ML023100059

Final Qa/Related Forms

ML023100059
Person / Time
Site:	Limerick
Issue date:	10/24/2002
From:	Wasong A Exelon Nuclear
To:	Conte R NRC/RGN-I/DRS/OSB
Conte R
References
50-352/02-302, 50-353/02-302
Download: ML023100059 (27)

Text

ES-201 Examination Preparation Checklist Form ES-201 -1 Facility: l,// erlek liz- Date of Examination: ________,

Examinations Developed by: Facility / NRC (circle one)

Target Chief Date* Task Description / Reference Examiner's Initials

-180 1. Examination administration date confirmed (C.l.a; C.2.a & b)

-120 2. NRC examiners and facility contact assigned (C. .d; C.2.e)

-120 3. Facility contact briefed on security & other requirements (C.2.c)

-120 4. Corporate notification letter sent (C.2.d)

[-90] [5. Reference material due (C.1 .e; C.3.c)] ,-t/9

-75 6. Integrated examination outline(s) due (C.1 .e & f; C.3.d)

-70 7. Examination outline(s) reviewed by NRC and feedback provided to facility licensee (C.2.h; C.3.e)

-45 8. Proposed examinations, supporting documentation, and reference materials due (C.1 .e, f, g & h; C.3.d)

-30 9. Preliminary license applications due (C.1.1; C.2.g; ES-202)

-14 10. Final license applications due and assignment sheet prepared (C.1.1; C.2.g; ES-202)

-,4 11. Examination approved by NRC supervisor for facility licensee review (C.2.h; C.3.f)

-14 12. Examinations reviewed with facility licensee (C.1 .j; C.2.f & h; C.3.g)

-7 13. Written examinations and operating tests approved by NRC supervisor (C.2.i; C.3.h)

-7 14. Final applications reviewed; assignment sheet updated; waiver letters sent (C.2.g, ES-204)

15. Proctoring/written exam administration guidelines reviewed with

-7 facility licensee and authorization granted to give written exams (if applicable) (C.3.k)

'4

-7 16. Approved scenarios, job performance measures, and questions distributed to NRC examiners (C.3.i)

Target dates are keyed to the examination date identified in the corporate notification letter.

They are for planning purposes and may be adjusted on a case-by-case basis in coordination with the facility licensee.

[] Applies only to examinations prepared by the NRC.

NUREG-1021, Revision 8, Supplement 1 22 of 24

ES-201 Examination Outline Form ES-201-2 Quality Checklist 23 of 24 NUREG-1021, Revision 8, Supplement I

) )

L Y-4 e I cJk )

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 10/7/02 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-Exam ination To the est of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of 10/7/02 . 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

2. - &o FF--

-Be'

4. AA^*.*-Z*_ $.g,,i,* -- -- - - - - . - - - -i- - --

8. *, * . .

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12.

13. - ---- ------ ---------------------- ------ -------------------- ----- ----

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15. - - - - - - - - - - - - - - -- - - - - - - - - ------- ----- -------------------- ----- ----

NOTES:

NUREG-1021, Revision 8, Supplement 1 24 of 24

) )

o/*s 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 10/7/02 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 10/7/02 . 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 DATENOTE 1.frranK u/zy "

jSAeý_ - *---,_ 6r -_ - ,

3. Mj sx-A A A C9.-ma 5._J6ab/~ 4 t ~---- - -- -Jp~-- -- - ---- -,-- - £O11.f e- 0 --Q 8.

9.-

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10. - --_- __----

11 - - - - -

12.

13.

14.

15.

NOTES:

NUREG-1021, Revision 8, Supplement 1 24 of 24

twv) &:

ci's Form ES-201-3 ES-201 Examination Security Agreement

1. Pre-Examination as of the NRC licensing examinations scheduled for the week(s) of 10/7/02 authorized I acknowledge that I have acquired specialized knowledge about the have not been information about these examinations to any persons who date of my signature. I agree that I will not knowingly divulge any to be evaluate, or provide performance feedback to those applicants scheduled and by the NRC chief examiner. I understand that I am not to instruct, noted below completion of examination administration, except as specifically administered these licensing examinations from this date until licensee's security measures and requirements (as documented in the facility authorized by the NRC.Furthermore, I am aware of the physical and/or an enforcement this agreement may result in cancellation of the examinations procedures) and understand that violation of the conditions of any indications or suggestions tha to facility management or the NRC chief examiner action against me or the facility licensee. I will immediately report examination security may have been compromised.

2. Post-Examination administered persons any information concerning the NRC licensing examinations To the best of my knowledge, I did not divulge to any unauthorized the completion of examination administration, I did not this security agreement until during the week(s) of 10/7/02 . From the date that I entered into specifically who were administered these licensing examinations, except as instruct, evaluate, or provide performance feedback to those applicants noted below and authorized by the NRC.

C'Itf'oIATI D" fATI::fN n')\ TP JOB TITLE / RESPONSIBILITY SIGNATURL (1) LI. I r- oikNt, L.,/L t.,..........

PRINTED NAME

_* V ..< - -

J.,* c- 0 e- -- -- _ . - .-

2. J' "i-, f'b/4.. 7* I'

/- o e A, - __.

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A '4

5. la L,*

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9. ---------------------------

11. ------------------------------

12.-----------------

13.

14. ----------------------------------------------------

15.

NOTES:

NUREG-1021, Revision 8, Supplement 1 24 of 24

ES-301 Operating Test Quality Checklist Form ES-301-3 Facility: /IAA G:"(?, XC I< Date of Examination: ( O 0 .. Operatin Test Number:

Initials

1. GENERAL CRITERIA a b* c# I

a. The operating test conforms with the previously approved outline; changes are consistent with o sampling requirements (e.g., 10 CFR 55.45, operational importance, safety function distribution).

b. There is no day-to-day repetition between this and other operating tests to be administered during this examination.-- ___

c. The operating test shall not duplicate items from the applicants' audit test(s)(see Section D.1.a). 4*

d. isOverlap with the written examination and between operating test categories is within acceptable limits.

e. It appears that the operating test will differentiate between competent and less-than-competent 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 *redominantly open reference and meet the criteria in Attachment 1 of ES-30. M- L J MSA __ __I

c. Repetition from operating tests used during the previous licensing examination is within 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.

Printed Name ! Signature Date

a. Author IEF69FX AA- ST7V&- S ______

b. Facility Reviewer(*) A - 4.i o-A% e -FY 4 t.

c. NRC Chief Examiner (#)

I

d. NRC Supervisor - - Q.,

NOTE:

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

1. Independent NRC reviewer initial items in Column "c;" chief examiner concurrence required.

23 of 26 NUREG-1021, Revision 8, Supplement 1

ES-301 Simulator Scenario Quality Checklist Form ES-301-4 Facility: L// enrrI'-i Date of Exam: i/*7/0oc- Scenario Numbers: Al/ 6/C--Operating Test No.:

QUALITATIVE ATTRIBUTES Initials a b* c#

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

service, but it does not cue the operators into expected events.

2. The scenarios consist mostly of related events. 22,

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 4

the symptoms/cues that will be visible to the crew J -D 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 , n without a credible preceding incident such as a seismic event.

5. The events are valid with regard to physics and thermodynamics. ME __/_

6. Sequencing and timing of events is reasonable, and allows the examination team to obtain complete evaluation results commensurate with the scenario objectives. -w

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 ':ýe5 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.

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.

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

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).

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

TARGET QUANTITATIVE ATTRIBUTES (PER SCENARIO; SEE SECTION D.4.D) Actual Attributes

1. Total malfunctions (5-8) -7/ 4,

2. Malfunctions after EOP entry (1-2)

3. Abnormal events (2-4) l/

4. Major transients (1-2) 4io, zi

5. EOPs entered/requiring substantive actions (1-2) /1 J-1 /

6. EOP contingencies requiring substantive actions (0-2) / / / o

7. Critical tasks (2-3) 3/ -2 2, 2 NUREG-1021, Revision 8, Supplement 1 24 of 26 el- re_ 3 M C'1 oý 0&t /A1- n-t1Wre

-*-e-azhcena~tr 6 los oft Qe re i

+§ý-ve allr4,er a~,, lj_';lf 100 'ei62r-

FecernolYet!(4 )I ES-301 Transient and Event Checklist Form ES-301-5 OPERATING TEST NO.:

Applicant Ev.lu t l ype yPeion lnirrm Num er cgs'*"Scenario Number

_1(A) 2 3 4 Reactivity I Normal 1 RO-ROI.strument /4 - -

Component Major Reactivity 1 Normal 0 As RO Istrument/ 2 Component Major SRO-I Reactivity 0 Normal I As SRO IQstrument / 2 Component Major Reactivity 0 4 Normal 1 /

SRO-U Instrument/ 2 .2,8, CoMponent 1 S _,

Major I I ("+

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 aDPrdicant's cmpetence count toward the minimum requirement.

Author:

NRC Reviewer r:w 61 ý75ý - -- - I 25 of 26 NUREG-1021, Revision 8, Supplement 1

ES-301 Transient and Event Checklist Form ES-301-5 OPERATING TEST NO.:

Applicant Ev..lution Num urgmn lype I ype er r", Scenario

)CO Number 1_ _ 2 3 4 Reactivity 1 Normal 1 RO Istrument /4 Component Major 1 Reactivity 1 Normal 0 /

As RO Instrument/ 2 Component - -_,

Major

• SRO-l Reactivity 0 ,_

Normal 1 /

As SRO Instrument 23, Component _

Major ,_ "

Reactivity 0  !

Normal 1 SRO-U In0strument Component1 2 Major 1 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 ractical, both instrument and component malfunctions should be included; only those that require verifiable actions that provide insight to the/aplicant'nmpe*count toward the minimum requirement.

Author:

r:

NRC Reviewer I

25 of 26 NUREG-1021, Revision 8, Supplement 1

ES-3Y(I Transient and Event Checklist Form ES-301-5 OPERATING TEST NO.:

Applicant Evfplution linirrum Scenario Number Type Iype Numer 1 Reactivity 1 Normal 1 RO Instrument/

Component 4 Major 1 Reactivity 1 Normal 0 As RO Instrument/ 2 Component Major 1 SRO-I Reactivity 0 +/-

Normal 1 /

As SRO Ins t rument/

-Component 2 Major 15 Reactivity 0 Normal I SRO-U Instrument/ 2 Component Major 1 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 mmpetenc count toward the minimum requirement.

Author:

NRC Reviewerr:

z2 I 25 of 26 NUREG-1021, Revision 8, Supplement 1

ES-301 Transient and Event Checklist Form ES-301-5 OPERATING TEST NO.:

Applicant Evoilution tJnir m lyp lype Num er Scenario Number 1"I/ f2A, 3 4 Reactivity 1 Normal 1 RO lstrument/

Component 4 Major 1 Ft Reactivity 1 _-_

Normal 0 As RO Inst rumen t / 2 Component Major 1 SRO-I Reactivity 0 Normal 1 /

As SRO Iostrument,/ 2 Com ponent 5" _,

Major 16 Reactivity 0 Normal 1 SRO-U I strument/ 2 CoMponent Major1 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 abnorma] conditions (refer to Section D.4.d) but must be significant per Section C.2.a of Appendix D.

(3) Whenever ractical, both instrument and component malfunctions should be included; only those that require verifiable actions that provide insight to the alicant's pete, ce count toward the minimum requirement.

Author:

NRC Reviewerr: I 25 of 26 NUREG-1021, Revision 8, Supplement 1

A/e'rce- (-T--/ )

ES-301 Transient and Event Checklist Form ES-301-5 OPERATING TEST NO.:

Applicant Ev.olu t lype I ypeion Ivinir'um

%umn~er C"1* Scenario

,ozo/ Number 1 A) 3 4 Reactivity 1 Normal 1 RO Istrument 4 Component Major 1 Reactivity 1 __

Normal 0 As RO Instrument / 2 ,,4 Component Major 51 SRO-I Reactivity 0 q Normal 1 /

As SRO Instrument/ 2 3;313tj Component -76 Major 1 Reactivity 0 Normal 1 SRO-U Instrument/ 2 Component Major 1 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 ap icant's competenceount toward the minimum requirement.

Author:

NRC Reviewer r: ý7 Zý L I

25 of 26 NUREG-1021, Revision 8, Supplement 1

ES-301 Transient and Event Checklist Form ES-301-5 OPERATING TEST NO.:

Applicant I ype Ev.flution Ilype Jnirrum Scenario Number Nu r~mer 1 1z,-04, wile2 1 3 4 Reactivity 1 Normal 1 RO Instrument /4 Component Major Reactivity 1 C2.

Normal 0 /

As RO Instrument/ 2 Component _ 5_ 1 Major 1 SRO-I Reactivity 0 Normal I As SRO Instrument/ 2 - -23 __

Component _

Major Reactivity 0 Normal 1 SRO-U Instrument/ 2 CoMponent Major1 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' competence count toward the minimum requirement.

Author: ('4iý 7 NRC Reviewerr: / I 25 of 26 NUREG-1021, Revision 8, Supplement 1

ES-301 Transient and Event Checklist Form ES-301-5 OPERATING TEST NO.:

Applicant

'Ty p e Ev.lution Iy pe ini Scenario Number

_ _3 N u m Ve mr rAa CAW 3 44~g Reactivity 1 Normal I RO4 In lstrument /4 Component Major 1 Reactivity 1 q4 Normal 0 /

As RO Instrument / 2 Component _ _ _

Major SRO-I Reactivity 0 _ _

Normal I /

As SRO Istrument / 2,q, Component S, Major 1 _ .__

Reactivity 0 Normal 1 SRO-U Instrument! 2 Component Major 1 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 t he lican t 's7mpet enc coun t toward the minimum requirement.

71 Y51*,'*

. I *--/X.

ZA , Jt,,

Author:

r:

NRC Reviewer I 25 of 26 NUREG-1021, Revision 8, Supplement 1

ES-301 Transient and Event Checklist Form ES-301-5 OPERATING TEST NO.:

Applicant Ev.lution lMinimum Scenario Number Type Number ffo

• go

_ _ 1L 3 4 Reactivity 1 I c-_

Normal 1 /

RO Instrument/

C;omponent 4 ,Z3,4,

• ( . ..[

Major 1 1 Reactivity 1 Normal 0 As RO Instrument / 2 Component Major SRO-I Reactivity 0 Normal 1 As SRO Instrument I Component 2

I Major I Reactivity 0 Normal 1 SRO-U Istrument/

mponent Co__

2 I

Major 1 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) Wheneverpractical, both instrument and component malfunctions should be included; only those that require verifiable actions that provide insight to the a*plicant's peteice count toward the minimum requirement.

Author:

NRC Reviewer: I 25 of 26 NUREG-1021, Revision 8, Supplement 1

b<o' /hk (e- 2)

ES-301 Transient and Event Checklist Form ES-301-5 OPERATING TEST NO.:

ApI*cant Pfy~pe Evf.lution I ype uIni *o I,/A Nu morer Scenario z Number 1______2E6 3 4 Reactivity 1 _ _

Normal 1 RO Instrument 4 Component ,,

Major 1 5 Reactivity 1 Normal 0 As RO2AO Instrument /2 Component Major 1 SRO-I Reactivity 0 Normal 1 As SRO Instrument / 2 Component Major 1 Reactivity 0 Normal 1 SRO-U Instrument ! 2 Component Major 1 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 a plicant' mpet ount toward the minimum requirement.

"x'2j )ý 7 Author:

r:

NRC Reviewer I 25 of 26 NUREG-1021, Revision 8, Supplement 1

fl%,,idoc (ms)

ES*-301 1 ransient and Fvant flhckIit Evnt Tranien anhec'i ~ I*rrn I=*_ql'll_*

Pnrm r-:Z %i R OPERATING TEST NO.:

Applicant t ion Ev-lIype Fype Nu mner uScenario go13 Number Reactivity 1 / c Normal 1 /

RO RO J~I Instrument/ 4 3Lj Component _ , _

Major 1I6 Reactivity 1 Normal 0 As RO Istrument / 2 Component Major SRO-I Reactivity 0 Normal 1 As SRO Instrument / 2 Component Major Reactivity 0 Normal 1 SRO-U Instrument I 2 Component Major 1 L 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 ractical, both instrument and component malfunctions should Author:

be included; only those that require verifiable actions that provide insight to the apMlicant's (2npe 1 e 0ount toward the minimum requirement.

f A d~x'( l/ "Z'._)tL I NRC Reviewerr: 4-i 25 of 26 NUREG-1021, Revision 8, Supplement 1

OsutiJ (k-0 ES-301 Transient and Event Checklist Form ES-301-5 OPERATING TEST NO.:

Applicant Evfiu t i~ yp ypeion Mini Number Scenario Number 1fA1)'°#2, 3 Reactivity 1 ___

Normal 1 RO I-strument/ 4 43 j ,AI Component Major 1 5_

Reactivity 1 Normal 0 AsRO Ins t rumen t i/ 2 Component Major 1 SRO-I Reactivity 0 Normal 1 As SRO Istrument / 2 Component Major 1 Reactivity 0 Normal 1 SRO-U Instrument / 2 Component Major 1 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 ap.icant's c2 peter e count toward the minimum requirement.

Author:

NRC Reviewerr:

Zý'

I 25 of 26 NUREG-1021, Revision 8, Supplement 1

s~okso ES-301 Transient and Event Checklist Form ES-301-5 OPERATING TEST NO.:

Applicant EvQlution %iViniurn Scenario Number Iype Iype 3umber Reactivity 1 '1 ct Normal 1 I RO Instrument/ 4 - , /'*4 Component _ __

Major 1 __

Reactivity 1 Normal 0 As RO Instrument I 2 Component Major 1 -A SRO-I Reactivity 0 Normal I As SRO Instrument / 2 Component Major Reactivity 0 Normal 1 SRO-U Instrument I 2 Component Major 1 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 appicant's conreternc count toward the minimum requirement.

Author:

NRC Reviewerr: '3;'

• I 25 of 26 NUREG-1021, Revision 8, Supplement 1

ES-301 Competencies Checklist Form ES-301-6 Applicant #1. Ap nt #2 A n #3 ROISRO-16"RO=J- RO(S-RO-*RO-U RS RO - IRO Competencies SCENARIO SCENARIO SCENARIO iC(Al 2 13 4 11K 2A6 3 4' 3_ 4 Understand and Interpret /1, ,'I ,q Annunciators and Alarms Diagnose Events ',/j ',* " '

and Conditions 5;6 Understand Plant 4(5 and System Response 13 3A .2,3,q Comply With and Use Procedures (1) - - .1--- 1 Operate Control Boards (2) __ _

,, 12,31 9417, Communicate and - -

Interact With the Crew Demonstrate Supervisory Ability (3) - - -5 Comply With and Use Tech. Specs. (3)

Notes:

(1) Includes Technical Specification compliance for an RO.

(2) Optional for an SRO-U.

(3) Only applicable to SROs.

Instructions:

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.

Au ,hnro 7401. ýlz 6

NRC Reviewer: I NUREG-1021, Revision 8, Supplement 1 26 of 26

ES-301 Competencies Checklist Form ES-301-6

____ ____ ___ Nlo-eA i Pierce- Serneler Appipnt #1 Appliant #2 Ap licant #3 RC( -Rj-3RO-U RTSRO-AR-RrROVSRO-U Competencies SCENARIO SCENARIO SCENARIO

__________ 3 4 1ý 2 3 4 1CAý 3 4 Understand and Interpret A5- '5 Annunciators and Alarms (

Diagnose Events ,

and Conditions Understand Plant and System Response ___ __,

Comply With and G - - ,,s ,,7 Use Procedures (1) 64 Operate Control Boards (2)

Communicate and Interact With the Crew ,5/( ',* ,s(, iS ,,  %,

Demonstrate Supervisory 4 3, Ability (3) _41 F_5;,

Comply With and O O, 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 coretency for every applicant.

Author:

NRC Reviewer:

NUREG-1021, Revision 8, Supplement 1 26 of 26

ES-301 Competencies Checklist Form ES-301-6 Ap..g~nt #1 Applicant #2 Applicant #3 R 2S RO-U ýORO-I/SRO-U, RO SRO-IISRO-U Competencies SCENARIO SCENARIO SCENARIO

_____ _ 3 4 Aj 3 4 A 2 3 4 Understand and Interpret /p' £(,5 9 'ts ,

Annunciators and Alarms __ __

Diagnose Events - - z o, -,

and Conditions ()4 Understand Plant ,

and System Response Comply With and 3 - /, -5 Use Procedures (1) o 5" 15 57(

Operate Control ,.3) -- - *,7V /

Boards (2) ,( __

Communicate and 1)2d /,2,3, 1.2,3 3 3,415 12,3 Interact With the Crew ,5qs- - ( ,

Demonstrate Supervisory /,

Ability (3)

Comply With and Use Tech. Specs. (3)

Notes:

(1) Includes Technical Specification compliance for an RO.

(2) Optional for an SRO-U.

(3) Only applicable to SROs.

Instructions:

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: 2a- 1 5._ M NRC Reviewer: I NUREG-1021, Revision 8, Supplement 1 26 of 26

ES-301 Competencies Checklist Form ES-301-6

_ -nonCIO C, odoc-o Applicant #1 Applicant #2 Applicant #3 R RO-I/SRO-U /RO RO-I/SRO-U ýRO RO-l/SRO-U Competencies gb t SCENARIO Po SCENARIO Izo o'°; SCENARIO

_ _ _ _ _ _3 4 1 A 3 4 (L 3 4 Understand and Interpret /,1 1" /1, Annunciators and Alarms Diagnose Events 2, '

and Conditions __ _

Understand Plant /44 $" " (o / 5 and System Response Comply With and 4 - 5*e- ,3q 015 Use Procedures (1) 561 Operate Control 3, Boards (2) __5" __5 Communicate and , 3, - - -

Interact With the Crew _5_ 'f, f,5' 4 4S Demonstrate Supervisory Ability (3)

Comply With and Use Tech. Specs. (3)

Notes:

(1) Includes Technical Specification compliance for an RO.

(2) Optional for an SRO-U.

(3) Only applicable to SROs.

Instructions:

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:

I NUREG-1021, Revision 8, Supplement 1 26 of 26

ES-401 Written Examination Form ES-401-7 Quality Checklist Facility: L iAAC91 (*K Date of Exam: I>' -11 6 Z Exam Level: IQ SRO Initial Item Description a b* ce

1. Questions and answers technically accurate and applicable to facility _ a0'4

2. a. NRC K/As referenced for all questions

b. Facility learning objectives referenced as available

3. RO/SRO overlap is no more than 75 percent, and SRO questions are appropriate / .,*Q per Section D.2.d of ES-401

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:

X the audit exam was systematically and randomly developed; or the audit exam was completed before the license exam was started; or the examinations were developed independently; or the 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 distribution at right

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; 57 enter the actual question distribution at right

8. References/handouts provided do not give away answers -z2

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 Printed Name / Si reDat

a. Author __

b. Facility Reviewer (*) -_,. _-_--1 ---

c. NRC Chief Examiner (#) _ L,_ (IF /

-__5_J2,/_6 _ .

d. NRC Regional Supervisor Note: The facility reviewers initials/signature are not applicable for NRC-developed examinations.

1. Independent NRC reviewer initial items in Column "c;" chief examiner concurrence required.

NUREG-1021, Revision 8, Supplement 1 42 of 46

ES-401 Written Examination Form ES-401-7 Quality Checklist Facility: Limie'?uit. Date of Exam: 1C01/-710"2- ExamLevel: RO*R' Initial Item Description a b* c#

1. Questions and answers technically accurate and applicable to facility

2. a. NRC K/As referenced for all questions

b. Facility learning ob'ectives referenced as available , c O

3. RO/SRO overlap is no more than 75 percent, and SRO questions are appropriate per Section D.2.d of ES-401

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:

X(the audit exam was systematically and randomly developed; or the audit exam was completed before the license exam was started; or the examinations were developed independently; or

__ the 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 distribution at right C

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; enter the actual question distribution at right

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 -4ý assigned; deviations are justified

10. Question psychometric quality and format meet ES, Appendix B, guidelines , 1 '4 7N

11. The exam contains 100, one-point, multiple choice items; the total is correct and ./ L agrees with value on cover sheet .

Printed Name/ _Signa at J Ž7LA -i_ 5k

a. A u t ho r ja A4. P&

b. Facility Reviewer (*)

c. NRC Chief Examiner (#)

d. NRC Regional Supervisor __

Note:

• The facility reviewer's initials/signature are not applicable for NRC-developed examinations.

1. Independent NRC reviewer initial items in Column "c;" chief examiner concurrence required.

NUREG-1021, Revision 8, Supplement 1 42 of 46

ES-403 Written Examination Grading Form ES-403-1 Quality Checklist Facility: LtA4.#E,L*-L.1( Date of Exam: 10/-( le 2- xam Level.(..SRO Initials Item Description a b c

1. Clean answer sheets copied before grading e;4 n / "_

I

2. dcAnswer key changes and question deletions justified and

3. Applicants' scores checked for addition errors (reviewers spot check > 25% of examinations)

4. Grading for all borderline cases (80% +/- 2%) reviewed in ,

detail//

5. All other failing examinations checked to ensure that grades ,t/A4 are justified 6i f

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 .. E x4

/1* <VC,/,

b. Facility Reviewer(*) t/J.J P E, p--_ Z ..

c. NRC Chief Examiner (*,) "?I$'S /0 zz ee

d. NRC Supervisor (R) 6 IJ. /L._

(*) The facility reviewer's signature is not applicable for examinations graded by the NRC; two independent NRC reviews are required.

5 of 5 NUREG-1021, Revision 8, Supplement 1

ES-403 Written Examination Grading Form ES-403-1 Quality Checklist Facility: . A4'EA(C< Date of Exam: Io / /6 Z Exam Level: RO RD Initials Item Description a b c

1. Clean answer sheets copied before grading I ý P I

2. Answer key changes and question deletions justified and " J/A , t documented _oe A4

3. Applicants' scores checked for addition errors (reviewers spot check > 25% of examinations)

4. Grading for all borderline cases (80% +/- 2%) reviewed in K2 AkW detail _ ,__

1v1,4

5. All other failing examinations checked to ensure that grades are justified ______

6. Performance on missed questions checked for training deficiencies and wording problems; evaluate validity of 6 ( .

questions missed by half or more of the applicants Printed Name / Signature Date

a. Grader J 6' At. S0 '9 .

v/*-q/

b. Facility Reviewer(*) ROLP c7- -Nr(l.W.1  ?, WZ.

c. NRC Chief Examiner (*) _

R (}IC

d. NRC Supervisor (*) 'i __-

(*) The facility reviewer's signature is not applicable for examinations graded by the NRC; two independent NRC reviews are required.

5 of 5 NUREG-1021, Revision 8, Supplement 1