ML21147A545
| ML21147A545 | |
| Person / Time | |
|---|---|
| Site: | Palo Verde  |
| Issue date: | 05/06/2021 |
| From: | Heather Gepford Operations Branch IV |
| To: | Arizona Public Service Co |
| References | |
| Download: ML21147A545 (30) | |
Text
EXAM ASSIGNMENT TICKLER Chief:
Clyde Osterholtz Facility:
PV 5/6/2021 U/I:
Start of Op Test:
4/26/2021 4/29/2021 Due Date Date Complete Initials 8/24/2020 6/15/2020 cco 9/28/2020 6/15/2020 cco 9/28/2020 6/15/2020 cco 9/28/2020 N/A N/A 9/28/2020 6/29/2020 cco 10/12/2020 6/29/2020 cco 11/23/2020 11/23/2020 cco 12/7/2020 12/21/2020 cco 2/8/2021 2/5/2021 cco 2/15/2021 N/A N/A 3/8/2021 3/8/2021 cco 3/22/2021 3/22/2021 cco 3/22/2021 3/22/2021 cco 3/29/2021 3/29/2021 cco 3/22/2021 3/22/2021 cco 4/5/2021 4/5/2021 cco 4/12/2021 4/12/2021 cco 4/19/2021 4/19/2021 cco 4/19/2021 4/19/2021 cco 4/19/2021 4/19/2021 cco 4/19/2021 4/19/2021 cco 4/19/2021 4/19/2021 cco 4/26/2021 4/26/2021 cco 5/6/2021 5/7/2021 cco 5/26/2021 5/18/2021 cco 6/3/2021 5/14/2021 cco 6/3/2021 5/18/2021 cco 6/10/2021 5/26/2021 cco 6/17/2021 5/26/2021 cco 6/24/2021 5/26/2021 cco 6/24/2021 6/2/2021 cco 6/24/2021 5/14/2021 cco 7/15/2021 N/A N/A 7/22/2021 6/30/2021 cco 7/29/2021 N/A N/A 8/26/2021 6/30/2021 cco Rev. 9 21 days after proposed denial letters mailed.
Preliminary license applications and waivers reviewed Request facility licensee management feedback on the exam Operating test outline(s) reviewed by NRC and feedback provided to facility licensee ES-201-2 signed by CE & BC Peer review of written exam complete Document review on ES-401-9 Proposed exams, outlines, supporting documentation, and reference materials due.
Exams prepared by the NRC are approved by BC and forwarded for facility licensee review Written exam and operating test reviews completed Written exams and operating tests approved by Branch Chief Administer Operating Test NRC examiners and facility contact assigned Facility contact briefed on security and other requirements Operating test outline(s) and other checklists due ES-201-2, 201-3, 301-1, 301-2, 301-5, D-1 Reference material due for NRC prepared exams ES-201 Att-3 Corporate Notification Letter sent ES-201 Att-4 produced by CE NRC developed written examination outline sent to facility contact ES-401-1/2 and ES-401-3 Date of Written Exam:
Description Notes Examination administration date confirmed For NRC prepared exams, arrangements made for the facility to submit reference materials End of Op Test:
Written Exam Developed By: NRC / Facility Operating Test Developed By: NRC / Facility Document review on ES-401-9 Preliminary license applications & waiver/excusal requests due NRC Forms 398/396 Feedback approved by Branch Chief Examination review results discussed between NRC and facility licensee On-site validation & 10% audit of license applications Final license applications & waiver/excusal requests due ES-201-4 prepared by LA Proctoring/written exam administration guidelines reviewed with facility licensee RPS/IP number of examinees updated print Report-21 Waivers/deferrals reviewed for impact on licensing decision Post exam written comments reviewed and incorporated and NRC grading completed Chief examiner review of operating test and/or written exam grading completed Branch Chief review of exam results completed Approved scenarios and JPMs distributed to examiners Examiner's document op test results on ES 303's Final applications reviewed and audited; exam approval and waiver/excusal letters sent LA produces / BC signs Exam Approval Letter (ES-201 Att-5)
Post exam comments and graded exams received ES-403-1 to BC Final Denial Letters mailed (if no request for informal review)
Replaces NUREG-1021, Revision 11, Forms ES-201-1 and ES-501-1 Post exam operating test comments reviewed and ES-303-1 updated Signed ES 303's to BC produced by CE License/Proposed Denial letters mailed; Facility notified of results Exam docs to ADAMS Ref Mat'l Returned after Final Resolution of Appeals Examination Report Issued
Gregory E. Werner /
12/22/2020
4/12/2021 04/15/2021 Gregory E. Werner /
3 60 12
4/12/2021 04/15/2021 Gregory E. Werner /
ES-301 Simulator Scenario Quality Checklist Fonn ES-301-4 Facility: PVNGS Date of Exam: 4/26/2021 Scenario Numbers:
1/2/3/4 Operating Test No.: 2021 QUALITATIVE ATTRIBUTES Initials a
b*
d'
- 1.
The initial conditions are realistic in that some equipment and/or instrumentation may be out of service, <f11t-t
'11) but it does not cue the operators into expected events.
2.
The scenarios consist mostly of related events.
-<tu.
c:D
- 3.
Each event description consists of the following:
the point in the scenario when it is to be initiated f f;IJ 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 appricable) 4.
The events are valid with regard to physics and thermodynamics.
(; Cl;
- 5.
Sequencing and timing of events is reasonable and allows the examination team to obtain complete
t
evaluation results commensurate with the scenario objectives.
- 6.
If time compression techniques are used, the scenario summary clearly so indicates.
t cJ Operators have sufficient time to carry out expected activities without undue time constraints.
Cues are given.
7.
The simulator modeling is not altered.
- 8.
The scenarios have been validated. Pursuant to 10 CFR 55.46(d), any open simulator performance lo deficiencies or deviations from the referenced plant have been evaluated to ensure that functional
f fidelity is maintained while running the planned scenarios.
9.
Scenarios are new or significantly modified in accordance with Section D.5 of ES-301.
4w f
- 10. All individual operator competencies can be evaluated, as verified using Form ES-301-6 (submit the
<tltr 4 form along with the simulator scenarios).
11. The scenario set provides the opportunity for each applicant to be evaluated in each of the applicable
$
rating factors. (Competency rating factors as described on Forms ES-303-1 and ES-303-3.)
- 12. Each applicant will be significantly involved in the minimum number of transients and events specified <!it-
on Form ES-301-5 (submit the form with the simulator scenarios).
- 13. Applicants are evaluated on a similar number of preidentified critical tasks across scenarios, when
<i1t, r &)
possible.
- 14. The level of difficulty is appropriate to support licensing decisions for each crew position.
<tu-f I(!,_)
Target Quantitative Attributes per Scenario (See Section D.5.d)
Actual Attributes
- 1.
Malfunctions after EOP entry (1-2) 3/3/2/3 4w t Q
2.
Abnormal events (2--4) 3/3/4/3
(!,)
3.
Major transients (1-2) 1/1/1/1
f do
- 4.
EOPs entered/requiring substantive actions (1-2) 1/1/1/1
f.d __.J 5.
Entry into a contingency EOP with substantive actions e 1 per scenario 1/0/1/0
1 co set) 6.
Preidentified critical tasks e 2) 2/3/2/2
<f1A,, f (jb
- The facility licensee signature is not applicable for NRC-developed tests.
- An independent NRC reviewer initials items in column "c"; chief examiner concurrence is required.
N/R N/A N/A Clyde Osterholtz/
5/17/2021 Heather Gepford 5/20/2021
ES-301 Transient and Event Checklist Form ES-301-5 Facility: PVNGS Date of Exam: 4/26/2021 Operating Test No.: 1/2/3/4 A
P P
L I
C A
N T
E V
E N
T T
Y P
E Scenarios 1
2 3
4 T
O T
A L
M I
N I
M U
M(*)
CREW POSITION CREW POSITION CREW POSITION CREW POSITION S
R O
A T
C B
O P
S R
O A
T C
B O
P S
R O
A T
C B
O P
S R
O A
T C
B O
P R
I U
RO-1 RX 0
1 NOR 1
1 1
I/C 2,4 2,3,4,8 6
4 MAJ 5
5 2
2 TS 0
0 RO-2 RX 0
1 NOR 1
1 1
I/C 2,3, 4
4,7 5
4 MAJ 5
5 2
2 TS 0
0 RO-3 RX 0
1 NOR 1
1 1
I/C 2,4 2,3,4,8 6
4 MAJ 5
5 2
2 TS 0
0 RO-4 RX 0
1 NOR 1
1 1
I/C 2,3, 4
4,7 5
4 MAJ 5
5 2
2 TS 0
0 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 Transient and Event Checklist Form ES-301-5 Facility: PVNGS Date of Exam: 4/26/2021 Operating Test No.: 1/2/3/4 A
P P
L I
C A
N T
E V
E N
T T
Y P
E Scenarios 1
2 3
4 T
O T
A L
M I
N I
M U
M(*)
CREW POSITION CREW POSITION CREW POSITION CREW POSITION S
R O
A T
C B
O P
S R
O A
T C
B O
P S
R O
A T
C B
O P
S R
O A
T C
B O
P R
I U
RO-5 RX 0
1 NOR 1
1 1
I/C 2,4 2,3,4,8 6
4 MAJ 5
5 2
2 TS 0
0 RO-6 RX 0
1 NOR 1
1 1
I/C 2,3, 4
4,7 5
4 MAJ 5
5 2
2 TS 0
0 RO-7 RX 0
1 NOR 1
1 1
I/C 2,4 2,3,4,8 6
4 MAJ 5
5 2
2 TS 0
0 RO-8 RX 0
1 NOR 1
1 1
I/C 2,3, 4
4,7 5
4 MAJ 5
5 2
2 TS 0
0 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 Transient and Event Checklist Form ES-301-5 Facility: PVNGS Date of Exam: 4/26/2021 Operating Test No.: 1/2/3/4 A
P P
L I
C A
N T
E V
E N
T T
Y P
E Scenarios 1
2 3
4 T
O T
A L
M I
N I
M U
M(*)
CREW POSITION CREW POSITION CREW POSITION CREW POSITION S
R O
A T
C B
O P
S R
O A
T C
B O
P S
R O
A T
C B
O P
S R
O A
T C
B O
P R
I U
RO-9 RX 0
1 NOR 1
1 1
I/C 2,4 2,3,4,8 6
4 MAJ 5
5 2
2 TS 0
0 RO-10 RX 0
1 NOR 1
1 1
I/C 2,3, 4
4,7 5
4 MAJ 5
5 2
2 TS 0
0 RO-11 RX 0
1 NOR 1
1 1
I/C 2,4 2,3,4,8 6
4 MAJ 5
5 2
2 TS 0
0 RO-12 RX 0
1 NOR 1
1 1
I/C 2,3, 4
4,7 5
4 MAJ 5
5 2
2 TS 0
0 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 Transient and Event Checklist Form ES-301-5 Facility: PVNGS Date of Exam: 4/26/2021 Operating Test No.: 1/2/3/4 A
P P
L I
C A
N T
E V
E N
T T
Y P
E Scenarios 1
2 3
4 T
O T
A L
M I
N I
M U
M(*)
CREW POSITION CREW POSITION CREW POSITION CREW POSITION S
R O
A T
C B
O P
S R
O A
T C
B O
P S
R O
A T
C B
O P
S R
O A
T C
B O
P R
I U
RO-13 RX 0
1 NOR 0
1 I/C 2,3, 4
2,3,4,8 2,3,5, 7
11 4
MAJ 5
5 6
3 2
TS 0
0 SRO-I-1 RX 0
1 NOR 1
1 1
I/C 2,4 4,7 2,4,5, 7
8 4
MAJ 5
5 6
3 2
TS 3,4 1,3 4
2 SRO-I-2 RX 0
1 NOR 1
1 1
I/C 2,4 2,4,7, 8
2,4,5 9
4 MAJ 5
5 6
3 2
TS 3,4 2
2 SRO-U-1 RX 0
0 NOR 0
1 I/C 2,4 2,4,7, 8
6 2
MAJ 5
5 2
1 TS 3,4 3,4 4
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 Transient and Event Checklist Form ES-301-5 Facility: PVNGS Date of Exam: 4/26/2021 Operating Test No.: 1/2/3/4 A
P P
L I
C A
N T
E V
E N
T T
Y P
E Scenarios 1
2 3
4 T
O T
A L
M I
N I
M U
M(*)
CREW POSITION CREW POSITION CREW POSITION CREW POSITION S
R O
A T
C B
O P
S R
O A
T C
B O
P S
R O
A T
C B
O P
S R
O A
T C
B O
P R
I U
SRO-U-2 RX 0
0 NOR 0
1 I/C 2,4 2,4,7, 8
6 2
MAJ 5
5 2
1 TS 3,4 3,4 4
2 SRO-U-3 RX 0
0 NOR 0
1 I/C 2,4 2,4,7, 8
6 2
MAJ 5
5 2
1 TS 3,4 3,4 4
2 SRO-U-4 RX 0
0 NOR 0
1 I/C 2,4 2,4,7, 8
6 2
MAJ 5
5 2
1 TS 3,4 3,4 4
2 SRO-U-5 RX 0
0 NOR 0
1 I/C 2,4 2,4,7, 8
6 2
MAJ 5
5 2
1 TS 3,4 3,4 4
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 Transient and Event Checklist Form ES-301-5 Facility: PVNGS Date of Exam: 4/26/2021 Operating Test No.: 1/2/3/4 A
P P
L I
C A
N T
E V
E N
T T
Y P
E Scenarios 1
2 3
4 T
O T
A L
M I
N I
M U
M(*)
CREW POSITION CREW POSITION CREW POSITION CREW POSITION S
R O
A T
C B
O P
S R
O A
T C
B O
P S
R O
A T
C B
O P
S R
O A
T C
B O
P R
I U
SRO-U-6 RX 0
0 NOR 0
1 I/C 2,4 2,4,7, 8
6 2
MAJ 5
5 2
1 TS 3,4 3,4 4
2 All scenario bean counts RX NOR 1
1 I/C 2,4 2,4 2,3, 4
2,4,7, 8
4,7 2,3,4,8 2,4,5, 7
2,3,5, 7
2,4,5 1,3,4, 6,7 3,4,6 1,3,4, 7
MAJ 5
5 5
5 5
5 6
6 6
5 5
5 TS 3,4 3,4 1,3 2,3,4 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 Competencies Checklist Form ES-301-6 Instructions:
Check the applicants license type and enter one or more event numbers that will allow the examiners to evaluate every applicable competency for every applicant. (This includes all rating factors for each competency.) (Forms ES 303 1 and ES 303 3 describe the competency rating factors.)
Facility: PVNGS Date of Examination: 4/26/2021 Operating Test No.: 2021 APPLICANTS RO-1 X
SRO-I SRO-U RO-2 X
SRO-I SRO-U RO-3 X
SRO-I SRO-U RO-4 X
SRO-I SRO-U Competencies SCENARIO SCENARIO SCENARIO SCENARIO 1
2 3
4 1
2 3
4 1
2 3
4 1
2 3
4 Interpret/Diagnose Events and Conditions 2,4, 5
2,3, 4,5, 6,8 2,3, 4,5 3,4, 5,6, 7
2,4, 5
2,3, 4,5, 6,8 2,3, 4,5 3,4, 5,6, 7
Comply with and Use Procedures (1) 1,2, 4,5 2,3, 4,5, 6,8 2,3, 4,5 1,3, 4,5, 6,7 1,2, 4,5 2,3, 4,5, 6,8 2,3, 4,5 1,3, 4,5, 6,7 Operate Control Boards (2) 1,2, 4,5 2,3, 4,5, 8
2,3, 4,5 1,3, 4,5, 6,7 1,2, 4,5 2,3, 4,5, 8
2,3, 4,5 1,3, 4,5, 6,7 Communicate and Interact All All All All All All All All Demonstrate Supervisory Ability (3)
Comply with and Use TS (3)
Notes:
(1)
Includes TS compliance for an RO.
(2)
Optional for an SRO-U.
(3)
Only applicable to SROs.
ES-301 Competencies Checklist Form ES-301-6 Instructions:
Check the applicants license type and enter one or more event numbers that will allow the examiners to evaluate every applicable competency for every applicant. (This includes all rating factors for each competency.) (Forms ES 303 1 and ES 303 3 describe the competency rating factors.)
Facility: PVNGS Date of Examination: 4/26/2021 Operating Test No.: 2021 APPLICANTS RO-5 X
SRO-I SRO-U RO-6 X
SRO-I SRO-U RO-7 X
SRO-I SRO-U RO-8 X
SRO-I SRO-U Competencies SCENARIO SCENARIO SCENARIO SCENARIO 1
2 3
4 1
2 3
4 1
2 3
4 1
2 3
4 Interpret/Diagnose Events and Conditions 2,4, 5
2,3, 4,5, 6,8 2,3, 4,5 3,4, 5,6, 7
2,4, 5
2,3, 4,5, 6,8 2,3, 4,5 3,4, 5,6, 7
Comply with and Use Procedures (1) 1,2, 4,5 2,3, 4,5, 6,8 2,3, 4,5 1,3, 4,5, 6,7 1,2, 4,5 2,3, 4,5, 6,8 2,3, 4,5 1,3, 4,5, 6,7 Operate Control Boards (2) 1,2, 4,5 2,3, 4,5, 8
2,3, 4,5 1,3, 4,5, 6,7 1,2, 4,5 2,3, 4,5, 8
2,3, 4,5 1,3, 4,5, 6,7 Communicate and Interact All All All All All All All All Demonstrate Supervisory Ability (3)
Comply with and Use TS (3)
Notes:
(1)
Includes TS compliance for an RO.
(2)
Optional for an SRO-U.
(3)
Only applicable to SROs.
ES-301 Competencies Checklist Form ES-301-6 Instructions:
Check the applicants license type and enter one or more event numbers that will allow the examiners to evaluate every applicable competency for every applicant. (This includes all rating factors for each competency.) (Forms ES 303 1 and ES 303 3 describe the competency rating factors.)
Facility: PVNGS Date of Examination: 4/26/2021 Operating Test No.: 2021 APPLICANTS RO-9 X
SRO-I SRO-U RO-10 X
SRO-I SRO-U RO-11 X
SRO-I SRO-U RO-12 X
SRO-I SRO-U Competencies SCENARIO SCENARIO SCENARIO SCENARIO 1
2 3
4 1
2 3
4 1
2 3
4 1
2 3
4 Interpret/Diagnose Events and Conditions 2,4, 5
2,3, 4,5, 6,8 2,3, 4,5 3,4, 5,6, 7
2,4, 5
2,3, 4,5, 6,8 2,3, 4,5 3,4, 5,6, 7
Comply with and Use Procedures (1) 1,2, 4,5 2,3, 4,5, 6,8 2,3, 4,5 1,3, 4,5, 6,7 1,2, 4,5 2,3, 4,5, 6,8 2,3, 4,5 1,3, 4,5, 6,7 Operate Control Boards (2) 1,2, 4,5 2,3, 4,5, 8
2,3, 4,5 1,3, 4,5, 6,7 1,2, 4,5 2,3, 4,5, 8
2,3, 4,5 1,3, 4,5, 6,7 Communicate and Interact All All All All All All All All Demonstrate Supervisory Ability (3)
Comply with and Use TS (3)
Notes:
(1)
Includes TS compliance for an RO.
(2)
Optional for an SRO-U.
(3)
Only applicable to SROs.
ES-301 Competencies Checklist Form ES-301-6 Instructions:
Check the applicants license type and enter one or more event numbers that will allow the examiners to evaluate every applicable competency for every applicant. (This includes all rating factors for each competency.) (Forms ES 303 1 and ES 303 3 describe the competency rating factors.)
Facility: PVNGS Date of Examination: 4/26/2021 Operating Test No.: 2021 APPLICANTS RO-13 X
SRO-I SRO-U RO SRO-I-1 X
SRO-U RO-3 SRO-I-2 X
SRO-U RO-4 SRO-I SRO-U-1 X
Competencies SCENARIO SCENARIO SCENARIO SCENARIO 1
2 3
4 1
2 3
4 1
2 3
4 1
2 3
4 Interpret/Diagnose Events and Conditions 2,3, 4,5 2,3, 4,5, 6,8 1,2, 3,5, 6,7 2,3, 4,5 3,4, 5,6, 7
1,2, 3,4, 5,6, 7
2,4, 5
2,3, 4,5, 6,7, 8
2,4, 5,6, 7
2,3, 4,5 2,3, 4,5, 6,7, 8
Comply with and Use Procedures (1) 2,3, 4,5 2,3, 4,5, 6,8 1,2, 3,5, 6,7 2,3, 4,5 1,3, 4,5, 6,7 1,2, 3,5, 6,7 1,2, 4,5 2,3, 4,5, 6,7, 8
2,4, 5,6 2,3, 4,5 2,3, 4,5, 6,7, 8
Operate Control Boards (2) 2,3, 4,5 2,3, 4,5, 8
1,2, 3,5, 6,7 NA 1,3, 4,5, 6,7 NA 1,2, 4,5 NA 2,4, 5,6 NA NA Communicate and Interact All All All All All All All All All All All Demonstrate Supervisory Ability (3)
All All All All All Comply with and Use TS (3) 3,4 1,3 3,4 3,4 3,4 Notes:
(1)
Includes TS compliance for an RO.
(2)
Optional for an SRO-U.
(3)
Only applicable to SROs.
ES-301 Competencies Checklist Form ES-301-6 Instructions:
Check the applicants license type and enter one or more event numbers that will allow the examiners to evaluate every applicable competency for every applicant. (This includes all rating factors for each competency.) (Forms ES 303 1 and ES 303 3 describe the competency rating factors.)
Facility: PVNGS Date of Examination: 4/26/2021 Operating Test No.: 2021 APPLICANTS RO SRO-I SRO-U-2 X
RO SRO-I SRO-U-3 X
RO SRO-I SRO-U-4 X RO SRO-I SRO-U-5 X
Competencies SCENARIO SCENARIO SCENARIO SCENARIO 1
2 3
4 1
2 3
4 1
2 3
4 1
2 3
4 Interpret/Diagnose Events and Conditions 2,3, 4,5 2,3, 4,5, 6,7, 8
2,3, 4,5 2,3, 4,5, 6,7, 8
2,3, 4,5 2,3, 4,5, 6,7, 8
2,3, 4,5 2,3, 4,5, 6,7, 8
Comply with and Use Procedures (1) 2,3, 4,5 2,3, 4,5, 6,7, 8
2,3, 4,5 2,3, 4,5, 6,7, 8
2,3, 4,5 2,3, 4,5, 6,7, 8
2,3, 4,5 2,3, 4,5, 6,7, 8
Operate Control Boards (2)
NA NA NA NA NA NA NA NA Communicate and Interact All All All All All All All All Demonstrate Supervisory Ability (3)
All All All All All All All All Comply with and Use TS (3) 3,4 3,4 3,4 3,4 3,4 3,4 3,4 3,4 Notes:
(1)
Includes TS compliance for an RO.
(2)
Optional for an SRO-U.
(3)
Only applicable to SROs.
ES-301 Competencies Checklist Form ES-301-6 Instructions:
Check the applicants license type and enter one or more event numbers that will allow the examiners to evaluate every applicable competency for every applicant. (This includes all rating factors for each competency.) (Forms ES 303 1 and ES 303 3 describe the competency rating factors.)
Facility: PVNGS Date of Examination: 4/26/2021 Operating Test No.: 2021 APPLICANTS RO SRO-I SRO-U-6 X
Competencies SCENARIO 1
2 3
4 Interpret/Diagnose Events and Conditions 2,3, 4,5 2,3, 4,5, 6,7, 8
Comply with and Use Procedures (1) 2,3, 4,5 2,3, 4,5, 6,7, 8
Operate Control Boards (2)
NA NA Communicate and Interact All All Demonstrate Supervisory Ability (3)
All All Comply with and Use TS (3) 3,4 3,4 Notes:
(1)
Includes TS compliance for an RO.
(2)
Optional for an SRO-U.
(3)
Only applicable to SROs.
- Candidates Exam Week Site / Docket # / Insp Rpt #
RO LSRO SROI SROU Type Exam Author Chief Examiner Examiners Assigned 03/21/2021 Palo Verde / 05000528, 05000529, 05000530
/ 2021301 CAC #: 000956 FB-OR-ONSITE VALIDATI ON OF INITIAL LICENSE EXAMIN ATION (OV)
Osterholtz, Clyde Bergeon,Bryan Doyle,Matthew Farina,Thomas Hayes,Mahdi Kirkland,John Osterholtz,Clyde 04/25/2021 Palo Verde / 05000528, 05000529, 05000530
/ 2021301 CAC #: 000500 13 0
2 6
FB-OR-INITIAL LICENSE EXAM ADMINIS TRATION (EXAD)
NFF Osterholtz, Clyde Bergeon,Bryan Doyle,Matthew Farina,Thomas Hayes,Mahdi Hedger,Sean Kirkland,John Osterholtz,Clyde Page 1 of 4 5/10/2021 5:43:50 PM Orgs: ALL Sites: PALO Exam Author: ALL Activity Codes: EXAD, NEXAD, NOV, OV IP 21 Operator Licensing Exam Schedule Phase Code: 2 - Construction, 5 - Operational Region: 4 From 01/01/2021 to 09/30/2021
Summary by Date RO SROI SROU LSRO Total 04/2021 13 2
6 0
21 Page 2 of 4 5/10/2021 5:43:50 PM Orgs: ALL Sites: PALO Exam Author: ALL Activity Codes: EXAD, NEXAD, NOV, OV IP 21 Operator Licensing Exam Schedule Phase Code: 2 - Construction, 5 - Operational Region: 4 From 01/01/2021 to 09/30/2021
Summary by Site RO SROI SROU LSRO Total Palo Verde 13 2
6 0
21 Page 3 of 4 5/10/2021 5:43:50 PM Orgs: ALL Sites: PALO Exam Author: ALL Activity Codes: EXAD, NEXAD, NOV, OV IP 21 Operator Licensing Exam Schedule Phase Code: 2 - Construction, 5 - Operational Region: 4 From 01/01/2021 to 09/30/2021
Summary by Region RO SROI SROU LSRO Total Region 4 13 2
6 0
21 Page 4 of 4 5/10/2021 5:43:50 PM Orgs: ALL Sites: PALO Exam Author: ALL Activity Codes: EXAD, NEXAD, NOV, OV IP 21 Operator Licensing Exam Schedule Phase Code: 2 - Construction, 5 - Operational Region: 4 From 01/01/2021 to 09/30/2021