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{{#Wiki_filter:ES-301 Transient and Event Checklist Form ES-301-5
{{#Wiki_filter:ES-301 Transient and Event Checklist Form ES-301 Crew 1 Facility: Clinton                                   Date of Exam: 3/16/15           Operating Test Number: 2015-301 A         E                                                     Scenarios p         v             1                     2                   3                   4           T       M p         E L         N           CREW                 CREW                 CREW               CREW           0       I I         T         POSITION             POSITION             POSITION           POSITION         T       N c                                                                                                   A       I A         T       s     A     B     s     A       B     s     A     B     s     A     B   L       M N         y       R     T     0       R     T       0     R     T     0     R     T     0           u T         p       0     c     p     0     c       p     0     c     p     0     c     p           M(*)
-Crew 1 Facility: Clinton Date of Exam: 3/16/15 Operating Test Number: 2015-301 A E Scenarios p v 1 2 3 4 T M p E L N CREW CREW CREW CREW 0 I I T POSITION POSITION POSITION POSITION T N c A I A T s A B s A B s A B s A B L M N y R T 0 R T 0 R T 0 R T 0 u T p 0 c p 0 c p 0 c p 0 c p M(*) E 11 R1 R2 U1 11 R1 11 R2 R1 R I u RO RX 5 1 1 1 0 D SRO-I NOR 1 1 1 1 1 D l/C 246 3 4 4 2 SRO-U [8J MAJ 7 1 2 2 1 U1 TS 1 3 2 0 2 2 RO RX 6 5 4 3 1 1 0 D NOR SRO-I 1 1 2 1 1 1 [8J l/C 3578 24 3568 10 4 4 2 SRO-U D MAJ 9 7 9 3 2 2 1 11 TS 24 27 4 0 2 2 RO RX 6 1 1 1 0 [8J NOR 2 1 1 1 SRO-I 1 1 D l/C 78 36 36 6 4 4 2 SRO-U D MAJ 9 7 9 3 2 2 1 R1 TS 0 0 2 2 RO RX 4 1 1 1 0 [8J SRO-I NOR 1 1 1 1 1 D l/C 35 58 4 4 4 2 SRO-U D MAJ 9 9 2 2 2 1 R2 TS 0 0 2 2 Instructions:  
E                                                                                             R    I  u 11   R1     R2     U1     11     R1     11   R2     R1 RO         RX                               5                                                           1 1     1 0 D           NOR                             1                                                           1 1     1 1 SRO-I D           l/C                           246                                                           3   4   4   2 SRO-U
: 1. Check the level and enter the operating test number and Form ES-D-1 event numbers for each event tyfce; are not for RO applicants.
[8J         MAJ                             7                                                             1 2   2   1 U1         TS                             13                                                          2   0   2   2 RO         RX         6                           5             4                                     3   1     1 0 D           NOR         1                                         1                                     2   1     1 1 SRO-I
ROs must serve in both the "at-the-controls (ATC)" and "ba ance-of-flant (B P)" positions.
[8J         l/C     3578                           24           3568                                     10 4   4   2 SRO-U D           MAJ         9                           7             9                                     3   2   2   1 11         TS         24                                         27                                     4   0   2   2 RO         RX               6                                                                         1   1     1 0
Instant SROs must serve in both the SRO and the ATC positions
[8J NOR                                           1                    1                      2   1     1 1 SRO-I D           l/C             78                           36                   36                       6   4   4   2 SRO-U D           MAJ               9                           7                     9                       3   2   2   1 R1         TS                                                                                           0   0   2   2 RO         RX                                                           4                               1   1   1   0
, including at leas two instrument or component (1/C) malfunctions and one major transient
[8J NOR                      1                                                                   1   1   1   1 SRO-I D         l/C                     35                                 58                               4   4   4   2 SRO-U D         MAJ                       9                                   9                               2   2   2   1 R2         TS                                                                                           0   0   2   2 Instructions:
, in the ATC position.
: 1.       Check the af~licant level and enter the operating test number and Form ES-D-1 event numbers for each event tyfce;     are not a~licable for RO applicants. ROs must serve in both the "at-the-controls (ATC)"
If an Instant SRO additionally serves in the BOP position, one l/C malfunction can be credited toward the two l/C malfunctions required for the ATC position. 2.
and "ba ance-of-flant (B P)" positions. Instant SROs must serve in both the SRO and the ATC positions, including at leas two instrument or component (1/C) malfunctions and one major transient, in the ATC position. If an Instant SRO additionally serves in the BOP position , one l/C malfunction can be credited toward the two l/C malfunctions required for the ATC position.
manipulations may be conducted under normal or controlled abnormal conditions (refer to Section .5.d) but must be significant per Section C.2.a of Appendix D. p Reactivity and normal evolutions may be replaced with additional instrument or component mal unctions on a 1-for-1 basis. 3. Whenever practical
: 2.       Reactivi~ manipulations may be conducted under normal or controlled abnormal conditions (refer to Section .5.d) but must be significant per Section C.2.a of Appendix D.     p Reactivity and normal evolutions may be replaced with additional instrument or component mal unctions on a 1-for-1 basis.
, both instrument and component malfunctions should be included; only those that require verifiable actions that provide insight to the applicant's competence count toward the minimum requirements specified for the applicant's license level in the right-hand columns.
: 3.       Whenever practical , both instrument and component malfunctions should be included; only those that require verifiable actions that provide insight to the applicant's competence count toward the minimum requirements specified for the applicant's license level in the right-hand columns.
ES-301, Page 26 of 27 ES-301 Transient and Event Checklist Form ES-301-5
ES-301, Page 26 of 27
-Crew 2 Facility:
 
Clinton Date of Exam: 3/16/15 Operating Test Number: 2015-301 A E Scenarios p v 1 2 3 4 T M p E L N CREW CREW CREW CREW 0 I I T POSITION POSITION POSITION POSITION T N c A I A T s A B s A B s A B s A B L M N y R T 0 R T 0 R T 0 R T 0 u T p 0 c p 0 c p 0 c p 0 c p M(*) E 13 12 R3 U2 13 12 12 R3 13 R I u RO RX 5 1 1 1 0 D NOR 1 1 1 1 SRO-I 1 D l/C 246 3 4 4 2 SRO-U [gl MAJ 7 1 2 2 1 U2 TS 1 3 2 0 2 2 RO RX 6 4 2 1 1 0 D NOR 2 1 1 1 SRO-I 1 1 [gl l/C 76 36 3566 8 4 4 2 SRO-U D MAJ 9 7 9 3 2 2 1 12 TS 27 2 0 2 2 RO RX 6 5 2 1 1 0 D NOR SRO-I 1 1 2 1 1 1 [gl l/C 3576 24 36 8 4 4 2 SRO-U D MAJ 9 7 9 3 2 2 1 13 TS 24 2 0 2 2 RO RX 4 1 1 1 0 [gl SRO-I NOR 1 1 1 1 1 D 1/C 35 56 4 4 4 2 SRO-U D MAJ 9 9 2 2 2 1 R3 TS 0 0 2 2 Instructions:  
ES-301 Transient and Event Checklist Form ES-301 Crew 2 Facility: Clinton                                   Date of Exam: 3/16/15           Operating Test Number: 2015-301 A           E                                                   Scenarios p           v             1                   2                   3                   4           T       M p         E L         N           CREW                 CREW                 CREW               CREW           0       I I         T         POSITION             POSITION             POSITION           POSITION       T       N c                                                                                                   A       I A         T       s     A     B     s     A       B     s     A     B     s     A     B   L       M N         y       R     T     0     R     T       0     R     T     0     R     T     0           u T         p       0     c     p     0     c       p     0     c     p     0     c     p           M(*)
: 1. Check the af giicant level and enter the operating test number and Form ES-D-1 event numbers for each event tyfce; are not for RO applicants.
E                                                                                             R      I u 13     12   R3     U2     13     12     12   R3     13 RO         RX                             5                                                           1   1     1 0 D           NOR                             1                                                           1   1     1  1 SRO-I D           l/C                           246                                                           3   4     4 2 SRO-U
ROs must serve in both the "at-the-controls (ATC)" and "ba ance-of-flant (B P)" positions
[gl         MAJ                             7                                                           1   2     2 1 U2         TS                             13                                                          2   0     2 2 RO         RX                 6                                   4                                     2   1     1 0 D           NOR                                             1      1                                    2   1     1 1 SRO-I
. Instant SROs must serve in both the SRO and the ATC positions
[gl         l/C               76                         36   3566                                     8   4   4   2 SRO-U D           MAJ               9                           7       9                                     3   2   2   1 12         TS                                                     27                                     2   0   2   2 RO         RX         6                           5                                                   2   1     1 0 D           NOR       1                                                         1                       2   1     1 1 SRO-I
, including at leas two instrument or component (l/C) malfunctions and one major transient
[gl         l/C     3576                           24                           36                       8   4   4   2 SRO-U D           MAJ       9                           7                           9                       3   2   2   1 13         TS         24                                                                                 2   0   2   2 RO         RX                                                           4                               1   1     1 0
, in the ATC position. If an Instant SRO additionally serves in the BOP position, one 1/C malfunction can be credited toward the two l/C malfunctions required for the ATC positron.  
[gl NOR                       1                                                                   1   1   1   1 SRO-I D         1/C                     35                                 56                               4   4   4   2 SRO-U D         MAJ                       9                                   9                               2   2   2   1 R3         TS                                                                                           0   0   2   2 Instructions:
: 2.
: 1.       Check the afgiicant level and enter the operating test number and Form ES-D-1 event numbers for each event tyfce;     are not a~licable for RO applicants. ROs must serve in both the "at-the-controls (ATC)"
manipulations may be conducted under normal or controlled abnormal conditions (refer to Section .5.d) but must be significant per Section C.2.a of Appendix D. r) Reactivity and normal evolutions may be replaced wrth additional instrument or component mal unctions on a 1-for-1 basis. 3. Whenever practical both instrument and component malfunctions should be included; only those that require verifiable actions that provide insight to the applicant's competence count toward the minimum requirements specified for the applicant's license level in the right-hand columns. ES-301 , Page 26 of 27 ES-301 Transient and Event Checklist Form ES-301-5
and "ba ance-of-flant (B P)" positions. Instant SROs must serve in both the SRO and the ATC positions, including at leas two instrument or component (l/C) malfunctions and one major transient, in the ATC position. If an Instant SRO additionally serves in the BOP position , one 1/C malfunction can be credited toward the two l/C malfunctions required for the ATC positron.
-Crew 3 Facility: Clinton Date of Exam: 3/16/15 Operating Test Number: 2015-301 A E Scenarios p v 1 2 3 4 T M p E L N CREW CREW CREW CREW 0 I I T POSITION POSITION POSITION POSITION T N c A I A T s A B s A B s A B s A B L M N y R T 0 R T 0 R T 0 R T 0 u T p 0 c p 0 c p 0 c p 0 c p M(*) E 14 15 16 16 14 15 15 16 14 R I u RO RX I' 6 5 2 1 1 0 D NOR SRO-I 1 1 2 1 1 1 [8J l/C 3578 24 36 8 4 4 2 SRO-U " D MAJ 9 7 9 3 2 2 1 14 TS 24 2 0 2 2 RO RX 6 4 2 1 1 0 D NOR 2 1 1 1 SRO-I 1 1 [8J l/C 78 36 3568 8 4 4 2 SRO-U D MAJ 9 7 9 3 2 2 1 15 TS 27 2 0 2 2 RO RX 5 4 2 1 1 0 D NOR SRO-I 1 1 2 1 1 1 [8J l/C 35 246 58 7 4 4 2 SRO-U D MAJ 9 7 9 3 2 2 1 16 TS 1 3 2 0 2 2 RO RX 1 1 0 D NOR 1 1 1 SRO-I D l/C 4 4 2 SRO-U D MAJ 2 2 1 TS
2.
* 0 2 2 Instructions: 1. Check the afglicant level and enter the operating test number and Form ES-D-1 event numbers for each event tyfce; are not for RO applicants.
Section .5.d) but must be significant per Section C.2.a of Appendix D.     r)
ROs must serve in both the "at-the-controls (ATC)" and "ba ance-of-plant (B P)" positions.
Reactivi~ manipulations may be conducted under normal or controlled abnormal conditions (refer to Reactivity and normal evolutions may be replaced wrth additional instrument or component mal unctions on a 1-for-1 basis.
Instant SROs must serve in both the SRO and the ATC positions, including at least two instrument or component (1/C) malfunctions and one major transient, in the ATC position. If an Instant SRO additionally serves in the BOP position, one l/C malfunction can be credited toward the two l/C malfunctions required for the ATC position. 2. manipulations may be conducted under normal or controlled abnormal conditions (refer to Section .5.d) but must be significant per Section C.2.a of Appendix D. p Reactivity and normal evolutions may be replaced with additional instrument or component mal unctions on a 1-for-1 basis. 3. Whenever practical, both instrument and component malfunctions should be included; only those that require verifiable actions that provide insight to the applicant's competenc e count toward the minimum requirements specified for the applicant's license level in the right-hand columns. ES-301, Page 26 of 27 ES-301 Competencies Checklist Form ES-301-6 CREW1 Facility: Clinton Date of Examination
: 3.       Whenever practical both instrument and component malfunctions should be included; only those that require verifiable actions that provide insight to the applicant's competence count toward the minimum requirements specified for the applicant's license level in the right-hand columns.
: 03/16/15 Operating Test No.: 2015-301 APPLICANTS RO 1 R02 RO D RO D SRO-I D SRO-I D SR0-11 SRO-I D Competencies SRO-U D SRO-U D SRO-U D SRO-U 1 SCENARIO SCENARIO SCENARIO SCENARIO 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 ATC BOP BOP BOP ATC SRO ATC SRO SRO Interpret/
ES-301 , Page 26 of 27
Diagnose 1, 2, 3, 1, 2, 3, 4, 5, 6, 1, 2, 3, 1, 2, 3, 1, 2, 3, 6, 7, 8, 1, 3, 6, 4, 6, 9, 4, 5, 9, 7, 8, 9, 4, 5, 6, 2, 4, 5, 4, 5, 6, 4, 5, 6, 9 7, 8 10 10 10 7, 8, 9, 6, 7 7, 8, 9, 7,8 Events and Conditions 10 10 6, 7, 8, 1, 2, 3, 1, 2, 3, Comply With and Use 9 1, 2, 3, 1, 2, 3, 1, 2, 3, 1, 3, 6, 4, 6, 9, 4, 5, 9, 4, 5, 7, 4, 5, 6, 2, 4, 5, 4, 5, 6, 4, 5, 6, Procedures (1) 7, 8 10 10 8, 9 7, 8, 9, 6, 7 7, 8, 9, 7, 8 10 10 6, 7, 8, Operate Control 9 1, 3, 6, 1, 3, 6, 1,2, 3, 4, 5, 7, 2, 4, 5, 7, 8 9, 10 5, 9, 10 8, 9 7 Boards (2) Ill 5, 6, 7, 1, 2, 3, 1, 2, 3, Communicate 8, 9 1, 2, 3, 1, 2, 3, 1, 2, 3, 1, 3, 6, 4, 5, 6, 4, 5, 9, 1, 4, 5, 4, 5, 6, 2, 4, 5, 4, 5, 6, 4, 5, 6, 7, 8 7, 8, 9 7, 8, 9, 6, 7 7, 8, 9, and Interact 9, 10 10 10 10 7, 8 Demonstrate 1, 2, 3, 1, 2, 3, 1,2, 3, 4, 5, 6, 4, 5, 6, 4, 5, 6, Supervisory Ability (3) 7, 8, 9, 7, 8, 9, 7, 8 10 10 Comply With and -2, 4 2, 7 1, 3 Use Tech Specs. (3) Notes: (1) Includes Technical Specification compliance for an RO. (2) Optional for an SRO-U. (3) Only applicable to SROs. Instructions
 
: Check the applicant
ES-301 Transient and Event Checklist Form ES-301 Crew 3 Facility: Clinton                                     Date of Exam: 3/ 16/ 15         Operating Test Number: 2015-301 A         E                                                     Scenarios p         v               1                     2                     3                 4           T       M p         E L         N           CREW                   CREW               CREW               CREW           0         I I         T         POSITION               POSITION           POSITION           POSITION         T       N c                                                                                                   A         I A         T       s       A     B         s     A     B     s       A     B     s     A     B     L       M N         y       R     T     0         R     T     0     R       T     0     R     T     0             u T         p       0     c       p       0     c     p     0       c     p     0     c     p             M(*)
's license type and enter one or more event numbers that will allow the examiners to evaluate every applicable competency for every applicant
E                                                                                               R    I  u 14     15     16       16     14   15     15     16   14 I'
. ES-301, Page 27 of 27 ES-301 Competencies Checklist Form ES-301-6 CREW2 Facility:
RO         RX         6                             5                                                 2     1   1 0 D         NOR         1                                                       1                       2   1   1 1 SRO-I
Clinton Date of Examination
[8J         l/C       357 8                          24                         36                       8   4   4   2 SRO-U                                                                                                 "
: 03/16/15 Operating Test No.: 2015-301 APPLICANTS R03 RO D RO D RO D SRO-I D SR0-12 SR0-13 SRO-I D Competencies SRO-U D SRO-U D SRO-U D SRO-U 2 SCENARIO SCENARIO SCENARIO SCENARIO 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 BOP ATC ATC BOP SRO SRO ATC BOP SRO Interpret/
D           MAJ         9                             7                         9                       3   2   2   1 14         TS         24                                                                               2     0   2   2 RO         RX                 6                                   4                                     2     1   1 0 D           NOR                                             1      1                                    2     1   1 1 SRO-I
Diagnose l:U:" 4, 5. 6, 1, 2, 3, 1. 2. 3, 1, 2. 3, 1, 2, 3, 7. 8. 9. 6. 7, 8, 1, 3, 6. 4, 5. 6. 4, 5, 6, 2. 4, 5. 4, 6, 9. 4. 5. 6, 10 10 9 7, 8 7. 8. 9. 7, 8, 9, 6, 7 10 7, 8 Events and Conditions 10 10 1, 2, 3, 1. 2. 3, 1, 2,3. Comply With and Use 4, 5. 9, 1, 2, 3, 1, 2, 3, 10 4. 5. 7. 6. 7, 8, 1, 3, 6, 4, 5, 6. 4, 5, 6, 2. 4, 5. 4, 6, 9. , .. 4, 5, 6, 8, 9 9 7. 8 7. 8. 9, 7, 8, 9, 6,7. 10 7. 8 Procedures (1) 10 10 1. 2, 3, Operate Control 5, 9, 10 4, 5, 7, 6, 7, 8, 1, 3, 6, 2, 4, 5, 1, 3, 6, 8, 9 9 7, 8 7 9, 10 .-Boards (2) 1, 2, 3, 1, 2, 3, 1, 2, 3, Communicate 4, 5, 9, 1, 2, 3, 1, 2, 3, 10 1,4, 5, 5, 6, 7, 1, 3, 6, 4, 5, 6, 4, 5, 6, 2,4, 5, 4, 5, 6, 4, 5, 6, 7, 8, 9 8, 9 7, 8 7, 8, 9, 7, 8, 9. 6,7 9, 10 7, 8 and Interact 10 10 Demonstrate 1, 2. 3, 1, 2, 3, 1, 2, 3, .. 4, 5, 6, 4, 5, 6, 4, 5, 6, 7, 8, 9, 7,8, 9, 7, 8 Supervisory Ability (3) 10 10 Comply With and 2,7 2, 4 1, 3 Use Tech Specs. (3) Notes: ( 1) Includes Technical Specification compliance for an RO. (2) Optional for an SRO-U. (3) Only applicable to SROs. Instructions:
[8J         l/C               78                           36   3568                                   8     4   4   2 SRO-U D         MAJ                 9                           7     9                                     3     2   2   1 15         TS                                                     27                                     2     0   2   2 RO         RX                                 5                           4                             2     1   1   0 D         NOR                       1       1                                                         2     1   1   1 SRO-I
[8J         l/C                     35     2 46                        58                             7     4   4   2 SRO-U D         MAJ                       9       7                           9                             3     2   2   1 16         TS                                 13                                                        2     0   2   2 RO         RX                                                                                                 1   1   0 D         NOR                                                                                                 1   1   1 SRO-I D         l/C                                                                                                 4   4   2 SRO-U MAJ                                                                                                 2   2   1 D
TS
* 0   2   2 Instructions:
: 1.       Check the afglicant level and enter the operating test number and Form ES-D-1 event numbers for each event tyfce;     are not a~ li cable for RO applicants. ROs must serve in both the "at-the-controls (ATC)"
and "ba ance-of-plant (B P)" positions. Instant SROs must serve in both the SRO and the ATC positions, including at least two instrument or component (1/C) malfunctions and one major transient, in the ATC position. If an Instant SRO additionally serves in the BOP position , one l/C malfunction can be credited toward the two l/C malfunctions required for the ATC position.
: 2.       Re acti vi ~ manipulations may be conducted under normal or controlled abnorm al conditions (refe r to Section .5.d) but must be significant per Section C.2.a of Appendix D.     p Reactivity and normal evolutions may be replaced with additional instrument or component mal unctions on a 1-for-1 basis.
: 3.       Whenever practical, both instrument and component malfunctions should be included ; only those that require verifiable actions that provide insight to the applicant's competence count toward the minimum requirements specified for the applicant's license level in the right-hand columns.
ES-301 , Page 26 of 27
 
ES-301                                           Competencies Checklist                                                     Form ES-301-6 CREW1 Facility: Clinton                         Date of Examination : 03/16/15                                     Operating Test No. : 2015-301 APPLICANTS RO 1               ~            R02         ~              RO                 D     RO           D SRO-I               D           SRO-I         D             SR0-11 ~                  SRO-I       D Competencies                                                                                 SRO-U D                   SRO-U 1 ~
SRO-U               D           SRO-U         D SCENARIO                         SCENARIO                     SCENARIO                 SCENARIO 1         2         3     4     1     2     3     4       1         2       3     4 1     2     3   4 ATC         BOP     BOP           BOP       ATC             SRO       ATC     SRO           SRO 1, 2, 3,           1, 2, 3,       1, 2, 3 ,
1, 2, 3,     1, 2, 3,    4, 5, 6, Interpret/ Diagnose          6 , 7, 8 , 1, 3, 6, 4, 6, 9,     4, 5, 9,   7, 8, 9, 4, 5, 6, 2, 4, 5, 4, 5, 6,         4, 5, 6, 9       7, 8                                             7, 8, 9,     6, 7   7, 8, 9, 10          10          10                                                7, 8 Events and Conditions                                                                         10                 10 6, 7, 8, 9                                                        1, 2, 3,           1, 2, 3,       1, 2, 3, 1, 2, 3,     1, 2, 3, Comply With and Use                    1, 3 , 6, 4, 6 , 9,   4, 5, 9, 4, 5 , 7,       4, 5, 6 , 2 , 4, 5, 4, 5, 6 ,     4, 5, 6, 7, 8                               8, 9         7, 8, 9,     6, 7   7, 8, 9,         7, 8 10           10 Procedures (1)                                                                                10                  10 6, 7 , 8, 9
Operate Control                         1, 3, 6 , 1, 3, 6,     1,2, 3,     4, 5, 7,                   2, 4, 5, 7, 8     9 , 10     5, 9, 10     8, 9                       7 Boards (2)                                                                             Ill 5, 6 , 7, 8, 9              1, 2, 3,                                 1, 2 , 3 ,         1, 2, 3,       1, 2, 3, 1, 2, 3, Communicate                              1, 3 , 6, 4, 5, 6 ,   4, 5, 9, 1, 4, 5,       4, 5 , 6 , 2, 4, 5, 4, 5, 6,       4, 5, 6 ,
7, 8                             7, 8, 9         7, 8 , 9,   6, 7   7, 8, 9 ,       7, 8 9, 10         10 and Interact                                                                                  10                 10 1, 2, 3,           1, 2, 3,       1, 2, 3 ,
Demonstrate                                                                                4, 5 , 6 ,
7, 8, 9, 4, 5, 6, 7, 8, 9, 4, 5, 6, 7, 8 10                 10 Supervisory Ability (3)
Comply With and                         -                                                   2, 4               2, 7           1, 3 Use Tech Specs. (3)
Notes:
(1)       Includes Technical Specification compliance for an RO.
(2)       Optional for an SRO-U.
(3)       Only applicable to SROs.
Instructions:
Check the applicant's license type and enter one or more event numbers that will allow the examiners to evaluate every applicable competency for every applicant.
Check the applicant's license type and enter one or more event numbers that will allow the examiners to evaluate every applicable competency for every applicant.
ES-301 , Page 27 of 27 ES-301 Competencies Checklist Form ES-301-6 CREW3 Facility: Clinton Date of Examination
ES-301 , Page 27 of 27
: 03/16/15 Operating Test No.: 2015-301 APPLICANTS RO D RO D RO D RO D SR0-14 [gJ SR0-15 [gJ SR0-16 [gJ SRO-I D Competencies SRO-U D SRO-U D SRO-U D SRO-U D SCENARIO SCENARIO SCENARIO SCENARIO 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 SRO ATC BOP ATC BOP SRO BOP SRO ATC Interpret/
 
Diagnose 1, 2, 3, 1, 2. 3, 1, 2, 3, 1, 2, 3, 1, 2, 3, 4, 5, 6, 4, 5, 6, 2, 4, 5, 4, 6, 9, 6, 7, 8, 1, 3, 6, 4, 5, 6, 4, 5, 9, 4, 5, 6, 7, 8, 9, 7, 8, 9, 6, 7 10 9 7, 8 7, 8. 9, 10 7, 8 10 Events and Conditions 10 10 1, 2, 3, 1, 2, 3, Comply With and Use 4, 5, 6, 1, 2, 3, 1, 2, 3, 1, 2, 3, 7, 8, 9, 2, 4, 5, 4, 6, 9, 6, 7, 8. 1, 3, 6, 4, 5, 6, 4, 5, 9, 4, 5, 6, 4, 5, 7-, 10 6,7 10 9 7, 8 7, 8, 9, 10 7, 8 8, 9 Procedures (1) 10 Operate Control 2, 4, 5, 1, 3, 6. 6, 7, 8. 1, 3, 6, 1, 2, 3, 4, 5, 7, 7 9, 10 9 7, 8 5, 9, 10 8, 9 Boards (2) 1, 2, 3, 1, 2, 3, Communicate 4, 5, 6, 1, 2, 3, 1, 2, 3, 1, 2, 3, 7, 8, 9, 2, 4, 5. 4, 5, 6, 5, 6, 7, 1, 3, 6, 4, 5, 6, 4, 5, 9, 4, 5, 6, 1, 4, 5, 10 6, 7 8, 9 7, 8 7, 8, 9, 10 7, 8 7,8, 9 and Interact 9, 10 10 Demonstrate 1, 2, 3, 1,2, 3, 1, 2, 3, 4, 5, 6, 4, 5, 6, 4, 5, 6, ' 7, 8, 9, -7, 8. 9, Supervisory Ability (3) 10 10 7, 8 ' Comply With and 2, 4 2.7 1, 3 ..* Use Tech Specs. (3) Notes: (1) Includes Technical Specification compliance for an RO. (2) Optional for an SRO-U. (3) Only applicable to SROs. Instructions
ES-301                                       Competencies Checklist                                                       Form ES-301-6 CREW2 Facility: Clinton                         Date of Examination : 03/16/15                               Operating Test No.: 2015-301 APPLICANTS R03            ~          RO                 D         RO               D         RO         D SRO-I          D         SR0-12 ~                      SR0-13 ~                    SRO-I       D Competencies                   SRO-U D                   SRO-U D                       SRO-U D                     SRO-U 2 ~
: Check the applicant's license type and enter one or more event numbers that will allow the examiners to evaluate evefY applicable competency for evefY applicant.
SCENARIO                   SCENARIO                     SCENARIO                   SCENARIO 1       2     3     4     1       2         3     4   1       2       3     4     1     2     3   4 BOP            ATC         ATC     BOP     SRO         SRO      ATC      BOP               SRO 1, 2, 3,   1. 2. 3,                           1, 2, 3, Interpret/ Diagnose          l:U:       "
ES-301, Page 27 of 27 ES-301 Transient and Event Checklist Form ES-301-5
4, 5. 6,
-Crew 1 Facility: Clinton Date of Exam: 3/16/15 Operating Test Number: 2015-301 A E Scenarios p v 1 2 3 4 T M p E L N CREW CREW CREW CREW 0 I I T POSITION POSITION POSITION POSITION T N c A I A T s A B s A B s A B s A B L M N y R T 0 R T 0 R T 0 R T 0 u T p 0 c p 0 c p 0 c p 0 c p M(*) E 11 R1 R2 U1 11 R1 11 R2 R1 R I u RO RX 5 1 1 1 0 D SRO-I NOR 1 1 1 1 1 D l/C 246 3 4 4 2 SRO-U [8J MAJ 7 1 2 2 1 U1 TS 1 3 2 0 2 2 RO RX 6 5 4 3 1 1 0 D NOR SRO-I 1 1 2 1 1 1 [8J l/C 3578 24 3568 10 4 4 2 SRO-U D MAJ 9 7 9 3 2 2 1 11 TS 24 27 4 0 2 2 RO RX 6 1 1 1 0 [8J NOR 2 1 1 1 SRO-I 1 1 D l/C 78 36 36 6 4 4 2 SRO-U D MAJ 9 7 9 3 2 2 1 R1 TS 0 0 2 2 RO RX 4 1 1 1 0 [8J SRO-I NOR 1 1 1 1 1 D l/C 35 58 4 4 4 2 SRO-U D MAJ 9 9 2 2 2 1 R2 TS 0 0 2 2 Instructions:
: 7. 8. 9. 6. 7, 8, 1, 3, 6. 4, 5. 6.
: 1. Check the level and enter the operating test number and Form ES-D-1 event numbers for each event tyfce; are not for RO applicants.
1, 2. 3, 4, 5, 6, 2. 4, 5. 4, 6, 9.         4. 5. 6, 10             10         9       7, 8   7. 8. 9. 7, 8, 9,   6, 7     10               7, 8 Events and Conditions                                                           10         10 1, 2, 3, 4, 5. 9,                                      1. 2. 3,   1, 2, 3.         1, 2, 3,         1, 2, 3, Comply With and Use              10           4. 5. 7. 6. 7, 8, 1, 3, 6, 4 , 5, 6. 4, 5, 6, 2. 4, 5. 4, 6, 9.   ,.. 4, 5, 6, 8, 9         9       7. 8   7. 8. 9,   7, 8, 9,   6,7 . 10               7. 8 Procedures (1)                                                                 10         10
ROs must serve in both the "at-the-controls (ATC)" and "ba ance-of-flant (B P)" positions.
: 1. 2, 3, 5, 9, 10 Operate Control                              4, 5, 7,   6, 7, 8, 1, 3, 6,                     2, 4, 5, 1, 3, 6, 7      9, 10 8, 9         9       7, 8 Boards (2) 1, 2, 3, 4, 5, 9,                                      1, 2, 3,   1, 2, 3,         1, 2, 3,         1, 2, 3, Communicate                      10           1,4, 5,     5, 6, 7, 1, 3, 6, 4, 5, 6,   4, 5, 6, 2, 4, 5, 4, 5, 6,         4, 5, 6, 7, 8, 9     8, 9     7, 8   7, 8, 9,   7, 8, 9. 6,7     9, 10             7, 8 and Interact                                                                   10         10 1, 2. 3,   1, 2, 3,                           1, 2, 3, Demonstrate                          ..                                     4, 5, 6, 7, 8, 9, 4, 5, 6, 7, 8, 9, 4, 5, 6, 7, 8 Supervisory Ability (3)                                                         10         10 Comply With and                                                               2,7         2, 4                               1, 3 Use Tech Specs. (3)
Instant SROs must serve in both the SRO and the ATC positions
Notes:
, including at leas two instrument or component (1/C) malfunctions and one major transient
( 1)       Includes Technical Specification compliance for an RO.
, in the ATC position.
(2)       Optional for an SRO-U .
If an Instant SRO additionally serves in the BOP position, one l/C malfunction can be credited toward the two l/C malfunctions required for the ATC position. 2.
(3)       Only applicable to SROs.
manipulations may be conducted under normal or controlled abnormal conditions (refer to Section .5.d) but must be significant per Section C.2.a of Appendix D. p Reactivity and normal evolutions may be replaced with additional instrument or component mal unctions on a 1-for-1 basis. 3. Whenever practical
Instructions:
, both instrument and component malfunctions should be included; only those that require verifiable actions that provide insight to the applicant's competence count toward the minimum requirements specified for the applicant's license level in the right-hand columns.
ES-301, Page 26 of 27 ES-301 Transient and Event Checklist Form ES-301-5
-Crew 2 Facility:
Clinton Date of Exam: 3/16/15 Operating Test Number: 2015-301 A E Scenarios p v 1 2 3 4 T M p E L N CREW CREW CREW CREW 0 I I T POSITION POSITION POSITION POSITION T N c A I A T s A B s A B s A B s A B L M N y R T 0 R T 0 R T 0 R T 0 u T p 0 c p 0 c p 0 c p 0 c p M(*) E 13 12 R3 U2 13 12 12 R3 13 R I u RO RX 5 1 1 1 0 D NOR 1 1 1 1 SRO-I 1 D l/C 246 3 4 4 2 SRO-U [gl MAJ 7 1 2 2 1 U2 TS 1 3 2 0 2 2 RO RX 6 4 2 1 1 0 D NOR 2 1 1 1 SRO-I 1 1 [gl l/C 76 36 3566 8 4 4 2 SRO-U D MAJ 9 7 9 3 2 2 1 12 TS 27 2 0 2 2 RO RX 6 5 2 1 1 0 D NOR SRO-I 1 1 2 1 1 1 [gl l/C 3576 24 36 8 4 4 2 SRO-U D MAJ 9 7 9 3 2 2 1 13 TS 24 2 0 2 2 RO RX 4 1 1 1 0 [gl SRO-I NOR 1 1 1 1 1 D 1/C 35 56 4 4 4 2 SRO-U D MAJ 9 9 2 2 2 1 R3 TS 0 0 2 2 Instructions:
: 1. Check the af giicant level and enter the operating test number and Form ES-D-1 event numbers for each event tyfce; are not for RO applicants.
ROs must serve in both the "at-the-controls (ATC)" and "ba ance-of-flant (B P)" positions
. Instant SROs must serve in both the SRO and the ATC positions
, including at leas two instrument or component (l/C) malfunctions and one major transient
, in the ATC position. If an Instant SRO additionally serves in the BOP position, one 1/C malfunction can be credited toward the two l/C malfunctions required for the ATC positron.
: 2.
manipulations may be conducted under normal or controlled abnormal conditions (refer to Section .5.d) but must be significant per Section C.2.a of Appendix D. r) Reactivity and normal evolutions may be replaced wrth additional instrument or component mal unctions on a 1-for-1 basis. 3. Whenever practical both instrument and component malfunctions should be included; only those that require verifiable actions that provide insight to the applicant's competence count toward the minimum requirements specified for the applicant's license level in the right-hand columns. ES-301 , Page 26 of 27 ES-301 Transient and Event Checklist Form ES-301-5
-Crew 3 Facility: Clinton Date of Exam: 3/16/15 Operating Test Number: 2015-301 A E Scenarios p v 1 2 3 4 T M p E L N CREW CREW CREW CREW 0 I I T POSITION POSITION POSITION POSITION T N c A I A T s A B s A B s A B s A B L M N y R T 0 R T 0 R T 0 R T 0 u T p 0 c p 0 c p 0 c p 0 c p M(*) E 14 15 16 16 14 15 15 16 14 R I u RO RX I' 6 5 2 1 1 0 D NOR SRO-I 1 1 2 1 1 1 [8J l/C 3578 24 36 8 4 4 2 SRO-U " D MAJ 9 7 9 3 2 2 1 14 TS 24 2 0 2 2 RO RX 6 4 2 1 1 0 D NOR 2 1 1 1 SRO-I 1 1 [8J l/C 78 36 3568 8 4 4 2 SRO-U D MAJ 9 7 9 3 2 2 1 15 TS 27 2 0 2 2 RO RX 5 4 2 1 1 0 D NOR SRO-I 1 1 2 1 1 1 [8J l/C 35 246 58 7 4 4 2 SRO-U D MAJ 9 7 9 3 2 2 1 16 TS 1 3 2 0 2 2 RO RX 1 1 0 D NOR 1 1 1 SRO-I D l/C 4 4 2 SRO-U D MAJ 2 2 1 TS
* 0 2 2 Instructions: 1. Check the afglicant level and enter the operating test number and Form ES-D-1 event numbers for each event tyfce; are not for RO applicants.
ROs must serve in both the "at-the-controls (ATC)" and "ba ance-of-plant (B P)" positions.
Instant SROs must serve in both the SRO and the ATC positions, including at least two instrument or component (1/C) malfunctions and one major transient, in the ATC position. If an Instant SRO additionally serves in the BOP position, one l/C malfunction can be credited toward the two l/C malfunctions required for the ATC position. 2. manipulations may be conducted under normal or controlled abnormal conditions (refer to Section .5.d) but must be significant per Section C.2.a of Appendix D. p Reactivity and normal evolutions may be replaced with additional instrument or component mal unctions on a 1-for-1 basis. 3. Whenever practical, both instrument and component malfunctions should be included; only those that require verifiable actions that provide insight to the applicant's competenc e count toward the minimum requirements specified for the applicant's license level in the right-hand columns. ES-301, Page 26 of 27 ES-301 Competencies Checklist Form ES-301-6 CREW1 Facility: Clinton Date of Examination
: 03/16/15 Operating Test No.: 2015-301 APPLICANTS RO 1 R02 RO D RO D SRO-I D SRO-I D SR0-11 SRO-I D Competencies SRO-U D SRO-U D SRO-U D SRO-U 1 SCENARIO SCENARIO SCENARIO SCENARIO 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 ATC BOP BOP BOP ATC SRO ATC SRO SRO Interpret/
Diagnose 1, 2, 3, 1, 2, 3, 4, 5, 6, 1, 2, 3, 1, 2, 3, 1, 2, 3, 6, 7, 8, 1, 3, 6, 4, 6, 9, 4, 5, 9, 7, 8, 9, 4, 5, 6, 2, 4, 5, 4, 5, 6, 4, 5, 6, 9 7, 8 10 10 10 7, 8, 9, 6, 7 7, 8, 9, 7,8 Events and Conditions 10 10 6, 7, 8, 1, 2, 3, 1, 2, 3, Comply With and Use 9 1, 2, 3, 1, 2, 3, 1, 2, 3, 1, 3, 6, 4, 6, 9, 4, 5, 9, 4, 5, 7, 4, 5, 6, 2, 4, 5, 4, 5, 6, 4, 5, 6, Procedures (1) 7, 8 10 10 8, 9 7, 8, 9, 6, 7 7, 8, 9, 7, 8 10 10 6, 7, 8, Operate Control 9 1, 3, 6, 1, 3, 6, 1,2, 3, 4, 5, 7, 2, 4, 5, 7, 8 9, 10 5, 9, 10 8, 9 7 Boards (2) Ill 5, 6, 7, 1, 2, 3, 1, 2, 3, Communicate 8, 9 1, 2, 3, 1, 2, 3, 1, 2, 3, 1, 3, 6, 4, 5, 6, 4, 5, 9, 1, 4, 5, 4, 5, 6, 2, 4, 5, 4, 5, 6, 4, 5, 6, 7, 8 7, 8, 9 7, 8, 9, 6, 7 7, 8, 9, and Interact 9, 10 10 10 10 7, 8 Demonstrate 1, 2, 3, 1, 2, 3, 1,2, 3, 4, 5, 6, 4, 5, 6, 4, 5, 6, Supervisory Ability (3) 7, 8, 9, 7, 8, 9, 7, 8 10 10 Comply With and -2, 4 2, 7 1, 3 Use Tech Specs. (3) Notes: (1) Includes Technical Specification compliance for an RO. (2) Optional for an SRO-U. (3) Only applicable to SROs. Instructions
: Check the applicant
's license type and enter one or more event numbers that will allow the examiners to evaluate every applicable competency for every applicant
. ES-301, Page 27 of 27 ES-301 Competencies Checklist Form ES-301-6 CREW2 Facility:
Clinton Date of Examination
: 03/16/15 Operating Test No.: 2015-301 APPLICANTS R03 RO D RO D RO D SRO-I D SR0-12 SR0-13 SRO-I D Competencies SRO-U D SRO-U D SRO-U D SRO-U 2 SCENARIO SCENARIO SCENARIO SCENARIO 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 BOP ATC ATC BOP SRO SRO ATC BOP SRO Interpret/
Diagnose l:U:" 4, 5. 6, 1, 2, 3, 1. 2. 3, 1, 2. 3, 1, 2, 3, 7. 8. 9. 6. 7, 8, 1, 3, 6. 4, 5. 6. 4, 5, 6, 2. 4, 5. 4, 6, 9. 4. 5. 6, 10 10 9 7, 8 7. 8. 9. 7, 8, 9, 6, 7 10 7, 8 Events and Conditions 10 10 1, 2, 3, 1. 2. 3, 1, 2,3. Comply With and Use 4, 5. 9, 1, 2, 3, 1, 2, 3, 10 4. 5. 7. 6. 7, 8, 1, 3, 6, 4, 5, 6. 4, 5, 6, 2. 4, 5. 4, 6, 9. , .. 4, 5, 6, 8, 9 9 7. 8 7. 8. 9, 7, 8, 9, 6,7. 10 7. 8 Procedures (1) 10 10 1. 2, 3, Operate Control 5, 9, 10 4, 5, 7, 6, 7, 8, 1, 3, 6, 2, 4, 5, 1, 3, 6, 8, 9 9 7, 8 7 9, 10 .-Boards (2) 1, 2, 3, 1, 2, 3, 1, 2, 3, Communicate 4, 5, 9, 1, 2, 3, 1, 2, 3, 10 1,4, 5, 5, 6, 7, 1, 3, 6, 4, 5, 6, 4, 5, 6, 2,4, 5, 4, 5, 6, 4, 5, 6, 7, 8, 9 8, 9 7, 8 7, 8, 9, 7, 8, 9. 6,7 9, 10 7, 8 and Interact 10 10 Demonstrate 1, 2. 3, 1, 2, 3, 1, 2, 3, .. 4, 5, 6, 4, 5, 6, 4, 5, 6, 7, 8, 9, 7,8, 9, 7, 8 Supervisory Ability (3) 10 10 Comply With and 2,7 2, 4 1, 3 Use Tech Specs. (3) Notes: ( 1) Includes Technical Specification compliance for an RO. (2) Optional for an SRO-U. (3) Only applicable to SROs. Instructions:
Check the applicant's license type and enter one or more event numbers that will allow the examiners to evaluate every applicable competency for every applicant.
Check the applicant's license type and enter one or more event numbers that will allow the examiners to evaluate every applicable competency for every applicant.
ES-301 , Page 27 of 27 ES-301 Competencies Checklist Form ES-301-6 CREW3 Facility: Clinton Date of Examination
ES-301 , Page 27 of 27
: 03/16/15 Operating Test No.: 2015-301 APPLICANTS RO D RO D RO D RO D SR0-14 [gJ SR0-15 [gJ SR0-16 [gJ SRO-I D Competencies SRO-U D SRO-U D SRO-U D SRO-U D SCENARIO SCENARIO SCENARIO SCENARIO 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 SRO ATC BOP ATC BOP SRO BOP SRO ATC Interpret/
 
Diagnose 1, 2, 3, 1, 2. 3, 1, 2, 3, 1, 2, 3, 1, 2, 3, 4, 5, 6, 4, 5, 6, 2, 4, 5, 4, 6, 9, 6, 7, 8, 1, 3, 6, 4, 5, 6, 4, 5, 9, 4, 5, 6, 7, 8, 9, 7, 8, 9, 6, 7 10 9 7, 8 7, 8. 9, 10 7, 8 10 Events and Conditions 10 10 1, 2, 3, 1, 2, 3, Comply With and Use 4, 5, 6, 1, 2, 3, 1, 2, 3, 1, 2, 3, 7, 8, 9, 2, 4, 5, 4, 6, 9, 6, 7, 8. 1, 3, 6, 4, 5, 6, 4, 5, 9, 4, 5, 6, 4, 5, 7-, 10 6,7 10 9 7, 8 7, 8, 9, 10 7, 8 8, 9 Procedures (1) 10 Operate Control 2, 4, 5, 1, 3, 6. 6, 7, 8. 1, 3, 6, 1, 2, 3, 4, 5, 7, 7 9, 10 9 7, 8 5, 9, 10 8, 9 Boards (2) 1, 2, 3, 1, 2, 3, Communicate 4, 5, 6, 1, 2, 3, 1, 2, 3, 1, 2, 3, 7, 8, 9, 2, 4, 5. 4, 5, 6, 5, 6, 7, 1, 3, 6, 4, 5, 6, 4, 5, 9, 4, 5, 6, 1, 4, 5, 10 6, 7 8, 9 7, 8 7, 8, 9, 10 7, 8 7,8, 9 and Interact 9, 10 10 Demonstrate 1, 2, 3, 1,2, 3, 1, 2, 3, 4, 5, 6, 4, 5, 6, 4, 5, 6, ' 7, 8, 9, -7, 8. 9, Supervisory Ability (3) 10 10 7, 8 ' Comply With and 2, 4 2.7 1, 3 ..* Use Tech Specs. (3) Notes: (1) Includes Technical Specification compliance for an RO. (2) Optional for an SRO-U. (3) Only applicable to SROs. Instructions
ES-301                                         Competencies Checklist                                                         Form ES-301-6 CREW3 Facility: Clinton                       Date of Examination : 03/16/15                                     Operating Test No. : 2015-301 APPLICANTS RO               D           RO                 D         RO                   D     RO     D SR0-14 [gJ                     SR0-15 [gJ                     SR0-16 [gJ                   SRO-I   D Competencies                   SRO-U D                                                                                            D SRO-U               D         SRO-U                 D     SRO-U SCENARIO                       SCENARIO                     SCENARIO                     SCENARIO 1       2       3     4     1       2       3     4   1         2         3     4 1     2 3   4 SRO     ATC     BOP           ATC     BOP     SRO         BOP     SRO         ATC 1, 2, 3,                                         1, 2, 3, Interpret/ Diagnose          4, 5, 6, 2, 4, 5, 1, 2. 3, 4, 6, 9,     6, 7, 8 , 1, 3, 6, 4, 5, 6, 1, 2, 3, 1, 2, 3, 4, 5, 6, 4, 5, 9, 4, 5, 6, 7, 8, 9, 7, 8, 9,   6, 7                   9       7, 8   7, 8. 9,       10       7, 8       10 10 Events and Conditions           10                                               10 1, 2, 3, 4, 5, 6,                                           1, 2, 3, Comply With and Use                              1, 2, 3, 7, 8 , 9, 2, 4, 5, 4, 6, 9,     6 , 7, 8. 1, 3, 6, 4, 5 , 6, 1, 2, 3 , 1, 2, 3 , 4, 5, 7-,
: Check the applicant's license type and enter one or more event numbers that will allow the examiners to evaluate evefY applicable competency for evefY applicant.
4, 5, 9, 4, 5, 6, 10     6,7                     9       7, 8   7, 8 , 9,               7, 8       8, 9 10                                          10 Procedures (1)                                                                     10 Operate Control                       2, 4, 5, 1, 3, 6. 6, 7, 8. 1, 3, 6,             1, 2, 3,             4, 5, 7, 7     9 , 10         9       7, 8               5, 9, 10               8, 9 Boards (2) 1, 2, 3, 4, 5, 6,           1, 2, 3,                       1, 2, 3,   1, 2, 3, 1, 2, 3, 1, 4, 5, Communicate                  7, 8, 9, 2, 4, 5. 4, 5, 6,     5, 6, 7, 1, 3, 6, 4, 5, 6,   4, 5, 9, 4, 5, 6 ,
7, 8, 9 10     6, 7                 8, 9     7, 8   7, 8, 9,       10       7, 8 9, 10 and Interact                                                                       10 1, 2, 3 ,                                         1, 2 , 3,             1, 2 , 3, Demonstrate                  4, 5 , 6,                                         4, 5, 6, 4, 5, 6 , '
7, 8, 9,         -                                 7, 8. 9,               7, 8 Supervisory Ability (3)           10                                               10 Comply With and                 2, 4                                               2.7                   1, 3                   ..*
Use Tech Specs. (3)
Notes:
(1)       Includes Technical Specification compliance for an RO.
(2)       Optional for an SRO-U .
(3)       Only applicable to SROs.
Instructions:
Check the applicant's license type and enter one or more event numbers that will allow the examiners to evaluate evefY applicable competency for evefY applicant.
ES-301, Page 27 of 27
 
ES-301 Transient and Event Checklist Form ES-301 Crew 1 Facility: Clinton                                    Date of Exam: 3/16/15            Operating Test Number: 2015-301 A          E                                                    Scenarios p          v              1                    2                    3                  4          T      M p          E L          N          CREW                  CREW                  CREW              CREW          0        I I        T          POSITION            POSITION              POSITION          POSITION        T      N c                                                                                                    A        I A          T      s      A      B      s      A      B      s      A      B    s      A      B    L      M N          y      R      T    0      R      T      0      R      T      0    R      T      0            u T          p      0      c      p      0      c      p      0      c      p    0      c      p            M(*)
E                                                                                            R    I  u 11    R1    R2    U1      11    R1      11    R2    R1 RO        RX                              5                                                            1  1    1  0 D          NOR                              1                                                            1  1    1  1 SRO-I D          l/C                            246                                                          3  4    4  2 SRO-U
[8J        MAJ                            7                                                            1  2    2  1 U1        TS                              13                                                          2  0    2  2 RO          RX          6                          5              4                                    3  1    1  0 D          NOR        1                                          1                                    2  1    1  1 SRO-I
[8J        l/C    3578                          24          3568                                    10  4    4  2 SRO-U D          MAJ        9                          7              9                                    3  2    2  1 11        TS        24                                          27                                    4  0    2  2 RO          RX                6                                                                          1  1    1  0
[8J NOR                                            1                    1                      2  1    1  1 SRO-I D          l/C              78                          36                    36                      6  4    4  2 SRO-U D          MAJ              9                            7                    9                      3  2    2  1 R1        TS                                                                                            0  0    2  2 RO          RX                                                          4                              1  1    1  0
[8J NOR                      1                                                                  1  1    1  1 SRO-I D          l/C                      35                                  58                              4  4    4  2 SRO-U D          MAJ                      9                                  9                              2  2    2  1 R2        TS                                                                                            0  0    2  2 Instructions:
: 1.      Check the af~licant level and enter the operating test number and Form ES-D-1 event numbers for each event tyfce;    are not a~licable for RO applicants. ROs must serve in both the "at-the-controls (ATC)"
and "ba ance-of-flant (B P)" positions. Instant SROs must serve in both the SRO and the ATC positions, including at leas two instrument or component (1/C) malfunctions and one major transient, in the ATC position. If an Instant SRO additionally serves in the BOP position , one l/C malfunction can be credited toward the two l/C malfunctions required for the ATC position.
: 2.      Reactivi~ manipulations may be conducted under normal or controlled abnormal conditions (refer to Section .5.d) but must be significant per Section C.2.a of Appendix D.      p  Reactivity and normal evolutions may be replaced with additional instrument or component mal unctions on a 1-for-1 basis.
: 3.      Whenever practical , both instrument and component malfunctions should be included; only those that require verifiable actions that provide insight to the applicant's competence count toward the minimum requirements specified for the applicant's license level in the right-hand columns.
ES-301, Page 26 of 27
 
ES-301 Transient and Event Checklist Form ES-301 Crew 2 Facility: Clinton                                    Date of Exam: 3/16/15            Operating Test Number: 2015-301 A          E                                                    Scenarios p          v              1                    2                    3                  4          T      M p          E L          N          CREW                  CREW                  CREW              CREW          0        I I        T          POSITION            POSITION              POSITION            POSITION        T      N c                                                                                                    A        I A          T      s      A      B      s      A      B      s      A      B    s      A      B    L      M N          y      R      T      0      R      T      0      R      T      0    R      T      0            u T          p      0      c      p      0      c      p      0      c      p    0      c      p            M(*)
E                                                                                            R      I u 13    12    R3    U2      13      12    12    R3      13 RO          RX                              5                                                          1  1    1  0 D          NOR                              1                                                          1  1    1  1 SRO-I D          l/C                            246                                                          3  4    4  2 SRO-U
[gl        MAJ                            7                                                            1  2    2  1 U2          TS                              13                                                          2  0    2  2 RO          RX                6                                  4                                    2  1    1  0 D          NOR                                            1      1                                    2  1    1  1 SRO-I
[gl        l/C              76                          36    3566                                    8  4    4  2 SRO-U D          MAJ                9                          7      9                                    3  2    2  1 12        TS                                                    27                                    2  0    2  2 RO          RX        6                            5                                                    2  1    1  0 D          NOR        1                                                        1                      2  1    1  1 SRO-I
[gl        l/C    3576                          24                          36                      8  4    4  2 SRO-U D          MAJ        9                            7                            9                      3  2    2  1 13        TS        24                                                                                2  0    2  2 RO          RX                                                          4                              1  1    1  0
[gl NOR                      1                                                                  1  1    1  1 SRO-I D          1/C                      35                                  56                              4  4    4  2 SRO-U D          MAJ                      9                                  9                              2  2    2  1 R3        TS                                                                                            0  0    2  2 Instructions:
: 1.      Check the afgiicant level and enter the operating test number and Form ES-D-1 event numbers for each event tyfce;    are not a~licable for RO applicants. ROs must serve in both the "at-the-controls (ATC)"
and "ba ance-of-flant (B P)" positions. Instant SROs must serve in both the SRO and the ATC positions, including at leas two instrument or component (l/C) malfunctions and one major transient, in the ATC position. If an Instant SRO additionally serves in the BOP position , one 1/C malfunction can be credited toward the two l/C malfunctions required for the ATC positron.
2.
Section .5.d) but must be significant per Section C.2.a of Appendix D.      r)
Reactivi~ manipulations may be conducted under normal or controlled abnormal conditions (refer to Reactivity and normal evolutions may be replaced wrth additional instrument or component mal unctions on a 1-for-1 basis.
: 3.      Whenever practical both instrument and component malfunctions should be included; only those that require verifiable actions that provide insight to the applicant's competence count toward the minimum requirements specified for the applicant's license level in the right-hand columns.
ES-301 , Page 26 of 27
 
ES-301 Transient and Event Checklist Form ES-301 Crew 3 Facility: Clinton                                    Date of Exam: 3/ 16/ 15        Operating Test Number: 2015-301 A          E                                                    Scenarios p          v              1                    2                    3                4          T        M p          E L          N            CREW                  CREW                CREW              CREW          0        I I        T          POSITION                POSITION          POSITION          POSITION        T        N c                                                                                                    A        I A          T      s      A    B        s    A      B    s      A    B    s      A      B    L      M N          y      R      T      0        R    T      0    R      T    0    R      T      0            u T          p      0      c      p      0      c      p    0      c    p    0      c      p            M(*)
E                                                                                              R    I  u 14    15    16      16    14    15    15      16    14 I'
RO        RX          6                            5                                                  2    1    1  0 D          NOR        1                                                        1                        2    1    1  1 SRO-I
[8J        l/C      357 8                          24                        36                        8    4  4  2 SRO-U                                                                                                "
D          MAJ        9                            7                          9                        3    2  2  1 14          TS        24                                                                                2    0  2  2 RO          RX                6                                  4                                    2    1    1  0 D          NOR                                            1      1                                    2    1    1  1 SRO-I
[8J        l/C              78                          36    3568                                    8    4  4  2 SRO-U D          MAJ                9                            7      9                                    3    2  2  1 15        TS                                                    27                                    2    0  2  2 RO          RX                                5                          4                            2    1  1  0 D          NOR                        1        1                                                        2    1  1  1 SRO-I
[8J        l/C                      35      2 46                        58                              7    4  4  2 SRO-U D          MAJ                        9        7                          9                            3    2  2  1 16        TS                                13                                                        2    0  2  2 RO        RX                                                                                                  1  1  0 D          NOR                                                                                                1  1  1 SRO-I D          l/C                                                                                                4  4  2 SRO-U MAJ                                                                                                2  2  1 D
TS
* 0  2  2 Instructions:
: 1.      Check the afglicant level and enter the operating test number and Form ES-D-1 event numbers for each event tyfce;      are not a~ li cable for RO applicants. ROs must serve in both the "at-the-controls (ATC)"
and "ba ance-of-plant (B P)" positions. Instant SROs must serve in both the SRO and the ATC positions, including at least two instrument or component (1/C) malfunctions and one major transient, in the ATC position. If an Instant SRO additionally serves in the BOP position , one l/C malfunction can be credited toward the two l/C malfunctions required for the ATC position.
: 2.      Re acti vi ~ manipulations may be conducted under normal or controlled abnorm al conditions (refe r to Section .5.d) but must be significant per Section C.2.a of Appendix D.      p  Reactivity and normal evolutions may be replaced with additional instrument or component mal unctions on a 1-for-1 basis.
: 3.      Whenever practical, both instrument and component malfunctions should be included ; only those that require verifiable actions that provide insight to the applicant's competence count toward the minimum requirements specified for the applicant's license level in the right-hand columns.
ES-301 , Page 26 of 27
 
ES-301                                          Competencies Checklist                                                      Form ES-301-6 CREW1 Facility: Clinton                        Date of Examination : 03/16/15                                    Operating Test No. : 2015-301 APPLICANTS RO 1                ~            R02          ~              RO                  D      RO          D SRO-I              D          SRO-I        D              SR0-11 ~                  SRO-I        D Competencies                                                                                SRO-U D                    SRO-U 1 ~
SRO-U              D          SRO-U        D SCENARIO                        SCENARIO                    SCENARIO                  SCENARIO 1        2        3      4    1    2    3      4        1          2        3      4 1    2      3  4 ATC        BOP      BOP          BOP        ATC            SRO        ATC      SRO            SRO 1, 2, 3,            1, 2, 3,      1, 2, 3 ,
1, 2, 3,    1, 2, 3,    4, 5, 6, Interpret/ Diagnose          6 , 7, 8 , 1, 3, 6, 4, 6, 9,      4, 5, 9,    7, 8, 9, 4, 5, 6, 2, 4, 5, 4, 5, 6,        4, 5, 6, 9        7, 8                                            7, 8, 9,    6, 7  7, 8, 9, 10          10          10                                                7, 8 Events and Conditions                                                                        10                  10 6, 7, 8, 9                                                        1, 2, 3,            1, 2, 3,      1, 2, 3, 1, 2, 3,    1, 2, 3, Comply With and Use                    1, 3 , 6, 4, 6 , 9,    4, 5, 9, 4, 5 , 7,      4, 5, 6 , 2 , 4, 5, 4, 5, 6 ,      4, 5, 6, 7, 8                              8, 9          7, 8, 9,    6, 7  7, 8, 9,        7, 8 10          10 Procedures (1)                                                                                10                  10 6, 7 , 8, 9
Operate Control                          1, 3, 6 , 1, 3, 6,    1,2, 3,    4, 5, 7,                  2, 4, 5, 7, 8    9 , 10      5, 9, 10      8, 9                        7 Boards (2)                                                                            Ill 5, 6 , 7, 8, 9              1, 2, 3,                                1, 2 , 3 ,          1, 2, 3,      1, 2, 3, 1, 2, 3, Communicate                              1, 3 , 6, 4, 5, 6 ,    4, 5, 9, 1, 4, 5,        4, 5 , 6 , 2, 4, 5, 4, 5, 6,      4, 5, 6 ,
7, 8                            7, 8, 9        7, 8 , 9,    6, 7  7, 8, 9 ,        7, 8 9, 10          10 and Interact                                                                                  10                  10 1, 2, 3,            1, 2, 3,      1, 2, 3 ,
Demonstrate                                                                                4, 5 , 6 ,
7, 8, 9, 4, 5, 6, 7, 8, 9, 4, 5, 6, 7, 8 10                  10 Supervisory Ability (3)
Comply With and                          -                                                    2, 4                2, 7          1, 3 Use Tech Specs. (3)
Notes:
(1)        Includes Technical Specification compliance for an RO.
(2)        Optional for an SRO-U.
(3)        Only applicable to SROs.
Instructions:
Check the applicant's license type and enter one or more event numbers that will allow the examiners to evaluate every applicable competency for every applicant.
ES-301 , Page 27 of 27
 
ES-301                                      Competencies Checklist                                                      Form ES-301-6 CREW2 Facility: Clinton                        Date of Examination : 03/16/15                                Operating Test No.: 2015-301 APPLICANTS R03            ~          RO                  D          RO                D        RO          D SRO-I          D          SR0-12 ~                      SR0-13 ~                    SRO-I      D Competencies                  SRO-U D                    SRO-U D                        SRO-U D                    SRO-U 2 ~
SCENARIO                    SCENARIO                      SCENARIO                    SCENARIO 1        2      3    4    1        2        3    4    1        2        3    4    1    2    3    4 BOP            ATC        ATC      BOP      SRO        SRO      ATC      BOP              SRO 1, 2, 3,    1. 2. 3,                            1, 2, 3, Interpret/ Diagnose          l:U:      "
4, 5. 6,
: 7. 8. 9. 6. 7, 8, 1, 3, 6. 4, 5. 6.
1, 2. 3, 4, 5, 6, 2. 4, 5. 4, 6, 9.          4. 5. 6, 10              10          9      7, 8  7. 8. 9. 7, 8, 9,  6, 7      10              7, 8 Events and Conditions                                                          10        10 1, 2, 3, 4, 5. 9,                                      1. 2. 3,    1, 2, 3.          1, 2, 3,          1, 2, 3, Comply With and Use              10          4. 5. 7. 6. 7, 8, 1, 3, 6, 4 , 5, 6. 4, 5, 6, 2. 4, 5. 4, 6, 9.  ,.. 4, 5, 6, 8, 9        9      7. 8  7. 8. 9,    7, 8, 9,  6,7 . 10              7. 8 Procedures (1)                                                                  10        10
: 1. 2, 3, 5, 9, 10 Operate Control                              4, 5, 7,    6, 7, 8, 1, 3, 6,                      2, 4, 5, 1, 3, 6, 7      9, 10 8, 9        9      7, 8 Boards (2) 1, 2, 3, 4, 5, 9,                                      1, 2, 3,    1, 2, 3,          1, 2, 3,          1, 2, 3, Communicate                      10          1,4, 5,    5, 6, 7, 1, 3, 6, 4, 5, 6,    4, 5, 6, 2, 4, 5, 4, 5, 6,          4, 5, 6, 7, 8, 9      8, 9    7, 8    7, 8, 9,    7, 8, 9. 6,7    9, 10              7, 8 and Interact                                                                    10        10 1, 2. 3,    1, 2, 3,                            1, 2, 3, Demonstrate                          ..                                    4, 5, 6, 7, 8, 9, 4, 5, 6, 7, 8, 9, 4, 5, 6, 7, 8 Supervisory Ability (3)                                                        10        10 Comply With and                                                                2,7        2, 4                                1, 3 Use Tech Specs. (3)
Notes:
( 1)      Includes Technical Specification compliance for an RO.
(2)        Optional for an SRO-U .
(3)        Only applicable to SROs.
Instructions:
Check the applicant's license type and enter one or more event numbers that will allow the examiners to evaluate every applicable competency for every applicant.
ES-301 , Page 27 of 27
 
ES-301                                          Competencies Checklist                                                        Form ES-301-6 CREW3 Facility: Clinton                        Date of Examination : 03/16/15                                      Operating Test No. : 2015-301 APPLICANTS RO                D            RO                  D          RO                    D      RO      D SR0-14 [gJ                    SR0-15 [gJ                    SR0-16 [gJ                  SRO-I  D Competencies                    SRO-U D                                                                                            D SRO-U              D        SRO-U                  D      SRO-U SCENARIO                        SCENARIO                      SCENARIO                      SCENARIO 1        2        3      4      1        2        3      4    1        2          3      4 1    2  3    4 SRO      ATC      BOP          ATC      BOP      SRO          BOP      SRO        ATC 1, 2, 3,                                          1, 2, 3, Interpret/ Diagnose          4, 5, 6, 2, 4, 5, 1, 2. 3, 4, 6, 9,    6, 7, 8 , 1, 3, 6, 4, 5, 6, 1, 2, 3, 1, 2, 3, 4, 5, 6, 4, 5, 9, 4, 5, 6, 7, 8, 9, 7, 8, 9,    6, 7                    9      7, 8  7, 8. 9,      10      7, 8        10 10 Events and Conditions            10                                                10 1, 2, 3, 4, 5, 6,                                          1, 2, 3, Comply With and Use                              1, 2, 3, 7, 8 , 9, 2, 4, 5, 4, 6, 9,    6 , 7, 8. 1, 3, 6, 4, 5 , 6, 1, 2, 3 , 1, 2, 3 , 4, 5, 7-,
4, 5, 9, 4, 5, 6, 10      6,7                    9      7, 8  7, 8 , 9,              7, 8      8, 9 10                                          10 Procedures (1)                                                                    10 Operate Control                        2, 4, 5, 1, 3, 6. 6, 7, 8. 1, 3, 6,            1, 2, 3,            4, 5, 7, 7      9 , 10          9      7, 8              5, 9, 10              8, 9 Boards (2) 1, 2, 3, 4, 5, 6,          1, 2, 3,                        1, 2, 3,    1, 2, 3, 1, 2, 3, 1, 4, 5, Communicate                  7, 8, 9, 2, 4, 5. 4, 5, 6,      5, 6, 7,  1, 3, 6, 4, 5, 6,    4, 5, 9, 4, 5, 6 ,
7, 8, 9 10      6, 7                  8, 9      7, 8  7, 8, 9,      10      7, 8 9, 10 and Interact                                                                        10 1, 2, 3 ,                                          1, 2 , 3,            1, 2 , 3, Demonstrate                  4, 5 , 6,                                          4, 5, 6, 4, 5, 6 , '
7, 8, 9,        -                                7, 8. 9,                7, 8 Supervisory Ability (3)          10                                                10 Comply With and                2, 4                                              2.7                  1, 3                  ..*
Use Tech Specs. (3)
Notes:
(1)        Includes Technical Specification compliance for an RO.
(2)        Optional for an SRO-U .
(3)        Only applicable to SROs.
Instructions:
Check the applicant's license type and enter one or more event numbers that will allow the examiners to evaluate evefY applicable competency for evefY applicant.
ES-301, Page 27 of 27}}
ES-301, Page 27 of 27}}

Latest revision as of 07:49, 5 February 2020

2015 Clinton Power Station Initial License Examination Forms ES-301-5 and ES-301-6
ML15314A050
Person / Time
Site: Clinton Constellation icon.png
Issue date: 11/09/2015
From:
NRC/RGN-III
To:
Exelon Generation Co
Zoia, C D
Shared Package
ML15124A069 List:
References
Download: ML15314A050 (6)
v • d • e


Text

ES-301 Transient and Event Checklist Form ES-301 Crew 1 Facility: Clinton Date of Exam: 3/16/15 Operating Test Number: 2015-301 A E Scenarios p v 1 2 3 4 T M p E L N CREW CREW CREW CREW 0 I I T POSITION POSITION POSITION POSITION T N c A I A T s A B s A B s A B s A B L M N y R T 0 R T 0 R T 0 R T 0 u T p 0 c p 0 c p 0 c p 0 c p M(*)

E R I u 11 R1 R2 U1 11 R1 11 R2 R1 RO RX 5 1 1 1 0 D NOR 1 1 1 1 1 SRO-I D l/C 246 3 4 4 2 SRO-U

[8J MAJ 7 1 2 2 1 U1 TS 13 2 0 2 2 RO RX 6 5 4 3 1 1 0 D NOR 1 1 2 1 1 1 SRO-I

[8J l/C 3578 24 3568 10 4 4 2 SRO-U D MAJ 9 7 9 3 2 2 1 11 TS 24 27 4 0 2 2 RO RX 6 1 1 1 0

[8J NOR 1 1 2 1 1 1 SRO-I D l/C 78 36 36 6 4 4 2 SRO-U D MAJ 9 7 9 3 2 2 1 R1 TS 0 0 2 2 RO RX 4 1 1 1 0

[8J NOR 1 1 1 1 1 SRO-I D l/C 35 58 4 4 4 2 SRO-U D MAJ 9 9 2 2 2 1 R2 TS 0 0 2 2 Instructions:

1. Check the af~licant level and enter the operating test number and Form ES-D-1 event numbers for each event tyfce; are not a~licable for RO applicants. ROs must serve in both the "at-the-controls (ATC)"

and "ba ance-of-flant (B P)" positions. Instant SROs must serve in both the SRO and the ATC positions, including at leas two instrument or component (1/C) malfunctions and one major transient, in the ATC position. If an Instant SRO additionally serves in the BOP position , one l/C malfunction can be credited toward the two l/C malfunctions required for the ATC position.

2. Reactivi~ manipulations may be conducted under normal or controlled abnormal conditions (refer to Section .5.d) but must be significant per Section C.2.a of Appendix D. p Reactivity and normal evolutions may be replaced with additional instrument or component mal unctions on a 1-for-1 basis.
3. Whenever practical , both instrument and component malfunctions should be included; only those that require verifiable actions that provide insight to the applicant's competence count toward the minimum requirements specified for the applicant's license level in the right-hand columns.

ES-301, Page 26 of 27

ES-301 Transient and Event Checklist Form ES-301 Crew 2 Facility: Clinton Date of Exam: 3/16/15 Operating Test Number: 2015-301 A E Scenarios p v 1 2 3 4 T M p E L N CREW CREW CREW CREW 0 I I T POSITION POSITION POSITION POSITION T N c A I A T s A B s A B s A B s A B L M N y R T 0 R T 0 R T 0 R T 0 u T p 0 c p 0 c p 0 c p 0 c p M(*)

E R I u 13 12 R3 U2 13 12 12 R3 13 RO RX 5 1 1 1 0 D NOR 1 1 1 1 1 SRO-I D l/C 246 3 4 4 2 SRO-U

[gl MAJ 7 1 2 2 1 U2 TS 13 2 0 2 2 RO RX 6 4 2 1 1 0 D NOR 1 1 2 1 1 1 SRO-I

[gl l/C 76 36 3566 8 4 4 2 SRO-U D MAJ 9 7 9 3 2 2 1 12 TS 27 2 0 2 2 RO RX 6 5 2 1 1 0 D NOR 1 1 2 1 1 1 SRO-I

[gl l/C 3576 24 36 8 4 4 2 SRO-U D MAJ 9 7 9 3 2 2 1 13 TS 24 2 0 2 2 RO RX 4 1 1 1 0

[gl NOR 1 1 1 1 1 SRO-I D 1/C 35 56 4 4 4 2 SRO-U D MAJ 9 9 2 2 2 1 R3 TS 0 0 2 2 Instructions:

1. Check the afgiicant level and enter the operating test number and Form ES-D-1 event numbers for each event tyfce; are not a~licable for RO applicants. ROs must serve in both the "at-the-controls (ATC)"

and "ba ance-of-flant (B P)" positions. Instant SROs must serve in both the SRO and the ATC positions, including at leas two instrument or component (l/C) malfunctions and one major transient, in the ATC position. If an Instant SRO additionally serves in the BOP position , one 1/C malfunction can be credited toward the two l/C malfunctions required for the ATC positron.

2.

Section .5.d) but must be significant per Section C.2.a of Appendix D. r)

Reactivi~ manipulations may be conducted under normal or controlled abnormal conditions (refer to Reactivity and normal evolutions may be replaced wrth additional instrument or component mal unctions on a 1-for-1 basis.

3. Whenever practical both instrument and component malfunctions should be included; only those that require verifiable actions that provide insight to the applicant's competence count toward the minimum requirements specified for the applicant's license level in the right-hand columns.

ES-301 , Page 26 of 27

ES-301 Transient and Event Checklist Form ES-301 Crew 3 Facility: Clinton Date of Exam: 3/ 16/ 15 Operating Test Number: 2015-301 A E Scenarios p v 1 2 3 4 T M p E L N CREW CREW CREW CREW 0 I I T POSITION POSITION POSITION POSITION T N c A I A T s A B s A B s A B s A B L M N y R T 0 R T 0 R T 0 R T 0 u T p 0 c p 0 c p 0 c p 0 c p M(*)

E R I u 14 15 16 16 14 15 15 16 14 I'

RO RX 6 5 2 1 1 0 D NOR 1 1 2 1 1 1 SRO-I

[8J l/C 357 8 24 36 8 4 4 2 SRO-U "

D MAJ 9 7 9 3 2 2 1 14 TS 24 2 0 2 2 RO RX 6 4 2 1 1 0 D NOR 1 1 2 1 1 1 SRO-I

[8J l/C 78 36 3568 8 4 4 2 SRO-U D MAJ 9 7 9 3 2 2 1 15 TS 27 2 0 2 2 RO RX 5 4 2 1 1 0 D NOR 1 1 2 1 1 1 SRO-I

[8J l/C 35 2 46 58 7 4 4 2 SRO-U D MAJ 9 7 9 3 2 2 1 16 TS 13 2 0 2 2 RO RX 1 1 0 D NOR 1 1 1 SRO-I D l/C 4 4 2 SRO-U MAJ 2 2 1 D

TS

  • 0 2 2 Instructions:
1. Check the afglicant level and enter the operating test number and Form ES-D-1 event numbers for each event tyfce; are not a~ li cable for RO applicants. ROs must serve in both the "at-the-controls (ATC)"

and "ba ance-of-plant (B P)" positions. Instant SROs must serve in both the SRO and the ATC positions, including at least two instrument or component (1/C) malfunctions and one major transient, in the ATC position. If an Instant SRO additionally serves in the BOP position , one l/C malfunction can be credited toward the two l/C malfunctions required for the ATC position.

2. Re acti vi ~ manipulations may be conducted under normal or controlled abnorm al conditions (refe r to Section .5.d) but must be significant per Section C.2.a of Appendix D. p Reactivity and normal evolutions may be replaced with additional instrument or component mal unctions on a 1-for-1 basis.
3. Whenever practical, both instrument and component malfunctions should be included ; only those that require verifiable actions that provide insight to the applicant's competence count toward the minimum requirements specified for the applicant's license level in the right-hand columns.

ES-301 , Page 26 of 27

ES-301 Competencies Checklist Form ES-301-6 CREW1 Facility: Clinton Date of Examination : 03/16/15 Operating Test No. : 2015-301 APPLICANTS RO 1 ~ R02 ~ RO D RO D SRO-I D SRO-I D SR0-11 ~ SRO-I D Competencies SRO-U D SRO-U 1 ~

SRO-U D SRO-U D SCENARIO SCENARIO SCENARIO SCENARIO 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 ATC BOP BOP BOP ATC SRO ATC SRO SRO 1, 2, 3, 1, 2, 3, 1, 2, 3 ,

1, 2, 3, 1, 2, 3, 4, 5, 6, Interpret/ Diagnose 6 , 7, 8 , 1, 3, 6, 4, 6, 9, 4, 5, 9, 7, 8, 9, 4, 5, 6, 2, 4, 5, 4, 5, 6, 4, 5, 6, 9 7, 8 7, 8, 9, 6, 7 7, 8, 9, 10 10 10 7, 8 Events and Conditions 10 10 6, 7, 8, 9 1, 2, 3, 1, 2, 3, 1, 2, 3, 1, 2, 3, 1, 2, 3, Comply With and Use 1, 3 , 6, 4, 6 , 9, 4, 5, 9, 4, 5 , 7, 4, 5, 6 , 2 , 4, 5, 4, 5, 6 , 4, 5, 6, 7, 8 8, 9 7, 8, 9, 6, 7 7, 8, 9, 7, 8 10 10 Procedures (1) 10 10 6, 7 , 8, 9

Operate Control 1, 3, 6 , 1, 3, 6, 1,2, 3, 4, 5, 7, 2, 4, 5, 7, 8 9 , 10 5, 9, 10 8, 9 7 Boards (2) Ill 5, 6 , 7, 8, 9 1, 2, 3, 1, 2 , 3 , 1, 2, 3, 1, 2, 3, 1, 2, 3, Communicate 1, 3 , 6, 4, 5, 6 , 4, 5, 9, 1, 4, 5, 4, 5 , 6 , 2, 4, 5, 4, 5, 6, 4, 5, 6 ,

7, 8 7, 8, 9 7, 8 , 9, 6, 7 7, 8, 9 , 7, 8 9, 10 10 and Interact 10 10 1, 2, 3, 1, 2, 3, 1, 2, 3 ,

Demonstrate 4, 5 , 6 ,

7, 8, 9, 4, 5, 6, 7, 8, 9, 4, 5, 6, 7, 8 10 10 Supervisory Ability (3)

Comply With and - 2, 4 2, 7 1, 3 Use Tech Specs. (3)

Notes:

(1) Includes Technical Specification compliance for an RO.

(2) Optional for an SRO-U.

(3) Only applicable to SROs.

Instructions:

Check the applicant's license type and enter one or more event numbers that will allow the examiners to evaluate every applicable competency for every applicant.

ES-301 , Page 27 of 27

ES-301 Competencies Checklist Form ES-301-6 CREW2 Facility: Clinton Date of Examination : 03/16/15 Operating Test No.: 2015-301 APPLICANTS R03 ~ RO D RO D RO D SRO-I D SR0-12 ~ SR0-13 ~ SRO-I D Competencies SRO-U D SRO-U D SRO-U D SRO-U 2 ~

SCENARIO SCENARIO SCENARIO SCENARIO 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 BOP ATC ATC BOP SRO SRO ATC BOP SRO 1, 2, 3, 1. 2. 3, 1, 2, 3, Interpret/ Diagnose l:U: "

4, 5. 6,

7. 8. 9. 6. 7, 8, 1, 3, 6. 4, 5. 6.

1, 2. 3, 4, 5, 6, 2. 4, 5. 4, 6, 9. 4. 5. 6, 10 10 9 7, 8 7. 8. 9. 7, 8, 9, 6, 7 10 7, 8 Events and Conditions 10 10 1, 2, 3, 4, 5. 9, 1. 2. 3, 1, 2, 3. 1, 2, 3, 1, 2, 3, Comply With and Use 10 4. 5. 7. 6. 7, 8, 1, 3, 6, 4 , 5, 6. 4, 5, 6, 2. 4, 5. 4, 6, 9. ,.. 4, 5, 6, 8, 9 9 7. 8 7. 8. 9, 7, 8, 9, 6,7 . 10 7. 8 Procedures (1) 10 10

1. 2, 3, 5, 9, 10 Operate Control 4, 5, 7, 6, 7, 8, 1, 3, 6, 2, 4, 5, 1, 3, 6, 7 9, 10 8, 9 9 7, 8 Boards (2) 1, 2, 3, 4, 5, 9, 1, 2, 3, 1, 2, 3, 1, 2, 3, 1, 2, 3, Communicate 10 1,4, 5, 5, 6, 7, 1, 3, 6, 4, 5, 6, 4, 5, 6, 2, 4, 5, 4, 5, 6, 4, 5, 6, 7, 8, 9 8, 9 7, 8 7, 8, 9, 7, 8, 9. 6,7 9, 10 7, 8 and Interact 10 10 1, 2. 3, 1, 2, 3, 1, 2, 3, Demonstrate .. 4, 5, 6, 7, 8, 9, 4, 5, 6, 7, 8, 9, 4, 5, 6, 7, 8 Supervisory Ability (3) 10 10 Comply With and 2,7 2, 4 1, 3 Use Tech Specs. (3)

Notes:

( 1) Includes Technical Specification compliance for an RO.

(2) Optional for an SRO-U .

(3) Only applicable to SROs.

Instructions:

Check the applicant's license type and enter one or more event numbers that will allow the examiners to evaluate every applicable competency for every applicant.

ES-301 , Page 27 of 27

ES-301 Competencies Checklist Form ES-301-6 CREW3 Facility: Clinton Date of Examination : 03/16/15 Operating Test No. : 2015-301 APPLICANTS RO D RO D RO D RO D SR0-14 [gJ SR0-15 [gJ SR0-16 [gJ SRO-I D Competencies SRO-U D D SRO-U D SRO-U D SRO-U SCENARIO SCENARIO SCENARIO SCENARIO 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 SRO ATC BOP ATC BOP SRO BOP SRO ATC 1, 2, 3, 1, 2, 3, Interpret/ Diagnose 4, 5, 6, 2, 4, 5, 1, 2. 3, 4, 6, 9, 6, 7, 8 , 1, 3, 6, 4, 5, 6, 1, 2, 3, 1, 2, 3, 4, 5, 6, 4, 5, 9, 4, 5, 6, 7, 8, 9, 7, 8, 9, 6, 7 9 7, 8 7, 8. 9, 10 7, 8 10 10 Events and Conditions 10 10 1, 2, 3, 4, 5, 6, 1, 2, 3, Comply With and Use 1, 2, 3, 7, 8 , 9, 2, 4, 5, 4, 6, 9, 6 , 7, 8. 1, 3, 6, 4, 5 , 6, 1, 2, 3 , 1, 2, 3 , 4, 5, 7-,

4, 5, 9, 4, 5, 6, 10 6,7 9 7, 8 7, 8 , 9, 7, 8 8, 9 10 10 Procedures (1) 10 Operate Control 2, 4, 5, 1, 3, 6. 6, 7, 8. 1, 3, 6, 1, 2, 3, 4, 5, 7, 7 9 , 10 9 7, 8 5, 9, 10 8, 9 Boards (2) 1, 2, 3, 4, 5, 6, 1, 2, 3, 1, 2, 3, 1, 2, 3, 1, 2, 3, 1, 4, 5, Communicate 7, 8, 9, 2, 4, 5. 4, 5, 6, 5, 6, 7, 1, 3, 6, 4, 5, 6, 4, 5, 9, 4, 5, 6 ,

7, 8, 9 10 6, 7 8, 9 7, 8 7, 8, 9, 10 7, 8 9, 10 and Interact 10 1, 2, 3 , 1, 2 , 3, 1, 2 , 3, Demonstrate 4, 5 , 6, 4, 5, 6, 4, 5, 6 , '

7, 8, 9, - 7, 8. 9, 7, 8 Supervisory Ability (3) 10 10 Comply With and 2, 4 2.7 1, 3 ..*

Use Tech Specs. (3)

Notes:

(1) Includes Technical Specification compliance for an RO.

(2) Optional for an SRO-U .

(3) Only applicable to SROs.

Instructions:

Check the applicant's license type and enter one or more event numbers that will allow the examiners to evaluate evefY applicable competency for evefY applicant.

ES-301, Page 27 of 27

ES-301 Transient and Event Checklist Form ES-301 Crew 1 Facility: Clinton Date of Exam: 3/16/15 Operating Test Number: 2015-301 A E Scenarios p v 1 2 3 4 T M p E L N CREW CREW CREW CREW 0 I I T POSITION POSITION POSITION POSITION T N c A I A T s A B s A B s A B s A B L M N y R T 0 R T 0 R T 0 R T 0 u T p 0 c p 0 c p 0 c p 0 c p M(*)

E R I u 11 R1 R2 U1 11 R1 11 R2 R1 RO RX 5 1 1 1 0 D NOR 1 1 1 1 1 SRO-I D l/C 246 3 4 4 2 SRO-U

[8J MAJ 7 1 2 2 1 U1 TS 13 2 0 2 2 RO RX 6 5 4 3 1 1 0 D NOR 1 1 2 1 1 1 SRO-I

[8J l/C 3578 24 3568 10 4 4 2 SRO-U D MAJ 9 7 9 3 2 2 1 11 TS 24 27 4 0 2 2 RO RX 6 1 1 1 0

[8J NOR 1 1 2 1 1 1 SRO-I D l/C 78 36 36 6 4 4 2 SRO-U D MAJ 9 7 9 3 2 2 1 R1 TS 0 0 2 2 RO RX 4 1 1 1 0

[8J NOR 1 1 1 1 1 SRO-I D l/C 35 58 4 4 4 2 SRO-U D MAJ 9 9 2 2 2 1 R2 TS 0 0 2 2 Instructions:

1. Check the af~licant level and enter the operating test number and Form ES-D-1 event numbers for each event tyfce; are not a~licable for RO applicants. ROs must serve in both the "at-the-controls (ATC)"

and "ba ance-of-flant (B P)" positions. Instant SROs must serve in both the SRO and the ATC positions, including at leas two instrument or component (1/C) malfunctions and one major transient, in the ATC position. If an Instant SRO additionally serves in the BOP position , one l/C malfunction can be credited toward the two l/C malfunctions required for the ATC position.

2. Reactivi~ manipulations may be conducted under normal or controlled abnormal conditions (refer to Section .5.d) but must be significant per Section C.2.a of Appendix D. p Reactivity and normal evolutions may be replaced with additional instrument or component mal unctions on a 1-for-1 basis.
3. Whenever practical , both instrument and component malfunctions should be included; only those that require verifiable actions that provide insight to the applicant's competence count toward the minimum requirements specified for the applicant's license level in the right-hand columns.

ES-301, Page 26 of 27

ES-301 Transient and Event Checklist Form ES-301 Crew 2 Facility: Clinton Date of Exam: 3/16/15 Operating Test Number: 2015-301 A E Scenarios p v 1 2 3 4 T M p E L N CREW CREW CREW CREW 0 I I T POSITION POSITION POSITION POSITION T N c A I A T s A B s A B s A B s A B L M N y R T 0 R T 0 R T 0 R T 0 u T p 0 c p 0 c p 0 c p 0 c p M(*)

E R I u 13 12 R3 U2 13 12 12 R3 13 RO RX 5 1 1 1 0 D NOR 1 1 1 1 1 SRO-I D l/C 246 3 4 4 2 SRO-U

[gl MAJ 7 1 2 2 1 U2 TS 13 2 0 2 2 RO RX 6 4 2 1 1 0 D NOR 1 1 2 1 1 1 SRO-I

[gl l/C 76 36 3566 8 4 4 2 SRO-U D MAJ 9 7 9 3 2 2 1 12 TS 27 2 0 2 2 RO RX 6 5 2 1 1 0 D NOR 1 1 2 1 1 1 SRO-I

[gl l/C 3576 24 36 8 4 4 2 SRO-U D MAJ 9 7 9 3 2 2 1 13 TS 24 2 0 2 2 RO RX 4 1 1 1 0

[gl NOR 1 1 1 1 1 SRO-I D 1/C 35 56 4 4 4 2 SRO-U D MAJ 9 9 2 2 2 1 R3 TS 0 0 2 2 Instructions:

1. Check the afgiicant level and enter the operating test number and Form ES-D-1 event numbers for each event tyfce; are not a~licable for RO applicants. ROs must serve in both the "at-the-controls (ATC)"

and "ba ance-of-flant (B P)" positions. Instant SROs must serve in both the SRO and the ATC positions, including at leas two instrument or component (l/C) malfunctions and one major transient, in the ATC position. If an Instant SRO additionally serves in the BOP position , one 1/C malfunction can be credited toward the two l/C malfunctions required for the ATC positron.

2.

Section .5.d) but must be significant per Section C.2.a of Appendix D. r)

Reactivi~ manipulations may be conducted under normal or controlled abnormal conditions (refer to Reactivity and normal evolutions may be replaced wrth additional instrument or component mal unctions on a 1-for-1 basis.

3. Whenever practical both instrument and component malfunctions should be included; only those that require verifiable actions that provide insight to the applicant's competence count toward the minimum requirements specified for the applicant's license level in the right-hand columns.

ES-301 , Page 26 of 27

ES-301 Transient and Event Checklist Form ES-301 Crew 3 Facility: Clinton Date of Exam: 3/ 16/ 15 Operating Test Number: 2015-301 A E Scenarios p v 1 2 3 4 T M p E L N CREW CREW CREW CREW 0 I I T POSITION POSITION POSITION POSITION T N c A I A T s A B s A B s A B s A B L M N y R T 0 R T 0 R T 0 R T 0 u T p 0 c p 0 c p 0 c p 0 c p M(*)

E R I u 14 15 16 16 14 15 15 16 14 I'

RO RX 6 5 2 1 1 0 D NOR 1 1 2 1 1 1 SRO-I

[8J l/C 357 8 24 36 8 4 4 2 SRO-U "

D MAJ 9 7 9 3 2 2 1 14 TS 24 2 0 2 2 RO RX 6 4 2 1 1 0 D NOR 1 1 2 1 1 1 SRO-I

[8J l/C 78 36 3568 8 4 4 2 SRO-U D MAJ 9 7 9 3 2 2 1 15 TS 27 2 0 2 2 RO RX 5 4 2 1 1 0 D NOR 1 1 2 1 1 1 SRO-I

[8J l/C 35 2 46 58 7 4 4 2 SRO-U D MAJ 9 7 9 3 2 2 1 16 TS 13 2 0 2 2 RO RX 1 1 0 D NOR 1 1 1 SRO-I D l/C 4 4 2 SRO-U MAJ 2 2 1 D

TS

  • 0 2 2 Instructions:
1. Check the afglicant level and enter the operating test number and Form ES-D-1 event numbers for each event tyfce; are not a~ li cable for RO applicants. ROs must serve in both the "at-the-controls (ATC)"

and "ba ance-of-plant (B P)" positions. Instant SROs must serve in both the SRO and the ATC positions, including at least two instrument or component (1/C) malfunctions and one major transient, in the ATC position. If an Instant SRO additionally serves in the BOP position , one l/C malfunction can be credited toward the two l/C malfunctions required for the ATC position.

2. Re acti vi ~ manipulations may be conducted under normal or controlled abnorm al conditions (refe r to Section .5.d) but must be significant per Section C.2.a of Appendix D. p Reactivity and normal evolutions may be replaced with additional instrument or component mal unctions on a 1-for-1 basis.
3. Whenever practical, both instrument and component malfunctions should be included ; only those that require verifiable actions that provide insight to the applicant's competence count toward the minimum requirements specified for the applicant's license level in the right-hand columns.

ES-301 , Page 26 of 27

ES-301 Competencies Checklist Form ES-301-6 CREW1 Facility: Clinton Date of Examination : 03/16/15 Operating Test No. : 2015-301 APPLICANTS RO 1 ~ R02 ~ RO D RO D SRO-I D SRO-I D SR0-11 ~ SRO-I D Competencies SRO-U D SRO-U 1 ~

SRO-U D SRO-U D SCENARIO SCENARIO SCENARIO SCENARIO 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 ATC BOP BOP BOP ATC SRO ATC SRO SRO 1, 2, 3, 1, 2, 3, 1, 2, 3 ,

1, 2, 3, 1, 2, 3, 4, 5, 6, Interpret/ Diagnose 6 , 7, 8 , 1, 3, 6, 4, 6, 9, 4, 5, 9, 7, 8, 9, 4, 5, 6, 2, 4, 5, 4, 5, 6, 4, 5, 6, 9 7, 8 7, 8, 9, 6, 7 7, 8, 9, 10 10 10 7, 8 Events and Conditions 10 10 6, 7, 8, 9 1, 2, 3, 1, 2, 3, 1, 2, 3, 1, 2, 3, 1, 2, 3, Comply With and Use 1, 3 , 6, 4, 6 , 9, 4, 5, 9, 4, 5 , 7, 4, 5, 6 , 2 , 4, 5, 4, 5, 6 , 4, 5, 6, 7, 8 8, 9 7, 8, 9, 6, 7 7, 8, 9, 7, 8 10 10 Procedures (1) 10 10 6, 7 , 8, 9

Operate Control 1, 3, 6 , 1, 3, 6, 1,2, 3, 4, 5, 7, 2, 4, 5, 7, 8 9 , 10 5, 9, 10 8, 9 7 Boards (2) Ill 5, 6 , 7, 8, 9 1, 2, 3, 1, 2 , 3 , 1, 2, 3, 1, 2, 3, 1, 2, 3, Communicate 1, 3 , 6, 4, 5, 6 , 4, 5, 9, 1, 4, 5, 4, 5 , 6 , 2, 4, 5, 4, 5, 6, 4, 5, 6 ,

7, 8 7, 8, 9 7, 8 , 9, 6, 7 7, 8, 9 , 7, 8 9, 10 10 and Interact 10 10 1, 2, 3, 1, 2, 3, 1, 2, 3 ,

Demonstrate 4, 5 , 6 ,

7, 8, 9, 4, 5, 6, 7, 8, 9, 4, 5, 6, 7, 8 10 10 Supervisory Ability (3)

Comply With and - 2, 4 2, 7 1, 3 Use Tech Specs. (3)

Notes:

(1) Includes Technical Specification compliance for an RO.

(2) Optional for an SRO-U.

(3) Only applicable to SROs.

Instructions:

Check the applicant's license type and enter one or more event numbers that will allow the examiners to evaluate every applicable competency for every applicant.

ES-301 , Page 27 of 27

ES-301 Competencies Checklist Form ES-301-6 CREW2 Facility: Clinton Date of Examination : 03/16/15 Operating Test No.: 2015-301 APPLICANTS R03 ~ RO D RO D RO D SRO-I D SR0-12 ~ SR0-13 ~ SRO-I D Competencies SRO-U D SRO-U D SRO-U D SRO-U 2 ~

SCENARIO SCENARIO SCENARIO SCENARIO 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 BOP ATC ATC BOP SRO SRO ATC BOP SRO 1, 2, 3, 1. 2. 3, 1, 2, 3, Interpret/ Diagnose l:U: "

4, 5. 6,

7. 8. 9. 6. 7, 8, 1, 3, 6. 4, 5. 6.

1, 2. 3, 4, 5, 6, 2. 4, 5. 4, 6, 9. 4. 5. 6, 10 10 9 7, 8 7. 8. 9. 7, 8, 9, 6, 7 10 7, 8 Events and Conditions 10 10 1, 2, 3, 4, 5. 9, 1. 2. 3, 1, 2, 3. 1, 2, 3, 1, 2, 3, Comply With and Use 10 4. 5. 7. 6. 7, 8, 1, 3, 6, 4 , 5, 6. 4, 5, 6, 2. 4, 5. 4, 6, 9. ,.. 4, 5, 6, 8, 9 9 7. 8 7. 8. 9, 7, 8, 9, 6,7 . 10 7. 8 Procedures (1) 10 10

1. 2, 3, 5, 9, 10 Operate Control 4, 5, 7, 6, 7, 8, 1, 3, 6, 2, 4, 5, 1, 3, 6, 7 9, 10 8, 9 9 7, 8 Boards (2) 1, 2, 3, 4, 5, 9, 1, 2, 3, 1, 2, 3, 1, 2, 3, 1, 2, 3, Communicate 10 1,4, 5, 5, 6, 7, 1, 3, 6, 4, 5, 6, 4, 5, 6, 2, 4, 5, 4, 5, 6, 4, 5, 6, 7, 8, 9 8, 9 7, 8 7, 8, 9, 7, 8, 9. 6,7 9, 10 7, 8 and Interact 10 10 1, 2. 3, 1, 2, 3, 1, 2, 3, Demonstrate .. 4, 5, 6, 7, 8, 9, 4, 5, 6, 7, 8, 9, 4, 5, 6, 7, 8 Supervisory Ability (3) 10 10 Comply With and 2,7 2, 4 1, 3 Use Tech Specs. (3)

Notes:

( 1) Includes Technical Specification compliance for an RO.

(2) Optional for an SRO-U .

(3) Only applicable to SROs.

Instructions:

Check the applicant's license type and enter one or more event numbers that will allow the examiners to evaluate every applicable competency for every applicant.

ES-301 , Page 27 of 27

ES-301 Competencies Checklist Form ES-301-6 CREW3 Facility: Clinton Date of Examination : 03/16/15 Operating Test No. : 2015-301 APPLICANTS RO D RO D RO D RO D SR0-14 [gJ SR0-15 [gJ SR0-16 [gJ SRO-I D Competencies SRO-U D D SRO-U D SRO-U D SRO-U SCENARIO SCENARIO SCENARIO SCENARIO 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 SRO ATC BOP ATC BOP SRO BOP SRO ATC 1, 2, 3, 1, 2, 3, Interpret/ Diagnose 4, 5, 6, 2, 4, 5, 1, 2. 3, 4, 6, 9, 6, 7, 8 , 1, 3, 6, 4, 5, 6, 1, 2, 3, 1, 2, 3, 4, 5, 6, 4, 5, 9, 4, 5, 6, 7, 8, 9, 7, 8, 9, 6, 7 9 7, 8 7, 8. 9, 10 7, 8 10 10 Events and Conditions 10 10 1, 2, 3, 4, 5, 6, 1, 2, 3, Comply With and Use 1, 2, 3, 7, 8 , 9, 2, 4, 5, 4, 6, 9, 6 , 7, 8. 1, 3, 6, 4, 5 , 6, 1, 2, 3 , 1, 2, 3 , 4, 5, 7-,

4, 5, 9, 4, 5, 6, 10 6,7 9 7, 8 7, 8 , 9, 7, 8 8, 9 10 10 Procedures (1) 10 Operate Control 2, 4, 5, 1, 3, 6. 6, 7, 8. 1, 3, 6, 1, 2, 3, 4, 5, 7, 7 9 , 10 9 7, 8 5, 9, 10 8, 9 Boards (2) 1, 2, 3, 4, 5, 6, 1, 2, 3, 1, 2, 3, 1, 2, 3, 1, 2, 3, 1, 4, 5, Communicate 7, 8, 9, 2, 4, 5. 4, 5, 6, 5, 6, 7, 1, 3, 6, 4, 5, 6, 4, 5, 9, 4, 5, 6 ,

7, 8, 9 10 6, 7 8, 9 7, 8 7, 8, 9, 10 7, 8 9, 10 and Interact 10 1, 2, 3 , 1, 2 , 3, 1, 2 , 3, Demonstrate 4, 5 , 6, 4, 5, 6, 4, 5, 6 , '

7, 8, 9, - 7, 8. 9, 7, 8 Supervisory Ability (3) 10 10 Comply With and 2, 4 2.7 1, 3 ..*

Use Tech Specs. (3)

Notes:

(1) Includes Technical Specification compliance for an RO.

(2) Optional for an SRO-U .

(3) Only applicable to SROs.

Instructions:

Check the applicant's license type and enter one or more event numbers that will allow the examiners to evaluate evefY applicable competency for evefY applicant.

ES-301, Page 27 of 27

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