ML23208A246

Final QA Related Forms

ML23208A246
Person / Time
Site:	Salem
Issue date:	05/23/2023
From:	Christopher Lally NRC/RGN-I/DORS/OB
To:	Public Service Electric & Gas Co
References
L-2023-OLL-0002, 50-272/23-301, 50-311/23-301 50-272/OL-23, 50-311/OL-23
Download: ML23208A246 (1)

Text

Form 2.1-1 Examination Preparation Checklist Facility: Salem Date of Examination: 2/13/23-2/23/23 Developed by: Written: Facility NRC // Operating: Facility NRC Chief Target Task Description Examiners Date*

Initials

1. Examination administration date confirmed (A.1-5). For NRC-prepared examinations, CML

-240 arrangements are made for the facility licensee to submit reference materials (B.4, C.4.g and F).

-210 2. NRC examiners and facility licensee contact assigned (B.1 and C.1-3). CML

3. Facility licensee contact briefed on examination security and other requirements (D.4). As CML applicable, the facility licensee contact submits to the NRC any prescreened K/As for

-210 elimination from the written examination outline, with a description of the facility licensees prescreening process (ES-4.1 A.1.a and ES-4.1 B.2).

-210 4. Reference material due for NRC-prepared examinations (F). N/A

-210 5. Examination kick-off call held (C.4). The NRC sends the corporate notification letter (A.5). CML

6. Written examination outline developed by the NRC and sent to the facility licensee contact CML

-195 (must be on the examination security agreement) (B.2, ES-4.1 A.1.b and ES-4.1 A.2.a).

7. Operating test outlines and checklists due: Forms 1.3-1, 2.3-1, 3.2-1, 3.2-2, 3.3-1, and 3.4-1, as CML

-150 applicable (B.6). Facility licensee provides a draft operating test administration schedule to the NRC (B.18).

8. Operating test outlines reviewed by the NRC and feedback provided to the facility licensee CML

-136 (ES-2.3).

9. NRC-prepared examinations approved by the NRC supervisor and forwarded for facility N/A

-100 licensee review (ES-2.3).

10. Proposed examinations (written, JPMs, and scenarios, as applicable) and outline forms; CML

-75 quality checklists and supporting documentation (including Forms 2.3-2 and 2.3-4 and any Form 2.3-1, 1.3-1, and 3.4-1 updates); and reference materials due.

-60 11. Preliminary waiver/excusal requests due (ES-2.2 E.1). N/A

12. Written examination and operating test reviews completed (ES-2.3). The NRC supervisors CML

-50 authorization to proceed with the facility review granted (ES-2.3 D).

-50 13. Examination review results discussed between the NRC and the facility licensee (B.14). CML

-35 14. Examination preparatory week conducted by the NRC and the facility licensee (I). CML

-30 15. Preliminary license applications, including any waiver/excusal requests, due (ES-2-2 C.1). CML

16. Final license applications, including any waiver/excusal requests, due and Form 2.2-1 CML

-14 prepared (ES-2.2 C and E).

-7 17. Written examinations and operating tests approved by the NRC supervisor (C.9) CML

18. Facility licensee management feedback on the examination requested by the NRC CML

-7 supervisor (C.10).

19. Final applications reviewed; 10% of applications audited to confirm qualifications/eligibility CML

-7 (ES-2.2 G); and examination approval letter (Letter 2.3-1) and waiver/excusal letters sent.

-7 20. Written examination administration guidelines reviewed with the facility licensee (D.14). CML

-7 21. Approved scenarios and job performance measures distributed to NRC examiners (D.12). CML

• Target dates are based on facility licensee-prepared examinations and the examination date identified in the corporate notification letter. These dates are for planning purposes and may be adjusted in coordination with the facility licensee.

CREW 1 Form 3.4-1 Events and Evolutions Checklist Facility: Salem Date of Exam: 2/13/23 Operating Test No.: 21-01 A E Scenarios P V M P E I L N 1 2 3 4 T N I I T O C ESG-1 ESG-2 ESG-3 T M A T POSITION POSITION POSITION POSITION A U N Y S A B S A B S A B S A B L M*

T P R T O R T O R T O R T O E O C P O C P O C P O C P RO I U RX 1 1 1 1 0 NOR 1 1 1 1 1 I/C 2,3,4, 2,3,4, 4 4 2 12 SRO-4 6,7,8 6,7,8 MAJ 5 5 2 2 2 1 Man. Ctrl 2,4,7,8 4 1 1 0 TS 3,4 2 0 2 2 RX 1,3 2 1 1 0 NOR 1 1 1 1 1 I/C 3,4,6, 2,3,4, 4 4 2 11 SRO-5 7,8 6,7,8 MAJ 5 5 2 2 2 1 Man. Ctrl 3,6,7,8 4 1 1 0 TS 3,4 2 0 2 2 RX 1 1 0 NOR 1 1 1 I/C 4 4 2 SURR MAJ 2 2 1 Man. Ctrl 1 1 0 TS 0 2 2 ES-3.4, Page 9 of 10

CREW 2 Form 3.4-1 Events and Evolutions Checklist Facility: Salem Date of Exam: 2/13/23 Operating Test No.: 21-01 A E Scenarios P V M P E I L N 1 2 3 4 T N I I T O C ESG-1 ESG-2 ESG-3 T M A T POSITION POSITION POSITION POSITION A U N Y S A B S A B S A B S A B L M*

T P R T O R T O R T O R T O E O C P O C P O C P O C P RO I U 1

RX 1,3 3 1 1 0 NOR 1,3 2 1 1 1 I/C 3,4,6, 2,4,5, 6 4 4 2 11 SRO-1 7,8 6,8 MAJ 5 7 5 3 2 2 1 Man. Ctrl 3,6,7,8 4 1 1 0 TS 2,4 2 0 2 2 1

RX 1 2 1 1 0 NOR 1 1 1 1 1 I/C 2,3,4, 2,3,4,6, 4 4 2 4,5,6 15 SRO-2 6,7,8 7,8 MAJ 5 7 5 3 2 2 1 Man. Ctrl 4 2,4,7,8 5 1 1 0 TS 3,4 2 0 2 2 RX 1 1 2 1 1 0 NOR 3 1 2 1 1 1 I/C 2,5, 2,3,4,6, 4 4 2 SRO-3 2,7 6,8 7,8 12 MAJ 5 7 5 3 2 2 1 Man. Ctrl 2 2,8 3 1 1 0 TS 3,4 2 0 2 2 ES-3.4, Page 9 of 10

CREW 3 Form 3.4-1 Events and Evolutions Checklist Facility: Salem Date of Exam: 2/13/23 Operating Test No.: 21-01 A E Scenarios P V M P E I L N 1 2 3 4 T N I I T O C ESG-1 ESG-2 ESG-3 T M A T POSITION POSITION POSITION POSITION A U N Y S A B S A B S A B S A B L M*

T P R T O R T O R T O R T O E O C P O C P O C P O C P RO I U RX 1 1 1 1 0 NOR 1 1 1 1 1 SRO-U1 I/C 2,3,4, 2,3,4, 4 4 2 12 6,7,8 6,7,8 MAJ 5 5 2 2 2 1 Man. Ctrl 2,4,7,8 4 1 1 0 TS 3,4 2 0 2 2 RX 1 1 1 1 0 NOR 1 1 1 1 1 SRO-U2 I/C 2,3,4, 4 4 2 2,7 8 6,7,8 MAJ 5 5 2 2 2 1 Man. Ctrl 2 1 1 1 0 TS 3,4 2 0 2 2 RX 1,3 1 3 1 1 0 NOR 0 1 1 1 RO-1 I/C 3,4,6, 4 4 2 6 6 7,8 MAJ 5 5 2 2 2 1 Man. Ctrl 3,6,7,8 4 1 1 0 TS 0 0 2 2 ES-3.4, Page 9 of 10