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{{#Wiki_filter:ES-301, Page 27 of 27 ES-301 Competencies Checklist Form ES-301-6 CREW 1 Facility: Lasalle Date of Examination:
{{#Wiki_filter:ES-301                                     Competencies Checklist                                 Form ES-301-6 CREW 1 Facility: Lasalle                     Date of Examination: 10/17/16                   Operating Test No.: 2016301 APPLICANTS RO                       RO                  RO (1)            RO SRO-I(1)                 SRO-I (2)           SRO-I              SRO-I Competencies                  SRO-U                    SRO-U               SRO-U              SRO-U SCENARIO                 SCENARIO           SCENARIO           SCENARIO 1       2       3     -   1   2     3       1
10/17/16 Operating Test No.:
                                                                          - BOP BOP2    3   -   1     2   3   4 US    ATC    BOP        ATC  US    US                ATC Interpret/ Diagnose         1234 5 6 7 8 4 7 8 9 1 283 6   2489 1 10 234 5678 1 234 5678 1569 1368 4567 10        8 9 10                              9 Events and Conditions Comply With and Use         1234 5 6 7 8 4 7 8 9 1 283 6   2489 1 10 234 5678 1 234 5678 1569 1368 4567 10        8 9 10                              9 Procedures (1)
2016301 Competencies APPLICANTS RO SRO-I(1) SRO-U  RO  SRO-I (2) SRO-U  RO (1)  SRO-I   SRO-U RO  SRO-I  SRO-U SCENARIO SCENARIO SCENARIO SCENARIO 1 US 2 ATC 3 BOP - 1 ATC 2 US 3 US - 1 BOP 2 BOP 3 ATC - 1 2 3 4 Interpret/ Diagnose Events and Conditions 1 2 3 4 5 6 7 8 9 10  4 7 8 9 1 2 3 6 8      2 4 8 9 10 1 2 3 4 5 6 7 8 9 1 2 3 4 5 6 7 8      1 5 6 9 10  1 3 6 8  4 5 6 7 8                              Comply With and Use Procedures (1) 1 2 3 4 5 6 7 8 9 10  4 7 8 9 1 2 3 6 8      2 4 8 9 10 1 2 3 4 5 6 7 8 9 1 2 3 4 5 6 7 8      1 5 6 9 10  1 3 6 8  4 5 6 7 8                              Operate Control Boards (2) 4 7 8 9 1 2 3 6 8      2 4 8 9 10                   1 5 6 9 10 1 3 6 8 4 5 6 7 8                              Communicate and Intera ct 1 2 3 4 5 6 7 8 9 10  4 7 8 9 1 2 3 6 8      2 4 8 9 10 1 2 3 4 5 6 7 8 9 1 2 3 4 5 6 7 8      1 5 6 9 10 1 3 6 8  4 5 6 7 8                              Demonstrate Supervisory Ability (3) 1 2 3 4 5 6 7 8 9 10                          1 2 3 4 5 6 7 8 9 1 2 3 4 5 6 7 8                                                      Comply With and Use Tech Specs. (3) 3 7                        2 5 4                                                      Notes: (1) Includes Technical Specification compliance for an RO.
Operate Control                     4 7 8 9 1 283 6   2489 10 1569 1368 4567 10         8 Boards (2)
(2) Optional for an SRO
Communicate                 1234 5 6 7 8 4 7 8 9 1 283 6   2489 1 10 234 5678 1 234 5678 1569 1368 4567 10        8 9 10                             9 and Interact Demonstrate                  1234 5678 1234 1234 5678 5678 9 10                             9 Supervisory Ability (3)
-U. (3) Only applicable to SROs.
Comply With and               37                              25    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:
Instructions:
Check the applicant's license type and enter one or more event numbers that will allow the examiners to evaluate every applicable competency for every applicant.
Check the applicant's license type and enter one or more event numbers that will allow the examiners to evaluate every applicable competency for every applicant. (This includes all rating factors for each competency.) (competency Rating Factors as described on forms ES-303-1 and ES-303-3.)
(This includes all rating factors for each competency.) (competency Rating Factors as described on forms ES
ES-301, Page 27 of 27
-303-1 and ES-303-3.)
 
ES-301, Page 27 of 27 ES-301 Competencies Checklist Form ES-301-6 CREW 2 Facility: Lasalle Date of Examination:
ES-301                                     Competencies Checklist                                 Form ES-301-6 CREW 2 Facility: Lasalle                     Date of Examination: 10/17/16                   Operating Test No.: 2016301 APPLICANTS RO                       RO                  RO (4)            RO SRO-I(5)                 SRO-I (4)           SRO-I              SRO-I Competencies                  SRO-U                    SRO-U               SRO-U              SRO-U SCENARIO                 SCENARIO           SCENARIO           SCENARIO 1       2       3     -   1   2     3       1
10/17/16 Operating Test No.:
                                                                          - BOP BOP2    3   -   1     2   3   4 US    ATC    BOP        ATC  US    US                ATC Interpret/ Diagnose         1234 5 6 7 8 4 7 8 9 1 283 6   2489 1 10 234 5678 1 234 5678 1569 1368 4567 10        8 9 10                              9 Events and Conditions Comply With and Use         1234 5 6 7 8 4 7 8 9 1 283 6   2489 1 10 234 5678 1 234 5678 1569 1368 4567 10        8 9 10                              9 Procedures (1)
2016301 Competencies APPLICANTS RO SRO-I (5) SRO-U  RO  SRO-I (4) SRO-U  RO (4)  SRO-I   SRO-U RO  SRO-I  SRO-U SCENARIO SCENARIO SCENARIO SCENARIO 1 US 2 ATC 3 BOP - 1 ATC 2 US 3 US - 1 BOP 2 BOP 3 ATC - 1 2 3 4 Interpret/ Diagnose Events and Conditions 1 2 3 4 5 6 7 8 9 10  4 7 8 9 1 2 3 6 8      2 4 8 9 10 1 2 3 4 5 6 7 8 9 1 2 3 4 5 6 7 8      1 5 6 9 10  1 3 6 8  4 5 6 7 8                              Comply With and Use Procedures (1) 1 2 3 4 5 6 7 8 9 10  4 7 8 9 1 2 3 6 8      2 4 8 9 10 1 2 3 4 5 6 7 8 9 1 2 3 4 5 6 7 8      1 5 6 9 10  1 3 6 8  4 5 6 7 8                              Operate Control Boards (2) 4 7 8 9 1 2 3 6 8      2 4 8 9 10                   1 5 6 9 10 1 3 6 8 4 5 6 7 8                              Communicate and Intera ct 1 2 3 4 5 6 7 8 9 10  4 7 8 9 1 2 3 6 8      2 4 8 9 10 1 2 3 4 5 6 7 8 9 1 2 3 4 5 6 7 8      1 5 6 9 10 1 3 6 8  4 5 6 7 8                              Demonstrate Supervisory Ability (3) 1 2 3 4 5 6 7 8 9 10                          1 2 3 4 5 6 7 8 9 1 2 3 4 5 6 7 8                                                      Comply With and Use Tech Specs. (3) 3 7                        2 5 4                                                      Notes: (1) Includes Technical Specification compliance for an RO.
Operate Control                     4 7 8 9 1 283 6   2489 10 1569 1368 4567 10         8 Boards (2)
(2) Optional for an SRO
Communicate                 1234 5 6 7 8 4 7 8 9 1 283 6   2489 1 10 234 5678 1 234 5678 1569 1368 4567 10        8 9 10                             9 and Interact Demonstrate                  1234 5678 1234 1234 5678 5678 9 10                             9 Supervisory Ability (3)
-U. (3) Only applicable to SROs.
Comply With and               37                              25    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:
Instructions:
Check the applicant's license type and enter one or more event numbers that will allow the examiners to evaluate every applicable competency for every applicant.
Check the applicant's license type and enter one or more event numbers that will allow the examiners to evaluate every applicable competency for every applicant. (This includes all rating factors for each competency.) (competency Rating Factors as described on forms ES-303-1 and ES-303-3.)
(This includes all rating factors for each competency.) (competency Rating Factors as described on forms ES
ES-301, Page 27 of 27
-303-1 and ES-303-3.)
 
ES-301, Page 27 of 27 ES-301 Competencies Checklist Form ES-301-6 CREW 3 Facility: Lasalle Date of Examination:
ES-301                                   Competencies Checklist                             Form ES-301-6 CREW 3 Facility: Lasalle                   Date of Examination: 10/17/16             Operating Test No.: 2016301 APPLICANTS RO                   RO (3)             RO (2)            RO SRO-I(3)             SRO-I             SRO-I              SRO-I Competencies                  SRO-U                SRO-U             SRO-U              SRO-U SCENARIO             SCENARIO           SCENARIO           SCENARIO 1     2     3   -   1     2   3       1
10/17/16 Operating Test No.:
                                                                    - BOP ATC2    3   -   1     2   3   4 US    US  ATC      ATC  BOP                    BOP Interpret/ Diagnose         1234 1234 4567 5678 5678    8 2489 1368 10 1569 4789 1236 10         8 9 10   9 Events and Conditions Comply With and Use         1234 1234 4567 5678 5678    8 2489 1368 10 1569 4789 1236 10         8 9 10   9 Procedures (1)
2016301 Competencies APPLICANTS RO SRO-I (3) SRO-U  RO (3) SRO-I   SRO-U  RO (2)  SRO-I   SRO-U RO  SRO-I  SRO-U SCENARIO SCENARIO SCENARIO SCENARIO 1 US 2 US 3 ATC - 1 ATC 2 BO P 3 - 1 BOP 2 ATC 3 BOP - 1 2 3 4 Interpret/ Diagnose Events and Conditions 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 9 4 5 6 7 8      2 4 8 9 10 1 3 6 8             1 5 6 9 10 4 7 8 9 1 2 3 6 8                              Comply With and Use Procedures (1) 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 9 4 5 6 7 8      2 4 8 9 10 1 3 6 8             1 5 6 9 10 4 7 8 9 1 2 3 6 8                              Operate Control Boards (2) 4 5 6 7 8       2 4 8 9 10 1 3 6 8             1 5 6 9 10 4 7 8 9 1 2 3 6 8                              Communicate and Interact 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 9 4 5 6 7 8      2 4 8 9 10  1 3 6 8              1 5 6 9 10  4 7 8 9  1 2 3 6 8                              Demonstrate Supervisory Ability (3) 1 2 3 4 5 6 7 8 9 10  1 2 3 4 5 6 7 8 9                                                                                    Comply With and Use Tech Specs. (3) 3 7 2 5                                                                                    Notes: (1) Includes Technical Specification compliance for an RO.
Operate Control                         4567 8
(2) Optional for an SRO
2489 1368 10 1569 4789 1236 10        8 Boards (2)
-U. (3) Only applicable to SROs.
Communicate                  1234 1234 4567 5678 5678    8 2489 1368 10 1569 4789 1236 10         8 9 10   9 and Interact Demonstrate                  1234 1234 5678 5678 9 10   9 Supervisory Ability (3)
Comply With and               37    25 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:
Instructions:
Check the applicant's license type and enter one or more event numbers that will allow the examiners to evaluate every applicable competency for every applicant.
Check the applicant's license type and enter one or more event numbers that will allow the examiners to evaluate every applicable competency for every applicant. (This includes all rating factors for each competency.) (competency Rating Factors as described on forms ES-303-1 and ES-303-3.)
(This includes all rating factors for each competency.) (competency Rating Factors as described on forms ES
ES-301, Page 27 of 27
-303-1 and ES-303-3.)
 
ES-301, Page 27 of 27 ES-301 Competencies Checklist Form ES-301-6 CREW 4 Facility: Lasalle Date of Examination:
ES-301                                   Competencies Checklist                             Form ES-301-6 CREW 4 Facility: Lasalle                   Date of Examination: 10/17/16             Operating Test No.: 2016301 APPLICANTS RO                   RO                RO (5)            RO SRO-I(6)             SRO-I (7)         SRO-I              SRO-I Competencies                  SRO-U                SRO-U             SRO-U              SRO-U SCENARIO             SCENARIO           SCENARIO           SCENARIO 1     2   4   -   1   2   4       1
10/17/16 Operating Test No.:
                                                                    - BOP BOP2    4   -   1     2   3   4 US    ATC  BOP      ATC  US  US                ATC Interpret/ Diagnose         1234 5678 4789 18 367 9
2016301 Competencies APPLICANTS RO SRO-I (6) SRO-U  RO  SRO-I (7) SRO-U  RO (5)  SRO-I   SRO-U RO  SRO-I  SRO-U SCENARIO SCENARIO SCENARIO SCENARIO 1 US 2 ATC 4 BOP - 1 ATC 2 US 4 US - 1 BOP 2 BOP 4 ATC - 1 2 3 4 Interpret/ Diagnose Events and Conditions 1 2 3 4 5 6 7 8 9 10 4 7 8 9 1 3 6 7 8 9      2 4 8 9 10 1 2 3 4 5 6 7 8 9 1 2 3 4 5 6 7 8 9       1 5 6 9 10 1 3 6 8  2 4 5 6 7 8 9                               Comply With and Use Procedures (1) 1 2 3 4 5 6 7 8 9 10 4 7 8 9 1 3 6 7 8 9      2 4 8 9 10 1 2 3 4 5 6 7 8 9 1 2 3 4 5 6 7 8 9       1 5 6 9 10 1 3 6 8  2 4 5 6 7 8 9                              Operate Control Boards (2) 4 7 8 9 1 3 6 7 8 9      2 4 8 9 10                   1 5 6 9 10  1 3 6 8  2 4 5 6 7 8 9                               Communicate and Interact 1 2 3 4 5 6 7 8 9 10 4 7 8 9 1 3 6 7 8 9      2 4 8 9 10  1 2 3 4 5 6 7 8 9 1 2 3 4 5 6 7 8 9        1 5 6 9 10  1 3 6 8  2 4 5 6 7 8 9                              Demonstrate Supervisory Ability (3) 1 2 3 4 5 6 7 8 9 10                          1 2 3 4 5 6 7 8 9 1 2 3 4 5 6 7 8 9                                                        Comply With and Use Tech Specs. (3) 3 7                        2 5 5                                                      Notes: (1) Includes Technical Specification compliance for an RO.
2489 1 10 234 1234 5678 5678    1569 1368 2456 10       789 9 10                         9    9 Events and Conditions Comply With and Use         1234 5678 4789 18 367 9
(2) Optional for an SRO
2489 1 10 234 1234 5678 5678    1569 1368 2456 10        789 9 10                         9   9 Procedures (1)
-U. (3) Only applicable to SROs.
Operate Control                    4789 18367 9
2489 10 1569 1368 2456 10        789 Boards (2)
Communicate                  1234 5678 4789 18  367 9
2489 1 10 234 1234 5678 5678    1569 1368 2456 10        789 9 10                         9   9 and Interact Demonstrate                  1234 5678 1234 1234 5678 5678 9 10                         9   9 Supervisory Ability (3)
Comply With and               37                        25    5 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:
Instructions:
Check the applicant's license type and enter one or more event numbers that will allow the examiners to evaluate every applicable competency for every applicant.
Check the applicant's license type and enter one or more event numbers that will allow the examiners to evaluate every applicable competency for every applicant. (This includes all rating factors for each competency.) (competency Rating Factors as described on forms ES-303-1 and ES-303-3.)
(This includes all rating factors for each competency.) (competency Rating Factors as described on forms ES
ES-301, Page 27 of 27
-303-1 and ES-303-3.)
 
ES-301, Page 27 of 27 ES-301 Competencies Checklist Form ES-301-6 CREW 5 Facility: Lasalle Date of Examination:
ES-301                                   Competencies Checklist                                 Form ES-301-6 CREW 5 Facility: Lasalle                   Date of Examination: 10/17/16                 Operating Test No.: 2016301 APPLICANTS RO                     RO                  RO (6)            RO SRO-I(8)               SRO-I (9)           SRO-I              SRO-I Competencies                  SRO-U                  SRO-U               SRO-U              SRO-U SCENARIO               SCENARIO           SCENARIO           SCENARIO 4     5       6     -   4     5   6       4
10/17/16 Operating Test No.:
                                                                        - BOP BOP5      6   - 1     2   3   4 ATC    US    BOP        US  ATC  US                  ATC Interpret/ Diagnose         2456 1234 1238 7 8 9 5 6 7 8 9 10 1234 2367 1234 5678  8  5678      1367 1457 4567 89        8 9 10 9       9 10 Events and Conditions Comply With and Use         2456 1234 1238 7 8 9 5 6 7 8 9 10 1234 2367 1234 5678  8  5678      1367 1457 4567 89       8 9 10 9        9 10 Procedures (1)
2016301 Competencies APPLICANTS RO SRO-I (8) SRO-U  RO  SRO-I (9) SRO-U  RO (6)  SRO-I   SRO-U RO  SRO-I  SRO-U SCENARIO SCENARIO SCENARIO SCENARIO 4 ATC 5 US 6 BOP - 4 US 5 ATC 6 US - 4 BOP 5 BOP 6 ATC - 1 2 3 4 Interpret/ Diagnose Events and Conditions 2 4 5 6 7 8 9 1 2 3 4 5 6 7 8  1 2 3 8 9 10       1 2 3 4 5 6 7 8 9 2 3 6 7 8 1 2 3 4 5 6 7 8 9 10        1 3 6 7 8 9 1 4 5 7 4 5 6 7 8 9 10                               Comply With and Use Procedures (1) 2 4 5 6 7 8 9 1 2 3 4 5 6 7 8  1 2 3 8 9 10       1 2 3 4 5 6 7 8 9 2 3 6 7 8 1 2 3 4 5 6 7 8 9 10       1 3 6 7 8 9 1 4 5 7 4 5 6 7 8 9 10                              Operate Control Boards (2) 2 4 5 6 7 8 9      1 2 3 8 9 10            2 3 6 7 8            1 3 6 7 8 9 1 4 5 7 4 5 6 7 8 9 10                              Communicate and Interact 2 4 5 6 7 8 9 1 2 3 4 5 6 7 8  1 2 3 8 9 10       1 2 3 4 5 6 7 8 9  2 3 6 7 8 1 2 3 4 5 6 7 8 9 10       1 3 6 7 8 9 1 4 5 7 4 5 6 7 8 9 10                               Demonstrate Supervisory Ability (3) 1 2 3 4 5 6 7 8             1 2 3 4 5 6 7 8 9       1 2 3 4 5 6 7 8 9 10                                                       Comply With and Use Tech Specs. (3) 3 4            5      5                                                      Notes: (1) Includes Technical Specification compliance for an RO.
Operate Control             2456 789 1238 9 10 2367 8
(2) Optional for an SRO
1367 1457 4567 89       8 9 10 Boards (2)
-U. (3) Only applicable to SROs. Instructions:
Communicate                  2456 1234 1238 7 8 9 5 6 7 8 9 10 1234 2367 1234 5678  8  5678      1367 1457 4567 89       8 9 10 9        9 10 and Interact Demonstrate                        1234 5678 1234 5678 1234 5678 9        9 10 Supervisory Ability (3)
Check the applicant's license type and enter one or more event numbers that will allow the examiners to evaluate every applicable competency for every applicant.
Comply With and                       34                5          5 Use Tech Specs. (3)
(This includes all rating factors for each competency.)  (competency Rating Factors as described on forms ES
Notes:
-303-1 and ES-303-3.)
(1)       Includes Technical Specification compliance for an RO.
ES-301, Page 27 of 27 ES-301 Competencies Checklist Form ES-301-6  CREW 6 Facility: Lasalle Date of Examination:
(2)       Optional for an SRO-U.
10/17/16 Operating Test No.:
(3)       Only applicable to SROs.
2016301 Competencies APPLICANTS RO  SRO-I(11)  SRO-U  RO  SRO-I (12)  SRO-U  RO (9)  SRO-I  SRO-U  RO  SRO-I  SRO-U  SCENARIO SCENARIO SCENARIO SCENARIO 4 ATC 5 US 7 BOP - 4 US 5 A TC 7 US - 4 BOP 5 BOP 7 ATC - 1 2 3 4 Interpret/ Diagnose Events and Conditions 2 4 5 6 7 8 9 1 2 3 4 5 6 7 8 2 4 7 8 9 10       1 2 3 4 5 6 7 8 9 2 3 6 7 8 1 2 3 4 5 6 7 8 9 10       1 3 6 7 8 9 1 4 5 7 1 3 5 8 9 10                               Comply With and Use Procedures (1) 2 4 5 6 7 8 9 1 2 3 4 5 6 7 8 2 4 7 8 9 10      1 2 3 4 5 6 7 8 9  2 3 6 7 8 1 2 3 4 5 6 7 8 9 10       1 3 6 7 8 9 1 4 5 7 1 3 5 8 9 10                               Operate Control Boards (2) 2 4 5 6 7 8 9      2 4 7 8 9 10            2 3 6 7 8            1 3 6 7 8 9 1 4 5 7 1 3 5 8 9 10                              Communicate and Interact 2 4 5 6 7 8 9 1 2 3 4 5 6 7 8 2 4 7 8 9 10      1 2 3 4 5 6 7 8 9  2 3 6 7 8 1 2 3 4 5 6 7 8 9 10       1 3 6 7 8 9 1 4 5 7 1 3 5 8 9 10                               Demonstrate Supervisory Ability (3) 1 2 3 4 5 6 7 8            1 2 3 4 5 6 7 8 9        1 2 3 4 5 6 7 8 9 10                                                        Comply With and Use Tech Specs. (3) 3 4            5      6 7                                                      Notes: (1) Includes Technical Specification compliance for an RO.
(2) Optional for an SRO
-U. (3) Only applicable to SROs.
Instructions:
Instructions:
Check the applicant's license type and enter one or more event numbers that will allow the examiners to evaluate every applicable competency for every applicant.
Check the applicant's license type and enter one or more event numbers that will allow the examiners to evaluate every applicable competency for every applicant. (This includes all rating factors for each competency.) (competency Rating Factors as described on forms ES-303-1 and ES-303-3.)
(This includes all rating factors for each competency.) (competency Rating Factors as described on forms ES
ES-301, Page 27 of 27
-303-1 and ES-303-3.)
 
ES-301, Page 27 of 27 ES-301 Competencies Checklist Form ES-301-6 CREW 7 Facility: Lasalle Date of Examination:
ES-301                                   Competencies Checklist                                 Form ES-301-6 CREW 6 Facility: Lasalle                   Date of Examination: 10/17/16                   Operating Test No.: 2016301 APPLICANTS RO                     RO                  RO (9)              RO SRO-I(11)               SRO-I (12)         SRO-I               SRO-I Competencies                  SRO-U                  SRO-U               SRO-U              SRO-U SCENARIO               SCENARIO           SCENARIO             SCENARIO 4     5      7     -   4     5    7       4
10/17/16 Operating Test No.:
                                                                        - BOP BOP5    7     -   1     2   3   4 ATC    US    BOP        US  ATC  US                ATC Interpret/ Diagnose         2456 1234 2478 7 8 9 5 6 7 8 9 10 1234 2367 1234 5678  8  5678      1367 1457 1358 89        9 10 9       9 10 Events and Conditions Comply With and Use         2456 1234 2478 7 8 9 5 6 7 8 9 10 1234 2367 1234 5678  8 5678      1367 1457 1358 89        9 10 9       9 10 Procedures (1)
2016301 Competencies APPLICANTS RO SRO-I(10) SRO-U  RO (7) SRO-I   SRO-U  RO (8)  SRO-I  SRO-U RO  SRO-I  SRO-U SCENARIO SCENARIO SCENARIO SCENARIO 4 US 6 US 7 ATC - 4 ATC 6 B OP 7 - 4 BOP 6 ATC 7 BOP - 1 2 3 4 Interpret/ Diagnose Events and Conditions 1 2 3 4 5 6 7 8 9 1 2 3 4 5 6 7 8 9 10 1 3 5 8 9 10 2 4 5 6 7 8 9 1 2 3 8 9 10             1 3 6 7 8 9 4 5 6 8 9 10 2 4 7 8 9 10                              Comply With and Use Procedures (1) 1 2 3 4 5 6 7 8 9 1 2 3 4 5 6 7 8 9 10 1 3 5 8 9 10 2 4 5 6 7 8 9 1 2 3 8 9 10             1 3 6 7 8 9 4 5 6 8 9 10 2 4 7 8 9 10                               Operate Control Boards (2) 1 3 5 8 9 10  2 4 5 6 7 8 9 1 2 3 8 9 10            1 3 6 7 8 9 4 5 6 8 9 10 2 4 7 8 9 10                               Communicate and Interact 1 2 3 4 5 6 7 8 9 1 2 3 4 5 6 7 8 9 10 1 3 5 8 9 10 2 4 5 6 7 8 9 1 2 3 8 9 10             1 3 6 7 8 9 4 5 6 8 9 10 2 4 7 8 9 10                               Demonstrate Supervisory Ability (3) 1 2 3 4 5 6 7 8 9 1 2 3 4 5 6 7 8 9 10                                                                                    Comply With and Use Tech Specs. (3) 5 5                                                                                    Notes: (1) Includes Technical Specification compliance for an RO.
Operate Control              2456 789 2478 9 10 2367 8
(2) Optional for an SRO
1367 1457 1358 89        9 10 Boards (2)
-U. (3) Only applicable to SROs.
Communicate                  2456 1234 2478 7 8 9 5 6 7 8 9 10 1234 2367 1234 5678  8  5678      1367 1457 1358 89        9 10 9       9 10 and Interact Demonstrate                        1234 5678 1234 5678 1234 5678 9       9 10 Supervisory Ability (3)
Comply With and                       34                5        67 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:
Instructions:
Check the applicant's license type and enter one or more event numbers that will allow the examiners to evaluate every applicable competency for every applicant.
Check the applicant's license type and enter one or more event numbers that will allow the examiners to evaluate every applicable competency for every applicant. (This includes all rating factors for each competency.) (competency Rating Factors as described on forms ES-303-1 and ES-303-3.)
(This includes all rating factors for each competency.) (competency Rating Factors as described on forms ES
ES-301, Page 27 of 27
-303-1 and ES-303-3.)
 
ES-301, Page 27 of 27 ES-301 Competencies Checklist Form ES-301-6 CREW 8 Facility: Lasalle Date of Examination:
ES-301                                     Competencies Checklist                                 Form ES-301-6 CREW 7 Facility: Lasalle                     Date of Examination: 10/17/16                 Operating Test No.: 2016301 APPLICANTS RO                       RO (7)            RO (8)              RO SRO-I(10)               SRO-I            SRO-I               SRO-I Competencies                  SRO-U                    SRO-U             SRO-U                SRO-U SCENARIO                 SCENARIO         SCENARIO             SCENARIO 4      6       7     -   4    6   7       4
10/17/16 Operating Test No.:
                                                                        - BOP ATC 6     7     -   1     2   3   4 US      US    ATC        ATC  BOP                    BOP Interpret/ Diagnose         1234 1234 1358 5 6 7 8 5 6 7 8 9 10       2456 1238 789  9 10 1367 4568 2478 89  9 10  9 10 9     9 10 Events and Conditions Comply With and Use         1234 1234 1358 5 6 7 8 5 6 7 8 9 10       2456 1238 789  9 10 1367 4568 2478 89  9 10  9 10 9     9 10 Procedures (1)
2016301 Competencies APPLICANTS RO SRO-I(13) SRO-U  RO (11)  SR O-I   SRO-U  RO (10)  SRO-I  SRO-U RO  SRO-I  SRO-U SCENARIO SCENARIO SCENARIO SCENARIO 5 US 6 US 7 ATC - 5 ATC 6 BOP 7 - 5 BOP 6 ATC 7 BOP - 1 2 3 4 Interpret/ Diagnose Events and Conditions 1 2 3 4 5 6 7 8 1 2 3 4 5 6 7 8 9 10 1 3 5 8 9 10  2 3 6 7 8 1 2 3 8 9 10             1 4 5 7 4 5 6 7 8 9 10 2 4 7 8 9 10                               Comply With and Use Procedures (1) 1 2 3 4 5 6 7 8 1 2 3 4 5 6 7 8 9 10 1 3 5 8 9 10  2 3 6 7 8 1 2 3 8 9 10             1 4 5 7 4 5 6 7 8 9 10 2 4 7 8 9 10                               Operate Control Boards (2) 1 3 5 8 9 10 2 3 6 7 8 1 2 3 8 9 10             1 4 5 7 4 5 6 7 8 9 10 2 4 7 8 9 10                               Communicate and Interact 1 2 3 4 5 6 7 8 1 2 3 4 5 6 7 8 9 10 1 3 5 8 9 10  2 3 6 7 8 1 2 3 8 9 10             1 4 5 7 4 5 6 7 8 9 10 2 4 7 8 9 10                               Demonstrate Supervisory Ability (3) 1 2 3 4 5 6 7 8 1 2 3 4 5 6 7 8 9 10                                                                                      Comply With and Use Tech Specs. (3) 3 4  5                                                                                    Notes: (1) Includes Technical Specification compliance for an RO.
Operate Control                             1358 9 10 2456 1238 789  9 10 1367 4568 2478 89  9 10 9 10 Boards (2)
(2) Optional for an SRO
Communicate                 1234 1234 1358 5 6 7 8 5 6 7 8 9 10       2456 1238 789  9 10 1367 4568 2478 89  9 10  9 10 9    9 10 and Interact Demonstrate                  1234 1234 5678 5678 9    9 10 Supervisory Ability (3)
-U. (3) Only applicable to SROs.
Comply With and                 5      5 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:
Instructions:
Check the applicant's license type and enter one or more event numbers that will allow the examiners to evaluate every applicable competency for every applicant.
Check the applicant's license type and enter one or more event numbers that will allow the examiners to evaluate every applicable competency for every applicant. (This includes all rating factors for each competency.) (competency Rating Factors as described on forms ES-303-1 and ES-303-3.)
(This includes all rating factors for each competency.) (competency Rating Factors as described on forms ES
ES-301, Page 27 of 27
-303-1 and ES-303-3.)}}
 
ES-301                                    Competencies Checklist                                        Form ES-301-6 CREW 8 Facility: Lasalle                    Date of Examination: 10/17/16                          Operating Test No.: 2016301 APPLICANTS RO                      RO (11)            RO (10)                    RO SRO-I(13)                SRO-I              SRO-I                      SRO-I Competencies                  SRO-U                    SRO-U              SRO-U                      SRO-U SCENARIO                  SCENARIO            SCENARIO                  SCENARIO 5      6      7    -    5    6    7        5
                                                                        - BOP ATC      6        7    -  1    2    3    4 US      US    ATC        ATC  BOP                              BOP Interpret/ Diagnose          1234 1    234 1358 5 6 7 8 59610 7 8 9 10      2367 1238 8  9 10        1 4 5 7 48 59 6107 29410 78 Events and Conditions Comply With and Use          1234 1    234 1358 5 6 7 8 59610 7 8 9 10      2367 1238 8  9 10        1 4 5 7 48 59 6107 29410 78 Procedures (1)
Operate Control                              1358 9 10 2367 1238 8  9 10        1 4 5 7 48 59 6107 29410 78 Boards (2)
Communicate                  1234 1    234 1358 5 6 7 8 59610 7 8 9 10      2367 1238 8  9 10        1 4 5 7 48 59 6107 29410 78 and Interact Demonstrate                  1234 1    234 5 6 7 8 59610 78 Supervisory Ability (3)
Comply With and                34      5 Use Tech Specs. (3)
Notes:
(1)      Includes Technical Specification compliance for an RO.
(2)      Optional for an SRO-U.
(3)      Only applicable to SROs.
Instructions:
Check the applicant's license type and enter one or more event numbers that will allow the examiners to evaluate every applicable competency for every applicant. (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}}

Latest revision as of 05:56, 30 October 2019

2016 LaSalle County Station Initial License Examination Forms ES-301-6
ML17095A241
Person / Time
Site: LaSalle  Constellation icon.png
Issue date: 11/16/2016
From: Chuck Zoia
NRC/RGN-III/DRS/OLB
To:
Exelon Generation Co
Shared Package
ML15274A403 List:
References
Download: ML17095A241 (8)
v • d • e


Text

ES-301 Competencies Checklist Form ES-301-6 CREW 1 Facility: Lasalle Date of Examination: 10/17/16 Operating Test No.: 2016301 APPLICANTS RO RO RO (1) RO SRO-I(1) SRO-I (2) SRO-I SRO-I Competencies SRO-U SRO-U SRO-U SRO-U SCENARIO SCENARIO SCENARIO SCENARIO 1 2 3 - 1 2 3 1

- BOP BOP2 3 - 1 2 3 4 US ATC BOP ATC US US ATC Interpret/ Diagnose 1234 5 6 7 8 4 7 8 9 1 283 6 2489 1 10 234 5678 1 234 5678 1569 1368 4567 10 8 9 10 9 Events and Conditions Comply With and Use 1234 5 6 7 8 4 7 8 9 1 283 6 2489 1 10 234 5678 1 234 5678 1569 1368 4567 10 8 9 10 9 Procedures (1)

Operate Control 4 7 8 9 1 283 6 2489 10 1569 1368 4567 10 8 Boards (2)

Communicate 1234 5 6 7 8 4 7 8 9 1 283 6 2489 1 10 234 5678 1 234 5678 1569 1368 4567 10 8 9 10 9 and Interact Demonstrate 1234 5678 1234 1234 5678 5678 9 10 9 Supervisory Ability (3)

Comply With and 37 25 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 applicant's 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

ES-301 Competencies Checklist Form ES-301-6 CREW 2 Facility: Lasalle Date of Examination: 10/17/16 Operating Test No.: 2016301 APPLICANTS RO RO RO (4) RO SRO-I(5) SRO-I (4) SRO-I SRO-I Competencies SRO-U SRO-U SRO-U SRO-U SCENARIO SCENARIO SCENARIO SCENARIO 1 2 3 - 1 2 3 1

- BOP BOP2 3 - 1 2 3 4 US ATC BOP ATC US US ATC Interpret/ Diagnose 1234 5 6 7 8 4 7 8 9 1 283 6 2489 1 10 234 5678 1 234 5678 1569 1368 4567 10 8 9 10 9 Events and Conditions Comply With and Use 1234 5 6 7 8 4 7 8 9 1 283 6 2489 1 10 234 5678 1 234 5678 1569 1368 4567 10 8 9 10 9 Procedures (1)

Operate Control 4 7 8 9 1 283 6 2489 10 1569 1368 4567 10 8 Boards (2)

Communicate 1234 5 6 7 8 4 7 8 9 1 283 6 2489 1 10 234 5678 1 234 5678 1569 1368 4567 10 8 9 10 9 and Interact Demonstrate 1234 5678 1234 1234 5678 5678 9 10 9 Supervisory Ability (3)

Comply With and 37 25 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 applicant's 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

ES-301 Competencies Checklist Form ES-301-6 CREW 3 Facility: Lasalle Date of Examination: 10/17/16 Operating Test No.: 2016301 APPLICANTS RO RO (3) RO (2) RO SRO-I(3) SRO-I SRO-I SRO-I Competencies SRO-U SRO-U SRO-U SRO-U SCENARIO SCENARIO SCENARIO SCENARIO 1 2 3 - 1 2 3 1

- BOP ATC2 3 - 1 2 3 4 US US ATC ATC BOP BOP Interpret/ Diagnose 1234 1234 4567 5678 5678 8 2489 1368 10 1569 4789 1236 10 8 9 10 9 Events and Conditions Comply With and Use 1234 1234 4567 5678 5678 8 2489 1368 10 1569 4789 1236 10 8 9 10 9 Procedures (1)

Operate Control 4567 8

2489 1368 10 1569 4789 1236 10 8 Boards (2)

Communicate 1234 1234 4567 5678 5678 8 2489 1368 10 1569 4789 1236 10 8 9 10 9 and Interact Demonstrate 1234 1234 5678 5678 9 10 9 Supervisory Ability (3)

Comply With and 37 25 Use Tech Specs. (3)

Notes:

(1) Includes Technical Specification compliance for an RO.

(2) Optional for an SRO-U.

(3) Only applicable to SROs.

Instructions:

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

ES-301 Competencies Checklist Form ES-301-6 CREW 4 Facility: Lasalle Date of Examination: 10/17/16 Operating Test No.: 2016301 APPLICANTS RO RO RO (5) RO SRO-I(6) SRO-I (7) SRO-I SRO-I Competencies SRO-U SRO-U SRO-U SRO-U SCENARIO SCENARIO SCENARIO SCENARIO 1 2 4 - 1 2 4 1

- BOP BOP2 4 - 1 2 3 4 US ATC BOP ATC US US ATC Interpret/ Diagnose 1234 5678 4789 18 367 9

2489 1 10 234 1234 5678 5678 1569 1368 2456 10 789 9 10 9 9 Events and Conditions Comply With and Use 1234 5678 4789 18 367 9

2489 1 10 234 1234 5678 5678 1569 1368 2456 10 789 9 10 9 9 Procedures (1)

Operate Control 4789 18367 9

2489 10 1569 1368 2456 10 789 Boards (2)

Communicate 1234 5678 4789 18 367 9

2489 1 10 234 1234 5678 5678 1569 1368 2456 10 789 9 10 9 9 and Interact Demonstrate 1234 5678 1234 1234 5678 5678 9 10 9 9 Supervisory Ability (3)

Comply With and 37 25 5 Use Tech Specs. (3)

Notes:

(1) Includes Technical Specification compliance for an RO.

(2) Optional for an SRO-U.

(3) Only applicable to SROs.

Instructions:

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

ES-301 Competencies Checklist Form ES-301-6 CREW 5 Facility: Lasalle Date of Examination: 10/17/16 Operating Test No.: 2016301 APPLICANTS RO RO RO (6) RO SRO-I(8) SRO-I (9) SRO-I SRO-I Competencies SRO-U SRO-U SRO-U SRO-U SCENARIO SCENARIO SCENARIO SCENARIO 4 5 6 - 4 5 6 4

- BOP BOP5 6 - 1 2 3 4 ATC US BOP US ATC US ATC Interpret/ Diagnose 2456 1234 1238 7 8 9 5 6 7 8 9 10 1234 2367 1234 5678 8 5678 1367 1457 4567 89 8 9 10 9 9 10 Events and Conditions Comply With and Use 2456 1234 1238 7 8 9 5 6 7 8 9 10 1234 2367 1234 5678 8 5678 1367 1457 4567 89 8 9 10 9 9 10 Procedures (1)

Operate Control 2456 789 1238 9 10 2367 8

1367 1457 4567 89 8 9 10 Boards (2)

Communicate 2456 1234 1238 7 8 9 5 6 7 8 9 10 1234 2367 1234 5678 8 5678 1367 1457 4567 89 8 9 10 9 9 10 and Interact Demonstrate 1234 5678 1234 5678 1234 5678 9 9 10 Supervisory Ability (3)

Comply With and 34 5 5 Use Tech Specs. (3)

Notes:

(1) Includes Technical Specification compliance for an RO.

(2) Optional for an SRO-U.

(3) Only applicable to SROs.

Instructions:

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

ES-301 Competencies Checklist Form ES-301-6 CREW 6 Facility: Lasalle Date of Examination: 10/17/16 Operating Test No.: 2016301 APPLICANTS RO RO RO (9) RO SRO-I(11) SRO-I (12) SRO-I SRO-I Competencies SRO-U SRO-U SRO-U SRO-U SCENARIO SCENARIO SCENARIO SCENARIO 4 5 7 - 4 5 7 4

- BOP BOP5 7 - 1 2 3 4 ATC US BOP US ATC US ATC Interpret/ Diagnose 2456 1234 2478 7 8 9 5 6 7 8 9 10 1234 2367 1234 5678 8 5678 1367 1457 1358 89 9 10 9 9 10 Events and Conditions Comply With and Use 2456 1234 2478 7 8 9 5 6 7 8 9 10 1234 2367 1234 5678 8 5678 1367 1457 1358 89 9 10 9 9 10 Procedures (1)

Operate Control 2456 789 2478 9 10 2367 8

1367 1457 1358 89 9 10 Boards (2)

Communicate 2456 1234 2478 7 8 9 5 6 7 8 9 10 1234 2367 1234 5678 8 5678 1367 1457 1358 89 9 10 9 9 10 and Interact Demonstrate 1234 5678 1234 5678 1234 5678 9 9 10 Supervisory Ability (3)

Comply With and 34 5 67 Use Tech Specs. (3)

Notes:

(1) Includes Technical Specification compliance for an RO.

(2) Optional for an SRO-U.

(3) Only applicable to SROs.

Instructions:

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

ES-301 Competencies Checklist Form ES-301-6 CREW 7 Facility: Lasalle Date of Examination: 10/17/16 Operating Test No.: 2016301 APPLICANTS RO RO (7) RO (8) RO SRO-I(10) SRO-I SRO-I SRO-I Competencies SRO-U SRO-U SRO-U SRO-U SCENARIO SCENARIO SCENARIO SCENARIO 4 6 7 - 4 6 7 4

- BOP ATC 6 7 - 1 2 3 4 US US ATC ATC BOP BOP Interpret/ Diagnose 1234 1234 1358 5 6 7 8 5 6 7 8 9 10 2456 1238 789 9 10 1367 4568 2478 89 9 10 9 10 9 9 10 Events and Conditions Comply With and Use 1234 1234 1358 5 6 7 8 5 6 7 8 9 10 2456 1238 789 9 10 1367 4568 2478 89 9 10 9 10 9 9 10 Procedures (1)

Operate Control 1358 9 10 2456 1238 789 9 10 1367 4568 2478 89 9 10 9 10 Boards (2)

Communicate 1234 1234 1358 5 6 7 8 5 6 7 8 9 10 2456 1238 789 9 10 1367 4568 2478 89 9 10 9 10 9 9 10 and Interact Demonstrate 1234 1234 5678 5678 9 9 10 Supervisory Ability (3)

Comply With and 5 5 Use Tech Specs. (3)

Notes:

(1) Includes Technical Specification compliance for an RO.

(2) Optional for an SRO-U.

(3) Only applicable to SROs.

Instructions:

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

ES-301 Competencies Checklist Form ES-301-6 CREW 8 Facility: Lasalle Date of Examination: 10/17/16 Operating Test No.: 2016301 APPLICANTS RO RO (11) RO (10) RO SRO-I(13) SRO-I SRO-I SRO-I Competencies SRO-U SRO-U SRO-U SRO-U SCENARIO SCENARIO SCENARIO SCENARIO 5 6 7 - 5 6 7 5

- BOP ATC 6 7 - 1 2 3 4 US US ATC ATC BOP BOP Interpret/ Diagnose 1234 1 234 1358 5 6 7 8 59610 7 8 9 10 2367 1238 8 9 10 1 4 5 7 48 59 6107 29410 78 Events and Conditions Comply With and Use 1234 1 234 1358 5 6 7 8 59610 7 8 9 10 2367 1238 8 9 10 1 4 5 7 48 59 6107 29410 78 Procedures (1)

Operate Control 1358 9 10 2367 1238 8 9 10 1 4 5 7 48 59 6107 29410 78 Boards (2)

Communicate 1234 1 234 1358 5 6 7 8 59610 7 8 9 10 2367 1238 8 9 10 1 4 5 7 48 59 6107 29410 78 and Interact Demonstrate 1234 1 234 5 6 7 8 59610 78 Supervisory Ability (3)

Comply With and 34 5 Use Tech Specs. (3)

Notes:

(1) Includes Technical Specification compliance for an RO.

(2) Optional for an SRO-U.

(3) Only applicable to SROs.

Instructions:

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

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