ML030780056

Various Checklists for the Perry Examination - Jan/Feb 2003

ML030780056
Person / Time
Site:	Perry
Issue date:	01/27/2003
From:	Lanksbury R NRC/RGN-III/DRS/OLB
To:	FirstEnergy Nuclear Operating Co
References
50-440/03-301 50-440/03-301
Download: ML030780056 (18)

Text

VARIOUS CHECKLISTS FOR THE PERRY EXAMINATION - JAN/FEB 2003

ES-201 Examination Preparation Checklist Form ES-201-1 Facility: _ __ _V _r Date of Examination: I/4/b2 -2/i Examinations Developed by: F ' NRC (circle one)

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

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

-120 2. NRC examiners and facility contact assigned (C.l.d; C.2.e) ( f 1

-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.l.e; C.3.c)]

-75 6. Integrated examination outline(s) due (C.l.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) 7/

-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..; C.2.g; ES-202)

-14 11. Examination approved by NRC supervisor for facility licensee review (C.2.h; C.3.f)

-14 12. Examinations reviewed with facility licensee (C.I.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)

-7 16. Approved scenarios, job performance measures, and questions distributed to NRC examiners (C.3.i) A0

• 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.

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

Perry 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 '41-/3 /O;eas of the date of my signature. I agree that I will not knowingly divulge any information about these examinations to any persons who ha ve not been authorized by the NRC chief examiner. I understand that I am not to instruct, evaluate, or provide performance feedback to those applican ts 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 an d/or an enforcement action against me or the facility licensee. I will immediately report to facility management or the NRC chief examiner any ind ications 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 examina tions administered during the week(s) of *"'-"/.g* . 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, exc ept as specifically noted below and authorized by the NRC.

PRINTED NAME JOB TITLE / RESPONSIBILITY SIGNATURE (1) DATE SIGNATURE (2) DATENOTE X 4-,,,, k /?,>4

/UC e,-a g1

3. IfekZS,-4 kudta-r 4, id .l I- 7,

6. r*<AIA-. 3 . L __g ih .10/0j;

7. . Aa. v -O-.ý ,

f JV , f,.1/2t,,

8. / ,! h4 /ifr, 9.' .

106.ý,v4 b2. Bot-eis q

~~g to 11.,.3Z'i C*. A rA-f 8/14LL, Lmi- S6PJ&A475 11-,,,- L \*6-2/,/ 9

14. Ljf)~< jPAJk,  ;~~Ac~Th4 t/Z~'

NOTES:

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

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

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

2. Post-Examination To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of L*/L . 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 NOTES:

(D Tkit, / 4*L?"1.

d 14u CZ? z=" ie ~ ~ ~ '

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

0) A

PERRY 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 14 713/ - as of the date of my signature. I agree that I will not knowingly divulge any information about these examinations to any persons who ha ve not been authorized by the NRC chief examiner. I understand that I am not to instruct, evaluate, or provide performance feedback to those applican ts 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 an d/or an enforcement action against me or the facility licensee. I will immediately report to facility management or the NRC chief examiner any ind ications or suggestions that examination security may have been compromised.

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

PRINTED NAME JOB TITLE I RESPONSIBILITY SIGNATURE (1) DATE SIGNATURE (2) DATENOTE 364AA 4 IrkrAa V

6. . 41c~ L,(

10~uto 6ý ,oc4g AL 13~~-/4A' / 5-f 1'

14. ___________

Z NOTES:

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

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

1. Pre-Examinatlon I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled ,i671a* 4/* 1 date of my signature. I agree that I will not knowingly divulge any information about these examinations for the week(s) of _ as of the 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 procedures) and understand that violation of the conditions of this agreement may result in cancellation documented In the facility licensee's 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, ldid not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of ' . 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 2.. vo16 ,,1Ic7,11

,,,_ .>A 0.I '0 ,t ,./ Z*<

',** -*7 _

3.&C~7~~~aid' /A ~&I 12.Ž,,s*_. s Go.Jml!.'-,, 0I >.--* * *<*7 - --. /,4, 14,0 NUEG.

15. o1 Rei2n8 upeet12 f2 B,

.NOTES: CB2

7. 1E -10215R oj-Ze vi 8, S p em en

ES-301 Operatinq Test Quality Checklist Form ES-301-3 (R8, S1)

Facility: /11_ r y Date of Examination: 11z 71/,o_3 Operating Test Number:

Initials

1. GENERAL CRITERIA a b* c#

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

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

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 limits. f /_ L

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 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 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.

//_ / n Printed Name I Signature Date

/x7

a. Author 76/hý9 i1~~?i<~( 71,1.,

b. Facility Reviewer(*) , - ." 4? 4

.,;y. , _________

c. NRC Chief Examiner (#) Ck,4weC. ,'e/L, A.SL 15;_ 2/.

d. NRC Supervisor R- 10 NOTE:

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

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

ES-301 Simulator Scenario Quality Checklist Form ES-301-4 (R8, S)

Facility: ,C.20 k 2 a . -3ý ' 1c Date of Exam:*i*'/7*bo 3 Scenario Numbers: A/ 3 / 'V Operating Test No.:

QUALITATIVE ATTRIBUTES Initials a b* c#

I

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. /' q

2. The scenarios consist mostly of related events. 1W

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 /

without a credible preceding incident such as a seismic event.

5. The events are valid with regard to physics and thermodynamics. 4- /-. pi3ý

6. Sequencing and timing of events is reasonable, and allows the examination team to obtain 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 l- /,

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 #1-3 other scenarios have been altered in accordance with Section D.4 of ES-301. I

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) / r/ *

2. Malfunctions after EOP entry (1-2) / / // / * ."

3. Abnormal events (2-4) / ; /(9. 2

4. Major transients (1-2) 9 /// /

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

6. EOP contingencies requiring substantive actions (0-2) /1/ /

7. Critical tasks (2-3) ' /,"/ --

ES-301 Simulator Scenario Quality Checklist Form ES-301-4 (R8, S)

Facility: /e'rey Date of Exam: ,'7g."/,:f,*' Scenario Numbers: 5-/ / 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. /.' (I

2. The scenarios consist mostly of related events. A*

3. Each event description consists of the the point in the scenario when it is to be initiated malfunction(s) that are entered to initiate the event the symptoms/cues that will be visible to the crew e//e' 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 ,* ,,z ,1 without a credible preceding incident such as a seismic event.

5. The events are valid with regard to physics and thermodynamics. - f

6. Sequencing and timing of events is reasonable, and allows the examination team to obtain 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 ,X) ,

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. P _

10. Every operator will be evaluated using at least one new or significantly modified scenario. All ,4* L l,,

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). "A!

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). ti

13. The level of difficulty is appropriate to support licensing decisions for each crew position. ' ff, TARGET QUANTITATIVE ATTRIBUTES (PER SCENARIO; SEE SECTION D.4.D) Actual Attributes .. ..

1. Total malfunctions (5-8) /, JL/

2. Malfunctions after EOP entry (1-2) I/ / X

3. Abnormal events (2-4) / /, J&

4. Major transients (1-2) / /

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

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

7. Critical tasks (2-3) -_ /_____i

ES-301 Transient and Event Checklist Form ES-301-5 (R8, Si)

OPERATING TEST NO.: 2003-301 Applicant Evolution Minimum Scenario Number Type Type Number 2 3 4 5 Reactivity 1 3 2 2 2 Normal 1 1 1 1 1 RO Instrument 4 2,3, 2,3, 3,4, 3,4, Component 4,5 4,5 5,6 5,7 Major 1 7,9 6 7 8 Reactivity 1 3 2 2 2 Normal 0 - - -

As RO Instrument 2 4,5 2,3 4,5 3,7 Component Major 1 7,9 6 7 8 SRO-I Reactivity 0 3 2 2 2 Normal 1 1 1 1 1 As SRO Instrument / 2 2,3, 2,3, 3,4, 3,4, Component 4,5 4,5 5,6 5,7 Major 1 7,9 6 7 8 Reactivity 0 3 2 2 2 Normal 1 1 1 1 1 SRO-U Instrument 2 2,3, 2,3, 3,4, 3,4, Component 4,5 4,5 5,6 5,7 Major 1 7,9 6 7 8 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 applicants competence count toward the minimum requirement.

Author: 7 ICI NRC Reviewer: ( 0""' Cýt_ )21)7t

, z- v

- iUV C)K4.es 4 fWiL.

NUREG-1021, Revision 8, Supplement 1

ES-301 Competencies Checklist Form ES-301-6 SIRO1-1 RO-1 RO-5 CREW A U Competencies SCENARIO SCENARIO SCENARIO z L 15 4 3 4I 5 2 3 5 SRO RO 4

SRO RO BOP BOP RO 4-Understand and Interpret 1, 4,5 3,4,5 1,2,3 3,4,5 4,6 4,5,6 2,3,4 6,7,8 6,7 6 Annunciators and Alarms 5,6,7 7,8 Diagnose Events and 2,3,4 4,5,7 3,4,5 2,3,6 2,3,4 4,6,7 4,5,7 Conditions 5,6,7 8 6,7,8 7,8 5,6,7 8 18 Understand Plant and 2,3,4 3,4,5 2,3,4 1,2,3 2,3,4 1,6,7 2,4,5 System Response 5,6,7 6,7,8 5,6,7 6,7,8 5,6,7 6,7,8 8,9 8 9 Comply With and 2,3,4 3,4,5 3,4,5 1,2,3 2,3,4 1,4,6 2,4,5 Use Procedures (1) 5,6,7 6,7,8 6,7,8 6,7,8 5,6,7 7 6,7,8 8,9 9 Operate Control NA 3,4,5 NA 1,2,3 2,3,4 1,4,6 2,4,5 Boards (2) 6,7 7,8,9 5,6,7 7 6,7,8 Communicate and 1,2,3 3,4,5 1,2,3 1,2,3 2,3,4 1,4,6 2,4,5 Interact With the Crew 4,5,6 6,7,8 4,5,6 6,7,8 5,6,7 7 6,7,8 7,8,9 7,8 9 Demonstrate Supervisory ,2,3,4 NA 2,3,4 NA NA NA NA Ability (3) 5,6,7 5,6,7 8,9 8 Comply With and 1,3,4 NA 4 NA NA NA NA Use Tech. Specs. (3) 5 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.

/ , /,//A -

Author: I, A A NRC Reviewer: -i P'kLLLL< I ikt I I v

/ PL"01- /17 16,L NUREG-1021, Revision 8, Supplement 1

ES-301 Competencies Checklist Form ES-301-6 KU I-2 SROI-3 RO-2 CREW B Competencies SCENARIO SCENARIO SCENARIO 2 4 5 2 3 4 5 2 3 4 5 SRO 3; RO RO SRO RO BOP Understand and Interpret 1, 2,3,6 3,4,5 2,3,4 4,5 4,6 2,3,4 7 6 5,6,7 Annunciators and Alarms 5,6,7 Diagnose Events and 2,3,4 3,6,7 2,3,4 3,4,5 4,5,7 4,6,7 Conditions 5,6,7 9 5,6,7 6,7,9 8 8

Understand Plant and 2,3,4 2,3,6 2,3,4 2,3,4 3,4,5 1,6,7 System Response 5,6,7 7,8,9 5,6,7 5,6,7 6,7,8 8,9 8,9 Comply With and 2,3,4 2,3,6 2,3,4 2,3,4 3,4,5 1,4,6 Use Procedures (1) 5,6,7 7,8,9 5,6,7 5,6,7 6,7,8 7 8,9 8,9 Operate Control NA 2,3,6 2,3,4 NA 3,4,5 1,4,6 Boards (2) 7,8,9 5,6,7 6,7 7 Communicate and 1,2,3 2,3,6 2,3,4 1,2,3 3,4,5 1,4,6 Interact With the Crew 4,5,6 7,9 5,6,7 4,5,6 6,7,8 7 7,8,9 7,8,9 Demonstrate Supervisory 2,3,4 NA NA 2,3,4 NA NA Ability (3) 5,6,7 5,6,7 8,9 8,9 Comply With and 1,3,4 NA NA 3 NA NA Use Tech. Specs. (3) 5 Notes:

(1) Includes Technical Specificati on 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: j-, , g/ 2,_

-4 i2,

/ I I'?

ý,/

NRC Reviewer:

NUREG-1021, Revision 8, Supplement 1

ES-301 Competencies Checklist Form ES-301-6 SKUI-4 SROI-5 RO-3 CREW C Competencies SCENARIO SCENARIO SCENARIO 2

SRO 3 4 RO 5 2

RO 3 4 SRO 5 2 3 4 BOP 5

RO Understand and Interpret 1, 2,3,4 4,5,6 4,5 2,3,4 1,3,6 2,3,6 7,8 5,6,7 7,8 7 Annunciators and Alarms 5,6,7 Diagnose Events and 2,3,4 4,5,7 4,5,7 3,4,5 3,6,7 3,6,7 Conditions 5,6,7 8 8 6,7,9 8 9 8

Understand Plant and 2,3,4 2,4,5 3,4,5 2,3,4 1,3,6 2,3,6 System Response 5,6,7 6,7,8 6,7,8 5,6,7 7,8 7,8,9 8,9 8,9 Comply With and 2,3,4 2,4,5 3,4,5 2,3,4 1,3,6 2,3,6 Use Procedures (1) 5,6,7 6,7,8 6,7,8 5,6,7 7,8 7,8,9 8,9 8,9 Operate Control NA 2,4,5 3,4,5 NA 1,3,6 2,3,6 Boards (2) 6,7,8 6,7 7,8 7,8,9 Communicate and 1,2,3 2,4,5 3,4,5 1,2,3 1,3,6 2,3,6 Interact With the Crew 4,5,6 6,7,8 6,7,8 4,5,6 7,8 7,9 7,8,9 7,8,9 Demonstrate Supervisory 2,3,4 NA NA 2,3,4 NA NA Ability (3) 5,6,7 5,6,7 8,9 8,9 Comply With and 1,3,4 NA NA 3 NA NA Use Tech. Specs. (3) 5 Notes:

(1) Includes Technical Specificatic n 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: 16>Yz / 2.

NRC Reviewer: - L C. I,-

NUREG-1021, Revision 8, Supplement 1

ES-301 Competencies Checklist Form ES-301-6 I

SR I-6 SROI-7 RO-4 CREW D Competencies SCENARIO SCENARIO SCENARIO z 4 5 5 2 3 4 5 3 4 SRO RO 2 RO SRO RO BOP

ý Understand and Interpret 3,4,5 2.3,6 3,4,5 3,4,5 4,5,6 4,5,6 6 7 6 6,7,8 7,8 Annunciators and Alarms Diagnose Events and 2,3,4 3,6,7 2,3,4 3,4,5 4,5,7 4,5,6 Conditions 5,6,7 9 5,6,7 6,7,8 8 9 Understand Plant and 2,3,4 2,3,6 2,3,4 2,3,4 2,4,5 1,4,5 System Response 5,6,7 7,8,9 5,6,7 5,6,7 6,7,8 7,8,9 8

Comply With and 2,3,4 2,3,6 2,3,4 2,4,5 1,4,5 3,4,5 Use Procedures (1) 5,6,7 7,8,9 5,6,7 6,7,8 6,7,8 7,8,9 Operate Control NA 2,3,6 2,3,4 NA 2,4,5 1,4,5 Boards (2) 7,8,9 5,6,7 6,7,8 7,8,9 Communicate and 1,2,3 2,3,6 2,3,4 1,2,3 2,4,5 1,4,5 Interact With the Crew 4,5,6 7,9 5,6,7 4,5,6 6,7,8 6,7,8 7 7,8 9 Demonstrate Supervisory 2,3,4 NA NA 2,3,4 NA NA Ability (3) 5,6,7 5,6,7 8

Comply With and 3,4 NA NA 4 NA NA 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: \AI 4

L LU 1.

,J I, NUREG-1021, Revision 8, Supplement 1

ES-401 Written Examination Form ES-401-7 (R8, Si)

Quality Checklist Facility: /2*e,- Date of Exam: /.- 7/,2 oo 3 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

b. Facility learning objectives referenced as available

3. RO/SRO overlap is no more than 75 percent, and SRO questions are appropriate /i; 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:

K 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 1' percent from the bank at least 10 percent new, and the rest modified); enter the actual question 6 J_ /X/

distribution at right 35_6

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 assigned; deviations are justified

10. Question psychometric quality and format meet ES, Appendix B, guidelines /xv 6

11. The exam contains 100, one-point, multiple choice items; the total is correct and /.

agrees with value on cover sheet Printed Name / Signature Date

a. Author - , P.iJ%-.. '

b. Facility Reviewer (*) eJ _.__.__

c. NRC Chief Examiner (#) fl,c*(,;e I , /1iuA*AZ qI4 /Z.

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.

ES-401 Written Examination Form ES-401-7 (R8, Si)

Quality Checklist Facility: pe2r,-y Date of Exam: /1,27/14003 Exam Level: RO R Initial Item Description a b* c#

1. Questions and answers technically accurate and applicable to facility -<P-/,

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 er Section D.2.d of ES-401

4. Question selection and duplication from the last two NRC licensing exams a pears consistent with a systematic saming rocess

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 AV 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; -3 ,-1 enter the actual question distribution at right './3 '5 7

8. References/handouts provided do not give away answers

9. Question content conforms with specific K/A statements in the previously approved examination outline and is appropriate for the Tier to which they are assigned; deviations are justified

10. Question psychometric quality and format meet ES, Appendix B, guidelines ,

11. The exam contains 100, one-point, multiple choice items; the total is correct and ,,4 agrees with value on cover sheet Printed Name / Signature Date

a. Author D,0,.'4, 0Y,,, __, /17

b. Facility Reviewer (*) /{', o, J'c4.'* - . _ , ,,___

c. NRC Chief Examiner (#) f,,< e/ 11-,21t.

d. NRC Regional Supervisor L kks,., 4iý_

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.

ES-403 Written Examination Grading Form ES-403-1 Quality Checklist

[Facility: P"e !'f Date of Exam: 2L6 /o3 Exam Level:/6B-SRO Initials Item Description a b c

1. Clean answer sheets copied before grading 4c /J

2. Answer key changes and question deletions justified and documented c A 4*/

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

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

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

a. Grader Charles Phillips/ (I_/ -) 1./6

b. Facility Reviewer(*) N/A

c. NRC Chief Examiner (*) Michael Bielba--/

d. NRC Supervisor (*) -* . 2dt

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

NUREG-1021, Revision 8, Supplement 1

ES-403 Written Examination Grading Form ES-403-1 Quality Checklist Facility: Perry Date of Exam: 2/6/03 Exam Level: RO(SRU)

Initials Item Description a b c

1. Clean answer sheets copied before grading 4 *' *

2. Answer key changes and question deletions justified and documented )

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

4. Grading for all borderline cases (80% +/- 2%) reviewed in detail i u *

5. All other failing examinations checked to ensure that grades are justified 'a ikz

6. Performance on missed questions checked for training 4) deficiencies and wording problems; evaluate validity of questions missed by half or more of the applicants_"

Printed Name / Signature Date

a. Grader Charles Phillips/ (QL_'-sL.

• y.-.-.

b. Facility Reviewer(*) AJ/_/

c. NRC Chief Examiner (*) Michael Bielby/2* .33 '

d. NRC Supervisor (*) _ -1. 2 ý23

(*) 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