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=Text=
=Text=
{{#Wiki_filter:PPL SUSQUEHANNA, LLC JOB PERFORMANCE MEASURE APPROVAL AND ADMINISTRATIVE DATA SHEET SIR0           78.AD.001.101                     0           09/26/05             2.1.18             N/A   2.913.0 APPl.          JPM Number                     Rev. No.       Date             NUREG 1123           WA No. WA Imp.
{{#Wiki_filter:PPL SUSQUEHANNA, LLC JOB PERFORMANCE MEASURE APPROVAL AND ADMINISTRATIVE DATA SHEET SIR0 78.AD.001.101 0
To                                                                               Sys. No.
09/26/05 2.1.18 N/A 2.913.0 JPM Number Rev. No.
Date NUREG 1123 WA No.
WA Imp.
To Sys. No.
APPl.
Task
Task


==Title:==
==Title:==
Document a Failed LPRM Detector Completed By:                                                      Validated Rich Chin                                     09/26/05 Writer                                         Date               lnst ructorNVriter                  Date Approval:
Completed By:
Nuclear Trng. Supv.                                 Date
Validated Document a Failed LPRM Detector Rich Chin 09/26/05 Writer Date lnst ructorNV riter Date Approval:
--                                                                  15/25 Date of Performance:                                  Validation Time (Min.)             Time Taken (Min.)
Nuclear Trng. Supv.
Date of Performance:
Date 15/25 Validation Time (Min.)
Time Taken (Min.)
JPM Performed By:
JPM Performed By:
Student Name:
Student Name:
Last                               First             M.I. Employee ## / S.S. #
Last First M.I.
Performance                               (     )   Satisfactory               (     )   Unsatisfactory Evaluation:
Employee ## / S.S. #
Performance
(  
)
Satisfactory
(  
)
Unsatisfactory Evaluation:
Evaluator Name:
Evaluator Name:
Signature                                           Typed or Printed Comments:
Signature Typed or Printed Comments:
Funn NTP-QA-31 8-1. Rev 0. Pagc 1 of 2 2005 NRC Exam Rev.1
Funn NTP-QA-31 8-1. Rev 0. Pagc 1 of 2 2005 NRC Exam Rev.1  


REQUIRED TASK INFORMATION JOB PERFORMANCE MEASURE S/RO 78.AD.001.101
REQUIRED TASK INFORMATION JOB PERFORMANCE MEASURE S/RO 78.AD.001.101
.
: 1.
: 1. SAFETY CONSIDERATIONS A. All Operations personnel are responsible for maintaining their radiation exposure As Low As Reasonably Achievable in accordance with OP-AD-002, Standards for Shift Operations.
SAFETY CONSIDERATIONS A. All Operations personnel are responsible for maintaining their radiation exposure As Low As Reasonably Achievable in accordance with OP-AD-002, Standards for Shift Operations.
B. All applicable safety precautions shall be taken in accordance with established PPL safety policies and the Safety Rule Book, for example:
B. All applicable safety precautions shall be taken in accordance with established PPL safety policies and the Safety Rule Book, for example:
: 1. Whenever any electrical panel is opened for inspection during JPM performance.
: 1. Whenever any electrical panel is opened for inspection during JPM performance.
Line 40: Line 54:
D. Peer checking is the expectation for all evolutions; however, since a JPM is an individual effort, no peer check will be provided and Self Checking is required.
D. Peer checking is the expectation for all evolutions; however, since a JPM is an individual effort, no peer check will be provided and Self Checking is required.
II. REFERENCES A. 01-078-001 LPRM STATUS CONTROL, (Rev. 8)
II. REFERENCES A. 01-078-001 LPRM STATUS CONTROL, (Rev. 8)
-        B. TS amendment 217 III. REACTIVITY MAN1PULATIONS This JPM satisfies the requirements of Operational Activity(s):
B. TS amendment 217 I II. REACTIVITY MAN1 PU LATIONS This JPM satisfies the requirements of Operational Activity(s):
None IV. TASK CONDITIONS A. Unit 1 is in MODE 1at 80% power.
None IV. TASK CONDITIONS A. Unit 1 is in MODE 1at 80% power.
B. Reactor Engineering has completed their evaluation of a downscale alarm condition for LPRM detector 48-178. LPRM detector 48-17 8 is failed C. The PCOP has just NOW bypassed LPRM detector 48-178 in the lower relay room.
B. Reactor Engineering has completed their evaluation of a downscale alarm condition for LPRM detector 48-1 78. LPRM detector 48-1 78 is failed C. The PCOP has just NOW bypassed LPRM detector 48-178 in the lower relay room.
D. All OPRM channels are INOPERABLE V. INITIATING CUE Complete all required hardcopy documentation in accordance with the appropriate instructions for LPRM detector 48-178.
D. All OPRM channels are INOPERABLE V. INITIATING CUE Complete all required hardcopy documentation in accordance with the appropriate instructions for LPRM detector 48-1 78.
VI. TASK STANDARD Zone 4 is identified as not having more than 50% upscale alarms operable, placard place on reactor panel, Unit Supervisor Notified to reference TRO 3.3.9, SROs must additionally identify required TRO actions.
VI. TASK STANDARD Zone 4 is identified as not having more than 50% upscale alarms operable, placard place on reactor panel, Unit Supervisor Notified to reference TRO 3.3.9, SROs must additionally identify required TRO actions.
h m n KIP-QA-31.8-1. Rev. 0. Page 2 of 2 2005 NRC Exam Rev. 1
hmn KIP-QA-31.8-1. Rev. 0. Page 2 of 2 2005 NRC Exam Rev. 1  


j PERFORMANCE CHECKLIST                      Page 3 of 8 Appl. To/JPM No.: S/RO 78.AD.001.lo1                                               Student Name:
Appl. To/JPM No.: S/RO 78.AD.001.lo1 Step j
Step                                      Action                                         Standard                  Comments EVALUATOR NOTE:
PERFORMANCE CHECKLIST Action EVALUATOR NOTE:
Ensure the following material is available to support performance of this JPM:
Ensure the following material is available to support performance of this JPM:
A COPY of 01-078-001.
A COPY of 01-078-001.
0       Prepare attachments A & B with zone 4 having exactly 50% operable LPRM upscale alarms.
0 Prepare attachments A & B with zone 4 having exactly 50% operable LPRM upscale alarms.
0      Blank copy of attachment A & 6.
Blank copy of attachment A & 6.
EVALUATOR NOTE:
0 EVALUATOR NOTE:
To begin this JPM, provide the candidate with the Task Conditions and Initiating Cue Sheet.
To begin this JPM, provide the candidate with the Task Conditions and Initiating Cue Sheet.
Obtains a controlled copy of procedure.                 Controlled copy of 01-078-001 obtained.
Obtains a controlled copy of procedure.
Refers to correct section.                            Refers to section 4.
Refers to correct section.
*Critical Step                            #Critical Sequence Fonn NTP-QA-31.8-2. Rev.0. P q c I of I 2005 NRC Exam Rev.1
*Critical Step
#Critical Sequence Student Name:
Standard Controlled copy of 01-078-001 obtained.
Refers to section 4.
Page 3 of 8 Comments Fonn NTP-QA-31.8-2. Rev. 0. Pqc I of I 2005 NRC Exam Rev.1  


PERFORMANCE CHECKLIST                                  Page 4 of 8 Appl. To/JPM No.: S/RO 78.AD.001.101                                         Student Name:
Appl. To/JPM No.: S/RO 78.AD.001.101 Step PERFORMANCE CHECKLIST Action Determines current LPRM status.
-Step                                                                               Standard                  Eva1        Comments Action Determines current LPRM status.                  Obtains the Operations Special Log Book in the Unit 1 control room and locates the previously completed copy of Attachment A & B.
EVALUATOR CUE:
EVALUATOR CUE:
When the candidate identifies where the current LPRM Upscale Alarm Status Control Log is retained provide the candidate with previously filled-out copy of Attachments A & B.
When the candidate identifies where the current LPRM Upscale Alarm Status Control Log is retained provide the candidate with previously filled-out copy of Attachments A & B.
EVALUATOR NOTE:
EVALUATOR NOTE:
Allow candidate to use blank attachments from the copy of the procedure provided.
Allow candidate to use blank attachments from the copy of the procedure provided.
Obtains a blank copy of Attachment A & B.          Blank copy obtained.
Obtains a blank copy of Attachment A & B.
Completes new Attachment A.                        Enters 1 for Unit.
Completes new Attachment A.  
*Critical Step                         #Critical Sequence Form NTP-QA-31.8-2. Rev. 0, Page I of I 2005 NRC Exam Rev.1
*Critical Step  
#Critical Sequence Student Name:
Standard Obtains the Operations Special Log Book in the Unit 1 control room and locates the previously completed copy of Attachment A & B.
Blank copy obtained.
Enters 1 for Unit.
Eva1 Page 4 of 8 Comments Form NTP-QA-31.8-2. Rev. 0, Page I of I 2005 NRC Exam Rev.1  


                                                                                                                                      /
Appl. To/JPM No.: S/RO 78.AD.001.101 PERFORMANCE CHECKLIST Action EVALUATOR CUE:
PERFORMANCE CHECKLIST                                    Page 5 of 8 Appl. To/JPM No.: S/RO 78.AD.001.101                                             Student Name:
If candidate elects to verify position of switches in lower relay room, provide the cue that the switches are in the positions indicated on Attachment A (Special log book)
Action                                         Standard                    Eva1        Comments EVALUATOR CUE:                                       Transfers the previous LPRM data to the new Attachment A.
Enter a check (d) in column (2) for LPRM alarms determined inoperable or bypassed for all other reasons.
If candidate elects to verify position of switches in lower relay room, provide the cue that the switches are in the positions indicated on                                   OR Attachment A (Special log book)
Consider all LPRM Upscale Alarms with a check in column (1) or (2) of Attachment A as inoperable Determine if 250% of LPRM Upscale alarms in each zone are operable.
Candidate may desire to verify switches in lower relay room.
Notify Reactor Engineering of all LPRM upscale alarms determined inoperable.
Enter a check (d) in column (2) for LPRM             Place a checkmark in column 2 adjacent to alarms determined inoperable or bypassed for         LPRM detector 48-17B in Zone 4.
*Critical Step
all other reasons.
#Critical Sequence Student Name:
Consider all LPRM Upscale Alarms with a             Circles YES for zone 1, 2, 3, 5, 6, 7, 8, and 9.
Standard Transfers the previous LPRM data to the new Attachment A.
check in column (1) or (2) of Attachment A as inoperable Determine if 250% of LPRM Upscale alarms in each zone are operable.
OR Candidate may desire to verify switches in lower relay room.
Place a checkmark in column 2 adjacent to LPRM detector 48-1 7B in Zone 4.
Circles YES for zone 1, 2, 3, 5, 6, 7, 8, and 9.
Circles NO for zone 4.
Circles NO for zone 4.
Notify Reactor Engineering of all LPRM upscale        N/A alarms determined inoperable.
N/A Previously noted in JPM cue.
Previously noted in JPM cue.
Eva1
*Critical Step                          #Critical Sequence Fotm NTP-QA-31.8-2. Rev. 0. Page I of I 2005 NRC Exam Rev.1
/
Page 5 of 8 Comments Fotm NTP-QA-31.8-2. Rev. 0. Page I of I 2005 NRC Exam Rev.1  


I i
I Appl. To/JPM No.: S/RO 78.AD.001.101 Step  
PERFORMANCE CHECKLIST                                  Page 6 of 8 Appl. To/JPM No.: S/RO 78.AD.001.101                                           Student Name:
*10  
  -Step                                 Action                                      Standard                  Eva1        Comments
*11 12 13 14 15 PERFORMANCE CHECKLIST Action Attach placard to 1 C651 indicating < required #
    *10       Attach placard to 1C651 indicating < required #   Attaches placard to operating panel 1C651.
of LPRM Upscale Alarms.
of LPRM Upscale Alarms.
EVALUATOR NOTE:
EVALUATOR NOTE:
The placard is required to remain posted until all zones have 930% upscale alarms operable.
The placard is required to remain posted until all zones have 930% upscale alarms operable.
    *11        Refer to TRO 3.3.9 LPRM, upscale alarm           Notifies the Unit Supervisor to Refer to TRO instrumentation                                 3.3.9 LPRM 12        Complete an LPRM vs. APRWLPRM Group               Enters 1 for Unit.
Refer to TRO 3.3.9 LPRM, upscale alarm instrumentation Complete an LPRM vs. APRWLPRM Group Status Control Log (Attachment B) each time LPRM operability status is changed Circle all inoperable LPRMs on LPRM vs.
Status Control Log (Attachment B) each time LPRM operability status is changed Circle all inoperable LPRMs on LPRM vs.
APRWLPRM Group Status Control Log (Attachment B).
APRWLPRM Group Status Control Log (Attachment B).
13                                                          Transfers the previous LPRM data to the new Attachment B.
Obtains review.
14                                                          Circles LPRM detector 48-17 for APRM E, under the column 6Level.
*Critical Step
15        Obtains review.                                  Submit the completed Attachment A and 8 to the Unit Supervisor.
#Critical Sequence Student Name:
*Critical Step                          #Critical Sequence Form NTP-QA-31.8-2. Rev. 0. Page I of I 2005 NRC Exam Rw.1
Standard Attaches placard to operating panel 1 C651.
Notifies the Unit Supervisor to Refer to TRO 3.3.9 LPRM Enters 1 for Unit.
Transfers the previous LPRM data to the new Attachment B.
Circles LPRM detector 48-1 7 for APRM E, under the column 6 Level.
Submit the completed Attachment A and 8 to the Unit Supervisor.
Eva1 i
Page 6 of 8 Comments Form NTP-QA-31.8-2. Rev. 0. Page I of I 2005 NRC Exam Rw.1  


1 PERFORMANCE CHECKLIST                                    Page 7 of 8 Appl. To/JPM No.: S/RO 78.AD.001.101                                         Student Name:
Appl. To/JPM No.: S/RO 78.AD.001.101 Step 16
                                                                                                                  -
*17 1
Step                                  Action                                     Standard                    Eva1        Comments EVALUATOR CUE:
PERFORMANCE CHECKLIST Action EVALUATOR CUE:
This completes the JPM for the ROs ONLY EVALUATOR CUE:
This completes the JPM for the ROs ONLY EVALUATOR CUE:
FOR SRO CANDIDATES ONLY Give the SRO candidate the second cue sheet that addresses the Tech Spec and TRO for the INOPERABLE LPRMs Upscale alarms.
FOR SRO CANDIDATES ONLY Give the SRO candidate the second cue sheet that addresses the Tech Spec and TRO for the INOPERABLE LPRMs Upscale alarms.
16          Obtains a copy of the Tech Specs and TRM      
Obtains a copy of the Tech Specs and TRM Determines required actions
*Critical Step
#Critical Sequence Student Name:
Standard


==References:==
==References:==
TRO 3.3.9 Determines the following actions are required:
TRO 3.3.9 condition H Within 1 hour Post a sign on the reactor panel that less than 50% of the LPRM Upscale alarms are OPERABLE AND TRO 3.3.9 Condition E Immediately Place the reactor mode switch in the shutdown position Eva1 Page 7 of 8 Comments h,rm NIT-QA-31.8-2. Rev. 0. Page I of 1 2005 NRC Exam Rev.1


TRO 3.3.9
00 0
    *17          Determines required actions                    Determines the following actions are required:
00 a,
TRO 3.3.9 condition H Within 1 hour Post a sign on the reactor panel that less than 50% of the LPRM Upscale alarms are OPERABLE AND TRO 3.3.9 Condition E Immediately Place the reactor mode switch in the shutdown position
rn a
*Critical Step                          #Critical Sequence h,rm NIT-QA-31.8-2. Rev. 0. Page I of 1 2005 NRC Exam Rev.1
 
00
+
+
0 00 a,
a  
rn a
a


TASK CONDITIONS
TASK CONDITIONS A.
-...-  A. Unit 1 is in MODE l a t 80% power.
: 8.
: 8. Reactor Engineering has completed their evaluation of a downscale alarm condition for LPRM detector 48-178. LPRM detector 48-178 is failed C. The PCOP has just NOW bypassed LPRM detector 48-178 in the lower relay room.
C.
D. All OPRM channels are INOPERABLE INITIATING CUE Complete all required hardcopy documentation in accordance with the appropriate instruction for LPRM detector 48-178.
D.
2005 NRC Exam Rev.1                         Page 1 of 4
Unit 1 is in MODE lat 80% power.
Reactor Engineering has completed their evaluation of a downscale alarm condition for LPRM detector 48-1 78. LPRM detector 48-1 78 is failed The PCOP has just NOW bypassed LPRM detector 48-178 in the lower relay room.
All OPRM channels are INOPERABLE INITIATING CUE Complete all required hardcopy documentation in accordance with the appropriate instruction for LPRM detector 48-1 78.
2005 NRC Exam Rev.1 Page 1 of 4  


TASK CONDITIONS
TASK CONDITIONS A.
A. Unit 1 is in MODE l a t 80% power.
Unit 1 is in MODE lat 80% power.
B. Reactor Engineering has completed their evaluation of a downscale alarm condition for LPRM detector 48-178. LPRM detector 48-17 8 is failed C. The PCOP has just NOW bypassed LPRM detector 48-178 in the lower relay room.
B.
D. All OPRM channels are INOPERABLE INITIATING CUE Complete all required hardcopy documentation in accordance with the appropriate instruction for LPRM detector 48-178.
Reactor Engineering has completed their evaluation of a downscale alarm condition for LPRM detector 48-1 78. LPRM detector 48-1 78 is failed C. The PCOP has just NOW bypassed LPRM detector 48-1 78 in the lower relay room.
--
D. All OPRM channels are INOPERABLE INITIATING CUE Complete all required hardcopy documentation in accordance with the appropriate instruction for LPRM detector 48-1 78.
2005 NRC Exam Rev.1                           Page 2 of 4
2005 NRC Exam Rev.1 Page 2 of 4  


SRO ONLY TASK CONDITIONS A. Unit 1 is in MODE l a t 80% power.
SRO ONLY TASK CONDITIONS A. Unit 1 is in MODE lat 80% power.
B. Reactor Engineering has completed evaluation of a downscale alarm condition for LPRM detector 48-178.
B. Reactor Engineering has completed evaluation of a downscale alarm condition for LPRM detector 48-1 78.
C. LPRM detector 48-176 is failed and bypassed.
C. LPRM detector 48-1 76 is failed and bypassed.
D. All OPRM channels are INOPERABLE E. It has been determined that < 50% of LPRM Upscale alarms in zone 4 are operable.
D. All OPRM channels are INOPERABLE E. It has been determined that < 50% of LPRM Upscale alarms in zone 4 are operable.
F. The combination of thermal power and core flow is IN Region I1 of the power to Flow Map.
F. The combination of thermal power and core flow is IN Region I1 of the power to Flow Map.
INITIATING CUE Determine the required Tech Spec and TRO actions.
INITIATING CUE Determine the required Tech Spec and TRO actions.
-
2005 NRC Exam Rev.1 Page 3 of 4  
2005 NRC Exam Rev.1                         Page 3 of 4


SRO ONLY TASK CONDITIONS A. Unit 1 is in MODE l a t 80% power.
SRO ONLY TASK CONDITIONS A. Unit 1 is in MODE lat 80% power.
B. Reactor Engineering has completed evaluation of a downscale alarm condition for LPRM detector 48-178.
B. Reactor Engineering has completed evaluation of a downscale alarm condition for LPRM detector 48-1 78.
C. LPRM detector 48-178 is failed and bypassed.
C. LPRM detector 48-1 78 is failed and bypassed.
D. All OPRM channels are INOPERABLE E. It has been determined that e 50% of LPRM Upscale alarms in zone 4 are operable.
D. All OPRM channels are INOPERABLE E. It has been determined that e 50% of LPRM Upscale alarms in zone 4 are operable.
F. The combination of thermal power and core flow is IN Region II of the power to Flow Map.
F. The combination of thermal power and core flow is IN Region II of the power to Flow Map.
INITIATING CUE
INITIATING CUE Determine the required Tech Spec and TRO actions.
-    Determine the required Tech Spec and TRO actions.
2005 NRC Exam Rev.1 Page 4 of 4  
2005 NRC Exam Rev.1                           Page 4 of 4


PPL SUSQUEHANNA, LLC JOB PERFORMANCE MEASURE 1                                           APPROVAL AND ADMINISTRATIVE DATA SHEET SRO             00.AD.273.002                     0         09/26/05           2.1.12             N/A   4.0 APPl.           JPM Number                     Rev. No. Date           NUREG 1123           WA No. WA Imp.
PPL SUSQUEHANNA, LLC JOB PERFORMANCE MEASURE 1
To                                                                           Sys. No.
APPROVAL AND ADMINISTRATIVE DATA SHEET SRO 00.AD.273.002 0
09/26/05 2.1.12 N/A 4.0 APPl.
JPM Number Rev. No.
Date NUREG 1123 WA No.
WA Imp.
To Sys. No.
Task
Task


==Title:==
==Title:==
Determine TRO applicability and complete the LCORRO log sheet.
Determine TRO applicability and complete the LCORRO log sheet.
Completed By:                                                   Validated Rich Chin                                     09/26/05 Writer                                         Date              InstructorNVriter                Date A pprovaI:
Completed By:
Nuclear Trng. Supv.                                 Date 15 Date of Performance:                                 Validated Time (Min.)            Time Taken (Min.)
Rich Chin Writer A pp rova I :
-
Nuclear Trng. Supv.
Date of Performance:
JPM Performed By:
JPM Performed By:
Validated 09/26/05 Date InstructorNVriter Date Date 15 Validated Time (Min.)
Time Taken (Min.)
Student Name:
Student Name:
Last                               First           M.I. Employee # / S.S. #
Last First M.I.
Performance                               (   ) Satisfactory           (       ) Unsatisfactory Evaluation:
Employee # / S.S. #
Evaluator Name:
Performance Evaluation:
Signature                                       Typed or Printed Comments:
(  
Form NTP-QA-31.8-1. Rev. 0.Page 1 01 2 2M)S NRC Exam Rev. 1
)
Satisfactory
(  
) Unsatisfactory Evaluator Name:
Signature Typed or Printed Comments:
Form NTP-QA-31.8-1. Rev. 0. Page 1 01 2 2M)S NRC Exam Rev. 1  


REQUIRED TASK INFORMATION JOB PERFORMANCE MEASURE SRO 00.AD.273.002 I. SAFETY CONSIDERATIONS
I.
-.-
II.
A. All Operations personnel are responsible for maintaining their radiation exposure As Low As Reasonably Achievable in accordance with OP-AD-002, Standards for Shift Operations.
111.
IV.
V.
REQUIRED TASK INFORMATION JOB PERFORMANCE MEASURE SRO 00.AD.273.002 SAFETY CONSIDERATIONS A. All Operations personnel are responsible for maintaining their radiation exposure As Low As Reasonably Achievable in accordance with OP-AD-002, Standards for Shift Operations.
B. All applicable safety precautions shall be taken in accordance with established PPL safety policies and the Safety Rule Book, for example:
B. All applicable safety precautions shall be taken in accordance with established PPL safety policies and the Safety Rule Book, for example:
: 1. Whenever any electrical panel is opened for inspection during JPM performance.
: 1. Whenever any electrical panel is opened for inspection during JPM performance.
Line 174: Line 220:
C. If in the judgement of the evaluator any safety issue occurs during the performance of a JPM, the JPM will be terminated until the issue is resolved.
C. If in the judgement of the evaluator any safety issue occurs during the performance of a JPM, the JPM will be terminated until the issue is resolved.
D. Peer checking is the expectation for all evolutions; however, since a JPM is an individual effort, no peer check will be provided and Self Checking is required.
D. Peer checking is the expectation for all evolutions; however, since a JPM is an individual effort, no peer check will be provided and Self Checking is required.
II. REFERENCES NDAP-QA-0312, CONTROLS OF LCOS, TROS AND SAFETY FUNCTION DETERMINATION PROGRAM (Revision 8 )
REFERENCES NDAP-QA-0312, CONTROLS OF LCOS, TROS AND SAFETY FUNCTION DETERMINATION PROGRAM (Revision 8)
Tech Specs 111. REACTIVITY MANIPULATIONS This JPM satisfies the requirements of Operational Activity(s):
Tech Specs REACTIVITY MANIPULATIONS This JPM satisfies the requirements of Operational Activity(s):
NONE IV. TASK CONDITIONS A. Unit 1 is in Mode 1 at 100% power.
NONE TASK CONDITIONS A. Unit 1 is in Mode 1 at 100% power.
: 6. B RPS Bus De-energized30 minutes ago due to a voltage regulator failure in the MG set.
: 6. B RPS Bus De-energized 30 minutes ago due to a voltage regulator failure in the MG set.
C. B RPS has been transferred to the alternate power supply IAW ON-158-001, LOSS OF RPS attachment 6.
C. B RPS has been transferred to the alternate power supply IAW ON-1 58-001, LOSS OF RPS attachment 6.
D. At step 9 of ON-158-001, LOSS OF RPS attachment 6, a problem was encountered. NONE of the CRM AIR SAMPLE IS0 LOOP valves (HS-15711OAl, A2, B1, 82) could be OPENED. All other steps of the attachment were completed successfully.
D. At step 9 of ON-1 58-001, LOSS OF RPS attachment 6, a problem was encountered. NONE of the CRM AIR SAMPLE IS0 LOOP valves (HS-15711 OAl, A2, B1, 82) could be OPENED. All other steps of the attachment were completed successfully.
E. Electrical maintenance was dispatched to determine the problem with the CRM AIR SAMPLE IS0 LOOP valves. Electrical maintenance has determined the cause to be a failure of the MDR relay.
E. Electrical maintenance was dispatched to determine the problem with the CRM AIR SAMPLE IS0 LOOP valves. Electrical maintenance has determined the cause to be a failure of the MDR relay.
F. AR-146-AO2 CONTN RAD DET SYSTEM A TROUBLE alarm is locked in.
F. AR-146-AO2 CONTN RAD DET SYSTEM A TROUBLE alarm is locked in.
G. AR-146-AO5 CONTN RAD DET SYSTEM B TROUBLE alarm is locked in.
G. AR-146-AO5 CONTN RAD DET SYSTEM B TROUBLE alarm is locked in.
H. No Tech Spec actions, TRO actions or Loss of safety function worksheets are in effect at either Unit.
H. No Tech Spec actions, TRO actions or Loss of safety function worksheets are in effect at either Unit.
V. INITIATING CUE Based on these plant conditions, IAW with the appropriate procedure, determine the required Tech Spec/TRM actions, and complete the necessary tracking forms.
INITIATING CUE Based on these plant conditions, IAW with the appropriate procedure, determine the required Tech Spec/TRM actions, and complete the necessary tracking forms.
VI. TASK STANDARD Entry into LCO 3.4.6 declared with LCO/TRO log and Operations portion of Chemistry/Health Physics LCO/TRO Sample /Survey Log sheet filled-out, and Chemistry notified.
VI. TASK STANDARD Entry into LCO 3.4.6 declared with LCO/TRO log and Operations portion of Chemistry/Health Physics LCO/TRO Sample /Survey Log sheet filled-out, and Chemistry notified.
Form NTP-QA-31.8-1, Rev. 0, Page 2 d 2 2005 NRC Exam Rev. 1
Form NTP-QA-31.8-1, Rev. 0, Page 2 d 2 2005 NRC Exam Rev. 1  


                                                                            ,
PERFORMANCE CHECKLIST Appl. To/JPM No.: 00.AD.273.002 Step 1
PERFORMANCE CHECKLIST                       Page 3 of 9 Appl. To/JPM No.: 00.AD.273.002                                               Student Name:
2 3
Step                                    Action                                       Standard                Comments EVALUATOR NOTE:
Action EVALUATOR NOTE:
Due to the nature of this JPM, the candidate may refer to several procedures before determining CRM A & B are both INOPERABLE and LCO 3.4.6 entry is required. Allow candidate to use the forms from the copy of NDAP-QA-0312 that is provided with this JPM.
Due to the nature of this JPM, the candidate may refer to several procedures before determining CRM A & B are both INOPERABLE and LCO 3.4.6 entry is required. Allow candidate to use the forms from the copy of NDAP-QA-0312 that is provided with this JPM.
1        Obtain a controlled copy of NDAP-QA-0312,                 Controlled copy obtained.
Obtain a controlled copy of NDAP-QA-0312, CONTROLS OF LCOS, TROS AND SAFETY FUNCTION DETERMINATION PROGRAM Selects the correct section to perform.
CONTROLS OF LCOS, TROS AND SAFETY FUNCTION DETERMINATION PROGRAM 2        Selects the correct section to perform.                   Selects section 6.3 3        Review applicable TS LCO and Bases or TRM TRO             Reviews TS LCO and Bases and TRM and Bases.                                                TRO and Bases.
Review applicable TS LCO and Bases or TRM TRO and Bases.
EVALUATOR NOTE:
Placing Unit 1 in either of the appropriate blocks in the next 2 steps will satisfy the Critical I portion for BOTH steps.
Student Name:
Standard Controlled copy obtained.
Selects section 6.3 Reviews TS LCO and Bases and TRM TRO and Bases.
Determines LCO 3.4.6 is applicable.
Determines LCO 3.4.6 is applicable.
EVALUATOR NOTE:
Page 3 of 9 Comments
Placing Unit 1 in either of the appropriate blocks in the next 2 steps will satisfy the Critical portion for BOTH I
*Critical Step  
steps.
#Critical Sequence Form NTP-QA-31.8-2. Rev. 0. Page 1 01 1 2005 NRC Exam Rev.1  
*Critical Step                         #Critical Sequence Form NTP-QA-31.8-2.Rev. 0. Page 1 01 1 2005 NRC Exam Rev.1


                                                                                                                          ,
Appl. To/JPM No.: 00.AD.273.002 Step  
PERFORMANCE CHECKLIST                          Page 4 of 9 Appl. To/JPM No.: 00.AD.273.002                                             Student Name:
*4 t 5 6
  -Step                                   Action                                    Standard            Eva1    Comments
t 7 t 8 9
    *4       In accordance with the applicable TS/TRM, complete     Fills out a copy of Attachment C of a LCO/TRO log sheet (Form NDAP-QA-0312-1) as           NDAP-QA-0312 (Form follows:                                               NDAP-QA-0312-1)
PERFORMANCE CHECKLIST Page 4 of 9 Action In accordance with the applicable TS/TRM, complete a LCO/TRO log sheet (Form NDAP-QA-0312-1) as follows:
Enter the applicable unit for which the log sheet is   Records a 1 in the space provided to being completed.                                       designate Unit 1 t 5      Enter the unit containing the inoperable equipment. Records a 1 in the space provided to designate Unit 1 6      Enter the system number.                              Records a 79 in the space provided.
Enter the applicable unit for which the log sheet is being completed.
t 7      Circle or enter whether the Action is an LCO or TRO   Circles or records LCO and enter the specification number.
Enter the unit containing the inoperable equipment.
Then records 3.4.6.
Enter the system number.
t 8      Enter the applicable MODES.                            Records 1,2,3.
Circle or enter whether the Action is an LCO or TRO and enter the specification number.
Enter the applicable MODES.
EVALUATOR NOTE:
EVALUATOR NOTE:
Candidate may choose to place references in the reference document section, however this is not required.
Candidate may choose to place references in the reference document section, however this is not required.
9      Enter the reference documents, if applicable. The     Determines NO reference documents Reference Documents section may also be used to       are applicable.
Enter the reference documents, if applicable. The Reference Documents section may also be used to provide clarifying information for the reason the LCO/TRO is being entered.
provide clarifying information for the reason the LCO/TRO is being entered.
Student Name:
                                                                                                          -
Standard Fills out a copy of Attachment C of NDAP-QA-0312 (Form Records a 1 in the space provided to designate Unit 1 NDAP-QA-0312-1)
*Critical Step                         #Critical Sequence Form NTP-QA-31.8-2, Rev. 0. Page 1 01 1 2005 NRC Exam Rev.1
Records a 1 in the space provided to designate Unit 1 Records a 79 in the space provided.
Circles or records LCO Then records 3.4.6.
Records 1,2,3.
Determines NO reference documents are applicable.
Eva1 Comments
*Critical Step  
#Critical Sequence Form NTP-QA-31.8-2, Rev. 0. Page 1 01 1 2005 NRC Exam Rev.1  


PERFORMANCE CHECKLIST                               Page 5 of 9 Appl. To/JPM No.: 00.AD.273.002                                             Student Name:
PERFORMANCE CHECKLIST Page 5 of 9 Appl. To/JPM No.: 00.AD.273.002 Step  
Step                                     Action                                    Standard                Eva1    Comments
*lo  
  *lo         Reviewhevise all active LOSF worksheets based on     Determines from initial conditions that the above inoperable equipment.                       No Tech Spec actions , TRO actions or Loss of safety function worksheets are in affect at either Unit and Records N/A in the space provided
*11 Action Reviewhevise all active LOSF worksheets based on the above inoperable equipment.
  *11        Determine if LCO 3.0.6 has been applied for any other Determines from initial conditions that system on both Units 1 and 2.                        No Tech Spec actions , TRO actions or Loss of safety function worksheets are in affect at either Unit and Records an X in the Is this a Safety Function Determination support system? NO space provided AND Records an X in the If YES, is TS 3.0.6 to be applied? NA space provided.
Determine if LCO 3.0.6 has been applied for any other system on both Units 1 and 2.
EVALUATOR NOTE:
EVALUATOR NOTE:
The next 4 steps of this JPM will require 2 separate line item entries on Attachment C of NDAP-QA-0312.
The next 4 steps of this JPM will require 2 separate line item entries on Attachment C of NDAP-QA-0312.
One for action B.l, and one for 8.2.
One for action B.l, and one for 8.2.
See attached answer key for specifics of this form should be completed.
See attached answer key for specifics of this form should be completed.
                                                                                                              -
Student Name:
*Critical Step                           #Critical Sequence F o n NTP-QA-31.8-2. Rev. 0. Page 1 01 1 2005 NRC Exam Rev 1
Standard Determines from initial conditions that No Tech Spec actions, TRO actions or Loss of safety function worksheets are in affect at either Unit and Records N/A in the space provided Determines from initial conditions that No Tech Spec actions, TRO actions or Loss of safety function worksheets are in affect at either Unit and Records an X in the Is this a Safety Function Determination support system? NO space provided AND Records an X in the If YES, is TS 3.0.6 to be applied? NA space provided.
Eva1 Comments
*Critical Step  
#Critical Sequence F o n NTP-QA-31.8-2. Rev. 0. Page 1 01 1 2005 NRC Exam Rev 1  


i PERFORMANCE CHECKLIST                      Page 6 of 9 Appl. To/JPM No.: 00.AD.273.002                                           Student Name:
Appl. To/JPM No.: 00.AD.273.002 i
Action                                     Standard                Comments Enter the Date and Time that the CONDITION was       Records B in CONDITION block for entered.                                            both line items Records date and time for each of the actions in the space provided.
PERFORMANCE CHECKLIST Page 6 of 9 Action Enter the Date and Time that the CONDITION was entered.
Enter the reason for CONDITION and the appropriate    Records all of the following REQUIRED ACTION. The REQUIRED ACTION                  Required Primary Containment should be listed by number and include a brief noun  Atmospheric Monitoring System description.
Enter the reason for CONDITION and the appropriate REQUIRED ACTION. The REQUIRED ACTION should be listed by number and include a brief noun description.
INOPERABLE B.l Analyze grab samples of primary containment atmosphere AND 8.2 Restore required Primary Containment Atmospheric Monitoring System to OPERABLE status Enter the Date and Time by when the REQUIRED        In the spaces provided Records:
Enter the Date and Time by when the REQUIRED ACTION must be completed.
ACTION must be completed.                            Once per 12 hours B.l Within 30 days for item 8.2 Initial that the CONDITION has been entered.          Records candidate initials in the spaces provided
Initial that the CONDITION has been entered.
*Critical Step                        #Critical Sequence Form NTP-QA-31.82, Rev. 0. Paw 1 of 1 2005 NRC Exam Rev.1
*Critical Step
#Critical Sequence Student Name:
Standard Records B in CONDITION block for both line items Records date and time for each of the actions in the space provided.
Records all of the following Required Primary Containment Atmospheric Monitoring System INOPERABLE B.l Analyze grab samples of primary containment atmosphere AND 8.2 Restore required Primary Containment Atmospheric Monitoring System to OPERABLE status In the spaces provided Records:
Once per 12 hours B.l Within 30 days for item 8.2 Records candidate initials in the spaces provided Comments Form NTP-QA-31.82, Rev. 0. Paw 1 of 1 2005 NRC Exam Rev.1  


I PERFORMANCE CHECKLIST                         Page 7 of 9 Appl. To/JPM No.: 00.AD.273.002                                             Student Name:
I PERFORMANCE CHECKLIST Appl. To/JPM No.: 00.AD.273.002 Step 16 17 Action Have another SRO Peer Check the LCORRO entry and also initial in the "Entered By" box.
Step 16 Action Have another SRO Peer Check the LCORRO entry
                                                                    -            Standard Asks another SRO to Peer Check the
                                                                                                          - -    Comments and also initial in the "Entered By" box.              LCO/TRO entry and initial in the "Entered By" box.
EVALUATOR CUE:
EVALUATOR CUE:
Role-play the second SRO and inform the candidate that you have Peer Checked the LCO/TRO entry, and they can assume that you have initialed the "Entered By" box.
Role-play the second SRO and inform the candidate that you have Peer Checked the LCO/TRO entry, and they can assume that you have initialed the "Entered By" box.
17      If required, additional CONDITION(S) can be entered   Determines:
If required, additional CONDITION(S) can be entered within the same LCORRO as follows:
within the same LCORRO as follows:
If the REQUIRED ACTION requires a repetitive action (ex; perform action once every 8 hours);
Form NDAP-QA-0312-5 "LCO/TRO If the REQUIRED ACTION requires a repetitive action   Repetitive Required Action Completion (ex; perform action once every 8 hours);               Sheet" IS NOT REQUIRED.
COMPLETE Form NDAP-QA-0312-5 "LCO/TRO Repetitive Required Action Completion Sheet" and attach to the LCORRO log sheet EVALUATOR NOTE:
COMPLETE Form NDAP-QA-0312-5 "LCO/TRO Repetitive Required Action Completion Sheet" and attach to the LCORRO log sheet EVALUATOR NOTE:
It is not necessary to initiate a Chemistry/Health Physics LCORRO Sample/Survey Log if the LCO is expected to be cleared prior to the first required action/sample. However, caution must be used to ensure the sample/survey is not missed in the event the LCO is not cleared in a timely manner.
It is not necessary to initiate a Chemistry/Health Physics LCORRO Sample/Survey Log if the LCO is expected to be cleared prior to the first required action/sample. However, caution must be used to ensure the sample/survey is not missed in the event the LCO is not cleared in a timely manner.
*Critical Step                         #Critical Sequence Form NTP-QA-31.8-2. Rev. 0. Page 1 of 1 2005 NRC Exam Rev.1
Student Name:
Standard Asks another SRO to Peer Check the LCO/TRO entry and initial in the "Entered By" box.
Determines:
Form NDAP-QA-0312-5 "LCO/TRO Repetitive Required Action Completion Sheet" IS NOT REQUIRED.
Page 7 of 9 Comments
*Critical Step  
#Critical Sequence Form NTP-QA-31.8-2. Rev. 0. Page 1 of 1 2005 NRC Exam Rev.1  


PERFORMANCE CHECKLIST                              Page 8 of 9 Appl. To/JPM No.: 00.AD.273.002                                           Student Name:
Appl. To/JPM No.: 00.AD.273.002 Step 18
Step                                    Action                                   Standard                Eva1    Comments 18      If the LCO/TRO Condition requires Chemistry or       Determines:
*19
Health Physics to sample or perform a survey, Shift Supervision shall initiate a Chemistry/Health Physics Chemistry/Health Physics LCO/TRO LCO/TRO Sample/Survey Log (FORM                      Sample/Survey Log (FORM NDAP-QA-0312-3) by:                                   NDAP-QA-0312-3)
*20 PERFORMANCE CHECKLIST Page 8 of 9 Action If the LCO/TRO Condition requires Chemistry or Health Physics to sample or perform a survey, Shift Supervision shall initiate a Chemistry/Health Physics LCO/TRO Sample/Survey Log (FORM NDAP-QA-0312-3) by:
IS REQUIRED
Completing the top section of FORM NDAP-QA-0312-3.
  *19        Completing the top section of FORM                    Places the following information on top NDAP-QA-0312-3.                                      section of FORM NDAP-QA-0312-3.
Notifying Chemistry/Health Physics to pick up the log sheet in the Control Room.
UNIT 1 The LCO/TRO for operation of the BOTH Primary Containment Atmospheric Monitoring System INOPERABLE Commenced at LCO entry time TS LCO 3.4.6 Action B.l Sample/Survey within Once per 2 hours
  *20        Notifying Chemistry/Health Physics to pick up the log Contacts Chemistry to pick up the log sheet in the Control Room.                            sheet in the Control Room.
EVALUATOR CUE:
EVALUATOR CUE:
Role-play Chemistry and acknowledge the report.
Role-play Chemistry and acknowledge the report.
*Critical Step                         #Critical Sequence Form NTP-QA-31.8-2, Rev. 0. Page 1 of 1 2005 NRC Exam Rev.1
Student Name:
Standard Determines:
Chemistry/Health Physics LCO/TRO Sample/Survey Log (FORM IS REQUIRED NDAP-QA-0312-3)
Places the following information on top section of FORM NDAP-QA-0312-3.
UNIT 1 The LCO/TRO for operation of the BOTH Primary Containment Atmospheric Monitoring System INOPERABLE Commenced at LCO entry time TS LCO 3.4.6 Action B.l Sample/Survey within Once per hours 2
Contacts Chemistry to pick up the log sheet in the Control Room.
Eva1 Comments
*Critical Step  
#Critical Sequence Form NTP-QA-31.8-2, Rev. 0. Page 1 of 1 2005 NRC Exam Rev.1  


PERFORMANCE CHECKLIST           Page 9 of 9 Appl. To/JPM No.: 00.AD.273.002                                       Student Name:
PERFORMANCE CHECKLIST Step Appl. To/JPM No.: 00.AD.273.002 Student Name:
Step                                    Action                           Standard Eva1     Comments EVALUATOR CUE:
Action Standard Eva1 Comments EVALUATOR CUE:
That completes this JPM
That completes this JPM Page 9 of 9
*Critical Step                         #Critical Sequence Form NTP-OA-31.8-2. Rev. 0. Page 1 of 1 2005 NRC Exam Rev.1
*Critical Step  
#Critical Sequence Form NTP-OA-31.8-2. Rev. 0. Page 1 of 1 2005 NRC Exam Rev.1  


ANSWER KEY DO NOT GIVE TO CANDIDATES UNIT               SYSTEM                         MODE 1              79                               1,293 Reference Documents                                                                                            ChedHP Reviewhevise all active LOSF worksheets based on the above inoperable equipment.         Review Complete N/A Is this a Safety Function Determination support system?                     YES    0 NO If YES, is TS 3.0.6 to be applied?                                         YES   c]NO 0 NA If YES, perform a LOSF Determination using the Safety Function Determination Work Sheet. If NO, cascade LCOs.
ANSWER KEY DO NOT GIVE TO CANDIDATES UNIT 1
t  6 Date/
SYSTEM MODE 79 1,293 Reviewhevise all active LOSF worksheets based on the above inoperable equipment.
Time Entered Todays date and time LCO/TRO CONDITION Entered REASON AND REQUIRED ACTION Required Primary Containment Atmospheric Monitoring System INOPERABLE 6.1 Analyze grab samples of primary containment atmosphere Completion Date/Time Once per 12 hours Entered candidate initials LCO/TRO CONDITION Cleared Datemime Cleared By AND B     Todays   6.2 Restore required Primary Containment             Within 30 days  candidate date and  Atmospheric Monitoring System to OPERABLE                             initials time      status I                I Reviewed OPS Supv-Nuc: LCO Entered I              I
Is this a Safety Function Determination support system?
                                                                                                                    .CO Cleared I
If YES, is TS 3.0.6 to be applied?
2005 NRC Exam Rev 1
YES c] NO 0 NA If YES, perform a LOSF Determination using the Safety Function Determination Work Sheet. If NO, cascade LCOs.
Review Complete N/A YES 0 NO Reference Documents Date/
Time t Entered ChedHP REASON AND REQUIRED ACTION Required Primary Containment Atmospheric Monitoring System INOPERABLE 6.1 Analyze grab samples of primary containment atmosphere AND Completion Date/Time Once per 12 hours LCO/TRO CONDITION Entered Datemime Cleared By Entered candidate initials 6
Todays date and time I
I B
Todays date and time I
6.2 Restore required Primary Containment Atmospheric Monitoring System to OPERABLE status LCO/TRO CONDITION Cleared Within 30 days candidate initials Reviewed OPS Supv-Nuc:
I
.CO Cleared I
LCO Entered 2005 NRC Exam Rev 1  


ANSWER KEY DO NOT GIVE TO CANDIDATES Unit         1 CHEMISTRY/HEALTH PHYSICS LCO/TRO SAMPLWSURVEY LOG T h m R O for operation of the         BOTH Primary Containment Atmospheric Monitoring System INOPERABLE commenced at           LCO     / Today     . Chemistry samples/Health Physics surveys shall be taken per:
ANSWER KEY DO NOT GIVE TO TSnR LCO 3.4.6 CANDIDATES ACTION WITHIN COMPLETED WITHIN B.l Once per 12 hours Unit 1
entry time 1                       I SAMPLWSURVEY         I       ANALYSIS           I TSnR                    ACTION                  WITHIN            COMPLETED WITHIN LCO 3.4.6                      B.l            Once per 12 hours 1                                                I Report chemistry analysis results to Shift Supervision.
1 CHEMISTRY/HEALTH PHYSICS LCO/TRO SAMPLWSURVEY LOG I
Shift Supervision HEALTH PHYSICS
T h m R O for operation of the BOTH Primary Containment Atmospheric Monitoring System INOPERABLE commenced at LCO  
                          -
/ Today  
The Desk Foreman Health Physics or the HP Shift Lead Technicians shall notify the HP Duty Foreman immediately following receipt of this log.
. Chemistry samples/Health Physics surveys shall be taken per:
CHEMISTRY FIRST SAMPLE DUE DATWIME
entry time 1
I SAMPLWSURVEY I
ANALYSIS I
Report chemistry analysis results to Shift Supervision.
HEALTH PHYSICS The Desk Foreman - Health Physics or the HP Shift Lead Technicians shall notify the HP Duty Foreman immediately following receipt of this log.
Shift Supervision CHEMISTRY FIRST SAMPLE DUE DATWIME FIRST ANALYSIS COMPLETION DUE DATEnlME
--OR--
--OR--
FIRST ANALYSIS COMPLETION DUE DATEnlME LCO/TRO cleared at                                         BY Daterrime                               Shift Supervision Copy sent to Chemistry/HP Foreman.
LCO/TRO cleared at BY Daterrime Shift Supervision Copy sent to Chemistry/HP Foreman.
Technician COMPLETED FORMS SHALL BE INCLUDED WITH THE LCOfiRO LOG SHEET FOR THE SAMPLING LCOTTRO.
Technician COMPLETED FORMS SHALL BE INCLUDED WITH THE LCOfiRO LOG SHEET FOR THE SAMPLING LCOTTRO.
Page 1 of 2005 NRC Exam Rev. 1
Page 1 of 2005 NRC Exam Rev. 1  


~~~~                                                 __
~~~~
TASK CONDITIONS
TASK CONDITIONS A.
  -              A. Unit 1 is in Mode 1 at 100% power.
: 6.
: 6. B, RPS Bus De-energized 30 minutes ago due to a voltage regulator failure in the MG set.
C.
C. B RPS has been transferred to the alternate power supply IAW ON-158-001, LOSS OF RPS attachment 6.
D.
D. At step 9 of ON-158-001, LOSS OF RPS attachment 6, a problem was encountered. NONE of the CRM AIR SAMPLE IS0 LOOP valves (HS-157110A1, A2, B1, 62) could be OPENED.
E.
F.
G.
H.
Unit 1 is in Mode 1 at 100% power.
B, RPS Bus De-energized 30 minutes ago due to a voltage regulator failure in the MG set.
B RPS has been transferred to the alternate power supply IAW ON-158-001, LOSS OF RPS attachment 6.
At step 9 of ON-158-001, LOSS OF RPS attachment 6, a problem was encountered. NONE of the CRM AIR SAMPLE IS0 LOOP valves (HS-157110A1, A2, B1, 62) could be OPENED.
All other steps of the attachment were completed successfully.
All other steps of the attachment were completed successfully.
E. Electrical maintenance was dispatched to determine the problem with the CRM AIR SAMPLE IS0 LOOP valves. Electrical maintenance has determined the cause to be a failure of the MDR relay.
Electrical maintenance was dispatched to determine the problem with the CRM AIR SAMPLE IS0 LOOP valves. Electrical maintenance has determined the cause to be a failure of the MDR relay.
F. AR-146-AO2 CONTN RAD DET SYSTEM A TROUBLE alarm is locked in.
AR-146-AO2 CONTN RAD DET SYSTEM A TROUBLE alarm is locked in.
G. AR-146-AO5 CONTN RAD DET SYSTEM 6 TROUBLE alarm is locked in.
AR-146-AO5 CONTN RAD DET SYSTEM 6 TROUBLE alarm is locked in.
H. No Tech Spec actions, TRO actions or Loss of safety function worksheets are in effect at either Unit.
No Tech Spec actions, TRO actions or Loss of safety function worksheets are in effect at either Unit.
INITIATING CUE Based on these plant conditions, IAW with the appropriate procedure, determine the required Tech Spec/TRM actions, and complete the necessary tracking forms.
INITIATING CUE Based on these plant conditions, IAW with the appropriate procedure, determine the required Tech Spec/TRM actions, and complete the necessary tracking forms.
2005 NRC Exam Rev. 1                             1 of2
2005 NRC Exam Rev. 1 1 of2  


TASK CONDITIONS A. Unit 1 is in Mode 1 at 100% power.
TASK CONDITIONS A.
B. B RPS Bus De-energized 30 minutes ago due to a voltage regulator failure in the MG set.
B.
C. B RPS has been transferred to the alternate power supply IAW ON-158-001, LOSS OF RPS attachment B.
C.
D. At step 9 of ON-158-001, LOSS OF RPS attachment B, a problem was encountered. NONE of the CRM AIR SAMPLE IS0 LOOP valves (HS-157110A1, A2, B1, 82) could be OPENED.
D.
E.
F.
G.
H.
Unit 1 is in Mode 1 at 100% power.
B RPS Bus De-energized 30 minutes ago due to a voltage regulator failure in the MG set.
B RPS has been transferred to the alternate power supply IAW ON-158-001, LOSS OF RPS attachment B.
At step 9 of ON-158-001, LOSS OF RPS attachment B, a problem was encountered. NONE of the CRM AIR SAMPLE IS0 LOOP valves (HS-157110A1, A2, B1, 82) could be OPENED.
All other steps of the attachment were completed successfully.
All other steps of the attachment were completed successfully.
E. Electrical maintenance was dispatched to determine the problem with the CRM AIR SAMPLE I S 0 LOOP valves. Electrical maintenance has determined the cause to be a failure of the MDR relay.
Electrical maintenance was dispatched to determine the problem with the CRM AIR SAMPLE IS0 LOOP valves. Electrical maintenance has determined the cause to be a failure of the MDR relay.
F. AR-146-AO2 CONTN RAD DET SYSTEM A TROUBLE alarm is locked in.
AR-146-AO2 CONTN RAD DET SYSTEM A TROUBLE alarm is locked in.
G. AR-146-AO5 CONTN RAD DET SYSTEM B TROUBLE alarm is locked in.
AR-146-AO5 CONTN RAD DET SYSTEM B TROUBLE alarm is locked in.
H. No Tech Spec actions, TRO actions or Loss of safety function worksheets are in effect at either Unit.
No Tech Spec actions, TRO actions or Loss of safety function worksheets are in effect at either Unit.
INITIATING CUE Based on these plant conditions, IAW with the appropriate procedure, determine the required Tech Spec/TRM actions, and complete the necessary tracking forms.
INITIATING CUE Based on these plant conditions, IAW with the appropriate procedure, determine the required Tech Spec/TRM actions, and complete the necessary tracking forms.
2005 NRC Exam Rev. 1                             2 of 2
2005 NRC Exam Rev. 1 2 of 2  


.                                                    PPL SUSQUEHANNA, LLC JOB PERFORMANCE MEASURE APPROVAL AND ADMINISTRATIVE DATA SHEET SIR0         45.0N.007101                   1         09/26/05           2.1.25             N/A         2.813.1 APPl-         JPM Number                     Rev.       Date             NUREG 1123         WA No.     WA Imp.
PPL SUSQUEHANNA, LLC JOB PERFORMANCE MEASURE APPROVAL AND ADMINISTRATIVE DATA SHEET SIR0 45.0N.007101 1
To                                           No.                           Sys. No.
09/26/05 2.1.25 N/A 2.813.1 APPl-JPM Number Rev.
Date NUREG 1123 WA No.
WA Imp.
To No.
Sys. No.
Task
Task


==Title:==
==Title:==
Determine Cause for Reactor Water Level Indication Anomalylldentify required Tech Spec Actions Completed By:                                                   Validated:
Determine Cause for Reactor Water Level Indication Anomalylldentify required Tech Spec Actions Completed By:
Rich Chin                                     09126/05 Writer                                       Date               I nstructorNVriter              Date Approval:
Validated:
Nuclear Trng. Supv.                           Date 10120 Date of Performance:                               Validation Time (Min.)           Time Taken (Min.)
Rich Chin 0912 6/05 Writer Date I nstructorNV riter Date Approval:
Nuclear Trng. Supv.
Date 10120 Date of Performance:
Validation Time (Min.)
Time Taken (Min.)
JPM Performed By:
JPM Performed By:
Student Name:
Student Name:
Last                                 First             M.I. Employee # / S.S. #
Last First M.I.
Performance                         (         )   Satisfactory             (     ) Unsatisfactory Evaluation:
Employee # / S.S. #
Performance
(  
)
Satisfactory
(  
)
Unsatisfactory Evaluation :
Evaluator Name:
Evaluator Name:
Signature                                             Typed or Printed Comments:
Signature Typed or Printed Comments:
Form NTP-QA-3 1.8- I , Rev. 0, Page 1 of 2 2005 N R C Exam R e v 1
Form NTP-QA-3 1.8-I, Rev. 0, Page 1 of 2 2005 N R C Exam Rev 1  


REQUIRED TASK INFORMATION JOB PERFORMANCE MEASURE S/RO 45.0N.007.101
REQUIRED TASK INFORMATION JOB PERFORMANCE MEASURE S/RO 45.0N.007.101  
\ 1. SAFETY CONSIDERATIONS A. All Operations personnel are responsible for maintaining their radiation exposure As Low As Reasonably Achievable in accordance with OP-AD-002, Standards for Shift Operations.
\\
: 1.
SAFETY CONSIDERATIONS A. All Operations personnel are responsible for maintaining their radiation exposure As Low As Reasonably Achievable in accordance with OP-AD-002, Standards for Shift Operations.
B. All applicable safety precautions shall be taken in accordance with established PPL safety policies and the Safety Rule Book, for example:
B. All applicable safety precautions shall be taken in accordance with established PPL safety policies and the Safety Rule Book, for example:
: 1. Whenever any electrical panel is opened for inspection during JPM performance.
: 1. Whenever any electrical panel is opened for inspection during JPM performance.
Line 328: Line 447:
C. If in the judgment of the evaluator any safety issue occurs during the performance of a JPM, the JPM will be terminated until the issue is resolved.
C. If in the judgment of the evaluator any safety issue occurs during the performance of a JPM, the JPM will be terminated until the issue is resolved.
D. Peer checking is the expectation for all evolutions; however, since a JPM is an individual effort, no peer check will be provided and Self Checking is required.
D. Peer checking is the expectation for all evolutions; however, since a JPM is an individual effort, no peer check will be provided and Self Checking is required.
II. REFERENCES A. ON-145-004, RPV WATER LEVEL ANOMALY (Rev. 8 )
II. REFERENCES A. ON-145-004, RPV WATER LEVEL ANOMALY (Rev. 8)
B. Tech Specs 111. REACTIVITY MANI PULATlONS This JPM satisfies the requirements of Operational Activity(s):
B. Tech Specs 111. REACTIVITY M ANI PU LATl ON S This JPM satisfies the requirements of Operational Activity(s):
None IV. TASK CONDITIONS A. Unit 1 is in MODE 1 at 100% reactor power.
None IV. TASK CONDITIONS A. Unit 1 is in MODE 1 at 100% reactor power.
B. An anomaly exists with RPV water level instrument indication.
B. An anomaly exists with RPV water level instrument indication.
V. INITIATING CUE Use the appropriate procedure to address the anomaly.
V. INITIATING CUE Use the appropriate procedure to address the anomaly.
VI. TASK STANDARD Identifies instrument anomaly is due to Instrument Bus 1 1Y125 breaker 01 being tripped or de-energized, and re-energizes the instruments. SROs additionally, identify the Required Tech Spec Actions.
VI. TASK STANDARD Identifies instrument anomaly is due to Instrument Bus 1 1Y125 breaker 01 being tripped or de-energized, and re-energizes the instruments. SROs additionally, identify the Required Tech Spec Actions.
Form NTP-QA-31.8-1, Rev. 0,Page 2 of 2 2005 NRC. Exam Rev. 1
Form NTP-QA-31.8-1, Rev. 0, Page 2 of 2 2005 NRC. Exam Rev. 1  


I PERFORMANCE CHECKLIST                           Page 3 of 9 Appl. To/JPM No.:                     45.0N.007.101                                         Student Name:
PERFORMANCE CHECKLIST Appl. To/JPM No.:
Step                                         Action                                 Standard                      Comments EVALUATOR NOTE:
45.0N.007.101 I
Page 3 of 9 Student Name:
Step  
$1 2
3 Action EVALUATOR NOTE:
0 This JPM must be performed in the simulator.
0 This JPM must be performed in the simulator.
Establish task conditions as directed on attached setup instructions.
Establish task conditions as directed on attached setup instructions.
0     When the candidate is ready to begin JPM, place the simulator to RUN.
0 When the candidate is ready to begin JPM, place the simulator to RUN.
    $1        Reviews RPV water level instruments indications in       Determines the following level indicators the simulator to determine which indicators are         are reading zero:
Reviews RPV water level instruments indications in the simulator to determine which indicators are affected.
affected.
EVALUATOR NOTE:
LI-14201B1 on 1C651 LI-14201B on C601 LI-142038 on C601 EVALUATOR NOTE:
Candidate may reference ON-117-001, LOSS OF INSTRUMENT BUS instead of ON-145-004, RPV WATER LEVEL ANOMALY. As long as all critical steps are accomplished this would be acceptable.
Candidate may reference ON-117-001, LOSS OF INSTRUMENT BUS instead of ON-145-004, RPV WATER LEVEL ANOMALY. As long as all critical steps are accomplished this would be acceptable.
However, it may be necessary to ask a follow-up question for the Tech Specs.
However, it may be necessary to ask a follow-up question for the Tech Specs.
2        Obtains a controlled copy of ON-145-004.                Controlled copy obtained.
Obtains a controlled copy of ON-145-004.
3        Reviews Symptoms and Observations for                   Ensures the Symptoms and Observations applicability.                                          are applicable.
Reviews Symptoms and Observations for applicability.
*Critical Step                               #Critical Sequence Form NTP-QA-31 8-2, Rev 0.P a p I of I 2005 NRC Exam Rev.1
Standard Determines the following level indicators are reading zero:
LI-14201 B1 on 1 C651 C601 C601 LI-14201 B on LI-142038 on Controlled copy obtained.
Ensures the Symptoms and Observations are applicable.
Comments
*Critical Step  
#Critical Sequence Form NTP-QA-31 8-2, Rev 0. P a p I of I 2005 NRC Exam Rev.1  


i PERFORMANCE CHECKLIST                         Page 4 of 9 Appl. To/JPM No.:                             45.0N.007.101                                         Student Name:
i PERFORMANCE CHECKLIST Appl. To/JPM No.:
Step                                                 Action                               Standard                    Comments Records date and time of event.                        Enter current date and time.
45.0N.007.101 Step Action Records date and time of event.
Selects the appropriate section and attachment.       Selects Section 3.5 and Attachment B.
Selects the appropriate section and attachment.
Perform following for level instrumentation            On Attachment 6 pages land 2 malfunction:                                          determines the following common reference leg condensing chambers and Refer to Attachment B checking following:
Perform following for level instrumentation malfunction:
excess flow check valves are still indicating normal values and are NOT the source of the anomaly:
Refer to Attachment B checking following:
Instruments with common reference leg condensing chambers or excess flow check valves.
Instruments with common reference leg condensing chambers or excess flow check valves.
LI-B21 1R605 LR-C32 1R608 LI-14201A LI-14201A1 LI-l4203A LI-B21 1R604 LI-C23 1R606B LWPR 14201A
*Critical Step Form hTI-QA-31 8-2. Rev 0. Page I of I 2005 NRC Exam Rev 1
*Critical Step                                      #Critical Sequence Form h T I - Q A - 3 1 8-2. Rev 0. Page I of I 2005 NRC Exam Rev 1
#Critical Sequence Page 4 of 9 Student Name:
Standard Enter current date and time.
Selects Section 3.5 and Attachment B.
On Attachment 6 pages land 2 determines the following common reference leg condensing chambers and excess flow check valves are still indicating normal values and are NOT the source of the anomaly:
LI-B21 1R605 LR-C32 1R608 LI-14201 A LI-14201A1 LI-l4203A LI-B21 1R604 LI-C23 1 R606B LWPR 14201A Comments


              ,
Appl. To/JPM No.:
PERFORMANCE CHECKLIST                              Page 5 of 9 Appl. To/JPM No.:                       45.0N.007.101                                           Student Name:
45.0N.007.101 Step 7 -
  -Step 7
PERFORMANCE CHECKLIST Page 5 of 9 Action Instruments and indications with common variable leg supplies or excess flow check valves.
Action Instruments and indications with common variable leg Standard On Attachment B pages 1and 2 Eva1    Comments supplies or excess flow check valves.                 determines the following common variable leg condensing chambers and excess flow check valves are still indicating normal values and are NOT the source of the anomaly:
EVALUATOR CUE:
LI-B21 1R605 LR-C32 1R608 LI-14201A LI-14201A1 LI-l4203A LI-621 1R604 LI-C23 1R606B LWPR 14201A EVALUATOR CUE:
If requested, inform candidate all instrumentation power is selected to its normal source.
If requested, inform candidate all instrumentation power is selected to its normal source.
*Critical Step Fonn NIT-QA-31.8-2. Rev. 0. Papc I of I 2005 NRC Exam Rev.1
*Critical Step                                #Critical Sequence Fonn NIT-QA-31.8-2. Rev. 0. Papc I of I 2005 NRC Exam Rev.1
#Critical Sequence Student Name:
Standard On Attachment B pages 1 and 2 determines the following common variable leg condensing chambers and excess flow check valves are still indicating normal values and are NOT the source of the anomaly:
LI-B21 1R605 LR-C32 1R608 LI-14201 A LI-14201 A1 LI-l4203A LI-621 1R604 LI-C23 1 R606B LWPR 14201A Eva1 Comments


j PERFORMANCE CHECKLIST                               Page 6 of 9 Appl. To/JPM No.:                       45.0N.007.101                                             Student Name:
j PERFORMANCE CHECKLIST Appl. To/JPM No.:
Action                                   Standard                      Comments 8-Instruments with common power supplies.                  Determines the following indicators a common power supply:
45.0N.007.101 Action Instruments with common power supplies.
LI-14201B1 on 1C651 LI-14201B on 1C601 LI-142038 on 1C601 Identifies a loss of 1Y125 breaker 01 as the common mode failure.
Automatic actions and alarms.
Automatic actions and alarms.                           NONE IF level cannot be determined 2 +13" by at least two     Determines this is N/A since other level (2) independent indications, Enter EO 100 102, RPV       indications are available.
IF level cannot be determined 2 +13" by at least two (2) independent indications, Enter EO 100 102, RPV Control.
Control.
Comply with TS 3.3.1.1, 3.3.2.2, 3.3.6.1, 3.3.6.2, 3.3.5.1, 3.3.4.2 and 3.3.5.2.
Comply with TS 3.3.1.1, 3.3.2.2, 3.3.6.1, 3.3.6.2,        Recognizes the need to Comply with TS 3.3.5.1, 3.3.4.2 and 3.3.5.2.                            3.3.1.1, 3.3.2.2, 3.3.6.1, 3.3.6.2, 3.3.5.1, 3.3.4.2 and 3.3.5.2.
EVALUATOR CUE:
EVALUATOR CUE:
If necessary, Role-play Unit Supervisor and acknowledge the request.
If necessary, Role-play Unit Supervisor and acknowledge the request.
*Critical Step                                 #Critical Sequence Form NIP-QA-31 8-2. Rev. 0. Page I of I 2005 NAC Exam Rev.1
Page 6 of 9 Student Name:
Standard 8-Determines the following indicators a common power supply:
LI-14201 B1 on 1 C651 LI-14201 B on 1 C601 LI-142038 on 1 C601 Identifies a loss of 1 Y125 breaker 01 as the common mode failure.
NONE Determines this is N/A since other level indications are available.
Recognizes the need to Comply with TS 3.3.1.1, 3.3.2.2, 3.3.6.1, 3.3.6.2, 3.3.5.1, 3.3.4.2 and 3.3.5.2.
Comments
*Critical Step  
#Critical Sequence Form NIP-QA-31 8-2. Rev. 0. Page I of I 2005 NAC Exam Rev.1  


I PERFORMANCE CHECKLIST                         Page 7 of 9 Appl. To/JPM No.:                   45.0N.007.101                                         Student Name:
PERFORMANCE CHECKLIST Appl. To/JPM No.:
                                                                                                                ~
45.0N.007.101 Step 12 13
Step                                        Action                                 Standard                  Comments 12      IF applicable, Restore power supplies for failed       Contacts NPO to check status of 1Y125 instrumentation.                                       breaker 01 EVALUATOR CUE:
*14 Action IF applicable, Restore power supplies for failed instrumentation.
EVALUATOR CUE:
Role-play NPO and repoi. 1Y125 breaker 01 is tripped.
Role-play NPO and repoi. 1Y125 breaker 01 is tripped.
13        Informs Unit Supervisor that 1Y125 breaker 01 is      Informs Unit Supervisor that 1Y125 tripped.                                                breaker 01 is tripped.
Informs Unit Supervisor that 1Y125 breaker 01 is tripped.
EVALUATOR CUE:
EVALUATOR CUE:
Role-play Unit Supervisor and acknowledge the report And Instruct candidate to attempt one closure of 1Y125 breaker 01 is tripped.
Role-play Unit Supervisor and acknowledge the report And Instruct candidate to attempt one closure of 1 Y125 breaker 01 is tripped.
  *14        Contact NPO and instruct NPO to close 1Y125            Contacts NPO and instructs NPO to close breaker 01.                                            1Y125 breaker 01.
Contact NPO and instruct NPO to close 1Y125 breaker 01.
BOOTH OPERATOR CUE:
BOOTH OPERATOR CUE:
Remove malfunction on 1Y125 breaker 01.
Remove malfunction on 1Y125 breaker 01.
MRF DB117271 CLOSE
MRF DB117271 CLOSE I
*Critical Step                             #Critical Sequence hmnhTPQA-31 8-2. Rev. 0.P q c I of I 2005 NRC Exam Rev 1
Page 7 of 9 Student Name:
Standard Contacts NPO to check status of 1Y125 breaker 01 Informs Unit Supervisor that 1 Y125 breaker 01 is tripped.
Contacts NPO and instructs NPO to close 1 Y125 breaker 01.
~
Comments
*Critical Step  
#Critical Sequence hmnhTPQA-31 8-2. Rev. 0. Pqc I of I 2005 NRC Exam Rev 1  


PERFORMANCE CHECKLIST                          Page 8 of 9 Appl. To/JPM No.:                     45.0N.007.101                                           Student Name:
Appl. To/JPM No.:
Action                                 Standard                    Comments EVALUATOR CUE:
45.0N.007.101 PERFORMANCE CHECKLIST Page 8 of 9 Action EVALUATOR CUE:
Role-play NPO and report 1Y125 breaker 01 is CLOSED.
Role-play NPO and report 1Y125 breaker 01 is CLOSED.
Verifies level instruments are reading NORMAL         Verifies the following indicators are now reading normal:
Verifies level instruments are reading NORMAL EVALUATOR CUE:
LI-14201B1 on 1C65 LI-14201B on 1C601 LI-142038 on 1C601 EVALUATOR CUE:
This completes the JPM for the RO ONLY EVALUATOR CUE:
This completes the JPM for the RO ONLY EVALUATOR CUE:
FOR SRO CANDIDATES ONLY Give the SRO candidate the second cue sheet that addresses the Tech Spec required actions for the failed level transmitters.
FOR SRO CANDIDATES ONLY Give the SRO candidate the second cue sheet that addresses the Tech Spec required actions for the failed level transmitters.
Obtains a copy of the Tech Specs                    
Obtains a copy of the Tech Specs Student Name:
Standard Verifies the following indicators are now reading normal:
LI-14201 B1 on 1 C65 LI-14201 B on 1 C601 LI-142038 on 1 C601


==References:==
==References:==
Tech Spec 3.3.3.1 Comments
*Critical Step
#Critical Sequence Form NTP-QA-31.8-2. Rev 0. Pqr 1 uf 1 2005 NRC Exam Rev.1


Tech Spec 3.3.3.1
PERFORMANCE CHECKLIST Appl. To/JPM No.:
*Critical Step                              #Critical Sequence Form NTP-QA-31.8-2. Rev 0. Pqr 1 uf 1 2005 NRC Exam Rev.1
45.0N.007.101 Step  
 
+ I 7 Action Determines required actions EVALUATOR CUE:
PERFORMANCE CHECKLIST                                 Page 9 of 9 Appl. To/JPM No.:                       45.0N.007.101                                         Student Name:
This completes the JPM.
Step                                           Action                                  Standard                  Eva1    Comments
Page 9 of 9 Student Name:
  +I7        Determines required actions                               Determines the following action is required:
Standard Determines the following action is required:
Within 30 days restore required channel to operable status.
Within 30 days restore required channel to operable status.
EVALUATOR CUE:
Eva1 Comments
This completes the JPM.
*Critical Step  
                                                        -
#Critical Sequence Form NTF-QA 31.8-2, Rev 0. Pqc I of 1 2005 NRC Exam Rev.1  
*Critical Step                                 #Critical Sequence Form NTF-QA 31.8-2, Rev 0. P q c I of 1 2005 NRC Exam Rev.1


SRO ONLY TASK CONDITIONS A. Unit 1 is in MODE 1 at 100% reactor power.
SRO ONLY TASK CONDITIONS A. Unit 1 is in MODE 1 at 100% reactor power.
Line 417: Line 566:
C. It has been determined that extended range level transmitter LT-142038 has lost power.
C. It has been determined that extended range level transmitter LT-142038 has lost power.
INITIATING CUE Determine the required Tech Spec actions.
INITIATING CUE Determine the required Tech Spec actions.
Page 1 of 4 2005 NRC. Exam Rev. 1
2005 NRC. Exam Rev. 1 Page 1 of 4


SRO ONLY TASK CONDITIONS A. Unit 1 is in MODE 1 at 100% reactor power.
SRO ONLY TASK CONDITIONS A. Unit 1 is in MODE 1 at 100% reactor power.
Line 423: Line 572:
C. It has been determined that extended range level transmitter LT-142038 has lost power.
C. It has been determined that extended range level transmitter LT-142038 has lost power.
INITIATING CUE Determine the required Tech Spec actions.
INITIATING CUE Determine the required Tech Spec actions.
Page 2 of 4 2005 NRC. Exam Rev. 1
2005 NRC. Exam Rev. 1 Page 2 of 4


TASK CONDITIONS A. Unit 1 is in MODE 1 at 100% reactor power.
TASK CONDITIONS A. Unit 1 is in MODE 1 at 100% reactor power.
B. An anomaly exists in RPV water level instrument indication.
B. An anomaly exists in RPV water level instrument indication.
INITIATING CUE Use the appropriate procedure to address the anomaly.
INITIATING CUE Use the appropriate procedure to address the anomaly.
Page 3 of 4 2005 NRC. Exam Rev. 1
2005 NRC. Exam Rev. 1 Page 3 of 4


TASK CONDITIONS A. Unit 1 is in MODE 1 at 100% reactor power.
TASK CONDITIONS A. Unit 1 is in MODE 1 at 100% reactor power.
B. An anomaly exists in RPV water level instrument indication.
B. An anomaly exists in RPV water level instrument indication.
INITIATING CUE Use the appropriate procedure to address the anomaly.
INITIATING CUE Use the appropriate procedure to address the anomaly.
Page 4 of 4 2005 NRC. Exam Rev. 1
2005 NRC. Exam Rev. 1 Page 4 of 4


PPL SUSQUEHANNA, LLC JOB PERFORMANCE MEASURE APPROVAL AND ADMINISTRATIVE DATA SHEET S/RO        00.AD.269.101              0          09/26/05            2.2.24            N/A   2.6/3.8 APPl.       JPM Number             Rev. No.       Date             NUREG 1123         WA No. WA Imp.
PPL SUSQUEHANNA, LLC JOB PERFORMANCE MEASURE APPROVAL AND ADMINISTRATIVE DATA SHEET N/A 2.6/3.8 APPl.
To                                                                   Sys. No.
JPM Number Rev. No.
Task
Date NUREG 1123 WA No.
WA Imp.
To Sys. No.
S/RO 00.AD.269.101 0
09/26/05 2.2.24 Task


==Title:==
==Title:==
Determine Trip Inputs to Zone 3 Is0 Signals Lockout Relay XY07553A Using Controlled Electrical Prints Completed By:                                           Validated Rich Chin                           09/26/05 Writer                             Date                InstructorNVriter                Date Approval:
Determine Trip Inputs to Zone 3 Is0 Signals Lockout Relay XY07553A Using Controlled Electrical Prints Completed By:
Nuclear Trng. Supv.                       Date 20/30 Date of Performance:                       Validation Time (Min.)            Time Taken (Min.)
Rich Chin Writer Approval:
Nuclear Trng. Supv.
Date of Performance:
JPM Performed By:
JPM Performed By:
Validated 09/26/05 Date InstructorNVriter Date Date 20/30 Validation Time (Min.)
Time Taken (Min.)
Student Name:
Student Name:
Last                           First           M.I. Employee # / S.S. #
Last First M.I.
Performance                   (     ) Satisfactory             (     )   Unsatisfactory Evaluation:
Employee # / S.S. #
Performance
(  
)
Satisfactory
(  
)
Unsatisfactory Evaluation:
Evaluator Name:
Evaluator Name:
Signature                                     Typed or Printed Comments:
Signature Typed or Printed Comments:
Form NTP-QA-31.8-1, Rev. 0, Page I of 2 2005 NRC Exam Rev. 1
Form NTP-QA-31.8-1, Rev. 0, Page I of 2 2005 NRC Exam Rev. 1  


                                                                                                            .-
REQUIRED TASK INFORMATION JOB PERFORMANCE MEASURE S/RO 00.AD.269.101  
REQUIRED TASK INFORMATION JOB PERFORMANCE MEASURE S/RO 00.AD.269.101
\\
\
: 1.
: 1. SAFETY CONSIDERATIONS A. All Operations personnel are responsible for maintaining their radiation exposure As Low As Reasonably Achievable in accordance with OP-AD-002, Standards for Shift Operations.
SAFETY CONSIDERATIONS A. All Operations personnel are responsible for maintaining their radiation exposure As Low As Reasonably Achievable in accordance with OP-AD-002, Standards for Shift Operations.
B. All applicable safety precautions shall be taken in accordance with established PPL safety policies and the Safety Rule Book, for example:
B. All applicable safety precautions shall be taken in accordance with established PPL safety policies and the Safety Rule Book, for example:
: 1. Whenever any electrical panel is opened for inspection during JPM performance.
: 1. Whenever any electrical panel is opened for inspection during JPM performance.
Line 462: Line 626:
B. E 184 sheet 1 (Rev. 19)
B. E 184 sheet 1 (Rev. 19)
C. E 184 sheet 3 (Rev. 17)
C. E 184 sheet 3 (Rev. 17)
III. REACTIVITY MANIPULATIONS This JPM satisfies the requirements of Operational Activity(s):
I I I. REACTIVITY MAN I PU LATIONS This JPM satisfies the requirements of Operational Activity(s):
None IV. TASK CONDITIONS A. Electrical maintenance is preparing to replace the Zone 3 Is0 Signals Lockout Relay XY07553A on panel OC681.
None IV. TASK CONDITIONS A. Electrical maintenance is preparing to replace the Zone 3 Is0 Signals Lockout Relay XY07553A on panel OC681.
V. INITIATING CUE Your supervisor asks you to use the controlled electrical prints to identify all of the trip input signals to this relay, and report your results to back to your supervisor.
V. INITIATING CUE Your supervisor asks you to use the controlled electrical prints to identify all of the trip input signals to this relay, and report your results to back to your supervisor.
VI. TASK STANDARD All of the trip input signals to Zone 3 Is0 Signals Lockout Relay XY07553A are identified. SROs must additionally identify the required Tech Spec actions for an inoperable input.
VI. TASK STANDARD All of the trip input signals to Zone 3 Is0 Signals Lockout Relay XY07553A are identified. SROs must additionally identify the required Tech Spec actions for an inoperable input.
Form NTP-QA-31.8-1,   Rev. 0, Page 2 of 2 2005 NRC Exam Rev. I
Form NTP-QA-31.8-1, Rev. 0, Page 2 of 2 2005 NRC Exam Rev. I  


I PERFORMANCE CHECKLIST                          Page 3 of 7 Appl. To/JPM No.: S/RO 00.AD.269.101                                     Student Name:
Appl. To/JPM No.: S/RO 00.AD.269.101 Step
Step                                  Action                                     Standard          Eva1    Comments EVALUATOR NOTE Candidate may use any number of different mediums to obtain the controlled copy of the electrical drawings.
: 1.
: 2.
I PERFORMANCE CHECKLIST Page 3 of 7 Action EVALUATOR NOTE Candidate may use any number of different mediums to obtain the controlled copy of the electrical drawings.
These would all be acceptable.
These would all be acceptable.
: 1. Candidate obtains the controlled copy of the electrical   References the electrical print print.                                                    index, OR the operating manuals and determine the appropriate print is E 201 sheet 1.
Candidate obtains the controlled copy of the electrical print.
: 2.      Locates relay XY07553A on print E 201 sheet 1.            Locates relay XY07553A at grid location C6.
Locates relay XY07553A on print E 201 sheet 1.
EVALUATOR NOTE The following steps 3 - 9 may be done in any order.
EVALUATOR NOTE The following steps 3 - 9 may be done in any order.
Candidate may also elect not to report result back to supervisor until they have completed the task. This JPM is written with a report back after each determination as a convenience to the evaluator.
Candidate may also elect not to report result back to supervisor until they have completed the task. This JPM is written with a report back after each determination as a convenience to the evaluator.
                                                                                                      -
Student Name:
*Critical Step                   #Critical Sequence Form NTP-QA-3 I .8-2, Rev. 0,Page 1 of 1 2005 NRC Exam Rev. I
Standard References the electrical print index, OR the operating manuals and determine the appropriate print is E 201 sheet 1.
Locates relay XY07553A at grid location C6.
Eva1 Comments
*Critical Step  
#Critical Sequence Form NTP-QA-3 I.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. I  


PERFORMANCE CHECKLIST                                Page 4 of 7 Appl. To/JPM No.: S/RO 00.AD.269.101                                   Student Name:
Appl. To/JPM No.: S/RO 00.AD.269.101 Step  
Step                                 Action                                      Standard            Eva1    Comments
*3 t 4 PERFORMANCE CHECKLIST Page 4 of 7 Action Candidate determines Unit 1 High radiation inputs a trip signal to relay XY07553A.
  *3       Candidate determines Unit 1 High radiation inputs a trip Determines that High radiation signal to relay XY07553A.                               from the following Unit 1 locations will input a trip signal into relay XY07553A [Grid location B7]
Candidate determines Unit 2 High radiation inputs a trip signal to relay XY07553A.
Refuel floor exhaust 0 Refuel floor wall exhaust 0 Railroad access shaft exhaust AND Reports this to the supervisor t4      Candidate determines Unit 2 High radiation inputs a trip Determines that High radiation signal to relay XY07553A.                                from the following Unit 2 locations will input a trip signal into relay XY07553A [Grid location B8]
Student Name:
0 Refuel floor exhaust 0 Refuel floor wall exhaust AND Reports this to the supervisor
Standard Determines that High radiation from the following Unit 1 locations will input a trip signal into relay XY07553A [Grid location B7]
                                                                                                        =
Refuel floor exhaust 0 Refuel floor wall exhaust 0 Railroad access shaft exhaust AND Reports this to the supervisor Determines that High radiation from the following Unit 2 locations will input a trip signal into relay XY07553A [Grid location B8]
*Critical Step                 #Critical Sequence Form NTP-QA-3 1.8-2, Rev. 0,Page 1 of 1 2005 NRC Exam Rev. I
0 Refuel floor exhaust 0 Refuel floor wall exhaust AND Reports this to the supervisor Eva1
=
Comments
*Critical Step  
#Critical Sequence Form NTP-QA-3 1.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. I  


Appl. To/JPM No.: S/RO 00.AD.269.101 Step 5
6 wc7 8
PERFORMANCE CHECKLIST
~
Action Determines the need to transition to another electrical drawing.
Candidate obtains the controlled copy of the electrical print E 184 sheet 1.
Candidate determines Unit 1 Div 1 LOCA isolation signal inputs a trip signal to relay XY07553A.
Candidate obtains the controlled copy of the electrical print E 184 sheet 3.
Student Name:
Standard Determines the other 2 inputs to trip relay XY07553A are on drawings 184 sheet 1 and 3 by observing the notes Obtains the controlled copy of the electrical print E 184 sheet 1.
Determines Unit 1 Div 1 LOCA isolation signal inputs a trip signal to relay XY07553A and this signal is generated by :
0 Manual isolation Lo-Lo water reactor level 0
Hi drywell pressure Switch in TEST mode (trip2)
AND Reports this to the supervisor Obtains the controlled copy of the electrical print E 184 sheet 3.
(
(
PERFORMANCE CHECKLIST                          Page 5 of 7 Appl. To/JPM No.: S/RO 00.AD.269.101                                  Student Name:
Page 5 of 7 Comments  
                                            ~
*Critical Step  
Step                                  Action                                    Standard                  Comments 5      Determines the need to transition to another electrical Determines the other 2 inputs to drawing.                                                trip relay XY07553A are on drawings 184 sheet 1 and 3 by observing the notes 6      Candidate obtains the controlled copy of the electrical Obtains the controlled copy of the print E 184 sheet 1.                                    electrical print E 184 sheet 1.
#Critical Sequence Form NTP-QA-3 1.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1  
wc7    Candidate determines Unit 1 Div 1 LOCA isolation signal Determines Unit 1 Div 1 LOCA inputs a trip signal to relay XY07553A.                isolation signal inputs a trip signal to relay XY07553A and this signal is generated by :
0    Manual isolation Lo-Lo water reactor level (trip2) 0    Hi drywell pressure Switch in TEST mode AND Reports this to the supervisor 8      Candidate obtains the controlled copy of the electrical Obtains the controlled copy of the print E 184 sheet 3.                                    electrical print E 184 sheet 3.
*Critical Step                   #Critical Sequence Form NTP-QA-3 1.8-2,Rev. 0,Page 1 of 1 2005 NRC Exam Rev. 1


I PERFORMANCE CHECKLIST                            Page 6 of 7 Appl. To/JPM No.: S/RO 00.AD.269.101                                 Student Name:
Appl. To/JPM No.: S/RO 00.AD.269.101 Step U9 10 I
Step                                  Action                                   Standard                    Comments U9      Candidate determines Unit 2 Div 1 LOCA isolation signal Determines Unit 2 Div 1 LOCA inputs a trip signal to relay XY07553A.                 isolation signal inputs a trip signal to relay XY07553A and this signal is generated by :
PERFORMANCE CHECKLIST Page 6 of 7 Action Candidate determines Unit 2 Div 1 LOCA isolation signal inputs a trip signal to relay XY07553A.
Manual isolation RPV low level (trip 2) 0   Hi drywell pressure 0   Switch in TEST mode AND Reports this to the supervisor 10      Candidate determines there are no more inputs to relay Determines there are no more XY07553A                                              inputs to relay XY07553A, and reports this to the supervisor.
Candidate determines there are no more inputs to relay XY07553A EVALUATOR CUE:
EVALUATOR CUE:
This completes the JPM for the ROs ONLY Student Name:
This completes the JPM for the ROs ONLY
Standard Determines Unit 2 Div 1 LOCA isolation signal inputs a trip signal to relay XY07553A and this signal is generated by :
*Critical Step                   #Critical Sequence Form NTP-QA-3 1.8-2, Rev. 0,Page 1 of I 2005 NRC Exam Rev. 1
Manual isolation RPV low level (trip 2) 0 Hi drywell pressure 0
Switch in TEST mode AND Reports this to the supervisor Determines there are no more inputs to relay XY07553A, and reports this to the supervisor.
Comments
*Critical Step  
#Critical Sequence Form NTP-QA-3 1.8-2, Rev. 0, Page 1 of I 2005 NRC Exam Rev. 1  


PERFORMANCE CHECKLIST                          Page 7 of 7 Appl. To/JPM No.: S/RO 00.AD.269.101                                 Student Name:
Appl. To/JPM No.: S/RO 00.AD.269.101 PERFORMANCE CHECKLIST Page 7 of 7 Action EVALUATOR CUE:
                                                                                                            ~
Action                                 Standard          Eva1      Comments EVALUATOR CUE:
FOR SRO CANDIDATES ONLY Give the SRO candidate the second cue sheet that addresses the Tech Spec LCO for the INOPERABLE relay.
FOR SRO CANDIDATES ONLY Give the SRO candidate the second cue sheet that addresses the Tech Spec LCO for the INOPERABLE relay.
Obtains a copy of the Tech Specs                       References Tech Spec 3.3.6.2 Determines required actions for Tech Spec 3.3.6.2     Determines the following actions will be required:
Obtains a copy of the Tech Specs Determines required actions for Tech Spec 3.3.6.2 EVALUATOR CUE:
This completes the JPM Student Name:
Standard References Tech Spec 3.3.6.2 Determines the following actions will be required:
Within 24 hours place the following channel in TRIP:
Within 24 hours place the following channel in TRIP:
Unit 1 Refuel floor high exhaust duct radiation-high EVALUATOR CUE:
Unit 1 Refuel floor high exhaust duct radiation-high Eva1
This completes the JPM
~
*Critical Step                   #Critical Sequence Form NTP-QA-3 1.8-2. Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1
Comments
*Critical Step  
#Critical Sequence Form NTP-QA-3 1.8-2. Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1  


SRO ONLY TASK CONDITIONS Unit 1 is in Mode 1 Unit 2 is in Mode 4 with:
SRO ONLY TASK CONDITIONS Unit 1 is in Mode 1 Unit 2 is in Mode 4 with:
NO Core alterations taking place and NO Irradiated fuel movements taking place and NO activities with the potential for draining the reactor vessel taking place.
NO Core alterations taking place and NO Irradiated fuel movements taking place and NO activities with the potential for draining the reactor vessel taking place.
A. Electrical maintenance has determined the Unit 1 Refuel Floor High Exhaust Duct Radiation Monitor is INOPERABLE.
A.
Electrical maintenance has determined the Unit 1 Refuel Floor High Exhaust Duct Radiation Monitor is INOPERABLE.
INITIATING CUE What Technical Specifications action(s), including time limits, idare required as a result of this determination?
INITIATING CUE What Technical Specifications action(s), including time limits, idare required as a result of this determination?
Page 1 of 4 2005 NRC Exam Rev. 1
Page 1 of 4 2005 NRC Exam Rev. 1  


SRO ONLY TASK CONDITIONS Unit 1 is in Mode 1 Unit 2 is in Mode 4 with:
SRO ONLY TASK CONDITIONS Unit 1 is in Mode 1 Unit 2 is in Mode 4 with:
NO Core alterations taking place and NO Irradiated fuel movements taking place and NO activities with the potential for draining the reactor vessel taking place.
NO Core alterations taking place and NO Irradiated fuel movements taking place and NO activities with the potential for draining the reactor vessel taking place.
A. Electrical maintenance has determined the Unit 1 Refuel Floor High Exhaust Duct Radiation Monitor is INOPERABLE.
A.
Electrical maintenance has determined the Unit 1 Refuel Floor High Exhaust Duct Radiation Monitor is INOPERABLE.
INITIATING CUE What Technical Specifications action(s), including time limits, idare required as a result of this determination?
INITIATING CUE What Technical Specifications action(s), including time limits, idare required as a result of this determination?
Page 2 of 4 2005 NRC Exam Rev. I
2005 NRC Exam Rev. I Page 2 of 4


- TASK CONDITIONS A. Electrical maintenance is preparing to replace the Zone 3 Is0 Signals Lockout Relay XY07553A on panel OC681.
TASK CONDITIONS A. Electrical maintenance is preparing to replace the Zone 3 Is0 Signals Lockout Relay XY07553A on panel OC681.
INITIATING CUE Your supervisor asks you to use the controlled electrical prints to identify all of the trip input signals to this relay, and report your results to back to your supervisor.
INITIATING CUE Your supervisor asks you to use the controlled electrical prints to identify all of the trip input signals to this relay, and report your results to back to your supervisor.
Page 3 of 4 2005 NRC Exam Rev. 1
2005 NRC Exam Rev. 1 Page 3 of 4


TASK CONDITIONS A. Electrical maintenance is preparing to replace the Zone 3 Is0 Signals Lockout Relay XY07553A on panel OC681.
TASK CONDITIONS A. Electrical maintenance is preparing to replace the Zone 3 Is0 Signals Lockout Relay XY07553A on panel OC681.
INITIATING CUE Your supervisor asks you to use the controlled electrical prints to identify all of the trip input signals to this relay, and report your results to back to your supervisor.
INITIATING CUE Your supervisor asks you to use the controlled electrical prints to identify all of the trip input signals to this relay, and report your results to back to your supervisor.
Page 4 of 4 2005 NRC Exam Rev. 1
2005 NRC Exam Rev. 1 Page 4 of 4


PPL SUSQUEHANNA, LLC JOB PERFORMANCE MEASURE APPROVAL AND ADMINISTRATIVE DATA SHEET SRO       69.0P.044.051                 1       9/27/05         2.3.6             N/A           3.1 Appl.     JPM Number               Rev.         Date             NUREG 1123         WA No.       WA Imp.
PPL SUSQUEHANNA, LLC JOB PERFORMANCE MEASURE APPROVAL AND ADMINISTRATIVE DATA SHEET SRO 69.0P.044.051 1
To                                   No.                           Sys. No.
9/27/05 2.3.6 N/A 3.1 Appl.
JPM Number Rev.
Date NUREG 1123 WA No.
WA Imp.
To No.
Sys. No.
Task
Task


==Title:==
==Title:==
Review and Approve A Radioactive Liquid Release Permit Completed By:                                              Validated:
Completed By:
Rich Chin                               9/27/05 Writer                                 Date               InstructorNVriter               Date Approval :
Validated:
Nuclear Trng. Supv.                     Date 15 Date of Performance:                         Validation Time (Min.)           Time Taken (Min.)
Review and Approve A Radioactive Liquid Release Permit Rich Chin 9/27/05 Writer Date InstructorNVriter Date Approval :
Nuclear Trng. Supv.
Date Date of Performance:
15 Validation Time (Min.)
Time Taken (Min.)
JPM Performed By:
JPM Performed By:
Student Name:
Student Name:
Last                               First           M.I. Employee ## / S.S. ##
Last First M.I.
Performance Evaluation:         (         ) Satisfactory             (     ) Unsatisfactory Evaluator Name:
Employee ## / S.S. ##
Signature                                           Typed or Printed Comments:
Performance Evaluation:
Form NTP-QA-31.8-1, Rev. 0, Page 1 of 2 2005 NRC Exam Rev. 1
(  
) Satisfactory
(  
) Unsatisfactory Evaluator Name:
Signature Typed or Printed Comments:
Form NTP-QA-31.8-1, Rev. 0, Page 1 of 2 2005 NRC Exam Rev. 1  


REQUIRED TASK INFORMATION JOB PERFORMANCE MEASURE SRO 69.0P.044.051
REQUIRED TASK INFORMATION JOB PERFORMANCE MEASURE SRO 69.0P.044.051
: 1. SAFETY CONSIDERATIONS A. All Operations personnel are responsible for maintaining their radiation exposure As Low As Reasonably Achievable in accordance with OP-AD-002, Standards for Shift Operations.
: 1.
SAFETY CONSIDERATIONS A. All Operations personnel are responsible for maintaining their radiation exposure As Low As Reasonably Achievable in accordance with OP-AD-002, Standards for Shift Operations.
B. All applicable safety precautions shall be taken in accordance with established PPL safety policies and the Safety Rule Book, for example:
B. All applicable safety precautions shall be taken in accordance with established PPL safety policies and the Safety Rule Book, for example:
: 1.       Whenever any electrical panel is opened for inspection during JPM performance.
: 1.
: 2.      Whenever entering any plant area where specific safety equipment; such as hearing or eye protection, safety shoes, hardhats, etc; is required and/or posted as being necessary.
: 2.
Whenever any electrical panel is opened for inspection during JPM performance.
Whenever entering any plant area where specific safety equipment; such as hearing or eye protection, safety shoes, hardhats, etc; is required and/or posted as being necessary.
C. If in the judgment of the evaluator any safety issue occurs during the performance of a JPM, the JPN will be terminated until the issue is resolved.
C. If in the judgment of the evaluator any safety issue occurs during the performance of a JPM, the JPN will be terminated until the issue is resolved.
D. Peer checking is the expectation for all evolutions; however, since a JPM is an individual effort, no peer check will be provided and Self Checking is required.
D. Peer checking is the expectation for all evolutions; however, since a JPM is an individual effort, no peer check will be provided and Self Checking is required.
II. REFERENCES OP-069-050, Release of Liquid Radioactive Waste (Revision 31)
II. REFERENCES OP-069-050, Release of Liquid Radioactive Waste (Revision 31 )
I11. R EACTlVlTY MANIPULATIONS This JPM satisfies the requirements of Operational Activity(s):
I 11. R EACTlVlTY MAN I PU LATIONS This JPM satisfies the requirements of Operational Activity(s):
NONE IV. TASK CONDITIONS A. Both Units are at 100% power, all systems in normal alignment.
NONE IV. TASK CONDITIONS V.
VI I A. Both Units are at 100% power, all systems in normal alignment.
B. Total Site Blowdown Flow Transmitter FIT-01596 is out of service.
B. Total Site Blowdown Flow Transmitter FIT-01596 is out of service.
C. A Radioactive Liquid Release Permit is being prepared for Laundry Drain Sample Tank OT-312.
C. A Radioactive Liquid Release Permit is being prepared for Laundry Drain Sample Tank OT-31 2.
D. OP-069-050, Release of Liquid Radioactive Waste Attachment A Laundry Drain Sample Tank OT-312 Radioactive Liquid Release Permit has been completed through step 2.1.7 E. Background reading for LIQUID RADWASTE RADIATION MONITOR [RITS-064331is 3.1OE3 CPM V. INITIATING CUE Verify completeness and accuracy of the permit and Independently verify Liquid Radwaste radiation monitor setup IAW OP-069-050, Release of Liquid Radioactive Waste Attachment A Laundry Drain Sample Tank OT-312 Radioactive Liquid Release Permit step 2.1.8 and sign the appropriate block on the form.
D. OP-069-050, Release of Liquid Radioactive Waste Attachment A Laundry Drain Sample Tank OT-312 Radioactive Liquid Release Permit has been completed through step 2.1.7 E. Background reading for LIQUID RADWASTE RADIATION MONITOR [RITS-064331 is 3.1 OE3 CPM INITIATING CUE Verify completeness and accuracy of the permit and Independently verify Liquid Radwaste radiation monitor setup IAW OP-069-050, Release of Liquid Radioactive Waste Attachment A Laundry Drain Sample Tank OT-312 Radioactive Liquid Release Permit step 2.1.8 and sign the appropriate block on the form.
VI TASK STANDARD I
TASK STANDARD Identifies INCORRECT settings for Actual High Rad setpoint and Actual Alert Rad setpoint.
Identifies INCORRECT settings for Actual High Rad setpoint and Actual Alert Rad setpoint.
Form NTP-QA-31.8-1, Rev. 0. Page 2 of 2 2005 NRC Exam Rev. 1  
Form NTP-QA-31.8-1,Rev. 0. Page 2 of 2 2005 NRC Exam Rev. 1


1 PERFORMANCE CHECKLIST                    Page 3 of 6 Appl. To/JPM No.: 69.0P.044.051                                             Student Name:
1 Appl. To/JPM No.: 69.0P.044.051 Step 1 -
Step EVALUATOR NOTE:
PERFORMANCE CHECKLIST Action EVALUATOR NOTE:
                            -          Action                                      Standard    Eva1    Comments Provide the candidate with a filled out copy of OP-069-050, Release of Liquid Radioactive Waste Attachment A Laundry Drain Sample Tank OT-312 Radioactive Liquid Release Permit completed through step 2.1.8. Insure High Rad setpoint calculation (in step 2.1.6.n) AND ACTUAL High Rad setpoint (in step 2.1.7 Position 0) are filled out with the MATH errors specified in steps 3 and 4 of this JPM. Student may use OP-069-050, Release of Liquid Radioactive Waste for guidance, however no marks should be made on that copy.
Provide the candidate with a filled out copy of OP-069-050, Release of Liquid Radioactive Waste Attachment A Laundry Drain Sample Tank OT-31 2 Radioactive Liquid Release Permit completed through step 2.1.8. Insure High Rad setpoint calculation (in step 2.1.6.n) AND ACTUAL High Rad setpoint (in step 2.1.7 Position 0) are filled out with the MATH errors specified in steps 3 and 4 of this JPM. Student may use OP-069-050, Release of Liquid Radioactive Waste for guidance, however no marks should be made on that copy.
Provide the candidate with a filled out OP-069-050, Release of Liquid Radioactive Waste Attachment F.
Provide the candidate with a filled out OP-069-050, Release of Liquid Radioactive Waste Attachment F.
Provide the candidate with a blank OP-069-050, Release of Liquid Radioactive Waste Attachment G.
Provide the candidate with a blank OP-069-050, Release of Liquid Radioactive Waste Attachment G.
Provide the candidate with a filled out OP-069-050, Release of Liquid Radioactive Waste Attachment H.
Provide the candidate with a filled out OP-069-050, Release of Liquid Radioactive Waste Attachment H.
A complete Release permit for Laundry Drain Sample Tank OT-312 will consist of Attachments A, F, G Iand H.
A complete Release permit for Laundry Drain Sample Tank OT-312 will consist of Attachments A, F, GI and H.
1      Obtain a controlled copy of OP-069-050, Release of         Controlled copy obtained.
Obtain a controlled copy of OP-069-050, Release of Liquid Radioactive Waste Student Name:
Liquid Radioactive Waste
Standard Controlled copy obtained.
-
Eva1 Page 3 of 6 Comments
*Critical Step                       #Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1
*Critical Step  
#Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1  


I                                                             i                                              i PERFORMANCE CHECKLIST                          Page 4 of 6 Appl. To/JPM No.: 69.0P.044.051                                           Student Name:
I Appl. To/JPM No.: 69.0P.044.051 Step 2
Step                                  Action                                     Standard                    Comments 2        Selects the correct section to perform.               Selects section step 2.1.8 which requires review of previously completed steps 2.1.5.g through 2.1.7 of OP-069-050, Release of Liquid Radioactive Waste Attachment A Laundry Drain Sample Tank OT-312 Radioactive Liquid Release Permit EVALUATOR NOTE:
i PERFORMANCE CHECKLIST Action Selects the correct section to perform.
EVALUATOR NOTE:
Due to the nature of this JPM, the candidate may elect to perform the calculations FIRST before proceeding to Radwaste to Verify the proper setpoints. This is acceptable.
Due to the nature of this JPM, the candidate may elect to perform the calculations FIRST before proceeding to Radwaste to Verify the proper setpoints. This is acceptable.
EVALUATOR NOTE:
EVALUATOR NOTE:
If candidate indicates t, ,at he/she would proceed to Radwaste to Verify the proper setpoints, provide the candidate with the necessary cues from the attached OP-069-050, Release of Liquid Radioactive Waste Attachment A Laundry Drain Sample Tank OT-312 Radioactive Liquid Release Permit for items 2.1 5.9, 2.1.6.f, 2.1.6.k, 2.1.6.1
If candidate indicates t,,at he/she would proceed to Radwaste to Verify the proper setpoints, provide the candidate with the necessary cues from the attached OP-069-050, Release of Liquid Radioactive Waste Attachment A Laundry Drain Sample Tank OT-312 Radioactive Liquid Release Permit for items 2.1 5.9, 2.1.6.f, 2.1.6.k, 2.1.6.1  
*Critical Step                     #Critical Sequence Form NTP-QA-31.8-2,Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1
*Critical Step  
#Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1 Student Name:
Standard Selects section step 2.1.8 which requires review of previously completed steps 2.1.5.g through 2.1.7 of OP-069-050, Release of Liquid Radioactive Waste Attachment A Laundry Drain Sample Tank OT-312 Radioactive Liquid Release Permit i
Page 4 of 6 Comments


PERFORMANCE CHECKLIST                        Page 5 of 6 Appl. To/JPM No.: 69.0P.044.051                                         Student Name:
Appl. To/JPM No.: 69.0P.044.051 Step  
Step                                 Action                                  Standard                  Comments
*3 454 455 PERFORMANCE CHECKLIST Action Verifies High Rad setpoint Verifies Alert Rad setpoint Verifies Liquid Radwaste Radiation h,dnitor Setpoint inputs for Function Switch position 0
  *3     Verifies High Rad setpoint                           Performs the following calculation:
*Critical Step
#Critical Sequence Form NTP-QA-31.8-2, Rev. 0. Page 1 of 1 2005 NRC Exam Rev. 1 Student Name:
Standard Performs the following calculation:
7.OE4 + 3.1 E3 = 7.31 E4 and compares this to the number in block 2.1.6.n (1.1 E5)
7.OE4 + 3.1 E3 = 7.31 E4 and compares this to the number in block 2.1.6.n (1.1 E5)
AND Determines there is a math error 454    Verifies Alert Rad setpoint                          Performs the following calculation:
AND Determines there is a math error Performs the following calculation:
5.6E4 + 3.1 E3 = 5.91 E4 and compares this to the number in block 3.1.6.0 (8.7E5)
5.6E4 + 3.1 E3 = 5.91 E4 and compares this to the number in block 3.1.6.0 (8.7E5)
AND Determines there is a math error 455    Verifies Liquid Radwaste Radiation h,dnitor Setpoint Checks required setpoint and actua inputs for Function Switch position 0                setpoint for High Rad setpoint.
AND Determines there is a math error Checks required setpoint and actua setpoint for High Rad setpoint.
Determines Setpoints have been incorrectly set to the setpoints determined by the math error.
Determines Setpoints have been incorrectly set to the setpoints determined by the math error.
*Critical Step                      #Critical Sequence Form NTP-QA-31.8-2, Rev. 0.Page 1 of 1 2005 NRC Exam Rev. 1
Page 5 of 6 Comments


          /
/
PERFORMANCE CHECKLIST                              Page 6 of 6 Appl. To/JPM No.: 69.0P.044.051                                       Student Name:
Appl. To/JPM No.: 69.0P.044.051 I Step 3K6 7
I Step 3K6
PERFORMANCE CHECKLIST Action Verifies Liquid Radwaste Radiation Monitor Setpoint inputs for Function Switch position 1 Resolves the discrepancy EVALUATOR CUE:
                      -                Action Verifies Liquid Radwaste Radiation Monitor Setpoint Standard Checks required setpoint and actual Eva1    Comments inputs for Function Switch position 1              setpoint for Alert Rad setpoint.
That completes this JPM.
*Critical Step
#Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1 Student Name:
Standard Checks required setpoint and actual setpoint for Alert Rad setpoint.
Determines Setpoints have been incorrectly set to the setpoints determined by the math error.
Determines Setpoints have been incorrectly set to the setpoints determined by the math error.
7      Resolves the discrepancy                            Determines:
Determines:
The math errors and setpoint adjustments will need corrected before the permit can be authorized for discharge.
The math errors and setpoint adjustments will need corrected before the permit can be authorized for discharge.
EVALUATOR CUE:
Eva1 Page 6 of 6 Comments
That completes this JPM.
*Critical Step                      #Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1


TASK CONDITIONS A. Both Units are at 100% power, all systems in normal alignment.
TASK CONDITIONS A.
Both Units are at 100% power, all systems in normal alignment.
: 6. Total Site Blowdown Flow Transmitter FIT-01596 is out of service.
: 6. Total Site Blowdown Flow Transmitter FIT-01596 is out of service.
C. A Radioactive Liquid Release Permit is being prepared for Laundry Drain Sample Tank OT-312.
C.
D. OP-069-050, Release of Liquid Radioactive Waste Attachment A Laundry Drain Sample Tank OT-312 Radioactive Liquid Release Permit has been completed through step 2.1.7 E. Background reading for LIQUID RADWASTE RADIATION MONITOR [RITS-064331 is 3.1OE3 CPM INITIATING CUE Verify completeness and accuracy of the permit and Independently verify Liquid Radwaste radiation monitor setup IAW OP-069-050, Release of Liquid Radioactive Waste Attachment A Laundry Drain Sample Tank OT-312 Radioactive Liquid Release Permit step 2.1.8 and sign the appropriate block on the form.
A Radioactive Liquid Release Permit is being prepared for Laundry Drain Sample Tank OT-31 2.
2005 NRC Exam Rev. 1                     1 of2
D.
OP-069-050, Release of Liquid Radioactive Waste Attachment A Laundry Drain Sample Tank OT-312 Radioactive Liquid Release Permit has been completed through step 2.1.7 E. Background reading for LIQUID RADWASTE RADIATION MONITOR [RITS-064331 is 3.1 OE3 CPM INITIATING CUE Verify completeness and accuracy of the permit and Independently verify Liquid Radwaste radiation monitor setup IAW OP-069-050, Release of Liquid Radioactive Waste Attachment A Laundry Drain Sample Tank OT-312 Radioactive Liquid Release Permit step 2.1.8 and sign the appropriate block on the form.
2005 NRC Exam Rev. 1 1 of2  


TASK CONDITIONS
TASK CONDITIONS A.
-      A. Both Units are at 100% power, all systems in normal alignment.
Both Units are at 100% power, all systems in normal alignment.
B. Total Site Blowdown Flow Transmitter FIT-01596 is out of service.
B. Total Site Blowdown Flow Transmitter FIT-01 596 is out of service.
C. A Radioactive Liquid Release Permit is being prepared for Laundry Drain Sample Tank OT-312.
C. A Radioactive Liquid Release Permit is being prepared for Laundry Drain Sample Tank OT-31 2.
D. OP-069-050, Release of Liquid Radioactive Waste Attachment A Laundry Drain Sample Tank OT-312 Radioactive Liquid Release Permit has been completed through step 2.1.7 E. Background reading for LIQUID RADWASTE RADIATION MONITOR [RITS-06433] is 3.1OE3 CPM INITIATING CUE Verify completeness and accuracy of the permit and Independently verify Liquid Radwaste radiation monitor setup JAW OP-069-050, Release of Liquid Radioactive Waste Attachment A Laundry Drain Sample Tank OT-312 Radioactive Liquid Release Permit step 2.1.8 and sign the appropriate block on the form.
D. OP-069-050, Release of Liquid Radioactive Waste Attachment A Laundry Drain Sample Tank OT-312 Radioactive Liquid Release Permit has been completed through step 2.1.7 E. Background reading for LIQUID RADWASTE RADIATION MONITOR [RITS-06433] is 3.1 OE3 CPM INITIATING CUE Verify completeness and accuracy of the permit and Independently verify Liquid Radwaste radiation monitor setup JAW OP-069-050, Release of Liquid Radioactive Waste Attachment A Laundry Drain Sample Tank OT-312 Radioactive Liquid Release Permit step 2.1.8 and sign the appropriate block on the form.
2005 NRC Exam Rev. 1                     2 of 2
2005 NRC Exam Rev. 1 2 of 2  


PPL SUSQUEHANNA, LLC JOB PERFORMANCE MEASURE APPROVAL AND ADMINISTRATIVE DATA SHEET RO         00. EP.004.002                 0           9/27/05             2.4.43             NIA   2.8 APPl.       JPM Number                   Rev. No. Date             NUREG 1123         WA No. WA Imp.
PPL SUSQUEHANNA, LLC JOB PERFORMANCE MEASURE APPROVAL AND ADMINISTRATIVE DATA SHEET RO
To                                                                     Sys. No.
: 00. EP.004.002 0
9/27/05 2.4.43 NIA 2.8 APPl.
JPM Number Rev. No.
Date NUREG 1123 WA No.
WA Imp.
To Sys. No.
Task
Task


==Title:==
==Title:==
Control Room Communicator Emergency Notification Completed By:                                             Validated:
Control Room Communicator Emergency Notification Completed By:
Rich Chin                             9/27/05 Writer                                 Date               InstructorANriter                 Date Approval :
Validated:
Nuclear Trng. Supv.                         Date Time Critical 15 Minutes Date of Performance:                         Validated Time (Min.)            Time Taken (Min.)
Rich Chin 9/27/05 Writer Date InstructorANriter Date Approval :
Nuclear Trng. Supv.
Date of Performance:
JPM Performed By:
JPM Performed By:
Date Time Critical 15 Minutes Validated Time (Min.)
Time Taken (Min.)
Student Name:
Student Name:
Last                               First           M.I. Employee # / S.S. #
Last First M.I.
Performance                               ) Satisfactory             (       ) Unsatisfactory Evaluation:
Employee # / S.S. #
Eva1uator Name:
Performance Evaluation:
Signature                                           Typed or Printed Comments:
) Satisfactory
Form NTP-QA-31.8-1, Rev. 0, Page 1 of 2 2005 NRC Exam Rev. 1
(  
)
Unsatisfactory Eva1 ua tor N a me:
Signature Typed or Printed Comments:
Form NTP-QA-31.8-1, Rev. 0, Page 1 of 2 2005 NRC Exam Rev. 1  


REQUIRED TASK INFORMATION JOB PERFORMANCE MEASURE RO 00.EP.004.002
REQUIRED TASK INFORMATION JOB PERFORMANCE MEASURE RO 00.EP.004.002
: 1. SAFETY CONSIDERATIONS A. All Operations personnel are responsible for maintaining their radiation exposure As Low As Reasonably Achievable in accordance with OP-AD-002, Standards for Shift Operations.
: 1.
SAFETY CONSIDERATIONS A. All Operations personnel are responsible for maintaining their radiation exposure As Low As Reasonably Achievable in accordance with OP-AD-002, Standards for Shift Operations.
B. All applicable safety precautions shall be taken in accordance with established PPL safety policies and the Safety Rule Book, for example:
B. All applicable safety precautions shall be taken in accordance with established PPL safety policies and the Safety Rule Book, for example:
: 1. Whenever any electrical panel is opened for inspection during JPM performance.
: 1. Whenever any electrical panel is opened for inspection during JPM performance.
Line 645: Line 880:
V. INITIATING CUE You have been assigned as the Control Room Communicator. Transmit initial information about the Emergency Condition to required organizations, IAW the appropriate procedure.
V. INITIATING CUE You have been assigned as the Control Room Communicator. Transmit initial information about the Emergency Condition to required organizations, IAW the appropriate procedure.
VI. TASK STANDARD Identify the ENR form is incomplete; Contact the offsite agencies within 15 minutes from initiation of the ENR form; Communicate the Emergency Classification, Unit, declaration Time and Date to the off site agencies.
VI. TASK STANDARD Identify the ENR form is incomplete; Contact the offsite agencies within 15 minutes from initiation of the ENR form; Communicate the Emergency Classification, Unit, declaration Time and Date to the off site agencies.
Form NTP-QA-31.8-1, Rev. 0,Page 2 of 2 2005 NRC Exam Rev. 1
Form NTP-QA-31.8-1, Rev. 0, Page 2 of 2 2005 NRC Exam Rev. 1  


PERFORMANCE CHECKLIST         Page 3 of 9
PERFORMANCE CHECKLIST Page 3 of 9 Appl. To/JPM No.: RO 00.EP.004.002 Step Action EVALUATOR NOTE:
  . . To/JPM No.: RO 00.EP.004.002 Appl.                                                                  Student Name:
_____ ~~~
Step                                 Action                                       Standard Eva1        Comments EVALUATOR NOTE:
This is a time critical JPM.
This is a time critical JPM.
Ensure a copy of EP-PS-100, EP-TP-003, and EP-PS-126 are available to support performance of this JPM.
Ensure a copy of EP-PS-100, EP-TP-003, and EP-PS-126 are available to support performance of this JPM.
Line 657: Line 889:
To begin this JPM, provide the candidate with the Tasl Conditions and Initiating Cue Sheet.
To begin this JPM, provide the candidate with the Tasl Conditions and Initiating Cue Sheet.
Role play as Control Room ED and give student filled-out ENR Form.
Role play as Control Room ED and give student filled-out ENR Form.
*Critical Step                     #Critical Sequence Form NTP-QA-31.8-2,Rev. 0.Page 1 of 1 2005 NRC Exam Rev. 1
Student Name:
Standard Eva1
~~~
Comments
*Critical Step  
#Critical Sequence Form NTP-QA-31.8-2, Rev. 0. Page 1 of 1 2005 NRC Exam Rev. 1  


PERFORMANCE CHECKLIST                                    Page 4 of 9 Appl. To/JPM No.: RO 00.EP.004.002                                       Student Name:
Appl. To/JPM No.: RO 00.EP.004.002 Step  
Step                                   Action                                        Standard                      Eva1        Comments
*l PERFORMANCE CHECKLIST Action Obtain and review Event Notification Report (ENR) form with the Shift Manager/ED.
*l     Obtain and review Event Notification Report (ENR)     Reviews ENR form to verify Lines 1, 3, 4, 5, 6, and 7 form with the Shift Manager/ED.                       are all filled out.
EVALUATOR CUE:
Determines:
Line 4 is NOT filled out Reports to the ED that line 4 MUST be filled out EVALUATOR CUE:
Role play as Control Room ED and Place OA3 on line 4 of the ENR Form.
Role play as Control Room ED and Place OA3 on line 4 of the ENR Form.
Return completed ENR form to the candidate.
Return completed ENR form to the candidate.
EVALUATOR CUE:
EVALUATOR CUE:
After the ENR has been corrected and returned to the candidate, the Time Critical Portion of the JPM begins.
After the ENR has been corrected and returned to the candidate, the Time Critical Portion of the JPM begins.
Record Start Time
Record Start Time Student Name:
*Critical Step                       #Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NAC Exam Rev. 1
Standard Reviews ENR form to verify Lines 1, 3, 4, 5, 6, and 7 are all filled out.
Determines:
Line 4 is NOT filled out Reports to the ED that line 4 MUST be filled out Page 4 of 9 Eva1 Comments
*Critical Step  
#Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NAC Exam Rev. 1  


                                                                                                                            !
PERFORMANCE CHECKLIST Appl. To/JPM No.: RO 00.EP.004.002 Action NOTE:
PERFORMANCE CHECKLIST                               Page 5 of 9 Appl. To/JPM No.: RO 00.EP.004.002                                       Student Name:
Action                                         Standard                Eva1        Comments NOTE:
If the MOC does not answer, do not wait.
If the MOC does not answer, do not wait.
Transmit the ENR form information to the emergency agencies.
Transmit the ENR form information to the emergency agencies.
NOTE:
NOTE:
Do not communicate the control number to offsite agencies. This block is gray shaded on the ENR form.
Do not communicate the control number to offsite agencies. This block is gray shaded on the ENR form.
Within 15 minutes of declaration, using the purple    Dials 191 on the purple colored button colored phone button, dial 1 91 to transmit the ENR form to the following:
Within 15 minutes of declaration, using the purple colored phone button, dial 1 91 to transmit the ENR form to the following:
(Dialing 191 will simultaneously connect the listed   Verifies the following agencies are on the line:
(Dialing 191 will simultaneously connect the listed agencies in a conference call.)
agencies in a conference call.)
EVALUATOWBOOTH CUE:
(1)    Penna. Emergency Management Agency (2)    Columbia County EMA (3)    Luzerne County EMA Media Operations Center EVALUATOWBOOTH CUE:
Role-play the receiving agencies and confirm each agency is on the line and you are Ready to Copy Student Name:
Role-play the receiving agencies and confirm each agency is on the line and you are Ready to Copy
Page 5 of 9 Standard Dials 1 91 on the purple colored button Verifies the following agencies are on the line:
*Critical Step                       #Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1
(1 )
(2)
Columbia County EMA (3)
Luzerne County EMA Media Operations Center Penna. Emergency Management Agency Eva1 Comments
*Critical Step  
#Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1  


PERFORMANCE CHECKLIST                               Page 6 of 9 Appl. To/JPM No.: RO 00.EP.004.002                                       Student Name:
PERFORMANCE CHECKLIST Appl. To/JPM No.: RO 00.EP.004.002 Action EVALUATOR NOTE:
Action                                       Standard                    Eva1        Comments EVALUATOR NOTE:
After contact with the offsite agencies has been confirmed, the Time Critical Portion of the JPM ends.
After contact with the offsite agencies has been confirmed, the Time Critical Portion of the JPM ends.
Record stop Time NOTE:
Record stop Time NOTE:
When you communicate your phone number to the offsite agencies, the prefix for 4XXX numbers is (570) 759. (The 191 call originates from a 4XXX number.)
When you communicate your phone number to the offsite agencies, the prefix for 4XXX numbers is (570) 759. (The 191 call originates from a 4XXX number.)
Communicate ENR Form                                 Communicates the following for line Call status:
Communicate ENR Form Student Name:
This is a Drill
Page 6 of 9 Standard Communicates the following for line This is a Drill Call status:
*Critical Step                     #Critical Sequence Form NTP-QA-31.8-2, Rev. 0,Page 1 of 1 2005 NRC Exam Rev. 1
Eva1 Comments
*Critical Step  
#Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1  


PERFORMANCE CHECKLIST                                Page 7 of 9 Appl. To/JPM No.: RO 00.EP.004.002                                     Student Name:
Appl. To/JPM No.: RO 00.EP.004.002 Step PERFORMANCE CHECKLIST Page 7 of 9 Action 4 6 EVALUATOR NOTE:
Step                                  Action                                        Standard             1 Eva1       Comments Communicates the following for line 2:
Initial Declaration is not critical Student Name:
Standard 1 Eva1 Communicates the following for line 2:
This is: Candidates Name at Susquehanna Steam Electric Station.
This is: Candidates Name at Susquehanna Steam Electric Station.
My telephone number is: 570-759-4902 Notification time is: Current Time 46    EVALUATOR NOTE:                                    Communicates the following for line 3:
My telephone number is: 570-759-4902 Notification time is: Current Time Communicates the following for line 3:
Initial Declaration is not critical                  EMERGENCY CLASSIFICATION:
EMERGENCY CLASSIFICATION:
ALERT UNIT:
ALERT UNIT:
ONE and TWO Declaration Time:
ONE and TWO Declaration Time:
5 MINUTES AGO DATE:
5 MINUTES AGO DATE:
TODAYS DATE THIS REPRESENTS NAN:
TODAYS DATE THIS REPRESENTS NAN:
INIT1AL DECLARATION
IN IT1 AL DECLARATION Comments
*Critical Step                     #Critical Sequence Form NTP-QA-31.8-2, Rev. 0.Page 1 of 1 2005 NRC Exam Rev. 1
*Critical Step  
#Critical Sequence Form NTP-QA-31.8-2, Rev. 0. Page 1 of 1 2005 NRC Exam Rev. 1  


i PERFORMANCE CHECKLIST                      Page 8 of 9 Appl.
Appl. To/JPM No.: RO 00.EP.004.002 Step f 6 7
  . . To/JPM No.: RO 00.EP.004.002                                   Student Name:
8 9
Step                                  Action                                      Standard         Eva1        Comments f 6                                                        Communicates the following for line 4:
PERFORMANCE CHECKLIST Action Student Name:
Standard Communicates the following for line 4:
The Classification Designation is:
The Classification Designation is:
OA3 BRIEF NON-TECHNICAL DESCRIPTION OF THE EVENT:
OA3 BRIEF NON-TECHNICAL DESCRIPTION OF THE EVENT:
OA3 7                                                          Communicates the following for line 5:
OA3 Communicates the following for line 5:
THERE IS:
THERE IS:
NO NON-ROUTINE RADIOLOGICAL RELEASE IN PROGRESS 8                                                          Communicates the following for line 6:
NO NON-ROUTINE RADIOLOGICAL RELEASE IN PROGRESS Communicates the following for line 6:
WIND DIRECTION IS FROM:
WIND DIRECTION IS FROM:
21O WIND SPEED IS:
21 O WIND SPEED IS:
85 mph 9                                                          Communicates the following for line 7:
85 mph Communicates the following for line 7:
THIS IS A DRILL
THIS IS A DRILL i
*Critical Step                       #Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1
Page 8 of 9 Eva1 Comments
*Critical Step  
#Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1  


(,
PERFORMANCE CHECKLIST Appl. To/JPM No.: RO 00.EP.004.002  
PERFORMANCE CHECKLIST         Page 9 of 9 Appl.
  . . To/JPM No.: RO 00.EP.004.002                                     Student Name:
=
=
Step                                 Action                                       Standard Eva1        Comments EVALUATOWBOOTH CUE:
Step Action EVALUATOWBOOTH CUE:
Candidate may choose to have one of the offsite agencies REPEAT back the communicated information. If necessary, role-play the off site agency and Repeat back the information.
Candidate may choose to have one of the offsite agencies REPEAT back the communicated information. If necessary, role-play the off site agency and Repeat back the information.
EVALUATOR CUE:
EVALUATOR CUE:
This completes the JPM
This completes the JPM EVALUATOR NOTE:
* EVALUATOR NOTE:
In order for the candidate to pass the Time Critical element of this JPM, they must complete step 2 of this JPM within 15 minutes.
In order for the candidate to pass the Time Critical element of this JPM, they must complete step 2 of this JPM within 15 minutes.
*Critical Step                     #Critical Sequence Form NTP-QA-31.8-2, Rev. 0.Page 1 of 1 2005 NRC Exam Rev. 1
Student Name:
Standard
(,
Page 9 of 9 Eva1 Comments
*Critical Step  
#Critical Sequence Form NTP-QA-31.8-2, Rev. 0. Page 1 of 1 2005 NRC Exam Rev. 1  


TASK CONDITIONS An Alert has been declared due to sustained high winds greater than 80 mph resulting in visible damage to the ESSW pump house. (OA3)
TASK CONDITIONS An Alert has been declared due to sustained high winds greater than 80 mph resulting in visible damage to the ESSW pump house. (OA3)
INITIATING CUE You have been assigned as the Control Room Communicator. Transmit initial information about the Emergency Condition to required organizations, IAW the appropriate procedure.
INITIATING CUE You have been assigned as the Control Room Communicator. Transmit initial information about the Emergency Condition to required organizations, IAW the appropriate procedure.
Page 1 of 2 2005 NRC Exam Rev. 1
2005 NRC Exam Rev. 1 Page 1 of 2


TASK CONDITIONS An Alert has been declared due to sustained high winds greater than 80 mph resulting in visible damage to the ESSW pump house. (OA3)
TASK CONDITIONS An Alert has been declared due to sustained high winds greater than 80 mph resulting in visible damage to the ESSW pump house. (OA3)
INITIATING CUE You have been assigned as the Control Room Communicator. Transmit initial information about the Emergency Condition to required organizations, IAW the appropriate procedure.
INITIATING CUE You have been assigned as the Control Room Communicator. Transmit initial information about the Emergency Condition to required organizations, IAW the appropriate procedure.
Page 2 of 2 2005 NRC Exam Rev. 1
2005 NRC Exam Rev. 1 Page 2 of 2


PPL SUSQUEHANNA, LLC JOB PERFORMANCE MEASURE APPROVAL AND ADMINISTRATIVE DATA SHEET SRO         00.EP.001.304                 0           9/27/05             2.4.41             N/A     4.0 APPl.       JPM Number                   Rev. No. Date             NUREG 1123         KIA No. KIA Imp.
PPL SUSQUEHANNA, LLC JOB PERFORMANCE MEASURE APPROVAL AND ADMINISTRATIVE DATA SHEET SRO 00.EP.001.304 0
To                                                                     Sys. No.
9/27/05 2.4.41 N/A 4.0 APPl.
JPM Number Rev. No.
Date NUREG 1123 KIA No.
KIA Imp.
To Sys. No.
Task
Task


==Title:==
==Title:==
Perform Emergency Plan Classification (Scenario ILO-304) and Complete the ENR form Completed By:                                             Validated:
Perform Emergency Plan Classification (Scenario ILO-304) and Complete the ENR form Completed By:
Rich Chin                             9/27/05 Writer                                 Date               InstructorMlriter                 Date Approval:
Validated:
Nuclear Trng. Supv.                         Date Time Critical 15 Minutes Date of Performance:                          Validated Time (Min.)             Time Taken (Min.)
Rich Chin 9/27/05 Writer Date InstructorMlriter Date Approval:
-
Nuclear Trng. Supv.
Date of Performance:
Date Time Critical 15 Minutes Validated Time (Min.)
Time Taken (Min.)
JPM Performed By:
JPM Performed By:
Student Name:
Student Name:
Last                               First           M.I. Employee # / S.S. #
Last First M.I.
Performance                     (       ) Satisfactory             (       ) Unsatisfactory Evaluation:
Employee # / S.S. #
Performance
(  
) Satisfactory
(  
) Unsatisfactory Evaluation:
Evaluator Name:
Evaluator Name:
Signature                                           Typed or Printed Comments:
Signature Typed or Printed Comments:
Form NTP-QA-31.8-1, Rev. 0, Page 1 of 2 2005 NRC Exam Rev. 1
Form NTP-QA-31.8-1, Rev. 0, Page 1 of 2 2005 NRC Exam Rev. 1  


REQUIRED TASK INFORMATION JOB PERFORMANCE MEASURE SRO 00.EP.001.304
REQUIRED TASK INFORMATION JOB PERFORMANCE MEASURE SRO 00.EP.001.304
-
: 1.
: 1. SAFETY CONSIDERATIONS A. All Operations personnel are responsible for maintaining their radiation exposure As Low As Reasonably Achievable in accordance with OP-AD-002, Standards for Shift Operations.
SAFETY CONSIDERATIONS A. All Operations personnel are responsible for maintaining their radiation exposure As Low As Reasonably Achievable in accordance with OP-AD-002, Standards for Shift Operations.
B. All applicable safety precautions shall be taken in accordance with established PPL safety policies and the Safety Rule Book, for example:
B. All applicable safety precautions shall be taken in accordance with established PPL safety policies and the Safety Rule Book, for example:
: 1. Whenever any electrical panel is opened for inspection during JPM performance.
: 1. Whenever any electrical panel is opened for inspection during JPM performance.
Line 765: Line 1,027:
C. If in the judgment of the evaluator any safety issue occurs during the performance of a JPM, the JPM will be terminated until the issue is resolved.
C. If in the judgment of the evaluator any safety issue occurs during the performance of a JPM, the JPM will be terminated until the issue is resolved.
D. Peer checking is the expectation for all evolutions; however, since a JPM is an individual effort, no peer check will be provided and Self Checking is required.
D. Peer checking is the expectation for all evolutions; however, since a JPM is an individual effort, no peer check will be provided and Self Checking is required.
II. REFERENCES A. EP-PS-100, EMERGENCY DIRECTOR CONTROL ROOM, REV. 18 B. ILO-304, SIMULATOR EVALUATION SCENARIO C. EP-PS-1OO-A D. EP-PS-100-C E. EP-PS-100-9 111. REACTIVITY MANIPULATIONS This JPM satisfies the following Operational Activity(s):
II. REFERENCES A.
B. ILO-304, SIMULATOR EVALUATION SCENARIO C. EP-PS-1 OO-A D. EP-PS-100-C E. EP-PS-100-9 EP-PS-100, EMERGENCY DIRECTOR CONTROL ROOM, REV. 18 111. REACTIVITY MANIPULATIONS This JPM satisfies the following Operational Activity(s):
None IV. TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario. Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.
None IV. TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario. Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.
V. INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form.
V. INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form.
VI. TASK STANDARD Emergency classification of Alert Emergency declared within 15 minutes.
VI. TASK STANDARD Emergency classification of Alert Emergency declared within 15 minutes.
Form NTP-QA-31.8-1,Rev. 0, Page 2 of 2 2005 N R C Exam Rev. 1
Form NTP-QA-31.8-1, Rev. 0, Page 2 of 2 2005 NRC Exam Rev. 1  


I PERFORMANCE CHECKLIST         Page 3 of 10 Appl. To/JPM No.: SRO 00.EP.001.304 Step Student Name:
PERFORMANCE CHECKLIST I
                                                                                            -
Page 3 of 10 Appl. To/JPM No.: SRO 00.EP.001.304 Student Name:
Action                                     Standard  Eva1        Comments EVALUATOR NOTE:
Step Action EVALUATOR NOTE:
This JPM must be performed in the simulator following completion of the scenario ILO-304 as Unit Supervisor.
This JPM must be performed in the simulator following completion of the scenario ILO-304 as Unit Supervisor.
This is a time critical JPM.
This is a time critical JPM.
Line 782: Line 1,045:
After the candidate reviews the Task Conditions /
After the candidate reviews the Task Conditions /
Initiating Cue Sheet:
Initiating Cue Sheet:
0   Ask if the candidate is ready to begin the JPM.
0 Ask if the candidate is ready to begin the JPM.
0   When the candidate is ready to begin the JPM inform the candidate that this is a Time Critical JPM.
0 When the candidate is ready to begin the JPM inform the candidate that this is a Time Critical JPM.
Record Start Time
Record Start Time Standard Eva1 Comments
-
*Critical Step  
*Critical Step                       #Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1
#Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1  


I PERFORMANCE CHECKLIST                                     Page 4 of 10 Appl. To/JPM No.:     SRO 00.EP.001.304 Student Name:
PERFORMANCE CHECKLIST I
Step                                   Action                                       Standard                      Eva1        Comments Obtains a copy of EP-PS-100.                        Controlled copy obtained.
Page 4 of 10 Appl. To/JPM No.: SRO 00.EP.001.304 Student Name:
Identifies appropriate Tab                         Determines Tab A is appropriate Tab to classify the event.
Step Action Obtains a copy of EP-PS-100.
Evaluates information.                              Identifies from participation as The Unit Supervisor, that an RCS leak > 50 gpm has occurred, and a momentary ATWS.
Identifies appropriate Tab Evaluates information.
EVALUATOR CUE:
EVALUATOR CUE:
Assistance may be necessary for some specific scenario data or sequence of events. Use your judgment on acceptable levels of cueing based on candidates request.
Assistance may be necessary for some specific scenario data or sequence of events. Use your judgment on acceptable levels of cueing based on candidates request.
*Critical Step                       #Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1
Standard Controlled copy obtained.
Determines Tab A is appropriate Tab to classify the event.
Identifies from participation as The Unit Supervisor, that an RCS leak > 50 gpm has occurred, and a momentary ATWS.
Eva1 Comments
*Critical Step  
#Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1  


I PERFORMANCE CHECKLIST                                     Page 5 of 10 Appl. To/JPM No.: SRO 00.EP.001.304 Student Name:
PERFORMANCE CHECKLIST I
                                                                                                                                ~~
Page 5 of 10 Appl. To/JPM No.: SRO 00.EP.001.304 Student Name:
Step                                  Action                                         Standard                      Eva1          Comments
Step
                            ~ ~~
*4 5
*4    Choose appropriate emergency classification level. FA1 Any loss or potential loss of either the Fuel clad or RCS OR MA3 RPS setpoint exceeded and RPS automatic scram did not reduce reactor power to c 5%
6 Action  
~  
~~
Choose appropriate emergency classification level.
Record Time of Alert Emergency declaration Determines appropriate procedure section for the classification.
Standard FA1 Any loss or potential loss of either the Fuel clad or RCS OR MA3 RPS setpoint exceeded and RPS automatic scram did not reduce reactor power to c 5%
AND ARI initiated to reduce power below 5%
AND ARI initiated to reduce power below 5%
5    Record Time of Alert Emergency declaration 6      Determines appropriate procedure section for the    Determines TAB C Manage the Alert classification.                                      Emergency is the appropriate TAB.
Determines TAB C Manage the Alert Emergency is the appropriate TAB.
*Critical Step                     #Critical Sequence Form NTP-QA-31.8-2,Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1
Eva1
~~
Comments
*Critical Step  
#Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1  


PERFORMANCE CHECKLIST                                     Page 6 of 10 Appl. To/JPM No.: SRO 00.EP.001.304 Student Name:
PERFORMANCE CHECKLIST Page 6 of 10 Appl. To/JPM No.: SRO 00.EP.001.304 Student Name:
                                                                                                                                ~
Step Action Document and communicate the Emergency Classification.
Step                                   Action                                       Standard                      Eva1          Comments Document and communicate the Emergency               Announces to Control Room Personnel:
If not performed earlier appoint an Emergency Plan Communicator If not performed earlier, appoint an NRC communicator.
Classification.                                      I am assuming duties of the Emergency Director.
Standard Announces to Control Room Personnel:
I am assuming duties of the Emergency Director.
Alert Emergency Classification declared based on FA1 Any loss or potential loss of either the Fuel clad or RCS OR MA3 RPS setpoint exceeded and RPS automatic scram did not reduce reactor power to < 5%
Alert Emergency Classification declared based on FA1 Any loss or potential loss of either the Fuel clad or RCS OR MA3 RPS setpoint exceeded and RPS automatic scram did not reduce reactor power to < 5%
AND ARI initiated to reduce power below 5%
AND ARI initiated to reduce power below 5%
Time and Date of Classification.
Time and Date of Classification.
If not performed earlier appoint an Emergency Plan  Appoints an Emergency Plan Communicator and Communicator                                          instruct hidher to immediately perform EP-PS-126 E Plan Communicator.
Appoints an Emergency Plan Communicator and instruct hidher to immediately perform EP-PS-126 E Plan Communicator.
If not performed earlier, appoint an NRC            Appoints an NRC Communicator and instruct hidher communicator.                                        to perform EP-PS-135 NRC Communicator
Appoints an NRC Communicator and instruct hidher to perform EP-PS-135 NRC Communicator Eva1
*Critical Step                       #Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1
~
Comments
*Critical Step  
#Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1  


i PERFORMANCE CHECKLIST                                 Page 7 of 10 Appl. To/JPM No.: SRO 00.EP.001.304 Student Name:
i PERFORMANCE CHECKLIST Page 7 of 10 Appl. To/JPM No.: SRO 00.EP.001.304 Student Name:
Step                                 Action                                           Standard                    Eva1        Comments 10    Generate and approve an ENR form to be                 Refers to ENR Form under Tab 9.
Step 10 11 Action Generate and approve an ENR form to be transmitted by the Emergency Plan Communicator.
transmitted by the Emergency Plan Communicator.
EVALUATOR CUE:
EVALUATOR CUE:
Inform the candidate that the Control # in the next step will be CR-ILO-304 11    Fill out and approve the Emergency Notification         Fills out and approves the Emergency Notification Report Form.                                             Report Form as follows:
Inform the candidate that the Control # in the next step will be CR-ILO-304 Fill out and approve the Emergency Notification Report Form.
EVALUATOR NOTE:
The communicator will fill out the communicator name, callback telephone number, and time notification is initiated. (Line 2 of the Emergency Notification Report Form).
Standard Refers to ENR Form under Tab 9.
Fills out and approves the Emergency Notification Report Form as follows:
Control # CR-ILO-304 LINE 1.
Control # CR-ILO-304 LINE 1.
Call Status:
Call Status:
Places checkmark in This is a drill box EVALUATOR NOTE:
Places checkmark in This is a drill box Eva1 Comments
The communicator will fill out the communicator name, callback telephone number, and time notification is initiated. (Line 2 of the Emergency Notification Report Form).
*Critical Step  
*Critical Step                     #Critical Sequence Form NTP-QA-31.8-2,Rev. 0.Page 1 of 1 2005 NRC Exam Rev. 1
#Critical Sequence Form NTP-QA-31.8-2, Rev. 0. Page 1 of 1 2005 NRC Exam Rev. 1  


PERFORMANCE CHECKLIST                                 Page 8 of 10 Appl. To/JPM No.: SRO 00.EP.001.304 Student Name:
PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO 00.EP.001.304 Page 8 of 10 Student Name:
Step                                 Action                                          Standard                    Eva1        Comments
Step  
*12     Completes line 3                                         LINE 3.
*12  
EVALUATOR NOTE:                                          Emergency Classification:
*13 Action Completes line 3 EVALUATOR NOTE:
Initial Declaration is not critical                     Places checkmark in Alert Emergency box Places checkmark in Unit one box Records the Declaration time and date.
Initial Declaration is not critical EVALUATOR NOTE:
FA1 or MA3 alone is sufficient for the Brief Non-Technical Description for the initial notification.
Candidate may paraphrase this description Completes line 4 Standard LINE 3.
Emergency Classification:
Places checkmark in Alert Emergency box Places checkmark in Unit one box Records the Declaration time and date.
Places a checkmark in this represents NAN initial declaration box in classification status.
Places a checkmark in this represents NAN initial declaration box in classification status.
EVALUATOR NOTE:
LINE 4.
FA1 or MA3 alone is sufficient for the Brief Non-Technical Description for the initial notification.
Candidate may paraphrase this description
*13    Completes line 4                                        LINE 4.
The Emergency action level (EAL) number is:
The Emergency action level (EAL) number is:
Records EAL FA1 OR MA3 Brief non -technical description of the event:
Records EAL FA1 OR MA3 Brief non -technical description of the event:
RecordsFAl OR MA3
RecordsFAl OR MA3 Eva1 Comments
*Critical Step                     #Critical Sequence Form NTP-QA-31.8-2,Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1
*Critical Step  
#Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1  


PERFORMANCE CHECKLIST                          Page 9 of 10 Appl. To/JPM No.: SRO 00.EP.001.304 Student Name:
Appl. To/JPM No.: SRO 00.EP.001.304 Step
Step                                  Action                                     Standard              Eva1        Comments
*14 15 16 PERFORMANCE CHECKLIST Page 9 of 10 Action  
                          ~
~
*14    Completes line 5                                   LINE 5.
Completes line 5 Completes line 6 Completes line 7 Approves the Emergency Notification Report Form EVALUATOR NOTE:
Places a checkmark in the No non-routine radiological release box 15    Completes line 6                                    LINE 6 Records Wind Direction is from 10" Wind Speed is: 5 mph 16    Completes line 7                                    LINE 7.
Candidate may review the filled out ENR form with the E Plan Communicator.
Student Name:
Standard LINE 5.
Places a checkmark in the No non-routine radiological release box LINE 6 Records Wind Direction is from Wind Speed is: 5 mph LINE 7.  


== Conclusion:==
==
Conclusion:==
10" Places a checkmark in this is a drill box.
Records the following on space provided:
Approved: - HidHer name Time: - Current time Date: - Current Date Eva1 Comments
*Critical Step
#Critical Sequence Form NTP-QA-31.8-2. Rev. 0, Page 1 of 1 2005 NRC Exam Rev. I


Places a checkmark in this is a drill box.
PERFORMANCE CHECKLIST Page 10 of 10 Appl. To/JPM No.: SRO 00.EP.001.304 Student Name:
Approves the Emergency Notification Report Form    Records the following on space provided:
Step 18 Action Give the approved ENR form to the E Plan Communicator.
Approved: - HidHer name Time: - Current time Date: - Current Date EVALUATOR NOTE:
Candidate may review the filled out ENR form with the E Plan Communicator.
*Critical Step                      #Critical Sequence Form NTP-QA-31.8-2.Rev. 0, Page 1 of 1 2005 NRC Exam Rev. I
 
PERFORMANCE CHECKLIST                             Page 10 of 10 Appl. To/JPM No.: SRO 00.EP.001.304 Student Name:
                                                                                                                -
Step                                 Action                                           Standard                Eva1        Comments 18    Give the approved ENR form to the E Plan               Provides the filled out ENR form to the E Plan Communicator.                                          Communicator.
EVALUATOR CUE:
EVALUATOR CUE:
If necessary, Role-play the communicator and accept the filled out form.
If necessary, Role-play the communicator and accept the filled out form.
Line 864: Line 1,152:
Inform the candidate the JPM is complete.
Inform the candidate the JPM is complete.
EVALUATOR NOTE:
EVALUATOR NOTE:
The total time from the JPM start to step 5 of the JPM must be 5 15 minutes in order for the time critical portion of the JPM to be satisfactory.
The total time from the JPM start to step 5 of the JPM must be 5 1 5 minutes in order for the time critical portion of the JPM to be satisfactory.
*Critical Step                     #Critical Sequence Form NTP-QAB1.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1
Standard Provides the filled out ENR form to the E Plan Communicator.
Eva1 Comments
*Critical Step  
#Critical Sequence Form NTP-QAB1.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1  


TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario.
TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario.
Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.
Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.
INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form.
INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form.
Page 1 of 2 2005 NRC Exam Rev. 1
2005 NRC Exam Rev. 1 Page 1 of 2


TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario.
TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario.
Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.
Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.
INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form.
INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form.
Page 2 of 2 2005 NRC Exam Rev. 1
2005 NRC Exam Rev. 1 Page 2 of 2


PPL SUSQUEHANNA, LLC JOB PERFORMANCE MEASURE APPROVAL AND ADMINISTRATIVE DATA SHEET SRO         00.EP.001.305               0           9/27/05             2.4.41             N/A     4.0 APPl.       JPM Number                 Rev. No. Date             NUREG 1123           KIA No. KIA Imp.
PPL SUSQUEHANNA, LLC JOB PERFORMANCE MEASURE APPROVAL AND ADMINISTRATIVE DATA SHEET SRO 00.EP.001.305 0
To                                                                   Sys. No.
9/27/05 2.4.41 N/A 4.0 APPl.
JPM Number Rev. No.
Date NUREG 1123 KIA No.
KIA Imp.
To Sys. No.
Task
Task


==Title:==
==Title:==
Perform Emergency Plan Classification (Scenario ILO-305) and Complete the ENR form Completed By:                                          Validated:
Completed By:
Rich Chin                           9/27/05 Writer                               Date               InstructorNVriter                 Date Approval:
Validated:
Nuclear Trng. Supv.                       Date Time Critical 15 Minutes Date of Performance:                       Validated Time (Min.)            Time Taken (Min.)
Perform Emergency Plan Classification (Scenario ILO-305) and Complete the ENR form Rich Chin 9/27/05 Writer Date InstructorNVriter Date Approval:
Nuclear Trng. Supv.
Date of Performance:
JPM Performed By:
JPM Performed By:
Date Time Critical 15 Minutes Validated Time (Min.)
Time Taken (Min.)
Student Name:
Student Name:
Last                             First           M.I. Employee # I S.S. #
Last First M.I.
Performance                   (       ) Satisfactory             (       ) Unsatisfactory Evaluation:
Employee # I S.S. #
Evaluator Name:
Performance Evaluation:
Signature                                         Typed or Printed Comments:
(  
Form NTP-QA-31.8-1,Rev. 0,Page 1 of 2 2005 NRC Exam Rev. 1
) Satisfactory
(  
) Unsatisfactory Evaluator Name:
Signature Typed or Printed Comments:
Form NTP-QA-31.8-1, Rev. 0, Page 1 of 2 2005 NRC Exam Rev. 1  


REQUIRED TASK INFORMATION JOB PERFORMANCE MEASURE SRO 00.EP.001.305
REQUIRED TASK INFORMATION JOB PERFORMANCE MEASURE SRO 00.EP.001.305
-
: 1.
: 1. SAFETY CONSIDERATIONS A. All Operations personnel are responsible for maintaining their radiation exposure As Low As Reasonably Achievable in accordance with OP-AD-002, Standards for Shift Operations.
SAFETY CONSIDERATIONS A. All Operations personnel are responsible for maintaining their radiation exposure As Low As Reasonably Achievable in accordance with OP-AD-002, Standards for Shift Operations.
B. All applicable safety precautions shall be taken in accordance with established PPL safety policies and the Safety Rule Book, for example:
B. All applicable safety precautions shall be taken in accordance with established PPL safety policies and the Safety Rule Book, for example:
: 1. Whenever any electrical panel is opened for inspection during JPM performance.
: 1. Whenever any electrical panel is opened for inspection during JPM performance.
Line 901: Line 1,204:
C. If in the judgment of the evaluator any safety issue occurs during the performance of a JPM, the JPM will be terminated until the issue is resolved.
C. If in the judgment of the evaluator any safety issue occurs during the performance of a JPM, the JPM will be terminated until the issue is resolved.
D. Peer checking is the expectation for all evolutions; however, since a JPM is an individual effort, no peer check will be provided and Self Checking is required.
D. Peer checking is the expectation for all evolutions; however, since a JPM is an individual effort, no peer check will be provided and Self Checking is required.
II. REFERENCES A. EP-PS-100, EMERGENCY DIRECTOR CONTROL ROOM, REV. 18 B. ILO-305, SIMULATOR EVALUATION SCENARIO C. EP-PS-1OO-A D. EP-PS-1OO-D E. EP-PS-100-9 III. R EACTlVlTY MAN1PULATIONS This JPM satisfies the following Operational Activity(s):
II. REFERENCES A.
B. ILO-305, SIMULATOR EVALUATION SCENARIO C. EP-PS-1 OO-A D. EP-PS-1 OO-D E. EP-PS-100-9 EP-PS-100, EMERGENCY DIRECTOR CONTROL ROOM, REV. 18 II I. R EACTlVlTY MAN1 PU LATIONS This JPM satisfies the following Operational Activity(s):
None IV. TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario. Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.
None IV. TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario. Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.
V. INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form.
V. INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form.
VI. TASK STANDARD Emergency classification of Site Area Emergency declared within 15 minutes.
VI. TASK STANDARD Emergency classification of Site Area Emergency declared within 15 minutes.
Form NTP-QA-31.8-1, Rev. 0, Page 2 of 2 2005 NRC Exam Rev. 1
Form NTP-QA-31.8-1, Rev. 0, Page 2 of 2 2005 NRC Exam Rev. 1  


I PERFORMANCE CHECKLIST         Page 3 of 9 Appl. To/JPM No.: SRO 00.EP.001.305 Student Name:
PERFORMANCE CHECKLIST I
                                                                                            -
Page 3 of 9 Appl. To/JPM No.: SRO 00.EP.001.305 Student Name:
Step                                 Action                                       Standard Eva1        Comments EVALUATOR NOTE:
Step Action EVALUATOR NOTE:
0     This JPM must be performed in the simulator following completion of the scenario ILO-305 as Unit Supervisor.
0 This JPM must be performed in the simulator following completion of the scenario ILO-305 as Unit Supervisor.
0    This is a time critical JPM.
This is a time critical JPM.
0    Ensure a copy of EP-PS-100 is available to support performance of this JPM.
Ensure a copy of EP-PS-100 is available to support performance of this JPM.
0 0
EVALUATOR NOTE:
EVALUATOR NOTE:
To begin this JPM, provide the candidate with the Initiating Cue Sheet.
To begin this JPM, provide the candidate with the Initiating Cue Sheet.
Line 918: Line 1,223:
After the candidate reviews the Task Conditions /
After the candidate reviews the Task Conditions /
Initiating Cue Sheet:
Initiating Cue Sheet:
0     Ask if the candidate is ready to begin the JPM.
0 0
0    When the candidate is ready to begin the JPM inform the candidate that this is a Time Critical JPM.
Ask if the candidate is ready to begin the JPM.
Record Start Time
When the candidate is ready to begin the JPM inform the candidate that this is a Time Critical JPM.
-
Record Start Time Standard Eva1 Comments
*Critical Step                     #Critical Sequence Form NTP-QA-31.8-2,Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1
*Critical Step  
#Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1  


I PERFORMANCE CHECKLIST                                      Page 4 of 9 Appl. To/JPM No.: SRO 00.EP.001.305 Student Name:
Appl. To/JPM No.: SRO 00.EP.001.305 Step 1
Step                                  Action                                         Standard                      Eva1        Comments 1    Obtains a copy of EP-PS-100.                        Controlled copy obtained.
2 3
2    Identifies appropriate Tab                           Determines Tab A is appropriate Tab to classify the event.
*4 5
3    Evaluates information.                                Identifies from participation as The Unit Supervisor, that 2 Reactor Building Areas exceeded Max Safe Radiation levels.
6 PERFORMANCE CHECKLIST I
Page 4 of 9 Action Obtains a copy of EP-PS-100.
Identifies appropriate Tab Evaluates information.
EVALUATOR CUE:
EVALUATOR CUE:
Assistance may be necessary for some specific scenario data or sequence of events. Use your judgment on acceptable levels of cueing based on candidates request.
Assistance may be necessary for some specific scenario data or sequence of events. Use your judgment on acceptable levels of cueing based on candidates request.
*4    Choose appropriate emergency classification level. FSl Loss or Potential loss of ANY 2 Fission Product Barriers 5    Record Time of Site Area Emergency declaration 6      Determines appropriate procedure section for the     Determines TAB D Manage the Site Area classification.                                      Emergency is the appropriate TAB.
Choose appropriate emergency classification level.
*Critical Step                       #Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1
Record Time of Site Area Emergency declaration Determines appropriate procedure section for the classification.
Student Name:
Standard Controlled copy obtained.
Determines Tab A is appropriate Tab to classify the event.
Identifies from participation as The Unit Supervisor, that 2 Reactor Building Areas exceeded Max Safe Radiation levels.
FSl Loss or Potential loss of ANY 2 Fission Product Barriers Determines TAB D Manage the Site Area Emergency is the appropriate TAB.
Eva1 Comments
*Critical Step  
#Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1  


                                                                                                                                !
PERFORMANCE CHECKLIST Page 5 of 9 Appl. To/JPM No.: SRO 00.EP.001.305 Student Name:
PERFORMANCE CHECKLIST                                   Page 5 of 9 Appl. To/JPM No.: SRO 00.EP.001.305 Student Name:
Step 7
Step                                   Action                                          Standard                    Eva1        Comments
8 9
                                                                ~
10 Action Document and communicate the Emergency Classification.
7    Document and communicate the Emergency                 Announces to Control Room Personnel:
If not performed earlier appoint an Emergency Plan Communicator If not performed earlier, appoint an NRC communicator.
Classification.                                        I am assuming duties of the Emergency Director.
Generate and approve an ENR form to be transmitted by the Emergency Plan Communicator.
EVALUATOR CUE:
Inform the candidate that the Control # in the next step will be CR-ILO-305 Standard
~
Announces to Control Room Personnel:
I am assuming duties of the Emergency Director.
Site Area Emergency Classification declared based on FS1 Loss or Potential loss of ANY 2 Fission Product Barriers Time and Date of Classification.
Site Area Emergency Classification declared based on FS1 Loss or Potential loss of ANY 2 Fission Product Barriers Time and Date of Classification.
8    If not performed earlier appoint an Emergency Plan    Appoints an Emergency Plan Communicator and Communicator                                            instruct hidher to immediately perform EP-PS-126 E Plan Communicator.
Appoints an Emergency Plan Communicator and instruct hidher to immediately perform EP-PS-126 E Plan Communicator.
9    If not performed earlier, appoint an NRC              Appoints an NRC Communicator and instruct hidher communicator.                                          to perform EP-PS-135 NRC Communicator 10    Generate and approve an ENR form to be                  Refers to ENR Form under Tab 9.
Appoints an NRC Communicator and instruct hidher to perform EP-PS-135 NRC Communicator Refers to ENR Form under Tab 9.
transmitted by the Emergency Plan Communicator.
Eva1 Comments
EVALUATOR CUE:
*Critical Step  
Inform the candidate that the Control # in the next step will be CR-ILO-305
#Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1  
*Critical Step                       #Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1


I PERFORMANCE CHECKLIST                                 Page 6 of 9 Appl. To/JPM No.: SRO 00.EP.001.305 Student Name:
I PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO 00.EP.001.305 Page 6 of 9 Student Name:
                                                                                                                              ~
Step 11
Step                                  Action                                           Standard                    Eva1          Comments 11    Fill out and approve the Emergency Notification         Fills out and approves the Emergency Notification Report Form.                                           Report Form as follows:
*12 Action Fill out and approve the Emergency Notification Report Form.
EVALUATOR NOTE:
The communicator will fill out the communicator name, callback telephone number, and time notification is initiated. (Line 2 of the Emergency Notification Report Form).
Completes line 3 EVALUATOR NOTE:
Initial Declaration is not critical Standard Fills out and approves the Emergency Notification Report Form as follows:
Control # CR-ILO-305 LINE 1.
Control # CR-ILO-305 LINE 1.
Call Status:
Call Status:
Places checkmark in This is a drill box EVALUATOR NOTE:
Places checkmark in This is a drill box LINE 3.
The communicator will fill out the communicator name, callback telephone number, and time notification is initiated. (Line 2 of the Emergency Notification Report Form).
Emergency Classification:
*12    Completes line 3                                        LINE 3.
Places checkmark in Site Area Emergency box Places checkmark in Unit one box Records the Declaration time and date.
EVALUATOR NOTE:                                          Emergency Classification:
Initial Declaration is not critical                      Places checkmark in Site Area Emergency box Places checkmark in Unit one box Records the Declaration time and date.
Places a checkmark in this represents NAN initial declaration box in classification status.
Places a checkmark in this represents NAN initial declaration box in classification status.
*Critical Step                     #Critical Sequence Form NTP-OA-31.8-2, Rev. 0,Page 1 of 1 2005 NRC Exam Rev. 1
Eva1
~
Comments
*Critical Step  
#Critical Sequence Form NTP-OA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1  


PERFORMANCE CHECKLIST                                 Page 7 of 9 Appl. To/JPM No.: SRO 00.EP.001.305 Student Name:
PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO 00.EP.001.305 Page 7 of 9 Student Name:
Step                                   Action                                       Standard                  Eva1        Comments EVALUATOR NOTE:
Step 3k14 15 Action EVALUATOR NOTE:
FSl alone is sufficient for the Brief Non-Technical Description for the initial notification.
FSl alone is sufficient for the Brief Non-Technical Description for the initial notification.
Candidate may paraphrase this description Completes line 4                                       LINE 4.
Candidate may paraphrase this description Completes line 4 Completes line 5 Completes line 6 Standard LINE 4.
The Emergency action level (EAL) number is:
The Emergency action level (EAL) number is:
Records EAL FS1 Brief non -technical description of the event:
Records EAL FS1 Brief non -technical description of the event:
Records FS1 3k14    Completes line 5                                      LINE 5.
Records FS1 LINE 5.
Places a checkmark in the AN Airborne Non-routine radiological release box 15    Completes line 6                                      LINE 6 Records Wind Direction is from: 10" Wind Speed is: 5 mph
Places a checkmark in the AN Airborne Non-routine radiological release box LINE 6 Records Wind Direction is from: 10" Wind Speed is: 5 mph Eva1 Comments
*Critical Step                       #Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1
*Critical Step  
#Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1  


PERFORMANCE CHECKLIST
(
(
PERFORMANCE CHECKLIST                              Page 8 of 9 Appl. To/JPM No.: SRO 00.EP.001.305 Student Name:
Page 8 of 9 Appl. To/JPM No.: SRO 00.EP.001.305 Student Name:
Step                                   Action                                         Standard              Eva1        Comments 16    Completes line 7                                     LINE 7.
Step 16
 
*17 18 Action Completes line 7 Approves the Emergency Notification Report Form EVALUATOR NOTE:
== Conclusion:==
 
Places a checkmark in this is a drill box.
*17    Approves the Emergency Notification Report Form       Records the following on space provided:
Approved: - HidHer name Time: - Current time Date: - Current Date EVALUATOR NOTE:
Candidate may review the filled out ENR form with the E Plan Communicator.
Candidate may review the filled out ENR form with the E Plan Communicator.
18    Give the approved ENR form to the E Plan             Provides the filled out ENR form to the E Plan Communicator .                                        Communicator.
Give the approved ENR form to the E Plan Com m u n icato r.
EVALUATOR CUE:
EVALUATOR CUE:
If necessary, Role-play the communicator and accept the filled out form.
If necessary, Role-play the communicator and accept the filled out form.
EVALUATOR CUE:
EVALUATOR CUE:
Inform the candidate the JPM is complete.
Inform the candidate the JPM is complete.
*Critical Step                       #Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1
Standard LINE 7.
 
==
Conclusion:==
Places a checkmark in this is a drill box.
Records the following on space provided:
Approved: - HidHer name Time: - Current time Date: - Current Date Provides the filled out ENR form to the E Plan Communicator.
Eva1 Comments
*Critical Step  
#Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1  


0, c
0, 0
0 Q,
Q, c
c
      .-0 CI 2
0-
  ..
0 Z
0 Z
  -
a 2
a 2
c 0.-
CI 2 0-


TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario.
TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario.
Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.
Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.
INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form.
INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form.
Page 1 of 2 2005 NRC Exam Rev. 1
2005 NRC Exam Rev. 1 Page 1 of 2


TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario.
TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario.
Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.
Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.
INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form.
INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form.
Page 2 of 2 2005 NRC Exam Rev. 1
2005 NRC Exam Rev. 1 Page 2 of 2


PPL SUSQUEHANNA, LLC JOB PERFORMANCE MEASURE APPROVAL AND ADMINISTRATIVE DATA SHEET SRO         00.EP.001.504               0           9/27/05             2.4.41             N/A   4.0 APPl.       JPM Number                 Rev. No. Date             NUREG 1123         WA No. WA Imp.
PPL SUSQUEHANNA, LLC JOB PERFORMANCE MEASURE APPROVAL AND ADMINISTRATIVE DATA SHEET SRO 00.EP.001.504 0
To                                                                   Sys. No.
9/27/05 2.4.41 N/A 4.0 APPl.
JPM Number Rev. No.
Date NUREG 1123 WA No.
WA Imp.
To Sys. No.
Task
Task


==Title:==
==Title:==
Perform Emergency Plan Classification (Scenario ILO-504) and Complete the ENR form Completed By:                                          Validated:
Completed By:
Rich Chin                           9/27/05 Writer                               Date               InstructorNVriter                 Date Approval:
Validated:
Nuclear Trng. Supv.                       Date Time Critical 15 Minutes Date of Performance:                       Validated Time (Min.)            Time Taken (Min.)
Perform Emergency Plan Classification (Scenario ILO-504) and Complete the ENR form Rich Chin 9/27/05 Writer Date InstructorNVriter Date Approval:
-
Nuclear Trng. Supv.
Date of Performance:
JPM Performed By:
JPM Performed By:
Date Time Critical 15 Minutes Validated Time (Min.)
Time Taken (Min.)
Student Name:
Student Name:
Last                             First           M.I. Employee # / S.S. #
Last First M.I.
Performance                   (         ) Satisfactory             (       ) Unsatisfactory Evaluation:
Employee # / S.S. #
Performance
(  
) Satisfactory
(  
) Unsatisfactory Evaluation :
Evaluator Name:
Evaluator Name:
Signature                                         Typed or Printed Comments:
Signature Typed or Printed Comments:
--
Form NTP-QA91.8-1, Rev. 0, Page 1 of 2 2005 NRC Exam Rev. 1  
Form NTP-QA91.8-1, Rev. 0,Page 1 of 2 2005 NRC Exam Rev. 1


REQUIRED TASK INFORMATION JOB PERFORMANCE MEASURE SRO 00.EP.001.504
REQUIRED TASK INFORMATION JOB PERFORMANCE MEASURE SRO 00.EP.001.504
: 1. SAFETY CONSIDERATIONS A. All Operations personnel are responsible for maintaining their radiation exposure As Low As Reasonably Achievable in accordance with OP-AD-002, Standards for Shift Operations.
: 1.
SAFETY CONSIDERATIONS A. All Operations personnel are responsible for maintaining their radiation exposure As Low As Reasonably Achievable in accordance with OP-AD-002, Standards for Shift Operations.
B. All applicable safety precautions shall be taken in accordance with established PPL safety policies and the Safety Rule Book, for example:
B. All applicable safety precautions shall be taken in accordance with established PPL safety policies and the Safety Rule Book, for example:
: 1. Whenever any electrical panel is opened for inspection during JPM performance.
: 1. Whenever any electrical panel is opened for inspection during JPM performance.
Line 1,032: Line 1,373:
C. If in the judgment of the evaluator any safety issue occurs during the performance of a JPM, the JPM will be terminated until the issue is resolved.
C. If in the judgment of the evaluator any safety issue occurs during the performance of a JPM, the JPM will be terminated until the issue is resolved.
D. Peer checking is the expectation for all evolutions; however, since a JPM is an individual effort, no peer check will be provided and Self Checking is required.
D. Peer checking is the expectation for all evolutions; however, since a JPM is an individual effort, no peer check will be provided and Self Checking is required.
It. REFERENCES A. EP-PS-100, EMERGENCY DIRECTOR CONTROL ROOM, REV. 18 B. ILO-504, SIMULATOR EVALUATION SCENARIO C. EP-PS-1OO-A D. EP-PS-1OO-D E. EP-PS-100-9 111. REACTIVITY MANIPULATIONS This JPM satisfies the following Operational Activity(s):
It. REFERENCES A.
B. ILO-504, SIMULATOR EVALUATION SCENARIO C. EP-PS-1 OO-A D. EP-PS-1 OO-D E. EP-PS-100-9 EP-PS-100, EMERGENCY DIRECTOR CONTROL ROOM, REV. 18 111. REACTIVITY MANIPULATIONS This JPM satisfies the following Operational Activity(s):
None IV. TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario. Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.
None IV. TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario. Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.
V. INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form.
V. INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form.
VI. TASK STANDARD Emergency classification of Site Area Emergency declared within 15 minutes.
VI. TASK STANDARD Emergency classification of Site Area Emergency declared within 15 minutes.
Form NTP-QA-31.8-1, Rev. 0, Page 2 of 2 2005 NRC Exam Rev. 1
Form NTP-QA-31.8-1, Rev. 0, Page 2 of 2 2005 NRC Exam Rev. 1  


i PERFORMANCE CHECKLIST         Page 3 of 9 Appl. To/JPM No.: SRO 00.EP.001.504 Student Name:
PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO 00.EP.001.504 i
Step                                 Action                                     Standard Eva1 EVALUATOR NOTE:
Page 3 of 9 Student Name:
0   This JPM must be performed in the simulator following completion of the scenario ILO-504 as Unit Supervisor.
Step Action EVALUATOR NOTE:
0    This is a time critical JPM.
0 This JPM must be performed in the simulator following completion of the scenario ILO-504 as Unit Supervisor.
0    Ensure a copy of EP-PS-100 is available to support performance of this JPM.
This is a time critical JPM.
Ensure a copy of EP-PS-100 is available to support performance of this JPM.
0 0
EVALUATOR NOTE:
EVALUATOR NOTE:
To begin this JPM, provide the candidate with the Initiating Cue Sheet.
To begin this JPM, provide the candidate with the Initiating Cue Sheet.
Line 1,048: Line 1,392:
After the candidate reviews the Task Conditions /
After the candidate reviews the Task Conditions /
Initiating Cue Sheet:
Initiating Cue Sheet:
0   Ask if the candidate is ready to begin the JPM.
0 0
0    When the candidate is ready to begin the JPM inform the candidate that this is a Time Critical JPM.
Ask if the candidate is ready to begin the JPM.
Record Start Time
When the candidate is ready to begin the JPM inform the candidate that this is a Time Critical JPM.
*Critical Step                     #Critical Sequence Form NTP-QA-31.8-2,Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1
Record Start Time Standard Eva1
*Critical Step  
#Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1  


i PERFORMANCE CHECKLIST                                     Page 4 of 9 Appl. To/JPM No.: SRO 00.EP.001.504 Student Name:
PERFORMANCE CHECKLIST i
Step                                 Action                                         Standard                      Eva1        Comments
Page 4 of 9 Appl. To/JPM No.: SRO 00.EP.001.504 Student Name:
                                        ~~
Step 1
1    Obtains a copy of EP-PS-100.                          Controlled copy obtained.
2 3
2      Identifies appropriate Tab                           Determines Tab A is appropriate Tab to classify the event.
*4 5
3      Evaluates information.                               Identifies from participation as The Unit Supervisor, RPV water level dropped below -1 61 inches EVALUATOR CUE:
6 Action  
~~
Obtains a copy of EP-PS-100.
Identifies appropriate Tab Evaluates information.
EVALUATOR CUE:
Assistance may be necessary for some specific scenario data or sequence of events. Use your judgment on acceptable levels of cueing based on candidates request.
Assistance may be necessary for some specific scenario data or sequence of events. Use your judgment on acceptable levels of cueing based on candidates request.
*4    Choose appropriate emergency classification level. FS1 Loss or Potential loss of ANY 2 Fission Product Barriers 5      Record Time of Site Area Emergency declaration 6      Determines appropriate procedure section for the     Determines TAB D Manage the Site Area classification.                                        Emergency is the appropriate TAB.
Choose appropriate emergency classification level.
*Critical Step                     #Critical Sequence Form NTP-QA31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1
Record Time of Site Area Emergency declaration Determines appropriate procedure section for the classification.
Standard Controlled copy obtained.
Determines Tab A is appropriate Tab to classify the event.
Identifies from participation as The Unit Supervisor, RPV water level dropped below -1 61 inches FS 1 Loss or Potential loss of ANY 2 Fission Product Barriers Determines TAB D Manage the Site Area Emergency is the appropriate TAB.
Eva1 Comments
*Critical Step  
#Critical Sequence Form NTP-QA31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1  


i PERFORMANCE CHECKLIST                                   Page 5 of 9 Appl. To/JPM No.: SRO OO.EP.OO1 SO4 Student Name:
PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO OO.EP.OO1 SO4 Student Name:
Step                                   Action                                       Standard                    Eva1        Comments 7    Document and communicate the Emergency               Announces to Control Room Personnel:
Step 7
Classification.                                      I am assuming duties of the Emergency Director.
a 9
10 Action Document and communicate the Emergency Classification.
If not performed earlier appoint an Emergency Plan Communicator If not performed earlier, appoint an NRC communicator.
Generate and approve an ENR form to be transmitted by the Emergency Plan Communicator.
EVALUATOR CUE:
Inform the candidate that the Control # in the next step will be CR-ILO-504 Standard Announces to Control Room Personnel:
I am assuming duties of the Emergency Director.
Site Area Emergency Classification declared based on FS1 Loss or Potential loss of ANY 2 Fission Product Barriers Time and Date of Classification.
Site Area Emergency Classification declared based on FS1 Loss or Potential loss of ANY 2 Fission Product Barriers Time and Date of Classification.
a    If not performed earlier appoint an Emergency Plan    Appoints an Emergency Plan Communicator and Communicator                                          instruct hidher to immediately perform EP-PS-126 E Plan Communicator.
Appoints an Emergency Plan Communicator and instruct hidher to immediately perform EP-PS-126 E Plan Com m u n icato r.
9    If not performed earlier, appoint an NRC              Appoints an NRC Communicator and instruct hidher communicator.                                        to perform EP-PS-135 NRC Communicator 10    Generate and approve an ENR form to be                Refers to ENR Form under Tab 9.
Appoints an NRC Communicator and instruct hidher to perform EP-PS-135 NRC Communicator Refers to ENR Form under Tab 9.
transmitted by the Emergency Plan Communicator.
i Page 5 of 9 Eva1 Comments
EVALUATOR CUE:
*Critical Step  
Inform the candidate that the Control # in the next step will be CR-ILO-504
#Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1  
*Critical Step                       #Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1


I PERFORMANCE CHECKLIST                                 Page 6 of 9 Appl. To/JPM No.: SRO 00.EP.001.504 Student Name:
I PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO 00.EP.001.504 Page 6 of 9 Student Name:
Step                                 Action                                           Standard                    Eva1        Comments
Step 11 5 1 2 Action Fill out and approve the Emergency Notification Report Form.
                                                                -~
EVALUATOR NOTE:
11    Fill out and approve the Emergency Notification         Fills out and approves the Emergency Notification Report Form.                                           Report Form as follows:
The communicator will fill out the communicator name, callback telephone number, and time notification is initiated. (Line 2 of the Emergency Notification Report Form).
Completes line 3 EVALUATOR NOTE:
Initial Declaration is not critical Standard
-~
Fills out and approves the Emergency Notification Report Form as follows:
Control # CR-ILO-504 LINE 1.
Control # CR-ILO-504 LINE 1.
Call Status:
Call Status:
Places checkmark in This is a drill box EVALUATOR NOTE:
Places checkmark in This is a drill box LINE 3.
The communicator will fill out the communicator name, callback telephone number, and time notification is initiated. (Line 2 of the Emergency Notification Report Form).
Emergency Classification:
5 12    Completes line 3                                        LINE 3.
Places checkmark in Site Area Emergency box Places checkmark in Unit one box Records the Declaration time and date.
EVALUATOR NOTE:                                          Emergency Classification:
Initial Declaration is not critical                      Places checkmark in Site Area Emergency box Places checkmark in Unit one box Records the Declaration time and date.
Places a checkmark in this represents NAN initial declaration box in classification status.
Places a checkmark in this represents NAN initial declaration box in classification status.
                                                                                                                  -
Eva1 Comments
*Critical Step                     #Critical Sequence Form NTP-QA91.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1
*Critical Step  
#Critical Sequence Form NTP-QA91.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1  


PERFORMANCE CHECKLIST                               Page 7 of 9 Appl. To/JPM No.: SRO 00.EP.001.504 Student Name:
PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO 00.EP.001.504 Step
Step                                  Action                                       Standard                Eva1        Comments EVALUATOR NOTE:
*14 15 Action EVALUATOR NOTE:
FS1 alone is sufficient for the Brief Non-Technical Description for the initial notification.
FS1 alone is sufficient for the Brief Non-Technical Description for the initial notification.
Candidate may paraphrase this description Completes line 4                                     LINE 4.
Candidate may paraphrase this description Completes line 4 Completes line 5 Completes line 6 Student Name:
The Emergency action level EAL) number is:
Standard LINE 4.
Records EAL FS1 Brief non -technical description of the event:
The Emergency action level Records EAL FS1 EAL) number is:
Records FS1
Brief non -technical description of the event:
*14    Completes line 5                                      LINE 5.
Records FS1 LINE 5.
Places a checkmark in the NO Non-routine radiological release box 15    Completes line 6                                      LINE 6 Records Wind Direction is from: 10" Wind Speed is: 5 mph
Places a checkmark in the NO Non-routine radiological release box LINE 6 Records Wind Direction is from: 10" Wind Speed is: 5 mph Page 7 of 9 Eva1 Comments
*Critical Step                       #Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1
*Critical Step  
#Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1  


PERFORMANCE CHECKLIST                               Page 8 of 9 Appl. To/JPM No.: SRO 00.EP.001.504 Student Name:
PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO 00.EP.001.504 Step 16
Step                                Action                                         Standard                          Comments 16    Completes line 7                                   LINE 7.
*17 18 Action Completes line 7 Approves the Emergency Notification Report Form EVALUATOR NOTE:
 
== Conclusion:==
 
Places a checkmark in this is a drill box.
*17    Approves the Emergency Notification Report Form     Records the following on space provided:
Approved: - HidHer name Time: - Current time Date: - Current Date EVALUATOR NOTE:
Candidate may review the filled out ENR form with the E Plan Communicator.
Candidate may review the filled out ENR form with the E Plan Communicator.
18    Give the approved ENR form to the E Plan             Provides the filled out ENR form to the E Plan Communicator.                                        Communicator.
Give the approved ENR form to the E Plan Communicator.
EVALUATOR CUE:
EVALUATOR CUE:
If necessary, Role-play the communicator and accept the filled out form.
If necessary, Role-play the communicator and accept the filled out form.
EVALUATOR CUE:
EVALUATOR CUE:
Inform the candidate the JPM is complete.
Inform the candidate the JPM is complete.
*Critical Step                      #Critical Sequence Form NTP-QA-31.8-2, Rev. 0,Page 1 of 1 2005 NRC Exam Rev. 1
Student Name:
Standard LINE 7.  


PERFORMANCE CHECKLIST        Page 9 of 9 Appl. To/JPM No.: SRO OO.EP.OO1 SO4 Step                                 Action                                     Standard Eva1       Comments EVALUATOR NOTE:
==
The total time from the JPM start to step 5 of the JPM must be 5 15 minutes in order for the time critical portion of the JPM to be satisfactory.
Conclusion:==
*Critical Step                     #Critical Sequence Form NTP-QA-31.8-2. Rev. 0.Page 1 of 1 2005 NRC Exam Rev. 1
Places a checkmark in this is a drill box.
Records the following on space provided:
Approved: - HidHer name Time: - Current time Date: - Current Date Provides the filled out ENR form to the E Plan Communicator.
Page 8 of 9 Comments
*Critical Step
#Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1
 
PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO OO.EP.OO1 SO4 Step Page 9 of 9 Action Standard Eva1 Comments EVALUATOR NOTE:
The total time from the JPM start to step 5 of the JPM must be 5 1 5 minutes in order for the time critical portion of the JPM to be satisfactory.  
*Critical Step  
#Critical Sequence Form NTP-QA-31.8-2. Rev. 0. Page 1 of 1 2005 NRC Exam Rev. 1  


TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario.
TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario.
Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.
Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.
INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form.
INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form.
Page 1 of 2 2005 NRC Exam Rev. 1
2005 NRC Exam Rev. 1 Page 1 of 2


TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario.
TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario.
Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.
Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.
INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form.
INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form.
Page 2 of 2 2005 NRC Exam Rev. 1
2005 NRC Exam Rev. 1 Page 2 of 2


PPL SUSQUEHANNA, LLC JOB PERFORMANCE MEASURE APPROVAL AND ADMINISTRATIVE DATA SHEET SRO         00.EP.001.505                 0           9/27/05             2.4.41             NIA     4.0 APPl.       JPM Number                 Rev. No. Date             NUREG 1123         WA No. K/A Imp.
PPL SUSQUEHANNA, LLC JOB PERFORMANCE MEASURE APPROVAL AND ADMINISTRATIVE DATA SHEET SRO 00.EP.001.505 0
To                                                                   Sys. No.
9/27/05 2.4.41 NIA 4.0 APPl.
JPM Number Rev. No.
Date NUREG 1123 WA No.
K/A Imp.
To Sys. No.
Task
Task


==Title:==
==Title:==
Perform Emergency Plan Classification (Scenario ILO-505) and Complete the ENR form Completed By:                                            Validated:
Completed By:
Rich Chin                             9/27/05 Writer                               Date               InstructorANriter                 Date Approval:
Validated:
Nuclear Trng. Supv.                         Date Time Critical 15 Minutes Date of Performance:                         Validated Time (Min.)            Time Taken (Min.)
Perform Emergency Plan Classification (Scenario ILO-505) and Complete the ENR form Rich Chin 9/27/05 Writer Date InstructorANriter Date Approval :
Nuclear Trng. Supv.
Date of Performance:
JPM Performed By:
JPM Performed By:
Date Time Critical 15 Minutes Validated Time (Min.)
Time Taken (Min.)
Student Name:
Student Name:
Last                               First           M.I. Employee # I S.S. #
Last First M.I.
Performance                   (       ) Satisfactory             (       ) Unsatisfactory Evaluation:
Employee # I S.S. #
Performance
(  
) Satisfactory
(  
) Unsatisfactory Evaluation:
Evaluator Name:
Evaluator Name:
Signature                                           Typed or Printed Comments:
Signature Typed or Printed Comments:
Form NTP-QA-31.8-1,Rev. 0, Page 1 of 2 2005 NRC Exam Rev. 1
Form NTP-QA-31.8-1, Rev. 0, Page 1 of 2 2005 NRC Exam Rev. 1  


REQUIRED TASK INFORMATION JOB PERFORMANCE MEASURE SRO 00.EP.001.505
REQUIRED TASK INFORMATION JOB PERFORMANCE MEASURE SRO 00.EP.001.505
: 1. SAFETY CONSIDERATIONS A. All Operations personnel are responsible for maintaining their radiation exposure As Low As Reasonably Achievable in accordance with OP-AD-002, Standards for Shift Operations.
: 1.
SAFETY CONSIDERATIONS A. All Operations personnel are responsible for maintaining their radiation exposure As Low As Reasonably Achievable in accordance with OP-AD-002, Standards for Shift Operations.
B. All applicable safety precautions shall be taken in accordance with established PPL safety policies and the Safety Rule Book, for example:
B. All applicable safety precautions shall be taken in accordance with established PPL safety policies and the Safety Rule Book, for example:
: 1. Whenever any electrical panel is opened for inspection during JPM performance.
: 1. Whenever any electrical panel is opened for inspection during JPM performance.
Line 1,153: Line 1,537:
C. If in the judgment of the evaluator any safety issue occurs during the performance of a JPM, the JPM will be terminated until the issue is resolved.
C. If in the judgment of the evaluator any safety issue occurs during the performance of a JPM, the JPM will be terminated until the issue is resolved.
D. Peer checking is the expectation for all evolutions; however, since a JPM is an individual effort, no peer check will be provided and Self Checking is required.
D. Peer checking is the expectation for all evolutions; however, since a JPM is an individual effort, no peer check will be provided and Self Checking is required.
II. REFERENCES A. EP-PS-100, EMERGENCY DIRECTOR CONTROL ROOM, REV. 18 B. ILO-505, SIMULATOR EVALUATION SCENARIO C. EP-PS-1OO-A D. EP-PS-1OO-D E. EP-PS-100-9 111. REACTIVITY MAN1PULATlONS This JPM satisfies the following Operational Activity(s):
II. REFERENCES A.
B. ILO-505, SIMULATOR EVALUATION SCENARIO C. EP-PS-1 OO-A D. EP-PS-1 OO-D E. EP-PS-100-9 EP-PS-100, EMERGENCY DIRECTOR CONTROL ROOM, REV. 18 111. REACTIVITY MAN1 PU LATlO NS This JPM satisfies the following Operational Activity(s):
None IV. TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario. Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.
None IV. TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario. Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.
V. INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form.
V. INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form.
VI. TASK STANDARD Emergency classification of Site Area Emergency declared within 15 minutes.
VI. TASK STANDARD Emergency classification of Site Area Emergency declared within 15 minutes.
Form NTP-QA-31.8-1,Rev. 0, Page 2 of 2 2005 NRC Exam Rev. 1
Form NTP-QA-31.8-1, Rev. 0, Page 2 of 2 2005 NRC Exam Rev. 1  


PERFORMANCE CHECKLIST         Page 3 of 9 Appl. To/JPM No.: SRO OO.EP.OO1 SO5 Student Name:
PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO OO.EP.OO1 SO5 Step Action EVALUATOR NOTE:
Step                                 Action                                       Standard Eva1        Comments EVALUATOR NOTE:
0 This JPM must be performed in the simulator following completion of the scenario ILO-505 as Unit Supervisor.
0     This JPM must be performed in the simulator following completion of the scenario ILO-505 as Unit Supervisor.
This is a time critical JPM.
0    This is a time critical JPM.
Ensure a copy of EP-PS-100 is available to support performance of this JPM.
Ensure a copy of EP-PS-100 is available to support performance of this JPM.
EVALUATOR NOTE:
0 EVALUATOR NOTE:
To begin this JPM, provide the candidate with the Initiating Cue Sheet.
To begin this JPM, provide the candidate with the Initiating Cue Sheet.
EVALUATOR NOTE:
EVALUATOR NOTE:
After the candidate reviews the Task Conditions /
After the candidate reviews the Task Conditions /
Initiating Cue Sheet:
Initiating Cue Sheet:
Ask if the candidate is ready to begin the JPM.
0 Ask if the candidate is ready to begin the JPM.
0    When the candidate is ready to begin the JPM inform the candidate that this is a Time Critical JPM.
When the candidate is ready to begin the JPM inform the candidate that this is a Time Critical JPM.
Record Start Time
Record Start Time Student Name:
*Critical Step                     #Critical Sequence Form NTP-QA91.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1
Standard Page 3 of 9 Eva1 Comments
*Critical Step  
#Critical Sequence Form NTP-QA91.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1  


1 PERFORMANCE CHECKLIST                                     Page 4 of 9 Appl. To/JPM No.: SRO 00.EP.001.505 Student Name:
1 PERFORMANCE CHECKLIST Page 4 of 9 Appl. To/JPM No.: SRO 00.EP.001.505 Student Name:
Step                                   Action                                         Standard                      Eva1        Comments 1    Obtains a copy of EP-PS-100.                          Sontrolled copy obtained.
Step 1
2    Identifies appropriate Tab                           Determines Tab A is appropriate Tab to classify the event.
2 3
3    Evaluates information.                               Identifies from participation as The Unit Supervisor, RPV water level dropped below -161 inches EVALUATOR CUE:
*4 5
6 Action Obtains a copy of EP-PS-100.
Identifies appropriate Tab Evaluates information.
EVALUATOR CUE:
Assistance may be necessary for some specific scenario data or sequence of events. Use your judgment on acceptable levels of cueing based on candidates request.
Assistance may be necessary for some specific scenario data or sequence of events. Use your judgment on acceptable levels of cueing based on candidates request.
*4    Choose appropriate emergency classification level. FS1 Loss or Potential loss of ANY 2 Fission Product Barriers 5      Record Time of Site Area Emergency declaration 6    Determines appropriate procedure section for the     Determines TAB D Manage the Site Area classification.                                      Emergency is the appropriate TAB.
Choose appropriate emergency classification level.
                                                                                                                    -
Record Time of Site Area Emergency declaration Determines appropriate procedure section for the classification.
*Critical Step                       #Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1
Standard Sontrolled copy obtained.
Determines Tab A is appropriate Tab to classify the event.
Identifies from participation as The Unit Supervisor, RPV water level dropped below -1 61 inches FS1 Loss or Potential loss of ANY 2 Fission Product Barriers Determines TAB D Manage the Site Area Emergency is the appropriate TAB.
Eva1 Comments
*Critical Step  
#Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1  


PERFORMANCE CHECKLIST                                 Page 5 of 9 Appl. To/JPM No.: SRO 00.EP.001.505
PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO 00.EP.001.505 Student Name:
                                                              -          Student Name:
Step 7
Step                                 Action                                         Standard                    Eva1        Comments 7      Document and communicate the Emergency               Announces to Control Room Personnel:
8 9
Classification.
10 Action Document and communicate the Emergency Classification.
If not performed earlier appoint an Emergency Plan Communicator If not performed earlier, appoint an NRC communicator.
Generate and approve an ENR form to be transmitted by the Emergency Plan Communicator.
EVALUATOR CUE:
Inform the candidate that the Control # in the next step will be CR-ILO-505 Standard Announces to Control Room Personnel:
I am assuming duties of the Emergency Director.
I am assuming duties of the Emergency Director.
Site Area Emergency Classification declared based on FS1 Loss or Potential loss of ANY 2 Fission Product Barriers Time and Date of Classification.
Site Area Emergency Classification declared based on FS1 Loss or Potential loss of ANY 2 Fission Product Barriers Time and Date of Classification.
8      If not performed earlier appoint an Emergency Plan    Appoints an Emergency Plan Communicator and Communicator                                          instruct hidher to immediately perform EP-PS-126 E Plan Communicator.
Appoints an Emergency Plan Communicator and instruct hidher to immediately perform EP-PS-126 E Plan Communicator.
9      If not performed earlier, appoint an NRC              Appoints an NRC Communicator and instruct hidher communicator.                                          to perform EP-PS-135 NRC Communicator 10      Generate and approve an ENR form to be                Refers to ENR Form under Tab 9.
Appoints an NRC Communicator and instruct hidher to perform EP-PS-135 NRC Communicator Refers to ENR Form under Tab 9.
transmitted by the Emergency Plan Communicator.
Page 5 of 9 Eva1 Comments
EVALUATOR CUE:
*Critical Step  
Inform the candidate that the Control # in the next step will be CR-ILO-505
#Critical Sequence Form NTP-QA-31.8-2, Rev. 0. Page 1 of 1 2005 NRC Exam Rev. 1  
*Critical Step                     #Critical Sequence Form NTP-QA-31.8-2, Rev. 0.Page 1 of 1 2005 NRC Exam Rev. 1


PERFORMANCE CHECKLIST                                   Page 6 of 9 Appl. To/JPM No.: SRO 00.EP.001.505 Step Student Name:
PERFORMANCE CHECKLIST Page 6 of 9 Appl. To/JPM No.: SRO 00.EP.001.505 Student Name:
                                                                                                                    -
Step 11
Eva1        Comments Action                                         Standard 11    Fill out and approve the Emergency Notification         Fills out and approves the Emergency Notification Report Form.                                             Report Form as follows:
*12 Action Fill out and approve the Emergency Notification Report Form.
EVALUATOR NOTE:
The communicator will fill out the communicator name, callback telephone number, and time notification is initiated. (Line 2 of the Emergency Notification Report Form).
Completes line 3 EVALUATOR NOTE:
Initial Declaration is not critical Standard Fills out and approves the Emergency Notification Report Form as follows:
Control # CR-ILO-505 LINE 1.
Control # CR-ILO-505 LINE 1.
Call Status:
Call Status:
Places checkmark in This is a drill box EVALUATOR NOTE:
Places checkmark in This is a drill box LINE 3.
The communicator will fill out the communicator name, callback telephone number, and time notification is initiated. (Line 2 of the Emergency Notification Report Form).
Emergency Classification:
*12    Completes line 3                                        LINE 3.
Places checkmark in Site Area Emergency box Places checkmark in Unit one box Records the Declaration time and date.
EVALUATOR NOTE:                                          Emergency Classification:
Initial Declaration is not critical                      Places checkmark in Site Area Emergency box Places checkmark in Unit one box Records the Declaration time and date.
Places a checkmark in this represents N A N initial declaration box in classification status.
Places a checkmark in this represents N A N initial declaration box in classification status.
*Critical Step                       #Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1
Eva1 Comments
*Critical Step  
#Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1  


                                                                      ;
PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO 00.EP.001.505 Step 3k13 3k14 15 Action EVALUATOR NOTE:
PERFORMANCE CHECKLIST                             Page 7 of 9 Appl. To/JPM No.: SRO 00.EP.001.505 Student Name:
Step                                 Action                                         Standard                Eva1        Comments EVALUATOR NOTE:
FS1 alone is sufficient for the Brief Non-Technical Description for the initial notification.
FS1 alone is sufficient for the Brief Non-Technical Description for the initial notification.
Candidate may paraphrase this description 3k13    Completes line 4                                     LINE 4.
Candidate may paraphrase this description Completes line 4 Completes line 5 Completes line 6 Student Name:
Standard LINE 4.
The Emergency action level (EAL) number is:
The Emergency action level (EAL) number is:
Records EAL FS1 Brief non -technical description of the event:
Records EAL FS1 Brief non -technical description of the event:
Records FSl 3k14    Completes line 5                                      LINE 5.
Records FSl LINE 5.
Places a checkmark in the NO Non-routine radiological release box 15    Completes line 6                                      LINE 6 Records Wind Direction is from: 10" Wind Speed is: 5 mph
Places a checkmark in the NO Non-routine radiological release box LINE 6 Records Wind Direction is from: 10" Wind Speed is: 5 mph Page 7 of 9 Eva1 Comments
*Critical Step                     #Critical Sequence Form NTP-OA-31.8-2,Rev. 0,Page 1 of 1 2005 NRC Exam Rev. 1
*Critical Step  
#Critical Sequence Form NTP-OA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1  


PERFORMANCE CHECKLIST                               Page 8 of 9 Appl. To/JPM No.: SRO 00.EP.001.505 Student Name:
PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO 00.EP.001.505 Step 16 jk17 18 Action Completes line 7 Approves the Emergency Notification Report Form EVALUATOR NOTE:
                                                                                                            -
Step                               Action                                           Standard              Eva1        Comments 16    Completes line 7                                   LINE 7.
 
== Conclusion:==
 
Places a checkmark in this is a drill box.
jk17    Approves the Emergency Notification Report Form     Records the following on space provided:
Approved: - HidHer name Time: - Current time Date: - Current Date EVALUATOR NOTE:
Candidate may review the filled out ENR form with the E Plan Communicator.
Candidate may review the filled out ENR form with the E Plan Communicator.
18    Give the approved ENR form to the E Plan             Provides the filled out ENR form to the E Plan Communicator.                                        Communicator.
Give the approved ENR form to the E Plan Communicator.
EVALUATOR CUE:
EVALUATOR CUE:
If necessary, Role-play the communicator and accept the filled out form.
If necessary, Role-play the communicator and accept the filled out form.
EVALUATOR CUE:
EVALUATOR CUE:
Inform the candidate the JPM is complete.
Inform the candidate the JPM is complete.
*Critical Step                    #Critical Sequence Form NTP-QA-31.8-2,Rev. 0.Page 1 of 1 2005 NRC Exam Rev. 1
Student Name:
Standard LINE 7.  


PERFORMANCE CHECKLIST        Page 9 of 9 Appl. To/JPM No.: SRO 00.EP.001.505 Student Name:
==
Step                                Action                                       Standard Eva1       Comments EVALUATOR NOTE:
Conclusion:==
The total time from the JPM start to step 5 of the JPM must be 5 15 minutes in order for the time critical portion of the JPM to be satisfactory.
Places a checkmark in this is a drill box.
*Critical Step                     #Critical Sequence Form NTP-QA-31.8-2,Rev. 0,Page 1 of 1 2005 NRC Exam Rev. 1
Records the following on space provided:
Approved: - HidHer name Time: - Current time Date: - Current Date Provides the filled out ENR form to the E Plan Communicator.
Page 8 of 9 Eva1 Comments
*Critical Step
#Critical Sequence Form NTP-QA-31.8-2, Rev. 0. Page 1 of 1 2005 NRC Exam Rev. 1
 
Appl. To/JPM No.: SRO 00.EP.001.505 Step PERFORMANCE CHECKLIST Student Name:
Action Standard Eva1 Comments EVALUATOR NOTE:
The total time from the JPM start to step 5 of the JPM must be 5 1 5 minutes in order for the time critical portion of the JPM to be satisfactory.
Page 9 of 9
*Critical Step  
#Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1  


TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario.
TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario.
Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.
Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.
INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form.
INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form.
Page 1 of 2 2005 NRC Exam Rev. 1
2005 NRC Exam Rev. 1 Page 1 of 2


TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario.
TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario.
Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.
Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.
INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form, Page 2 of 2 2005 NRC Exam Rev. 1
INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form, 2005 NRC Exam Rev. 1 Page 2 of 2


PPL SUSQUEHANNA, LLC JOB PERFORMANCE MEASURE
PPL SUSQUEHANNA, LLC JOB PERFORMANCE MEASURE APPROVAL AND ADMINISTRATIVE DATA SHEET SRO 00.EP.001.602 0
-                                    APPROVAL AND ADMINISTRATIVE DATA SHEET SRO           00.EP.001.602                 0           9/27/05             2.4.41             N/A     4.0 ADDI.
9/27/05 2.4.41 N/A 4.0 ADDI.
I ,
JPM Number Rev. No.
JPM Number                   Rev. No. Date             NUREG 1123           KIA No. KIA ImD.
Date NUREG 1123 KIA No.
To                                                                       Sys. No.
KIA ImD.
I To Sys. No.
Task
Task


==Title:==
==Title:==
Perform Emergency Plan Classification (Scenario ILO-602) and Complete the ENR form Completed By:                                               Validated:
Perform Emergency Plan Classification (Scenario ILO-602) and Complete the ENR form Completed By:
Rich Chin                               9/27/05 Writer                                   Date               InstructorMl riter                 Date Approval:
Validated:
Nuclear Trng. Supv.                           Date Time Critical 15 Minutes Date of Performance:                           Validated Time (Min.)              Time Taken (Min.)
Rich Chin 9/27/05 Writer Date I nstructorMl riter Date Approval:
Nuclear Trng. Supv.
Date of Performance:
JPM Performed By:
JPM Performed By:
Date Time Critical 15 Minutes Validated Time (Min.)
Time Taken (Min.)
Student Name:
Student Name:
Last                               First           M.I.     Employee # I S.S. #
Last First M.I.
Performance                       (       ) Satisfactory             (       ) Unsatisfactory Eva1uation:
Employee # I S.S. #
Evaluator Name:
Performance Eva1 uation:
Signature                                           Typed or Printed Comments:
(  
Form NTP-QA-31.8-1, Rev. 0, Page 1 of 2 2005 NRC Exam Rev. 1
) Satisfactory
(  
) Unsatisfactory Evaluator Name:
Signature Typed or Printed Comments:
Form NTP-QA-31.8-1, Rev. 0, Page 1 of 2 2005 NRC Exam Rev. 1  


REQUIRED TASK INFORMATION JOB PERFORMANCE MEASURE SRO 00.EP.001.602
REQUIRED TASK INFORMATION JOB PERFORMANCE MEASURE SRO 00.EP.001.602
: 1. SAFETY CONSIDERATIONS A. All Operations personnel are responsible for maintaining their radiation exposure As Low As Reasonably Achievable in accordance with OP-AD-002, Standards for Shift Operations.
: 1.
SAFETY CONSIDERATIONS A. All Operations personnel are responsible for maintaining their radiation exposure As Low As Reasonably Achievable in accordance with OP-AD-002, Standards for Shift Operations.
B. All applicable safety precautions shall be taken in accordance with established PPL safety policies and the Safety Rule Book, for example:
B. All applicable safety precautions shall be taken in accordance with established PPL safety policies and the Safety Rule Book, for example:
: 1. Whenever any electrical panel is opened for inspection during JPM performance.
: 1. Whenever any electrical panel is opened for inspection during JPM performance.
Line 1,277: Line 1,692:
C. If in the judgment of the evaluator any safety issue occurs during the performance of a JPM, the JPM will be terminated until the issue is resolved.
C. If in the judgment of the evaluator any safety issue occurs during the performance of a JPM, the JPM will be terminated until the issue is resolved.
D. Peer checking is the expectation for all evolutions; however, since a JPM is an individual effort, no peer check will be provided and Self Checking is required.
D. Peer checking is the expectation for all evolutions; however, since a JPM is an individual effort, no peer check will be provided and Self Checking is required.
II. REFERENCES A. EP-PS-100, EMERGENCY DIRECTOR CONTROL ROOM, REV. 18 B. ILO-602, SIMULATOR EVALUATION SCENARIO C. EP-PS-1OO-A D. EP-PS-1OO-D E. EP-PS-100-9 111. REACTIVITY MANIPULATIONS This JPM satisfies the following Operational Activity(s):
II. REFERENCES A.
B. ILO-602, SIMULATOR EVALUATION SCENARIO C. EP-PS-1 OO-A D. EP-PS-1 OO-D E. EP-PS-100-9 EP-PS-100, EMERGENCY DIRECTOR CONTROL ROOM, REV. 18 111. REACTIVITY MANIPULATIONS This JPM satisfies the following Operational Activity(s):
None IV. TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario. Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.
None IV. TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario. Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.
V. INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form.
V. INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form.
VI. TASK STANDARD Emergency classification of Site Area Emergency declared within 15 minutes.
VI. TASK STANDARD Emergency classification of Site Area Emergency declared within 15 minutes.
Form NTP-QA-31.8-1, Rev. 0 , Page 2 of 2 2005 NRC Exam Rev. 1
Form NTP-QA-31.8-1, Rev. 0, Page 2 of 2 2005 NRC Exam Rev. 1  


PERFORMANCE CHECKLIST         Page 3 of 9 Appl. To/JPM No.: SRO 00.EP.001.602 Student Name:
PERFORMANCE CHECKLIST Page 3 of 9 Appl. To/JPM No.: SRO 00.EP.001.602 Student Name:
Step                                   Action                                     Standard Eva1        Comments EVALUATOR NOTE:
Step Action EVALUATOR NOTE:
0   This JPM must be performed in the simulator following completion of the scenario ILO-602 as Unit Supervisor.
0 This JPM must be performed in the simulator following completion of the scenario ILO-602 as Unit Supervisor.
0    This is a time critical JPM.
This is a time critical JPM.
0    Ensure a copy of EP-PS-100 is available to support performance of this JPM.
Ensure a copy of EP-PS-100 is available to support performance of this JPM.
0 0
EVALUATOR NOTE:
EVALUATOR NOTE:
To begin this JPM, provide the candidate with the Initiating Cue Sheet.
To begin this JPM, provide the candidate with the Initiating Cue Sheet.
Line 1,293: Line 1,710:
After the candidate reviews the Task Conditions /
After the candidate reviews the Task Conditions /
Initiating Cue Sheet:
Initiating Cue Sheet:
0   Ask if the candidate is ready to begin the JPM.
0 0
0    When the candidate is ready to begin the JPM inform the candidate that this is a Time Critical JPM.
Ask if the candidate is ready to begin the JPM.
Record Start Time
When the candidate is ready to begin the JPM inform the candidate that this is a Time Critical JPM.
*Critical Step                       #Critical Sequence Form NTP-OA-31.8-2. Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1
Record Start Time Standard Eva1 Comments
*Critical Step  
#Critical Sequence Form NTP-OA-31.8-2. Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1  


i PERFORMANCE CHECKLIST                                     Page 4 of 9 Appl. To/JPM No.: SRO 00.EP.001.602 Student Name:
i PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO 00.EP.001.602 Step 1
Step                                  Action                                       Standard                      Eva1        Comments 1    Obtains a copy of EP-PS-100.                        Controlled copy obtained.
2 3
2    Identifies appropriate Tab                           Determines Tab A is appropriate Tab to classify the event.
*4 Action Obtains a copy of EP-PS-100.
3    Evaluates information.                               Identifies from participation as The Unit Supervisor, ATWS and RPV water level dropped below -161 inches EVALUATOR CUE:
Identifies appropriate Tab Evaluates information.
EVALUATOR CUE:
Assistance may be necessary for some specific scenario data or sequence of events. Use your judgment on acceptable levels of cueing based on candidates request.
Assistance may be necessary for some specific scenario data or sequence of events. Use your judgment on acceptable levels of cueing based on candidates request.
*4    Choose appropriate emergency classification level. MS3 ATWS and ARI fail to reduce power to less than 5%
Choose appropriate emergency classification level.
OR FS Loss or Potential loss of ANY 2 Fission Product Barriers
Student Name:
                                                                                                                  -      c
Standard Controlled copy obtained.
*Critical Step                       #Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1
Determines Tab A is appropriate Tab to classify the event.
Identifies from participation as The Unit Supervisor, ATWS and RPV water level dropped below -1 61 inches MS3 ATWS and ARI fail to reduce power to less than 5%
OR FS Loss or Potential loss of ANY 2 Fission Product Barriers Page 4 of 9 Eva1 Comments c  
*Critical Step  
#Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1  


PERFORMANCE CHECKLIST
(
(
PERFORMANCE CHECKLIST                                  Page 5 of 9 Appl. To/JPM No.: SRO 00.EP.001.602 Step Student Name:
Page 5 of 9 Appl. To/JPM No.: SRO 00.EP.001.602 Student Name:
                                                                                                                -
Step 5
Eva1        Comments Action                                       Standard 5    Record Time of Site Area Emergency declaration 6    Determines appropriate procedure section for the     Determines TAB D Manage the Site Area classification.                                      Emergency is the appropriate TAB.
6 7
7    Document and communicate the Emergency              Announces to Control Room Personnel:
8 9
Classification.                                      I am assuming duties of the Emergency Director.
Action Record Time of Site Area Emergency declaration Determines appropriate procedure section for the classification.
Document and communicate the Emergency Classification.
If not performed earlier appoint an Emergency Plan Communicator If not performed earlier, appoint an NRC com mu n icato r.
Standard Determines TAB D Manage the Site Area Emergency is the appropriate TAB.
Announces to Control Room Personnel:
I am assuming duties of the Emergency Director.
Site Area Emergency Classification declared based on MS3 ATWS and ARI fail to reduce power to less than 5%
Site Area Emergency Classification declared based on MS3 ATWS and ARI fail to reduce power to less than 5%
OR FS1 Loss or Potential loss of ANY 2 Fission Product Barriers Time and Date of Classification.
FS1 Loss or Potential loss of ANY 2 Fission Product Barriers Time and Date of Classification.
8      If not performed earlier appoint an Emergency Plan  Appoints an Emergency Plan Communicator and Communicator                                          instruct hidher to immediately perform EP-PS-126 E Plan Communicator.
OR Appoints an Emergency Plan Communicator and instruct hidher to immediately perform EP-PS-126 E Plan Communicator.
9      If not performed earlier, appoint an NRC            Appoints an NRC Communicator and instruct hidher communicator.                                        to perform EP-PS-135 NRC Communicator
Appoints an NRC Communicator and instruct hidher to perform EP-PS-135 NRC Communicator Eva1 Comments
*Critical Step                       #Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1
*Critical Step  
#Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1  


PERFORMANCE CHECKLIST                                 Page 6 of 9 Appl. To/JPM No.: SRO 00.EP.001.602
PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO 00.EP.001.602 Student Name:
-                                                                            Student Name:
Step 10 11 Action Generate and approve an ENR form to be transmitted by the Emergency Plan Communicator.
                                                                                                                  -
Step                                   Action                                         Standard                    Eva1        Comments 10    Generate and approve an ENR form to be                 Refers to ENR Form under Tab 9.
transmitted by the Emergency Plan Communicator.
EVALUATOR CUE:
EVALUATOR CUE:
Inform the candidate that the Control # in the next step will be CR-ILO-602 11    Fill out and approve the Emergency Notification         Fills out and approves the Emergency Notification Report Form.                                             Report Form as follows:
Inform the candidate that the Control # in the next step will be CR-ILO-602 Fill out and approve the Emergency Notification Report Form.
EVALUATOR NOTE:
The communicator will fill out the communicator name, callback telephone number, and time notification is initiated. (Line 2 of the Emergency Notification Report Form).
Standard Refers to ENR Form under Tab 9.
Fills out and approves the Emergency Notification Report Form as follows:
Control # CR-ILO-602 LINE 1.
Control # CR-ILO-602 LINE 1.
Call Status:
Call Status:
Places checkmark in This is a drill box EVALUATOR NOTE:
Places checkmark in This is a drill box Page 6 of 9 Eva1 Comments
The communicator will fill out the communicator name, callback telephone number, and time notification is initiated. (Line 2 of the Emergency Notification Report Form).
*Critical Step  
*Critical Step                       #Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1
#Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1  


i PERFORMANCE CHECKLIST                                 Page 7 of 9 Appl. To/JPM No.: SRO 00.EP.001.602 Student Name:
i PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO 00.EP.001.602 Step  
Step                                   Action                                          Standard                    Eva1        Comments
*12  
*12     Completes line 3                                         LINE 3.
*13 Action Completes line 3 EVALUATOR NOTE:
EVALUATOR NOTE:                                          Emergency Classification:
Initial Declaration is not critical EVALUATOR NOTE:
Initial Declaration is not critical                     Places checkmark in Site Area Emergency box Places checkmark in Unit one box Records the Declaration time and date.
MS3 or FS1 alone is sufficient for the Brief Non-Technical Description for the initial notification.
Candidate may paraphrase this description Completes line 4 Student Name:
Standard LINE 3.
Emergency Classification:
Places checkmark in Site Area Emergency box Places checkmark in Unit one box Records the Declaration time and date.
Places a checkmark in this represents NAN initial declaration box in classification status.
Places a checkmark in this represents NAN initial declaration box in classification status.
EVALUATOR NOTE:
LINE 4.
MS3 or FS1 alone is sufficient for the Brief Non-Technical Description for the initial notification.
Candidate may paraphrase this description
*13    Completes line 4                                        LINE 4.
The Emergency action level (EAL) number is:
The Emergency action level (EAL) number is:
Records EAL MS 3 or FS1 Brief non -technical description of the event:
Records EAL MS 3 or FS1 Brief non -technical description of the event:
Records MS 3 or FS1
Records MS 3 or FS1 Page 7 of 9 Eva1 Comments
                                                                                                                  -
*Critical Step  
*Critical Step                       #Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1
#Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1  


PERFORMANCE CHECKLIST                           Page 8 of 9 Appl. To/JPM No.:   SRO 00.EP.001.602
PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO 00.EP.001.602 Step
-
+k14 15 16
Step
+k17
                                  ~
~
Action
~
Completes line 5 Completes line 6 Completes line 7 Approves the Emergency Notification Report Form EVALUATOR NOTE:
Candidate may review the filled out ENR form with the E Plan Communicator.
Student Name:
Student Name:
Standard                         Comments Action
Standard LINE 5.
            ~
Places a checkmark in the NO Non-routine radiological release box LINE 6 Records Wind Direction is from: 10" Wind Speed is: 5 mph LINE 7.  
+k14    Completes line 5                                    LINE 5.
Places a checkmark in the NO Non-routine radiological release box 15    Completes line 6                                    LINE 6 Records Wind Direction is from: 10" Wind Speed is: 5 mph 16    Completes line 7                                    LINE 7.
 
== Conclusion:==


==
Conclusion:==
Places a checkmark in this is a drill box.
Places a checkmark in this is a drill box.
+k17    Approves the Emergency Notification Report Form      Records the following on space provided:
Records the following on space provided:
Approved: - HidHer name Time: - Current time Date: - Current Date EVALUATOR NOTE:
Approved: - HidHer name Time: - Current time Date: - Current Date Page 8 of 9 Comments
Candidate may review the filled out ENR form with the E Plan Communicator.
*Critical Step  
*Critical Step                     #Critical Sequence Form NTP-QA-31.8-2,Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1
#Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1  


PERFORMANCE CHECKLIST                               Page 9 of 9 Appl. To/JPM No.: SRO 00.EP.001.602 Student Name:
PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO 00.EP.001.602 Step 18 Action Give the approved ENR form to the E Plan Communicator.
Step                                   Action                                           Standard              Eva1        Comments 18    Give the approved ENR form to the E Plan                 Provides the filled out ENR form to the E Plan Communicator.                                          Communicator.
EVALUATORC If necessary, Role-play the communicator and accept the filled out form.
EVALUATORC If necessary, Role-play the communicator and accept the filled out form.
EVALUATOR CUE:
EVALUATOR CUE:
Line 1,376: Line 1,810:
EVALUATOR NOTE:
EVALUATOR NOTE:
If RPV water level drops below -205 inches the EAL will escalate to a General Emergency under MG3, and the ENR form will also reflect AN airborne NON routine radiological release based on loss of the Fuel clad barrier.
If RPV water level drops below -205 inches the EAL will escalate to a General Emergency under MG3, and the ENR form will also reflect AN airborne NON routine radiological release based on loss of the Fuel clad barrier.
                                                                                                                -
Student Name:
*Critical Step                       #Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1
Standard Provides the filled out ENR form to the E Plan Communicator.
Page 9 of 9 Eva1 Comments
*Critical Step  
#Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1  


TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario.
TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario.
Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.
Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.
INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form.
INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form.
Page 1 of 2 2005 NRC Exam Rev. 1
2005 NRC Exam Rev. 1 Page 1 of 2


TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario.
TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario.
Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.
Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.
INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form.
INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form.
Page 2 of 2 2005 NRC Exam Rev. 1}}
2005 NRC Exam Rev. 1 Page 2 of 2}}

Latest revision as of 13:27, 15 January 2025

Draft - Section a Operation Exam (Folder 2A)
ML053210417
Person / Time
Site: Susquehanna  Talen Energy icon.png
Issue date: 08/19/2005
From: Roush K
Susquehanna
To: Todd Fish
Operations Branch I
Conte R
References
Download: ML053210417 (124)


Text

PPL SUSQUEHANNA, LLC JOB PERFORMANCE MEASURE APPROVAL AND ADMINISTRATIVE DATA SHEET SIR0 78.AD.001.101 0

09/26/05 2.1.18 N/A 2.913.0 JPM Number Rev. No.

Date NUREG 1123 WA No.

WA Imp.

To Sys. No.

APPl.

Task

Title:

Completed By:

Validated Document a Failed LPRM Detector Rich Chin 09/26/05 Writer Date lnst ructorNV riter Date Approval:

Nuclear Trng. Supv.

Date of Performance:

Date 15/25 Validation Time (Min.)

Time Taken (Min.)

JPM Performed By:

Student Name:

Last First M.I.

Employee ## / S.S. #

Performance

(

)

Satisfactory

(

)

Unsatisfactory Evaluation:

Evaluator Name:

Signature Typed or Printed Comments:

Funn NTP-QA-31 8-1. Rev 0. Pagc 1 of 2 2005 NRC Exam Rev.1

REQUIRED TASK INFORMATION JOB PERFORMANCE MEASURE S/RO 78.AD.001.101

1.

SAFETY CONSIDERATIONS A. All Operations personnel are responsible for maintaining their radiation exposure As Low As Reasonably Achievable in accordance with OP-AD-002, Standards for Shift Operations.

B. All applicable safety precautions shall be taken in accordance with established PPL safety policies and the Safety Rule Book, for example:

1. Whenever any electrical panel is opened for inspection during JPM performance.
2. Whenever entering any plant area where specific safety equipment; such as hearing or eye protection, safety shoes, hardhats, etc; is required and/or posted as being necessary.

C. If in the judgment of the evaluator any safety issue occurs during the performance of a JPM, the JPM will be terminated until the issue is resolved.

D. Peer checking is the expectation for all evolutions; however, since a JPM is an individual effort, no peer check will be provided and Self Checking is required.

II. REFERENCES A. 01-078-001 LPRM STATUS CONTROL, (Rev. 8)

B. TS amendment 217 I II. REACTIVITY MAN1 PU LATIONS This JPM satisfies the requirements of Operational Activity(s):

None IV. TASK CONDITIONS A. Unit 1 is in MODE 1at 80% power.

B. Reactor Engineering has completed their evaluation of a downscale alarm condition for LPRM detector 48-1 78. LPRM detector 48-1 78 is failed C. The PCOP has just NOW bypassed LPRM detector 48-178 in the lower relay room.

D. All OPRM channels are INOPERABLE V. INITIATING CUE Complete all required hardcopy documentation in accordance with the appropriate instructions for LPRM detector 48-1 78.

VI. TASK STANDARD Zone 4 is identified as not having more than 50% upscale alarms operable, placard place on reactor panel, Unit Supervisor Notified to reference TRO 3.3.9, SROs must additionally identify required TRO actions.

hmn KIP-QA-31.8-1. Rev. 0. Page 2 of 2 2005 NRC Exam Rev. 1

Appl. To/JPM No.: S/RO 78.AD.001.lo1 Step j

PERFORMANCE CHECKLIST Action EVALUATOR NOTE:

Ensure the following material is available to support performance of this JPM:

A COPY of 01-078-001.

0 Prepare attachments A & B with zone 4 having exactly 50% operable LPRM upscale alarms.

Blank copy of attachment A & 6.

0 EVALUATOR NOTE:

To begin this JPM, provide the candidate with the Task Conditions and Initiating Cue Sheet.

Obtains a controlled copy of procedure.

Refers to correct section.

  • Critical Step
  1. Critical Sequence Student Name:

Standard Controlled copy of 01-078-001 obtained.

Refers to section 4.

Page 3 of 8 Comments Fonn NTP-QA-31.8-2. Rev. 0. Pqc I of I 2005 NRC Exam Rev.1

Appl. To/JPM No.: S/RO 78.AD.001.101 Step PERFORMANCE CHECKLIST Action Determines current LPRM status.

EVALUATOR CUE:

When the candidate identifies where the current LPRM Upscale Alarm Status Control Log is retained provide the candidate with previously filled-out copy of Attachments A & B.

EVALUATOR NOTE:

Allow candidate to use blank attachments from the copy of the procedure provided.

Obtains a blank copy of Attachment A & B.

Completes new Attachment A.

  • Critical Step
  1. Critical Sequence Student Name:

Standard Obtains the Operations Special Log Book in the Unit 1 control room and locates the previously completed copy of Attachment A & B.

Blank copy obtained.

Enters 1 for Unit.

Eva1 Page 4 of 8 Comments Form NTP-QA-31.8-2. Rev. 0, Page I of I 2005 NRC Exam Rev.1

Appl. To/JPM No.: S/RO 78.AD.001.101 PERFORMANCE CHECKLIST Action EVALUATOR CUE:

If candidate elects to verify position of switches in lower relay room, provide the cue that the switches are in the positions indicated on Attachment A (Special log book)

Enter a check (d) in column (2) for LPRM alarms determined inoperable or bypassed for all other reasons.

Consider all LPRM Upscale Alarms with a check in column (1) or (2) of Attachment A as inoperable Determine if 250% of LPRM Upscale alarms in each zone are operable.

Notify Reactor Engineering of all LPRM upscale alarms determined inoperable.

  • Critical Step
  1. Critical Sequence Student Name:

Standard Transfers the previous LPRM data to the new Attachment A.

OR Candidate may desire to verify switches in lower relay room.

Place a checkmark in column 2 adjacent to LPRM detector 48-1 7B in Zone 4.

Circles YES for zone 1, 2, 3, 5, 6, 7, 8, and 9.

Circles NO for zone 4.

N/A Previously noted in JPM cue.

Eva1

/

Page 5 of 8 Comments Fotm NTP-QA-31.8-2. Rev. 0. Page I of I 2005 NRC Exam Rev.1

I Appl. To/JPM No.: S/RO 78.AD.001.101 Step

  • 10
  • 11 12 13 14 15 PERFORMANCE CHECKLIST Action Attach placard to 1 C651 indicating < required #

of LPRM Upscale Alarms.

EVALUATOR NOTE:

The placard is required to remain posted until all zones have 930% upscale alarms operable.

Refer to TRO 3.3.9 LPRM, upscale alarm instrumentation Complete an LPRM vs. APRWLPRM Group Status Control Log (Attachment B) each time LPRM operability status is changed Circle all inoperable LPRMs on LPRM vs.

APRWLPRM Group Status Control Log (Attachment B).

Obtains review.

  • Critical Step
  1. Critical Sequence Student Name:

Standard Attaches placard to operating panel 1 C651.

Notifies the Unit Supervisor to Refer to TRO 3.3.9 LPRM Enters 1 for Unit.

Transfers the previous LPRM data to the new Attachment B.

Circles LPRM detector 48-1 7 for APRM E, under the column 6 Level.

Submit the completed Attachment A and 8 to the Unit Supervisor.

Eva1 i

Page 6 of 8 Comments Form NTP-QA-31.8-2. Rev. 0. Page I of I 2005 NRC Exam Rw.1

Appl. To/JPM No.: S/RO 78.AD.001.101 Step 16

  • 17 1

PERFORMANCE CHECKLIST Action EVALUATOR CUE:

This completes the JPM for the ROs ONLY EVALUATOR CUE:

FOR SRO CANDIDATES ONLY Give the SRO candidate the second cue sheet that addresses the Tech Spec and TRO for the INOPERABLE LPRMs Upscale alarms.

Obtains a copy of the Tech Specs and TRM Determines required actions

  • Critical Step
  1. Critical Sequence Student Name:

Standard

References:

TRO 3.3.9 Determines the following actions are required:

TRO 3.3.9 condition H Within 1 hour1.157407e-5 days <br />2.777778e-4 hours <br />1.653439e-6 weeks <br />3.805e-7 months <br /> Post a sign on the reactor panel that less than 50% of the LPRM Upscale alarms are OPERABLE AND TRO 3.3.9 Condition E Immediately Place the reactor mode switch in the shutdown position Eva1 Page 7 of 8 Comments h,rm NIT-QA-31.8-2. Rev. 0. Page I of 1 2005 NRC Exam Rev.1

00 0

00 a,

rn a

+

a

TASK CONDITIONS A.

8.

C.

D.

Unit 1 is in MODE lat 80% power.

Reactor Engineering has completed their evaluation of a downscale alarm condition for LPRM detector 48-1 78. LPRM detector 48-1 78 is failed The PCOP has just NOW bypassed LPRM detector 48-178 in the lower relay room.

All OPRM channels are INOPERABLE INITIATING CUE Complete all required hardcopy documentation in accordance with the appropriate instruction for LPRM detector 48-1 78.

2005 NRC Exam Rev.1 Page 1 of 4

TASK CONDITIONS A.

Unit 1 is in MODE lat 80% power.

B.

Reactor Engineering has completed their evaluation of a downscale alarm condition for LPRM detector 48-1 78. LPRM detector 48-1 78 is failed C. The PCOP has just NOW bypassed LPRM detector 48-1 78 in the lower relay room.

D. All OPRM channels are INOPERABLE INITIATING CUE Complete all required hardcopy documentation in accordance with the appropriate instruction for LPRM detector 48-1 78.

2005 NRC Exam Rev.1 Page 2 of 4

SRO ONLY TASK CONDITIONS A. Unit 1 is in MODE lat 80% power.

B. Reactor Engineering has completed evaluation of a downscale alarm condition for LPRM detector 48-1 78.

C. LPRM detector 48-1 76 is failed and bypassed.

D. All OPRM channels are INOPERABLE E. It has been determined that < 50% of LPRM Upscale alarms in zone 4 are operable.

F. The combination of thermal power and core flow is IN Region I1 of the power to Flow Map.

INITIATING CUE Determine the required Tech Spec and TRO actions.

2005 NRC Exam Rev.1 Page 3 of 4

SRO ONLY TASK CONDITIONS A. Unit 1 is in MODE lat 80% power.

B. Reactor Engineering has completed evaluation of a downscale alarm condition for LPRM detector 48-1 78.

C. LPRM detector 48-1 78 is failed and bypassed.

D. All OPRM channels are INOPERABLE E. It has been determined that e 50% of LPRM Upscale alarms in zone 4 are operable.

F. The combination of thermal power and core flow is IN Region II of the power to Flow Map.

INITIATING CUE Determine the required Tech Spec and TRO actions.

2005 NRC Exam Rev.1 Page 4 of 4

PPL SUSQUEHANNA, LLC JOB PERFORMANCE MEASURE 1

APPROVAL AND ADMINISTRATIVE DATA SHEET SRO 00.AD.273.002 0

09/26/05 2.1.12 N/A 4.0 APPl.

JPM Number Rev. No.

Date NUREG 1123 WA No.

WA Imp.

To Sys. No.

Task

Title:

Determine TRO applicability and complete the LCORRO log sheet.

Completed By:

Rich Chin Writer A pp rova I :

Nuclear Trng. Supv.

Date of Performance:

JPM Performed By:

Validated 09/26/05 Date InstructorNVriter Date Date 15 Validated Time (Min.)

Time Taken (Min.)

Student Name:

Last First M.I.

Employee # / S.S. #

Performance Evaluation:

(

)

Satisfactory

(

) Unsatisfactory Evaluator Name:

Signature Typed or Printed Comments:

Form NTP-QA-31.8-1. Rev. 0. Page 1 01 2 2M)S NRC Exam Rev. 1

I.

II.

111.

IV.

V.

REQUIRED TASK INFORMATION JOB PERFORMANCE MEASURE SRO 00.AD.273.002 SAFETY CONSIDERATIONS A. All Operations personnel are responsible for maintaining their radiation exposure As Low As Reasonably Achievable in accordance with OP-AD-002, Standards for Shift Operations.

B. All applicable safety precautions shall be taken in accordance with established PPL safety policies and the Safety Rule Book, for example:

1. Whenever any electrical panel is opened for inspection during JPM performance.
2. Whenever entering any plant area where specific safety equipment; such as hearing or eye protection, safety shoes, hardhats, etc; is required and/or posted as being necessary.

C. If in the judgement of the evaluator any safety issue occurs during the performance of a JPM, the JPM will be terminated until the issue is resolved.

D. Peer checking is the expectation for all evolutions; however, since a JPM is an individual effort, no peer check will be provided and Self Checking is required.

REFERENCES NDAP-QA-0312, CONTROLS OF LCOS, TROS AND SAFETY FUNCTION DETERMINATION PROGRAM (Revision 8)

Tech Specs REACTIVITY MANIPULATIONS This JPM satisfies the requirements of Operational Activity(s):

NONE TASK CONDITIONS A. Unit 1 is in Mode 1 at 100% power.

6. B RPS Bus De-energized 30 minutes ago due to a voltage regulator failure in the MG set.

C. B RPS has been transferred to the alternate power supply IAW ON-1 58-001, LOSS OF RPS attachment 6.

D. At step 9 of ON-1 58-001, LOSS OF RPS attachment 6, a problem was encountered. NONE of the CRM AIR SAMPLE IS0 LOOP valves (HS-15711 OAl, A2, B1, 82) could be OPENED. All other steps of the attachment were completed successfully.

E. Electrical maintenance was dispatched to determine the problem with the CRM AIR SAMPLE IS0 LOOP valves. Electrical maintenance has determined the cause to be a failure of the MDR relay.

F. AR-146-AO2 CONTN RAD DET SYSTEM A TROUBLE alarm is locked in.

G. AR-146-AO5 CONTN RAD DET SYSTEM B TROUBLE alarm is locked in.

H. No Tech Spec actions, TRO actions or Loss of safety function worksheets are in effect at either Unit.

INITIATING CUE Based on these plant conditions, IAW with the appropriate procedure, determine the required Tech Spec/TRM actions, and complete the necessary tracking forms.

VI. TASK STANDARD Entry into LCO 3.4.6 declared with LCO/TRO log and Operations portion of Chemistry/Health Physics LCO/TRO Sample /Survey Log sheet filled-out, and Chemistry notified.

Form NTP-QA-31.8-1, Rev. 0, Page 2 d 2 2005 NRC Exam Rev. 1

PERFORMANCE CHECKLIST Appl. To/JPM No.: 00.AD.273.002 Step 1

2 3

Action EVALUATOR NOTE:

Due to the nature of this JPM, the candidate may refer to several procedures before determining CRM A & B are both INOPERABLE and LCO 3.4.6 entry is required. Allow candidate to use the forms from the copy of NDAP-QA-0312 that is provided with this JPM.

Obtain a controlled copy of NDAP-QA-0312, CONTROLS OF LCOS, TROS AND SAFETY FUNCTION DETERMINATION PROGRAM Selects the correct section to perform.

Review applicable TS LCO and Bases or TRM TRO and Bases.

EVALUATOR NOTE:

Placing Unit 1 in either of the appropriate blocks in the next 2 steps will satisfy the Critical I portion for BOTH steps.

Student Name:

Standard Controlled copy obtained.

Selects section 6.3 Reviews TS LCO and Bases and TRM TRO and Bases.

Determines LCO 3.4.6 is applicable.

Page 3 of 9 Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2. Rev. 0. Page 1 01 1 2005 NRC Exam Rev.1

Appl. To/JPM No.: 00.AD.273.002 Step

  • 4 t 5 6

t 7 t 8 9

PERFORMANCE CHECKLIST Page 4 of 9 Action In accordance with the applicable TS/TRM, complete a LCO/TRO log sheet (Form NDAP-QA-0312-1) as follows:

Enter the applicable unit for which the log sheet is being completed.

Enter the unit containing the inoperable equipment.

Enter the system number.

Circle or enter whether the Action is an LCO or TRO and enter the specification number.

Enter the applicable MODES.

EVALUATOR NOTE:

Candidate may choose to place references in the reference document section, however this is not required.

Enter the reference documents, if applicable. The Reference Documents section may also be used to provide clarifying information for the reason the LCO/TRO is being entered.

Student Name:

Standard Fills out a copy of Attachment C of NDAP-QA-0312 (Form Records a 1 in the space provided to designate Unit 1 NDAP-QA-0312-1)

Records a 1 in the space provided to designate Unit 1 Records a 79 in the space provided.

Circles or records LCO Then records 3.4.6.

Records 1,2,3.

Determines NO reference documents are applicable.

Eva1 Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2, Rev. 0. Page 1 01 1 2005 NRC Exam Rev.1

PERFORMANCE CHECKLIST Page 5 of 9 Appl. To/JPM No.: 00.AD.273.002 Step

  • lo
  • 11 Action Reviewhevise all active LOSF worksheets based on the above inoperable equipment.

Determine if LCO 3.0.6 has been applied for any other system on both Units 1 and 2.

EVALUATOR NOTE:

The next 4 steps of this JPM will require 2 separate line item entries on Attachment C of NDAP-QA-0312.

One for action B.l, and one for 8.2.

See attached answer key for specifics of this form should be completed.

Student Name:

Standard Determines from initial conditions that No Tech Spec actions, TRO actions or Loss of safety function worksheets are in affect at either Unit and Records N/A in the space provided Determines from initial conditions that No Tech Spec actions, TRO actions or Loss of safety function worksheets are in affect at either Unit and Records an X in the Is this a Safety Function Determination support system? NO space provided AND Records an X in the If YES, is TS 3.0.6 to be applied? NA space provided.

Eva1 Comments

  • Critical Step
  1. Critical Sequence F o n NTP-QA-31.8-2. Rev. 0. Page 1 01 1 2005 NRC Exam Rev 1

Appl. To/JPM No.: 00.AD.273.002 i

PERFORMANCE CHECKLIST Page 6 of 9 Action Enter the Date and Time that the CONDITION was entered.

Enter the reason for CONDITION and the appropriate REQUIRED ACTION. The REQUIRED ACTION should be listed by number and include a brief noun description.

Enter the Date and Time by when the REQUIRED ACTION must be completed.

Initial that the CONDITION has been entered.

  • Critical Step
  1. Critical Sequence Student Name:

Standard Records B in CONDITION block for both line items Records date and time for each of the actions in the space provided.

Records all of the following Required Primary Containment Atmospheric Monitoring System INOPERABLE B.l Analyze grab samples of primary containment atmosphere AND 8.2 Restore required Primary Containment Atmospheric Monitoring System to OPERABLE status In the spaces provided Records:

Once per 12 hours1.388889e-4 days <br />0.00333 hours <br />1.984127e-5 weeks <br />4.566e-6 months <br /> B.l Within 30 days for item 8.2 Records candidate initials in the spaces provided Comments Form NTP-QA-31.82, Rev. 0. Paw 1 of 1 2005 NRC Exam Rev.1

I PERFORMANCE CHECKLIST Appl. To/JPM No.: 00.AD.273.002 Step 16 17 Action Have another SRO Peer Check the LCORRO entry and also initial in the "Entered By" box.

EVALUATOR CUE:

Role-play the second SRO and inform the candidate that you have Peer Checked the LCO/TRO entry, and they can assume that you have initialed the "Entered By" box.

If required, additional CONDITION(S) can be entered within the same LCORRO as follows:

If the REQUIRED ACTION requires a repetitive action (ex; perform action once every 8 hours9.259259e-5 days <br />0.00222 hours <br />1.322751e-5 weeks <br />3.044e-6 months <br />);

COMPLETE Form NDAP-QA-0312-5 "LCO/TRO Repetitive Required Action Completion Sheet" and attach to the LCORRO log sheet EVALUATOR NOTE:

It is not necessary to initiate a Chemistry/Health Physics LCORRO Sample/Survey Log if the LCO is expected to be cleared prior to the first required action/sample. However, caution must be used to ensure the sample/survey is not missed in the event the LCO is not cleared in a timely manner.

Student Name:

Standard Asks another SRO to Peer Check the LCO/TRO entry and initial in the "Entered By" box.

Determines:

Form NDAP-QA-0312-5 "LCO/TRO Repetitive Required Action Completion Sheet" IS NOT REQUIRED.

Page 7 of 9 Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2. Rev. 0. Page 1 of 1 2005 NRC Exam Rev.1

Appl. To/JPM No.: 00.AD.273.002 Step 18

  • 19
  • 20 PERFORMANCE CHECKLIST Page 8 of 9 Action If the LCO/TRO Condition requires Chemistry or Health Physics to sample or perform a survey, Shift Supervision shall initiate a Chemistry/Health Physics LCO/TRO Sample/Survey Log (FORM NDAP-QA-0312-3) by:

Completing the top section of FORM NDAP-QA-0312-3.

Notifying Chemistry/Health Physics to pick up the log sheet in the Control Room.

EVALUATOR CUE:

Role-play Chemistry and acknowledge the report.

Student Name:

Standard Determines:

Chemistry/Health Physics LCO/TRO Sample/Survey Log (FORM IS REQUIRED NDAP-QA-0312-3)

Places the following information on top section of FORM NDAP-QA-0312-3.

UNIT 1 The LCO/TRO for operation of the BOTH Primary Containment Atmospheric Monitoring System INOPERABLE Commenced at LCO entry time TS LCO 3.4.6 Action B.l Sample/Survey within Once per hours 2

Contacts Chemistry to pick up the log sheet in the Control Room.

Eva1 Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2, Rev. 0. Page 1 of 1 2005 NRC Exam Rev.1

PERFORMANCE CHECKLIST Step Appl. To/JPM No.: 00.AD.273.002 Student Name:

Action Standard Eva1 Comments EVALUATOR CUE:

That completes this JPM Page 9 of 9

  • Critical Step
  1. Critical Sequence Form NTP-OA-31.8-2. Rev. 0. Page 1 of 1 2005 NRC Exam Rev.1

ANSWER KEY DO NOT GIVE TO CANDIDATES UNIT 1

SYSTEM MODE 79 1,293 Reviewhevise all active LOSF worksheets based on the above inoperable equipment.

Is this a Safety Function Determination support system?

If YES, is TS 3.0.6 to be applied?

YES c] NO 0 NA If YES, perform a LOSF Determination using the Safety Function Determination Work Sheet. If NO, cascade LCOs.

Review Complete N/A YES 0 NO Reference Documents Date/

Time t Entered ChedHP REASON AND REQUIRED ACTION Required Primary Containment Atmospheric Monitoring System INOPERABLE 6.1 Analyze grab samples of primary containment atmosphere AND Completion Date/Time Once per 12 hours1.388889e-4 days <br />0.00333 hours <br />1.984127e-5 weeks <br />4.566e-6 months <br /> LCO/TRO CONDITION Entered Datemime Cleared By Entered candidate initials 6

Todays date and time I

I B

Todays date and time I

6.2 Restore required Primary Containment Atmospheric Monitoring System to OPERABLE status LCO/TRO CONDITION Cleared Within 30 days candidate initials Reviewed OPS Supv-Nuc:

I

.CO Cleared I

LCO Entered 2005 NRC Exam Rev 1

ANSWER KEY DO NOT GIVE TO TSnR LCO 3.4.6 CANDIDATES ACTION WITHIN COMPLETED WITHIN B.l Once per 12 hours1.388889e-4 days <br />0.00333 hours <br />1.984127e-5 weeks <br />4.566e-6 months <br /> Unit 1

1 CHEMISTRY/HEALTH PHYSICS LCO/TRO SAMPLWSURVEY LOG I

T h m R O for operation of the BOTH Primary Containment Atmospheric Monitoring System INOPERABLE commenced at LCO

/ Today

. Chemistry samples/Health Physics surveys shall be taken per:

entry time 1

I SAMPLWSURVEY I

ANALYSIS I

Report chemistry analysis results to Shift Supervision.

HEALTH PHYSICS The Desk Foreman - Health Physics or the HP Shift Lead Technicians shall notify the HP Duty Foreman immediately following receipt of this log.

Shift Supervision CHEMISTRY FIRST SAMPLE DUE DATWIME FIRST ANALYSIS COMPLETION DUE DATEnlME

--OR--

LCO/TRO cleared at BY Daterrime Shift Supervision Copy sent to Chemistry/HP Foreman.

Technician COMPLETED FORMS SHALL BE INCLUDED WITH THE LCOfiRO LOG SHEET FOR THE SAMPLING LCOTTRO.

Page 1 of 2005 NRC Exam Rev. 1

~~~~

TASK CONDITIONS A.

6.

C.

D.

E.

F.

G.

H.

Unit 1 is in Mode 1 at 100% power.

B, RPS Bus De-energized 30 minutes ago due to a voltage regulator failure in the MG set.

B RPS has been transferred to the alternate power supply IAW ON-158-001, LOSS OF RPS attachment 6.

At step 9 of ON-158-001, LOSS OF RPS attachment 6, a problem was encountered. NONE of the CRM AIR SAMPLE IS0 LOOP valves (HS-157110A1, A2, B1, 62) could be OPENED.

All other steps of the attachment were completed successfully.

Electrical maintenance was dispatched to determine the problem with the CRM AIR SAMPLE IS0 LOOP valves. Electrical maintenance has determined the cause to be a failure of the MDR relay.

AR-146-AO2 CONTN RAD DET SYSTEM A TROUBLE alarm is locked in.

AR-146-AO5 CONTN RAD DET SYSTEM 6 TROUBLE alarm is locked in.

No Tech Spec actions, TRO actions or Loss of safety function worksheets are in effect at either Unit.

INITIATING CUE Based on these plant conditions, IAW with the appropriate procedure, determine the required Tech Spec/TRM actions, and complete the necessary tracking forms.

2005 NRC Exam Rev. 1 1 of2

TASK CONDITIONS A.

B.

C.

D.

E.

F.

G.

H.

Unit 1 is in Mode 1 at 100% power.

B RPS Bus De-energized 30 minutes ago due to a voltage regulator failure in the MG set.

B RPS has been transferred to the alternate power supply IAW ON-158-001, LOSS OF RPS attachment B.

At step 9 of ON-158-001, LOSS OF RPS attachment B, a problem was encountered. NONE of the CRM AIR SAMPLE IS0 LOOP valves (HS-157110A1, A2, B1, 82) could be OPENED.

All other steps of the attachment were completed successfully.

Electrical maintenance was dispatched to determine the problem with the CRM AIR SAMPLE IS0 LOOP valves. Electrical maintenance has determined the cause to be a failure of the MDR relay.

AR-146-AO2 CONTN RAD DET SYSTEM A TROUBLE alarm is locked in.

AR-146-AO5 CONTN RAD DET SYSTEM B TROUBLE alarm is locked in.

No Tech Spec actions, TRO actions or Loss of safety function worksheets are in effect at either Unit.

INITIATING CUE Based on these plant conditions, IAW with the appropriate procedure, determine the required Tech Spec/TRM actions, and complete the necessary tracking forms.

2005 NRC Exam Rev. 1 2 of 2

PPL SUSQUEHANNA, LLC JOB PERFORMANCE MEASURE APPROVAL AND ADMINISTRATIVE DATA SHEET SIR0 45.0N.007101 1

09/26/05 2.1.25 N/A 2.813.1 APPl-JPM Number Rev.

Date NUREG 1123 WA No.

WA Imp.

To No.

Sys. No.

Task

Title:

Determine Cause for Reactor Water Level Indication Anomalylldentify required Tech Spec Actions Completed By:

Validated:

Rich Chin 0912 6/05 Writer Date I nstructorNV riter Date Approval:

Nuclear Trng. Supv.

Date 10120 Date of Performance:

Validation Time (Min.)

Time Taken (Min.)

JPM Performed By:

Student Name:

Last First M.I.

Employee # / S.S. #

Performance

(

)

Satisfactory

(

)

Unsatisfactory Evaluation :

Evaluator Name:

Signature Typed or Printed Comments:

Form NTP-QA-3 1.8-I, Rev. 0, Page 1 of 2 2005 N R C Exam Rev 1

REQUIRED TASK INFORMATION JOB PERFORMANCE MEASURE S/RO 45.0N.007.101

\\

1.

SAFETY CONSIDERATIONS A. All Operations personnel are responsible for maintaining their radiation exposure As Low As Reasonably Achievable in accordance with OP-AD-002, Standards for Shift Operations.

B. All applicable safety precautions shall be taken in accordance with established PPL safety policies and the Safety Rule Book, for example:

1. Whenever any electrical panel is opened for inspection during JPM performance.
2. Whenever entering any plant area where specific safety equipment; such as hearing or eye protection, safety shoes, hardhats, etc; is required and/or posted as being necessary.

C. If in the judgment of the evaluator any safety issue occurs during the performance of a JPM, the JPM will be terminated until the issue is resolved.

D. Peer checking is the expectation for all evolutions; however, since a JPM is an individual effort, no peer check will be provided and Self Checking is required.

II. REFERENCES A. ON-145-004, RPV WATER LEVEL ANOMALY (Rev. 8)

B. Tech Specs 111. REACTIVITY M ANI PU LATl ON S This JPM satisfies the requirements of Operational Activity(s):

None IV. TASK CONDITIONS A. Unit 1 is in MODE 1 at 100% reactor power.

B. An anomaly exists with RPV water level instrument indication.

V. INITIATING CUE Use the appropriate procedure to address the anomaly.

VI. TASK STANDARD Identifies instrument anomaly is due to Instrument Bus 1 1Y125 breaker 01 being tripped or de-energized, and re-energizes the instruments. SROs additionally, identify the Required Tech Spec Actions.

Form NTP-QA-31.8-1, Rev. 0, Page 2 of 2 2005 NRC. Exam Rev. 1

PERFORMANCE CHECKLIST Appl. To/JPM No.:

45.0N.007.101 I

Page 3 of 9 Student Name:

Step

$1 2

3 Action EVALUATOR NOTE:

0 This JPM must be performed in the simulator.

Establish task conditions as directed on attached setup instructions.

0 When the candidate is ready to begin JPM, place the simulator to RUN.

Reviews RPV water level instruments indications in the simulator to determine which indicators are affected.

EVALUATOR NOTE:

Candidate may reference ON-117-001, LOSS OF INSTRUMENT BUS instead of ON-145-004, RPV WATER LEVEL ANOMALY. As long as all critical steps are accomplished this would be acceptable.

However, it may be necessary to ask a follow-up question for the Tech Specs.

Obtains a controlled copy of ON-145-004.

Reviews Symptoms and Observations for applicability.

Standard Determines the following level indicators are reading zero:

LI-14201 B1 on 1 C651 C601 C601 LI-14201 B on LI-142038 on Controlled copy obtained.

Ensures the Symptoms and Observations are applicable.

Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-31 8-2, Rev 0. P a p I of I 2005 NRC Exam Rev.1

i PERFORMANCE CHECKLIST Appl. To/JPM No.:

45.0N.007.101 Step Action Records date and time of event.

Selects the appropriate section and attachment.

Perform following for level instrumentation malfunction:

Refer to Attachment B checking following:

Instruments with common reference leg condensing chambers or excess flow check valves.

  • Critical Step Form hTI-QA-31 8-2. Rev 0. Page I of I 2005 NRC Exam Rev 1
  1. Critical Sequence Page 4 of 9 Student Name:

Standard Enter current date and time.

Selects Section 3.5 and Attachment B.

On Attachment 6 pages land 2 determines the following common reference leg condensing chambers and excess flow check valves are still indicating normal values and are NOT the source of the anomaly:

LI-B21 1R605 LR-C32 1R608 LI-14201 A LI-14201A1 LI-l4203A LI-B21 1R604 LI-C23 1 R606B LWPR 14201A Comments

Appl. To/JPM No.:

45.0N.007.101 Step 7 -

PERFORMANCE CHECKLIST Page 5 of 9 Action Instruments and indications with common variable leg supplies or excess flow check valves.

EVALUATOR CUE:

If requested, inform candidate all instrumentation power is selected to its normal source.

  • Critical Step Fonn NIT-QA-31.8-2. Rev. 0. Papc I of I 2005 NRC Exam Rev.1
  1. Critical Sequence Student Name:

Standard On Attachment B pages 1 and 2 determines the following common variable leg condensing chambers and excess flow check valves are still indicating normal values and are NOT the source of the anomaly:

LI-B21 1R605 LR-C32 1R608 LI-14201 A LI-14201 A1 LI-l4203A LI-621 1R604 LI-C23 1 R606B LWPR 14201A Eva1 Comments

j PERFORMANCE CHECKLIST Appl. To/JPM No.:

45.0N.007.101 Action Instruments with common power supplies.

Automatic actions and alarms.

IF level cannot be determined 2 +13" by at least two (2) independent indications, Enter EO 100 102, RPV Control.

Comply with TS 3.3.1.1, 3.3.2.2, 3.3.6.1, 3.3.6.2, 3.3.5.1, 3.3.4.2 and 3.3.5.2.

EVALUATOR CUE:

If necessary, Role-play Unit Supervisor and acknowledge the request.

Page 6 of 9 Student Name:

Standard 8-Determines the following indicators a common power supply:

LI-14201 B1 on 1 C651 LI-14201 B on 1 C601 LI-142038 on 1 C601 Identifies a loss of 1 Y125 breaker 01 as the common mode failure.

NONE Determines this is N/A since other level indications are available.

Recognizes the need to Comply with TS 3.3.1.1, 3.3.2.2, 3.3.6.1, 3.3.6.2, 3.3.5.1, 3.3.4.2 and 3.3.5.2.

Comments

  • Critical Step
  1. Critical Sequence Form NIP-QA-31 8-2. Rev. 0. Page I of I 2005 NAC Exam Rev.1

PERFORMANCE CHECKLIST Appl. To/JPM No.:

45.0N.007.101 Step 12 13

  • 14 Action IF applicable, Restore power supplies for failed instrumentation.

EVALUATOR CUE:

Role-play NPO and repoi. 1Y125 breaker 01 is tripped.

Informs Unit Supervisor that 1Y125 breaker 01 is tripped.

EVALUATOR CUE:

Role-play Unit Supervisor and acknowledge the report And Instruct candidate to attempt one closure of 1 Y125 breaker 01 is tripped.

Contact NPO and instruct NPO to close 1Y125 breaker 01.

BOOTH OPERATOR CUE:

Remove malfunction on 1Y125 breaker 01.

MRF DB117271 CLOSE I

Page 7 of 9 Student Name:

Standard Contacts NPO to check status of 1Y125 breaker 01 Informs Unit Supervisor that 1 Y125 breaker 01 is tripped.

Contacts NPO and instructs NPO to close 1 Y125 breaker 01.

~

Comments

  • Critical Step
  1. Critical Sequence hmnhTPQA-31 8-2. Rev. 0. Pqc I of I 2005 NRC Exam Rev 1

Appl. To/JPM No.:

45.0N.007.101 PERFORMANCE CHECKLIST Page 8 of 9 Action EVALUATOR CUE:

Role-play NPO and report 1Y125 breaker 01 is CLOSED.

Verifies level instruments are reading NORMAL EVALUATOR CUE:

This completes the JPM for the RO ONLY EVALUATOR CUE:

FOR SRO CANDIDATES ONLY Give the SRO candidate the second cue sheet that addresses the Tech Spec required actions for the failed level transmitters.

Obtains a copy of the Tech Specs Student Name:

Standard Verifies the following indicators are now reading normal:

LI-14201 B1 on 1 C65 LI-14201 B on 1 C601 LI-142038 on 1 C601

References:

Tech Spec 3.3.3.1 Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2. Rev 0. Pqr 1 uf 1 2005 NRC Exam Rev.1

PERFORMANCE CHECKLIST Appl. To/JPM No.:

45.0N.007.101 Step

+ I 7 Action Determines required actions EVALUATOR CUE:

This completes the JPM.

Page 9 of 9 Student Name:

Standard Determines the following action is required:

Within 30 days restore required channel to operable status.

Eva1 Comments

  • Critical Step
  1. Critical Sequence Form NTF-QA 31.8-2, Rev 0. Pqc I of 1 2005 NRC Exam Rev.1

SRO ONLY TASK CONDITIONS A. Unit 1 is in MODE 1 at 100% reactor power.

8. An anomaly exists with RPV water level instrument indication.

C. It has been determined that extended range level transmitter LT-142038 has lost power.

INITIATING CUE Determine the required Tech Spec actions.

2005 NRC. Exam Rev. 1 Page 1 of 4

SRO ONLY TASK CONDITIONS A. Unit 1 is in MODE 1 at 100% reactor power.

B. An anomaly exists with RPV water level instrument indication.

C. It has been determined that extended range level transmitter LT-142038 has lost power.

INITIATING CUE Determine the required Tech Spec actions.

2005 NRC. Exam Rev. 1 Page 2 of 4

TASK CONDITIONS A. Unit 1 is in MODE 1 at 100% reactor power.

B. An anomaly exists in RPV water level instrument indication.

INITIATING CUE Use the appropriate procedure to address the anomaly.

2005 NRC. Exam Rev. 1 Page 3 of 4

TASK CONDITIONS A. Unit 1 is in MODE 1 at 100% reactor power.

B. An anomaly exists in RPV water level instrument indication.

INITIATING CUE Use the appropriate procedure to address the anomaly.

2005 NRC. Exam Rev. 1 Page 4 of 4

PPL SUSQUEHANNA, LLC JOB PERFORMANCE MEASURE APPROVAL AND ADMINISTRATIVE DATA SHEET N/A 2.6/3.8 APPl.

JPM Number Rev. No.

Date NUREG 1123 WA No.

WA Imp.

To Sys. No.

S/RO 00.AD.269.101 0

09/26/05 2.2.24 Task

Title:

Determine Trip Inputs to Zone 3 Is0 Signals Lockout Relay XY07553A Using Controlled Electrical Prints Completed By:

Rich Chin Writer Approval:

Nuclear Trng. Supv.

Date of Performance:

JPM Performed By:

Validated 09/26/05 Date InstructorNVriter Date Date 20/30 Validation Time (Min.)

Time Taken (Min.)

Student Name:

Last First M.I.

Employee # / S.S. #

Performance

(

)

Satisfactory

(

)

Unsatisfactory Evaluation:

Evaluator Name:

Signature Typed or Printed Comments:

Form NTP-QA-31.8-1, Rev. 0, Page I of 2 2005 NRC Exam Rev. 1

REQUIRED TASK INFORMATION JOB PERFORMANCE MEASURE S/RO 00.AD.269.101

\\

1.

SAFETY CONSIDERATIONS A. All Operations personnel are responsible for maintaining their radiation exposure As Low As Reasonably Achievable in accordance with OP-AD-002, Standards for Shift Operations.

B. All applicable safety precautions shall be taken in accordance with established PPL safety policies and the Safety Rule Book, for example:

1. Whenever any electrical panel is opened for inspection during JPM performance.
2. Whenever entering any plant area where specific safety equipment; such as hearing or eye protection, safety shoes, hardhats, etc; is required and/or posted as being necessary.

C. If in the judgment of the evaluator any safety issue occurs during the performance of a JPM, the JPM will be terminated until the issue is resolved.

D. Peer checking is the expectation for all evolutions; however, since a JPM is an individual effort, no peer check will be provided and Self Checking is required.

II. REFERENCES A. E 201 sheet 1 (Rev. 27)

B. E 184 sheet 1 (Rev. 19)

C. E 184 sheet 3 (Rev. 17)

I I I. REACTIVITY MAN I PU LATIONS This JPM satisfies the requirements of Operational Activity(s):

None IV. TASK CONDITIONS A. Electrical maintenance is preparing to replace the Zone 3 Is0 Signals Lockout Relay XY07553A on panel OC681.

V. INITIATING CUE Your supervisor asks you to use the controlled electrical prints to identify all of the trip input signals to this relay, and report your results to back to your supervisor.

VI. TASK STANDARD All of the trip input signals to Zone 3 Is0 Signals Lockout Relay XY07553A are identified. SROs must additionally identify the required Tech Spec actions for an inoperable input.

Form NTP-QA-31.8-1, Rev. 0, Page 2 of 2 2005 NRC Exam Rev. I

Appl. To/JPM No.: S/RO 00.AD.269.101 Step

1.
2.

I PERFORMANCE CHECKLIST Page 3 of 7 Action EVALUATOR NOTE Candidate may use any number of different mediums to obtain the controlled copy of the electrical drawings.

These would all be acceptable.

Candidate obtains the controlled copy of the electrical print.

Locates relay XY07553A on print E 201 sheet 1.

EVALUATOR NOTE The following steps 3 - 9 may be done in any order.

Candidate may also elect not to report result back to supervisor until they have completed the task. This JPM is written with a report back after each determination as a convenience to the evaluator.

Student Name:

Standard References the electrical print index, OR the operating manuals and determine the appropriate print is E 201 sheet 1.

Locates relay XY07553A at grid location C6.

Eva1 Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-3 I.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. I

Appl. To/JPM No.: S/RO 00.AD.269.101 Step

  • 3 t 4 PERFORMANCE CHECKLIST Page 4 of 7 Action Candidate determines Unit 1 High radiation inputs a trip signal to relay XY07553A.

Candidate determines Unit 2 High radiation inputs a trip signal to relay XY07553A.

Student Name:

Standard Determines that High radiation from the following Unit 1 locations will input a trip signal into relay XY07553A [Grid location B7]

Refuel floor exhaust 0 Refuel floor wall exhaust 0 Railroad access shaft exhaust AND Reports this to the supervisor Determines that High radiation from the following Unit 2 locations will input a trip signal into relay XY07553A [Grid location B8]

0 Refuel floor exhaust 0 Refuel floor wall exhaust AND Reports this to the supervisor Eva1

=

Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-3 1.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. I

Appl. To/JPM No.: S/RO 00.AD.269.101 Step 5

6 wc7 8

PERFORMANCE CHECKLIST

~

Action Determines the need to transition to another electrical drawing.

Candidate obtains the controlled copy of the electrical print E 184 sheet 1.

Candidate determines Unit 1 Div 1 LOCA isolation signal inputs a trip signal to relay XY07553A.

Candidate obtains the controlled copy of the electrical print E 184 sheet 3.

Student Name:

Standard Determines the other 2 inputs to trip relay XY07553A are on drawings 184 sheet 1 and 3 by observing the notes Obtains the controlled copy of the electrical print E 184 sheet 1.

Determines Unit 1 Div 1 LOCA isolation signal inputs a trip signal to relay XY07553A and this signal is generated by :

0 Manual isolation Lo-Lo water reactor level 0

Hi drywell pressure Switch in TEST mode (trip2)

AND Reports this to the supervisor Obtains the controlled copy of the electrical print E 184 sheet 3.

(

Page 5 of 7 Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-3 1.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1

Appl. To/JPM No.: S/RO 00.AD.269.101 Step U9 10 I

PERFORMANCE CHECKLIST Page 6 of 7 Action Candidate determines Unit 2 Div 1 LOCA isolation signal inputs a trip signal to relay XY07553A.

Candidate determines there are no more inputs to relay XY07553A EVALUATOR CUE:

This completes the JPM for the ROs ONLY Student Name:

Standard Determines Unit 2 Div 1 LOCA isolation signal inputs a trip signal to relay XY07553A and this signal is generated by :

Manual isolation RPV low level (trip 2) 0 Hi drywell pressure 0

Switch in TEST mode AND Reports this to the supervisor Determines there are no more inputs to relay XY07553A, and reports this to the supervisor.

Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-3 1.8-2, Rev. 0, Page 1 of I 2005 NRC Exam Rev. 1

Appl. To/JPM No.: S/RO 00.AD.269.101 PERFORMANCE CHECKLIST Page 7 of 7 Action EVALUATOR CUE:

FOR SRO CANDIDATES ONLY Give the SRO candidate the second cue sheet that addresses the Tech Spec LCO for the INOPERABLE relay.

Obtains a copy of the Tech Specs Determines required actions for Tech Spec 3.3.6.2 EVALUATOR CUE:

This completes the JPM Student Name:

Standard References Tech Spec 3.3.6.2 Determines the following actions will be required:

Within 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br /> place the following channel in TRIP:

Unit 1 Refuel floor high exhaust duct radiation-high Eva1

~

Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-3 1.8-2. Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1

SRO ONLY TASK CONDITIONS Unit 1 is in Mode 1 Unit 2 is in Mode 4 with:

NO Core alterations taking place and NO Irradiated fuel movements taking place and NO activities with the potential for draining the reactor vessel taking place.

A.

Electrical maintenance has determined the Unit 1 Refuel Floor High Exhaust Duct Radiation Monitor is INOPERABLE.

INITIATING CUE What Technical Specifications action(s), including time limits, idare required as a result of this determination?

Page 1 of 4 2005 NRC Exam Rev. 1

SRO ONLY TASK CONDITIONS Unit 1 is in Mode 1 Unit 2 is in Mode 4 with:

NO Core alterations taking place and NO Irradiated fuel movements taking place and NO activities with the potential for draining the reactor vessel taking place.

A.

Electrical maintenance has determined the Unit 1 Refuel Floor High Exhaust Duct Radiation Monitor is INOPERABLE.

INITIATING CUE What Technical Specifications action(s), including time limits, idare required as a result of this determination?

2005 NRC Exam Rev. I Page 2 of 4

TASK CONDITIONS A. Electrical maintenance is preparing to replace the Zone 3 Is0 Signals Lockout Relay XY07553A on panel OC681.

INITIATING CUE Your supervisor asks you to use the controlled electrical prints to identify all of the trip input signals to this relay, and report your results to back to your supervisor.

2005 NRC Exam Rev. 1 Page 3 of 4

TASK CONDITIONS A. Electrical maintenance is preparing to replace the Zone 3 Is0 Signals Lockout Relay XY07553A on panel OC681.

INITIATING CUE Your supervisor asks you to use the controlled electrical prints to identify all of the trip input signals to this relay, and report your results to back to your supervisor.

2005 NRC Exam Rev. 1 Page 4 of 4

PPL SUSQUEHANNA, LLC JOB PERFORMANCE MEASURE APPROVAL AND ADMINISTRATIVE DATA SHEET SRO 69.0P.044.051 1

9/27/05 2.3.6 N/A 3.1 Appl.

JPM Number Rev.

Date NUREG 1123 WA No.

WA Imp.

To No.

Sys. No.

Task

Title:

Completed By:

Validated:

Review and Approve A Radioactive Liquid Release Permit Rich Chin 9/27/05 Writer Date InstructorNVriter Date Approval :

Nuclear Trng. Supv.

Date Date of Performance:

15 Validation Time (Min.)

Time Taken (Min.)

JPM Performed By:

Student Name:

Last First M.I.

Employee ## / S.S. ##

Performance Evaluation:

(

) Satisfactory

(

) Unsatisfactory Evaluator Name:

Signature Typed or Printed Comments:

Form NTP-QA-31.8-1, Rev. 0, Page 1 of 2 2005 NRC Exam Rev. 1

REQUIRED TASK INFORMATION JOB PERFORMANCE MEASURE SRO 69.0P.044.051

1.

SAFETY CONSIDERATIONS A. All Operations personnel are responsible for maintaining their radiation exposure As Low As Reasonably Achievable in accordance with OP-AD-002, Standards for Shift Operations.

B. All applicable safety precautions shall be taken in accordance with established PPL safety policies and the Safety Rule Book, for example:

1.
2.

Whenever any electrical panel is opened for inspection during JPM performance.

Whenever entering any plant area where specific safety equipment; such as hearing or eye protection, safety shoes, hardhats, etc; is required and/or posted as being necessary.

C. If in the judgment of the evaluator any safety issue occurs during the performance of a JPM, the JPN will be terminated until the issue is resolved.

D. Peer checking is the expectation for all evolutions; however, since a JPM is an individual effort, no peer check will be provided and Self Checking is required.

II. REFERENCES OP-069-050, Release of Liquid Radioactive Waste (Revision 31 )

I 11. R EACTlVlTY MAN I PU LATIONS This JPM satisfies the requirements of Operational Activity(s):

NONE IV. TASK CONDITIONS V.

VI I A. Both Units are at 100% power, all systems in normal alignment.

B. Total Site Blowdown Flow Transmitter FIT-01596 is out of service.

C. A Radioactive Liquid Release Permit is being prepared for Laundry Drain Sample Tank OT-31 2.

D. OP-069-050, Release of Liquid Radioactive Waste Attachment A Laundry Drain Sample Tank OT-312 Radioactive Liquid Release Permit has been completed through step 2.1.7 E. Background reading for LIQUID RADWASTE RADIATION MONITOR [RITS-064331 is 3.1 OE3 CPM INITIATING CUE Verify completeness and accuracy of the permit and Independently verify Liquid Radwaste radiation monitor setup IAW OP-069-050, Release of Liquid Radioactive Waste Attachment A Laundry Drain Sample Tank OT-312 Radioactive Liquid Release Permit step 2.1.8 and sign the appropriate block on the form.

TASK STANDARD Identifies INCORRECT settings for Actual High Rad setpoint and Actual Alert Rad setpoint.

Form NTP-QA-31.8-1, Rev. 0. Page 2 of 2 2005 NRC Exam Rev. 1

1 Appl. To/JPM No.: 69.0P.044.051 Step 1 -

PERFORMANCE CHECKLIST Action EVALUATOR NOTE:

Provide the candidate with a filled out copy of OP-069-050, Release of Liquid Radioactive Waste Attachment A Laundry Drain Sample Tank OT-31 2 Radioactive Liquid Release Permit completed through step 2.1.8. Insure High Rad setpoint calculation (in step 2.1.6.n) AND ACTUAL High Rad setpoint (in step 2.1.7 Position 0) are filled out with the MATH errors specified in steps 3 and 4 of this JPM. Student may use OP-069-050, Release of Liquid Radioactive Waste for guidance, however no marks should be made on that copy.

Provide the candidate with a filled out OP-069-050, Release of Liquid Radioactive Waste Attachment F.

Provide the candidate with a blank OP-069-050, Release of Liquid Radioactive Waste Attachment G.

Provide the candidate with a filled out OP-069-050, Release of Liquid Radioactive Waste Attachment H.

A complete Release permit for Laundry Drain Sample Tank OT-312 will consist of Attachments A, F, GI and H.

Obtain a controlled copy of OP-069-050, Release of Liquid Radioactive Waste Student Name:

Standard Controlled copy obtained.

Eva1 Page 3 of 6 Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1

I Appl. To/JPM No.: 69.0P.044.051 Step 2

i PERFORMANCE CHECKLIST Action Selects the correct section to perform.

EVALUATOR NOTE:

Due to the nature of this JPM, the candidate may elect to perform the calculations FIRST before proceeding to Radwaste to Verify the proper setpoints. This is acceptable.

EVALUATOR NOTE:

If candidate indicates t,,at he/she would proceed to Radwaste to Verify the proper setpoints, provide the candidate with the necessary cues from the attached OP-069-050, Release of Liquid Radioactive Waste Attachment A Laundry Drain Sample Tank OT-312 Radioactive Liquid Release Permit for items 2.1 5.9, 2.1.6.f, 2.1.6.k, 2.1.6.1

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1 Student Name:

Standard Selects section step 2.1.8 which requires review of previously completed steps 2.1.5.g through 2.1.7 of OP-069-050, Release of Liquid Radioactive Waste Attachment A Laundry Drain Sample Tank OT-312 Radioactive Liquid Release Permit i

Page 4 of 6 Comments

Appl. To/JPM No.: 69.0P.044.051 Step

  • 3 454 455 PERFORMANCE CHECKLIST Action Verifies High Rad setpoint Verifies Alert Rad setpoint Verifies Liquid Radwaste Radiation h,dnitor Setpoint inputs for Function Switch position 0
  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2, Rev. 0. Page 1 of 1 2005 NRC Exam Rev. 1 Student Name:

Standard Performs the following calculation:

7.OE4 + 3.1 E3 = 7.31 E4 and compares this to the number in block 2.1.6.n (1.1 E5)

AND Determines there is a math error Performs the following calculation:

5.6E4 + 3.1 E3 = 5.91 E4 and compares this to the number in block 3.1.6.0 (8.7E5)

AND Determines there is a math error Checks required setpoint and actua setpoint for High Rad setpoint.

Determines Setpoints have been incorrectly set to the setpoints determined by the math error.

Page 5 of 6 Comments

/

Appl. To/JPM No.: 69.0P.044.051 I Step 3K6 7

PERFORMANCE CHECKLIST Action Verifies Liquid Radwaste Radiation Monitor Setpoint inputs for Function Switch position 1 Resolves the discrepancy EVALUATOR CUE:

That completes this JPM.

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1 Student Name:

Standard Checks required setpoint and actual setpoint for Alert Rad setpoint.

Determines Setpoints have been incorrectly set to the setpoints determined by the math error.

Determines:

The math errors and setpoint adjustments will need corrected before the permit can be authorized for discharge.

Eva1 Page 6 of 6 Comments

TASK CONDITIONS A.

Both Units are at 100% power, all systems in normal alignment.

6. Total Site Blowdown Flow Transmitter FIT-01596 is out of service.

C.

A Radioactive Liquid Release Permit is being prepared for Laundry Drain Sample Tank OT-31 2.

D.

OP-069-050, Release of Liquid Radioactive Waste Attachment A Laundry Drain Sample Tank OT-312 Radioactive Liquid Release Permit has been completed through step 2.1.7 E. Background reading for LIQUID RADWASTE RADIATION MONITOR [RITS-064331 is 3.1 OE3 CPM INITIATING CUE Verify completeness and accuracy of the permit and Independently verify Liquid Radwaste radiation monitor setup IAW OP-069-050, Release of Liquid Radioactive Waste Attachment A Laundry Drain Sample Tank OT-312 Radioactive Liquid Release Permit step 2.1.8 and sign the appropriate block on the form.

2005 NRC Exam Rev. 1 1 of2

TASK CONDITIONS A.

Both Units are at 100% power, all systems in normal alignment.

B. Total Site Blowdown Flow Transmitter FIT-01 596 is out of service.

C. A Radioactive Liquid Release Permit is being prepared for Laundry Drain Sample Tank OT-31 2.

D. OP-069-050, Release of Liquid Radioactive Waste Attachment A Laundry Drain Sample Tank OT-312 Radioactive Liquid Release Permit has been completed through step 2.1.7 E. Background reading for LIQUID RADWASTE RADIATION MONITOR [RITS-06433] is 3.1 OE3 CPM INITIATING CUE Verify completeness and accuracy of the permit and Independently verify Liquid Radwaste radiation monitor setup JAW OP-069-050, Release of Liquid Radioactive Waste Attachment A Laundry Drain Sample Tank OT-312 Radioactive Liquid Release Permit step 2.1.8 and sign the appropriate block on the form.

2005 NRC Exam Rev. 1 2 of 2

PPL SUSQUEHANNA, LLC JOB PERFORMANCE MEASURE APPROVAL AND ADMINISTRATIVE DATA SHEET RO

00. EP.004.002 0

9/27/05 2.4.43 NIA 2.8 APPl.

JPM Number Rev. No.

Date NUREG 1123 WA No.

WA Imp.

To Sys. No.

Task

Title:

Control Room Communicator Emergency Notification Completed By:

Validated:

Rich Chin 9/27/05 Writer Date InstructorANriter Date Approval :

Nuclear Trng. Supv.

Date of Performance:

JPM Performed By:

Date Time Critical 15 Minutes Validated Time (Min.)

Time Taken (Min.)

Student Name:

Last First M.I.

Employee # / S.S. #

Performance Evaluation:

) Satisfactory

(

)

Unsatisfactory Eva1 ua tor N a me:

Signature Typed or Printed Comments:

Form NTP-QA-31.8-1, Rev. 0, Page 1 of 2 2005 NRC Exam Rev. 1

REQUIRED TASK INFORMATION JOB PERFORMANCE MEASURE RO 00.EP.004.002

1.

SAFETY CONSIDERATIONS A. All Operations personnel are responsible for maintaining their radiation exposure As Low As Reasonably Achievable in accordance with OP-AD-002, Standards for Shift Operations.

B. All applicable safety precautions shall be taken in accordance with established PPL safety policies and the Safety Rule Book, for example:

1. Whenever any electrical panel is opened for inspection during JPM performance.
2. Whenever entering any plant area where specific safety equipment; such as hearing or eye protection, safety shoes, hardhats, etc; is required and/or posted as being necessary.

C. If in the judgment of the evaluator any safety issue occurs during the performance of a JPM, the JPM will be terminated until the issue is resolved.

D. Peer checking is the expectation for all evolutions; however, since a JPM is an individual effort, no peer check will be provided and Self Checking is required.

II. REFERENCES A. EP-PS-100 EMERGENCY DIRECTOR, CONTROL ROOM: Emergency-Plan-Position Specific Instruction (Rev. 22)

B. EP-PS-126, EMERGENCY PLAN COMMUNICATOR: Emergency Plan-Position Specific Instruction (Rev. 23)

C. EP-TP-003, COMMUNICATION PROCESS (Rev. 0) 111. REACTIVITY MANIPULATIONS This JPM satisfies the following Operational Activity(s):

None IV. TASK CONDITIONS An Alert has been declared due to sustained high winds greater than 80 mph resulting in visible damage to the ESSW pump house. (OA3)

V. INITIATING CUE You have been assigned as the Control Room Communicator. Transmit initial information about the Emergency Condition to required organizations, IAW the appropriate procedure.

VI. TASK STANDARD Identify the ENR form is incomplete; Contact the offsite agencies within 15 minutes from initiation of the ENR form; Communicate the Emergency Classification, Unit, declaration Time and Date to the off site agencies.

Form NTP-QA-31.8-1, Rev. 0, Page 2 of 2 2005 NRC Exam Rev. 1

PERFORMANCE CHECKLIST Page 3 of 9 Appl. To/JPM No.: RO 00.EP.004.002 Step Action EVALUATOR NOTE:

This is a time critical JPM.

Ensure a copy of EP-PS-100, EP-TP-003, and EP-PS-126 are available to support performance of this JPM.

Have current, filled-out copy of ENR Form available, with Line 4 BLANK If performing in the simulator, place a yellow sticky on each of the 2 communicator phones with the following call-back number:

570-759-4902 EVALUATOR NOTE:

To begin this JPM, provide the candidate with the Tasl Conditions and Initiating Cue Sheet.

Role play as Control Room ED and give student filled-out ENR Form.

Student Name:

Standard Eva1

~~~

Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2, Rev. 0. Page 1 of 1 2005 NRC Exam Rev. 1

Appl. To/JPM No.: RO 00.EP.004.002 Step

  • l PERFORMANCE CHECKLIST Action Obtain and review Event Notification Report (ENR) form with the Shift Manager/ED.

EVALUATOR CUE:

Role play as Control Room ED and Place OA3 on line 4 of the ENR Form.

Return completed ENR form to the candidate.

EVALUATOR CUE:

After the ENR has been corrected and returned to the candidate, the Time Critical Portion of the JPM begins.

Record Start Time Student Name:

Standard Reviews ENR form to verify Lines 1, 3, 4, 5, 6, and 7 are all filled out.

Determines:

Line 4 is NOT filled out Reports to the ED that line 4 MUST be filled out Page 4 of 9 Eva1 Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NAC Exam Rev. 1

PERFORMANCE CHECKLIST Appl. To/JPM No.: RO 00.EP.004.002 Action NOTE:

If the MOC does not answer, do not wait.

Transmit the ENR form information to the emergency agencies.

NOTE:

Do not communicate the control number to offsite agencies. This block is gray shaded on the ENR form.

Within 15 minutes of declaration, using the purple colored phone button, dial 1 91 to transmit the ENR form to the following:

(Dialing 191 will simultaneously connect the listed agencies in a conference call.)

EVALUATOWBOOTH CUE:

Role-play the receiving agencies and confirm each agency is on the line and you are Ready to Copy Student Name:

Page 5 of 9 Standard Dials 1 91 on the purple colored button Verifies the following agencies are on the line:

(1 )

(2)

Columbia County EMA (3)

Luzerne County EMA Media Operations Center Penna. Emergency Management Agency Eva1 Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1

PERFORMANCE CHECKLIST Appl. To/JPM No.: RO 00.EP.004.002 Action EVALUATOR NOTE:

After contact with the offsite agencies has been confirmed, the Time Critical Portion of the JPM ends.

Record stop Time NOTE:

When you communicate your phone number to the offsite agencies, the prefix for 4XXX numbers is (570) 759. (The 191 call originates from a 4XXX number.)

Communicate ENR Form Student Name:

Page 6 of 9 Standard Communicates the following for line This is a Drill Call status:

Eva1 Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1

Appl. To/JPM No.: RO 00.EP.004.002 Step PERFORMANCE CHECKLIST Page 7 of 9 Action 4 6 EVALUATOR NOTE:

Initial Declaration is not critical Student Name:

Standard 1 Eva1 Communicates the following for line 2:

This is: Candidates Name at Susquehanna Steam Electric Station.

My telephone number is: 570-759-4902 Notification time is: Current Time Communicates the following for line 3:

EMERGENCY CLASSIFICATION:

ALERT UNIT:

ONE and TWO Declaration Time:

5 MINUTES AGO DATE:

TODAYS DATE THIS REPRESENTS NAN:

IN IT1 AL DECLARATION Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2, Rev. 0. Page 1 of 1 2005 NRC Exam Rev. 1

Appl. To/JPM No.: RO 00.EP.004.002 Step f 6 7

8 9

PERFORMANCE CHECKLIST Action Student Name:

Standard Communicates the following for line 4:

The Classification Designation is:

OA3 BRIEF NON-TECHNICAL DESCRIPTION OF THE EVENT:

OA3 Communicates the following for line 5:

THERE IS:

NO NON-ROUTINE RADIOLOGICAL RELEASE IN PROGRESS Communicates the following for line 6:

WIND DIRECTION IS FROM:

21 O WIND SPEED IS:

85 mph Communicates the following for line 7:

THIS IS A DRILL i

Page 8 of 9 Eva1 Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1

PERFORMANCE CHECKLIST Appl. To/JPM No.: RO 00.EP.004.002

=

Step Action EVALUATOWBOOTH CUE:

Candidate may choose to have one of the offsite agencies REPEAT back the communicated information. If necessary, role-play the off site agency and Repeat back the information.

EVALUATOR CUE:

This completes the JPM EVALUATOR NOTE:

In order for the candidate to pass the Time Critical element of this JPM, they must complete step 2 of this JPM within 15 minutes.

Student Name:

Standard

(,

Page 9 of 9 Eva1 Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2, Rev. 0. Page 1 of 1 2005 NRC Exam Rev. 1

TASK CONDITIONS An Alert has been declared due to sustained high winds greater than 80 mph resulting in visible damage to the ESSW pump house. (OA3)

INITIATING CUE You have been assigned as the Control Room Communicator. Transmit initial information about the Emergency Condition to required organizations, IAW the appropriate procedure.

2005 NRC Exam Rev. 1 Page 1 of 2

TASK CONDITIONS An Alert has been declared due to sustained high winds greater than 80 mph resulting in visible damage to the ESSW pump house. (OA3)

INITIATING CUE You have been assigned as the Control Room Communicator. Transmit initial information about the Emergency Condition to required organizations, IAW the appropriate procedure.

2005 NRC Exam Rev. 1 Page 2 of 2

PPL SUSQUEHANNA, LLC JOB PERFORMANCE MEASURE APPROVAL AND ADMINISTRATIVE DATA SHEET SRO 00.EP.001.304 0

9/27/05 2.4.41 N/A 4.0 APPl.

JPM Number Rev. No.

Date NUREG 1123 KIA No.

KIA Imp.

To Sys. No.

Task

Title:

Perform Emergency Plan Classification (Scenario ILO-304) and Complete the ENR form Completed By:

Validated:

Rich Chin 9/27/05 Writer Date InstructorMlriter Date Approval:

Nuclear Trng. Supv.

Date of Performance:

Date Time Critical 15 Minutes Validated Time (Min.)

Time Taken (Min.)

JPM Performed By:

Student Name:

Last First M.I.

Employee # / S.S. #

Performance

(

) Satisfactory

(

) Unsatisfactory Evaluation:

Evaluator Name:

Signature Typed or Printed Comments:

Form NTP-QA-31.8-1, Rev. 0, Page 1 of 2 2005 NRC Exam Rev. 1

REQUIRED TASK INFORMATION JOB PERFORMANCE MEASURE SRO 00.EP.001.304

1.

SAFETY CONSIDERATIONS A. All Operations personnel are responsible for maintaining their radiation exposure As Low As Reasonably Achievable in accordance with OP-AD-002, Standards for Shift Operations.

B. All applicable safety precautions shall be taken in accordance with established PPL safety policies and the Safety Rule Book, for example:

1. Whenever any electrical panel is opened for inspection during JPM performance.
2. Whenever entering any plant area where specific safety equipment; such as hearing or eye protection, safety shoes, hardhats, etc; is required and/or posted as being necessary.

C. If in the judgment of the evaluator any safety issue occurs during the performance of a JPM, the JPM will be terminated until the issue is resolved.

D. Peer checking is the expectation for all evolutions; however, since a JPM is an individual effort, no peer check will be provided and Self Checking is required.

II. REFERENCES A.

B. ILO-304, SIMULATOR EVALUATION SCENARIO C. EP-PS-1 OO-A D. EP-PS-100-C E. EP-PS-100-9 EP-PS-100, EMERGENCY DIRECTOR CONTROL ROOM, REV. 18 111. REACTIVITY MANIPULATIONS This JPM satisfies the following Operational Activity(s):

None IV. TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario. Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.

V. INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form.

VI. TASK STANDARD Emergency classification of Alert Emergency declared within 15 minutes.

Form NTP-QA-31.8-1, Rev. 0, Page 2 of 2 2005 NRC Exam Rev. 1

PERFORMANCE CHECKLIST I

Page 3 of 10 Appl. To/JPM No.: SRO 00.EP.001.304 Student Name:

Step Action EVALUATOR NOTE:

This JPM must be performed in the simulator following completion of the scenario ILO-304 as Unit Supervisor.

This is a time critical JPM.

Ensure a copy of EP-PS-100 is available to support performance of this JPM.

EVALUATOR NOTE:

To begin this JPM, provide the candidate with the Initiating Cue Sheet.

EVALUATOR NOTE:

After the candidate reviews the Task Conditions /

Initiating Cue Sheet:

0 Ask if the candidate is ready to begin the JPM.

0 When the candidate is ready to begin the JPM inform the candidate that this is a Time Critical JPM.

Record Start Time Standard Eva1 Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1

PERFORMANCE CHECKLIST I

Page 4 of 10 Appl. To/JPM No.: SRO 00.EP.001.304 Student Name:

Step Action Obtains a copy of EP-PS-100.

Identifies appropriate Tab Evaluates information.

EVALUATOR CUE:

Assistance may be necessary for some specific scenario data or sequence of events. Use your judgment on acceptable levels of cueing based on candidates request.

Standard Controlled copy obtained.

Determines Tab A is appropriate Tab to classify the event.

Identifies from participation as The Unit Supervisor, that an RCS leak > 50 gpm has occurred, and a momentary ATWS.

Eva1 Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1

PERFORMANCE CHECKLIST I

Page 5 of 10 Appl. To/JPM No.: SRO 00.EP.001.304 Student Name:

Step

  • 4 5

6 Action

~

~~

Choose appropriate emergency classification level.

Record Time of Alert Emergency declaration Determines appropriate procedure section for the classification.

Standard FA1 Any loss or potential loss of either the Fuel clad or RCS OR MA3 RPS setpoint exceeded and RPS automatic scram did not reduce reactor power to c 5%

AND ARI initiated to reduce power below 5%

Determines TAB C Manage the Alert Emergency is the appropriate TAB.

Eva1

~~

Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1

PERFORMANCE CHECKLIST Page 6 of 10 Appl. To/JPM No.: SRO 00.EP.001.304 Student Name:

Step Action Document and communicate the Emergency Classification.

If not performed earlier appoint an Emergency Plan Communicator If not performed earlier, appoint an NRC communicator.

Standard Announces to Control Room Personnel:

I am assuming duties of the Emergency Director.

Alert Emergency Classification declared based on FA1 Any loss or potential loss of either the Fuel clad or RCS OR MA3 RPS setpoint exceeded and RPS automatic scram did not reduce reactor power to < 5%

AND ARI initiated to reduce power below 5%

Time and Date of Classification.

Appoints an Emergency Plan Communicator and instruct hidher to immediately perform EP-PS-126 E Plan Communicator.

Appoints an NRC Communicator and instruct hidher to perform EP-PS-135 NRC Communicator Eva1

~

Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1

i PERFORMANCE CHECKLIST Page 7 of 10 Appl. To/JPM No.: SRO 00.EP.001.304 Student Name:

Step 10 11 Action Generate and approve an ENR form to be transmitted by the Emergency Plan Communicator.

EVALUATOR CUE:

Inform the candidate that the Control # in the next step will be CR-ILO-304 Fill out and approve the Emergency Notification Report Form.

EVALUATOR NOTE:

The communicator will fill out the communicator name, callback telephone number, and time notification is initiated. (Line 2 of the Emergency Notification Report Form).

Standard Refers to ENR Form under Tab 9.

Fills out and approves the Emergency Notification Report Form as follows:

Control # CR-ILO-304 LINE 1.

Call Status:

Places checkmark in This is a drill box Eva1 Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2, Rev. 0. Page 1 of 1 2005 NRC Exam Rev. 1

PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO 00.EP.001.304 Page 8 of 10 Student Name:

Step

  • 12
  • 13 Action Completes line 3 EVALUATOR NOTE:

Initial Declaration is not critical EVALUATOR NOTE:

FA1 or MA3 alone is sufficient for the Brief Non-Technical Description for the initial notification.

Candidate may paraphrase this description Completes line 4 Standard LINE 3.

Emergency Classification:

Places checkmark in Alert Emergency box Places checkmark in Unit one box Records the Declaration time and date.

Places a checkmark in this represents NAN initial declaration box in classification status.

LINE 4.

The Emergency action level (EAL) number is:

Records EAL FA1 OR MA3 Brief non -technical description of the event:

RecordsFAl OR MA3 Eva1 Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1

Appl. To/JPM No.: SRO 00.EP.001.304 Step

  • 14 15 16 PERFORMANCE CHECKLIST Page 9 of 10 Action

~

Completes line 5 Completes line 6 Completes line 7 Approves the Emergency Notification Report Form EVALUATOR NOTE:

Candidate may review the filled out ENR form with the E Plan Communicator.

Student Name:

Standard LINE 5.

Places a checkmark in the No non-routine radiological release box LINE 6 Records Wind Direction is from Wind Speed is: 5 mph LINE 7.

==

Conclusion:==

10" Places a checkmark in this is a drill box.

Records the following on space provided:

Approved: - HidHer name Time: - Current time Date: - Current Date Eva1 Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2. Rev. 0, Page 1 of 1 2005 NRC Exam Rev. I

PERFORMANCE CHECKLIST Page 10 of 10 Appl. To/JPM No.: SRO 00.EP.001.304 Student Name:

Step 18 Action Give the approved ENR form to the E Plan Communicator.

EVALUATOR CUE:

If necessary, Role-play the communicator and accept the filled out form.

EVALUATOR CUE:

Inform the candidate the JPM is complete.

EVALUATOR NOTE:

The total time from the JPM start to step 5 of the JPM must be 5 1 5 minutes in order for the time critical portion of the JPM to be satisfactory.

Standard Provides the filled out ENR form to the E Plan Communicator.

Eva1 Comments

  • Critical Step
  1. Critical Sequence Form NTP-QAB1.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1

TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario.

Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.

INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form.

2005 NRC Exam Rev. 1 Page 1 of 2

TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario.

Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.

INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form.

2005 NRC Exam Rev. 1 Page 2 of 2

PPL SUSQUEHANNA, LLC JOB PERFORMANCE MEASURE APPROVAL AND ADMINISTRATIVE DATA SHEET SRO 00.EP.001.305 0

9/27/05 2.4.41 N/A 4.0 APPl.

JPM Number Rev. No.

Date NUREG 1123 KIA No.

KIA Imp.

To Sys. No.

Task

Title:

Completed By:

Validated:

Perform Emergency Plan Classification (Scenario ILO-305) and Complete the ENR form Rich Chin 9/27/05 Writer Date InstructorNVriter Date Approval:

Nuclear Trng. Supv.

Date of Performance:

JPM Performed By:

Date Time Critical 15 Minutes Validated Time (Min.)

Time Taken (Min.)

Student Name:

Last First M.I.

Employee # I S.S. #

Performance Evaluation:

(

) Satisfactory

(

) Unsatisfactory Evaluator Name:

Signature Typed or Printed Comments:

Form NTP-QA-31.8-1, Rev. 0, Page 1 of 2 2005 NRC Exam Rev. 1

REQUIRED TASK INFORMATION JOB PERFORMANCE MEASURE SRO 00.EP.001.305

1.

SAFETY CONSIDERATIONS A. All Operations personnel are responsible for maintaining their radiation exposure As Low As Reasonably Achievable in accordance with OP-AD-002, Standards for Shift Operations.

B. All applicable safety precautions shall be taken in accordance with established PPL safety policies and the Safety Rule Book, for example:

1. Whenever any electrical panel is opened for inspection during JPM performance.
2. Whenever entering any plant area where specific safety equipment; such as hearing or eye protection, safety shoes, hardhats, etc; is required and/or posted as being necessary.

C. If in the judgment of the evaluator any safety issue occurs during the performance of a JPM, the JPM will be terminated until the issue is resolved.

D. Peer checking is the expectation for all evolutions; however, since a JPM is an individual effort, no peer check will be provided and Self Checking is required.

II. REFERENCES A.

B. ILO-305, SIMULATOR EVALUATION SCENARIO C. EP-PS-1 OO-A D. EP-PS-1 OO-D E. EP-PS-100-9 EP-PS-100, EMERGENCY DIRECTOR CONTROL ROOM, REV. 18 II I. R EACTlVlTY MAN1 PU LATIONS This JPM satisfies the following Operational Activity(s):

None IV. TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario. Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.

V. INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form.

VI. TASK STANDARD Emergency classification of Site Area Emergency declared within 15 minutes.

Form NTP-QA-31.8-1, Rev. 0, Page 2 of 2 2005 NRC Exam Rev. 1

PERFORMANCE CHECKLIST I

Page 3 of 9 Appl. To/JPM No.: SRO 00.EP.001.305 Student Name:

Step Action EVALUATOR NOTE:

0 This JPM must be performed in the simulator following completion of the scenario ILO-305 as Unit Supervisor.

This is a time critical JPM.

Ensure a copy of EP-PS-100 is available to support performance of this JPM.

0 0

EVALUATOR NOTE:

To begin this JPM, provide the candidate with the Initiating Cue Sheet.

EVALUATOR NOTE:

After the candidate reviews the Task Conditions /

Initiating Cue Sheet:

0 0

Ask if the candidate is ready to begin the JPM.

When the candidate is ready to begin the JPM inform the candidate that this is a Time Critical JPM.

Record Start Time Standard Eva1 Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1

Appl. To/JPM No.: SRO 00.EP.001.305 Step 1

2 3

  • 4 5

6 PERFORMANCE CHECKLIST I

Page 4 of 9 Action Obtains a copy of EP-PS-100.

Identifies appropriate Tab Evaluates information.

EVALUATOR CUE:

Assistance may be necessary for some specific scenario data or sequence of events. Use your judgment on acceptable levels of cueing based on candidates request.

Choose appropriate emergency classification level.

Record Time of Site Area Emergency declaration Determines appropriate procedure section for the classification.

Student Name:

Standard Controlled copy obtained.

Determines Tab A is appropriate Tab to classify the event.

Identifies from participation as The Unit Supervisor, that 2 Reactor Building Areas exceeded Max Safe Radiation levels.

FSl Loss or Potential loss of ANY 2 Fission Product Barriers Determines TAB D Manage the Site Area Emergency is the appropriate TAB.

Eva1 Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1

PERFORMANCE CHECKLIST Page 5 of 9 Appl. To/JPM No.: SRO 00.EP.001.305 Student Name:

Step 7

8 9

10 Action Document and communicate the Emergency Classification.

If not performed earlier appoint an Emergency Plan Communicator If not performed earlier, appoint an NRC communicator.

Generate and approve an ENR form to be transmitted by the Emergency Plan Communicator.

EVALUATOR CUE:

Inform the candidate that the Control # in the next step will be CR-ILO-305 Standard

~

Announces to Control Room Personnel:

I am assuming duties of the Emergency Director.

Site Area Emergency Classification declared based on FS1 Loss or Potential loss of ANY 2 Fission Product Barriers Time and Date of Classification.

Appoints an Emergency Plan Communicator and instruct hidher to immediately perform EP-PS-126 E Plan Communicator.

Appoints an NRC Communicator and instruct hidher to perform EP-PS-135 NRC Communicator Refers to ENR Form under Tab 9.

Eva1 Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1

I PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO 00.EP.001.305 Page 6 of 9 Student Name:

Step 11

  • 12 Action Fill out and approve the Emergency Notification Report Form.

EVALUATOR NOTE:

The communicator will fill out the communicator name, callback telephone number, and time notification is initiated. (Line 2 of the Emergency Notification Report Form).

Completes line 3 EVALUATOR NOTE:

Initial Declaration is not critical Standard Fills out and approves the Emergency Notification Report Form as follows:

Control # CR-ILO-305 LINE 1.

Call Status:

Places checkmark in This is a drill box LINE 3.

Emergency Classification:

Places checkmark in Site Area Emergency box Places checkmark in Unit one box Records the Declaration time and date.

Places a checkmark in this represents NAN initial declaration box in classification status.

Eva1

~

Comments

  • Critical Step
  1. Critical Sequence Form NTP-OA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1

PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO 00.EP.001.305 Page 7 of 9 Student Name:

Step 3k14 15 Action EVALUATOR NOTE:

FSl alone is sufficient for the Brief Non-Technical Description for the initial notification.

Candidate may paraphrase this description Completes line 4 Completes line 5 Completes line 6 Standard LINE 4.

The Emergency action level (EAL) number is:

Records EAL FS1 Brief non -technical description of the event:

Records FS1 LINE 5.

Places a checkmark in the AN Airborne Non-routine radiological release box LINE 6 Records Wind Direction is from: 10" Wind Speed is: 5 mph Eva1 Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1

PERFORMANCE CHECKLIST

(

Page 8 of 9 Appl. To/JPM No.: SRO 00.EP.001.305 Student Name:

Step 16

  • 17 18 Action Completes line 7 Approves the Emergency Notification Report Form EVALUATOR NOTE:

Candidate may review the filled out ENR form with the E Plan Communicator.

Give the approved ENR form to the E Plan Com m u n icato r.

EVALUATOR CUE:

If necessary, Role-play the communicator and accept the filled out form.

EVALUATOR CUE:

Inform the candidate the JPM is complete.

Standard LINE 7.

==

Conclusion:==

Places a checkmark in this is a drill box.

Records the following on space provided:

Approved: - HidHer name Time: - Current time Date: - Current Date Provides the filled out ENR form to the E Plan Communicator.

Eva1 Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1

0, 0

Q, c

0 Z

a 2

c 0.-

CI 2 0-

TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario.

Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.

INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form.

2005 NRC Exam Rev. 1 Page 1 of 2

TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario.

Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.

INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form.

2005 NRC Exam Rev. 1 Page 2 of 2

PPL SUSQUEHANNA, LLC JOB PERFORMANCE MEASURE APPROVAL AND ADMINISTRATIVE DATA SHEET SRO 00.EP.001.504 0

9/27/05 2.4.41 N/A 4.0 APPl.

JPM Number Rev. No.

Date NUREG 1123 WA No.

WA Imp.

To Sys. No.

Task

Title:

Completed By:

Validated:

Perform Emergency Plan Classification (Scenario ILO-504) and Complete the ENR form Rich Chin 9/27/05 Writer Date InstructorNVriter Date Approval:

Nuclear Trng. Supv.

Date of Performance:

JPM Performed By:

Date Time Critical 15 Minutes Validated Time (Min.)

Time Taken (Min.)

Student Name:

Last First M.I.

Employee # / S.S. #

Performance

(

) Satisfactory

(

) Unsatisfactory Evaluation :

Evaluator Name:

Signature Typed or Printed Comments:

Form NTP-QA91.8-1, Rev. 0, Page 1 of 2 2005 NRC Exam Rev. 1

REQUIRED TASK INFORMATION JOB PERFORMANCE MEASURE SRO 00.EP.001.504

1.

SAFETY CONSIDERATIONS A. All Operations personnel are responsible for maintaining their radiation exposure As Low As Reasonably Achievable in accordance with OP-AD-002, Standards for Shift Operations.

B. All applicable safety precautions shall be taken in accordance with established PPL safety policies and the Safety Rule Book, for example:

1. Whenever any electrical panel is opened for inspection during JPM performance.
2. Whenever entering any plant area where specific safety equipment; such as hearing or eye protection, safety shoes, hardhats, etc; is required and/or posted as being necessary.

C. If in the judgment of the evaluator any safety issue occurs during the performance of a JPM, the JPM will be terminated until the issue is resolved.

D. Peer checking is the expectation for all evolutions; however, since a JPM is an individual effort, no peer check will be provided and Self Checking is required.

It. REFERENCES A.

B. ILO-504, SIMULATOR EVALUATION SCENARIO C. EP-PS-1 OO-A D. EP-PS-1 OO-D E. EP-PS-100-9 EP-PS-100, EMERGENCY DIRECTOR CONTROL ROOM, REV. 18 111. REACTIVITY MANIPULATIONS This JPM satisfies the following Operational Activity(s):

None IV. TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario. Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.

V. INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form.

VI. TASK STANDARD Emergency classification of Site Area Emergency declared within 15 minutes.

Form NTP-QA-31.8-1, Rev. 0, Page 2 of 2 2005 NRC Exam Rev. 1

PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO 00.EP.001.504 i

Page 3 of 9 Student Name:

Step Action EVALUATOR NOTE:

0 This JPM must be performed in the simulator following completion of the scenario ILO-504 as Unit Supervisor.

This is a time critical JPM.

Ensure a copy of EP-PS-100 is available to support performance of this JPM.

0 0

EVALUATOR NOTE:

To begin this JPM, provide the candidate with the Initiating Cue Sheet.

EVALUATOR NOTE:

After the candidate reviews the Task Conditions /

Initiating Cue Sheet:

0 0

Ask if the candidate is ready to begin the JPM.

When the candidate is ready to begin the JPM inform the candidate that this is a Time Critical JPM.

Record Start Time Standard Eva1

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1

PERFORMANCE CHECKLIST i

Page 4 of 9 Appl. To/JPM No.: SRO 00.EP.001.504 Student Name:

Step 1

2 3

  • 4 5

6 Action

~~

Obtains a copy of EP-PS-100.

Identifies appropriate Tab Evaluates information.

EVALUATOR CUE:

Assistance may be necessary for some specific scenario data or sequence of events. Use your judgment on acceptable levels of cueing based on candidates request.

Choose appropriate emergency classification level.

Record Time of Site Area Emergency declaration Determines appropriate procedure section for the classification.

Standard Controlled copy obtained.

Determines Tab A is appropriate Tab to classify the event.

Identifies from participation as The Unit Supervisor, RPV water level dropped below -1 61 inches FS 1 Loss or Potential loss of ANY 2 Fission Product Barriers Determines TAB D Manage the Site Area Emergency is the appropriate TAB.

Eva1 Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1

PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO OO.EP.OO1 SO4 Student Name:

Step 7

a 9

10 Action Document and communicate the Emergency Classification.

If not performed earlier appoint an Emergency Plan Communicator If not performed earlier, appoint an NRC communicator.

Generate and approve an ENR form to be transmitted by the Emergency Plan Communicator.

EVALUATOR CUE:

Inform the candidate that the Control # in the next step will be CR-ILO-504 Standard Announces to Control Room Personnel:

I am assuming duties of the Emergency Director.

Site Area Emergency Classification declared based on FS1 Loss or Potential loss of ANY 2 Fission Product Barriers Time and Date of Classification.

Appoints an Emergency Plan Communicator and instruct hidher to immediately perform EP-PS-126 E Plan Com m u n icato r.

Appoints an NRC Communicator and instruct hidher to perform EP-PS-135 NRC Communicator Refers to ENR Form under Tab 9.

i Page 5 of 9 Eva1 Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1

I PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO 00.EP.001.504 Page 6 of 9 Student Name:

Step 11 5 1 2 Action Fill out and approve the Emergency Notification Report Form.

EVALUATOR NOTE:

The communicator will fill out the communicator name, callback telephone number, and time notification is initiated. (Line 2 of the Emergency Notification Report Form).

Completes line 3 EVALUATOR NOTE:

Initial Declaration is not critical Standard

-~

Fills out and approves the Emergency Notification Report Form as follows:

Control # CR-ILO-504 LINE 1.

Call Status:

Places checkmark in This is a drill box LINE 3.

Emergency Classification:

Places checkmark in Site Area Emergency box Places checkmark in Unit one box Records the Declaration time and date.

Places a checkmark in this represents NAN initial declaration box in classification status.

Eva1 Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA91.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1

PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO 00.EP.001.504 Step

  • 14 15 Action EVALUATOR NOTE:

FS1 alone is sufficient for the Brief Non-Technical Description for the initial notification.

Candidate may paraphrase this description Completes line 4 Completes line 5 Completes line 6 Student Name:

Standard LINE 4.

The Emergency action level Records EAL FS1 EAL) number is:

Brief non -technical description of the event:

Records FS1 LINE 5.

Places a checkmark in the NO Non-routine radiological release box LINE 6 Records Wind Direction is from: 10" Wind Speed is: 5 mph Page 7 of 9 Eva1 Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1

PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO 00.EP.001.504 Step 16

  • 17 18 Action Completes line 7 Approves the Emergency Notification Report Form EVALUATOR NOTE:

Candidate may review the filled out ENR form with the E Plan Communicator.

Give the approved ENR form to the E Plan Communicator.

EVALUATOR CUE:

If necessary, Role-play the communicator and accept the filled out form.

EVALUATOR CUE:

Inform the candidate the JPM is complete.

Student Name:

Standard LINE 7.

==

Conclusion:==

Places a checkmark in this is a drill box.

Records the following on space provided:

Approved: - HidHer name Time: - Current time Date: - Current Date Provides the filled out ENR form to the E Plan Communicator.

Page 8 of 9 Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1

PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO OO.EP.OO1 SO4 Step Page 9 of 9 Action Standard Eva1 Comments EVALUATOR NOTE:

The total time from the JPM start to step 5 of the JPM must be 5 1 5 minutes in order for the time critical portion of the JPM to be satisfactory.

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2. Rev. 0. Page 1 of 1 2005 NRC Exam Rev. 1

TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario.

Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.

INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form.

2005 NRC Exam Rev. 1 Page 1 of 2

TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario.

Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.

INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form.

2005 NRC Exam Rev. 1 Page 2 of 2

PPL SUSQUEHANNA, LLC JOB PERFORMANCE MEASURE APPROVAL AND ADMINISTRATIVE DATA SHEET SRO 00.EP.001.505 0

9/27/05 2.4.41 NIA 4.0 APPl.

JPM Number Rev. No.

Date NUREG 1123 WA No.

K/A Imp.

To Sys. No.

Task

Title:

Completed By:

Validated:

Perform Emergency Plan Classification (Scenario ILO-505) and Complete the ENR form Rich Chin 9/27/05 Writer Date InstructorANriter Date Approval :

Nuclear Trng. Supv.

Date of Performance:

JPM Performed By:

Date Time Critical 15 Minutes Validated Time (Min.)

Time Taken (Min.)

Student Name:

Last First M.I.

Employee # I S.S. #

Performance

(

) Satisfactory

(

) Unsatisfactory Evaluation:

Evaluator Name:

Signature Typed or Printed Comments:

Form NTP-QA-31.8-1, Rev. 0, Page 1 of 2 2005 NRC Exam Rev. 1

REQUIRED TASK INFORMATION JOB PERFORMANCE MEASURE SRO 00.EP.001.505

1.

SAFETY CONSIDERATIONS A. All Operations personnel are responsible for maintaining their radiation exposure As Low As Reasonably Achievable in accordance with OP-AD-002, Standards for Shift Operations.

B. All applicable safety precautions shall be taken in accordance with established PPL safety policies and the Safety Rule Book, for example:

1. Whenever any electrical panel is opened for inspection during JPM performance.
2. Whenever entering any plant area where specific safety equipment; such as hearing or eye protection, safety shoes, hardhats, etc; is required and/or posted as being necessary.

C. If in the judgment of the evaluator any safety issue occurs during the performance of a JPM, the JPM will be terminated until the issue is resolved.

D. Peer checking is the expectation for all evolutions; however, since a JPM is an individual effort, no peer check will be provided and Self Checking is required.

II. REFERENCES A.

B. ILO-505, SIMULATOR EVALUATION SCENARIO C. EP-PS-1 OO-A D. EP-PS-1 OO-D E. EP-PS-100-9 EP-PS-100, EMERGENCY DIRECTOR CONTROL ROOM, REV. 18 111. REACTIVITY MAN1 PU LATlO NS This JPM satisfies the following Operational Activity(s):

None IV. TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario. Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.

V. INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form.

VI. TASK STANDARD Emergency classification of Site Area Emergency declared within 15 minutes.

Form NTP-QA-31.8-1, Rev. 0, Page 2 of 2 2005 NRC Exam Rev. 1

PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO OO.EP.OO1 SO5 Step Action EVALUATOR NOTE:

0 This JPM must be performed in the simulator following completion of the scenario ILO-505 as Unit Supervisor.

This is a time critical JPM.

Ensure a copy of EP-PS-100 is available to support performance of this JPM.

0 EVALUATOR NOTE:

To begin this JPM, provide the candidate with the Initiating Cue Sheet.

EVALUATOR NOTE:

After the candidate reviews the Task Conditions /

Initiating Cue Sheet:

0 Ask if the candidate is ready to begin the JPM.

When the candidate is ready to begin the JPM inform the candidate that this is a Time Critical JPM.

Record Start Time Student Name:

Standard Page 3 of 9 Eva1 Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA91.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1

1 PERFORMANCE CHECKLIST Page 4 of 9 Appl. To/JPM No.: SRO 00.EP.001.505 Student Name:

Step 1

2 3

  • 4 5

6 Action Obtains a copy of EP-PS-100.

Identifies appropriate Tab Evaluates information.

EVALUATOR CUE:

Assistance may be necessary for some specific scenario data or sequence of events. Use your judgment on acceptable levels of cueing based on candidates request.

Choose appropriate emergency classification level.

Record Time of Site Area Emergency declaration Determines appropriate procedure section for the classification.

Standard Sontrolled copy obtained.

Determines Tab A is appropriate Tab to classify the event.

Identifies from participation as The Unit Supervisor, RPV water level dropped below -1 61 inches FS1 Loss or Potential loss of ANY 2 Fission Product Barriers Determines TAB D Manage the Site Area Emergency is the appropriate TAB.

Eva1 Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1

PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO 00.EP.001.505 Student Name:

Step 7

8 9

10 Action Document and communicate the Emergency Classification.

If not performed earlier appoint an Emergency Plan Communicator If not performed earlier, appoint an NRC communicator.

Generate and approve an ENR form to be transmitted by the Emergency Plan Communicator.

EVALUATOR CUE:

Inform the candidate that the Control # in the next step will be CR-ILO-505 Standard Announces to Control Room Personnel:

I am assuming duties of the Emergency Director.

Site Area Emergency Classification declared based on FS1 Loss or Potential loss of ANY 2 Fission Product Barriers Time and Date of Classification.

Appoints an Emergency Plan Communicator and instruct hidher to immediately perform EP-PS-126 E Plan Communicator.

Appoints an NRC Communicator and instruct hidher to perform EP-PS-135 NRC Communicator Refers to ENR Form under Tab 9.

Page 5 of 9 Eva1 Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2, Rev. 0. Page 1 of 1 2005 NRC Exam Rev. 1

PERFORMANCE CHECKLIST Page 6 of 9 Appl. To/JPM No.: SRO 00.EP.001.505 Student Name:

Step 11

  • 12 Action Fill out and approve the Emergency Notification Report Form.

EVALUATOR NOTE:

The communicator will fill out the communicator name, callback telephone number, and time notification is initiated. (Line 2 of the Emergency Notification Report Form).

Completes line 3 EVALUATOR NOTE:

Initial Declaration is not critical Standard Fills out and approves the Emergency Notification Report Form as follows:

Control # CR-ILO-505 LINE 1.

Call Status:

Places checkmark in This is a drill box LINE 3.

Emergency Classification:

Places checkmark in Site Area Emergency box Places checkmark in Unit one box Records the Declaration time and date.

Places a checkmark in this represents N A N initial declaration box in classification status.

Eva1 Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1

PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO 00.EP.001.505 Step 3k13 3k14 15 Action EVALUATOR NOTE:

FS1 alone is sufficient for the Brief Non-Technical Description for the initial notification.

Candidate may paraphrase this description Completes line 4 Completes line 5 Completes line 6 Student Name:

Standard LINE 4.

The Emergency action level (EAL) number is:

Records EAL FS1 Brief non -technical description of the event:

Records FSl LINE 5.

Places a checkmark in the NO Non-routine radiological release box LINE 6 Records Wind Direction is from: 10" Wind Speed is: 5 mph Page 7 of 9 Eva1 Comments

  • Critical Step
  1. Critical Sequence Form NTP-OA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1

PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO 00.EP.001.505 Step 16 jk17 18 Action Completes line 7 Approves the Emergency Notification Report Form EVALUATOR NOTE:

Candidate may review the filled out ENR form with the E Plan Communicator.

Give the approved ENR form to the E Plan Communicator.

EVALUATOR CUE:

If necessary, Role-play the communicator and accept the filled out form.

EVALUATOR CUE:

Inform the candidate the JPM is complete.

Student Name:

Standard LINE 7.

==

Conclusion:==

Places a checkmark in this is a drill box.

Records the following on space provided:

Approved: - HidHer name Time: - Current time Date: - Current Date Provides the filled out ENR form to the E Plan Communicator.

Page 8 of 9 Eva1 Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2, Rev. 0. Page 1 of 1 2005 NRC Exam Rev. 1

Appl. To/JPM No.: SRO 00.EP.001.505 Step PERFORMANCE CHECKLIST Student Name:

Action Standard Eva1 Comments EVALUATOR NOTE:

The total time from the JPM start to step 5 of the JPM must be 5 1 5 minutes in order for the time critical portion of the JPM to be satisfactory.

Page 9 of 9

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1

TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario.

Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.

INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form.

2005 NRC Exam Rev. 1 Page 1 of 2

TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario.

Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.

INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form, 2005 NRC Exam Rev. 1 Page 2 of 2

PPL SUSQUEHANNA, LLC JOB PERFORMANCE MEASURE APPROVAL AND ADMINISTRATIVE DATA SHEET SRO 00.EP.001.602 0

9/27/05 2.4.41 N/A 4.0 ADDI.

JPM Number Rev. No.

Date NUREG 1123 KIA No.

KIA ImD.

I To Sys. No.

Task

Title:

Perform Emergency Plan Classification (Scenario ILO-602) and Complete the ENR form Completed By:

Validated:

Rich Chin 9/27/05 Writer Date I nstructorMl riter Date Approval:

Nuclear Trng. Supv.

Date of Performance:

JPM Performed By:

Date Time Critical 15 Minutes Validated Time (Min.)

Time Taken (Min.)

Student Name:

Last First M.I.

Employee # I S.S. #

Performance Eva1 uation:

(

) Satisfactory

(

) Unsatisfactory Evaluator Name:

Signature Typed or Printed Comments:

Form NTP-QA-31.8-1, Rev. 0, Page 1 of 2 2005 NRC Exam Rev. 1

REQUIRED TASK INFORMATION JOB PERFORMANCE MEASURE SRO 00.EP.001.602

1.

SAFETY CONSIDERATIONS A. All Operations personnel are responsible for maintaining their radiation exposure As Low As Reasonably Achievable in accordance with OP-AD-002, Standards for Shift Operations.

B. All applicable safety precautions shall be taken in accordance with established PPL safety policies and the Safety Rule Book, for example:

1. Whenever any electrical panel is opened for inspection during JPM performance.
2. Whenever entering any plant area where specific safety equipment; such as hearing or eye protection, safety shoes, hardhats, etc; is required and/or posted as being necessary.

C. If in the judgment of the evaluator any safety issue occurs during the performance of a JPM, the JPM will be terminated until the issue is resolved.

D. Peer checking is the expectation for all evolutions; however, since a JPM is an individual effort, no peer check will be provided and Self Checking is required.

II. REFERENCES A.

B. ILO-602, SIMULATOR EVALUATION SCENARIO C. EP-PS-1 OO-A D. EP-PS-1 OO-D E. EP-PS-100-9 EP-PS-100, EMERGENCY DIRECTOR CONTROL ROOM, REV. 18 111. REACTIVITY MANIPULATIONS This JPM satisfies the following Operational Activity(s):

None IV. TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario. Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.

V. INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form.

VI. TASK STANDARD Emergency classification of Site Area Emergency declared within 15 minutes.

Form NTP-QA-31.8-1, Rev. 0, Page 2 of 2 2005 NRC Exam Rev. 1

PERFORMANCE CHECKLIST Page 3 of 9 Appl. To/JPM No.: SRO 00.EP.001.602 Student Name:

Step Action EVALUATOR NOTE:

0 This JPM must be performed in the simulator following completion of the scenario ILO-602 as Unit Supervisor.

This is a time critical JPM.

Ensure a copy of EP-PS-100 is available to support performance of this JPM.

0 0

EVALUATOR NOTE:

To begin this JPM, provide the candidate with the Initiating Cue Sheet.

EVALUATOR NOTE:

After the candidate reviews the Task Conditions /

Initiating Cue Sheet:

0 0

Ask if the candidate is ready to begin the JPM.

When the candidate is ready to begin the JPM inform the candidate that this is a Time Critical JPM.

Record Start Time Standard Eva1 Comments

  • Critical Step
  1. Critical Sequence Form NTP-OA-31.8-2. Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1

i PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO 00.EP.001.602 Step 1

2 3

Identifies appropriate Tab Evaluates information.

EVALUATOR CUE:

Assistance may be necessary for some specific scenario data or sequence of events. Use your judgment on acceptable levels of cueing based on candidates request.

Choose appropriate emergency classification level.

Student Name:

Standard Controlled copy obtained.

Determines Tab A is appropriate Tab to classify the event.

Identifies from participation as The Unit Supervisor, ATWS and RPV water level dropped below -1 61 inches MS3 ATWS and ARI fail to reduce power to less than 5%

OR FS Loss or Potential loss of ANY 2 Fission Product Barriers Page 4 of 9 Eva1 Comments c

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1

PERFORMANCE CHECKLIST

(

Page 5 of 9 Appl. To/JPM No.: SRO 00.EP.001.602 Student Name:

Step 5

6 7

8 9

Action Record Time of Site Area Emergency declaration Determines appropriate procedure section for the classification.

Document and communicate the Emergency Classification.

If not performed earlier appoint an Emergency Plan Communicator If not performed earlier, appoint an NRC com mu n icato r.

Standard Determines TAB D Manage the Site Area Emergency is the appropriate TAB.

Announces to Control Room Personnel:

I am assuming duties of the Emergency Director.

Site Area Emergency Classification declared based on MS3 ATWS and ARI fail to reduce power to less than 5%

FS1 Loss or Potential loss of ANY 2 Fission Product Barriers Time and Date of Classification.

OR Appoints an Emergency Plan Communicator and instruct hidher to immediately perform EP-PS-126 E Plan Communicator.

Appoints an NRC Communicator and instruct hidher to perform EP-PS-135 NRC Communicator Eva1 Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1

PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO 00.EP.001.602 Student Name:

Step 10 11 Action Generate and approve an ENR form to be transmitted by the Emergency Plan Communicator.

EVALUATOR CUE:

Inform the candidate that the Control # in the next step will be CR-ILO-602 Fill out and approve the Emergency Notification Report Form.

EVALUATOR NOTE:

The communicator will fill out the communicator name, callback telephone number, and time notification is initiated. (Line 2 of the Emergency Notification Report Form).

Standard Refers to ENR Form under Tab 9.

Fills out and approves the Emergency Notification Report Form as follows:

Control # CR-ILO-602 LINE 1.

Call Status:

Places checkmark in This is a drill box Page 6 of 9 Eva1 Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1

i PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO 00.EP.001.602 Step

  • 12
  • 13 Action Completes line 3 EVALUATOR NOTE:

Initial Declaration is not critical EVALUATOR NOTE:

MS3 or FS1 alone is sufficient for the Brief Non-Technical Description for the initial notification.

Candidate may paraphrase this description Completes line 4 Student Name:

Standard LINE 3.

Emergency Classification:

Places checkmark in Site Area Emergency box Places checkmark in Unit one box Records the Declaration time and date.

Places a checkmark in this represents NAN initial declaration box in classification status.

LINE 4.

The Emergency action level (EAL) number is:

Records EAL MS 3 or FS1 Brief non -technical description of the event:

Records MS 3 or FS1 Page 7 of 9 Eva1 Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1

PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO 00.EP.001.602 Step

+k14 15 16

+k17

~

Action

~

Completes line 5 Completes line 6 Completes line 7 Approves the Emergency Notification Report Form EVALUATOR NOTE:

Candidate may review the filled out ENR form with the E Plan Communicator.

Student Name:

Standard LINE 5.

Places a checkmark in the NO Non-routine radiological release box LINE 6 Records Wind Direction is from: 10" Wind Speed is: 5 mph LINE 7.

==

Conclusion:==

Places a checkmark in this is a drill box.

Records the following on space provided:

Approved: - HidHer name Time: - Current time Date: - Current Date Page 8 of 9 Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1

PERFORMANCE CHECKLIST Appl. To/JPM No.: SRO 00.EP.001.602 Step 18 Action Give the approved ENR form to the E Plan Communicator.

EVALUATORC If necessary, Role-play the communicator and accept the filled out form.

EVALUATOR CUE:

Inform the candidate the JPM is complete.

EVALUATOR NOTE:

The total time from the JPM start to step 5 of the JPM must be 2 1 5 minutes in order for the time critical portion of the JPM to be satisfactory.

EVALUATOR NOTE:

If RPV water level drops below -205 inches the EAL will escalate to a General Emergency under MG3, and the ENR form will also reflect AN airborne NON routine radiological release based on loss of the Fuel clad barrier.

Student Name:

Standard Provides the filled out ENR form to the E Plan Communicator.

Page 9 of 9 Eva1 Comments

  • Critical Step
  1. Critical Sequence Form NTP-QA-31.8-2, Rev. 0, Page 1 of 1 2005 NRC Exam Rev. 1

TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario.

Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.

INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form.

2005 NRC Exam Rev. 1 Page 1 of 2

TASK CONDITIONS Consider the plant transient conditions and failures experienced in this scenario.

Assume Wind Direction was from: 10" and Wind Speed was: 5 mph throughout the scenario.

INITIATING CUE Provide the highest emergency classification level for the events in the scenario just completed, and complete the Emergency Notification Form.

2005 NRC Exam Rev. 1 Page 2 of 2