ML020430276
| ML020430276 | |
| Person / Time | |
|---|---|
| Site: | Wolf Creek  |
| Issue date: | 01/07/2002 |
| From: | Gody A NRC Region 4 |
| To: | Maynard O Wolf Creek |
| References | |
| 50-482/01301 | |
| Download: ML020430276 (18) | |
Text
APPENDIX I Operations Branch Assignment Check Sheet:
(Includes ES-201-1 & ES-501-1 Rev. 8 information)
S:\\DRS\\08\\Exam Good Practices\\goodprac-app-i-rev3.wpd as of:
4/23/01 Chief: H. Bundy Facility/Task: WC/Initial License Exams Task Start Date: 12/10/01 ITEM DESCRIPTION DUE DATE INIT DATE 0
Exam/Inspection Schedule Agreement Jun 13, 2001 JLP 4/23/2001 1
NRC Staff & Fac. Contact Assigned Jun 13, 2001 JLP 4/23/2001 2
Facility contact briefed on security & other issues Jun 13, 2001 JLP 4/23/2001 3
Corp. Notification Letter Sent Jun 13, 2001 3a Inspection Announcement Letter Sent (PIR & LORT if req'd)
Oct 26, 2001 4
Task Expectations, Issues, & Standards Discussed w/ BC Sep 11, 2001 5
[Reference Material Due]
Aug 12, 2001 6
Integrated Exam Outlines Due Aug 12, 2001 7
Outlines reviewed by NRC & Feedback Sent Aug 26, 2001 5/
8 Preliminary Applications Due Nov 10, 2001 9
Draft Exams w/ Doc./Ref. Due Oct 11, 2001
/A1 10* Independent Reviewer Initials As Reviewed All Parts Oct 21, 2001 I /'"
1.. NRC Supervisor. Initials Approving for Fac. Rev.
Oct 21, 2001.f 12 Exams Reviewed w/ Fac.
Oct 21, 2001 13 Final Appl. Due & Assign. Sheet Prepared Nov 26, 2001 14" NRC Supervisor Approved Final Exams Dec 3, 2001 4k-21/ L5o 15 Final Appl. Rec'd & Waivers Sent Dec 3, 2001
,':0 16 Proctor Rules Reviewed w/ Fac. & Written Authorized Dec 3, 2001 17 Exam/Insp Material to Team Dec 3, 2001 18 Fac. graded exam & Comments Rec'd Dec 22, 2001 19 NRC Written Grading Completed Dec 25, 2001 A '7 "o/
20 Examiners Finished Grading Op. Tests Dec 25, 2001 t1X1' 21 NRC Ch. Ex. Review Completed Jan 4, 2002 22 *NRC BC Review Completed Jan 5, 2002 4/t74" 23 RPS/IP Examinees Updated Before Report Issued Jan 10, 2002
- 7.
24 License/Denials Signed & Report Issued Jan 10, 2002 46 25 Package Closed Out Jan 31, 2002 Final Inspection Report Issued, Exam Package to OLA, Facility. Contact Notified of Results
'Note Supervisor or Independent Reviewer initials required in for lines 10, 11, 14, & 22.
[] Required NRC-auth. exams only for line 5.
ES-201 Examination Outline Form ES-201-2 Quality Checklist Facility:
&) c 6 5 Date of Examination: /2 /O/0 Initials Item Task Description I
a b* c#
- 1.
- a. Verify that the outline(s) fit(s) the appropriate model per ES-401.
W R
- b. Assess whether the outline was systematically and randomly prepared in accordance with I
Section D.1 of ES-401 and whether all K/A categories are appropriately sampled.
T T
- c. Assess whether the outline over-emphasizes any systems, evolutions, or generic topics.
A'A E
N
- d. Assess whether the justifications for deselected or rejected K/A statements are appropriate.
- 2.
- a. Using Form ES-301-5, verify that the proposed scenario sets cover the required number of normal evolutions, instrument and component failures, and major transients.
S I
- b. Assess whether there are enough scenario sets (and spares) to test the projected number and M
mix of applicants in accordance with the expected crew composition and rotation schedule without compromising exam integrity; ensure each applicant can be tested using at least one new or significantly modified scenario, that no scenarios are duplicated from the applicants' audit test(s)*,
and scenarios will not be repeated over successive days.
- c. To the extent possible, assess whether the outline(s) conform(s) with the qualitative and quantitative criteria specified on Form ES-301-4 and described in Appendix D.
- 3.
- a. Verify that:
(1) the outline(s) contain(s) the required number of control room and in-plant tasks, W
(2) no more than 30% of the test material is repeated from the last NRC examination, (3)* no tasks are duplicated from the applicants' audit test(s), and T
(4) no more than 80% of any operating test is taken directly from the licensee's exam banks.
- b. Verify that:
(1) the tasks are distributed among the safety function groupings as specified in ES-301, (2) one task is conducted in a low-power or shutdown condition, PA (3) 40% of the tasks require the applicant to implement an alternate path procedure, (4) one in-plant task tests the applicant's response to an emergency or abnormal condition, and (5) the in-plant walk-through requires the applicant to enter the RCA.
- c. Verify that the required administrative topics are covered, with emphasis on performance based activities.
- d. Determine if there are enough different outlines to test the projected number and mix of applicants and ensure that no items are duplicated on successive days.
- 4.
- a. Assess whether plant-specific priorities (including PRA and IPE insights) are covered in the appropriate exam section.
G E
- b. Assess whether the 10 CFR 55.41/43 and 55.45 sampling is appropriate.
N E
- c. Ensure that K/A importance ratings (except for plant-specific priorities) are at least 2.5.
Alf R
A
- d. Check for duplication and overlap among exam sections.
A, L
- e. Check the entire exam for balance of coverage.
'7
_ Printed ae,/~nture
- a. Author
- b. Facility Reviewer ()
- c. NRC Chief Examiner (#)
- d. NRC Supervisor Note:
Not applicable for NRC-developed examinations.
- Independent NRC reviewer initial items in Column "c;" chief examiner concurrence required.
23 of 24 NUREG-1021, Revision 8, Supplement 1 I
Written Examination Quality Checklist Form ES-401-7 (R8, SI)
Facility: Wolf Creek Generating Station Date of Exam: 12/07/01 Exam Level: RO/SRO Initial Item Description a
b*
c#
- 1.
Questions and answers technically accurate and applicable to facility"A 4'1ki
- 2.
- a. NRC K/As referenced for all questions 03'/
- b. Facility learning objectives referenced as available J6,7
.4.,
- 3.
RO/SRO overlap is no more than 75 percent, and SRO questions are appropriate
,h per Section D.2.d of ES-401
-,6
- 4.
Question selection and duplication from the last two NRC licensing exams appears consistent with a systematic sampling process*
.//-.
- 5.
Question duplication from the license screening/audit exam was controlled as indicated below (check the item that applies) and appears appropriate:
the audit exam was systematically and randomly developed; or Z*he audit exam was completed before the license exam was started; or
'l Sthe examinations were developed independently; or Z3 Sthe licensee certifies that there is no duplication; or other (explain)
- 6.
Bank use meets limits (no more than 75 Bank Modified New percent from the bank at least 10 percent new, and the rest modified); enter the actual question RO/
RO/
RO/
distribution at right SRO SRO SRO 16/16 8/7 76/77
- 7.
Between 50 and 60 percent of the questions on Memory C/A the exam (including 10 new questions) are written at the comprehension/analysis level; RO/
RO/
enter the actual question distribution at right SRO SRO F45/41 55/59
- 8.
References/handouts provided do not give away answers
- 9.
Question content conforms with specific K/A statements in the previously approved examination outline and is appropriate for the Tier to which they are assigned; deviations are justified
- 10.
Question psychometric quality and format meet ES, Appendix B, guidelines
- 11.
The exam contains 100, one-point, multiple choice items; the total is correct and agrees with value on cover sheet C
Printed Name / Signature Date
- a. Author L2Z9 (,
,Pt4
- b. Facility Reviewer (*)
,Cfide/
u1 e4
/1Y
,ie
- c. NRC Chief Examiner (#)
< F/3'-.
- d. NRC Regional Supervisor A-,My' ZQ'o-Note:
- The facility reviewer's initials/signature are not applicable for NRC-developed examinations.
- Independent NRC reviewer initial items in Column "c;" chief examiner concurrence required.
ES-301 Operating Test Quality Checklist Form ES-301-3 Facility:
VC4 5
Date of Examination: /,*
Z Operatin Test Number: (
Initials
- 1. GENERAL CRITERIA a
b*
c#
- a.
The operating test conforms with the previously approved outline; changes are consistent with sampling requirements (e.g., 10 CFR 55.45, operational importance, safety function distribution).
0021
- b.
There is no day-to-day repetition between this and other operating tests to be administered OA during this examination.
/I
,m C.
The operating test shall not duplicate items from the applicants' audit test(s)(see Section D. 1a).
At.
- d.
Overlap with the written examination and between operating test categories is within acceptable limits.v-
- e.
It appears that the operating test will differentiate between competent and less-than-competent j 4 A applicants at the designated license level.
- 2. WALK-THROUGH (CATEGORY A & B) CRITERIA
- a.
Each JPM includes the following, as applicable:
initial conditions initiating cues references and tools, including associated procedures reasonable and validated time limits (average time allowed for completion) and specific designation if deemed to be time critical by the facility licensee specific performance criteria that include:
- detailed expected actions with exact criteria and nomenclature
- system response and other examiner cues
- statements describing important observations to be made by the applicant
- criteria for successful completion of the task
- identification of critical steps and their associated performance standards
- restrictions on the sequence of steps, if applicable
- b.
The prescripted questions in Category A are predominantly open reference and meet the criteria in Attachment 1 of ES-301.
- c.
Repetition from operating tests used during the previous licensing examination is within fl acceptable limits (30% for the walk-through) and do not compromise test integrity.
- d.
At least 20 percent of the JPMs on each test are new or significantly modified.
- 3. SIMULATOR (CATEGORY C) CRITERIA
- a.
The associated simulator operating tests (scenario sets) have been reviewed in accordance with Form ES-301-4 and a copy is attached.
i Printed Name / Signature Date
- a. Author X
- b. Facility Reviewer(*)
/
- c. NRC Chief Examiner (#)
h
,"F 9Li..-,A
- d. NRC Supervisor A/P'tJ' 6 NOTE:
- The facility signature is not applicable for NRC-developed tests.
- Independent NRC reviewer initial items in Column "c;" chief examiner concurrence required.
23 of 26 NUREG-1021, Revision 8, Supplement 1
Simulator Scenario Quality Checklist Form ES-301-4 (R8, S1)
SHEET 1 Facility: WCGS Date of Exam: 12/10/2001 Scenario Numbers: 1 / 2 / 3 / 4(SP) Operating Test No.:1 QUALITATIVE ATTRIBUTES Initials a
b*
c#
- 1.
The initial conditions are realistic, in that some equipment and/or instrumentation may be out of
,A service, but it does not cue the operators into expected events.
,Ž
- 2.
The scenarios consist mostly of related events.
- 3.
Each event description consists of the point in the scenario when it is to be initiated the malfunction(s) that are entered to initiate the event 2!ý5-,*
the symptoms/cues that will be visible to the crew the expected operator actions (by shift position) the event termination point (if applicable)
- 4.
No more than one non-mechanistic failure (e.g., pipe break) is incorporated into the scenario without a credible preceding incident such as a seismic event.
- t06_,
- 5.
The events are valid with regard to physics and thermodynamics.
44
- 6.
Sequencing and timing of events is reasonable, and allows the examination team to obtain complete evaluation results commensurate with the scenario objectives.
/4
- r.
- 7.
If time compression techniques are used, the scenario summary clearly so indicates. Operators have sufficient time to carry out expected activities without undue time constraints. Cues are given.
- 8.
The simulator modeling is not altered.
- 9.
The scenarios have been validated. Any open simulator performance deficiencies have been evaluated to ensure that functional fidelity is maintained while running the planned scenarios.
A le
- 10.
Every operator will be evaluated using at least one new or significantly modified scenario. All other scenarios have been altered in accordance with Section D.4 of ES-301.
_ t__
- 11.
All individual operator competencies can be evaluated, as verified using Form ES-301-6 (submit 41 the form along with the simulator scenarios).
flq 1..
- 12.
Each applicant will be significantly involved in the minimum number of transients and events specified on Form ES-301-5 (submit the form with the simulator scenarios).
f-4,,,
- 13.
The level of difficulty is appropriate to support licensing decisions for each crew position.
,IAN.
TARGET QUANTITATIVE ATTRIBUTES (PER SCENARIO; SEE SECTION D.4.D)
Actual Attributes
- 1.
Total malfunctions (5-8) 5/5/5/5
- 2.
Malfunctions after EOP entry (1-2) 1/2/2/2 A
- 3.
Abnormal events (2-4) 2/2/2/3 elf_
- 4.
Major transients (14
- t.
- 5.
EOPs entered/requiring substantive actions (1-2) 1/1 1/1 f4 Li4)
- 6.
EOP contingencies requiring substantive actions (0-2) 1 / 1/0/0 0,,
- 7.
Critical tasks (2-3) 4/4/4/4
- 19-ES-301
OPERATING TEST NO. Crew A Transient and Event Checklist ES-301 Form ES-301-5 (R8, S)
Wolf Creek Generating Station Initial License Exam Applicant Evolution Minimum Scenario Number Type Type Number R01 R02 1
2 3
1 2
3 Reactivity 1
3 1
RO Normal 1
1 3
- 1.
Instrument/
1 36 1 2 25 Component 4
46 4
4 46 Major 1
5 4
5 5
4 Reactivity 1
Normal 0
Instrument!
2 Component Major 1
1 2
236 7
5 Reactivity 0
Normal 1
3 Instrument 2
1246 Component Major Reactivity 1
5 0
Normal 1
Instrument /
2 Component Major 1
Scenario As RO 1 1 SRO-I As SRO SRO-U 1
235 6
4 1
234 67 5
Scenario 1
2 3
SRO Position U
U So1 filled by RO Position RO1 S01 RO2 filled by BOP Position R02 R02 RO1 filled by I
I
OPERATING TEST NO. Crew A Instructions:
(1)
Enter the operating test number and Form ES-D-1 event numbers for each evolution type.
(2)
Reactivity manipulations may be conducted under normal or controlled abnormal conditions (refer to Section D.4.d) but must be significant per Section C.2.a of Appendix D.
(3)
Whenever practical, both instrument and component malfunctions should be included; only those that require verifiable actions that provide insight to the applicant's competence count toward the minimum requirement.
Author:
47-c Robert Ac'ree V*/CGS NRC Reviewer:
5*
(
Howard Bundy NRC *"-
OPERATING TEST NO. CREW B ES-301 Transient and Event Checklist Form ES-301-5 (R8, SI)
Wolf Creek Generating Station Initial License Exam Applicant Evolution Minimum Type Type Number Scenario Number 1
2 3
N/A Reactivity 1
1 RO Normal 1
3 1
Instrument/
4 1 2 46 25 Component 4
Major 1
5 5
4 Reactivity 1
3 1
As RO Normal 0
1 Instrument /
Component 2
1 6 23 36 4
67 Major 1
5 5
4 SRO-I Reactivity 0
Normal 1
3 1
1 As SRO Instrument 2
1 2 23 23 Component 4 6 4 6 5 6 7
Major 1
5 5
4 Reactivity 0
Normal 1
Instrument!
SRO-U Component 2
Major 1
Scenario 1
2 3
SRO Position filled S02 S03 S02 by RO Position filled S03 S02 R03 by I
BOP Position filled R03 R03 SO3 by I
Instructions:
Author:
NRC Reviewe OPERATING TEST NO. CREW B (1)
Enter the operating test number and Form ES-D-1 event numbers for each evolution type.
(2)
Reactivity manipulations may be conducted under normal or controlled abnormal conditions (refer to Section D.4.d) but must be significant per Section C.2.a of Appendix D.
(3)
Whenever practical, both instrument and component malfunctions should be included; only those that require verifiable actions that provide insight to the applicant's competence count toward the minimum requirement.
Robr
-2 7-0/
Robert Acree WCGS Howard Bundy NRC r:
CREW A (Sheet 1)
Competencies Checklist Wolf Creek Generating Station Initial License Exam Form ES-301-6 (R8, $1)
Applicant #1 Applicant #2 Applicant #3 SRO-U RO1 R02 Competencies SCENARIO SCENARIO SCENARIO 1
2 3
1 2
3 1
2 3
Understand and 2
234 134 2
34 25 Interpret Annunciators 5 7 and Alarms Diagnose Events 14 237 14 34 14 45 24 and Conditions 6
5 Understand Plant 14 257 4
14 4
24 and System Response 5
Comply With and 35 123 45 1 3 24 46 1 2 Use Procedures (1) 7 6
5 4
Operate Control 1 3 1 3 2
1 3 1 2 Boards (2) 56 6
4 5
Communicate and ALL ALL 1 3 121 2
1 2 Interact With the Crew 4 5 36 4
36 45 6
7 Demonstrate 3 5 1 2 3 Supervisory Ability (3) 7 5 6 7 Comply With and 2
3 Use Tech. Specs. (3)
Notes:
(1) Includes Technical Specification compliance for an RO.
(2) Optional for an SRO-U.
(3) Only applicable to SROs.
Instructions:
Circle the applicant's license type and enter one or more event numbers that will allow the examiners to evaluate every applicable competency for every applicant.
Author:
//2 7- 01/
NRC Reviewer:
Robert Acree WCGS
( ( -3
) (
Howard Bundy NRC ES-301
CREW A (Sheet 2)
ES-301 Competencies Checklist Wolf Creek Generating Station Initial License Exam Applicant #4 SRO-11 Competencies SCENARIO 1
2 3
Understand and Interpret 2 5 7 2 3 4 Annunciators and Alarms Diagnose Events 25 2 3 4 and Conditions 56 Understand Plant 2 5 25 and System Response Comply With and 123 123 Use Procedures (1) 6 Operate Control 1 2 5 Boards (2) 6 All Communicate and 1 2 4 Interact With the Crew 5
123 Demonstrate Supervisory Ability (3)
Comply With and Use Tech. Specs. (3) 23 Form ES-301-6 (R8, 51)
Notes:
(1) Includes Technical Specification compliance for an RO.
(2) Optional for an SRO-U.
(3) Only applicable to SROs.
Instructions:
Circle the applicant's license type and enter one or more event numbers that will allow the examiners to evaluate every applicable competency for every applicant.
Author:
NRC Reviewer:
Robert Acree WCGS a B(-3C Howard Bundy NRC
.k
CREW B Competencies Checklist Form ES-301-6 (R8, S)
Wolf Creek Generating Station Initial License Exam Applicant #1 Applicant #2 Applicant #3 SRO-12 SRO-13 RO-3 Competencies SCENARIO SCENARIO SCENARIO 1
2 3
1 2
3 1
2 3
Understand and Interpret 2
25 23 23 34 2
34 25 Annunciators and Alarms 7
4 4 5 7
Diagnose Events 14 25 23 14 23 34 14 45 24 and Conditions 5 6 7
6 5
Understand Plant 14 25 25 4
25 34 14 45 24 and System Response 7
5 Comply With and 35 1 2 1 2 45 1 2 1 3 24 46 1 2 Use Procedures (1) 7 36 3
6 3
4 5
4 Operate Control 1 2 1 3 1 3 1 3 2
1 3 1 2 Boards (2) 56 67 56 6
4 5
Communicate and All 1 2 All 1 3 All 1 2 1 2 1 2 1 2 Interact With the Crew 56 45 36 4
36 45 6
7 Demonstrate Supervisory 3 5 1 2 1 2 Ability (3) 7 3
3 5 67 Comply With and 2
2 3 3
Use Tech. Specs. (3)
Notes:
(1) Includes Technical Specification compliance for an RO.
(2) Optional for an SRO-U.
(3) Only applicable to SROs.
Instructions:
Circle the applicant's license type and enter one or more event numbers that will allow the examiners to evaluate every applicable competency for every applicant.
Author:
NRC Reviewer:
l4L1A--
Robrt Ac-ree WCGS
/27-,
/
(t-3,:>- lý Howard Bundy NRCil-ES-301
Written Examination Grading Quality Checklist Form ES-403-1 (R8, S1)
Facility: Wolf Creek Generating Station Date of Exam: 12/07/2001 Exam Lev<ROSRO Initials Item Description a
b c
- 1.
Clean answer sheets copied before grading A,
f-7
- 2.
Answer key changes and question deletions justified and
,/,
.d,6 A-,A documented AAA
- 3.
Applicants' scores checked for addition errors (reviewers spot check > 25% of examinations)
- 4.
Grading for all borderline cases (80% +/- 2%) reviewed in i
D detail
- 5.
All other failing examinations checked to ensure that grades
,)fL are justified
- 6.
Performance on missed questions checked for training deficiencies and wording problems; evaluate validity of questions missed by half or more of the applicants Printed Name / Signature Date
- a. Grader
/,z6*ý
/4"
- b. Facility Reviewer(*)
,/J z/
- c. NRC Chief Examiner (*)
___________________oo_
- d. NRC Supervisor (*)
7ý,
a6-A A.iW
(*)
The facility reviewer's signature is not applicable for examinations graded by the NRC; two independent NRC reviews are required.
Operator Licensing Exam Schedule From 10/01/2001 To 09/30/2002 Page 2 of 4 12/19/2001 Report 21 Region: 4 Isummary By Datie:
11/2001 WC - Wolf Creek RO - 0 11/2001 RO - 0 12/2001 WC - Wolf Creek RO -3 SROI - 0 SROI - 0 SROI - 3 SROU -0 SROU -0 SROU - 1 LSRO - 0 LSRO - 0 LSRO - 0 Total for Wolf Creek: 0 Total for 11/2001: 0 Total for Wolf Creek: 7 Sites: WC Orgs: 4620 Exam Author:ALL Phase Code: 5 Operational 15:18:15
ES-201 Examination Security Agreement Form ES-201-3
- 1.
Pre-Examination I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of /-/
as of the date of my signature. I agree that I will not knowingly divulge any information about these examinations to any persons who have not been authorized by the NRC chief examiner. I understand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examinations from this date until completion of examination administration, except as specifically noted below and authorized by the NRC.Furthermore, I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action against me or the facility licensee. I will Immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been compromised.
- 2.
Post-Examination To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of L-/til,.*" 'From the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC.
PRINTED NAME JOB TITLE / RESPONSIBILITY SIGNATURE (1)
DATE SIGNATURE (2)
DATE NOTE f,7
- 2. /&
69 Alelo R
A-ql
- 3.
3~~
".A'l~'
10Ar.
~~l
- 4.
T5aA a f~~~
tIf AA~
- 15.
N E.
- 10.
- 14.
NOTES:
NUP- '1021, Revision 8 21 2 _4 I
D 9 '7*i ES-201 Examination Security Agreement Form ES-201-3 (R8, S1)
- 1.
Pre-Examination I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of 12/7 -12/14 2001 as of the date of my signature. I agree that I will not knowingly divulge any information about these examinations to any persons who have not been authorized by the NRC chief examiner. I understand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examinations from this date until completion of examination administration, except as specifically noted below and authorized by the NRC. Furthermore, I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action against me or the facility licensee. I will immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been compromised.
- 2.
Post-Examination To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of 12/7 -12/14 2001. From the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC.
PRINTED NAME 1.- Z Ry R. J!peZD
_1
- 2.
.4',,eR"
/7 t-,e.H't,
- 3. -- 4. -
,ox &m...
- 5. z 7...
6 C,,(L
_.-R
- 8. '*,L-.,,', -
L.At,.
- 9. :37 ~.*
(,...
10.,
CA**"*.
13.
L~tot.-Nm
- 14. -+*,c...4.,4-e,.,,
15.NE NOTES:
JOB TITLE / RESPONSIBILITY C o0Al &I C Rldz~f e'L 104 Aralf DATE SIGNATURE (2) DATE NOTE 4 'c 4 S o
i'I"fO PO
,,y.Z,.
1 1
S &\\
I
.,,SIGNATURE (1)
A AM 0 -9KAe--4--Z
9 ES-201 Examination Security Agreement Form ES-201-3 (R8, Si)
- 1.
Pre-Examination I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of 12/7 -12/14 2001 as of the date of my signature. I agree that I will not knowingly divulge any information about these examinations to any persons who have not been authorized by the NRC chief examiner. I understand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examinations from this date until completion of examination administration, except as specifically noted below and authorized by the NRC. Furthermore, I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action against me or the facility licensee. I will immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been compromised.
- 2.
Post-Examination To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of 12/7 -12/14 2001. From the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC.
PRINTED NAME JOB TITLE / RESPONSIBILITY SIGNATURE (1)
DATE SIGNATURE (2) DATE
- 1.
ac
- -÷t* Jr
- 2. 9l,.:f,
".L_
r
- 3.
Rex
)
- k
.*;oa
,r 6.4 g_)u.
-3. a L w
ýVjt
_stvt,./.,ý/*
q."
/
- 7.
AeA---.,,
10P.,.
c L
- 1.
I
- 14. *@ *' 4K L,,rL,
es-F,,*--.,,
- 15.
NOTES:
/.2 Id qtloa
,.
I vw -
(
S09,- 01 i/5o IAAJ z-V W4 4d16ph
/
//c/
L-4kf-'
I,-,
6'
[
NOTE I
64-rei.-AC'1-
-e e,* ýV 9ou-inkol bpcrcýAnr-
-001_vAj I*'t'
- j/
-I-a"nu g&ý Cý-,O.Cl it.
- i"'. "
0 m
n wý ES 2011 Examination Se
- itAreemn Form ES.
ýre-Examination I acknohledge that I have acquired specalized knowledge about the NRC licensing examinations scheduled for the week(s) of as of the date of my signature. I agree that I will not knowingly dcilge any information about these examinations to any persons who have not been authorized by the NRC chief examiner. I understand that I am not to instruct, evaluate, or provide perfomarme feedback to those applicants scheduled to be administered these licensing examinations from this date until completion of examination adm*nisration, except as specirica fly noted below and authorized by the NRC.Furthermore, I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures) and understand that vklation of the conditions of this agreement may result in cancellation of the examinations andfor an enforcement action against me or the facility kcensee. I will immediately report to facilty management or the NRC chief examiner any indications or suggestions that examination security may have been compromised.
- 2.
Post-Examination To the best of my knowledge. I.did not divulge to any unauthorized persons any infornation concerning the NRC licensing examinations administered during the week(s) of, A
,A. From the date that I entered into this security agreement untill the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC.
PRINTED NAME JOB TITLE I RESPONSIBILITY SIGNATURE (1)
DATE SIGNATURE (2) DATENOTE
~Z-1--4
% _n NUREG-1021. Revision 8, Supplement I CD I-.
CI d
0 Zanxuy i2. VecnDcPi...
0
- 23.
- 24.
S5.
Z 6.
n 7.
1 9.
MO1 "LI
-I 13.
NOTES:
I.,
~0,
(.1 Examination Sectgitv-pffi ement Form E& 20 -.e
-v-24 olf24 "0
m