ML050390207

Final Qa/Related Forms (Folder 1)

ML050390207
Person / Time
Site:	Nine Mile Point
Issue date:	11/23/2004
From:	Evans T Constellation Energy Group
To:	Conte R NRC/RGN-I/DRS/OSB
References
Download: ML050390207 (23)

Text

ES-201 Examination Preparation Checklist Form ES-201-1 Target Date*

Task Description (Reference)

~~

~

Date of Examination:

NRC (circle one)

Chief Examiner's Initials

-14

-1 80 1 1. Examination approved by NRC supervisor for facility licensee review (C.2.h; C.3.f)

-120

-14

-120

12. Examinations reviewed with facility licensee (C.1.j; C2.f and h; C.3.g)

-1 20

-7

-75

13. Written examinlons and operating tests approved by NRC supervisor Y

(C.2.i; C.3.h)

-70

-7

-7

-7

-30

14. Final applications reviewed; examination approval and waiver letters sent (C.2.i; Attachment 4; ES-204)

15. Proctonng/written exam administration guidelines reviewed with facility licensee (C.3.k)

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

U

-14

1.

2.

Examination administration date confirmed (C.1.a; C.2.a and b)

NRC examiners and facility contact assigned (C.1.d; C.2.e)

10. Final license applications due and Form ES-201-4 ES-202)

ES-201, Page 24 of 27

ES-201 Examination Outline Quality Checklist Form ES-201-2 Task Description Facility:

Initials a I b* d c#

Item

1.

Written

2.

Sim

3.

WIT

4.

General

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

b. Assess whether the outline was systematically and randomly prepared in accordance with Section D.l of ES-401 and whether all WA categories are appropriately sampled.

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

~

~~

~~

d. Assess whether the justifications for deselected or rejected WA statements are appropriate.

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

b. Assess whether there are enough scenario sets (and spares) to test the projected number and 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@)*, and scenarios will not be repeated on subsequent days.

c. To the extent possible, assess whether the outline(s) conform(s) with the qualitative and quantitative criteria specified on Form ES-301-4 and described in Appendix D.

a. Verify that:

(1) the outline(s) contain(s) the required number of control room and in-plant tasks, (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 (4) no more than 80% of any operating test is taken directly from the licensees exam banks.

b. Verify that:

(1) the tasks are distributed among the safetyfunction groupings as specified in ES-301, (2) one task is conducted in a low-power or shutdown condition, (3) 4 - 6 (2 - 3 for SRO-U) of the tasks require the applicant to implement an alternate path procedure, (4) one in-plant task tests the applicants response to an emergency or abnormal condition, and (5) the in-plant walk-through requires the applicant to enter the RCA.

I I.

I

c. Verify that the required administrative topics are covered.

d. Determine if there are enough different outlines to test the projected number and mix of applicants and ensure that no items are duplicated on subsequent days.

a. Assess whether plant-specific priorities (including PRA and IPE insights) are covered in the appropriate exam section.

~

~

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

c. Ensure that WA importance ratings (except for plant-specific priorities) are at least 2.5.

d. Check for duplication and overlap among exam sections.

e. Check the entire exam for balance of coverage.

f. Assess whether the exam fits the appropriate job level (RO or SRO).

Y I J

a. Author

b. Facility Reviewer (*)

c. NRC Chief Examiner (#)

d. NRC Supervisor Note:

• Not applicable for NRC-developed examinations.

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

24 of 25 NUREG-1021, Draft Revision 9

,a-ATTACHMENT 6: NRC EXAMINATION SECURITY AGREEMENT PaF-I % - -

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

1.

Pre-Examination I acknowledge fhaf I have acquired specialized knowledge abouf the NRC licensing examinafions scheduled for the week(s) of "'6!LJ asof the date of my signature. I agree that I will no1 knowingly divulge any infotniation about these examinations to any persons who have not been authorized by the NRC chief examiner. I understand that I ani not to instruct, evaluate, or provide performance feedback to those appllcants 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. Furlhermoro, I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures) and understand that violation of Ihe conditions of this agreement may result in cancellation of the examinations andlor an enforcement action against me or the facility licensee. I will immediately report to facility management or Ihe NRC chief examiner any indications or suggestions that examination security may have been compromised.

, I (, loy -OPk*>db 7ZYA-w oy-wfuvw flrncu-j

2.

Posl-Examination To the best of my knowledge, I did nor divulge lo any unauthorized persons any information concerning the NRC licensing examinations administered.

during the week(s) of/&--

From lhe date that 1 entered into this security agreement until the completion of examination administration, I did not instrucl, evaluate, or provide 9 edormance feedlsack to those applicants who wero administered these licensing examinations, eXcept as specifically rioted below and authorized by the NRC.

PRINTED NAME JOB TITLE I RESPONSIBILIlY SIGNATURE (I)

DATE SIGNATME(2)

DATE NOTE J

MOTES: 1. This note indicates that the individual was porsonally briefed as to hislher responsibilities in complying with this SeCIJrity agreement.

o % F e d G-M

• A w w - l c - p

.cpsep&kcr @ ow0 I-c-or Page 36 TAP-TQS-06 Rev 11

ATTACHMENT 6: NRC EXAMINATION SECURITY AGREEMENT E$-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 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 licensees procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations andlor 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 date of my signature. I agree that I will not knowingly divulge any information about these examinations to any persons who 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 /,h.-Z.~Q$

From the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or provide erformance feedback to those noted below and authorized by (he NRC.

these licensing examinations, except as specifically 3

DATE

$IGNATURE (2)

DATE NO JE PRINTED NAME JOB TITLE / RESPONSIBILITY NOTES: 1. This note indicates that lhe individual was personally briefed as to hidher responsibllities in complying with this security agreement.

Page 36 TAP-TQS-06 Rev 11

ATTACHMENT 6: NRC EXAMINATION SECURITY AGREEMENT E$-201 Examination Security Agreement Form ES-201-3

1.

Pre-Examination date of my signature. 1 agree that I will not knowingly divutge any information about these examinations to any persons who have not been authorized by the NRC chief examiner. I understand that 1 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 examlnation 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 iicensee'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 parsons any information concerning the NRC licensing examinations administered during the week(s) of u,/l -F From the date that I entered into this security agreement until the completion of examination adminlstratlon, I did not instruct, evaluate, or provide erforrnance feedback to those applicants who were administered these licensing examinations, except as Specifically noted below and authorized by the NRC.

JOB TITLE / RESPONSIBILITY SIGNATUflE (1)

DATE SIGNATURE (2)

DATE NOTE I acknowledge that 1 have acquired specialized knowledge about the NRC licensing examinations scheduled I

PRINfED NAME MITES: I. This note indicates that the individual was personally briefed as(kndhidesponsihll!lies in complying with this security agreement.

Page 36 TAP-TQS-06 Rev I1

ATTACHMENT 6: NRC EXAMINATION SECURITY AGREEMENT

?E*

4 & 4,

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

1.

Pre-Examination 0~~~~ kM\\M U

I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of 1 I /, 1 6 4 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 a5 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 know1 d e, I did not divulge lo any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of IrTlfb4

. 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 lo those applicants who were administered these licensing examinations, except as specifically noted below and authorized by (he NRC.

JOB TITLE / RESPONSIBILITY

1.

2.

3.

4.

5.

6.

7.

8.

9. ' '

io.

11.

12.

13.

14.

15.

I_-

NOTES: 1. This note indicates that the individual was personally briefed as to hidher responsibilities in complying with this security agreement.

tS-301 Operating 'I est Quality Checklist Form tS-301-3

1. GENERAL CRITERIA a

Facility:

N/N MlL POlNT 7 Date of Examination:

NOVEMBER 7, 2004 Operating Test Number:

SRO I

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, I/

safetv function distribution)

b.

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

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

Overlap with the written examination and between operating test is within acceptable limits.

c.

d.

e.

It appears that the operating test will differentiate between competent and less-than-competent applicants at the designated license level.

2. WALK-THROUGH CRITERIA

a.

Each JPM includes the following, as applicable:

0 initial conditions 0 initiating cues 0 references and tools, including associated procedures 0 reasonable and validated time limits (average time allowed for completion) and 0 specific performance criteria that include:

specific designation if deemed to be time critical by the facility licensee

- 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 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.

At least 20 percent of the JPMs on each test are new or significantly modified.

b.

c.

e-k

3. SIMULATOR CRITERIA

a.

The associated simulator operating tests (scenario sets) have been reviewed in accordance with Form ES-301-4 and a copy is attached.

II Printed Name / Signature Date

a. Author 9-9-64

b. Facility Reviewerr)

c. NRC Chief Examiner (

d. NRC Supervisor (")

NOTE:

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

1. Independent NRC reviewer initial itemsin Column "c": chief examiner concurrence required.

Draft Exam Submittal Document. SRO Operating Test. September 10,2004 NUREG 1021 Draft Revision 9

1

1. GENERAL CRITERIA c

Initials I

I ES-301 Operating Test Quality Checklist Form ES-301-3

3. SIMULATOR CRITERIA 0 initial conditions 0 initiating cues 0 references and tools, including associated procedures 0 reasonable and validated time limits (average time allowed for completion) and specific performance criteria that include:

specific designation if deemed to be time critical by the facility licensee

- 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 I_

I I

r I

I I

3.

The associated simulator operating tests (scenario sets) have been reviewed in accordance with Form ES-301-4 and a copy is attached.

Printed Name / Signature Date

a. Author I. Facility Reviewerr)

. NRC Chief Examiner i

NRC Supervisor (*)

4OTE:

• The facility signature is not applicable for NRC-developed te

1. Independent NRC reviewer initial itemsin Column c: chief examiner concurrence required.

q-q-oq Draft Exam Submittal Document. RO Operating Test. September 10,2004 NUREG 1021 Draft Revision 9

ES-301 Simulator Scenario Quality Checklist Form ES-301-4 Facility: NINE MILE POINT I Date of Exam: NOVEMBER I, 2004 Scenario Numbers: 1/2/3/ALT Operating Test No.: 01 Initials QUALITATIVE ATTRIBUTES I

a I b

• I c#

IO.

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.5 of ES-301.

12.

Each applicant will be significantly involved in the minimum number of transients and events

• TARGET QUANTITATIVE ATTRIBUTES (PER SCENARIO; SEE SECTION D.5.d Draft Exam Submittal September I O, 2004 NUREG-1021, Draft Revision 9

ES-301 Transient and Event Checklist Form ES-301-5 OPERATING TEST NO. RO Delfino Ev uator Joh $On)

Tsardakas @valuator dilliams)

As RO SRO-I Instructions: (1)

Enter the o erating test number and Form ES-D-1 event numbers for each evolu P ion type.

abnorma 'i conditions (refer to Section D.5.d) but must be si nificant per (2)

Reactivit manipulations may be conducted under normal or controlled Section C.2.a of Appendix D. *Reactivity and normal evolu ions may be replaced with additional instrument or component malfunctions on a one-for one basis.

Whenever practical, both instrument and component malfunctions should be included; only those that require verifiable actions that P

(3) pplicant's competence count toward the Author:

i id t l I 69 NRC Reviewer:

/o/&$+

Post Prep Exam Submittal Document. RO October 21, 2004 NUREG-1021, Revision 9, Draft

SRO-U ES-301 Transient and Event Checklist Form ES-301-5 OPERATING TEST NO. SRO Instant Mclnnis (Evaluator Caruso)

I I

I I

I I

Reactivity 0

Normal I

• Instrument/

2*

Com ponen t Major 1

As RO SRO-I As SRO Instructions: (I) Enter the o erating test number and Form ES-D-1 event numbers for each evolu P ion type.

abnorma Y conditions (refer to Section D.5.d) but must be si nificant per (2)

Reactivi manipulations may be conducted under normal or controlled Section C.2.a of Appendix D. *Reactivity and normal evolu ions may be replaced with additional instrument or component malfunctions on a one-for one basis.

Whenever practical, both instrument and component malfunctions should be included; only those that require verifiable actions that B

(3) pplicants competence count toward the

/ D 12 I Id Author:

NRC Reviewer:

Post Prep Exam Submittal Document. SRO October 21, 2004 NUREG-1021, Revision 9, Draft

ES-301 Transient and Event Checklist Form ES-301-5 Reactivity Normal OPERATING TEST NO. SRO Instant S eqrs (

lu tor Wi li ms R8ssmno&)va%ator Jo%nsdnl 0

I*

I I

I I

I I

I I

Major SRO-I 1

SRO-U 2"

Instructions: (1)

Enter the o erating test number and Form ES-D-I event numbers for each evolu P ion type.

abnorma Y conditions (refer to Section D.5.d) but must be si nificant per (2)

Reactivit manipulations may be conducted under normal or controlled Section C.2.a of Appendix D. *Reactivity and normal evolu ions may be replaced with additional instrument or component malfunctions on a one-for one basis.

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 minimm requirement.

F (3)

NRC Reviewer:

Post Prep Exam Submittal Document. SRO October 21,2004 NUREG-1021, Revision 9, Draft

ES-301 Transient and Event Checklist Form ES-301-5 OPERATING TEST NO. RO Stuehler (Evaluator Johnson)

SRO-I As SRO Instructions: (I) Enter the o erating test number and Form ES-D-1 event numbers for each evolu P ion type.

abnorma Y conditions (refer to Section D.5.d) but must be significant per (2)

Reactivi manipulations may be conducted under normal or controlled Section C.2.a of Appendix D. *Reactivity and normal evolutions may be replaced with additional instrument or component malfunctions on a one-for one basis.

th instrument and component malfunctions y those that require verifiable actions that pplicants competence count toward the Author:

/*I24 1 0 4 NRC Reviewer:

Post Prep Exam Submittal Document. RO October 21,2004 NUREG-1021, Revision 9, Draft

ES-301 Transient and Event Checklist Form ES-301-5 OPERATING TEST NO. RO O'Brien (Evaluator Williams)

As RO SRO-I Instructions: (1)

Enter the o erating test number and Form ES-D-1 event numbers for each evoluion type.

(2)

Reactivi manipulations may be conducted under normal or controlled Section C.2.a of Appendix D. *Reactivity and normal evolu ions may be re laced with additional instrument or component malfunctions on a Whenever practical, both instrument and component malfunctions should be included; only those that require verifiable actions that

?

abnorma fy conditions (refer to Section D.5.d) but must be si nificant per one-P or one basis.

(3) pplicant's competence count toward the lo/ 2t I64

/

/ o h / &

Author:

NRC Reviewer:

Post Prep Exam Submittal Document. RO October 21, 2004 NUREG-1021, Revision 9, Draft

ES-301 Transient and Event Checklist Form ES-301-5 OPERATING TEST NO. SRO Instant Pettit (Evaluator Caruso), Payne (Evaluator Caruso)

SRO-U I

I I

I I

I I

I Reactivity 0

Normal I

• Instrument/

2*

Component Major I

As RO Author:

NRC Reviewer:

Post Prep Exam Submittal Document. SRO October 21, 2004 NUREG-1021, Revision 9, Draft

v ES-301 Competencies Checklist Form ES-301-6 SRO Instant Applicant Pettit; Payne I

SRO Instant Applicant Spears; Rossignol Competencies 1

SCEiARIO 1

P,,,,q ATC SRO BOP SRO BOP ATC InterpretlDiagnose Events and Conditions Communicate and Interact 2,3,5 1,2,3 7,8,9 4,5,6,7 Supervisory Comply With and Notes:

(1) Includes Technical Specification compliance for an RO.

Optional for an SRO-U.

Only applicable to SROs.

Instructions:

Circle the applicants license type and enter one or more event numbers that will allow the examiners to evaluate every applicable competency for every applicant.

Author:

/ D / L I Ibd 1

NRC Reviewer:

LO/%-

od Post prep Exam Submittal Document. SRO October 21,2004 NUREG-1021, Revision 9, Draft

SRO Instant Applicant ES-301 Competencies Checklist Form ES-301-6 SRO Instant Applicant Mclnnis Competencies Communicate and Interact Supervisory Notes:

(1) Includes Technical Specification compliance for an RO.

Optional for an SRO-U.

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:

l o / I LI d - f NRC Reviewer:

Post prep Exam Submittal Document. SRO October 21,2004 NUREG-1021, Revision 9, Draft

ES-301 Competencies Checklist Form ES-301-6 r

Competencies I nterpretf Diag nose Events and Conditions Comply With and Use Procedures (1 1 Operate Control Boards (21 Communicate and Interact Demonstrate Supervisory Ability (3)

Comply With and Use Tech. Specs. (3)

RO Applicant Tsardakas; Delfino SCENARIO 2

BOP I

ATC 4,6,9,10 6

RO Applicant S tueh le r SCENARIO 1

ATC 1

BOP 2

l 3,597 Notes:

(1 ) Includes Technical Specification compliance for an RO.

2 Optional for an SRO-U.

I1 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:

/ O / L I 1 d./

NRC Reviewer:

Post Prep Exam Submittal Document. RO October 21,2004 NUREG-1021, Revision 9, Draft

ES-301 Competencies Checklist Form ES-301-6 RO Applicant O'Brien RO Applicant Competencies SCENARIO I nterpret/Diagnose Events and Conditions SCENARIO I

~

Comply With and Use Procedures (1)

Operate Control Boards (2)

Communicate and Demonstrate Supervisory Notes:

(1 ) Includes Technical Specification compliance for an RO.

2 Optional for an SRO-U.

I1 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 applicab Author:

NRC Reviewer:

Post Prep Exam Submittal Document. RO October 21,2004 NUREG-1021, Revision 9, Draft

ES-40 1 Written Examination Quality Checklist Form ES-401-6 Facility:

NlNE MILE POINT I Date of Exam: NOVEMBER I, 2004 Exam Level: SRO I

Initial Item DescriDtion

1.

Questions and answers technically accurate and applicable to facility

2.

a. NRC WAS referenced for all questions

b. Facility learning objectives referenced as available I

3.

SRO questions are appropriate per Section D.2.d of ES-401 t

4.

Question selection and duplication from the last two NRC licensing exams appears consistent with a systematic sampling process

5.

Question duplication from the license screening/audit exam was controlled as indicated below (check the item that applies) and appears appropriate:

X the audit exam was systematically and randomly developed; or the audit exam was completed before the license exam was started; or the examinations were developed independently; or the licensee certifies that there is no duplication; or other lexdain) 7

6.

Bank use meets limits (no more than 75 Bank Modified New percent from the bank, at least 10 percent new, distribution at right (8%)

(92%)

the RO exam are written at the comprehension/analysis level; the SRO exam may exceed 60 percent if the randomly selected WAS support the higher cognitive levels; enter the actual question distribution at right A

References/handouts provided do not give away answers and the rest modified); enter the actual question '

2 0

23 6 I

7.

Between 50 and 60 percent of the questions on Memory C/A

$ 5

8.

9.

Question content conforms with specific WA statements in the previously approved examination outline and is appropriate for the Tier to which they are assianed: deviations are iustified I

I O.

11.

Question psychometric quality and format meet ES, Appendix B, guidelines L f l The exam contains the required number of one-point, multiple choice items; the total is correct and agrees with value on cover sheet I

Printed Name / Signature

a. Author

b. Facility Reviewerr)

c. NRC Chief Examiner(#)

d. NRC Regional Supervisor(*)

Note:

• The facility reviewer's signature is not applicable for NRC-developed examinations.

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

Draft Exam Submittal September IO, 2004

ES-401 Written Examination Quality Checklist Form ES-401-6

6.

Bank use meets limits (no more than 75 percent from the bank, at least 10 percent new, and the rest modified); enter the actual question distribution at right

7.

Between 50 and 60 percent of the questions on the RO exam are written at the comprehensionlanalysis level; the SRO exam selected WAS support the higher cognitive levels: enter the actual question distribution at may exceed 60 percent if the randomly Facilitv: NlNE MlLE PO/NJ 7 Date of Exam: NOVEMBER 7,2004 Exam Level: RO Bank Modified New

<v&4/3 F#r fL435 Ci 6

7 d I

\\L (W m m l?*3*/-

6, 72 Memory 31 44 (41.3%)

(58.7%)

I Initial Item Description a

b*

c#

1.

2.

Questions and answers technically accurate and applicable to facility

a. NRC WAS referenced for all questions

b. Facility learning objectives referenced as available NA NA NA icensing exams

5.

Question duplication from the license screeninglaudit 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)

I I

I right I

Referenceslhandouts provided do not give away answers Question content conforms with specific WA statements in the previously approved examination outline and is appropriate for the Tier to which they are assigned; deviations are justified

8.

9.

Le-a-

I O.

Question psychometric quality and format meet ES, Appendix B, guidelines Y

2 7

LL

11.

The exam contains the required number of one-point, multiple choice items; the total is correct and agrees with value on cover sheet I

Y Printed Name l Signature Date

a. Author

b. Facility Reviewerr)

c. NRC Chief Examiner(#)

d. NRC Regional Supervisor()

Note:

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

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

Draft Exam Submittal September 10,2004

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

Initials Item Description a

b C

1.

Clean answer sheets copied before grading w bqM

2.

Answer key change d question deletions justified and documented -

v -

a. Grader

b. Facility Reviewer(*)

c. NRC Chief Examiner (*)

d. NRC Supervisor (*)

f I

(*)

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

ES-403, Page 5 of 5

ES-403 Written Examination Grading Form ES-403-1 Quality Checklist Item Description I.

Clean answer sheets copied before grading

2.

Answer key chang on deletions justified and documented 0 6

3.

4.

5.

6.

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

Grading for all borderline cases (80 +2% overall and 70 or 80, as applicable, k4% on the SRO-only) reviewed in detail All other failing examinations checked to ensure that grades are justified Performance on missed questions checked for training deficiencies and wording problems; evaluate validity of questions missed by half or more of the applicants Printed NameEignature jxam Level: ROGF Initials Date

a. Grader

b. Facility Reviewer(*)

c. NRC Chief Examiner (*)

d. NRC Supervisor (*)

u

(*)

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

ES-403, Page 5 of 5