ML21075A231

DC-2021-01 Public Forms

ML21075A231
Person / Time
Site:	Diablo Canyon
Issue date:	02/12/2021
From:	Greg Werner Operations Branch IV
To:	Pacific Gas & Electric Co
References
Download: ML21075A231 (26)

Text

{{#Wiki_filter:Kelly Clayton 8/31/2020 Gregory E. Werner / 09/29/2020

Kelly Clayton 1/13/2021 Gregory E. Werner / 01/14/2021 Rev 1

Rev 1 ES-301 Simulator Scenario Quality Checklist Form ES-301-4 Facility: DCPP Date of Exam: 1/25/2021 Scenario Numbers: S5/S6/S7 Operating Test No.: L191 QUALITATIVE ATTRIBUTES Initials a b* c*

1. The initial conditions are realistic in that some equipment and/or instrumentation may be out of service, Uf"'\

but it does not cue the operators into expected events. l(

2. The scenarios consist mostly of related events. C/J,....,

3. Each event description consists of the following:

     ..*     the point in the scenario when it is to be initiated the malfunction(s) or conditions that are entered to initiate the event if the symptoms/cues that will be visible to the crew                                                              lc:r-1>\

the expected operator actions (by shift position)

• the event termination point (if applicable)

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4. The events are valid with regard to physics and thermodynamics. ltr/Y\

5. Sequencing and timing of events is reasonable and allows the examination team to obtain complete evaluation results commensurate with the scenario objectives. <((" Ccr"\

6. If time compression techniques are used, the scenario summary clearly so indicates.

Operators have sufficient time to carry out expected activities without undue time constraints. l.T"" Cues are given.

7. The simulator modeling is not altered. C,-{1"\

8. The scenarios have been validated. Pursuant to 10 CFR 55.46(d), any open simulator performance deficiencies or deviations from the referenced plant have been evaluated to ensure that functional 6;"")

fidelity is maintained while running the planned scenarios.

9. Scenarios are new or significantly modified in accordance with Section D.5 of ES-301. C.0-1"\

10. All individual operator competencies can be evaluated, as verified using Form ES-301-6 (submit the form along with the simulator scenarios). l( (\TN\

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11. The scenario set provides the opportunity for each applicant to be evaluated in each of the applicable rating factors. (Competency rating factors as described on Forms ES-303-1 and ES-303-3.)

12. Each applicant will be significantly involved in the minimum number of transients and events specified on Form ES-301-5 (submit the form with the simulator scenarios). ef (,ffrl

13. Applicants are evaluated on a similar number of preidentified critical tasks across scenarios, when possible.

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14. The level of difficulty is appropriate to support licensing decisions for each crew position.

Target Quantitative Attributes per Scenario {See Section D.5.d) Actual Attributes -- -- --

1. Malfunctions after EOP entry (1-2) 1 / 1 / 1 '--)- ;.,.

2. Abnormal events (2-4) 4 / 3 / 4 J,,(" c:-1"1

3. Major transients (1-2) 1 / 1 / 1 l-'11'\

4. EOPs entered/requiring substantive actions (1-2) 2 I 3 / 3 .(' '-'1'-"

5. Entry into a contingency EOP with substantive actions (.'.'. 1 per scenario set) 2 I 1 I 2 if <..'l""'-

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6. Preidentified critical tasks (.'.'. 2) 2 I 2 / 3 t('

• The facility licensee signature is not applicable for NRG-developed tests.

1. An independent NRG reviewer initials items in column "c"; chief examiner concurrence is required.

Rev 1

ES-301 Transient and Event Checklist Form ES-301-5 Group 1 (U1, R1, R2) Facility: Diablo Canyon Date of Exam: 01/25/2021 Operating Test Number: L191 A E Scenarios P V DAY4 - S5 DAY5 - S6 - - P E T M L N CREW CREW CREW CREW O 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 O R T O U T O R T O U T P O C P O C P R C P O C P M(*) E R I U RO RX 1 1 0 NOR 1 1 1 SRO-I I/C 5 3 8 4 4 2 SRO-U1 MAJ 1 1 2 2 2 1 TS 2 2 4 0 2 2 RX 1 1 0 RO-1 NOR 1 1 1 SRO-I I/C 4 4 8 4 4 2 SRO-U MAJ 1 1 2 2 2 1 TS 0 2 2 RX 1 1 0 RO-2 NOR 1 1 1 SRO-I I/C 4 2 6 4 4 2 SRO-U MAJ 1 1 2 2 2 1 TS 0 2 2 RX 1 1 0 RO NOR 1 1 1 SRO-I I/C 4 4 2 SRO-U MAJ 2 2 1 TS 0 2 2 Instructions:

1. Check the applicant level and enter the operating test number and Form ES D 1 event numbers for each event type; TS are not applicable for RO applicants. ROs must serve in both the at the controls (ATC) and balance of plant (BOP) positions. Instant SROs (SRO I) must serve in both the SRO and the ATC positions, including at least two instrument or component (I/C) malfunctions and one major transient, in the ATC position. If an SRO I additionally serves in the BOP position, one I/C malfunction can be credited toward the two I/C malfunctions required for the ATC position.

2. Reactivity manipulations may be conducted under normal or controlled abnormal conditions (refer to Section D.5.d) but must be significant per Section C.2.a of Appendix D. (*) Reactivity and normal evolutions may be replaced with additional I/C malfunctions on a one for one basis.

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

4. For new reactor facility licensees that use the ATC operator primarily for monitoring plant parameters, the chief examiner may place SRO I applicants in either the ATC or BOP position to best evaluate the SRO I in manipulating plant controls.

ES-301, Page 26 of 27 Rev 2

ES-301 Transient and Event Checklist Form ES-301-5 Group 2 (I1, R3, R4) Facility: Diablo Canyon Date of Exam: 01/25/2021 Operating Test Number: L191 A E Scenarios P V DAY1 - S7 DAY2 - S1 DAY3 - S4 - P E T M L N CREW CREW CREW CREW O 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 O R T O U T O R T O U T P O C P O C P R C P O C P M(*) E R I U RX 1 1 1 1 0 RO NOR 1 1 1 SRO-I1 I/C 6 4 5 15 4 4 2 SRO-U MAJ 1 1 1 3 2 2 1 TS 2 2 4 0 2 2 RX 1 1 0 RO-3 NOR 1 1 1 1 1 SRO-I I/C 3 6 9 4 4 2 SRO-U MAJ 1 1 2 2 2 1 TS 0 2 2 RX 1 1 1 1 0 RO-4 NOR 1 1 1 SRO-I I/C 5 3 6 14 4 4 2 SRO-U MAJ 1 1 1 3 2 2 1 TS 0 2 2 RX 1 1 0 RO NOR 1 1 1 SRO-I I/C 4 4 2 SRO-U MAJ 2 2 1 TS 0 2 2 Instructions:

1. Check the applicant level and enter the operating test number and Form ES D 1 event numbers for each event type; TS are not applicable for RO applicants. ROs must serve in both the at the controls (ATC) and balance of plant (BOP) positions. Instant SROs (SRO I) must serve in both the SRO and the ATC positions, including at least two instrument or component (I/C) malfunctions and one major transient, in the ATC position. If an SRO I additionally serves in the BOP position, one I/C malfunction can be credited toward the two I/C malfunctions required for the ATC position.

2. Reactivity manipulations may be conducted under normal or controlled abnormal conditions (refer to Section D.5.d) but must be significant per Section C.2.a of Appendix D. (*) Reactivity and normal evolutions may be replaced with additional I/C malfunctions on a one for one basis.

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

4. For new reactor facility licensees that use the ATC operator primarily for monitoring plant parameters, the chief examiner may place SRO I applicants in either the ATC or BOP position to best evaluate the SRO I in manipulating plant controls.

ES-301, Page 26 of 27 Rev 2

ES-301 Transient and Event Checklist Form ES-301-5 Group 3 (I2, R5, R6) Facility: Diablo Canyon Date of Exam: 01/25/2021 Operating Test Number: L191 A E Scenarios P V DAY1 - S7 DAY2 - S1 DAY3 - S4 - P E T M L N CREW CREW CREW CREW O 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 O R T O U T O R T O U T P O C P O C P R C P O C P M(*) E R I U RX 1 1 1 1 0 RO NOR 1 1 1 SRO-I2 I/C 6 4 5 15 4 4 2 SRO-U MAJ 1 1 1 3 2 2 1 TS 2 2 4 0 2 2 RX 1 1 0 RO-5 NOR 1 1 1 1 1 SRO-I I/C 3 6 9 4 4 2 SRO-U MAJ 1 1 2 2 2 1 TS 0 2 2 RX 1 1 1 1 0 RO-6 NOR 1 1 1 SRO-I I/C 5 3 6 14 4 4 2 SRO-U MAJ 1 1 1 3 2 2 1 TS 0 2 2 RX 1 1 0 RO NOR 1 1 1 SRO-I I/C 4 4 2 SRO-U MAJ 2 2 1 TS 0 2 2 Instructions:

1. Check the applicant level and enter the operating test number and Form ES D 1 event numbers for each event type; TS are not applicable for RO applicants. ROs must serve in both the at the controls (ATC) and balance of plant (BOP) positions. Instant SROs (SRO I) must serve in both the SRO and the ATC positions, including at least two instrument or component (I/C) malfunctions and one major transient, in the ATC position. If an SRO I additionally serves in the BOP position, one I/C malfunction can be credited toward the two I/C malfunctions required for the ATC position.

2. Reactivity manipulations may be conducted under normal or controlled abnormal conditions (refer to Section D.5.d) but must be significant per Section C.2.a of Appendix D. (*) Reactivity and normal evolutions may be replaced with additional I/C malfunctions on a one for one basis.

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

4. For new reactor facility licensees that use the ATC operator primarily for monitoring plant parameters, the chief examiner may place SRO I applicants in either the ATC or BOP position to best evaluate the SRO I in manipulating plant controls.

ES-301, Page 26 of 27 Rev 2

ES-301 Transient and Event Checklist Form ES-301-5 Group 4 (I3, R7, R8) Facility: Diablo Canyon Date of Exam: 01/25/2021 Operating Test Number: L191 A E Scenarios P V DAY1 - S7 DAY2 - S1 DAY3 - S4 - P E T M L N CREW CREW CREW CREW O 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 O R T O U T O R T O U T P O C P O C P R C P O C P M(*) E R I U RX 1 1 1 1 0 RO NOR 1 1 1 SRO-I3 I/C 6 4 5 15 4 4 2 SRO-U MAJ 1 1 1 3 2 2 1 TS 2 2 4 0 2 2 RX 1 1 0 RO-7 NOR 1 1 1 1 1 SRO-I I/C 3 6 9 4 4 2 SRO-U MAJ 1 1 2 2 2 1 TS 0 2 2 RX 1 1 1 1 0 RO-8 NOR 1 1 1 SRO-I I/C 5 3 6 14 4 4 2 SRO-U MAJ 1 1 1 3 2 2 1 TS 0 2 2 RX 1 1 0 RO NOR 1 1 1 SRO-I I/C 4 4 2 SRO-U MAJ 2 2 1 TS 0 2 2 Instructions:

1. Check the applicant level and enter the operating test number and Form ES D 1 event numbers for each event type; TS are not applicable for RO applicants. ROs must serve in both the at the controls (ATC) and balance of plant (BOP) positions. Instant SROs (SRO I) must serve in both the SRO and the ATC positions, including at least two instrument or component (I/C) malfunctions and one major transient, in the ATC position. If an SRO I additionally serves in the BOP position, one I/C malfunction can be credited toward the two I/C malfunctions required for the ATC position.

2. Reactivity manipulations may be conducted under normal or controlled abnormal conditions (refer to Section D.5.d) but must be significant per Section C.2.a of Appendix D. (*) Reactivity and normal evolutions may be replaced with additional I/C malfunctions on a one for one basis.

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

4. For new reactor facility licensees that use the ATC operator primarily for monitoring plant parameters, the chief examiner may place SRO I applicants in either the ATC or BOP position to best evaluate the SRO I in manipulating plant controls.

ES-301, Page 26 of 27 Rev 2

ES-301 Transient and Event Checklist Form ES-301-5 Group 5 (I4, R9, R10) Facility: Diablo Canyon Date of Exam: 01/25/2021 Operating Test Number: L191 A E Scenarios P V DAY1 - S7 DAY2 - S1 DAY4 - S5 - P E T M L N CREW CREW CREW CREW O 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 O R T O U T O R T O U T P O C P O C P R C P O C P M(*) E R I U RX 1 1 1 1 0 RO NOR 1 1 1 SRO-I4 I/C 6 4 4 14 4 4 2 SRO-U MAJ 1 1 1 3 2 2 1 TS 2 2 4 0 2 2 RX 1 1 0 RO-9 NOR 1 1 1 1 1 SRO-I I/C 3 6 9 4 4 2 SRO-U MAJ 1 1 2 2 2 1 TS 0 2 2 RX 1 1 1 1 0 RO-10 NOR 1 1 1 SRO-I I/C 5 3 4 12 4 4 2 SRO-U MAJ 1 1 1 3 2 2 1 TS 0 2 2 RX 1 1 0 RO NOR 1 1 1 SRO-I I/C 4 4 2 SRO-U MAJ 2 2 1 TS 0 2 2 Instructions:

1. Check the applicant level and enter the operating test number and Form ES D 1 event numbers for each event type; TS are not applicable for RO applicants. ROs must serve in both the at the controls (ATC) and balance of plant (BOP) positions. Instant SROs (SRO I) must serve in both the SRO and the ATC positions, including at least two instrument or component (I/C) malfunctions and one major transient, in the ATC position. If an SRO I additionally serves in the BOP position, one I/C malfunction can be credited toward the two I/C malfunctions required for the ATC position.

2. Reactivity manipulations may be conducted under normal or controlled abnormal conditions (refer to Section D.5.d) but must be significant per Section C.2.a of Appendix D. (*) Reactivity and normal evolutions may be replaced with additional I/C malfunctions on a one for one basis.

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

4. For new reactor facility licensees that use the ATC operator primarily for monitoring plant parameters, the chief examiner may place SRO I applicants in either the ATC or BOP position to best evaluate the SRO I in manipulating plant controls.

ES-301, Page 26 of 27 Rev 2

ES-301 Transient and Event Checklist Form ES-301-5 Group 6 (SURR, R11, R12) Facility: Diablo Canyon Date of Exam: 01/25/2021 Operating Test Number: L191 A E Scenarios P V DAY4 - S5 DAY5 - S6 - - P E T M L N CREW CREW CREW CREW O 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 U T O U T O U T O R T O U T P R C P R C P R C P O C P M(*) E R I U RX 1 1 0 RO NOR 1 1 1 SRO-I I/C 4 4 2 SRO-U MAJ 2 2 1 TS 0 2 2 RX 1 1 0 RO-11 NOR 1 1 1 SRO-I I/C 4 4 8 4 4 2 SRO-U MAJ 1 1 2 2 2 1 TS 0 2 2 RX 1 1 0 RO-12 NOR 1 1 1 SRO-I I/C 4 2 6 4 4 2 SRO-U MAJ 1 1 2 2 2 1 TS 0 2 2 RX 1 1 0 RO NOR 1 1 1 SRO-I I/C 4 4 2 SRO-U MAJ 2 2 1 TS 0 2 2 Instructions:

1. Check the applicant level and enter the operating test number and Form ES D 1 event numbers for each event type; TS are not applicable for RO applicants. ROs must serve in both the at the controls (ATC) and balance of plant (BOP) positions. Instant SROs (SRO I) must serve in both the SRO and the ATC positions, including at least two instrument or component (I/C) malfunctions and one major transient, in the ATC position. If an SRO I additionally serves in the BOP position, one I/C malfunction can be credited toward the two I/C malfunctions required for the ATC position.

2. Reactivity manipulations may be conducted under normal or controlled abnormal conditions (refer to Section D.5.d) but must be significant per Section C.2.a of Appendix D. (*) Reactivity and normal evolutions may be replaced with additional I/C malfunctions on a one for one basis.

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

4. For new reactor facility licensees that use the ATC operator primarily for monitoring plant parameters, the chief examiner may place SRO I applicants in either the ATC or BOP position to best evaluate the SRO I in manipulating plant controls.

ES-301, Page 26 of 27 Rev 2

ES-301 Transient and Event Checklist Form ES-301-5 Group 7 (SURR, R13, R14, R15) Facility: Diablo Canyon Date of Exam: 01/25/2021 Operating Test Number: L191 A E Scenarios P V DAY3 - S4 DAY4 - S5 DAY5 - S6 - P E T M L N CREW CREW CREW CREW O 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 U T O U T O U T O R T O U T P R C P R C P R C P O C P M(*) E R I U RX 1 1 0 RO-13 NOR 1 1 1 SRO-I I/C 5 4 9 4 4 2 SRO-U MAJ 1 1 2 2 2 1 TS 0 2 2 RX 1 1 0 RO-14 NOR 1 1 1 SRO-I I/C 6 2 8 4 4 2 SRO-U MAJ 1 1 2 2 2 1 TS 0 2 2 RX 1 1 0 RO-15 NOR 1 1 1 SRO-I I/C 4 4 8 4 4 2 SRO-U MAJ 1 1 2 2 2 1 TS 0 2 2 RX 1 1 0 RO NOR 1 1 1 SRO-I I/C 4 4 2 SRO-U MAJ 2 2 1 TS 0 2 2 Instructions:

1. Check the applicant level and enter the operating test number and Form ES D 1 event numbers for each event type; TS are not applicable for RO applicants. ROs must serve in both the at the controls (ATC) and balance of plant (BOP) positions. Instant SROs (SRO I) must serve in both the SRO and the ATC positions, including at least two instrument or component (I/C) malfunctions and one major transient, in the ATC position. If an SRO I additionally serves in the BOP position, one I/C malfunction can be credited toward the two I/C malfunctions required for the ATC position.

2. Reactivity manipulations may be conducted under normal or controlled abnormal conditions (refer to Section D.5.d) but must be significant per Section C.2.a of Appendix D. (*) Reactivity and normal evolutions may be replaced with additional I/C malfunctions on a one for one basis.

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

4. For new reactor facility licensees that use the ATC operator primarily for monitoring plant parameters, the chief examiner may place SRO I applicants in either the ATC or BOP position to best evaluate the SRO I in manipulating plant controls.

ES-301, Page 26 of 27 Rev 2

ES-301 Competencies Checklist Form ES-301-6 Facility: DCPP Date of Examination: January 25, 2021 Operating Test No.: L191 GROUP 1 APPLICANTS RO RO-1 RO-2 RO SRO-I SRO-I SRO-I SRO-I Competencies SRO-U1 SRO-U SRO-U SRO-U SCENARIO SCENARIO SCENARIO SCENARIO 5 6 - - 5 6 - - 5 6 - - - - - - Interpret/ Diagnose 1,2,3,4, 1,2,3,4, 5,6 5 1,2,3,4, 1,2,3,4, 5,6 5 1,3,4,5, 1,2,3,4 6 Events and Conditions Comply With and Use 1,2,3,4, 1,2,3,4, 5,6 5 1,2,3,4, 1,2,3,4, 5,6 5 1,2,3,4, 5,6 2,3,4 Procedures (1) Operate Control 1,2,4,5, 1,2,3,4, 6 5 1,3,4,5, 6 2,3,4 Boards (2) Communicate 1,2,3,4, 1,2,3,4, 5,6 5 1,2,3,4, 1,2,3,4, 5,6 5 1,2,3,4, 1,2,3,4 5,6 and Interact Demonstrate 1,2,3,4, 1,2,3,4, 5,6 5 Supervisory Ability (3) Comply With and 2,3 1,2 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 applicants license type and enter one or more event numbers that will allow the examiners to evaluate every applicable competency for every applicant. (This includes all rating factors for each competency.) (Competency Rating factors as described on forms ES-303-1 and ES-303-3.) ES-301, Page 27 of 27 Rev 1

ES-301 Competencies Checklist Form ES-301-6 Facility: DCPP Date of Examination: January 25, 2021 Operating Test No.: L191 GROUP 2 APPLICANTS RO RO-3 RO-4 RO SRO-I1 SRO-I SRO-I SRO-I Competencies SRO-U SRO-U SRO-U SRO-U SCENARIO SCENARIO SCENARIO SCENARIO 7 1 4 - 7 1 - - 7 1 4 - - - - - Interpret/ Diagnose 2,3,4,5, 2,3,4,5, 1,2,3,4, 6,7 6,7,8 5,6,7 2,4,5,6, 2,3,4,5, 7 6,7,8 2,3,4,5, 3,4,5,8 1,2,3,4, 6,7 5,6,7,8 Events and Conditions Comply With and Use 2,3,4,5, 1,2,3,4, 1,2,3,4, 6,7 5,6,7,8 5,6,7 1,2,5,6, 2,3,4,5, 7 6,7,8 2,3,4,5, 1,3,4,5, 2,3,4,5, 6,7 8 6,7,8 Procedures (1) Operate Control 1,2,3,5, 6,7 1,2,5,6, 2,3,4,5, 7 6,7,8 2,3,4,5, 1,3,4,5, 2,3,4,5, 6,7 8 6,7,8 Boards (2) Communicate 1,2,3,4, 1,2,3,4, 1,2,3,4, 5,6,7 5,6,7,8 5,6,7 1,2,3,4, 1,2,3,4, 5,6,7 5,6,7,8 2,3,4,5, 1,2,3,4, 1,2,3,4, 6,7 5,8 5,6,7,8 and Interact Demonstrate 1,2,3,4, 1,2,3,4, 5,6,7 5,6,7,8 Supervisory Ability (3) Comply With and 3,4 3,4 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 applicants license type and enter one or more event numbers that will allow the examiners to evaluate every applicable competency for every applicant. (This includes all rating factors for each competency.) (Competency Rating factors as described on forms ES-303-1 and ES-303-3.) ES-301, Page 27 of 27 Rev 1

ES-301 Competencies Checklist Form ES-301-6 Facility: DCPP Date of Examination: January 25, 2021 Operating Test No.: L191 GROUP 3 APPLICANTS RO RO-5 RO-6 RO SRO-I2 SRO-I SRO-I SRO-I Competencies SRO-U SRO-U SRO-U SRO-U SCENARIO SCENARIO SCENARIO SCENARIO 7 1 4 - 7 1 - - 7 1 4 - - - - - Interpret/ Diagnose 2,3,4,5, 2,3,4,5, 1,2,3,4, 6,7 6,7,8 5,6,7 2,4,5,6, 2,3,4,5, 7 6,7,8 2,3,4,5, 3,4,5,8 1,2,3,4, 6,7 5,6,7,8 Events and Conditions Comply With and Use 2,3,4,5, 1,2,3,4, 1,2,3,4, 6,7 5,6,7,8 5,6,7 1,2,5,6, 2,3,4,5, 7 6,7,8 2,3,4,5, 1,3,4,5, 2,3,4,5, 6,7 8 6,7,8 Procedures (1) Operate Control 1,2,3,5, 6,7 1,2,5,6, 2,3,4,5, 7 6,7,8 2,3,4,5, 1,3,4,5, 2,3,4,5, 6,7 8 6,7,8 Boards (2) Communicate 1,2,3,4, 1,2,3,4, 1,2,3,4, 5,6,7 5,6,7,8 5,6,7 1,2,3,4, 1,2,3,4, 5,6,7 5,6,7,8 2,3,4,5, 1,2,3,4, 1,2,3,4, 6,7 5,8 5,6,7,8 and Interact Demonstrate 1,2,3,4, 1,2,3,4, 5,6,7 5,6,7,8 Supervisory Ability (3) Comply With and 3,4 3,4 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 applicants license type and enter one or more event numbers that will allow the examiners to evaluate every applicable competency for every applicant. (This includes all rating factors for each competency.) (Competency Rating factors as described on forms ES-303-1 and ES-303-3.) ES-301, Page 27 of 27 Rev 1

ES-301 Competencies Checklist Form ES-301-6 Facility: DCPP Date of Examination: January 25, 2021 Operating Test No.: L191 GROUP 4 APPLICANTS RO RO-7 RO-8 RO SRO-I3 SRO-I SRO-I SRO-I Competencies SRO-U SRO-U SRO-U SRO-U SCENARIO SCENARIO SCENARIO SCENARIO 7 1 4 - 7 1 - - 7 1 4 - - - - - Interpret/ Diagnose 2,3,4,5, 2,3,4,5, 1,2,3,4, 6,7 6,7,8 5,6,7 2,4,5,6, 2,3,4,5, 7 6,7,8 2,3,4,5, 3,4,5,8 1,2,3,4, 6,7 5,6,7,8 Events and Conditions Comply With and Use 2,3,4,5, 1,2,3,4, 1,2,3,4, 6,7 5,6,7,8 5,6,7 1,2,5,6, 2,3,4,5, 7 6,7,8 2,3,4,5, 1,3,4,5, 2,3,4,5, 6,7 8 6,7,8 Procedures (1) Operate Control 1,2,3,5, 6,7 1,2,5,6, 2,3,4,5, 7 6,7,8 2,3,4,5, 1,3,4,5, 2,3,4,5, 6,7 8 6,7,8 Boards (2) Communicate 1,2,3,4, 1,2,3,4, 1,2,3,4, 5,6,7 5,6,7,8 5,6,7 1,2,3,4, 1,2,3,4, 5,6,7 5,6,7,8 2,3,4,5, 1,2,3,4, 1,2,3,4, 6,7 5,8 5,6,7,8 and Interact Demonstrate 1,2,3,4, 1,2,3,4, 5,6,7 5,6,7,8 Supervisory Ability (3) Comply With and 3,4 3,4 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 applicants license type and enter one or more event numbers that will allow the examiners to evaluate every applicable competency for every applicant. (This includes all rating factors for each competency.) (Competency Rating factors as described on forms ES-303-1 and ES-303-3.) ES-301, Page 27 of 27 Rev 1

ES-301 Competencies Checklist Form ES-301-6 Facility: DCPP Date of Examination: January 25, 2021 Operating Test No.: L191 GROUP 5 APPLICANTS RO RO-9 RO-10 RO SRO-I4 SRO-I SRO-I SRO-I Competencies SRO-U SRO-U SRO-U SRO-U SCENARIO SCENARIO SCENARIO SCENARIO 7 1 5 - 7 1 - - 7 1 5 - - - - - Interpret/ Diagnose 2,3,4,5, 2,3,4,5, 1,2,3,4, 6,7 6,7,8 5,6 2,4,5,6, 2,3,4,5, 7 6,7,8 2,3,4,5, 3,4,5,8 1,3,4,5, 6,7 6 Events and Conditions Comply With and Use 1,2,3,4, 1,2,3,4, 1,2,3,4, 5,6,7 5,6,7,8 5,6 1,2,5,6, 2,3,4,5, 7 6,7,8 2,3,4,5, 1,3,4,5, 1,2,3,4, 6,7 8 5,6 Procedures (1) Operate Control 1,2,4,5, 6 1,2,5,6, 2,3,4,5, 7 6,7,8 2,3,4,5, 1,3,4,5, 1,3,4,5, 6,7 8 6 Boards (2) Communicate 1,2,3,4, 1,2,3,4, 1,2,3,4, 5,6,7 5,6,7,8 5,6 1,2,3,4, 1,2,3,4, 5,6,7 5,6,7,8 2,3,4,5, 1,2,3,4, 1,2,3,4, 6,7 5,8 5,6 and Interact Demonstrate 1,2,3,4, 1,2,3,4, 5,6,7 5,6,7,8 Supervisory Ability (3) Comply With and 3,4 3,4 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 applicants license type and enter one or more event numbers that will allow the examiners to evaluate every applicable competency for every applicant. (This includes all rating factors for each competency.) (Competency Rating factors as described on forms ES-303-1 and ES-303-3.) ES-301, Page 27 of 27 Rev 1

ES-301 Competencies Checklist Form ES-301-6 Facility: DCPP Date of Examination: January 25, 2021 Operating Test No.: L191 GROUP 6 APPLICANTS RO-11 RO-12 RO RO SRO-I SRO-I SRO-I SRO-I Competencies SRO-U SRO-U SRO-U SRO-U SCENARIO SCENARIO SCENARIO SCENARIO 5 6 - - 5 6 - - - - - - - - - - Interpret/ Diagnose 1,2,3,4, 1,2,3,4, 5,6 5 1,3,4,5, 1,2,3,4 6 Events and Conditions Comply With and Use 1,2,3,4, 1,2,3,4, 5,6 5 1,2,3,4, 5,6 2,3,4 Procedures (1) Operate Control 1,2,4,5, 1,2,3,4, 6 5 1,3,4,5, 6 2,3,4 Boards (2) Communicate 1,2,3,4, 1,2,3,4, 5,6 5 1,2,3,4, 1,2,3,4 5,6 and Interact Demonstrate Supervisory Ability (3) Comply With and 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 applicants license type and enter one or more event numbers that will allow the examiners to evaluate every applicable competency for every applicant. (This includes all rating factors for each competency.) (Competency Rating factors as described on forms ES-303-1 and ES-303-3.) ES-301, Page 27 of 27 Rev 1

ES-301 Competencies Checklist Form ES-301-6 Facility: DCPP Date of Examination: January 25, 2021 Operating Test No.: L191 GROUP 7 APPLICANTS RO-13 RO-14 RO-15 RO SRO-I SRO-I SRO-I SRO-I Competencies SRO-U SRO-U SRO-U SRO-U SCENARIO SCENARIO SCENARIO SCENARIO 4 5 - - 4 - 6 - - 5 6 - - - - - Interpret/ Diagnose 1,2,3,4, 1,3,4,5, 5,6,7 6 1,2,3,4, 5,6,7,8 1,2,3,4 1,2,3,4, 1,2,3,4, 5,6 5 Events and Conditions Comply With and Use 1,2,3,4, 1,2,3,4, 5,6,7 5,6 2,3,4,5, 6,7,8 2,3,4 1,2,3,4, 1,2,3,4, 5,6 5 Procedures (1) Operate Control 1,2,3,5, 1,3,4,5, 6,7 6 2,3,4,5, 6,7,8 2,3,4 1,2,4,5, 1,2,3,4, 6 5 Boards (2) Communicate 1,2,3,4, 1,2,3,4, 5,6,7 5,6 1,2,3,4, 5,6,7,8 1,2,3,4 1,2,3,4, 1,2,3,4, 5,6 5 and Interact Demonstrate Supervisory Ability (3) Comply With and 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 applicants license type and enter one or more event numbers that will allow the examiners to evaluate every applicable competency for every applicant. (This includes all rating factors for each competency.) (Competency Rating factors as described on forms ES-303-1 and ES-303-3.) ES-301, Page 27 of 27 Rev 1

Kelly Clayton 1/18/2021 Gregory E. Werner / 01/21/2021

Type text here Kelly Clayton / 2/26/2021 Gregory E. Werner / 03/01/2021}}