ML21361A177

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Proposed SRO Admin JPM
ML21361A177
Person / Time
Site: Byron  Constellation icon.png
Issue date: 10/28/2021
From: Gregory Roach
NRC/RGN-III/DRS/OLB
To:
Exelon Generation Co
Roach G
Shared Package
ML21055A845 List:
References
BYRON 2021-0041, 1.10.0101 (10 .101), 50-454/21-301, 50-455/21-301 50-454/OL-21, 50-455/OL-21
Download: ML21361A177 (75)


Text

SA-1-05-0 Revision 0 Page 1 of 13 Job Performance Measure Review a QPTR Calculation for Acceptance Criteria JPM Number: SA-1-05-0 Revision Number: 0 Date: 07/08/21 Developed By: Benjamin Reyes / 07/07/21 Instructor: Print / Sign Date Reviewed By: Barry Mingus / 07/08/21 SME or Instructor: Print / Sign Date Reviewed By: /

Operations Representative: Print / Sign Date Approved By: /

Training Department: Print / Sign Date SRRS: 3D.105 (when utilized for operator initial or continuing training)

SA-1-05-0 Revision 01 Page 2 of 13 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: 1BOSR 2.4.1-1 Revision: 16 Procedure: Revision:

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

SA-1-05-0 Revision 01 Page 3 of 13 Revision Record (Summary)

Revision # Summary 0 Created new SRRS: 3D.100; There are no retention requirements for this section

SA-1-05-0 Revision 01 Page 4 of 13 SETUP INSTRUCTIONS

1. This is an administrative JPM that may be performed in any setting where the necessary procedures and support information can be provided.
2. Verify current revisions of the following information is available for the JPM performance:
  • 1BOSR 2.4.1-1 Rev: 16
3. ENSURE the following is available during performance of the JPM:
  • Completed 1BOSR 2.4.1-1 Rev: 16 Handout
  • Operator Aid with 100% currents
  • Blank Data 3 Sheet
  • Calculator
4. ENSURE the following between performances of the JPM:
  • New clean procedure copies for candidate to work from during performance
5. This completes the setup for this JPM.

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

SA-1-05-0 Revision 01 Page 5 of 13 INITIAL CONDITIONS You are the Unit 1 Unit Supervisor Unit 1 is in Mode 1, 100% power, steady state The Plant Process Computer has been inoperable for the last 30 minutes PDMS is inoperable The Unit NSO has just completed 1BOSR 2.4.1-1, UNIT ONE QUADRANT POWER TILT RATIO CALCULATION using the IM DVM data to satisfy the weekly surveillance frequency.

All NI channels are OPERABLE.

The Shift Manager has given his permission and the cover sheet has been signed Indicated power readings: N41=99.8%, N42=99.8%, N43=99.9%, N44=99.9%

DVM Data:

QA#: RT25689 Cal Date: 10/16/21 Upper Detector A N41: 0.197 Lower Detector B N41: 0.196 Upper Detector A N42: 0.190 Lower Detector B N42: 0.193 Upper Detector A N43: 0.192 Lower Detector B N43: 0.190 Upper Detector A N44: 0.192 Lower Detector B N44: 0.190 INITIATING CUE Review the completed 1BOSR 2.4.1-1 UNIT ONE QUADRANT POWER TILT RATIO CALCULATION surveillance to ensure correct completion and verify acceptance criteria.

Document on the cue sheet.

Acceptance Criteria met: Y N LCO Entry required: Y N LCO (N/A if entry not required):

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

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

SA-1-05-0 Revision 01 Page 6 of 13 Information For Evaluators Use:

UNSAT requires written comments on respective step.

  • Denotes critical steps: 4, 6, 7, 8, 9, 10, 11, & 12 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 candidate 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

SA-1-05-0 Revision 01 Page 7 of 13 JPM Start Time: JPM Sequence #: of Task Standard:

The candidate will review the completed QPTR 1BOSR 2.4.1-1 using the provided IM DVM data and document on Cue sheet. The candidate will verify the calculation and determine an error in the QPTR at step F.2.e. The error will be above the acceptance criteria of 1.02.

The candidate will determine that the surveillance does not meet the acceptance criteria and determine that entry into Tech Spec 3.2.4 QUADRANT POWER RANGE TILT RATIO (QPTR) is required.

Comment STEP ELEMENT STANDARD SAT UNSAT Number

1. Refer to 1BOSR 2.4.1-1, Unit
  • Refer to Handout One Quadrant Power Tilt Ratio Calculation completed surveillance
2. Review proper step completed
  • VERIFIES Step F.1 is N/A
  • VERIFIES Step F.2 is ___

completed

3. Review Step 2.a data on Data
  • VERIFIES information on sheet D3 Data Sheet D3 matches cue information
  • Indicated power readings ___
  • N41 = 99.8%
  • N42 = 99.8%
  • N43 = 99.9%
  • N44 = 99.9%

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

SA-1-05-0 Revision 01 Page 8 of 13 Comment STEP ELEMENT STANDARD SAT UNSAT Number

  • 4. Verify detector current
  • VERIFY information on Data Sheet D3 from cue sheet multiplied by 1000
  • Upper Detector Current
  • N-41 = 197
  • N-42 = 190
  • N-43 = 192 ___
  • N-44 = 192
  • Lower Detector Current
  • N-41 = 196
  • N-42 = 193
  • N-43 = 190
  • N-44 = 190
5. Verify DVM QA number and Cal
  • VERFIY DVM QA number Date recorded and Cal Date recorded on Data Sheet D3
  • QA#: RT25689
  • Cal Date: 10/16/21
  • 6. Verify data from Operator Aid
  • VERIFY information from Operator Aid recorded on Data Sheet D3
  • Upper Detector Current
  • N-41 = 200.5
  • N-42 = 199.2
  • N-43 = 200.5 ___
  • N-44 = 202.8
  • Lower Detector Current
  • N-41 = 201
  • N-42 = 201.3
  • N-43 = 199.5
  • N-44 = 200.5 SRRS: 3D.105 (when utilized for operator initial or continuing training)

SA-1-05-0 Revision 01 Page 9 of 13 Comment STEP ELEMENT STANDARD SAT UNSAT Number NOTE: The surveillance actual value is calculated so that the QPTR will not meet surveillance acceptance criteria. An error is in the calculation that shows acceptance criteria is met. The values in bold are from the Data sheet. The correct values are in parenthesis behind the shown data, as the error will carry forward.

Depending on what point in the calculations the candidates makes rounding calculated numbers, final answers by the candidate may not exactly match those on the data sheet. This is satisfactory as long as the error is determined in the correct detector N41.

  • 7. Review the Normalized
  • VERIFY, on Data Sheet Detector Current D3, the Normalized Detector Current by dividing the obtained detector current by the 100% current (obtained in Step F.2.c):
  • Upper Detector Current
  • N-41 = 197/200.5 =

0.9285 (0.9825)

  • N-42 = 190/199.2 =

0.9538

  • N-43 = 192/200.5 = ___

0.9576

  • N-44 = 192/202.8 =

0.9467

  • Lower Detector Current
  • N-41 = 196/201.0 =

0.9751

  • N-42 = 193/201.3 =

0.9588

  • N-43 = 190/199.5 =

0.9524

  • N-44 = 190/200.5 =

0.9476 SRRS: 3D.105 (when utilized for operator initial or continuing training)

SA-1-05-0 Revision 01 Page 10 of 13 Comment STEP ELEMENT STANDARD SAT UNSAT Number

  • 8. Review the Average Normalized
  • VERIFY on Data Sheet D3, Detector Current for: Average Normalized Detector Current for (Step F.2.e):

Upper detectors:

0.9285+ 0.9538 + 0.9576 + ___

0.9467 = 3.7866/4 = 0.9467 (0.9602)

Lower detectors:

0.9751 + 0.9588 + 0.9524 +

0.9476 = 3.8289/4 = 0.9585

  • 9. Review Quadrant Power Tilt
  • VERIFY on Data Sheet D3, Ratio the Quadrant Power Tilt Ratio (Step F.2.f):

Upper Detector Current

  • N-41 = 0.9285 / 0.9467 =

0.9808 (1.023)

  • N-42 = 0.9538 / 0.9467 =

1.0075 (0.9933)

  • N-43 = 0.9576 / 0.9467 =

1.0115 (0.9973)

  • N-44 = 0.9467 / 0.9467 = ___

1.0000 (0.9859)

Lower Detector Current

  • N-41 = 0.9751 / 0.9585 =

1.0173

  • N-42 = 0.9588 / 0.9585 =

1.0003

  • N-43 = 0.9524 / 0.9585 =

0.9936

  • N-44 = 0.9476 / 0.9585 =

0.9886 SRRS: 3D.105 (when utilized for operator initial or continuing training)

SA-1-05-0 Revision 01 Page 11 of 13 Comment STEP ELEMENT STANDARD SAT UNSAT Number

  • 10. DETERMINE Quadrant Power
  • DETERMINE Quadrant Tilt Ratio requirements are not Power Tilt Ratio has met exceeded 1.02 (1.0232) and ___

documents on cue sheet

  • 11. DETERMINE Acceptance
  • DETERMINE Acceptance criteria criteria is not met and ___

document on cue sheet

  • 12. DETERMINE LCO requirement
  • DETERMINE LCO 3.2.4 QUADRANT POWER RANGE TILT RATIO (QPTR) is required CUE This JPM is Complete.

JPM Stop Time:

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

SA-1-05-0 Revision 01 Page 12 of 13 JPM

SUMMARY

Operators Name: Emp. ID#:

Job

Title:

EO RO SRO FS STA/IA SRO Cert JPM

Title:

Review a QPTR Calculation for Acceptance Criteria JPM Number: RA-1-04-1 Revision Number: 0 Task Number and

Title:

8E.AM-123 Review surveillances to ensure compliance with Tech Spec and Non-Tech Spec requirements Task Standard: The candidate will review the completed QPTR 1BOSR 2.4.1-1 using the provided IM DVM data and document on Cue sheet. The candidate will verify the calculation and determine an error in the QPTR at step F.2.e. The error will be above the acceptance criteria of 1.02. The candidate will determine that the surveillance does not meet the acceptance criteria and determine that entry into Tech Spec 3.2.4 QUADRANT POWER RANGE TILT RATIO (QPTR) is required.

K/A Number and Importance: G2.1.7 (4.7)

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

Procedure: 1BOSR 2.4.1-1 Revision: 16 Procedure: Revision:

Procedure: Revision:

Procedure: Revision:

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 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)

INITIAL CONDITIONS You are the Unit 1 Unit Supervisor Unit 1 is in Mode 1, 100% power, steady state The Plant Process Computer has been inoperable for the last 30 minutes PDMS is inoperable The Unit NSO has just completed 1BOSR 2.4.1-1, UNIT ONE QUADRANT POWER TILT RATIO CALCULATION using the IM DVM data to satisfy the weekly surveillance frequency.

All NI channels are OPERABLE.

The Shift Manager has given his permission and the cover sheet has been signed Indicated power readings: N41=99.8%, N42=99.8%, N43=99.9%, N44=99.9%

DVM Data:

QA#: RT25689 Cal Date: 10/16/21 Upper Detector A N41: 0.197 Lower Detector B N41: 0.196 Upper Detector A N42: 0.190 Lower Detector B N42: 0.193 Upper Detector A N43: 0.192 Lower Detector B N43: 0.190 Upper Detector A N44: 0.192 Lower Detector B N44: 0.190 INITIATING CUE Review the completed 1BOSR 2.4.1-1 UNIT ONE QUADRANT POWER TILT RATIO CALCULATION surveillance to ensure correct completion and verify acceptance criteria.

Document on the cue sheet Acceptance Criteria met: Y N LCO Entry required: Y N LCO (N/A if entry not required):

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

PROCEDURE NO.

1BOSR 2.4.1-1 UNIT NO. REVISION NO.

BYRON STATION 1 16 PROCEDURE TITLE:

UNIT ONE QUADRANT POWER TILT RATIO CALCULATION Rev Summary IR/AT# EC# Procedure Database Tracking #

16 Addition of precaution D.2 and Attachment 1 for cycling range 04275935 28748 switch.

15 Change wording in note for eWP. 27488 14 Change wording in note to better reflect intent 24041 13 Provide Reference to PPC QPTR screen 2581835-01 403327 23675 12 Restore D2 and D3 designations to pages 5 and 6. 2514079-02 21499 11 Remove N/A from step F.2.b.2. 2508258-02 21459 10 Add D2 and D3 designations to pages 5 and 6. 1441483-02 16884 9 Remove Obsolete EP Related Reference - Point History 229342-01 9543 replaced by PPDS.

8 Delete Option #3 of the procedure, which was to use computer point history data prior to calibration of the power range drawers.

In addition, Option #1 is clarified to explain that it does apply during those times when only a portion of the power range drawers have been calibrated 7

  • Change 1BVSR 2.4.2-1 references to NF-AP-545.

1BOSR 2.4.1-1 Revision 16 Page 1 of 7 Continuous Use UNIT ONE QUADRANT POWER TILT RATIO CALCULATION A. STATEMENT OF APPLICABILITY:

This procedure applies to the verification of Quadrant Power Tilt Ratio, (QPTR) in Mode 1 above 50% Rated Thermal Power when Power Distribution Monitoring System (PDMS) is inoperable, once per 7 days when either the computer and Rod Dev Power Rng Tilts alarm or the flux deviation alarms for NIS Power Range Tilts are operable and once per 12 hours1.388889e-4 days <br />0.00333 hours <br />1.984127e-5 weeks <br />4.566e-6 months <br /> when all alarms are inoperable. This procedure also verifies QPTR once per 12 hours1.388889e-4 days <br />0.00333 hours <br />1.984127e-5 weeks <br />4.566e-6 months <br /> when QPTR is not within limits. This procedure may be used to calculate QPTR with only three operable Power Range NIS if < 75% of RTP and may be credited via performance of NF-AP-545. This procedure is not required to be performed until 12 hours1.388889e-4 days <br />0.00333 hours <br />1.984127e-5 weeks <br />4.566e-6 months <br /> after declaring PDMS inoperable.

B.

REFERENCES:

1. Technical Specifications:
a. LCO 3.2.4
b. SR 3.2.4.1
2. Station Procedures:
a. BAR 1-4-A6, Computer Trouble.
b. BAR 1-10-A4, Pwr Rng Upper Det Flux Dev High.
c. BAR 1-10-A7, Rod Dev Power Rng Tilts.
d. BAR 1-10-B4, Pwr Rng Lower Det Flux Dev High.
e. 1BOL 2.4, Quadrant Power Tilt Ratio (QPTR).
f. 1BOL 3.h, Power Distribution Monitoring System (PDMS).
3. Nuclear Station Procedures:
a. NF-AP-545, Quadrant Power Tilt Ratio (QPTR) Checkout Using Incores.

1BOSR 2.4.1-1 Revision 16 Page 2 of 7 Continuous Use C. PREREQUISITES:

1. Receive permission from the Shift Manager or designated SRO licensed assistant prior to performing this surveillance by having the Data Package Cover Sheet signed and dated.
2. Attempt to obtain Tave - Tref < 1°F prior to data collection for the surveillance.
3. RCCA movement should be avoided during the collection of detector current data.
4. Reactor power should be constant while recording detector current data.
5. Obtain the last determined 100% Power NIS Detector Currents from the Station Reactor Engineer or the Operator Aid on 1PM07J.

D. PRECAUTIONS:

1. Ensure the Range Switches for the front panel detector current meters are positioned such that the current indication is approximately mid-scale or greater to improve accuracy.
2. Buildup of dust and other material on the contacts of the Range Switch may cause the current indication on the NIS meters to be suspect. If a suspect reading is observed (i.e. hand calculated QPTR values are unexpected), then cycle the Range Switch associated with the NIS meter in question to wipe/exercise the contacts, prior to reforming the QPTR calculation. Use Attachment 1 to document the cycling. (Multiple copies of Attachment 1 may be used as necessary)

E. LIMITATIONS AND ACTIONS:

1. As stated in Technical Specification LCO 3.2.4.
2. In the event the Acceptance Criteria is not met during the performance of this procedure, IMMEDIATELY NOTIFY the Unit Supervisor to initiate 1BOL 2.4.
3. Perform the surveillance using the most recent set of 100% Power NIS Detector currents available (applicable to Section F.2 only). Obtain the set of 100% Power Detector currents from the Station Reactor Engineer or from the Operator Aid on 1PM07J. Do not mix sets of detector current readings.

1BOSR 2.4.1-1 Revision 16 Page 3 of 7 Continuous Use F. MAIN BODY:

NOTE Use one of the following sections to determine the Quadrant Power Tilt Ratio, and mark the sections not used "N/A".

Section F.1 determines the QPTR using Process Computer PPDS data. The process computer point calculation is the most accurate method of calculating QPTR and should normally be used.

Section F.2 determines the QPTR using the NIS Current Meters (either by visually reading the meter or using a DVM).

NOTE With one Power Range Channel INOPERABLE and THERMAL POWER > 50% but < 75%, the QPTR may be calculated using the three OPERABLE channels. With one Power Range channel input to QPTR INOPERABLE with THERMAL POWER > 75%, the QPTR shall be calculated using the three OPERABLE channels and taking data from the MIDS via NF-AP-545.

NOTE The QPTR PPC Screen, located with the Operator Surveillances main menu, may be used to obtain data.

N/A

1. DETERMINE and RECORD on Data Sheet D2 the Quadrant Power Tilt Ratio, for the Upper Detectors (A) and Lower Detectors (B) using Computer Point Data if the NIS drawers have been calibrated:
a. Time, Date, and Indicated Power from the NIS Power Range Drawers.
b. Operable Power Range Detector Voltage computer point reading.
c. Average Computer Point Reading = Sum of Computer Point Voltages Number of NIS Channels Operable
d. Quadrant Power Tilt Ratio = Computer Point Voltage Average Computer Point Voltage (¢)
2. DETERMINE and RECORD on Data Sheet D3 the Quadrant Power Tilt Ratio, for the Upper (A) & Lower (B) Detectors.
a. Time, Date, and Indicated Power from the NIS Power Range Drawers.
b. Present detector current, by one of the following methods.

1BOSR 2.4.1-1 Revision 16 Page 4 of 7 Continuous Use F.2.b. continued N/A 1). OBTAIN detector current readings from each operable NI Channel front panel detector current meters. MARK DVM QA Number and Cal Date N/A on Data Sheet D3.

CAUTION A Rx trip could occur if a 2 of 4 coincidence is made up due to a channel trip on the power range detector being measured. The DVM MUST be set to the millivolt range for detector current readings to prevent a channel trip.

2). OBTAIN detector current by having an IM Technician connect a DVM (SET to the millivolt range), one channel at a time, across the 1K Ohm precision resistor in each operable power range drawer for a millivolt reading. This reading must be multiplied by 1000 and then recorded as the detector current reading in Micro-Amps.

RECORD DVM QA Number and Cal Date on Data Sheet D3.

c. Last determined 100% Power NIS Detector Current, (OBTAIN from Station Reactor Engineer or the Operator Aid on 1PM07J).
d. Normalized Detector Currents = Detector Current 100% current
e. Average Normalized Current = Sum of Normalized Detector Currents
  1. of NIS Channels operable
f. Quadrant Power Tilt Ratio = Normalized Detector Current Average Normalized Current (¢)

G. ACCEPTANCE CRITERIA:

1. No Quadrant Power Tilt Ratio shall exceed 1.02 (SR 3.2.4.1).

1BOSR 2.4.1-1 Revision 16 Page 5 of 7 Continuous Use ATTACHMENT 1 RANGE SWITCH CYCLING NOTE N/A Multiple copies of Attachment 1 may be used as necessary.

1. DOCUMENT the Power Range Channel of Interest.

N41 N42 N43 N44

2. DOCUMENT the Power Range meter that requires adjustment.

Upper Detector (Det. A)

Lower Detector (Det. B)

3. DOCUMENT the as-found position of the Range Switch for the meter identified above.

0.1 milli-Amp 0.5 milli-Amp 1 milli-Amp 5 milli-Amp Verification:

NOTE During switch manipulation, there is a possibility that PWR RNG UPPER DET Flux Deviation High and or PWR RNG LOWER DET Flux Deviation High alarm may annunciate (1-10-A4 and or 1-10-B4)

4. CYCLE the Range Switch at least 3 times.
5. VERIFY that the Range Switch is placed back in the as-found position from Step 3 above:

Verification:

1BOSR 2.4.1-1 Revision 16 Page 6 of 7 Continuous Use UNIT ONE QUADRANT POWER TILT RATIO CALCULATION DATA SHEET D2 N/A N41 N42 N43 N44

/  %  %  %  %

Time / Date UPPER DETECTORS (A) N41 N42 N43 N44 Computer Point N0041 N0043 N0045 N0047 Present Computer Point Reading . . . .

Average Computer Point Reading ////////////////////////////////////////////// . /////////////////////////////////////////////////

Upper Quadrant Power Tilt Ratio

(¢ < 1.02) . ¢ . ¢ . ¢ . ¢ LOWER DETECTORS (B) N41 N42 N43 N44 Computer Point N0042 N0044 N0046 N0048 Present Computer Point Reading . . . .

Average Computer Point Reading ////////////////////////////////////////////// . ///////////////////////////////////////////////

Quadrant Power Tilt Ratio

(¢ < 1.02) . ¢ . ¢ . ¢ . ¢ Acceptance Criteria No Quadrant Power Tilt Ratio shall exceed 1.02 (SR 3.2.4.1).

1BOSR 2.4.1-1 Revision 16 Page 7 of 7 Continuous Use UNIT ONE QUADRANT POWER TILT RATIO CALCULATION DATA SHEET D3 RT25689 10/16/21 DVM QA# Cal Date N41 N42 N43 N44 Now / 99.8  % 99.8_% _99.9_% _99.9_%

Time / Date UPPER DETECTORS (A) N41 N42 N43 N44 Detector Current 197 190 192 192 100% Detector Current _2 _0 _0._5 _1 _9 _9._2 _2 _0 _0._5 _2 _0 _2._8 Normalized Detector Current _0 ._9 _2 _8_5 _0 ._9 _5 _3_8 _0 ._9 _5 _7_6 _0 ._9 _4 _6_7 Average Normalized Current ////////////////////////////////////////////// _0 ._9 _4 _6_7 /////////////////////////////////////////////////

Quadrant Power Tilt Ratio

(¢ < 1.02) _0 ._9 _8 _0_8 ¢ _1 ._0 _0 _7_5 ¢ _1 ._0 _1_1_5 ¢ _1 ._0 _0 _0_0 ¢ LOWER DETECTORS (B) N41 N42 N43 N44 Detector Current 196 193 190 190 100% Detector Current _2 _0 _1._0 _2 _0 _1._3 _1 _9 _9._5 _2 _0 _0._5 Normalized Detector Current _0 ._9 _7 _5_1 _0 ._9 _5 _8_8 _0 ._9 _5 _2_4 _0 ._9 _4 _7_6 Average Normalized Current ////////////////////////////////////////////// _0 ._9 _5 _8_5 /////////////////////////////////////////////////

Quadrant Power Tilt Ratio

(¢ < 1.02) _1 ._0 _1 _7_3 ¢ _1 ._0 _0 _0_3 ¢ _0 ._9 _9 _3_6 ¢ _0 ._9 _8 _8_6 ¢ Acceptance Criteria No Quadrant Power Tilt Ratio shall exceed 1.02 (SR 3.2.4.1).

1BOSR 2.4.1-1 Revision 16 Page 7 of 7 Continuous Use UNIT ONE QUADRANT POWER TILT RATIO CALCULATION DATA SHEET D3 DVM QA# Cal Date N41 N42 N43 N44

_______/______ ______% ______% ______% ______%

Time / Date UPPER DETECTORS (A) N41 N42 N43 N44 Detector Current 100% Detector Current __ __ __ __.__ __ __ __ __.__ __ __ __ __.__ __ __ __ __.__

Normalized Detector Current __.__ __ __ __ __.__ __ __ __ __.__ __ __ __ __.__ __ __ __

Average Normalized Current ////////////////////////////////////////////// __.__ __ __ __ /////////////////////////////////////////////////

Quadrant Power Tilt Ratio

(¢ < 1.02) __.__ __ __ __¢ __.__ __ __ __¢ __.__ __ __ __¢ __.__ __ __ __¢ LOWER DETECTORS (B) N41 N42 N43 N44 Detector Current 100% Detector Current __ __ __ __.__ __ __ __ __.__ __ __ __ __.__ __ __ __ __.__

Normalized Detector Current __.__ __ __ __ __.__ __ __ __ __.__ __ __ __ __.__ __ __ __

Average Normalized Current ////////////////////////////////////////////// __.__ __ __ __ /////////////////////////////////////////////////

Quadrant Power Tilt Ratio

(¢ < 1.02) __.__ __ __ __¢ __.__ __ __ __¢ __.__ __ __ __¢ __.__ __ __ __¢ Acceptance Criteria No Quadrant Power Tilt Ratio shall exceed 1.02 (SR 3.2.4.1).

SA-1-06-2 Revision 02 Page 1 of 10 Job Performance Measure Ensure Minimum Shift Staffing JPM Number: SA-1-06-2 Revision Number: 02 Date: 6/15/21 Developed By: Barry Mingus / 5/3/21 Instructor: Print / Sign Date Reviewed By: Benjamin Reyes / 6/10/21 SME or Instructor: Print / Sign Date Reviewed By: Peter Leonhardt /

Operations Representative: Print / Sign Date Approved By: Brian Lewin /

Training Department: Print / Sign Date SRRS: 3D.105 (when utilized for operator initial or continuing training)

SA-1-06-2 Revision 02 Page 2 of 10 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. BR
2. Knowledge and Abilities (K/A) references are included. BR
3. Performance location specified. (in-plant, control room, simulator, or other) BR
4. Initial setup conditions are identified. BR
5. Initiating cue (and terminating cue if required) are properly identified. BR
6. Task standards identified and verified by instructor or SME review. BR
7. Critical steps meet the criteria for critical steps and are identified with an asterisk (*). BR
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. BR
9. Verify the procedure(s) referenced by this JPM reflects the current revision:

Procedure: BAP 320-1 Revision: 24 Procedure: SY-AA-102-201 Revision: 13 Procedure: LS-AA-119 Revision: 15 Procedure: Revision:

10. Verify cues both verbal and visual are free of conflict. BR
11. Verify performance time is accurate.

BR

12. If the JPM cannot be performed as written with proper responses, then revise the JPM.

BR

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

SA-1-06-2 Revision 02 Page 3 of 10 Revision Record (Summary)

Revision # Summary 00 This JPM was developed for the 2017 ILT NRC Exam Updated procure reference SY-AA-102-201, Call-Outs for Unscheduled Work 01 to revision 11, no effect on elements and standards.

Updated critical steps based on review.

Updated to current template TQ-AA-150-J020 and current procedure revs.

02 Modified the JPM to be performed in a classroom setting.

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

SA-1-06-2 Revision 02 Page 4 of 10 SETUP INSTRUCTIONS

1. This is an Administrative JPM that may be performed in any setting where the necessary procedures and support information can be provided.
2. Provide current revisions of the following for use for the JPM:
  • BAP 320-1, Shift Staffing
  • BAP 320-1T1, Tech Spec/E-Plan/Fire Brigade/Safe Shutdown/Flex Assignments
  • LS-AA-119, Fatigue Management and Work Hour Limits
3. This completes the setup for this JPM.

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

SA-1-06-2 Revision 02 Page 5 of 10 INITIAL CONDITIONS

  • You are the Shift Manager.
  • It is 2300 on a Saturday
  • Unit 1 and Unit 2 are both at 100% power.
  • The Shift Technical Advisor (STA) receives a phone call from the State Police stating that his spouse has been in a car accident and is being transported by ambulance to the Swedish American Hospital in Rockford.
  • The STA notifies you that he needs to immediately leave the site to be with his spouse at the hospital.
  • There are no other STA qualified supervisors on shift.

All other positions are fully staffed. The WEC has performed a call out, and documented the results on SY-AA-102-201 Attachment 1.

eSOMs is currently unavailable due to a scheduled update and will be for another 4 hours4.62963e-5 days <br />0.00111 hours <br />6.613757e-6 weeks <br />1.522e-6 months <br />.

INITIATING CUE As the Shift Manager, determine the STA Staffing requirements to allow the STA to respond immediately to his personal emergency:

  • Determine the time constraints involved
  • Determine the availability of all STAs to meet the staffing requirements for call out within the time constraints Record your results on Cue Sheet 2.

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. 1 - 5 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 candidate 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 SRRS: 3D.100; There are no retention requirements for this section

SA-1-06-2 Revision 02 Page 6 of 10 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

SA-1-06-2 Revision 02 Page 7 of 10 JPM Start Time: JPM Sequence #: of Task Standard:

Candidate will determine shift staffing requirements are not met. The candidate will then review the available personnel from the callout and determine that individuals 1, 2, and 4 are not capable of currently filling the position and that individual 3 is capable of filling the position and is required to report to the site within 2 hours2.314815e-5 days <br />5.555556e-4 hours <br />3.306878e-6 weeks <br />7.61e-7 months <br />.

Comment STEP ELEMENT STANDARD SAT UNSAT Number

  • 01 Determines STA staffing
  • Determines that STA requirements position must be staffed in a Refers to: time not to exceed 2 hours2.314815e-5 days <br />5.555556e-4 hours <br />3.306878e-6 weeks <br />7.61e-7 months <br />.

(Document on cue sheet 2) ___

o BAP 320-1 o Tech Spec 5.2 NOTE: The following steps may be performed in any order. They must be documented on the cue sheet.

  • 02 Determines Caryn Johnson is Marks N for Caryn Johnson unavailable for unscheduled ___
  • Documents on Cue Sheet 2 relief. (will not arrive in time)
  • 03 Determines Charles Daniels is Marks N for Charles Daniels not available to work due to ___
  • Documents on Cue Sheet 2 WHR
  • 04 Determines Edward Fox is
  • Marks Y for Edward Fox available to be available to directed to report to work ___

report to work.

  • Documents on Cue Sheet 2
  • 05 Determines George Harris is Marks N for the George Harris NOT fit for duty and will NOT be ___
  • Documents on Cue Sheet 2 asked to come in.

CUE This JPM is complete.

JPM Stop Time:

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

Cue Sheet 1 JPM

SUMMARY

Operators Name: Emp. ID#:

Job

Title:

EO RO SRO FS STA/IA SRO Cert JPM

Title:

Ensure Minimum Shift Staffing JPM Number: SA-1-06-2 Revision Number: 02 Task Number and

Title:

8E.AM-029, Ensure Minimum Shift Staffing and Authorize Additional Shift Staffing as Necessary Task Standard: Candidate will determine shift staffing requirements are not met. The candidate will then review the available personnel from the callout and determine that individuals 1, 2, and 4 are not capable of currently filling the position and that individual 3 is capable of filling the position and is required to report to the site within 2 hours2.314815e-5 days <br />5.555556e-4 hours <br />3.306878e-6 weeks <br />7.61e-7 months <br />.

K/A Number and Importance: 2.1.5, Importance 3.9 Suggested Testing Environment: Classroom Alternate Path: Yes No SRO Only: Yes No Time Critical: Yes No Reference(s):

Procedure: BAP 320-1 Revision: 24 Procedure: SY-AA-102-201 Revision: 13 Procedure: LS-AA-119 Revision: 15 Procedure: TS 5.2 Revision:

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 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)

Cue Sheet 1 INITIAL CONDITIONS You are the Shift Manager.

It is 2300 on a Saturday.

  • Unit 1 and Unit 2 are both at 100% power.

The Shift Technical Advisor (STA) receives a phone call from the State Police stating that his spouse has been in a car accident and is being transported by ambulance to the Swedish American Hospital in Rockford.

The STA notifies you that he needs to immediately leave the site to be with his spouse at the hospital.

There are no other STA qualified supervisors on shift.

All other positions are fully staffed. The WEC has performed a call out, and documented the results on SY-AA-102-201 Attachment 1.

eSOMs is currently unavailable due to a scheduled update and will be for another 4 hours4.62963e-5 days <br />0.00111 hours <br />6.613757e-6 weeks <br />1.522e-6 months <br />.

INITIATING CUE As the Shift Manager, determine the STA Staffing requirements to allow the STA to respond immediately to his personal emergency:

  • Determine the time constraints involved
  • Determine the availability of all STAs to meet the staffing requirements for call out within the time constraints Record your results on Cue Sheet 2 SRRS: 3D.105 (when utilized for operator initial or continuing training)

Cue Sheet 2 Shift Technical Advisor Qualified Individuals SRO responses to call out questions:

STA Contacted #1- Caryn Johnson #2- Charles Daniels #3 - Edward Fox #4 - George Harris Have you consumed Alcohol in No No No Yes, currently consuming.

the Past 5 Hours?

Are you fit for Duty? Yes Yes Yes No By working this call-out, will you I completed my Day- I have worked the I am in the middle of I completed my Training violate any of the Work Hour shift rotation on last six 12-hour night my Seven-off period. week on Friday.

Restrictions? Tuesday. shifts What is your estimated arrival I can arrive on site at I can arrive on site at I can arrive on site at If needed, I can arrive on time? 0200. 2355. 0030. site at 0600.

Time requirement: STA must be staffed within ______________

Eligible to be called in for the __Y__ _N__ __Y__ _N__ __Y__ _N__ __Y__ _N__

unscheduled relief? Circle Y/N SRRS: 3D.100; There are no retention requirements for this section

Cue Sheet 2 Shift Technical Advisor Qualified Individuals SRO responses to call out questions:

STA Contacted #1- Caryn Johnson #2- Charles Daniels #3 - Edward Fox #4 - George Harris Have you consumed Alcohol in No No No Yes, currently consuming.

the Past 5 Hours?

Are you fit for Duty? Yes Yes Yes No By working this call-out, will you I completed my Day- I have worked the I am in the middle of I completed my Training violate any of the Work Hour shift rotation on last six 12-hour night my Seven-off period. week on Friday.

Restrictions? Tuesday. shifts What is your estimated arrival I can arrive on site at I can arrive on site at I can arrive on site at If needed, I can arrive on time? 0200. 2355. 0030. site at 0600.

Time requirement: STA must be staffed within ____2 hours_______

Eligible to be called in for the __Y__ _N__ __Y__ _N__ __Y__ _N__ __Y__ _N__

unscheduled relief?

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

SY-AA-102-201 Revision 13 Page 9 of 10 ATTACHMENT 1 Call-Out Work Record Page 1 of 1 Date:_____Today_______________ Dept: ______OPS____________________

Name of Person conducting Call-Out ___Martin Smith_________________________

(Print Name)

Are you Fit For Individual Called Have you By working Security Comments, if Duty?

Out consumed this call-out, Notified Any (e.g. fatigued, Alcohol in mentally/physically will you To Test?

the Past 5 impaired to safely violate any of Hours? and competently the Work perform your Hour*

O OO O duties, etc.) Restrictions?

N Y N Y N Y N Y See cue sheet for 0 O Caryn Johnson O

comment details Charles Daniels O N Y N Y N Y N Y See cue sheet for OO comment details O N Y N Y N Y O

N Y See cue sheet for 0O O Edward Fox O

comment details N Y N Y N Y N Y See cue sheet for George Harris comment details N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y

  • As identified in LS-AA-119, Fatigue Management and Work Hour Limits.

Braidwood, Byron, Calvert Cliffs, Clinton, Dresden, Ginna, LaSalle, Nine Mile Point, Fitzpatrick and Quad Cities: Call-outs conducted by Exelon, forward to the Security Access and Fitness for Duty Lead. Call-outs conducted by Contractor or Vendor Companies shall be retained for audits.

Limerick, Oyster Creek, Peach Bottom and Three Mile Island: Each respective department conducting the call-out shall retain for audits.

SA-2-05-1 Revision 01 Page 1 of 11 Job Performance Measure INITIATE A LCOAR (1BOL 7.2)

JPM Number: SA-2-05-1 Revision Number: 01 Date: 6/9/21 Developed By: Benjamin Reyes / 6/9/21 Instructor: Print / Sign Date Reviewed By: Barry Mingus / 6/11/21 SME or Instructor: Print / Sign Date Reviewed By: Peter Leonhardt /

Operations Representative: Print / Sign Date Approved By: Brian Lewin /

Training Department: Print / Sign Date SRRS: 3D.105 (when utilized for operator initial or continuing training)

SA-2-05-1 Revision 01 Page 2 of 11 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: BAP 1400-6 Revision: 38 Procedure: 1BOL 7.2 Revision: 7 Procedure: BAR 1-1-E5 Revision: 6 Procedure: 1BOSR MS-W1 Revision: 12 Procedure: BOP MS-5 Revision: 23 Procedure: TS 3.7.2 and Bases Revision: 212 /93 Procedure: 1BOL 3.2 Revision: 12

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

SA-2-05-1 Revision 01 Page 3 of 11

/

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

SA-2-05-1 Revision 01 Page 4 of 11 Revision Record (Summary)

Revision # Summary 00 Modified SA3 Rev. 0 - Changed component that is in LCOAR Update JPM format to comply with current form revision.

This JPM was previously designated as N008 in the exam bank. JPM 01 number format revised to CR-2-05-1 in order to better track JPMs as opposed to changing letter designations based on where placed sequentially on ES-301 forms.

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

SA-2-05-1 Revision 01 Page 5 of 11 SETUP INSTRUCTIONS

1. This is an Administrative JPM that may be performed in any setting where the necessary procedures and support information can be provided.
2. Verify current revisions of the following procedures for place keeping and documentation is available for JPM performance:
  • BAP 1400-6
  • 1BOL 7.2
  • 1BOSR MS-W1
  • 1BOL 3.2
3. Ensure a calculator is available.
4. This completes the setup for this JPM.

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

SA-2-05-1 Revision 01 Page 6 of 11 INITIAL CONDITIONS

  • Unit 1 is in Mode 1.
  • You are the Unit 1 Supervisor.
  • 5 minutes ago the TR Operator reported that the 1D MSIV Standby Nitrogen Pressure is 4750 psig.
  • IR 1234567 has been written to document the issue.
  • There are currently no LCOARs or DELs on Unit 1.

INITIATING CUE

  • Evaluate condition and Initiate the LCOAR paperwork as necessary.

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. 2, 4, 5, and 13.

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 candidate 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

SA-2-05-1 Revision 01 Page 7 of 11 JPM Start Time: JPM Sequence #: of Task Standard:

The candidate will identify the conditions exist to enter 1BOL 7.2 due to the low pneumatic pressure. The candidate will fill in 1BOL 7.2 to identify the reason for the entry, the correct condition, verify no loss of Safety Function, and sign in the correct condition (A). When complete, the candidate will submit an initiated LCOAR for 1BOL 7.2 that matches SA-2-05-1 Answer Key.

Comment STEP ELEMENT STANDARD SAT UNSAT Number NOTE: The LCO form may be filled in any order. Different sections require the candidate to move back and forth in form.

NOTE: Provide the candidate with a copy of the procedures and materials listed in the reference materials.

1. Refer to BAP 1400-6,
  • LOCATE and OPEN BAP Technical Specification Limiting 1400-6 Conditions for Operation Action Requirements (LCOAR)
  • 2 Evaluate required LCOAR
  • Identify that 1BOL 7.2 LCOAR entry entry is required.

° T.S 3.7.2 and/or Bases

° 1BOL 7.2

° BAR 1-1-E5

° 1BOSR MS-W1

° BOP MS-5

° 1BOL 3.2 3 Refer to 1BOL 7.2, LCOAR

3.7.2 NOTE: If the candidate does not have a device to determine the time and a clock is not readily available, it is acceptable to provide the candidate with the current time if they so inquire.

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

SA-2-05-1 Revision 01 Page 8 of 11 Comment STEP ELEMENT STANDARD SAT UNSAT Number NOTE: Initiating event documentation can be similar wording. Not required to be verbatim.

  • 4 Section A of 1BOL 7.2 ENTER into Section A:
  • Time/Date: Today/5 minutes ago
  • By: Candidates name

Title:

Unit Supervisor (US) or equivalent

  • Present mode: 1
  • Initiating event: 1MS001D Standby Pneumatic Pressure

<4800 psig.

  • Condition: A
  • 5 Safety function determination PERFORM SFD
  • Indicate No in Section C
  • Sign Coversheet
  • Indicate NO on coversheet for invalidating current SFD NOTE: Acceptable if left Blank or may be place kept.

6 LCO 3.0.6 Evaluation

  • Place keep OR Leave Blank ___

7 Risk Informed Completion Time

  • Check No box (RICT) Evaluation CUE If asked, there are no RICT actions on U1 from any U2 LCOs.

8 Update DEL

  • Check N/A box ___

9 Determine Planned or

  • Mark UNPLANNED on Unplanned coversheet SRRS: 3D.105 (when utilized for operator initial or continuing training)

SA-2-05-1 Revision 01 Page 9 of 11 Comment STEP ELEMENT STANDARD SAT UNSAT Number NOTE: Candidate may inform SM of entry at this time, however, the SM Notified and time/date is typically completed after Peer Check received by another SRO.

NOTE: IR# will be recorded here.

10 Related WR/WO block

  • List IR # 1234567 ___

NOTE: Acceptable if left blank.

11 Fill in Related Clearance

  • N/A OR Leave Blank Orders 12 Was an IR written?
  • Check Yes box ___
  • 13 LCOAR TABLE of 1BOL 7.2
  • COMPLETE LCOAR Table:
  • CIRCLE Condition A
  • ENTER notification Time/Date AND sign Condition A CUE This JPM is completed.

JPM Stop Time:

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

SA-2-05-1 Revision 01 Page 10 of 11 JPM

SUMMARY

Operators Name: Emp. ID#:

Job

Title:

EO RO SRO FS STA/IA SRO Cert JPM

Title:

Initiate a LCOAR JPM Number: SA-2-05-1 Revision Number: 01 Task Number and

Title:

8E.TS-007 ENSURE compliance with all Tech Spec Action Statements Task Standard: The candidate will identify the conditions exist to enter 1BOL 7.2 due to the low pneumatic pressure. The candidate will fill in 1BOL 7.2 to identify the reason for the entry, the correct condition, verify no loss of Safety Function, and sign in the correct condition (A).

When complete, the candidate will submit an initiated LCOAR for 1BOL 7.2 that matches SA-2-05-1 Answer Key.

K/A Number and Importance: 2.2.23 Importance 4.6 Suggested Testing Environment: Classroom Alternate Path: Yes No SRO Only: Yes No Time Critical: Yes No Reference(s):

Procedure: BAP 1400-6 Revision: 38 Procedure: 1BOL 7.2 Revision: 7 Procedure: BAR 1-1-E5 Revision: 6 Procedure: 1BOSR MS-W1 Revision: 12 Procedure: BOP MS-5 Revision: 23 Procedure: TS 3.7.2 and Bases Revision: 212 / 93 Procedure: 1BOL 3.2 Revision: 12 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 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)

INITIAL CONDITIONS

  • Unit 1 is in Mode 1.
  • You are the Unit 1 Supervisor.
  • 5 minutes ago the TR Operator reports that the 1D MSIV Standby Nitrogen Pressure is 4750 psig.
  • IR 1234567 has been written to document the issue.
  • There are currently no LCOARs or DELs on Unit 1.

INITIATING CUE

  • Evaluate condition and Initiate the LCOAR paperwork as necessary SRRS: 3D.100; There are no retention requirements for this section

1BOL 7.2 Revision 7 Page 1 of 9 Reference Use FILE LOCATION: 2.05.0500 LCOAR MAIN STEAM ISOLATION VALVES (MSIVs)

TECH SPEC LCO # 3.7.2 A. NOTIFICATION For a surveillance not performed within its specified frequency, complete page 4 prior to declaring the applicable function(s) inoperable.

TIME/DATE: Start time - 5 minutes / Today BY: Candidate TITLE: SRO PRESENT MODE: 1 APPLICABLE MODE(s): 1, 2, and 3 **

INITIATING EVENT(s): 1MS001D Standby Pneumatic Pressure < 4800 psig (or similar statement)

CONDITION(S) A Pg(s) 5 SAFETY FUNCTION DETERMINATION (SFD) (Pg. 2) PERFORMED BY: Candidate DOES THIS INOPERABILITY INVALIDATE ANY CURRENT SFD? YES X NO DEL UPDATED FOR LCOAR ENTRIES PRECLUDED PER LCO 3.0.6 (Pg.3) By: OR X N/A NAME OF SM NOTIFIED: Matthew Winter PLANNED TIME/DATE: Current time / Current Date X UNPLANNED WAS AN IR RELATED WO/WR(s): RELATED CLEARANCE ORDER(s):

WRITTEN?

1234567 X YES NO If NO, Reason:

LCO 3.0.3: APPLICABLE MODE Change Allowed Per LCO 3.0.4: ***

Separate Condition entry allowed: VARIES BY CONDITION

    • Except when all MSIVs are closed in Modes 2 or 3.
      • Mode change NOT allowed into Mode 1. Mode change ALLOWED into Modes 2 and 3.

B. ACTIONS

1. IF a subsequent train, subsystem, component, or variable applicable to a CONDITION currently in effect becomes inoperable, THEN complete 1BOL 0.0 if applicable and attach it to this BOL.
2. IF present plant conditions are degraded beyond those conditions for which the Tech Spec provides, THEN INITIATE 1BOL 0.3.
3. COMPLETE, as required, the LCOAR Table per BAP 1400-6, checking all conditions to verify ALL applicable conditions are entered and followed.
4. Other related and potentially affected LCOAR procedures include:
a. 1BOL 3.2, Engineered Safety Feature Actuation System (ESFAS) Instrumentation.
b. 1BOL 3.y, Engineered Safety Feature Actuation System (ESFAS) Instrumentation.

1BOL 7.2 Revision 7 Page 2 of 9 Reference Use C. LOSS OF SAFETY FUNCTION (LOSF) EVALUATION:

Is there any inoperable or degraded SUPPORT or SUPPORTED equipment on the opposite/redundant train that, when coupled with this inoperable equipment, might result in a complete loss of a tech spec required safety function?

X No - No LOSF exists. No further evaluation is necessary. Proceed to D.

Yes - A LOSF may exist. Using the SFDP and BAP 1400-6, evaluate which of the following conditions apply:

a. The SSC is part of an LCO with multiple subsystems and the LCO specified function is intact. No LOSF exists.
b. The SSC is credited in the Safety Analysis Report (SAR) and the SAR operability criteria is/are met. No LOSF exists.
c. A LOSF exists. Perform the Required Actions of the SSC LCO in which the LOSF exists for the specific Condition(s) that apply.

D. LCO 3.0.6 - SUPPORTED SYSTEM LCOAR ENTRY EVALUATION WITH NO LOSF.

Perform this step only if no LOSF exists and it is desired to preclude entry into SUPPORTED SYSTEM LCOAR as allowed by LCO 3.0.6. A LOSF does not exist if the redundant train of the inoperable SUPPORTED SYSTEM(S) equipment is OPERABLE.

1. Rules of Usage
a. With a single SUPPORT SYSTEM inoperable, the affected SUPPORTED SYSTEM(s)

LCOAR entry(s) is not required to be entered unless directed by the SUPPORT SYSTEM Required Actions.

b. In the event additional SUPPORT SYSTEM(s) become inoperable, refer to TRM Appendix O, Safety Function Determination Program.

1BOL 7.2 Revision 7 Page 3 of 9 Reference Use D. 2. SUPPORT SYSTEM to SUPPORTED SYSTEM Tech Spec cross reference as found in the SFDP.

Complete the following table(s) for all inoperable SUPPORTED SYSTEMS for which LCOAR entry will not be made per the allowances of LCO 3.0.6.

Table 1: Supported System delayed LCOAR entry Table:

SUPPORT SYSTEM: LCO 3.7.2 Main Steam Isolation Valves (MSIVs)

SUPPORTED INOPERABLE Enter LCOAR SYSTEM TS SUPPORTED SYSTEM TIME / DATE TIME / DATE (a)

NUMBER None Pre-identified Table 2: ANY/All other SUPPORTED SYSTEMS which are inoperable as a result of the SUPPORTED SYSTEM(S) identified in table 1 above.

SUPPORTED 2nd / 3rd LEVEL INOPERABLE Enter LCOAR SYSTEM TS SUPPORTED SYSTEM TIME / DATE TIME / DATE (a)

NUMBER None Pre-identified (a) Only applicable with multiple SUPPORT SYSTEMs inoperable.

E. RISK INFORMED COMPLETION TIME (RICT) EVALUATION:

Is there any inoperable equipment that has a RICT currently in effect.

X No - No RICT Update is required.

Yes - RICT is in effect on a different LCO or this LCO calculate new completion time.

1BOL 7.2 Revision 7 Page 4 of 9 Reference Use LCOAR TABLE MAIN STEAM ISOLATION VALVES (MSIVs)

TECH SPEC SR 3.0.3 LCO compliance with a missed Surveillance.

CONDITION REQUIRED ACTION COMPLETION TIME Z. Discovery of a Z.1.1 PERFORM the surveillance SR number:

surveillance not within EITHER 24 hrs OR the performed within its surveillance frequency, CIRCLE completion time limit:

specified frequency. whichever is greater.

24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br />

/ Max Allowance SR Frequency TIME DATE AND /

TIME DATE SRO Z.1.2 -------------NOTE------------------

SRO Only applicable for surveillance to be delayed

> 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br />.

VERIFY COMPLETE a risk evaluation which indicates a risk impact that is manageable. 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br /> Max Allowance OR /

TIME DATE SRO Z.2 DECLARE the applicable function inoperable, complete Section A of this and/or any applicable BOL, and enter the appropriate conditions.

(Note 1) /

TIME DATE SRO Notes:

1. This time and date should also be entered in Section A (NOTIFICATION).

1BOL 7.2 Revision 7 Page 5 of 9 Reference Use LCOAR TABLE MAIN STEAM ISOLATION VALVES (MSIVs)

TECH SPEC 3.7.2 Pg COND Any Of The Following CONDITIONS:

CIRCLE applicable CONDITION(S) 5 A. One MSIV actuator train inoperable.

5 B. Two MSIV actuator trains inoperable on different MSIVs and in different ESF Divisions.

6 C. Two MSIV actuator trains inoperable on different MSIVs in the same ESF Division.

6 D. Two MSIV actuator trains inoperable on the same MSIV.

6 E. Three or more MSIV actuator trains inoperable.

6 E. Required Action and associated Completion Time of Condition A, B, or C not met.

6 F. One MSIV inoperable in MODE 1.

7 G. Required Action and associated Completion Time of Condition F not met.

7 H. One or more MSIV inoperable in MODE 2 or 3 when any MSIV is not closed.

7 I. Required Action and associated Completion Time of Condition H not met.

CONDITION REQUIRED ACTION COMPLETION TIME A. One MSIV actuator train A.1 Restore MSIV actuator train 7 days inoperable. to OPERABLE status.

Current Current OR

/

TIME DATE In accordance with The Risk Informed Completion Time Program Candidate SRO / _

TIME DATE SRO B. Two MSIV actuator trains B.1 Restore one MSIV actuator 72 hours8.333333e-4 days <br />0.02 hours <br />1.190476e-4 weeks <br />2.7396e-5 months <br /> inoperable on different train to OPERABLE status.

MSIVs and in different ESF Divisions. OR In accordance with The Risk Informed

/

Completion Time Program TIME DATE

/

TIME DATE SRO SRO

1BOL 7.2 Revision 7 Page 6 of 9 Reference Use CONDITION REQUIRED ACTION COMPLETION TIME C. Two MSIV actuator trains C.1 Restore one MSIV actuator 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br /> inoperable on different train to OPERABLE status.

MSIVs in the same ESF Division.

/

TIME DATE

/

SRO TIME DATE SRO D. Two MSIV actuator trains D.1 Declare the affected MSIV Immediately inoperable on the same inoperable.

MSIV.

/

TIME DATE

/

SRO TIME DATE SRO E. Three or more MSIV E.1 Declare each affected Immediately actuator trains MSIV inoperable.

inoperable.

OR Required Action and associated Completion Time of Condition A, B, or C not met.

/

TIME DATE

/

TIME DATE SRO SRO F. One MSIV inoperable in F.1 Restore MSIV to 8 hours9.259259e-5 days <br />0.00222 hours <br />1.322751e-5 weeks <br />3.044e-6 months <br /> MODE 1. (Note 3) OPERABLE status.

/ OR TIME DATE In accordance with The Risk Informed Completion Time Program SRO

/

TIME DATE SRO Notes:

3. 1BOL 3.y addresses individual MSIV C/S failures. The MSIV test switch not in normal renders the C/S unable to close the valve.

1BOL 7.2 Revision 7 Page 7 of 9 Reference Use CONDITION REQUIRED ACTION COMPLETION TIME G. Required Action and G.1 Be in MODE 2. (Note 7) 6 hours6.944444e-5 days <br />0.00167 hours <br />9.920635e-6 weeks <br />2.283e-6 months <br /> (Note 4) associated Completion Time of Condition F not met.

/

TIME DATE

/

TIME DATE SRO H. ------------NOTE------------- H.1 Close MSIV. 8 hours9.259259e-5 days <br />0.00222 hours <br />1.322751e-5 weeks <br />3.044e-6 months <br /> Separate Condition entry is allowed for each MSIV One or more MSIV AND /

inoperable in TIME DATE SRO MODE 2 or 3. H.2 Verify MSIV is closed. Once per 7 days (Note 3 & 5) (Note 6)

/

TIME DATE

_n/a /_n/a n/a SRO TIME DATE SRO I. Required Action and I.1 Be in MODE 3. (Note 7) 6 hours6.944444e-5 days <br />0.00167 hours <br />9.920635e-6 weeks <br />2.283e-6 months <br /> (Note 4) associated Completion Time of Condition H not met. AND

/

TIME DATE SRO

/ I.2 Be in MODE 4. 12 hours1.388889e-4 days <br />0.00333 hours <br />1.984127e-5 weeks <br />4.566e-6 months <br /> (Note 4)

TIME DATE

/

SRO TIME DATE SRO Notes:

3. 2BOL 3.y addresses individual MSIV C/S failures. The MSIV test switch not in normal renders the C/S unable to close the valve.
4. Failure to meet this completion time may require E-Plan implementation.
5. If more than 1 MSIV is inoperable in Modes 2 or 3, a LCOAR (Condition H) must be entered for each inoperable MSIV.
6. Completion Time, Date and SRO initials are recorded on Attachment A.
7. Initiation of a plant shutdown required by Tech Specs is reportable; refer to the Reportability Manual.

Completion of a plant shutdown required by Tech Specs is reportable; refer to the Reportability Manual.

1BOL 7.2 Revision 7 Page 8 of 9 Reference Use E. RESTORATION

1. An SRO shall determine the applicable surveillances and/or other actions required to demonstrate LCO restoration and LIST and/or MARK those that apply:
a. For the Initiating Event(s) in Section A (NOTIFICATION) of this LCOAR 1BOSR 7.2.1-1 1BOSR 7.2.1-2 TIME/DATE when these requirements are met / SRO
b. For the Initiating Event(s) List the component, etc. from in Section A (NOTIFICATION) line B.2 of the related of a related 1BOL 0.0. 1BOL 0.0.

FOR FOR FOR If more than 1 associated 1BOL 0.0 exists, use comments section to identify when the requirements are met for each.

TIME/DATE when these requirements are met / SRO

2. Comments:
3. Once all of the above requirements have been satisfactorily completed (with SM concurrence if appropriate), RECORD the Time and Date the LCO is met. TERMINATE the Action Requirements excluding any SPECIAL REPORT or SPECIAL ACTIONS and RETURN the affected Equipment/Unit to desired status.

SRO (NOT Duty S.M.): TIME/DATE: /

Remarks and/or additional requirements:

DUTY SHIFT MANAGER: TIME/DATE: /

1BOL 7.2 Revision 7 Page 9 of 9 Reference Use ATTACHMENT A MSIV POSITION VERIFICATION LOG UNIT # 1 MSIV 1A, 1B, 1C, 1D (circle one)

INITIAL PERFORMANCE DUE: /

TIME / DATE INITIAL PERFORMANCE COMPLETED: /

TIME / DATE SRO SUBSEQUENT DUE EVERY: 7 DAYS Results Acceptable Next Due Checked Checked for Continued SRO Review Closed By Ops (Note 8)

TIME/DATE TIME/DATE YES/NO SRO

/ / / Y N

/ / / Y N

/ / / Y N

/ / / Y N

/ / / Y N

/ / / Y N

/ / / Y N

/ / / Y N

/ / / Y N

/ / / Y N

/ / / Y N TIME/DATE TIME/DATE ATTACH ADDITIONAL COPIES OF THIS PAGE AS NECESSARY.

Notes:

8. Results are considered acceptable if the inoperable MSIV is in the CLOSED position.

SA-3-04-0 Revision 0 Page 1 of 8 Job Performance Measure Screen Event for Reportability - Radiological JPM Number: SA-3-04-0 Revision Number: 00 Date:

Developed By: Benjamin Reyes / 7/5/21 Instructor: Print / Sign Date Reviewed By: Barry Mingus / 7/6/21 SME or Instructor: Print / Sign Date Reviewed By: Peter Leonhardt /

Operations Representative: Print / Sign Date Approved By: Brian Lewin /

Training Department: Print / Sign Date SRRS: 3D.105 (when utilized for operator initial or continuing training)

SA-3-04-0 Revision 0 Page 2 of 8 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: Reportability Manual Revision:

Procedure: LS-AA-1120 Revision: 21 Procedure: LS-AA-1020 Revision: 31 Procedure: LS-AA-1110 Revision: 30

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

SA-3-04-0 Revision 0 Page 3 of 8 Revision Record (Summary)

Revision # Summary Modified S005 rev 6 Screen Event for Reportability - Medical to be Screen 00 Event for Reportability - Radiological.

Applied new template TQ-AA-150-J020.

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

SA-3-04-0 Revision 0 Page 4 of 8 SETUP INSTRUCTIONS

1. This is an administrative JPM that may be performed in any setting where the necessary procedures and support information can be provided.
2. Verify current revisions of the following procedures for place keeping and documentation is available for JPM performance:
  • Reportability Manual
  • LS-AA-1120 Rev 21 RADIATION REPORTABILITY EVENT SECTION
  • LS-AA-1020 Rev 31 REPORTABILITY TABLES AND DECISION TREES
  • LS-AA-1110 Rev 30 SAFETY REPORTABILITY EVENT SECTION
3. This completes the setup for this JPM.

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

SA-3-04-0 Revision 0 Page 5 of 8 INITIAL CONDITIONS

  • You are the Unit Supervisor.
  • The unit is in Mode 1.
  • The Shift Manager notifies you that an incident has occurred during the radiography testing of the Main Steam piping. An engineer entered the area in front of the Cobalt 60 source during the testing. Radiation Protection has just reported that the engineer received an estimated TEDE dose of 9 Rem from the exposure.
  • No media release or statement is planned at this time.

INITIATING CUE

  • The SM asks you to screen the event for Federal reportability requirements.
  • An E-Plan evaluation is NOT required.

Reportability Determination(s):

Required time(s) for notification:

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. 3 & 4 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 candidate 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

SA-3-04-0 Revision 0 Page 6 of 8 JPM Start Time: JPM Sequence #: of Task Standard:

The candidate will review the information provided in the cue and screen the event for reportability. The candidate will reference the Reportability Manual to determine that there are no reportability events from the Safety category and determine that 1.5 is applicable for notification within 30 day reportability in accordance with 10 CFR 20.2203(a).

Comment STEP ELEMENT STANDARD SAT UNSAT Number

1. Refer to Exelon Reportability OPEN Exelon Reportability Manual Manual.

NOTE: EAL classification is not required, per the cue. Candidate may confirm or review EALs.

2 Determine SAF conditions do

  • DETERMINE that there are NOT apply no SAF reportable ___

conditions NOTE: Evaluator discretion shall be used if other event reportability determinations are deemed to be reasonable. RAD 3.3 also applies, but is for State Notification, and, therefore, not required to satisfactorily complete the task.

  • 3 Screen event for reportability
  • Determine reportable per LS-AA-1120 RADIATION events RAD 1.5 ___

(RAD)

  • 4 Determine maximum time for
  • Determine required notification notification within 30 ___

days CUE This JPM is Complete JPM Stop Time:

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

SA-3-04-0 Revision 0 Page 7 of 8 JPM

SUMMARY

Operators Name: Emp. ID#:

Job

Title:

EO RO SRO FS STA/IA SRO Cert JPM

Title:

Screen Event for Reportability - Radiological JPM Number: SA-3-04-0 Revision Number: 0 Task Number and

Title:

8E.AM-102 Screen Reportable or Significant Events for Reportablility Task Standard: The candidate will review the information provided in the cue and screen the event for reportability. The candidate will reference the Reportability Manual to determine that there are no reportability events from the Safety category and determine that 1.5 is applicable for notification within 30 day reportability in accordance with 10 CFR 20.2203(a).

K/A Number and Importance: 2.3.4 Importance 3.7 Suggested Testing Environment: Classroom Alternate Path: Yes No SRO Only: Yes No Time Critical: Yes No Reference(s):

Procedure: Reportability Manual Revision:

Procedure: LS-AA-1120 Revision: 21 Procedure: LS-AA-1020 Revision: 31 Procedure: LS-AA-1110 Revision: 30 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 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)

INITIAL CONDITIONS

  • You are the Unit Supervisor.
  • The unit is in Mode 1.
  • The Shift Manager notifies you that an incident has occurred during the radiography testing of the Main Steam piping. An engineer entered the area in front of the Cobalt 60 source during the testing. Radiation Protection has just reported that the engineer received an estimated TEDE dose of 9 Rem from the exposure.
  • No media release or statement is planned at this time.

INITIATING CUE

  • The SM asks you to screen the event for Federal reportability requirements.
  • An E-Plan evaluation is NOT required.

Reportability Determination(s):

Required time(s) for notification:

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

SA-4-04-5 Revision 05 Page 1 of 11 Job Performance Measure Emergency Dose Authorization JPM Number: SA-4-04-5 Revision Number: 05 Date:

Developed By: Benjamin Reyes / 6/3/21 Instructor: Print / Sign Date Reviewed By: Barry Mingus / 6/11/21 SME or Instructor: Print / Sign Date Reviewed By: Peter Leonhardt /

Operations Representative: Print / Sign Date Approved By: Brian Lewin /

Training Department: Print / Sign Date SRRS: 3D.105 (when utilized for operator initial or continuing training)

SA-4-04-5 Revision 05 Page 2 of 11 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

SA-4-04-5 Revision 05 Page 3 of 11 Revision Record (Summary)

Revision # Summary Applied new template TQ-JA-150-02 Rev.1 Verified/ updated KAs and TPOs to current revision 02 Validated 03/03/13 by Bill Hochstetter and Rob Lawlor, only change was procedure rev that did not affect JPM.

Applied new template TQ-AA-150-J020 to JPM SA-4 on 2013 NRC Exam.

Removed final non-critical step for documentation of dose when complete as JPM is for the emergency dose authorization portion.

03 Revised procedure revision.

Revised task number per VISION.

Clarified initiating cue and added cue that volunteer has had no previous 04 Emergency Exposures.

05 Applied new template TQ-AA-150-J020 SRRS: 3D.100; There are no retention requirements for this section

SA-4-04-5 Revision 05 Page 4 of 11 SETUP INSTRUCTIONS

1. This is an administrative JPM that may be performed in any setting where the necessary procedures and support information can be provided.
2. Verify clean copies and current revisions of the following procedures for place keeping and documentation is available for JPM performance:
  • EP-AA-113-F-02, AUTHORIZATION FOR EMERGENCY EXPOSURE
3. This completes the setup for this JPM.

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

SA-4-04-5 Revision 05 Page 5 of 11 INITIAL CONDITIONS A LOCA has occurred on Unit 2.

  • A rescue attempt must be made to treat the operators life threatening injuries.
  • The estimated dose to an individual attempting a rescue is approximately 50 Rem.
  • You are the Emergency Director. The TSC and OSC have NOT yet been staffed.
  • Joe Smith, age 45, (Employee# 123456) assigned to your shift, is a friend of the injured operator and wants to help. His current annual exposure is 100 mRem.

INITIATING CUE As the Emergency Director, perform the actions to brief and authorize this rescue operation in accordance with EP-AA-113, Personnel Protective 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: 3, 4, 5, & 6 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 candidate 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

SA-4-04-5 Revision 05 Page 6 of 11 JPM Start Time: JPM Sequence #: of Task Standard:

The candidate will perform an Emergency exposure authorization IAW EP-AA-113 section 4.3. The candidate will review and determine the requirements of an Emergency Exposure Authorization in excess of 25 REM. The candidate will provide a brief of the limits and risks of the exposure to the volunteer. The candidate will provide a completed Authorization for Emergency Exposure form EP-AA-113-F-02.

Comment STEP ELEMENT STANDARD SAT UNSAT Number

1. Refer to EP-AA-113 Reference EP-AA-113:
  • Determine emergency ___

exposure is section 4.3 NOTE: Radiation Protection Manager Signature not required prior to approval. Per the Initial Conditions, the TSC and OSC have not been staffed.

2. Goes to section 4.3 Emergency Determines that:

Exposure Limits

  • Dose is greater than 5 Rem o Briefing Required per step ___

4.3.2 o Authorization required per step 4.3.3 SRRS: 3D.105 (when utilized for operator initial or continuing training)

SA-4-04-5 Revision 05 Page 7 of 11 Comment STEP ELEMENT STANDARD SAT UNSAT Number

  • 3. Initiates Authorization for
  • Obtains blank EP-AA-113 F-Emergency Exposure 02
  • Completes the following:
  • Name: Joe Smith
  • Date: Todays Date
  • Time: Current Time
  • Employee ID: 123456 ___
  • Current Annual Exposure: 100 mRem
  • Reason: Lifesaving
  • REQUESTING AUTHORIZATION TO EXCEED: 25 Rem TEDE NOTE: The substance of the brief is outlined in EP-AA-113, Attachment 1. There is no formal briefing sheet and none is required to be filled out. The intent of the brief in JPM Step 4 is to ensure the information listed in the JPM is transmitted to the operator performing the rescue operations.

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

SA-4-04-5 Revision 05 Page 8 of 11 Comment STEP ELEMENT STANDARD SAT UNSAT Number

  • 4. Conducts Briefing
  • Dose-limiting recommendations for Life Saving > 25 Rem TEDE
  • Is only on a voluntary basis to persons fully aware of risks
  • Confirms Joe is a volunteer
  • Emergency Exposure Risks ___
  • At 50 Rem exposure, 2% of population effected by reddening of the skin, loss of appetite, nausea, fatigue or diarrhea
  • Approximately 5.3 per 1000 premature deaths at 25R exposure and 15 years of life may be lost CUE (If asked) Joe Smith has had no previous Emergency Exposures in excess of 25 REM.
  • 5. OBTAIN emergency workers
  • Ensures that volunteer has acknowledge that they have signed acknowledgement on volunteered and understand the EP-AA-113-F-02 ___

associated risks CUE Joe Smith has reviewed and signed EP-AA-113-F-02 as of time now.

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

SA-4-04-5 Revision 05 Page 9 of 11 Comment STEP ELEMENT STANDARD SAT UNSAT Number CUE Rad Protection Management has reviewed and signed EP-AA-113-F-02 as of time now.

  • 6. Authorize proposed radiation
  • Ensure completion of EP-exposure in excess of 10CFR20 AA-113-F-02 for Emergency limits Exposure
  • Signs for Station Emergency Director (Authorization)

CUE (If requested) ALARA concurrence has been authorized by phone.

NOTE: Candidate may or may not notify Occupational Health Services as EPA-400 dose limit has not yet been exceeded but is imminent upon described rescue efforts.

7. Notify Occupational Health o Ensures that Occupational Services. Health Services are promptly notified if EPA-400 dose limits are exceeded.

o Notifies Station nurse or Sr.

Management of requirement to notify OHS (Corporate Medical Dept.)

CUE: (If requested) Occupational Health Services has been contacted.

CUE: This JPM is complete.

JPM Stop Time:

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

SA-4-04-5 Revision 05 Page 10 of 11 JPM

SUMMARY

Operators Name: Emp. ID#:

Job

Title:

EO RO SRO FS STA/IA SRO Cert JPM

Title:

Emergency Dose Authorization JPM Number: SA-4-04-5 Revision Number: 05 Task Number and

Title:

8F.ZP-012 RESPOND to a Station Emergency as Station Director Task Standard: The candidate will perform an Emergency exposure authorization IAW EP-AA-113 section 4.3. The candidate will review and determine the requirements of an Emergency Exposure Authorization. The candidate will provide a brief of the limits and risks of the exposure to the volunteer. The candidate will provide a completed Emergency Exposure Authorization Form.

K/A Number and Importance: 2.4.38, importance 4.4 Suggested Testing Environment: Classroom Alternate Path: Yes No SRO Only: Yes No Time Critical: Yes No Reference(s):

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

Procedure: Revision:

Actual Testing Environment: Simulator Control Room In-Plant Other Testing Method: Simulate Perform Estimated Time to Complete: 18 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 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)

INITIAL CONDITIONS A LOCA has occurred on Unit 2.

  • A rescue attempt must be made to treat the operators life threatening injuries.
  • The estimated dose to an individual attempting a rescue is approximately 50 Rem.
  • You are the Emergency Director. The TSC and OSC have NOT yet been staffed.
  • Joe Smith, age 45, (Employee# 123456) assigned to your shift, is a friend of the injured operator and wants to help. His current annual exposure is 100 mRem.

INITIATING CUE As the Emergency Director, perform the actions to brief and authorize this rescue operation in accordance with EP-AA-113, Personnel Protective Actions.

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

EP-AA-113-F-02 Revision B Page 1 of 1 AUTHORIZATION FOR EMERGENCY EXPOSURE Joe Smith Today's Date Current Time Name: ___________________________ Date / Time: ____/____/____ ____:____

123456 Employee ID Number: ________________ 100 Current Annual Exposure: __________ mRem Reason For Request:

Description involves lifesaving activities

5 Rem TEDE Y

REQUESTING AUTHORIZATION TO EXCEED:

(Authorized to receive greater than 5 Rem TEDE but less than 10 Rem TEDE)

KE X

10 Rem TEDE 25 Rem TEDE (Authorized to receive greater than 10 Rem TEDE but less than 25 Rem TEDE)

(Authorized to receive greater than 25 Rem TEDE)

Evaluator signature as Joe Smith

  • Emergency Worker Signature Current Date and Time Date / Time Emergency Worker Exposure Limits and Associated Risks (EP-AA-113 Attachment 1) have been reviewed and the potential health affects are understood.

Evaluator signature as Rad Protection Manager Current Date and Time Rad. Protection Management (Review) Date / Time Candidate signature

_________________________________________________ Current Date and Time

  1. Station Emergency Director (Authorization) Date / Time
  1. The Shift Manager (Shift Emergency Director) may approve prior to transferring Command and Control to the Station Emergency Director.

Document Retention SRRS ID - 5B.100