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{{#Wiki_filter:Appendix C Job Performance Measure Form ES-C-1 Worksheet ADMIN JPM
- 1            Administrative JPM NA - 1    REACTOR OPERATOR SRO - I    SRO - U Appendix C Job Performance Measure Form ES-C-1 Worksheet ADMIN JPM
- 1  Facility: Davis-Besse    Task No:  004-006-01-0100    Task Title:
Calculate Boron Concentration for SDM of 1%    K/A
==Reference:==
Job Performance Measure No
:  NEW    Examinee:          NRC Examiner:
Date:      Method of testing:
Simulated Performance ___
Actual Performance _
X_  Classroom __
X_  Simulator __
Plant ___  Read to the examinee:
be  Initial Conditions:
This JPM is not dependant on any specific simulator initial conditions since the task is    Task Standard:
Determine the boron concentration needed to ensure 1%  Required Materials:
DB-NE- DB-NE- Calculator General
==References:==
Initiating Cue:
Time Critical Task No Validation Time:
Appendix C Job Performance Measure Form ES-C-1 Worksheet ADMIN JPM
- 1  SIMULATOR INSTRUCTIONS INITIAL CONDITION
:    This JPM is not dependant on any specific simulator initial conditions since the task is  The plant conditions are specified in the Initial Conditions  ADDITIONAL SETUP/DEVIATION FROM INITIAL CONDITION
:    examinee:  MALFUNCTIONS/FAILURE TO INSERT
:    None  ACTION/CUES
:    JPM STEP NUM  CUE  See body of JPM Appendix C Job Performance Measure Form ES-C-1 Worksheet ADMIN JPM
- 1  EXAMINER COPY INITIAL CONDITIONS
:
control rod s   
Burnup:    500 EFPD Tave:  °F    - 6 %  Correction factor for Boron INITIATING CUES
:  The Unit Supervisor directs you to determine the boron concentration needed to ensure 1% is adequate in DB-NE--NE-  (Provide Candidate a copy of Section 14 and Attachment 10 of DB-NE-06202 and a copy of DB-NE-06201)
Appendix C Job Performance Measure Form ES-C-1 Worksheet ADMIN JPM
- 1  CANDIDATE COPY INITIAL CONDITIONS
:
control rod s
conditions exist:
Burnup:    500 EFPD Tave:  °F    ransient poisons is
- 6 %  Correction factor for Boron INITIATING CUES
:  The Unit Supervisor directs you to determine the boron concentration needed to ensure 1% is adequate in DB-NE--NE-Appendix C Job Performance Measure Form ES-C-1 Worksheet ADMIN JPM
- 1  PERFORMANCE INFORMATION 1  Determine    ........C........
SDMetermines the value to be 1460 5 ppmB and enters this value on Attachment 10    Actual value is  ppmB %      CUE: None.        __________
SAT  UNSAT Determine Enters  value from Initial Conditions CUE: None.        __________
SAT  UNSAT Determine      Enters 0 for anomaly value from Initial Conditions CUE: None.        __________
SAT  UNSAT 4  Determine the Differential Boron Worth  ........C........
Determine DBW value etermine s value of -  to    -  %  Actual value is
- %  CUE: None.        __________
SAT  UNSAT
Appendix C Job Performance Measure Form ES-C-1 Worksheet ADMIN JPM
- 1  5 P  Determine  for      Enters - % for value from the Initial Conditions  CUE: None.        __________
SAT  UNSAT 6  Determine Pu
--activity ........C........
0Bs %-    %  CUE: None.        __________
SAT  UNSAT Determine Transient Poison Conversion Factor for Transient ........C........
rom Table 1 of    CUE: None.          __________
SAT  UNSAT Determine C        CUE: None.        __________
SAT  UNSAT Equivalent  ........C........
Comment:  Actual value is CUE: None.        __________
SAT  UNSAT
Appendix C Job Performance Measure Form ES-C-1 Worksheet ADMIN JPM
- 1  10  DeterCS Boron Concentration for 1% SDM
  ........C........
Performs calculation on Attachment 10      ppmB    ppmB  CUE: None.        __________
SAT  UNSAT This JPM is complete.
__________
END TIME Appendix C Job Performance Measure Form ES-C-1 Worksheet ADMIN JPM
- 1  Verification of Completion Job Performance Measure No.
A - 1    Examinee's Name:
Examiner's Name:
Date Performed:
Facility Evaluator:
Number of Attempts:
Time to Complete:
Question Documentation:
Question:_____________________________________________________________
____________________________________________________________________________
________________________________________________________________
Response:___________________________________________
__________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Result:  Unsatisfactory
Examiner's signature and date:
_______________________________________
Appendix C Job Performance Measure Form ES-C-1 Worksheet ADMIN JPM
- 1  ATTACHMENT 10:
ANSWER KEY EFPD= __500___ _0.96_ Tave = _552_°F  __2 __
Data:      Date Today  Time  Now                                        -        0          -  -          =  _        DBW  Minimum Measured  ppmB Where:          for ca DBW  B  is Boron Equivalent*
[ __-2.6___  +  __0.138__ )    x    __86___ ]  /  __0.96_____ x [ -1 ]  =          -  TPCF CF                _220.55_  Where:  - is Maximum Excess Pu
- TPCF
* If no c  is the Boron Concentration Measurement Uncertainty is the Boron Concentration Measurement Correction Factor Calculated by Date      Time    Checked by Date        CAUTION 1%
Appendix C, Rev. 9 Job Performance Measure Form ES-C-1 Worksheet ADMIN JPM
- 2  1 of 11        Administrative JPM NA - 2    REACTOR OPERATOR SRO - I    SRO - U Appendix C, Rev. 9 Job Performance Measure Form ES-C-1 Worksheet ADMIN JPM
- 2  2 of 11  Facility: Davis-Besse    Task No:  115-004-02-0100    Task Title:
Control of Locked Valves During Post
-Maintenance Testing K/A
==Reference:==
2.1.18  Job Performance Measure No:  JPM 261  Examinee:        NRC Examiner:
Date:      Method of testing:
Simulated Performance ___
Actual Performance _
X_  Classroom ___
Simulator
_X  Plant ___    Read to the examinee:
I will explain the initial conditions, which steps to simulate or discuss, and provide initiating cues. When you complete the task successfully, the objective for this job performance measure will be satisfied.
Initial Conditions:
The plant conditions are specified in the Initial Conditions and Initiating Cues.
Task Standard:
Perform Post Maintenance Testing and Control Valve Required Materials:
DB-PF-03272, Post Maintenance Valve Test ISTB3, Pump and Valve Basis Document, Volume III, Section C Lock Valve Log Sheet Stop Watch General
==References:==
Initiating Cue:
The plant conditions are specified in the Initial Conditions and Initiating Cues.
Time Critical Task:
No  Validation Time:
40 minutes
Appendix C, Rev. 9 Job Performance Measure Form ES-C-1 Worksheet ADMIN JPM
- 2  3 of 11  SIMULATOR INSTRUCTIONS TASK DESCRIPTION
:  Control of Locked Valves During Post
-Maintenance Testi ng  INITIAL CONDITION
:  Any IC  ADDITIONAL SETUP/DEVIATION FROM INITIAL CONDITION
:  None  MALFUNCTIONS/FAILURE TO INSERT
:    DH2736 Malfunction to open faster than 45.71 seconds ACTION/CUES
:
Appendix C, Rev. 9 Job Performance Measure Form ES-C-1 Worksheet ADMIN JPM
- 2  4 of 11  EXAMINER COPY INITIAL CONDITIONS
:  Maintenance has completed a packing adjustment on valve DH2736, DH Aux. Spray Throttle Valve, to stop a packing leak per Order 200001155.
INITIATING CUES
:
The Unit Supervisor directs you to perform post maintenance valve testing of DH2736 in accordance with DB
-PF-03272, Post Maintenance Valve Test beginning with Section 3.2.
DB-PF-03272, Section 3.1 is complete.
The Shift Manager has given his permission to stroke DH2736, DH Aux. Spray Throttle Valve.
An equipment operator is standing by in the Auxiliary Building. 
The Locked Valve Log is in the Control Room.
The Unit Supervisor has completed the first eight columns in the Locked Valve Log.
  (Provide the Candidate a copy of DB
-PF-03272 and a copy of the Locked Valve Log)
Appendix C, Rev. 9 Job Performance Measure Form ES-C-1 Worksheet ADMIN JPM
- 2  5 of 11  CANDIDATE COPY INITIAL CONDITIONS
:  Maintenance has completed a packing adjustment on valve DH2736, DH Aux. Spray Throttle Valve, to stop a packing leak per Order 200001155.
INITIATING CUES
:  The Unit Supervisor directs you to perform post maintenance valve testing of DH2736 in accordance with DB
-PF-03272, Post Maintenance Valve Test beginning with Section 3.2.
DB-PF-03272, Section 3.1 is complete.
The Shift Manager has given his permission to stroke DH2736, DH Aux. Spray Throttle Valve.
An equipment operator is standing by in the Auxiliary Building.
The Locked Valve Log is in the Control Room.
The Shift Manager has completed the first eight columns in the Locked Valve Log.
Appendix C, Rev. 9 Job Performance Measure Form ES-C-1 Worksheet ADMIN JPM
- 2  6 of 11  PERFORMANCE INFORMATION NOTE: Critical steps denoted with a "C". Failure to meet any one of these standards for this item constitutes failure. Sequence is NOT assumed unless denoted in the "Comments".
START TIME:  _______
: 1. PERFORMANCE STEP:  Complete Section 3.2 of DB
-PF-03272. STANDARD: Check/verify Section 3.1 is complete.
CUE:  None.      __________
SAT  UNSAT
: 2. PERFORMANCE STEP:  Complete Section 3.2 of DB
-PF-03272. STANDARD:  Verify an RWP is available.
CUE:  (If asked) A special RWP is not required for this test.
__________
SAT  UNSAT
: 3. PERFORMANCE STEP:  Obtain stroke times from the Pump and Valve Basis
  ........C........
Document and record.
STANDARD:  Enter the maximum close time of 59.70 seconds; the maximum open time of 59.62 seconds; the expected close time range of 33.83 seconds to 45.77 seconds; and the expected open time range of 33.79 seconds to 45.71 seconds in Step 3.2.3 of DB
-PF-03272. CUE: None.        __________
SAT  UNSAT
: 4. PERFORMANCE STEP:  Complete Section 3.2 of DB
-PF-03272. STANDARD:  Obtain Shift Manager's permission to perform the test.
CUE:  (If asked) The Shift Manager has given permission to stroke test DH 2736 and no actions need to be taken.
__________
SAT  UNSAT
Appendix C, Rev. 9 Job Performance Measure Form ES-C-1 Worksheet ADMIN JPM
- 2  7 of 11  5. PERFORMANCE STEP:  Record test equipment data.
STANDARD:  Record the M&TE number for the stopwatch and the calibration due date.
CUE:  (If asked) A special NOP
-OP-1014 lineup is NOT required.
__________
SAT  UNSAT
: 6. PERFORMANCE STEP: Verify the Equipment Operator is at DH 2736. STANDARD: Communicate via Gai
-Tronics or radio.
CUE: An Equipment Operator is standing by to verify local valve position.
__________
SAT  UNSAT
: 7. PERFORMANCE STEP: Stroke DH 2736 open and record time.
  ........C........
STANDARD: Depress and hold the OPEN pushbutton and stroke time using the stopwatch. Record the stroke time.
COMMENT: DH 2736 is a throttle valve, which requires the OPEN pushbutton to be depressed while the valve is stroking.
DH 2736 will stroke faster than the expected time.
CUE: N one      __________
SAT  UNSAT
: 8. PERFORMANCE STEP: Contact the Equipment Operator to check local indication.
STANDARD: Communicate via Gai
-Tronics or radio.
CUE: (I/F) The Equipment Operator reports local valve position indicates DH 2736 is open.        __________
SAT  UNSAT
Appendix C, Rev. 9 Job Performance Measure Form ES-C-1 Worksheet ADMIN JPM
- 2  8 of 11  9. PERFORMANCE STEP:  Complete the "Position To" column in the Locked Valve Log.
  ........C........
STANDARD:  Enter "Open".
COMMENT:  The Locked Valve Log may be updated after the st roke test is complete.
CUE: None.      __________
SAT  UNSAT
: 10. PERFORMANCE STEP: Complete the "Position By" column in the Locked Valve Log.
  ........C........
STANDARD: Enter initials.
COMMENT: The Locked Valve Log may be updated after the st roke test is complete.
CUE: None.      __________
SAT  UNSAT
: 11. PERFORMANCE STEP: Stroke DH 2736 closed and record time.
  ........C........
STANDARD:  Depress and hold the CLOSED pushbutton and stroke time using the stopwatch. Record the stroke time.
CUE:  None. __________
SAT  UNSAT
: 12. PERFORMANCE STEP: Contact the equipment operator to check local indication.
STANDARD:  Communicate via Gai
-Tronics or radio.
CUE:  (I/F) The Equipment Operator reports local valve position indicates DH 2736 is closed.      __________
SAT  UNSAT
: 13. PERFORMANCE STEP: Complete the "Restored By" column in the Locked Valve Log.
  ........C........
STANDARD:  Enter initials.
COMMENT:  The Locked Valve Log may be updated after the stroke test is complete.
CUE: None.        __________
SAT  UNSAT
Appendix C, Rev. 9 Job Performance Measure Form ES-C-1 Worksheet ADMIN JPM
- 2  9 of 11  14. PERFORMANCE STEP: Recognize the stroke times are not within the expected times.
STANDARD:  Compare valve stroke times to the expected range of stroke times.
CUE:  None.      __________
SAT  UNSAT
: 15. PERFORMANCE STEP: Restroke DH 2736 and record times.
  ........C........
STANDARD:  Recognize the test requires the valve to be stroke timed a second time.
CUE:  DH 2736 has been stroked open and closed a second time. The stroke times are the same as recorded in Step 4.2.2
__________
SAT  UNSAT
: 16. PERFORMANCE STEP: Inform the Unit Supervisor or Shift Manager the stroke times are
  ........C........
not within the expected range.
STANDARD:  Communicate to a shift SRO the need to write a Condition Report and perform an Operability Justification.
CUE:  The Shift Manager will write the Condition Report and document the Operability Justification
.      __________
SAT  UNSAT
: 17. PERFORMANCE STEP: Complete acceptance criteria.
  ........C........
STANDARD:  Sign off Steps 5.2 and 5.3.
CUE:  None.      __________
SAT  UNSAT TERMINATING CUES:  This JPM is complete. (Terminated by the evaluator)
__________
END TIME Appendix C, Rev. 9 Job Performance Measure Form ES-C-1 Worksheet ADMIN JPM
- 2  10 of 11  Verification of Completion Job Performance Measure No.
Examinee's Name:
Examiner's Name:
Date Performed:
Facility Evaluator:
Number of Attempts:
Time to Complete:
Question Documentation:
Question:_____________________________________________________________
____________________________________________________________________________
________________________________________________________________
Response:_______________________________________
______________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Result:  Satisfactory/Unsatisfactory
Examiner's signature and date:
_______________________________________
Appendix C, Rev. 9 Job Performance Measure Form ES-C-1 Worksheet ADMIN JPM
- 2  11 of 11 Page 1 of 1 ATTACHMENT 1:
SAMPLE LOCKED VALVE LOG SHEET YEAR________  PAGE________
RESTORATION TO NORMAL POSITION Shift Mgr Time & Date                Completed Sheet Reviewed By Operations Superintendent _____________________ Date__________
SM Review                2 nd Oper Restoration IV'd By                Operator Restored By                CHANGE FROM NORMAL POSITION Operator Positioned By                Position To                Shift Manager Time & Date Today/Now              LOCKED VALVE LOG SHEET SM Permission JCH              Relief Valve Isol                Local Lock                Elec/ Pneu JCH                Reason For Position Change DB-PF-03272              *If AS 138, CC 609, or WG 19, Refer to Attachment 4 Normal Position Closed              DB-OP-00008 Valve/ Compnonet Number DH 2736 Appendix C, Rev. 9 Job Performance Measure Form ES-C-1 Worksheet Admin JPM 3 (RO)  1 of 6            Administrative JPM  NA - 3  REACTOR OPERATOR
Appendix C, Rev. 9 Job Performance Measure Form ES-C-1 Worksheet    Admin JPM
- 3 (RO)  1 of 6  Facility: Davis-Besse    Task No: 119-023-03-0100    Task Title:
Determine a safety tagout for Containment Spray Pump 1 with eSOMS unavailable K/A
==Reference:==
2.2.13  Job Performance Measure N o:  NEW    Examinee:          NRC Examiner:
Date:      Method of testing:
Simulated Performance ___
Actual Performance _
X_  Classroom _
X_    Simulator __
Plant ___  Read to the examinee:
I will explain the initial conditions, which steps to simulate or discuss, and provide initiating cues. When you complete the task successfully, the objective for this job performance measure will be satisfied.
Initial Conditions:
This JPM is not dependant on any specific simulator initial conditions since the task is administrative in nature.
The plant conditions are specified in the Initial Conditions and Initiating Cues.
Task Standard:
Prepare a safety tagout manually  Required Materials:
NOBP-OP-1001, Clearance Program, Rev. 03 NOP-OP-1001-07, Manual Clearance Coversheet, filled out NOP-OP-1001-10, Clearance Preparation and Review Checklist, Rev 10 Valve Location Book Operations Schematic, OS
-005 (Containment Spray System)
General
==References:==
Initiating Cue:
The plant conditions are specified in the Initial Conditions and Initiating Cues.
. Time Critical Task:
No  Validation Time:
40 minutes
Appendix C, Rev. 9 Job Performance Measure Form ES-C-1 Worksheet Admin JPM 3 (RO)  2 of 6  EXAMINER COPY INITIAL CONDITIONS
:  The plant is currently operating at 100%.
eSOMS is currently out of service and will not be restored for another four hours.
Containment Spray Pump #1 has a leak on the pump's seal that requires replacement.
Clearance No. is DB
-060-05-XXX The Manual Clearance Coversheet has been filled out.
INITIATION CUE:
The Shift Manager directs you to determine the tagging points, tag type, placement configuration, and hang order for Containment Spray Pump #1 for seal replacement. A cover sheet has been completed. Another operator will complete restoration review.
  (Hand Candidate a copy of NOBP-OP-1001, and NOP-OP-1001-07, Cover Sheet, form filled out) 
Appendix C, Rev. 9 Job Performance Measure Form ES-C-1 Worksheet Admin JPM 3 (RO)  3 of 6  CANDIDATE COPY INITIAL CONDITIONS
:  The plant is currently operating at 100%.
eSOMS is currently out of service and will not be restored for another four hours.
Containment Spray Pump #1 has a leak on the pump's seal that requires replacement.
Clearance No. is DB
-060-05-XXX The Manual Clearance Coversheet has been filled out.
INITIATION CUE:
The Shift Manager directs you to determine the tagging points, tag type, placement configuration, and hang order for Containment Spray Pump #1 for seal replacement. A cover sheet has been completed. Another operator will complete restoration review.
Appendix C, Rev. 9 Job Performance Measure Form ES-C-1 Worksheet Admin JPM 3 (RO)  4 of 6  PERFORMANCE INFORMATION NOTE: Critical steps denoted with a "C". Failure to meet any one of these standards for this item constitutes failure. Sequence is NOT required unless denoted in the "Comments".
START TIME:  _______
: 1. PERFORMANCE STEP:
:Reviews NOBP
-OP-1001, Manual Clearance Generation and Cover Sheet STANDARD: Determines Section 4.0 is the correct sectio n      CUE: NONE        SAT    UNSAT
: 2. PERFORMANCE STEP:
Determine Tagging Boundaries C        STANDARD Use system drawing OS
-005 to determine tagging points      COMMENTS Refer to Manual Clearance Tag List (NOP
-OP-1001-09) key        CUE: NONE        SAT    UNSAT
: 3. PERFORMANCE STEP:
Determine Tag Type, Placement Configuration, Hand Order C        STANDARD: Tag electrical, high pressure, low pressure, and vents and drains COMMENTS: Refer to Manual Clearance Tag List (NOP-OP-1001-09) key      CUE: NONE        SAT    UNSAT TERMINATING CUES:  This JPM is complete (Terminated by the examiner)        __________
END TIME Appendix C, Rev. 9 Job Performance Measure Form ES-C-1 Worksheet Admin JPM 3 (RO)  5 of 6  Verification of Completion Job Performance Measure No.
A-3      Examinee's Name:
Examiner's Name:
Date Performed:
Facility Evaluator:
Number of Attempts:
Time to Complete:
Question Documentation:
Question:_____________________________________________________________
_________________
______________________________________________________
_____________________________________________________________________
Response:_____________________________________________________________
_________________________________________________________
_____________
______________________________________________________________________
______________________________________________________________________
Result:  Satisfactory/Unsatisfactory
Examiner's signature and date:
_______________________
_______________
Appendix C, Rev. 9 Job Performance Measure Form ES-C-1 Worksheet ADMIN JPM 3 (SRO)  1 of 7 Facility: Davis-Besse    Task No: 331-007-03-300    Task Title:
Determine Compensatory Measures For Removing Fire Suppression For Startup    Transformer 01 K/A
==Reference:==
KA 2.2.37  Job Performance Measure No
:  NEW    Examinee:              NRC Examiner:        Date:      Method of testing:
Simulated Performance ___
Actual Performance _
X_  Classroom _
X_    Simulator _
_  Plant ___  Read to the examinee:
I will explain the initial conditions, which steps to simulate or discuss, and provide initiating cues. When you complete the task successfully, the objective for this job performance measure will be satisfied.
Initial Conditions:
The plant conditions are specified in the Initial Conditions and Initiating Cues Initiating Cue:
The plant conditions are specified in the Initial Conditions and Initiating Cues Task Standard:
Determine Fire Suppression Compensatory Measures Required Materials:
DB-FP-0009, Fire Protection Impairment and Fire Watch Form DB-100 FHAR 8.2.2 and Table 8.4 Drawings - OS-47A Sheet 4, and OS
-47B Sheet 4 General
==References:==
Time Critical Task:
No Validation Time: 35 minutes
Appendix C Job Performance Measur e Form ES-C-1 Worksheet Admin JPM 3 (SRO)  2 of 7  EXAMINER COPY INITIAL CONDITIONS
:  The plant is currently operating at 100%
Maintenance needs to replace a sprinkler head on Startup Transformer 01 Work Order number is 200XXX XXX  The work will take approximately 4 hours
FP 126 will be closed to support the maintenance No Fire Detection instrumentation is out of service INITIATION CUE:
The Shift Manager directs you to determine the Fire Protection compensatory measure required.  (Hand Candidate a copy of DB
-FP-00009)
Appendix C Job Performance Measur e Form ES-C-1 Worksheet Admin JPM 3 (SRO)  3 of 7  CANDIDATE COPY INITIAL CONDITIONS
:  The plant is currently operating at 100%
Maintenance needs to replace a sprinkler head on Startup Transformer 01 Work Order numbe r is 200XXX XXX  The work will take approximately 4 hours
FP 126 will be closed to support the maintenance
No Fire Detection instrumentation is out of service
INITIATION CUE:
The Shift Manager directs you to determine the Fire Protection compensatory measure required.
Appendix C Job Performance Measur e Form ES-C-1 Worksheet Admin JPM 3 (SRO)  4 of 7  PERFORMANCE INFORMATION NOTE: Critical steps denoted with a "C". Failure to meet any one of these standards for this item constitutes failure. Sequence is NOT required unless denoted in the "Comments".
START TIME:  _______
: 1. PERFORMANCE STEP:
Locate the correct procedure STANDARD: Identifies Section 6.0 is the correct procedure section CUE: NONE        SAT    UNSAT
: 2. PERFORMANCE STEP:
Completes Sections 1 of Form DB
-100  C        STANDARD Fills in Name, Date and Extension COMMENTS See Form DB 100 key Any phone extension is acceptable NOTE: Attachment 4. Fire Suppression System Impairment Decision Tree may be used CUE: (If asked) Use extension 7269 SAT    UNSAT
: 3. PERFORMANCE STEP:
Completes Section 2A of Form DB
-100  C        STANDARD: Checks Fire Suppression System "Sprinklers", fills in fire system id number,    Work Order Number, and reason for impairment COMMENTS: See Form DB 100 key CUE: NO NE        SAT    UNSAT
Appendix C Job Performance Measur e Form ES-C-1 Worksheet Admin JPM 3 (SRO)  5 of 7  4. PERFORMANCE STEP:
Determine impairment features and completes Section 2B of Form  C  DB-100 (page 2)
STANDARD: Using Attachment 14, determines Zone FSA
-Startup 01 Trans is affected Zone is a Appendix A fire suppression system, and with FP 126 closed, the fire suppression system is inoperable COMMENTS: See Form DB 100 key CUE: NONE        SAT    UNSAT
: 5. PERFORMANCE STEP:
Determines Compensatory measures and completes Section 2C of  C  Form DB-100      STANDARD: Reviews Attachment 4 and determines FHAR 8.2.2 and Table 8
-4 applies    COMMENTS: See Form DB 100 key CUE: NONE        SAT    UNSAT
: 6. PERFORMANCE STEP:
Determine Compensatory measure from FHAR 8.2.2 and completes  C  Section 2C of Form DB
-100      STANDARD: Determines there is an Operable fire detection instrument in the affected area(s) and no further actions are required COMMENTS: See Form DB 100 key CUE: NONE        SAT    UNSAT
Appendix C Job Performance Measur e Form ES-C-1 Worksheet Admin JPM 3 (SRO)  6 of 7  7. PERFORMANCE STEP:
Completes Section 3 C*        STANDARD: *Checks 8.2.2 under Suppression column Recognizes NEIL notification is not required (not Critical)
COMMENTS: See Form DB 100 key CUE: NONE        SAT    UNSAT TERMINATING CUES:  This JPM is complete (Terminated by the examiner)
__________
END TIME Appendix C Job Performance Measur e Form ES-C-1 Worksheet Admin JPM 3 (SRO)  7 of 7  Verification of Completion Job Performance Measure No.
A - 3    Examinee's Name:
Examiner's Name:
Date Performed:
Facility Evaluator:
Number of Attempts:
Time to Complete:
Question Documentation:
Question:_____________________________________________________________
_______________________________________________________________________
____________
_________________________________________________________
Response:_____________________________________________________________
______________________________________________________________________
____________________________________________________
__________________
______________________________________________________________________
Result:  Satisfactory/Unsatisfactory
Examiner's signature and date:
______________________________________
Manual Clearance Tag List NOP-OP-1001-09 Rev. 0 2 Sheet    1  Of 1  CLEARANCE No.
DB-060-05-XXX Equipment ID Equipment Description Equipment Location Tag # Tag Type Placement Configuration Hang order 1 st Verify 2 nd Verify Restoration Configuration Clear Order 1 st Remove 2 nd Remove Notes BE 111 P56-1 Supply Breaker      1 R Racked Out 1                                          CS 14 P5 6-1 Discharge Valve      2 R Closed 2                                          CS 2 P56-1  Suction Valve      3 R Closed 2                                          CS 4 0 P56-1 Over Pressure Protection Valve      4 R Closed 2                                          CS  21 P56-1Vent      5 NT Open 3                                          CS 6 P56-1Drain      6 NT Open 3                                          CS 8 P56-1Drain      7 NT Open 3                                                                                                                                                                                                                                                                                                    NOTE CS44 may be substituted for CS 4 0                                                                                                                                                          NOTE Vents and Drains may be t agged                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
MANUAL CLEARANCE COVERSHEET NOP-OP-1001-07 Rev. 0 2 Manual Clearance DB -060-05 -XXX Date  /  /  Time      Equipment ID / Asset Number :
P 56-1 /      Description / Reason Replace CTMT Spray Pump 1 seal Placement Notes Align pump drains to the nearest floor drain
Cautions None    Completion Notes Vent the pump and associated piping prior to placing the pump in service
Order Number FLOC Description 200XXXXXX P56-1  CTMT SPRAY PUMP 1 Clearance Acceptance
        /        Print/Sign Date Work Group Acceptance
        /        Print/Sign Date Clearance Release
        /        Print/Sign Date Work Group Release
        /        Print/Sign Date Status Name (Print / Sign)
Date / Time Prepared By
      /          /      Reviewed By
      /          /      Approved by
      /          /      Issued for Work by
      /          /      Removal Authorized by
      /          /      Clearance Closed by
      /          /
Appendix C, Rev. 9 Job Performance Measure Form ES-C-1 Worksheet ADMIN JPM
- 4  1 of 9 
Administrative JPM NA - 4 REACTOR OPERATOR SRO - I    SRO - U Appendix C, Rev. 9 Job Performance Measure Form E S-C-1 Worksheet ADMIN JPM
- 4  2 of 9  Facility: Davis-Besse    Task No:  072-011-01-0100    Task Title:
Check out a Radiation Detector in the RRA K/A
==Reference:==
2.3.5  Job Performance Measure No
:  JPM 149    Examinee:          NRC Examiner:
Date:        Method of testing:
Simulated Performance ___
Actual Performance _
X_  Classroom ___
Simulator __
Plant __X_  Read to the examinee:
I will explain the initial conditions, which steps to simulate or discuss, and provide initiating cues. When you complete the task successfully, the objective for this job performance measure will be satisfied.
Initial Conditions:
The plant conditions are specified in the Initial Conditions and Initiating Cues.
Task Standard:
Check out a FLUKE 451B Required Materials:
Operator Aid for Use of FLUKE 451B FLUKE 451B Radiation Meter Radiation Sources General
==References:==
Initiating Cue:
The plant conditions are specified in the Initial Conditions and Initiating Cues.
Time Critical Task No Validation Time:
10 minutes 
Appendix C, Rev. 9 Job Performance Measure Form E S-C-1 Worksheet ADMIN JPM
- 4  3 of 9  EXAMINER COPY INITIAL CONDITIONS
:  A large break Loss of Coolant Accident has occurred.
RE 8421 is reading 50 mRem/hr for #4 Mechanical Penetration Room general area dose rates.
The water curtain between Mechanical Penetration Room 4 and the Heater Bay has actuated inadvertently and flooding of Emergency Core Cooling System Room 2 is imminent. 
INITIATING CUES
:  The Shift Manager has directed you to isolate the water curtain supply from the Auxiliary Building by closing FP 266 #4 Mechanical Penetration Room 314 Water Curtain Isolation, located in the southeast corner of #4 Mechanical Penetration Room.
Radiation Protection coverage is not available and you are required to obtain a portable radiation detector prior to entering the Auxiliary Building.
The On-Site Emergency Response Facilities are not yet manned.
The Shift Manager directs you to check out a Fluke 451B radiation detector.
Appendix C, Rev. 9 Job Performance Measure Form E S-C-1 Worksheet ADMIN JPM
- 4  4 of 9  CANDIDATE COPY INITIAL CONDITIONS
:  A large break Loss of Coolant Accident has occurred.
RE 8421 is reading 50 mRem/hr for #4 Mechanical Penetration Room general area dose rates.
The water curtain between Mechanical Penetration Room 4 and the Heater Bay has actuated inadvertently and flooding of Emergency Core Cooling System Room 2 is imminent. 
INITIATING CUES
:  The Shift Manager has directed you to isolate the water curtain supply from the Auxiliary Building by closing FP 266 #4 Mechanical Penetration Room 314 Water Curtain Isolation, located in the southeast corner of #4 Mechanical Penetration Room.
Radiation Protection coverage is not available and you are required to obtain a portable radiation detector prior to entering the Auxiliary Building.
The On-Site Emergency Response Facilities are not yet manned.
The Shift Manager directs you to check out a Fluke 451B radiation detector.
Appendix C, Rev. 9 Job Performance Measure Form E S-C-1 Worksheet ADMIN JPM
- 4  5 of 9  PERFORMANCE INFORMATION NOTE: Critical steps denoted with a "C". Failure to meet any one of these standards for this item constitutes failure. Sequence is NOT assumed unless denoted in the "Comments".
START TIME:
: 1. PERFORMANCE STEP:
Refer to Posted Operator Aid For Emergency Checkout of Fluke 451B      STANDARD: Refer to Posted Operator Aid For Emergency Checkout of Fluke 451B
.      CUE: None        SAT    UNSAT
: 2. PERFORMANCE STEP:
Obtain a Portable Radiation Detector.
C        STANDARD: Obtain a Fluke 451B CUE: None        SAT    UNSAT
: 3. PERFORMANCE STEP:
Ensure instrument is not past its calibration due date.
STANDARD: Check the date on the "Calibration" sticker has not been exceeded.
CUE: None        SAT    UNSAT
: 4. PERFORMANCE STEP:
Ensure the daily instrument check is current
.      STANDARD: Check the daily instrument check has been completed for the current day and month.      CUE: None        SAT    UNSAT
Appendix C, Rev. 9 Job Performance Measure Form E S-C-1 Worksheet ADMIN JPM
- 4  6 of 9  5. PERFORMANCE STEP:
Inspect meter for physical damage.
STANDARD: Physically inspect the instrument for any damage including mylar window.
CUE: None        SAT    UNSAT
: 6. PERFORMANCE STEP:
Turn the meter on C      STANDARD: Press the Power button CUE: None        SAT    UNSAT
: 7. PERFORMANCE STEP:
Wait for meter to complete start up sequence C      STANDARD: The meter should stabilize less than 0.5 mr/hr within 30
- 40 seconds CUE: None      COMMENT:        SAT    UNSAT
: 8. PERFORMANCE STEP:
Slide open the meter beta shield.
C        STANDARD: Utilize beta shield release button to enable opening of beta shield COMMENT: If not completed, meter response will be low when exposed to the source.
CUE: None        SAT    UNSAT
: 9. PERFORMANCE STEP:
Remove the shield plug from source 1.1.117.
C      STANDARD: Ensure slide attenuator is fully inserted and remove shield plug and set in a safe position on the cabinet.
CUE: None        SAT    UNSAT
Appendix C, Rev. 9 Job Performance Measure Form E S-C-1 Worksheet ADMIN JPM
- 4  7 of 9    10. PERFORMANCE STEP:
Align meter over source 1.1.117 as indicated in picture.
C      STANDARD: Ensure meter is aligned as indicated in picture on Operator Aid, dimples indicating meter effective center should be aligned over the source.
CUE: None        SAT    UNSAT
: 11. PERFORMANCE STEP:
Slide source attenuator out to the #1 position. (line on attenuator C even with edge of cabinet upper lip)
.      STANDARD: Slide source attenuator out to the #1 position. (line on attenuator even with edge of cabinet upper lip)
CUE: None        SAT    UNSAT
: 12. PERFORMANCE STEP:
Ensure meter responds to between 4.4
- 6.6 mR/hr. Adjust meter C and attenuator slide alignment if necessary.
STANDARD: Meter should respond to between 4.4
- 6.6 mR/hr, adjustments to meter and attenuator slide may be necessary to show proper response.
COMMENT: If examinee slides attenuator out too far, meter may respond off scale high and will take several seconds after adjustment to respond on scale.
If examinee failed to open beta shield, meter will indicate below desired scale.
CUE: None        SAT    UNSAT
: 13. PERFORMANCE STEP:
Push source attenuator slide in fully.
STANDARD: Source attenuator slide should be pushed into the cabinet as far as it will go.
CUE: None        SAT    UNSAT
: 14. PERFORMANCE STEP:
Remove the meter
.      STANDARD: Remove the meter
.      COMMENT: Examinee should be careful with meter at this point as beta window is exposed.
CUE: None        SAT    UNSAT
Appendix C, Rev. 9 Job Performance Measure Form E S-C-1 Worksheet ADMIN JPM
- 4  8 of 9  15. PERFORMANCE STEP:
Close the meter beta shield.
C      STANDARD: Close the meter beta shield.
CUE: None        SAT    UNSAT 1 6. PERFORMANCE STEP:
Place the shield plug over source 1.1.117.
C        STANDARD: Place the shield plug over source 1.1.117.
CUE: None        SAT    UNSAT
: 17. PERFORMANCE STEP:
Adjust scale as necessary based on radiation fields encountered. Consideration should also be given to using audible feature of meter.
STANDARD: Examinee should select a low scale based on current radiation field and may choose to turn the audible response on.
CUE: None        SAT    UNSAT TERMINATING CUES This JPM is complete. (Terminated by the evaluator)
END TIME Appendix C, Rev. 9 Job Performance Measure Form E S-C-1 Worksheet ADMIN JPM
- 4  9 of 9 Verification of Completion Job Performance Measure No.
A - 4    Examinee's Name:
Examiner's Name:
Date Performed:
Facility Evaluator:
Number of Attempts:
Time to Complete:
Question Documentation:
Question:_____________________________________________________________
____________________________________________________________________________
________________
________________________________________________
Response:_____________________________________________________________
______________________________________________________________________
________________________________________________________________
______ ______________________________________________________________________
Result:  Satisfactory/Unsatisfactory
Examiner's signature and date:
_______________________________________}}

Revision as of 20:25, 30 July 2018

2011 Davis-Besse Nuclear Power Station Initial Examination Proposed Admin JPMs
ML12020A264
Person / Time
Site: Davis Besse Cleveland Electric icon.png
Issue date: 12/27/2011
From:
Operations Branch III
To:
Shared Package
ML11354A075 List:
References
ES-C-1
Download: ML12020A264 (46)


Text

Appendix C Job Performance Measure Form ES-C-1 Worksheet ADMIN JPM

- 1 Administrative JPM NA - 1 REACTOR OPERATOR SRO - I SRO - U Appendix C Job Performance Measure Form ES-C-1 Worksheet ADMIN JPM

- 1 Facility: Davis-Besse Task No: 004-006-01-0100 Task Title:

Calculate Boron Concentration for SDM of 1% K/A

Reference:

Job Performance Measure No

NEW Examinee: NRC Examiner:

Date: Method of testing:

Simulated Performance ___

Actual Performance _

X_ Classroom __

X_ Simulator __

Plant ___ Read to the examinee:

be Initial Conditions:

This JPM is not dependant on any specific simulator initial conditions since the task is Task Standard:

Determine the boron concentration needed to ensure 1% Required Materials:

DB-NE- DB-NE- Calculator General

References:

Initiating Cue:

Time Critical Task No Validation Time:

Appendix C Job Performance Measure Form ES-C-1 Worksheet ADMIN JPM

- 1 SIMULATOR INSTRUCTIONS INITIAL CONDITION

This JPM is not dependant on any specific simulator initial conditions since the task is The plant conditions are specified in the Initial Conditions ADDITIONAL SETUP/DEVIATION FROM INITIAL CONDITION
examinee: MALFUNCTIONS/FAILURE TO INSERT
None ACTION/CUES
JPM STEP NUM CUE See body of JPM Appendix C Job Performance Measure Form ES-C-1 Worksheet ADMIN JPM

- 1 EXAMINER COPY INITIAL CONDITIONS

control rod s

Burnup: 500 EFPD Tave: °F - 6 % Correction factor for Boron INITIATING CUES

The Unit Supervisor directs you to determine the boron concentration needed to ensure 1% is adequate in DB-NE--NE- (Provide Candidate a copy of Section 14 and Attachment 10 of DB-NE-06202 and a copy of DB-NE-06201)

Appendix C Job Performance Measure Form ES-C-1 Worksheet ADMIN JPM

- 1 CANDIDATE COPY INITIAL CONDITIONS

control rod s

conditions exist:

Burnup: 500 EFPD Tave: °F ransient poisons is

- 6 % Correction factor for Boron INITIATING CUES

The Unit Supervisor directs you to determine the boron concentration needed to ensure 1% is adequate in DB-NE--NE-Appendix C Job Performance Measure Form ES-C-1 Worksheet ADMIN JPM

- 1 PERFORMANCE INFORMATION 1 Determine ........C........

SDMetermines the value to be 1460 5 ppmB and enters this value on Attachment 10 Actual value is ppmB % CUE: None. __________

SAT UNSAT Determine Enters value from Initial Conditions CUE: None. __________

SAT UNSAT Determine Enters 0 for anomaly value from Initial Conditions CUE: None. __________

SAT UNSAT 4 Determine the Differential Boron Worth ........C........

Determine DBW value etermine s value of - to -  % Actual value is

- % CUE: None. __________

SAT UNSAT

Appendix C Job Performance Measure Form ES-C-1 Worksheet ADMIN JPM

- 1 5 P Determine for Enters - % for value from the Initial Conditions CUE: None. __________

SAT UNSAT 6 Determine Pu

--activity ........C........

0Bs %-  % CUE: None. __________

SAT UNSAT Determine Transient Poison Conversion Factor for Transient ........C........

rom Table 1 of CUE: None. __________

SAT UNSAT Determine C CUE: None. __________

SAT UNSAT Equivalent ........C........

Comment: Actual value is CUE: None. __________

SAT UNSAT

Appendix C Job Performance Measure Form ES-C-1 Worksheet ADMIN JPM

- 1 10 DeterCS Boron Concentration for 1% SDM

........C........

Performs calculation on Attachment 10 ppmB ppmB CUE: None. __________

SAT UNSAT This JPM is complete.

__________

END TIME Appendix C Job Performance Measure Form ES-C-1 Worksheet ADMIN JPM

- 1 Verification of Completion Job Performance Measure No.

A - 1 Examinee's Name:

Examiner's Name:

Date Performed:

Facility Evaluator:

Number of Attempts:

Time to Complete:

Question Documentation:

Question:_____________________________________________________________

____________________________________________________________________________

________________________________________________________________

Response:___________________________________________

__________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

Result: Unsatisfactory

Examiner's signature and date:

_______________________________________

Appendix C Job Performance Measure Form ES-C-1 Worksheet ADMIN JPM

- 1 ATTACHMENT 10:

ANSWER KEY EFPD= __500___ _0.96_ Tave = _552_°F __2 __

Data: Date Today Time Now - 0 - - = _ DBW Minimum Measured ppmB Where: for ca DBW B is Boron Equivalent*

[ __-2.6___ + __0.138__ ) x __86___ ] / __0.96_____ x [ -1 ] = - TPCF CF _220.55_ Where: - is Maximum Excess Pu

- TPCF

  • If no c is the Boron Concentration Measurement Uncertainty is the Boron Concentration Measurement Correction Factor Calculated by Date Time Checked by Date CAUTION 1%

Appendix C, Rev. 9 Job Performance Measure Form ES-C-1 Worksheet ADMIN JPM

- 2 1 of 11 Administrative JPM NA - 2 REACTOR OPERATOR SRO - I SRO - U Appendix C, Rev. 9 Job Performance Measure Form ES-C-1 Worksheet ADMIN JPM

- 2 2 of 11 Facility: Davis-Besse Task No: 115-004-02-0100 Task Title:

Control of Locked Valves During Post

-Maintenance Testing K/A

Reference:

2.1.18 Job Performance Measure No: JPM 261 Examinee: NRC Examiner:

Date: Method of testing:

Simulated Performance ___

Actual Performance _

X_ Classroom ___

Simulator

_X Plant ___ Read to the examinee:

I will explain the initial conditions, which steps to simulate or discuss, and provide initiating cues. When you complete the task successfully, the objective for this job performance measure will be satisfied.

Initial Conditions:

The plant conditions are specified in the Initial Conditions and Initiating Cues.

Task Standard:

Perform Post Maintenance Testing and Control Valve Required Materials:

DB-PF-03272, Post Maintenance Valve Test ISTB3, Pump and Valve Basis Document, Volume III, Section C Lock Valve Log Sheet Stop Watch General

References:

Initiating Cue:

The plant conditions are specified in the Initial Conditions and Initiating Cues.

Time Critical Task:

No Validation Time:

40 minutes

Appendix C, Rev. 9 Job Performance Measure Form ES-C-1 Worksheet ADMIN JPM

- 2 3 of 11 SIMULATOR INSTRUCTIONS TASK DESCRIPTION

Control of Locked Valves During Post

-Maintenance Testi ng INITIAL CONDITION

Any IC ADDITIONAL SETUP/DEVIATION FROM INITIAL CONDITION
None MALFUNCTIONS/FAILURE TO INSERT
DH2736 Malfunction to open faster than 45.71 seconds ACTION/CUES

Appendix C, Rev. 9 Job Performance Measure Form ES-C-1 Worksheet ADMIN JPM

- 2 4 of 11 EXAMINER COPY INITIAL CONDITIONS

Maintenance has completed a packing adjustment on valve DH2736, DH Aux. Spray Throttle Valve, to stop a packing leak per Order 200001155.

INITIATING CUES

The Unit Supervisor directs you to perform post maintenance valve testing of DH2736 in accordance with DB

-PF-03272, Post Maintenance Valve Test beginning with Section 3.2.

DB-PF-03272, Section 3.1 is complete.

The Shift Manager has given his permission to stroke DH2736, DH Aux. Spray Throttle Valve.

An equipment operator is standing by in the Auxiliary Building.

The Locked Valve Log is in the Control Room.

The Unit Supervisor has completed the first eight columns in the Locked Valve Log.

(Provide the Candidate a copy of DB

-PF-03272 and a copy of the Locked Valve Log)

Appendix C, Rev. 9 Job Performance Measure Form ES-C-1 Worksheet ADMIN JPM

- 2 5 of 11 CANDIDATE COPY INITIAL CONDITIONS

Maintenance has completed a packing adjustment on valve DH2736, DH Aux. Spray Throttle Valve, to stop a packing leak per Order 200001155.

INITIATING CUES

The Unit Supervisor directs you to perform post maintenance valve testing of DH2736 in accordance with DB

-PF-03272, Post Maintenance Valve Test beginning with Section 3.2.

DB-PF-03272, Section 3.1 is complete.

The Shift Manager has given his permission to stroke DH2736, DH Aux. Spray Throttle Valve.

An equipment operator is standing by in the Auxiliary Building.

The Locked Valve Log is in the Control Room.

The Shift Manager has completed the first eight columns in the Locked Valve Log.

Appendix C, Rev. 9 Job Performance Measure Form ES-C-1 Worksheet ADMIN JPM

- 2 6 of 11 PERFORMANCE INFORMATION NOTE: Critical steps denoted with a "C". Failure to meet any one of these standards for this item constitutes failure. Sequence is NOT assumed unless denoted in the "Comments".

START TIME: _______

1. PERFORMANCE STEP: Complete Section 3.2 of DB

-PF-03272. STANDARD: Check/verify Section 3.1 is complete.

CUE: None. __________

SAT UNSAT

2. PERFORMANCE STEP: Complete Section 3.2 of DB

-PF-03272. STANDARD: Verify an RWP is available.

CUE: (If asked) A special RWP is not required for this test.

__________

SAT UNSAT

3. PERFORMANCE STEP: Obtain stroke times from the Pump and Valve Basis

........C........

Document and record.

STANDARD: Enter the maximum close time of 59.70 seconds; the maximum open time of 59.62 seconds; the expected close time range of 33.83 seconds to 45.77 seconds; and the expected open time range of 33.79 seconds to 45.71 seconds in Step 3.2.3 of DB

-PF-03272. CUE: None. __________

SAT UNSAT

4. PERFORMANCE STEP: Complete Section 3.2 of DB

-PF-03272. STANDARD: Obtain Shift Manager's permission to perform the test.

CUE: (If asked) The Shift Manager has given permission to stroke test DH 2736 and no actions need to be taken.

__________

SAT UNSAT

Appendix C, Rev. 9 Job Performance Measure Form ES-C-1 Worksheet ADMIN JPM

- 2 7 of 11 5. PERFORMANCE STEP: Record test equipment data.

STANDARD: Record the M&TE number for the stopwatch and the calibration due date.

CUE: (If asked) A special NOP

-OP-1014 lineup is NOT required.

__________

SAT UNSAT

6. PERFORMANCE STEP: Verify the Equipment Operator is at DH 2736. STANDARD: Communicate via Gai

-Tronics or radio.

CUE: An Equipment Operator is standing by to verify local valve position.

__________

SAT UNSAT

7. PERFORMANCE STEP: Stroke DH 2736 open and record time.

........C........

STANDARD: Depress and hold the OPEN pushbutton and stroke time using the stopwatch. Record the stroke time.

COMMENT: DH 2736 is a throttle valve, which requires the OPEN pushbutton to be depressed while the valve is stroking.

DH 2736 will stroke faster than the expected time.

CUE: N one __________

SAT UNSAT

8. PERFORMANCE STEP: Contact the Equipment Operator to check local indication.

STANDARD: Communicate via Gai

-Tronics or radio.

CUE: (I/F) The Equipment Operator reports local valve position indicates DH 2736 is open. __________

SAT UNSAT

Appendix C, Rev. 9 Job Performance Measure Form ES-C-1 Worksheet ADMIN JPM

- 2 8 of 11 9. PERFORMANCE STEP: Complete the "Position To" column in the Locked Valve Log.

........C........

STANDARD: Enter "Open".

COMMENT: The Locked Valve Log may be updated after the st roke test is complete.

CUE: None. __________

SAT UNSAT

10. PERFORMANCE STEP: Complete the "Position By" column in the Locked Valve Log.

........C........

STANDARD: Enter initials.

COMMENT: The Locked Valve Log may be updated after the st roke test is complete.

CUE: None. __________

SAT UNSAT

11. PERFORMANCE STEP: Stroke DH 2736 closed and record time.

........C........

STANDARD: Depress and hold the CLOSED pushbutton and stroke time using the stopwatch. Record the stroke time.

CUE: None. __________

SAT UNSAT

12. PERFORMANCE STEP: Contact the equipment operator to check local indication.

STANDARD: Communicate via Gai

-Tronics or radio.

CUE: (I/F) The Equipment Operator reports local valve position indicates DH 2736 is closed. __________

SAT UNSAT

13. PERFORMANCE STEP: Complete the "Restored By" column in the Locked Valve Log.

........C........

STANDARD: Enter initials.

COMMENT: The Locked Valve Log may be updated after the stroke test is complete.

CUE: None. __________

SAT UNSAT

Appendix C, Rev. 9 Job Performance Measure Form ES-C-1 Worksheet ADMIN JPM

- 2 9 of 11 14. PERFORMANCE STEP: Recognize the stroke times are not within the expected times.

STANDARD: Compare valve stroke times to the expected range of stroke times.

CUE: None. __________

SAT UNSAT

15. PERFORMANCE STEP: Restroke DH 2736 and record times.

........C........

STANDARD: Recognize the test requires the valve to be stroke timed a second time.

CUE: DH 2736 has been stroked open and closed a second time. The stroke times are the same as recorded in Step 4.2.2

__________

SAT UNSAT

16. PERFORMANCE STEP: Inform the Unit Supervisor or Shift Manager the stroke times are

........C........

not within the expected range.

STANDARD: Communicate to a shift SRO the need to write a Condition Report and perform an Operability Justification.

CUE: The Shift Manager will write the Condition Report and document the Operability Justification

. __________

SAT UNSAT

17. PERFORMANCE STEP: Complete acceptance criteria.

........C........

STANDARD: Sign off Steps 5.2 and 5.3.

CUE: None. __________

SAT UNSAT TERMINATING CUES: This JPM is complete. (Terminated by the evaluator)

__________

END TIME Appendix C, Rev. 9 Job Performance Measure Form ES-C-1 Worksheet ADMIN JPM

- 2 10 of 11 Verification of Completion Job Performance Measure No.

Examinee's Name:

Examiner's Name:

Date Performed:

Facility Evaluator:

Number of Attempts:

Time to Complete:

Question Documentation:

Question:_____________________________________________________________

____________________________________________________________________________

________________________________________________________________

Response:_______________________________________

______________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

Result: Satisfactory/Unsatisfactory

Examiner's signature and date:

_______________________________________

Appendix C, Rev. 9 Job Performance Measure Form ES-C-1 Worksheet ADMIN JPM

- 2 11 of 11 Page 1 of 1 ATTACHMENT 1:

SAMPLE LOCKED VALVE LOG SHEET YEAR________ PAGE________

RESTORATION TO NORMAL POSITION Shift Mgr Time & Date Completed Sheet Reviewed By Operations Superintendent _____________________ Date__________

SM Review 2 nd Oper Restoration IV'd By Operator Restored By CHANGE FROM NORMAL POSITION Operator Positioned By Position To Shift Manager Time & Date Today/Now LOCKED VALVE LOG SHEET SM Permission JCH Relief Valve Isol Local Lock Elec/ Pneu JCH Reason For Position Change DB-PF-03272 *If AS 138, CC 609, or WG 19, Refer to Attachment 4 Normal Position Closed DB-OP-00008 Valve/ Compnonet Number DH 2736 Appendix C, Rev. 9 Job Performance Measure Form ES-C-1 Worksheet Admin JPM 3 (RO) 1 of 6 Administrative JPM NA - 3 REACTOR OPERATOR

Appendix C, Rev. 9 Job Performance Measure Form ES-C-1 Worksheet Admin JPM

- 3 (RO) 1 of 6 Facility: Davis-Besse Task No: 119-023-03-0100 Task Title:

Determine a safety tagout for Containment Spray Pump 1 with eSOMS unavailable K/A

Reference:

2.2.13 Job Performance Measure N o: NEW Examinee: NRC Examiner:

Date: Method of testing:

Simulated Performance ___

Actual Performance _

X_ Classroom _

X_ Simulator __

Plant ___ Read to the examinee:

I will explain the initial conditions, which steps to simulate or discuss, and provide initiating cues. When you complete the task successfully, the objective for this job performance measure will be satisfied.

Initial Conditions:

This JPM is not dependant on any specific simulator initial conditions since the task is administrative in nature.

The plant conditions are specified in the Initial Conditions and Initiating Cues.

Task Standard:

Prepare a safety tagout manually Required Materials:

NOBP-OP-1001, Clearance Program, Rev. 03 NOP-OP-1001-07, Manual Clearance Coversheet, filled out NOP-OP-1001-10, Clearance Preparation and Review Checklist, Rev 10 Valve Location Book Operations Schematic, OS

-005 (Containment Spray System)

General

References:

Initiating Cue:

The plant conditions are specified in the Initial Conditions and Initiating Cues.

. Time Critical Task:

No Validation Time:

40 minutes

Appendix C, Rev. 9 Job Performance Measure Form ES-C-1 Worksheet Admin JPM 3 (RO) 2 of 6 EXAMINER COPY INITIAL CONDITIONS

The plant is currently operating at 100%.

eSOMS is currently out of service and will not be restored for another four hours.

Containment Spray Pump #1 has a leak on the pump's seal that requires replacement.

Clearance No. is DB

-060-05-XXX The Manual Clearance Coversheet has been filled out.

INITIATION CUE:

The Shift Manager directs you to determine the tagging points, tag type, placement configuration, and hang order for Containment Spray Pump #1 for seal replacement. A cover sheet has been completed. Another operator will complete restoration review.

(Hand Candidate a copy of NOBP-OP-1001, and NOP-OP-1001-07, Cover Sheet, form filled out)

Appendix C, Rev. 9 Job Performance Measure Form ES-C-1 Worksheet Admin JPM 3 (RO) 3 of 6 CANDIDATE COPY INITIAL CONDITIONS

The plant is currently operating at 100%.

eSOMS is currently out of service and will not be restored for another four hours.

Containment Spray Pump #1 has a leak on the pump's seal that requires replacement.

Clearance No. is DB

-060-05-XXX The Manual Clearance Coversheet has been filled out.

INITIATION CUE:

The Shift Manager directs you to determine the tagging points, tag type, placement configuration, and hang order for Containment Spray Pump #1 for seal replacement. A cover sheet has been completed. Another operator will complete restoration review.

Appendix C, Rev. 9 Job Performance Measure Form ES-C-1 Worksheet Admin JPM 3 (RO) 4 of 6 PERFORMANCE INFORMATION NOTE: Critical steps denoted with a "C". Failure to meet any one of these standards for this item constitutes failure. Sequence is NOT required unless denoted in the "Comments".

START TIME: _______

1. PERFORMANCE STEP:
Reviews NOBP

-OP-1001, Manual Clearance Generation and Cover Sheet STANDARD: Determines Section 4.0 is the correct sectio n CUE: NONE SAT UNSAT

2. PERFORMANCE STEP:

Determine Tagging Boundaries C STANDARD Use system drawing OS

-005 to determine tagging points COMMENTS Refer to Manual Clearance Tag List (NOP

-OP-1001-09) key CUE: NONE SAT UNSAT

3. PERFORMANCE STEP:

Determine Tag Type, Placement Configuration, Hand Order C STANDARD: Tag electrical, high pressure, low pressure, and vents and drains COMMENTS: Refer to Manual Clearance Tag List (NOP-OP-1001-09) key CUE: NONE SAT UNSAT TERMINATING CUES: This JPM is complete (Terminated by the examiner) __________

END TIME Appendix C, Rev. 9 Job Performance Measure Form ES-C-1 Worksheet Admin JPM 3 (RO) 5 of 6 Verification of Completion Job Performance Measure No.

A-3 Examinee's Name:

Examiner's Name:

Date Performed:

Facility Evaluator:

Number of Attempts:

Time to Complete:

Question Documentation:

Question:_____________________________________________________________

_________________

______________________________________________________

_____________________________________________________________________

Response:_____________________________________________________________

_________________________________________________________

_____________

______________________________________________________________________

______________________________________________________________________

Result: Satisfactory/Unsatisfactory

Examiner's signature and date:

_______________________

_______________

Appendix C, Rev. 9 Job Performance Measure Form ES-C-1 Worksheet ADMIN JPM 3 (SRO) 1 of 7 Facility: Davis-Besse Task No: 331-007-03-300 Task Title:

Determine Compensatory Measures For Removing Fire Suppression For Startup Transformer 01 K/A

Reference:

KA 2.2.37 Job Performance Measure No

NEW Examinee: NRC Examiner: Date: Method of testing:

Simulated Performance ___

Actual Performance _

X_ Classroom _

X_ Simulator _

_ Plant ___ Read to the examinee:

I will explain the initial conditions, which steps to simulate or discuss, and provide initiating cues. When you complete the task successfully, the objective for this job performance measure will be satisfied.

Initial Conditions:

The plant conditions are specified in the Initial Conditions and Initiating Cues Initiating Cue:

The plant conditions are specified in the Initial Conditions and Initiating Cues Task Standard:

Determine Fire Suppression Compensatory Measures Required Materials:

DB-FP-0009, Fire Protection Impairment and Fire Watch Form DB-100 FHAR 8.2.2 and Table 8.4 Drawings - OS-47A Sheet 4, and OS

-47B Sheet 4 General

References:

Time Critical Task:

No Validation Time: 35 minutes

Appendix C Job Performance Measur e Form ES-C-1 Worksheet Admin JPM 3 (SRO) 2 of 7 EXAMINER COPY INITIAL CONDITIONS

The plant is currently operating at 100%

Maintenance needs to replace a sprinkler head on Startup Transformer 01 Work Order number is 200XXX XXX The work will take approximately 4 hours4.62963e-5 days <br />0.00111 hours <br />6.613757e-6 weeks <br />1.522e-6 months <br />

FP 126 will be closed to support the maintenance No Fire Detection instrumentation is out of service INITIATION CUE:

The Shift Manager directs you to determine the Fire Protection compensatory measure required. (Hand Candidate a copy of DB

-FP-00009)

Appendix C Job Performance Measur e Form ES-C-1 Worksheet Admin JPM 3 (SRO) 3 of 7 CANDIDATE COPY INITIAL CONDITIONS

The plant is currently operating at 100%

Maintenance needs to replace a sprinkler head on Startup Transformer 01 Work Order numbe r is 200XXX XXX The work will take approximately 4 hours4.62963e-5 days <br />0.00111 hours <br />6.613757e-6 weeks <br />1.522e-6 months <br />

FP 126 will be closed to support the maintenance

No Fire Detection instrumentation is out of service

INITIATION CUE:

The Shift Manager directs you to determine the Fire Protection compensatory measure required.

Appendix C Job Performance Measur e Form ES-C-1 Worksheet Admin JPM 3 (SRO) 4 of 7 PERFORMANCE INFORMATION NOTE: Critical steps denoted with a "C". Failure to meet any one of these standards for this item constitutes failure. Sequence is NOT required unless denoted in the "Comments".

START TIME: _______

1. PERFORMANCE STEP:

Locate the correct procedure STANDARD: Identifies Section 6.0 is the correct procedure section CUE: NONE SAT UNSAT

2. PERFORMANCE STEP:

Completes Sections 1 of Form DB

-100 C STANDARD Fills in Name, Date and Extension COMMENTS See Form DB 100 key Any phone extension is acceptable NOTE: Attachment 4. Fire Suppression System Impairment Decision Tree may be used CUE: (If asked) Use extension 7269 SAT UNSAT

3. PERFORMANCE STEP:

Completes Section 2A of Form DB

-100 C STANDARD: Checks Fire Suppression System "Sprinklers", fills in fire system id number, Work Order Number, and reason for impairment COMMENTS: See Form DB 100 key CUE: NO NE SAT UNSAT

Appendix C Job Performance Measur e Form ES-C-1 Worksheet Admin JPM 3 (SRO) 5 of 7 4. PERFORMANCE STEP:

Determine impairment features and completes Section 2B of Form C DB-100 (page 2)

STANDARD: Using Attachment 14, determines Zone FSA

-Startup 01 Trans is affected Zone is a Appendix A fire suppression system, and with FP 126 closed, the fire suppression system is inoperable COMMENTS: See Form DB 100 key CUE: NONE SAT UNSAT

5. PERFORMANCE STEP:

Determines Compensatory measures and completes Section 2C of C Form DB-100 STANDARD: Reviews Attachment 4 and determines FHAR 8.2.2 and Table 8

-4 applies COMMENTS: See Form DB 100 key CUE: NONE SAT UNSAT

6. PERFORMANCE STEP:

Determine Compensatory measure from FHAR 8.2.2 and completes C Section 2C of Form DB

-100 STANDARD: Determines there is an Operable fire detection instrument in the affected area(s) and no further actions are required COMMENTS: See Form DB 100 key CUE: NONE SAT UNSAT

Appendix C Job Performance Measur e Form ES-C-1 Worksheet Admin JPM 3 (SRO) 6 of 7 7. PERFORMANCE STEP:

Completes Section 3 C* STANDARD: *Checks 8.2.2 under Suppression column Recognizes NEIL notification is not required (not Critical)

COMMENTS: See Form DB 100 key CUE: NONE SAT UNSAT TERMINATING CUES: This JPM is complete (Terminated by the examiner)

__________

END TIME Appendix C Job Performance Measur e Form ES-C-1 Worksheet Admin JPM 3 (SRO) 7 of 7 Verification of Completion Job Performance Measure No.

A - 3 Examinee's Name:

Examiner's Name:

Date Performed:

Facility Evaluator:

Number of Attempts:

Time to Complete:

Question Documentation:

Question:_____________________________________________________________

_______________________________________________________________________

____________

_________________________________________________________

Response:_____________________________________________________________

______________________________________________________________________

____________________________________________________

__________________

______________________________________________________________________

Result: Satisfactory/Unsatisfactory

Examiner's signature and date:

______________________________________

Manual Clearance Tag List NOP-OP-1001-09 Rev. 0 2 Sheet 1 Of 1 CLEARANCE No.

DB-060-05-XXX Equipment ID Equipment Description Equipment Location Tag # Tag Type Placement Configuration Hang order 1 st Verify 2 nd Verify Restoration Configuration Clear Order 1 st Remove 2 nd Remove Notes BE 111 P56-1 Supply Breaker 1 R Racked Out 1 CS 14 P5 6-1 Discharge Valve 2 R Closed 2 CS 2 P56-1 Suction Valve 3 R Closed 2 CS 4 0 P56-1 Over Pressure Protection Valve 4 R Closed 2 CS 21 P56-1Vent 5 NT Open 3 CS 6 P56-1Drain 6 NT Open 3 CS 8 P56-1Drain 7 NT Open 3 NOTE CS44 may be substituted for CS 4 0 NOTE Vents and Drains may be t agged

MANUAL CLEARANCE COVERSHEET NOP-OP-1001-07 Rev. 0 2 Manual Clearance DB -060-05 -XXX Date / / Time Equipment ID / Asset Number :

P 56-1 / Description / Reason Replace CTMT Spray Pump 1 seal Placement Notes Align pump drains to the nearest floor drain

Cautions None Completion Notes Vent the pump and associated piping prior to placing the pump in service

Order Number FLOC Description 200XXXXXX P56-1 CTMT SPRAY PUMP 1 Clearance Acceptance

/ Print/Sign Date Work Group Acceptance

/ Print/Sign Date Clearance Release

/ Print/Sign Date Work Group Release

/ Print/Sign Date Status Name (Print / Sign)

Date / Time Prepared By

/ / Reviewed By

/ / Approved by

/ / Issued for Work by

/ / Removal Authorized by

/ / Clearance Closed by

/ /

Appendix C, Rev. 9 Job Performance Measure Form ES-C-1 Worksheet ADMIN JPM

- 4 1 of 9

Administrative JPM NA - 4 REACTOR OPERATOR SRO - I SRO - U Appendix C, Rev. 9 Job Performance Measure Form E S-C-1 Worksheet ADMIN JPM

- 4 2 of 9 Facility: Davis-Besse Task No: 072-011-01-0100 Task Title:

Check out a Radiation Detector in the RRA K/A

Reference:

2.3.5 Job Performance Measure No

JPM 149 Examinee: NRC Examiner:

Date: Method of testing:

Simulated Performance ___

Actual Performance _

X_ Classroom ___

Simulator __

Plant __X_ Read to the examinee:

I will explain the initial conditions, which steps to simulate or discuss, and provide initiating cues. When you complete the task successfully, the objective for this job performance measure will be satisfied.

Initial Conditions:

The plant conditions are specified in the Initial Conditions and Initiating Cues.

Task Standard:

Check out a FLUKE 451B Required Materials:

Operator Aid for Use of FLUKE 451B FLUKE 451B Radiation Meter Radiation Sources General

References:

Initiating Cue:

The plant conditions are specified in the Initial Conditions and Initiating Cues.

Time Critical Task No Validation Time:

10 minutes

Appendix C, Rev. 9 Job Performance Measure Form E S-C-1 Worksheet ADMIN JPM

- 4 3 of 9 EXAMINER COPY INITIAL CONDITIONS

A large break Loss of Coolant Accident has occurred.

RE 8421 is reading 50 mRem/hr for #4 Mechanical Penetration Room general area dose rates.

The water curtain between Mechanical Penetration Room 4 and the Heater Bay has actuated inadvertently and flooding of Emergency Core Cooling System Room 2 is imminent.

INITIATING CUES

The Shift Manager has directed you to isolate the water curtain supply from the Auxiliary Building by closing FP 266 #4 Mechanical Penetration Room 314 Water Curtain Isolation, located in the southeast corner of #4 Mechanical Penetration Room.

Radiation Protection coverage is not available and you are required to obtain a portable radiation detector prior to entering the Auxiliary Building.

The On-Site Emergency Response Facilities are not yet manned.

The Shift Manager directs you to check out a Fluke 451B radiation detector.

Appendix C, Rev. 9 Job Performance Measure Form E S-C-1 Worksheet ADMIN JPM

- 4 4 of 9 CANDIDATE COPY INITIAL CONDITIONS

A large break Loss of Coolant Accident has occurred.

RE 8421 is reading 50 mRem/hr for #4 Mechanical Penetration Room general area dose rates.

The water curtain between Mechanical Penetration Room 4 and the Heater Bay has actuated inadvertently and flooding of Emergency Core Cooling System Room 2 is imminent.

INITIATING CUES

The Shift Manager has directed you to isolate the water curtain supply from the Auxiliary Building by closing FP 266 #4 Mechanical Penetration Room 314 Water Curtain Isolation, located in the southeast corner of #4 Mechanical Penetration Room.

Radiation Protection coverage is not available and you are required to obtain a portable radiation detector prior to entering the Auxiliary Building.

The On-Site Emergency Response Facilities are not yet manned.

The Shift Manager directs you to check out a Fluke 451B radiation detector.

Appendix C, Rev. 9 Job Performance Measure Form E S-C-1 Worksheet ADMIN JPM

- 4 5 of 9 PERFORMANCE INFORMATION NOTE: Critical steps denoted with a "C". Failure to meet any one of these standards for this item constitutes failure. Sequence is NOT assumed unless denoted in the "Comments".

START TIME:

1. PERFORMANCE STEP:

Refer to Posted Operator Aid For Emergency Checkout of Fluke 451B STANDARD: Refer to Posted Operator Aid For Emergency Checkout of Fluke 451B

. CUE: None SAT UNSAT

2. PERFORMANCE STEP:

Obtain a Portable Radiation Detector.

C STANDARD: Obtain a Fluke 451B CUE: None SAT UNSAT

3. PERFORMANCE STEP:

Ensure instrument is not past its calibration due date.

STANDARD: Check the date on the "Calibration" sticker has not been exceeded.

CUE: None SAT UNSAT

4. PERFORMANCE STEP:

Ensure the daily instrument check is current

. STANDARD: Check the daily instrument check has been completed for the current day and month. CUE: None SAT UNSAT

Appendix C, Rev. 9 Job Performance Measure Form E S-C-1 Worksheet ADMIN JPM

- 4 6 of 9 5. PERFORMANCE STEP:

Inspect meter for physical damage.

STANDARD: Physically inspect the instrument for any damage including mylar window.

CUE: None SAT UNSAT

6. PERFORMANCE STEP:

Turn the meter on C STANDARD: Press the Power button CUE: None SAT UNSAT

7. PERFORMANCE STEP:

Wait for meter to complete start up sequence C STANDARD: The meter should stabilize less than 0.5 mr/hr within 30

- 40 seconds CUE: None COMMENT: SAT UNSAT

8. PERFORMANCE STEP:

Slide open the meter beta shield.

C STANDARD: Utilize beta shield release button to enable opening of beta shield COMMENT: If not completed, meter response will be low when exposed to the source.

CUE: None SAT UNSAT

9. PERFORMANCE STEP:

Remove the shield plug from source 1.1.117.

C STANDARD: Ensure slide attenuator is fully inserted and remove shield plug and set in a safe position on the cabinet.

CUE: None SAT UNSAT

Appendix C, Rev. 9 Job Performance Measure Form E S-C-1 Worksheet ADMIN JPM

- 4 7 of 9 10. PERFORMANCE STEP:

Align meter over source 1.1.117 as indicated in picture.

C STANDARD: Ensure meter is aligned as indicated in picture on Operator Aid, dimples indicating meter effective center should be aligned over the source.

CUE: None SAT UNSAT

11. PERFORMANCE STEP:

Slide source attenuator out to the #1 position. (line on attenuator C even with edge of cabinet upper lip)

. STANDARD: Slide source attenuator out to the #1 position. (line on attenuator even with edge of cabinet upper lip)

CUE: None SAT UNSAT

12. PERFORMANCE STEP:

Ensure meter responds to between 4.4

- 6.6 mR/hr. Adjust meter C and attenuator slide alignment if necessary.

STANDARD: Meter should respond to between 4.4

- 6.6 mR/hr, adjustments to meter and attenuator slide may be necessary to show proper response.

COMMENT: If examinee slides attenuator out too far, meter may respond off scale high and will take several seconds after adjustment to respond on scale.

If examinee failed to open beta shield, meter will indicate below desired scale.

CUE: None SAT UNSAT

13. PERFORMANCE STEP:

Push source attenuator slide in fully.

STANDARD: Source attenuator slide should be pushed into the cabinet as far as it will go.

CUE: None SAT UNSAT

14. PERFORMANCE STEP:

Remove the meter

. STANDARD: Remove the meter

. COMMENT: Examinee should be careful with meter at this point as beta window is exposed.

CUE: None SAT UNSAT

Appendix C, Rev. 9 Job Performance Measure Form E S-C-1 Worksheet ADMIN JPM

- 4 8 of 9 15. PERFORMANCE STEP:

Close the meter beta shield.

C STANDARD: Close the meter beta shield.

CUE: None SAT UNSAT 1 6. PERFORMANCE STEP:

Place the shield plug over source 1.1.117.

C STANDARD: Place the shield plug over source 1.1.117.

CUE: None SAT UNSAT

17. PERFORMANCE STEP:

Adjust scale as necessary based on radiation fields encountered. Consideration should also be given to using audible feature of meter.

STANDARD: Examinee should select a low scale based on current radiation field and may choose to turn the audible response on.

CUE: None SAT UNSAT TERMINATING CUES This JPM is complete. (Terminated by the evaluator)

END TIME Appendix C, Rev. 9 Job Performance Measure Form E S-C-1 Worksheet ADMIN JPM

- 4 9 of 9 Verification of Completion Job Performance Measure No.

A - 4 Examinee's Name:

Examiner's Name:

Date Performed:

Facility Evaluator:

Number of Attempts:

Time to Complete:

Question Documentation:

Question:_____________________________________________________________

____________________________________________________________________________

________________

________________________________________________

Response:_____________________________________________________________

______________________________________________________________________

________________________________________________________________

______ ______________________________________________________________________

Result: Satisfactory/Unsatisfactory

Examiner's signature and date:

_______________________________________