ML032110561

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CNS - Init Exam - 06/2003 - Public Forms
ML032110561
Person / Time
Site: Cooper Entergy icon.png
Issue date: 06/30/2003
From: Gody A
NRC Region 4
To: Christiansen D
Omaha Public Power District
References
50-298/03-301 50-298/03-301
Download: ML032110561 (22)
v • d • e


Text

Operations Branch Assignment Check Sheet: as of: 5/21/2002 (Includes ES-201-1 & ES-501-1 Rev. 8, Supplement 1 information)

Chief:

Facility/Task: CNINEX G)/W /D0 At -V-/ -~

Task Start Date: 6/16/2003 ITEM DESCRIPTION DUE DATE INIT DATE 0 Exam/Inspection Schedule Agreement (C.1.a;C.2.a&b) Dec 18, 2002 ATG 5/21/2002 1 NRC Staff & Fac. Contact Assigned (C.1.c;C.2.e) Dec 18, 2002 ATG 5/21/2002 2 Facility contact briefed on security & other issues (C.2.c) Dec 18, 2002 .1t) Id/c 3 Corp. Notification Letter Sent (C.2.d) (Exams only) Dec 18, 2002 4 //, /ov 3a Inspection Announcement Letter Sent (PIR & LORT if req'd) May 2, 2003 ,J I -

4 Task Expectations, Issues, & Standards Discussed w/ BC Mar 18, 2003 ¢ -3bx5 5# [Reference Material Due (C.1.d;C.3.c)] Feb 16, 2003 6# Integrated Exam Outlines Due (C.1.d&e;C.3.d) ( Fe 16_,200U JOS 7# Outlines reviewed by NRC & Feedback Sent (c.2.h;C.3.e) Mar 2, 2003 -ji Ak0 8# Preliminary Applications Due (C.1.j;C.2.g;ES202) May 17, 2003 .

a51 j 9# Draft Exams w/ Doc./Ref. Due (C.1.d/e/f;C.3.d) Apr 17, 2003 i~llgi423 10" Peer Reviewer Initials As Reviewed All Parts* Apr 27, 2003 11' NRC Supervisor. Initials Approving for Fac. Rev. (C.2.h;C.3.f)* Apr 27, 2003 12# Exams Reviewed w/ Fac. (C.1.h;C.2.f&h;C.3.g) , Apr27, 2003 !JZ£ X 13# Final Appl. Due & Assign. Sheet Prepared (C.1.j;C.2.h;ES202) Jun 2, 2003 /2YX c4/ 103 14# NRC Supervisor Approved Final Exams (C.2.i;C.3.h)* Jun 9, 2003 A0z 15# Final Appl. Rec'd & Waivers Sent (C.2.g) Jun 9, 2003 t 1o)

[o 16# Proctor Rules Reviewed w/ Fac. & Written Authorized (C.3.k) Jun 9, 2003 &(§l°3 17 Exam/Insp Material to Team (C.3.i) Jun 9, 2003 l. 0C3 18# Fac. graded exam & Comments Rec'd Jun 28, 2003 14A>1 1k1) 19# NRC Written Grading Completed Jul 1,2003 Ihs/o 20" Examiners Finished Grading Op. Tests Jul 1,2003 4 M

21# NRC Ch. Ex. Review Completed Jul 11, 2003 vk; d/0d 22 NRC BC Review Completed* Jul 12, 2003 23# RPS/IP # Examinees Updated Before Report Issued Jul 17, 2003, 24 License/Denials Signed

_ & Report Issued Jul 17, 2003 A.

25 Package Closed Out Aug 7, 2003 1f1lD3 iL4-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\rb\2003 IN EX\exam assignment sheet.wpd

02/04/03 TUE 16:13 FAX 14028255584 NPPD I UU

'ES-201 Examfination Outline Form ES-20 -2 Quality Checklist Fa Ca w t.)Date of Examination: ~ fo o Initials item Task Descriptlon a b' c#

1. a. Verify that the outlne(s) fit(s) the appropriate model per ES401. I4 .

W_

R b. Assess whether the outline was systematlcafly and randomly prepared In accordance with I Section DA1 of t-S-401 and whether all KJA categories are appropria~te sampled- YI4'_

T c. Assess whether the outline ovcr-emphasies any system, evolutions, w generic topics.

E N d. Assess whether the justiications for cleselected or rejcted K/A statementes are appropriatQe.

2. a Using Form ES-301-5, verify that the proposed scenario sets cover the required number of 4 normal evolutions, instrument and component failures, and major transients. A I

S M

b. Assess whether there are enough scenario sets (and spares) to test the projected number and mix of applicants in accordance with the expected raew composition and rotation schedule without compromising exam integrity; ensure each applicant can be tested using at least one now or significantly modified scenario, that no scenarios are duplicated from the applicants' audit test(s)*,

and scenarios wvl not be repeated over successive days. _-

c. To the extant possible, assass whether the outline(s) conkorm(s) with the qualitative and Quantitative criteria specified on Form ES-301-4 and deacribed in Appendix D.
3. a. Venify that Jt) 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,

/ () no tasks are duplicated from the applicants' audit test(s), and T (4) no mare than 80% of any operating teat 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 5S-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, DAO (4) one in-plant task tests the applicants response to an emergercy er abnormal condition, and

( te In-plant walk-throh require the applicnt to enter the RCA.

c. Verify that the required administrative topics are covered, with emphasis on pefonnanee-based activities./_
d. Determine if there are enough different outlines to test the projected number and mix of applicants and ensure that noitems are duplicated-on succesv days.
4. a. Assess whether plant-specific prioritles (including PRA and iPE insights) are covered in the appropriate exam section. _

G b. Assess whether the 10 CFR 55.41/43 and 55.45 sampling is appropriate, N

c. Ensure that KIA Importance rating (except for plant-speciti prioritle are at least 2.5.

A d. Check for duplicatlon and overlap among exam sections. ___

L a. Check the entire exam for balance of coverage.

f. Assess whether the exam fits the appmpriatejb level (RD or SRO).

FriA Nam e S Ac ret

a. Author
b. Facility Reviewer C)( \,l)
c. NRC Chief examinsr (#) Wt - 1?1i--1L
d. NRC Supervisor . r.

C rt /82Jr Note: w Not applicable for NRC-developed examinations, l Independent NRC reviewer initial Itemr in Coumn c;' chief examiner concurrence required.

23 of 24 NUREG-1021, Revision 8, Supplement I DC11 C )t Q44$¢3 X9 h4

^ -1114 I. - aw J ~ -_o _ A4-U,,4

  1. ^X

ES-401 Written Examination Form ES-401-7 Quality Checklist

[Facility: C'3Vwer ut A 4 fl-T ,PateofExam: 6 fI3Io0 ExamLevel: OSRO Initial Item Description a b* c#

1. Questions and answers technically accurate and applicable to facility _ X -
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 Mp7Q per Section D.2.d of ES-401 .r!.!IX lv
4. Question selection and duplication from the last two NRC licensing exams :l1l appears consistent with a systematic sampling process. . f
5. Question duplication from the license screening/audit exam was controlled as indicated below (check the item that applies) and appears appropriate:

D< the audit exam was systematically and randomly developed; or the audit exam was completed before the license exam was started; or t 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 l l S ' /

distribution at right ___Lo

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; ii enter the actual question distribution at right v AneuL) __
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 Mk assigned; deviations are justified a ____
10. Question psychometric quality and format meet ES, Appendix B, guidelines lh
11. The exam contains 100, one-point, multiple choice items; the total is correct and M AD) agrees with value on cover sheet Printed Name / Sig ature Date
a. Author l LtA wi2X t > l
b. Facility Reviewer(*) l
c. NRC Chief Examiner(#) ____ ____
d. NRC Regional Supervisor A4LL--____f Note: The facility reviewer's initials/signature are not applicable for NRC-developed examinations.
  1. Independent NRC reviewer initial items EnColumn "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: C9 f tYC'r 5A&" r Date of Exam: m Level: RO IDf3 Initial Item Description a be lc

1. Questions and answers technically accurate and applicable to facility A
2. a. NRC K/As referenced for all questions
b. Facility learning objectives referenced as available ____

per Section D.2.d of ES-401K ,/l l4. Question selection and duplication from the last two NRC licensing exams 9 1 1; appears consistent with a systematic sampling process m l5. Question duplication from the license screening/audit exam was controlled asl indicated below (check the item that applies) and appears appropriate:

l the audit exam was systematically and randomly developed; or the audit exam was completed before the license exam was started; or l 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 Ca-distribution at right t0 3 q
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 __ __ X
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 Am
10. Question psychometric quality and format meet ES, Appendix B, guidelines /> [X' ___
11. The exam contains 100, one-point, multiple choice items; the total is correct and X agrees with value on cover sheet Printed Name / Signature Date
a. Author ilEjAH --
b. Facility Reviewer(*) J s
c. NRC Chief Examiner (#) 7 ,4 6L44r/A c e SL
d. NRC Regional Supervisor -AL Isz I6 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-301 ODerating Test Quality Checklist Form ES-301-3 Facility: Coqou N4 iS A. Date of Examination: ) Operatin Test Number:

Initials

1. GENERAL CRITERIA a b* c#
a. The operating test conforms with the previously approved outline; changes are consistent with sampling requirements (e.g., 10 CFR 55.45, operational importance, safety function distribution). ___.
b. There is no day-to-day repetition between this and other operating tests to be administered v _

during this examination. III>

c. The operating test shall not duplicate items from the applicants' audit test(s)(see Section D. 1.a). Pf
d. Overlap with the written examination and between operating test categories is within acceptablev 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: X WP

- 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.  % ,X Oib
d. At least 20 percent of the JPMs on each test are new or significantly modified.
3. SIMULATOR (CATEGORY C) CRITERIA l _ _
a. z The associated simulator operating tests (scenario sets) have been reviewed in accordance with Form ES-301-4 and a copy is attached. ...WVi 16 Printed Name / Signature Date
a. Author i arm hr
b. Facility Reviewer(*) l 4-I
c. NRC Chief Examiner (#)
d. NRC Supervisor A 60by / FM As-.\

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: (41W Date of Exam: 6 li L 3 Scenario Numbers: i / t / 3 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 .17, service, but it does not cue the operators into expected events. A0
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) MM 4
  • 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.
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 given.
8. The simulator modeling is not altered. AN
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. At,
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 Q\

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) (0 T7/
2. Malfunctions after EOP entry (1-2) 2/ / 2 /2 a
3. Abnormal events (2-4) 2-/Z/ L A r
4. Major transients (1-2) \/ / \I X ___
5. EOPs entered/requiring substantive actions (1-2) / Z / 7 _2 __
6. EOP contingencies requiring substantive actions (0-2) i / I)/

i,

7. Critical tasks (2-3) . /,3, 3 X _ i NUREG-1021, Revision 8, Supplement 1 24 of 26

Q OQ(K"LL t\C) \W'CES) Ad~

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

AEvlution M nScenario Number Iype____

_ _ I_ _ 3 4 Reactivity 1 Normal 1 ( l RO Instrument/ 4 Component 3 Major 1 l L = =

Reactivity I Normal 0 As RO l~strument 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 th licant's competence count toward the minimum requirement.

Author: n/iS,~

NRC RevieweXr:

7 t' 'VI' / - _7 25 of 26 NUREG-1021, Revision 8, Supplement 1

R zk~Y~_ SO 2-Z f,~C <

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

Awicant Evflution urnimum Scenario Number

_ __ _ _ u 2 3 4 Reactivity 1 0 _

I Normal 1 = 0 1 RO Instrument /

Component 4

2 5 I Major 1 l 2 = =

Reactivity 1 Normal 0 As RO Instrument / 2 Component_

Major 1 SRO-l 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 applicant's competence count toward the minimum requirement.

Author: / a n zM NRC Revieweir: I V/

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

X,w see) U%\-) tZ-ES-30 1 Transient and Event Checklist Transient and Event Checklist Form Form ES-301-5 FS-301-S ES-301 OPERATING TEST NO.:

Ap licant Evlution Minimum Scenario Number Iype Ilype Number - -

Reactivity 1 Normal 1 RO Instrument / 4 Component _

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

Normal 1 As SRO Instrument / 2 Component Major 1 = = = _

Reactivity 0 l l Normal 1I I SRO-U Instrument / 2 Component _

Major 1 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 th Hant's competence count toward the minimum requirement.

Author: lAA NRC Reviewer:

/ - M' G /

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

-1 S g(o 4--

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

p icEvapution w Mini Scenario Number l ype Iype Num erT 4

Reactivity 1 Normal 1 RO Instrument / 4 Component Major 1 Reactivity 1 =

Normal 0 = ____

As 22 2Instrument Component z a Major 1 2- l SRO-I Reactivity 0 0_ _ 0 Normal 1 As SRO Instrument!

Component 2 s 5 Major 1 __i _

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 applicant's competence count toward the minimum requirement.

Author:

NRC Reviewer:

6 25 of 26 NUREG-1021, Revision 8, Supplement I

,5E 7

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sqlt 7 T5 -t2 ES-301 Transient and Event Checklist Form ES-301-5 OPERATING TEST NO.:

Applicant vQlution rinium Scenario Number (0,- I Iype I ype Pume) 1 (2 ; )4 Reactivity 1 Normal I RO Instrument/ 4 Component Major 1 Reactivity 1 _ =

Normal 0 0 As RO Instrument /2Ze Component I Major 1 _ = __ =

SRO-I Reactivity 0 _ _

Normal 1 .

As SRO Instrument 22 Component l 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 pplicant's competence count toward the minimum requirement.

Author:

NRC Revieweir: I

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

jIst l 5 A-I-T's ES-301 Transient and Event Checklist Form ES-301-5 OPERATING TEST NO.:

Ap~p ia IType Evfulion IType Minimum Number -

Scenario Number --[J C O Reactivity 1 Normal 1 RO Instrument! 4 Component Major 1 Reactivity 1 _

Normal 0 ( 0 As RO Instrument/ 2 Component __ I Major 1 _ t SRO-I Reactivity 0 C)

Normal 1 l As SRO Instrument / 2 (4 Component I 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 applicant's competence count toward the minimum requirement.

Author:

NRC Revieweir:

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

' #¢121111821p2Mi1 i S.1 1 S 2 ,,1I k

J, SCENARO 0 ARO__

_ _ _ _ _ _ _ _ _ _ _ _ _ 4 3 4 1 3 4 VndbrstAnd and In erpret Annuncitor an Alars Sand Cnditions _______ 4 X 1 1 Understand Plant ad Sytem Response COmplyWIthand a rid, Use Procedures (1)4 Oerate Control C"ommncate and In rect Wit hthb~eWrew Demonstrate;7I Sup I sr W! 01 !i Comply With an Use Tech. Specs. (3 _ ___

Notes:

(1) Inckies Technical Specation compliance for an lO.

0( nal for an SO-U.

onl ' t ROs 'ppie I ln trucfions;

  • ir e t app sntlicense type and enter one or more evet numbers that Wi allo the examiners t evaluate eve aev applicant.

NRC Reviewer. Il NURE10214 fevfsfn 8, Supplement 1 2 of 26

ES~O1CopeencesOh atForm ES316 Applicant #1 pplicant Applicant #3 ROSO154 OlO R@fSR0-I1i;>XSRO-U omp etees _ SCENARI SCENAIO__

.. 2 3 4 2 3 4 1 32 4 Understand and ntetp. q Annuncators and Alans D"Ose EVents and Conditions Uerstand Plant a Sy tm Resonse_ _ _ _

Comply With and Qperate Control -< - -

Boa s(2  : /

Communicate and Interadt With the CIeW DemortateM Supew'sory

~Comnpt With and Use T6h Spoqs)_

Notes.

(1) Includes Technical Speccaio mpliance for an RO.

()Optional for an SROAJ.

Only applicablnSRKs o

lns ructions:

Crcle the applicanrw licenstype and enter one or tmre event number tat wl Allow t exarniers to evauate every pcable cornpten oeverappliat Author: L NRC Reviewer: _ I NUREG4-021, Resion 8,$Splemnrt 1 260 o:26

_7117 n -r

- = , . Cji.'b..' = - . N t. E i

.in#1 A it# Ap t #3 R RO-i RO- li2~g/2 Cmpe i SCENAR O__ SiCEN SCENAI Understand and Interpret 72 Annuncatorsandlarms . S -

Diagnose Events and Conditions ___ _ <t ___

ant =1 [ Q[E __ _ _ _ E _ :................. ... -f

\st:2 andiSyte RepnsM Com ard XpWith '

Use Prcdues  :(1).

Operat onatroi I _/ __:

Comuniate gandg I K 4;0Ai16 ;0g Inftera With the Cr W4 d J -4

/

Demonstrate Supervisory - /

Ablity (_3: __ A _b_ _t Comply With and 4 M E

Use Tech. Specs. 3; _ _

(1) lInudes T irolatSeificalion compliance aR.

nr (i2 Optoa for an SR U t3} Onl aplcaleo RX.

Instuctions.

Circe the applicants [p erte t e and enter one or more event numbers t a wil allow the dexarmliners to evauale ev7 $aPlicable competency for every applicant Author . 'A NR CRe a r, Ji I NUREG-101, Revition 8 Suppletment 1 26f26 "Mec .

ES-403 Written Examination Grading Form ES-403-1 Quality Checklist Facility: c DateofExam:\0D114o- ExamLevel.&/SRO Initials Item Description a b c

1. Clean answer sheets copied before grading , ol
2. Answer key changes and question deletions justified and l documented A )
3. Applicants' scores checked for addition errors (reviewers spot check > 25% of examinations)
4. Grading for all borderline cases (80% +/- 2%) reviewed in Ho detail _____
5. All other failing examinations checked to ensure that grades It are justified Y A l
6. Performance on missed questions checked for training deficiencies and wording problems; evaluate validity of questions missed by half or more of the applicants l Printed Name / Signature Date
a. Grader fi:t __(Z°L3 l
b. Facility Reviewer(*)  ; sc W4 l b.FcltRvee()___ ___________ ______ (______
c. NRC Chief ExaminerM(*) 6 . l7 ,_ _6/ JY
d. NRC Supervisor(*) GO"',a -). J.1LwJo, f 3 J4AT

(*) 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: C 0 0P{ Date of Exam: o/lh)oo Exam Level: ROLRO Initials Item Description a b c

1. Clean answer sheets copied before grading 1 X
2. Answer key changes and question deletions justified and documented
3. Applicants' scores checked for addition errors f)

(reviewers spot check > 25% of examinations)

4. Grading for all borderline cases (80% +/- 2%) reviewed in v 4) detail
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 _ -4 (9I?
b. Facility Reviewer(*) S _. fClj2iGA ___ __
c. NRC Chief Examiner (*) 6_
d. NRC Supervisor (*);By ) Js,4

(*) 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 06103/2003 15:07:07 From 10/01/2002 To 09/30/2003 Report 21 Region: 4 Phase Code: 5 Operational

. - -- I- - . -- 1 F Exam Week RI QSiteocflnet Mn Anon A2nt# 11 A Candidates II Tvne- II[Exam Author II- . Chief Examiner 11Examiners Assigned I

.- _. .r.

05/26/2003 Cooper / 05000298 /2003301 Prep WERNER, G E. SANCHEZ, ALFRED TAC #: X02234 WERNER, G E.

06/16/2003 Cooper / 05000298 / 2003301 RO -3 SROI- 3 Admin FFF WERNER, G E. BUNDY, HOWARD F.

TAC #: X02234 SROU- 2 SANCHEZ, ALFRED WERNER, G E.

06/23/2003 Cooper / 05000298 / 2003301 Doc WERNER, G E. BUNDY, HOWARD F.

TAC #: X02234 SANCHEZ, ALFRED WERNER, G E.

Sites: CNS Orgs: 4620 Exam Author:ALL O7 I  ;- e -

CW C"4 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 6ftotr 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 Ui/lhW . 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 /I 8 RE (1) DATE SIGNATURE(2) DATENOTE

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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 6( [o < 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 6(1)t(LO . 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 SIGNATU (2) DATENOTE

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NOTES:

NUREG-1021, Revision 8, Supplement "

1 24 of 24

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0 ES-201 Examination Security Agreement Form ES-201-3 EJ'

1. Pru-ExamInatiori 0

I acknowFedge that I have acquired speciafized knowledge about Ihe NRC licensing examinations scheduled for the week(s) or b l Ii Lo' as ar ute date of my sitnakure I agreeIhat I 1wil not knowingly divulge any information about these examinations lo any pegf3na who have nol been authorized by the NRC dielexaminer. I understand that1 am not to Instruct, evaluate, or provide performance feedback to those applicants scheduled to be *1-&

below and administered Ihese licensing examinations from I[is date until completion of examination administratIon, except as specilically noled authorized by Ihe NRC.Furthermare, Iam aware of the physicia security measures and requirements (as documented in the lacily Ioensee's procedures) and understand dial violation of the conditions of Ihis agreement may result In cancellation olfihe examinatrins andlor an enforcement acdion again6t me orthe facillty liconsee. I will immediately report to fadliy management orthe NRC chiel examiner any ihdtcaltins orsuggeialons that examination security miay have been compromised. 4nI VI co cm 2. Post-ExamInation administered To the beat of my knowledgle I did not divulge to any unauthorizd persons any information ooncerilng the NRC licensing examinatiors I.-

I-1 co Ihe date that I entered into Ihis security agreement until the completion of examination adminislrallon, I did not during the week(s) of 61MOS From as specifically instruct, evaluale, or provide performance feedback to those appftwants who were administered these licensing examinations, except noted below and authortzd by the NRC. A 1 A PRINTED NAME JOB TITLE I RESPONSIBIUTY DATE WR ) DAIENOTE 1.6fiM0OyPf

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co NUREG-1021, RevIsion 8, Supplement 1 24 of 24 I... - --- - Im" - - -' -

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

1. Pre-Examination 0 I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of IJUC3 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 een authorized by the NRC chief examiner. I understand that I am not to instruct, evaluate, or provide performnance 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 C! AftI3. 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.

z4 PRINTED NAME JOB TITLE I RESPONSIBILITY SIGNATURE (1) DATE SIGNATURE (2) DATENOTE 1 . I ,~ M yv~ -&I It, L4&lq/t I

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NUREG-1021, Revision 8, Supplement I 24 of 24 0

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