ML030300749

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ANO,1 - Init Exam - 08/2002 - Public Forms
ML030300749
Person / Time
Site: Arkansas Nuclear Entergy icon.png
Issue date: 08/19/2002
From:
NRC Region 4
To:
Entergy Operations
References
Download: ML030300749 (16)
v • d • e


Text

Operations Branch Assignment Check Sheet: as of: 10/15/2001 (Includes ES-201-1 & ES-501-1 Rev. 8, Supplement 1 information)

Chief: S. McCrory/7/ S/r *L*

Facility/Task: ANO1 IN EX Task Start Date: 08/19/2002 ITEM DESCRIPTION DUE DATE INIT DATE 0 Exam/Inspection Schedule Agreement (C.l.a;C.2.a&b) Feb 20, 200 EN*ATG 10/15/2001 1 NRC Staff & Fac. Contact Assigned (C. 1 .c;C.2.e) Feb 20, 2002, 4AT 10/15/2001 2 Facility contact briefed on security & other issues (C.2.c) Feb 20, 2002 3 Corp. Notification Letter Sent (C.2.d) (Exams only) Feb 20, 2002 3a Inspection Announcement Letter Sent (PIR & LORT if req'd) Jul 5, 2002 j,', _.,

4 Task Expectations, Issues, & Standards Discussed w/ BC May 21, 2002 "

5# [Reference Material Due (C.1.d;C.3.c)] Apr21, 2002 ,

6# Integrated Exam Outlines Due (C.1.d&e;C.3.d) 7# Outlines reviewed by NRC & Feedback Sent (c.2.h;C.3.e)

Apr 21, 2002 May 5, 2002 4 4 85 Preliminary Applications Due (C.I.j;C.2.g;ES202) Jul 20, 2002 *. 7lisbz.

9# Draft Exams w/ Doc./Ref. Due (C.1.d/e/f;C.3.d) Jun 20, 2002 h V. Z'//

104 Peer Reviewer Initials As Reviewed All Parts* Jun 30, 2002 1,,

11" NRC Supervisor. Initials Approving for Fac. Rev. (C.2.h;C.3.f)* Jun 30, 2002 AT AA" 12" Exams Reviewed w/ Fac. (C.l.h;C.2.f&h;C.3.g) Jun 30, 2002 . 1it, o z 13' Final Appl. Due & Assign. Sheet Prepared (C.1.j;C.2.h;ES202) Aug 5, 2002 14' NRC Supervisor Approved Final Exams (C.2.i;C.3.h)* Aug 12, 2002 15' Final Appl. Rec'd & Waivers Sent (C.2.g) Aug 12, 2002 16" Proctor Rules Reviewed w/ Fac. & Written Authorized 4e;='.3) Aug 12, 2002 -,' *Ii,.1oi.

17 Exam/Insp Material to Team (C.3.i) Aug 12, 2002 7 l/1Z/6Z 18# Fac. graded exam & Comments Rec'd Aug 31, 2002 )M 19# NRC Written Grading Completed Sep 3, 2002 , 8/U Ioz 20# Examiners Finished Grading Op. Tests Sep 3, 2002 21# NRC Ch. Ex. Review Completed Sep 13, 2002 V-, . Z 22 NRC BC Review Completed* Sep 14, 2002 7W B/zq/07 23# RPS/IP # Examinees Updated Before Report Issued Sep 19, 2002 V# _9______

24 License/Denials Signed & Report Issued Sep 19, 2002 . .

25 Package Closed Out Oct 10, 2002 1/2,1/o Final Inspection Report Issued, Exam Package to OLA, Facility. Contact Notified of Results

  1. Not required for inspections, except as noted.
  • Note Supervisor/Peer initials required.

[]Required NRC-auth. exams only.

When complete, for exams, add to pkg & fwd copy to BC, for insp, fwd orig'I to BC.

Last revised 10/15/01 S:\DRS\OB\EXAMS\ANO\UNIT1\August 2002 Exam\exam assignment sheet.wpd

ES-201 Examination Outline Form ES-201-2 Quality Checklist Facility: Arkansas Nuclear One - Unit One Date of Examination: 8/16 - 8/23 2002 Initials Item Task Description a b* c#

1. a. Verify that the outline(s) fit(s) the appropriate model per ES-401. ,*

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 // i/

  • T c. Assess whether the outline over-emphasizes any systems, evolutions, or generic topics. A N d. Assess whether the justifications for deselected or rejected K/A statements are appropriate. 4
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 A /f significantly modified scenario, that no scenarios are duplicated from the applicants' audit test(s)*, /U 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./, /',vi
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, T

/ (3)* no tasks are duplicated from the applicants' audit test(s), and (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, ,

(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. "t
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.

E c. Ensure that K/A importance ratings (except for plant-specific priorities) are at least 2.5. -- "

A d. Check for duplication and overlap among exam sections.

L

e. Check the entire exam for balance of coverage. ,
f. Assess whether the exam fits the appropriate job level (RO or SRO). /4'  ;¢,11 Priqted Name / $inat~ / A/*. Date
a. Author ,r -,,.
b. Facility Reviewer (*) -e v-(A( le, /c / ,2.V
c. NRC Chief Examiner (#)  !-7u.. K. S*A*-,l t
d. NRC Supervisor /&6Zd2" '*' b I/ /A',*/'

Note:

  • Not applicable for NRC-developed examinations.
  1. Independent NRC reviewer initial items in Column "c;" chief examiner concurrence required.

23 of 24 NUREG 1021, Revision 8, Supplement I

  • 6-P,. 6-des *(v, bMkife E.Sw

ES-401 Written Examination Form ES-401-7 Quality Checklist Facility:kA*I -' Mt1-4V t)e .- i/.Wn',tw"/mDate of Exam: V/1/O Z- Exam Level:(*SRO_

Initial Item Description a b* ce 1 Questions and answers technically accurate and applicable to facility

2. a. NRC K/As referenced for all questions A/ rAI
b. Facility learning objectives referenced as available
3. RO/SRO overlap is no more than 75 percent, and SRO questions are appropriate _/*.t per Section D.2.d of ES-401 I/(
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:

audit exam was systematically and randomly developed; or Sthe

,J the audit exam was completed before the license exam was started; or /I

.)he 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 9 ' /5t distribution at right 73 I-I. Between 50 and 60 percent of the questions on Memory C/A the exam (including 10 new questions) are ..-W 4(

written at the comprehension/analysis level; 2_9 7/

enter the actual question distribution at right j /

-Y*° T on

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 4 f ,4f assigned; deviations are justified vf /A'l
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 /, 6 agrees with value on cover sheet A Printe9..{~ame / Signature Date
a. Author 57,L-W' f j/;h /.JbA/Y1 . 6I/3/v
b. Facility Reviewer (*) 6 M k -*e.ý,
c. NRC Chief Examiner (#) t

/-/-/-/--or- AteYf74 1 " *

d. NRC Regional Supervisor XK"A0 1--. 9C2?j Q' ,

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 IUVkA. hu44ec-*- 4 1r4 SJ O

ES-401 Written Examination Form ES-401-7 Quality Checklist Facility: ,4r .ntskdv 0ie- Uf / Date of Exam: 9IM1'01- Exam Level: ROI/CR Initial Item Description a b* cg

1. Questions and answers technically accurate and aoplicable to facility r" f 0?
2. a. NRC K/As referenced for all questions
b. Facility learning objectives referenced as available or
3. RO/SROovemlap is no more than 75percent, and SROquestionsare appropriatew per Section D.2.d of ES-401
4. Question selection and duplication from the last two NRC licensing exams1 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 w the audit exam was completed before the license exam was started; or enthe examinations were developed independently; or

.Qute licensee certifies that there is no duplication; or

- other (explain)

6. Bank use meetviations (no more than 75 Bank Modified New percent from the bank at least 10 percent new, Au and trthexamonains 10 e actual question th ta i c c af /7 /

distribution at right

7. Between the exam 50 and 60 percent (including of the questions 10 new questions) are on Memory Ij-lf***, C/A enter the actual question distribution at right
8. References/handouts provided do not give away answers JW 16 V
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 A/

assigned; deviations are justified

10. Question psuchometric quality and format meet ES, Appendix B, guidelines
11. The exam contains 100, one-point, multiple choice items; the total is correct and /4;/*

^J1*v*

agrees with value on cover sheet 5 /I Printed Name / Signature Date

a. Author 57-6 V4 f,,1i t, A.*

.,..m 0'Z

b. Facility Reviewer (*) %t/ 46M'*///'*.,
c. NRC Chief Examiner (#)aý14- J' 1--

I.-,p 1-**f

d. NRC Regional Supervisor Ao,.looý`F'- 60f>! T*.!d 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

  • -1Usws.e4kits. CIA ~144o.e v.4't( QJ.LA-e-,&

ES-301 Operatina Test Quality Checklist Form ES-301-3 Facility: AI'*k ,4- P i ' - 1l' i Date of Examination: T/1'7/0 f Operatin Test Number: I 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). ,, I *

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

during this examination. S Y

c. The operating test shall not duplicate items from the applicants' audit test(s)(see Section D.1.a). 6ti ,
d. Overiap with the written examination and between operating test categories is within acceptable A.IA* '

limits. Y )o,

e. It appears that the operating test will differentiate between competent and less-than-competent ,rte A I 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 .A A' >?

criteria in Attachment 1 of ES-301.

c. Repetition from operating tests used during the previous licensing examination is within -C 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. "At
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. '1-'

Printed Name /S nature Date

a. Author 51M VeV&,/1 J A/ b A1ý 6/i 3fD7.
b. Facility Reviewer(*) & 4ld ' //r / 411310 2
c. NRC Chief Examiner (#) '7lvsuo" S .J 7I4Oz 10 I
d. NRC Supervisor AU)JOICiyF &6Crw1 NOTE:
  • The facility signature is not applicable for NRC-developed tests.
  1. Independent NRC reviewer initial items in Column "c;" chief examiner concurrence required.

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

ES-301 Simulator Scenario Quality Checklist Form ES-301-4 Facility: Date of Exam: Scenario Numbers: I I Opertirng 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
  • A /2, service, but it does not cue the operators into expected events.
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 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 j without a credible preceding incident such as a seismic event.
5. The events are valid with regard to physics and thermodynamics. **,
6. complete Sequencing evaluation and timingresults commensurate of events with and is reasonable, the scenario objectives.

allows the examination team to obtain *,1. *

7. Iftime 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 alivan.

A 4 Pz/

8. The simulator modeling is riot 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 / 4. i the form along with the simulator scenarios). I /
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). I

13. The level of difficulty is appropriate to support licensing decisions for each creposition. k 1 ___

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

1. Total malfunctions (5-8) .L /, x/ .. ',
2. Malfunctions after EOP entry (1-2)  ! , 1/
3. Abnormal events (2-4) .L./ L/ 4. 1'j
4. Major transients (1-2) .
5. EOPs entered/requiring substantive actions (1-2) , "
6. EOP contingencies requiring substantive actions (0-2) I
7. critical tasks (2-3) ,3 / 2.-/ -V NUREG-1021, Revision 8, Supplement 1 24 of 26

ES-301 Transient and Event Checklist Form ES-301-5 OPERATING TEST NO.: 1 Applicant Evolution Minimum Scenario Number Type Type Number 1 2 3 4 Reactivity 1 3/5 4 4 3/4 Normal 1 1 2 1 2 RO Instrument/ 2/4/5/ 1/3/5/ 2/3/5/6/7 1/2/3/

Component 4 6/8 6/7 5/6/7 Major 1 7 6 6 4 Reactivity 1 N/A N/A N/A N/A Normal 0 N/A N/A N/A N/A As RO Instrument/ 2 N/A N/A N/A N/A Component Major 1 N/A N/A N/A N/A SRO-I Reactivity 0 N/A N/A N/A N/A Normal 1 N/A N/A N/A N/A As SRO Instrument/

Component 2 N/A N/A N/A N/A Major 1 N/A N/A N/A N/A Reactivity 0 3/5 4 4 3/4 Normal 1 1 2 1 2 SRO-U Instrument/ 2/4/5/ 1/3/5/ 2/3/5/6/7 1/2/3/

Component 2 6/8 6/7 5/6/7 Major 1 7 6 6 4 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 ca count toward the minimum requirement.

Author:

L6, Sj NUREG-1021, Revision 8, Supplement 1

ES-301 Competencies Checklist Form ES-301-6 Operating Test No: 1 CBOR CBOT CRS

,- plicant #1 -- A pplicant #2 Applicaqpt RO RO-I/SRO-U Y RO/L RO-I/SRO-U RO/SRO- RO Competencies SCENARIO SCENARIO SCENARIO 1 2 3 4 1 2 3 4 1 2 3 4 Understand and Interpret 4/5/6 1/3/6 1/2/3 1/3/4/ 4/5 1/2/3 2/3/5/ 1/2/3/ 4/5/ 1/3/5 1/2/ 1/2/3 Annunciators and Alarms /7 /6/7 5/6/7 /6/7 6/7 4/5/6/ 6/7 /6/7 3/5/ /4/5/

7 6/7 6/7 Diagnose Events 4/5/6 1/3/5 2/3/5 1/3/4/ 4/5/7 3/4/6 2/3/5/ 2/3/4/ 2/4/ 1/2/3 2/3/ 1/3/4 And Conditions /7/8 /6/7 /6/7 6/ /7 6/7 5/6/7 5/6/ /5/6/ 5/6/ /5/6/

7/8 7 7 7 Understand Plant 1/2/4 1/2/3 1/2/3 1/3/4/ 1/2/4 1/2/3 1/2/3/ 1/2/3/ 1/2/ 1/2/3 1/2/ 1/2/3 And System Response /5/6/ /4/5/ /4/5/ 5/6/7 /5/7 /4/6/ 4/5/6/ 4/5/6/ 4/5/ /4/5/ 3/4/ /4/5/

7/8 6/7 6/7 7 7 7 6/7/ 6/7 5/6/ 6/7 8 7 Comply With and 3/5/6 1/2/5 1/4/6 1/3/4/ 1/7 1/3/6 1/2/3/ 2/3/4/ 1/2/ 1/2/3 1/2/ 1/3/4 Use Procedures (1) /7/8 /6/7 /7 6/7 5/6/7 5/7 3/4/ /4/5/ 3/4/ /5/6/

5/6/ 6/7 5/6/ 7 7/8 7 Operate Control 3/4/5 1/2/4 1/2/4 1/3/4/ 1/2/ 1/3/6 2/3/5/ 1/2/3/ N/A N/A N/A N/A Boards (2) /6/7/

8

/5/6/

7

/6/7 6/7 6/7 4/5/6/

7 Communicate and 1/3/4 1/2/3 1/2/3 1/3/4/ 1/4/5 1/3/4 1/2/3/ 1/2/3/ 1/2/ 1/2/3 1/2/ 1/2/3 Interact With the Crew /5/6/ /4/5/ /4/5/ 6/7 /6/7 /6/7 4/5/6/ 4/5/6/ 3/4/ /4/5/ 314/ /4/5/

7/8 6/7 6/7 7 7 5/6/ 6/7 5/6/ 6/7 7/8 7 Demonstrate Supervisory N/A N/A N/A N/A N/A N/A N/A N/A 1/2/ 1/2/3 1/2/ 1/2/3 Ability (3) 3/4/ /4/5/ 3/4/ /4/5/

5/6/ 6/7 5/6/ 6/7 7/8 7 Comply With and N/A N/A N/A N/A N/A N/A N/A N/A 6 1/6/7 2/6/ 2/4/5 Use Tech. Specs. (3) 1_ 1_7 /6/7 Notes:

(1) Includes Technical Specification compliance for an RO.

(2) Optional for an SRO-U.

(3) Only applicable to SROs.

Instructions:.

Circle the apllicant's license type and enter the event numbers that test the competency for each scenario in the set.

Author:

Gh4ef Eweinr:

ES-403 Written Examination Grading Form ES-403-1 Quality Checklist Facility: Arkansas Nuclear One, Unit One Date of Exam: 8/16/2002 Exam Leve (RO O Initials Item Description a b c

1. Clean answer sheets copied before grading _
2. Answer key changes and question deletions justified and documented _
3. Applicants' scores checked for addition errors(reviewers spot check >

25% of examinations)

4. Grading for all borderline cases (80% +/- 2%) reviewed in detail A)/A 4A #1
5. All other failing examinations checked to ensure that grades are ustified /____4 ________
6. Performance on missed questions checked for training deficiencies and wording problems; evaluate validity of questions missed by half v/ow or more of the applicants _

Printe 7* *Date PitdName / Signatur Dt

a. Grader L 7.1 &ý6;2_
b. Facility Reviewer(*) 6/V--, 61(iS
c. NRC Chief Examiner (*) -.- l
d. NRC Supervisor (*) .. , L A0

(*) 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: Arkansas Nuclear One, Unit One Date of Exam: 8/16/2002 Exam Level: Re Initials Item Description a b c

1. Clean answer sheets copied before grading
2. Answer key changes and question deletions justified and documented Vi-,a
3. Applicants' scores checked for addition errors(reviewers spot check >

25% of examinations)

4. Grading for all borderline cases (80% +/- 2%) reviewed in detail A)/14 /,4- J#4
5. justified,4/

All other failing examinations checked to ensure that grades are Vi ,

I 01

6. Performance on missed questions checked for training deficiencies and wording problems; evaluate validity of questions missed by half t .- /V *'

or more of the applicants Printed Name / Signatur t Date

a. Grader _ __
b. Facility Reviewer(*) _.____ .
c. NRC Chief Examiner (*) -,, e / ,a
d. NRC Supervisor (*) 1 0

(*) 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

I Page 1 of 4 Operator Licensing Exam Schedule 01/29/2003 12:52:01 Report 21 From 08111/2002 To 0813112002 Region: 4 Phase Code: 5 Operational Exam Week biSite/Docket No./Insp Rpt # [*[ I=y=min=r© A©einn=rl

  1. Candid.a.te.s -er Tve

.Exam - --- Auithor

. i Chie;f Examinpr

. . . Fvmino r.. A. n.. .. .. I Uo/ I /LUUJZ A-ansI IlUeUarOe Nucbi U 0!0003 3UUUJ 2 0 0UU3U30 SROU- 2 Admin STETKA, THOMAS F. JOHNSTON, GARY W.

TAC #: X02224 SROU - 2 STETKA, THOMAS F.

WERNER, G E.

08/26/2002 Arkansas Nuclear One / 05000313 / 2002302 Doc STETKA, THOMAS F. JOHNSTON, GARY W.

TAC #: X02224 STETKA, THOMAS F.

WERNER, G E.

Sites: ANO Orgs: 4620 Exam Author: ALL

Page 2 of 4 Operator Licensing Exam Schedule 01129/2003 12:65:27 Report 21 From 08/11/2002 To 08/31/2002 Region: 4 Phase Code: 5 Operational Summary By Date U5GIUUA /I'dJ - Arkansldas INdUclear Onle RO-5 SROI - 0 SROU -2 LSRO - 0 Total for Arkansas Nuclear One: 7 Sites: ANO Orgs: 4620 Exam Author: ALL

Page 3 of 4 Operator Licensing Exam Schedule 01/29/2003 12:55:27 Report 21 From 08/11/2002 To 08/31/2002 Region: 4 Phase Code: 5 Operational ISummary By Site ANO - Arkansas Nuclear One RO-5 SROI - 0 SROU - 2 LSRO - 0 Total for Arkansas Nuclear One- 7 Sites: ANO Orgs: 4620 Exam Author: ALL

Page 4 of 4 Operator Licensing Exam Schedule 01/29/2003 12:55:27 Report 21 From 08/11/2002 To 08/31/2002 Region: 4 Phase Code: 5 Operational ISummary By Region Region 4 RO - 5 SROI - 0 SROU -2 LSRO - 0 Total for Region 4: 7 Sites: ANO Orgs: 4620 Exam Author: ALL

-0 C 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 Aug. 16-23. 2002 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 Aug. 16-23, 2002. 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 2.- X.,£ ,

  • c A-im . 31 3.4. Id ad."
6. £J

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_. .....I-NOTES:

/OIL-NUREG-1021, Revision 8, Supplement I 24 of 24

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 Aug. 16-23, 2002 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 Aug. 16-23, 2002. 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 3.__ _ _ _ _ _ _ _ _ _

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

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