) against which task performance will be measured.
9. Verify the procedure(s) referenced by this JPM reflects the current revision:

Procedure: EP-AA-113 Revision: 15 Procedure: EP-AA-113-F-02 Revision: B Procedure: EP-AA-113-F-03 Revision: G Procedure: Revision:

10. Verify cues both verbal and visual are free of conflict.
11. Verify performance time is accurate.
12. If the JPM cannot be performed as written with proper responses, then revise the JPM.
13. When JPM is initially validated, sign and date JPM cover page. For subsequent validations, sign and date below:

/

SME / Instructor (Print/Sign) Date

/

SME / Instructor (Print/Sign) Date

/

SME / Instructor (Print/Sign) Date SRRS: 3D.100; There are no retention requirements for this section

TQ-AA-150-J020 Revision 01 Page 3 of 13 JPM572 Revision Record (Summary)

Revision # Summary 2/16/21 - New JPM developed for the ILT 19-1 NRC Exam. JPM was 00 modeled after a JPM administered during an ILT Exam at Dresden in 2017.

SRRS: 3D.100; There are no retention requirements for this section

TQ-AA-150-J020 Revision 01 Page 4 of 13 JPM572 SETUP INSTRUCTIONS

1. No setup is required for this JPM.

SRRS: 3D.100; There are no retention requirements for this section

TQ-AA-150-J020 Revision 01 Page 5 of 13 JPM572 INITIAL CONDITIONS

1. You are the Station Emergency Director.
2. A General Emergency has been declared.
3. There is an offsite release in progress.
4. A loss of the Fuel Clad Barrier has occurred together with a loss of the Reactor Coolant System (RCS).
5. Containment is currently being challenged.
6. The TSC has NOT been activated, but the appropriate EAL has been declared.
7. An Emergency life-saving operation MUST be performed.
8. The operation will require two (2) volunteers to enter a room in the Containment Building, taking between 15 and 20 minutes in a 200 R/hr field (CDE) to complete.
9. EP-AA-113-F-02, Authorization For Emergency Exposure forms have been completed for both volunteers.

INITIATING CUE As the Station Emergency Director, evaluate Andre Layton and Melanie Cavill in accordance with EP-AA-113 Personnel Protective Actions, section 4.4 KI Assessment.

Fill in the JPM Start Time when the student acknowledges the Initiating Cue.

Information For Evaluators Use:

UNSAT requires written comments on respective step.

  • Denotes critical steps.

Number any comments in the Comment Number column on the following pages. Then annotate that comment in the Comments section. The comment section should be used to document: the reason that a step is marked as unsatisfactory, marginal performance relating to management expectations, or problems the examinee had while performing the JPM.

Comments relating to procedural or equipment issues should be entered and tracked using the sites appropriate tracking system.

Some operations that are performed from outside of the control room may require multiple steps. These items may be listed as individual steps in this JPM. It is acceptable for the candidate to direct the local operator to perform groups of procedure steps instead of calling for each individual item to be performed.

The timeclock starts when the candidate acknowledges the initiating cue.

SRRS: 3D.100; There are no retention requirements for this section

TQ-AA-150-J020 Revision 01 Page 6 of 13 JPM572 JPM Start Time: JPM Sequence #: of Task Standard:

Given EP-AA-113 section 4.4, the examinee will assess the potential of high thyroid exposure to emergency workers projected to be sent into an area which will expose them to radioactive iodine. The examinee will then:

  • recommend issuance of KI, and
  • document the decision to issue KI using EP-AA-113-F-03, Thyroid Blocking Agent Authorization.

Comment STEP ELEMENT STANDARD SAT UNSAT Number CUE Provide the examinee with copies of:

  • Initiating Cue (last page of JPM)
  • Marked Up copies of EP-AA-113-F-02 Authorization For Emergency Exposure (pages 11-12 of JPM)
  • EP-AA-113 Personnel Protective Actions 01 4.4.1.1.B Examinee determines Layton/

Cavill are onsite workers per the Determines Layton/Cavill are ___

initiating cue.

onsite workers.

CUE If requested, a Dose Assessor is NOT available.

02 4.4.1.1.B Condition 1 Examinee determines there is Determines there is or has been or has been a Loss of Fuel Clad Barrier per the initiating cue.

a Loss of Fuel Clad Barrier.

SRRS: 3D.105 (when utilized for operator initial or continuing training)

TQ-AA-150-J020 Revision 01 Page 7 of 13 JPM572 Comment STEP ELEMENT STANDARD SAT UNSAT Number

  • 03 4.4.1.3 Examinee determines that workers will be entering an Determines Condition B is met.

unknown radiological atmosphere that is suspected to have a high iodine ___

concentration.

Examinee recommends issuance of KI for BOTH individuals.

NOTE:

If required, ask the examinee the reason for issuing KI.

CUE If asked, Andre and/or Melanie do NOT have any adverse reactions to KI.

Upon request, provide the examinee with a blank copy of EP-AA-113-F-03 Thyroid Blocking Agent Authorization Examinee enters the correct

  • 04 4.4.2.1 names and employee ID Documents the decision to numbers on EP-AA-113-F-03:

issue KI using THYROID

  • Andre Layton B743735 BLOCKING AGENT AUTHORIZATION Form (EP-
  • Melanie Cavill B232425 AA-113-F-03). ___

Examinee signs and dates EP-AA-113-F-03 as the Emergency Director authorizing the use of KI.

05 4.4.2.2 Examinee states that he/she would notify OHS.

Notifies Occupational Health (Medical) Services Department promptly that KI is to be issued to Exelon Nuclear personnel or contractors.

SRRS: 3D.105 (when utilized for operator initial or continuing training)

TQ-AA-150-J020 Revision 01 Page 8 of 13 JPM572 Comment STEP ELEMENT STANDARD SAT UNSAT Number 06 4.4.3.1 Examinee reviews EP-AA-113-F-03 to ensure Layton/Cavill are Reviews EP-AA-113-F-03 for ___

listed.

completeness.

07 4.4.3.2 Examinee reads or instructs Layton/Cavill to read Briefs Layton/Cavill on the use Information on use of Thyroid ___

of a thyroid blocking agent.

Blocking Agent on EP-AA-113-F-03.

NOTE:

If asked for Radiation Protection Manager to sign and date EP-AA-113-F-03, enter name as TIG TRAGER and todays date in the appropriate blanks.

If asked, the FDA KI package insert is unavailable.

CUE JPM is complete.

JPM Stop Time:

SRRS: 3D.105 (when utilized for operator initial or continuing training)

TQ-AA-150-J020 Revision 01 Page 9 of 13 JPM572 JPM

SUMMARY

Operators Name: Emp. ID#:

Job

Title:

EO RO SRO FS STA/IA SRO Cert JPM

Title:

Authorize Use Of KI JPM Number: JPM572 Revision Number: 00 Task Number and

Title:

997777.03 Emergency Plan Activities performed by an SRO Task Standard: Given EP-AA-113 section 4.4, the examinee will assess the potential of high thyroid exposure to emergency workers projected to be sent into an area which will expose them to radioactive iodine. The examinee will then:

  • recommend issuance of KI, and
  • document the decision to issue KI using EP-AA-113-F-03, Thyroid Blocking Agent Authorization.

K/A Number and Importance:

K/A System K/A Number Importance (RO/SRO)

Generic 2.4.40 2.7 4.5 Suggested Testing Environment: Classroom Alternate Path: Yes No SRO Only: Yes No Time Critical: Yes No Reference(s):

Procedure: EP-AA-113 Revision: 15 EP-AA-113-F-02 Revision: B EP-AA-113-F-03 Revision: G Actual Testing Environment: Simulator Control Room In-Plant Other Testing Method: Simulate Perform Estimated Time to Complete: 10 minutes Actual Time Used: minutes EVALUATION

SUMMARY

Were all the Critical Elements performed satisfactorily? Yes No The operators performance was evaluated against standards contained within this JPM and has been determined to be: Satisfactory Unsatisfactory SRRS: 3D.105 (when utilized for operator initial or continuing training)

TQ-AA-150-J020 Revision 01 Page 10 of 13 JPM572 NOTE: Enter finalized grading, comments, and notes relevant to this evaluation in the associated TQ-AA-150-F03A/B. (See AR 4282419).

Evaluators Name (Print):

Evaluators Signature: Date:

SRRS: 3D.105 (when utilized for operator initial or continuing training)

TQ-AA-150-J020 Revision 01 Page 11 of 13 JPM572 Andre Layton XX XX XXXX XX XX B743735 152 Lifesaving operation.

X Andre Leyton XX/XX/XXXX XX:XX R. P. Manager XX/XX/XXXX XX:XX S.E. Director XX/XX/XXXX XX:XX SRRS: 3D.100; There are no retention requirements for this section

TQ-AA-150-J020 Revision 01 Page 12 of 13 JPM572 Melanie Cavill XX XX XXXX XX XX B232425 57 Lifesaving operation.

X Melanie Cavill XX/XX/XXXX XX:XX R. P. Manager XX/XX/XXXX XX:XX S.E. Director XX/XX/XXXX XX:XX SRRS: 3D.100; There are no retention requirements for this section

TQ-AA-150-J020 Revision 01 Page 13 of 13 JPM572 INITIAL CONDITIONS

1. You are the Station Emergency Director.
2. A General Emergency has been declared.
3. There is an offsite release in progress.
4. A loss of the Fuel Clad Barrier has occurred together with a loss of the Reactor Coolant System (RCS).
5. Containment is currently being challenged.
6. The TSC has NOT been activated, but the appropriate EAL has been declared.
7. An Emergency life-saving operation MUST be performed.
8. The operation will require two (2) volunteers to enter a room in the Containment Building, taking between 15 and 20 minutes in a 200 R/hr field (CDE) to complete.
9. EP-AA-113-F-02, Authorization For Emergency Exposure forms have been completed for both volunteers.

INITIATING CUE As the Station Emergency Director, evaluate Andre Layton and Melanie Cavill in accordance with EP-AA-113 Personnel Protective Actions, section 4.4 KI Assessment.

SRRS: 3D.100; There are no retention requirements for this section