ML030590482

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FCS - Init Exam - 09/2002 - Public Forms
ML030590482
Person / Time
Site: Fort Calhoun Omaha Public Power District icon.png
Issue date: 09/24/2002
From:
Division of Reactor Safety IV
To:
Omaha Public Power District
References
50-285/02-301
Download: ML030590482 (19)
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: T. McKernon V Facility/Task: FCS IN EX q41 Task Start Date: 09/09/2002 ITEM DESCRIPTION DUE DATE INIT DATE 0 Exam/Inspection Schedule Agreement (C.l.a;C.2.a&b) Mar 13, 2002- (ATG 10/15/2001 1 NRC Staff & Fac. Contact Assigned (C.l.c;C.2.e) Mar 13, 2002 "ATG 10/15/2001 2 Facility contact briefed on security & other issues (C.2.c) Mar 13, 2002 * /'

3 Corp. Notification Letter Sent (C.2.d) (Exams only) Mar'13, 2002 .U, 3a Inspection Announcement Letter Sent (PIR & LORT if req'd) Jul 26, 2002 4 Task Expectations, Issues, & Standards Discussed w/ BC Jun 11, 2002 5# [Reference Material Due (C.1.d;C.3.c)] May 12 2002 f' 6# Integrated Exam Outlines Due (C.l.d&e;C.3.d) May 2002/

7" Outlines reviewed by NRC & Feedback Sent (c.2.h;C.3.e) May 26, 2002 8# Preliminary Applications Due (C.1.j;C.2.g;ES202) Aug 2002 9# Draft Exams w/ Doc./Ref. Due (C.1.d/e/f;C.3.d) Jul ,2002 " f,/

10' Peer Reviewer Initials As Reviewed All Parts* Jul21,2002 /

11' NRC Supervisor. Initials Approving for Fac. Rev. (C.2.h;C.3.f)* Jul 21, 2002 '7 12# Exams Reviewed w/ Fac. (C.1.h;C.2.f&h;C.3.g) Jul21 2002 7Z4., /

13' Final Appl. Due & Assign. Sheet Prepared (C.l.j;C.2.h;ES202) Auge,2002 e//

14# NRC Supervisor Approved Final Exams (C.2.i;C.3.h)* Sep 2, 2002 ,

15' Final Appl. Rec'd & Waivers Sent (C.2.g) Sep 2, 2002 16' Proctor Rules Reviewed w/ Fac. & Written Authorized (C.3.k) Sep 2, 2002 17 Exam/Insp Material to Team (C.3.i) Sep 2, 2002 18# Fac. graded exam & Comments Rec'd Sep 21, 2002 194 NRC Written Grading Completed Sep 24, 2002 " -2 20' Examiners Finished Grading Op. Tests Sep 24, 2002 21' NRC Ch. Ex. Review Completed Oct 4, 2002 1W 2/

22 NRC BC Review Completed* Oct 5, 2002 / ,

23' RPS/IP # Examinees Updated Before Report Issued Oct 10, 2002 .

24 License/Denials Signed & Report Issued Oct 10, 2002 25 Package Closed Out Oct 31, 2002 -'/ jQ 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\fcs\September 2002 Exam\exam assignment sheet.wpd

ES-201 Examination Outline Form ES-201-2 Quality Checklist Facility: Date of Examination:

Initials Task Description item a b* c# I

1. a. Verify that the outline(s) fit(s) the appropriate model per ES-401. A P Ad 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 A/

T c. Assess whether the outline over-emphasizes any systems, evolutions, or generic topics. -

E N d. Assess whether the justifications for deselected or rejected K/A statements are appropriate. X 1

2. a. Using Form ES-301-5, verify that the proposed scenario sets cover the required number of IV 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 A, 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, (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.

7,

d. Determine if there are enough different outlines to test the projected number and mix of q, days.

applicants and ensure that no items are duplicated on successive

4. a. Assess whether plant-specific priorities (incAuding 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.

R 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).
a. Author I Printed IS" reD
b. Facility Reviewer(*) QAIIPJ E-. IWXw.*----T T 2Z
c. NRC Chief Examiner(#) r t" ,d . -1; i I
d. NRC Supervisor oI'L'r~,

1 60 ie_

Note: Not applicable for NRC-developed examinations.

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

2/ofL24 NUREG-1021, Revision 8, Supple~ment I

-e- d'irgitf&la-t I't For

~.O~L;-Sfwv Aa tJAQ thgap~C

Fort Calhoun Initial Exam (September 2002)

Outline Review Comments Comments:

1. All K/As <2.5 were automatically excluded. The rejected K/As were not reviewed for plant specific priorities and no wholesale review of rejected K/As with Region IV.

Discussed this with Jerry Koske on May 15. Told Jerry not to do any reviews of rejected K/As until I discussed with Tom.

2. Audit test and outline developed by Jerry Koske. The written audit test was developed using parts of past NRC exams. The operating audit test used the last NRC exam. As part of the review, Admin JPMs A.3 and A.4 for the ROs have similar titles to those used on the last operating exam. Discussed this with Jerry Koske on May 20 and he indicated that both A.3 and A.4 on the initial exam will be different from the audit test.

No can be duplicated from the audit test as indicated by Form ES-201-2, Item 3.a.(3).

Need to verify this after development of the JPMs.

3. Once developed, the written questions will be reviewed for overlap with the audit exam written questions.
4. On ES-301-5 for RO1 and R03 - for Scenario 2, why would the BOP get credit for instrument/component failure #4 (dropped rod)? Looks like only the RO would get j credit.
5. Form ES 301-5 for R02 and R04 - for Scenarios 1 & 2, only a total of 4 failures for each applicant. May want to consider adding an extra failure to both scenarios to ensure each candidate gets at least 4 failures.
6. Scenarios 1 & 4 - no malfunction after EOP entry contrary to NUREG 1021, Appendix D, V Step C.2.c and Form ES 301-4.

11

7. No ES 301-5 and 301-6 for spare Scenario 4. (
8. For SRO (U) JPMs B.2 (in-plant JPMs), need to have at least one of the two JPMs that has the candidate respond to an emergency or abnormal condition and perform /

associated tasks. Discussed this with Jerry Koske on May 20 and I recommended using JPM B.2.a to replace JM B.2.c. This will give the SRO(U) the required emergency/abnormal condition for the in-plant JPM section.

ES-401 Written Examination Form ES-401-7 Quality Checklist Facility: Fo )-t c6'/& 0) Date of Exam: Exam Level: RO/SRO]

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 objectives referenced as available
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:

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 Xthe 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, -iJ7'

/ and the rest modified); enter the actual question 67/C% /

distribution at right

7. Between 50 and 60 percent of the questions on Memory C/A Pc/ the exam (including 10 new questions) are 53 I e written at the comprehension/analysis level; enter the actual question distribution at right 47/.. 5 /&TO
8. References/handouts provided do not give away answers s . T*
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 0 assigned; deviations are justified
10. Question psychometric quality and format meet ES, Appendix B, guidelines ,b* *
11. The exam contains 100, one-point, multiple choice items; the total is correct and agrees with value on cover sheet Printed Na e / Signature 0 Date
a. Author .5V/ _ o
b. Facility Reviewer (*) _--E" V_. - _J 1ZI . T ,VO -
c. NRC Chief Examiner (#)
d. NRC Regional Supervisor -- _ g .. 5-&t%4)

Note:

  • The facility reviewer's initials/signature are not applicable for NRC-developed examinations.
  1. Independent NRC reviewer initial items in Column "c;" chief examineF concurrence required.

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

ES-301 Operating Test Quality Checklist Form ES-301-3 Facility: t 'r / *L.'k Date of Examination: Operating Test Number:

Initials

1. GENERAL CRITERIA a b* c#

i

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). . ___
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). . " "
d. Overlap with the written examination and between operating test categories is within acceptable t.'

'%"u ,

limits.

e. It appears that the operating test will differentiate between competent and less-than-competent /1/d 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 A_

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. T
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. RI___ __

Printed Name/ Signaure Date

a. Author C, F , .
b. Facility Reviewer(*) , E WecL',z / 7//u 0.
c. NRC Chief Examiner (#)
  • rl lt. o
d. NRC Supervisor t4 / 4 .V~2 x hi~

d 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: r" 4 Date of Exam: 1 /1 - Scenario Numbers: 7/ / 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 JA*
  • 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 P1 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)( i' without a credible preceding incident such as a seismic event.
5. The events are valid with regard to physics and thermodynamics. ____
6. Sequencing and timing of events is reasonable, and allows the examination team to obtain A' complete evaluation results commensurate with the scenario objectives.
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 yk given.

8. The simulator modeling is not altered. Y,_I
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. I
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 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/ (/. *:'f$ /A j ,
2. Malfunctions after EOP entry (1-2) / /2 / ,
3. Abnormal events (2-4) 3 / / 1 " 'v.*
4. Major transients (1-2) 1 ,,
5. EOPs entered/requiring substantive actions (1-2) //,,/ */I -.
6. EOP contingencies requiring substantive actions (0-2) 0 / / I,> ]k "
7. Critical tasks (2-3) G; /a//Pf/.
  • NU EG-1021, ReiAs'io n ee') V8Supe n 1 24 ofe4/o4 26*Ct9)a'z NUREG-1021, Revision 8, Supplement 1 24 of 26

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

Applicant Evolution Minimum Scenario Number lype Type Number 1 2 3 4 Reactivity 1 Normal 1 RO Istrument C~omponent 4 Major 1 Reactivity I Normal 0  !

As RO Instrument! 2 %3 Component SMajor 1 sic*

Reactivity 0 $"

Normal 1 , 5" -

As SRO Instrument 2 Component "7 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 l~licant's comp nce count toward the minimum requirement.

Author:

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

. SRo / .) JSR6o ES-301 Competencies Checklist Form ES-301-6 Appgont #1 Applicant #2 Applicant #3 1,SRO-U RO/SRO-I/SRO-U RO/SRO-I/SRO-U Competencies SCENARIO SCENARIO SCENARIO 1 2 3 4 1 2 3 4 1 2 3 4 Understand and Interpret 14 2,,3 Annunciators and Alarms _,__ 5_11 Diagnose Events ', ,3 and Conditions ,p7 71 Understand Plant --

and System Response Comply With and 1; 3,'t Use Procedures (1) *' 4 Operate Control Boards (2)

Communicate and ,l Interact With the Crew $.!

Demonstrate Supervisory 214 Ability (3)  ! _ _I Comply With and GO Use Tech. Specs. (3) L 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: Q4- . -

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

(}5C)I ) V-ý 7)

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

Applicant Evolution Minimum Scenario Number I ype Type Number 1 2 3 4 Reactivity 1 Normal 1 RO Component Major 1 Reactivity I Normal 0 As RO Instrument / 2 Component Major 1 SRO-I Reactivity 0 Normal 1 As SRO Instrument / 2 Component Major 1 Reactivity 0 Normal I Ij 14 11 InstrumentI 2 3 Q1 r k6 .' Component '4 6, Major 1 6 S-14 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 to bethe included;caonly

's those c ,pth t cerequire countverifiable toward theactions minimum that requirement.

provide insight Author:

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

ES-301 U(SRo I Competencies Checklist Y-SA'o Z Form ES-301-6 Applicant #1 Applicant #2 Applicant #3 RO/SRO-I/SRO-U RO/SRO-I/SRO-U RO/SRO-I/SRO-U Competencies SCENARIO SCENARIO SCENARIO 1 2 3 4 1 2 3 4 1 2 3 4 Understand and Interpret V? *'

Annunciators and Alarms __ 3__

Diagnose Events *' ' 2/3 and Conditions '

16f 7 917 1 1 Understand Plant 3/9,2.14 and System Response 61 SI 5 (

Comply With and - "

Use Procedures (1) s' i Operate Control Boards (2)

Communicate and - * .)

Interact With the Crew "'4/

Demonstrate Supervisory - ' It Ability (3) S1 -7 I I Comply With and - 13 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 compete y for every applicant.

Author:

NRC Reviewer:

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

Applicant Evolution Minimum Scenario Number I ype Type Number 1 2 3 1 4 Reactivity 1 .5 to?__

Normal 1 _

S Instrument/

Component 4 ,j7 77 Major 1; */

Reactivity 1 Normal 0 As RO Instrument /

Component 2

I Major 1 SRO-I Reactivity 0 Normal 1 As SRO Instrument/

Component 2 I

Malor 1 Reactivity 0 Normal 1 SRO-U Instrument /

Component 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) Whenever practical, both inl rument and component malfunctions should be included; only those tha r quire verifiable actions that provide insight to the aricant's nc'z *count toward the minimum requirement.

Author:

NRC Reviewe r: I 25 of 26 NUREG-1021, Revision 8, Supplement I

ES-301 Rol J0o3 Competencies Checklist Form ES-301-6 Applicant #1 Applicant #2 Applicant #3 RO SRO-I/SRO-U RO/SRO-I/SRO-U RO/SRO-I/SRO-U Competencies SCENARIO SCENARIO SCENARIO 1 2 3_ 4 1 21 314 1 2 3 4 Understand and Interpret A' 7 Annunciators and Alarms 7,15 7 Diagnose Events 2jf RA 5 '17 and Conditions 7, 71 Understand Plant A...  ;* 6 V and System Response S,' 7*1 7 Comply With and ti- 4%Y Use Procedures (1) 1C,(71 Operate Control I a 4, /r Boards (2) s:1i/. 6 Communicate and if t1 Interact With the Crew 2.__C17 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 event numbers that will allow the examiners to evaluate every alicable co eten Author:

NRC Reviewer: AI I

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

9c .2Ro ES-301 Transient and Event Checklist Form ES-301-5 OPERATING TEST NO.:

Applicant Evolution Mini*um Scenario Number ype I ype N umber 1 2 3 4 Reactivity 1 5, Normal 1 5 V _

Instrument/

Component 4 3,C 3,Lf.

.ItAD Major I 1 3 16_1 Reactivity I Normal 0 As RO Instrument/

Component 2 IAA Major I SRO-I Reactivity 0 Normal 1 As SRO AsSO Instrument /2 Gomponent Major 1 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 rtquire verifiable actions that provide insight to the afpfcant's co en ount toward the minimum requirement.

Author:

K'L -/ !r FN -

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

ES-301 Ro 0?, RoL4 )

Competencies Checl~ist Form ES-301-6 Applicant #1 Applicant #2 Applicant #3 R RO-I/SRO-U RO/SRO-I/SRO-U RO/SRO-I/SRO-U Competencies SCENARIO SCENARIO SCENARIO 1 2 3 4 1 2 3 4 1 2 3 4 Understand and Interpret 3)4, 'I*

Annunciators and Alarms 7 C Diagnose Events :3, 3t and Conditions Q Understand Plant $S-P 13 and System Response 41 - I-- -

Comply With and 5,,/ 7 Use Procedures (1) 0 Operate Control S 17 Boards (2) 9 Communicate and Interact With the Crew 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 comp n for every applicant.

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

ES-403 Written Examination Grading Form ES-403-1 Quality Checklist Facility: Date of Exam: Exam LeveRn PRO Initials Item Description a b c

1. Clean answer sheets copied before grading .Vk _ /p
2. Answer key changes and question deletions justified and A N/

documented ~A

3. Applicants' scores checked for addition errors (reviewers spot check > 25% of examinations) 40A
4. Grading for all borderline cases (80% +/- 2%) reviewed in detail Li/A 4/A A]

l

5. All other failing examinations checked to ensure that grades Al.. H]

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
b. Facility Reviewer(*) _OWJ__EzJ4 W-4_t- J .. __Z_/_
c. NRC Chief Examiner (*) T _**vtI/_ 4-&-- /.__4
d. NRC Supervisor (*) _

(*) 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: Date of Exam: Exam Level: R/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 sk4 (reviewers spot check > 25% of examinations)
4. Grading for all borderline cases (80% +/- 2%) reviewed in detail V!A 0/
5. All other failing examinations checked to ensure that grades Al /A

/A are justified AVA__

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- Is4
b. Facility Reviewer(*) AO_ __ W7..,4w'a * 'i/n /
c. NRC Chief Examiner (*) 022-/
d. NRC Supervisor (*) ___m- --- " ___

(*) 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

Page 1 of 4 Operator Licensing Exam Schedule 09/19/2002 09:08:29 From 08/01/2002 To 09/15/2002 Report 21 Region: 4 Phase Code: 5 Operational ExaEm WeekSite/Docket No./Insp Rpt # # Candidates i1Type ki Exam Author IIChief Examiner IIExaminers Assianed I 08/26/2002 Fort Calhoun / 05000285 /2002301 Prep MCKERNON, THOMAS 0. MCKERNON, THOMAS 0.

TAC #: X02230 09/09/2002 Fort Calhoun / 05000285 / 2002301 RO -/, SROi -/I Admin MCKERNON, THOMAS 0. BUNDY, HOWARD F.

TAC #: X02230 SROU - 2 JOHNSTON, GARY W.

MCKERNON, THOMAS 0.

Sites: FCS Orgs:4620 Exam Author:ALL

'1/2.

ES-201 Examination Security Agreement Form ES-201--3

1. Pre-Examination I acknowledge that I have acquired specialized knowtedge 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 to those applicants scheduled to be by the NRC chief examiner. I understand that I am not to Instruct, evaluate, or provide performance feedback 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 faclity 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 knowl d , I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of K' _/Z_.rom the date that I enteTed into this security agreement until the completion of examination administration, I did not instruct, evaluate, or provide perfornanoe 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 (I DATE SIGNATURE ( DATENOTE 1,evv y IJr ->Jre9~ iqjn q ons tv)u

4. 41..- * +/-t .A~f

_ SA -S

  • _-* ; ,__ '*m-* -*
6. Ltr%3Eflsm-EC_'

7.7 .

9. AAL 1

tL.-;x6 rrr cme=t_&* r0rv A-e&. -- z_ .__~,*

  • _ _* *-* *_ *[.,*

l5H 10.F_

11, 12.

I V-t 1_ ZV-1.

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- -t____--.- .

  • __ *,_ Ir-7 NOTES: Z 0

Mo NUREG-102l, Revision 8, Supplement 1 24 of 24 V

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 IL Z as of the Ri r&

M, date of my signature. I agree that I will not knowingly divulge any infownatlon about these examinations to any persons who have n been aulhorized scheduled to be by the NRC chief examiner. I understand that I am not to instruct, evaluate, or provide performance feedback to those applicants below and administered these licensing examinations from this date until completion of examination administration, except as specifically noted authorized by the NRC.Furthermhoar, 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 enforoement suggestions that action against me or the facility Sicensee. I will immediately report to facility management or the NRC chief examiner any indications or examination security may have been compromised.

2. Post-Examination administered To the best of my knowjedge. I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations

.From the date that I entered into this security agreement until the completion of examination administration, I did not during the week(s) of iŽtŽ 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 / RESPONSiBIULTY SIGNATURE (1) DATE SIGNATURE (2) DATENOTE

. A IF Z ~ e*~

3 L. ,~4

. t A 44A.6~m.aA- e_

4. __ e~ 9 WN___________ _____ __ 0__________

4.

6.

7.

2. ____________ _______________

'6. ___________ ______________

10.

11.

14, 15.

16______ _

NOTES:

NOTES: 0 Z

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

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