ML051390215

Final Qa/Related Forms (Folder 1)

ML051390215
Person / Time
Site:	Millstone
Issue date:	04/04/2005
From:	Wilson M Dominion Nuclear Connecticut
To:	Conte R NRC/RGN-I/DRS/OSB
Conte R
References
ES-201, ES-201-1
Download: ML051390215 (22)

Text

ES-201 Examination Preparation Checklist Form ES-201-1

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Facility: m6U>PdCL 2 Date of Examination: 3 / I J - Lf,/

I -

Target Chief Date* Task Description (Reference) Examiner's Initials

-180 1. Examination administration date confirmed (C.l .a; C.2.a and b)

-120 2. NRC examiners and facility contact assigned (C.1.d; C.2.e) 7

-120 3. Facility contact briefed on security and other requirements (C.2.c) P-

-120 4. Corporate notification letter sent (C.2.d) P

[-go] [5. Reference material due (C.1.e; C.3.c; Attachment 2)]

-75 6. Integrated examination outline(s) due, including Forms ES-201-2. ES-201-3, ES-301-1, ES-301-2, ES-301-5, ES-D-l's, ES-401-1/2, ES-401-3, and ES-401-4. as applicable ( C . l .e and 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 (including written, walk-through JPMs, and scenarios, as applicable), supporting documentation (including Forms ES-301-3, ES-3014, ES-301-5. ES-301-6, and ES-401-6), and reference materials due (C.1 .e, f, g and h; C.3.d)

-30 1 9. Preliminary license applications (NRC Form 398's) due (C.1.l; C.2.g; ES-202)

-14 10. Final license applications due and Form ES-201-4 prepared (C.l .I; C.2.i; ES-202) P-

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

-14 12. Examinations reviewed with facility licensee (C.1.j; C.2.f and h; C.3.g) P

-7 13. Written examinations and operating tests approved by NRC supervisor (C.2.i; C.3.h)

-7 14. Final applications reviewed; examination approval and waiver letters sent (C.2.i; Attachment 4; ES-204)

-7 15. Proctoringhritten exam administration guidelines reviewed with facility licensee (C.3.k)

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

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.

ES-201, Page 24 of 27

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

I I Itern I Task Desaiption 1.

W I a. Verify that the outline(s) fit@)the appropriate model. in accordance with ES401.

R b. Assess whether the outline was systematidly and randomly prepared in accordance with I

T Section D.l of ES-401 and whether an KIA categories are appropriatelysampled. 4s

c. Assess whether the outline overemphasizesany systems, evolutions, or generic topics.

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d. Assess whether the justifications for deselededor rejected KIA statements are appropriate.

2. a. Using F o n ES-301-5, verify that the proposed scenario sets cover the required number of normal evolutions. instrument and component failures, technical specifications, and major transients.

73 M I b. Assess whether there are enough scenario sets (and spares) to test the projected number U and mix of applicants in accordance with the expected crew compositionand rotation schedule L without compromising exam integrity, and ensure that each applicant can be tested using A at least one new or significantly modified scenario, that no scenarios are duplicated T from the applicants' audit test@),and that scenarios will not be repeatedon subsequent days.

0 c. To the extent possible, assess whether the ouUine(s) conform(s) with the qualitative R and quantitative criteria specified on Form ES301-4 and described in Appendix D.

3. a. Verify that the systems walk-through outline meets the criteria specified on Form ES-301-2:

(1) the wtline(s) contain(s)the required number of control room and in-plant tasks w distributed among the safety functions as specified on the form I (2) task repetitionfrom the last two NRC exminations is within the limits specified on the form T (3) no tasks are duplicatedfrom theapplicants' audit test@)

(4) the number of new or m o d i taslcsmeetsorexceedsthe minimums specified on the form 1 (5) the number of alternate path, lowpower. emergency, and RCA tasks meet the criteria 4 on the form.

b. Verify that the administrativeoutline meets the uiteria specified on F m ES-30f-1:

(1) the tasks are distributed among the topics as specifed on the form (2) at least one task is new or significantly modified (3) no more than one task is repeated from the last two NRC licensing examinations

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

4. a. Assess whether plant-specific priorities (includng PRA and IPE insights)are covered in the appropriateexam sections. A E

b. Assess whether the 10 CFR 55.41143and 55.45 sampling is appropriate. 4 N

E

c. Ensure that WA importanceratings (except for plant-specific priorities) are at least 2.5. 4

d. Check for duplication and overlap anumg exan sections. # fm LrrcI % &

A e. Check the entire exam for balance of merage.

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

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e/ re Date

a. Author P,c* A%cy7- /

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b. Facility Reviewer r) R

c. NRC Chief Examiner (#) J.H. P'47Ma-40 //IC.

d. NRC SupeMsor R.J ('&* 4 Yo-

ES-201 ExarnlnationOutline Quality Cheddist F o ES-2019

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Millstone Unit 2 LOIT 2005 RO and SRO Exam Analysis To: Joe DAntonio From: Dan Pantalone Sub-ject: Submittal of a c the Examination Security Agreement Per a phone conversation between Joe DAntonio and myself on 03/31/2005, it was agreed that a copy of the Examination Security Agreement be sent instead of the original. The original will be sent later when all signatures are obtained.

Missing signatures under the Signature (2) column represent those individuals who are an days off, rotating shifts or sick. Efforts to acquire those signatures are in progress and should be completed the week ending 04-1 0-2005.

i-\ copy of the Examination Security 4greement is attached.

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 3 / 2 / , / 0 S 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 (e.g., acting as a simulator booth operator or communicator is acceptable if the individual does not select the training content or provide direct or indirect feedback). 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

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 T&/~J-. 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.

ES-201, Page 26 of 27

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 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 (e.g., acting as a simulator booth operator or communicator is acceptable if the individual does not select the training content or provide direct or indirect feedback). 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 een compromised.

2. Post-Exa m inat ion top-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 . 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.

ES-201, Page 26 of 27

ES-201 Examination Security Agreement Form ES-201-3 I. Pre-Examlnatlon I acknowledge that Ihave acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of d ? k { h a s OF the date of my signature. I agree that Iwill not knowlngly divulge any information about these examinations to any persons who have not been authorized by the NRC chief examiner. 1 understand that Iam 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 spedfically noted below and I authorized by the NRC (e.g., acting as a simulator booth operator or communicator is acceptable ifthe individual does not select the training content or provide direct or Indirect feedback). Furthermore, Iam aware of the physical security measures and requirements (as documented In the fadlity 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. Iwill immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been

2. Post-Fxamlnatlon To the best of my knowledge, 1 did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week@)of d3h/hS: From the date that Ientered into this security agreement until the completion of examination administration, Idid not instruct, evaluate, or provide performance feedback to those appllcan'ls who were administered these llcensing examinations, except as specifically noted below and authorized by the NRC.

PRINTED NAME JOB TITLE I RESPONSlBlLlPl ES-201,r 'f 26 Of 27

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 3 / 2 / / 0 5 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. Iunderstand 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 (e.g., acting as a simulator booth operator or communicator is acceptable if the individual does not select the training content or provide direct or indirect feedback). 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 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 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 @ { / O S . From the date that 1 entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC.

PRINTED NAME JOB TITLE / RESPONSIBILITY SIGNATURE (1) DATE SIGNATURE (2) DATE NOTE ES-201 , Page 26 of 27

ES-201 Examlnatlon Security Agreement Form ES-2013 I. pre-Examlnetlo~

I acknowledge that 1 have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of & O S of the date of my slgnature. Iagree that I will not knowingly divulge any Information about these examinahns to any persons who have not been authorized by the NRC chief examiner. Iunderstand that Iam not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examinations from this date until completion of examlnaUon administration, except as spadfically noted below and I authorized by the NRC (e.g., acting as a simulator booth operator or communicator is acceptable if the individual does not select the training content of provlde direct or Indirect feedback). Furthermore, I am aware of the physical sewrlty measures and requirements (as documented In the fadlity licensee's 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. Post42xarnlnatloq To the best of my knowledge, Idid not divulge to any unauthorized persons any information concemlng the NRC licensing examinations administered during the week(s) of Q : ? t ! ! S From the date that Ientered into this security agreement until the completion of examination administration, Idid not instruct, evaluate, or provide petformanm feedback lo those applicants who were administered these licensing examinations, except as speakally noted below and authorized by the NRC.

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2.

PRINTED NAME JOB TITLE / RESPONSIBILITY s;m&t;hSJ LMD2 54-5 en+m & -

SIGNATURE (1) DATE 44hk SlGNATURE(2) DATE NOTE 3.

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ES-201,(" 9 26 Of 27

Millstone Unit 2 LOIT 2005 RO and SRO Exam Analysis To: Joe DAntonio From: Dan Pantalone @ ,& k Date: 04/06/2005

Subject:

Completed Examination Security Agreement, all signatures acquired.

Per a phone conversation between Joe D Antonio and myself on 03/3 1/2005, it was agreed that a copy of the Examination Security Agreement be sent instead of the original. The original will be sent later when all signatures are obtained.

The accompanying Examination Security Agreement and Attachment 1 contain the original signatures of all the individuals required to close out the above agreement between Joe D Antonio and myself. Attachment 1 was required to collect the signatures of people on rotating shifts and was posted in the Millstone Unit 2 control room until all signatures were obtained.

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 3/2/!U$ 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 (e.g., acting as a simulator booth operator or communicator is acceptable if the individual does not select the training content or provide direct or indirect feedback). 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 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<k//OA-. 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.

ES-201, Page 26 of 27

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 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 (e.g., acting as a simulator booth operator or communicator is acceptable if the individual does not select the training content or provide direct or indirect feedback). 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 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 . 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 c noted below and authorized by the NRC.

ES-201, Page 26 of 27

ES-201 Examlnatlon Security Agreement Form ES-2OtS I. pre-Exarnlnetion I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week@)of & 3 k < h 7 i s of the date of my signature. I agree that Iwill not knowingly divulge any information about these examinations to any persons who have not been authorized by the NRC chief examiner, Iunderstand that I am not to instruct, evaluate, or provlde performance feedback to those applicants scheduled to be administered these licensing examinations from this date until completion of examination administration, except as specificallynoted below and authorized by the NRC (e.g., acting as a simulator booth operator or communicator is acceptable if the individual does not select the training content or provide direct or indirect feedback). Furthermore, Iam aware of the physical security measures and requirements (as documented in the fadlity licensee's procedures) and understandthat violalion of the conditions d this agreement may result in cancellation of the examlnaUons andlor an enforcement action against me or the facility licensee. Iwill immediately report to fadity management or the NRC chief examiner any Indications or suggestions that examination security may have been compromised.

2. PostSxamim To the best of my knowledge, I dM not divulge to any unauthorized persons any infonnation concemlng the NRC licensing examinations administered during the week(s) of 03!XhhK From the date that Ientered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administeredthese licensing examinations, except as spedfidly noted below and authorized by the NRC.

PRiNTED NAME JOB TITLE / RESPONSIBILITY SIGNATURE (1) DATE SlGNATURE(2) DATE NOTE ES-201,(' 'f 26 Of 27

ES-201 #m.xt?h&& d, 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 3 / 2 / / O s as of the date of my signature. 1 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 (e.g., acting as a simulator booth operator or communicator is acceptable if the individual does not select the training content or provide direct or indirect feedback). 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 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 fh!/o&-. From the date that 1 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 I RESPONSIBILITY NOTES:

ES-201,Page 26 of 27

ES-201 Examination Security figreement 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 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 (e.g., acting as a simulator booth operator or communicator is acceptable if the individual does not select the training content or provide direct or indirect feedback). 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 . 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 SIGtjATUR5 (1) DATE SPNATUW (2) DATE NOTE 14 NOTES:

ES-201, Page 26 of 27

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

1. Pre-Examlnatlon I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of aTh&hs of the date of my signature. 1 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 untw completion of examination administration, except as spedfically noted below and authorized by the NRC (e.g., acting as a simulator booth operator or communicator 1s acceptable if the IndiffMual does not select the training Content or provide direct or Indirect feedback). Furlhermore, Iam 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 examlnatians andlor an enforcement action against me or the facility licensee. Iwill immediately teport to facility management or the NRC chief examiner any Micatlons or suggestionsthat examination security may have been compromised.

2. Post-Exarnlnatlon To the best of my knowledge, I did not divulge to any unauthorized persons any information concemlng the NRC licensing examinations adminlstered during the week(s) of O H h S 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 applicanb who were administered these licensing examinations, except as ccpedficafly noted below and authorized by the NRC.

PRINTED NAME JOB TITLE / RESPONSIBILITY I ES-201,r 3 26 Of 27

ES-3Oi Operating .TestQuality ChetWlst Form ES-301.3 d

ES-301,Page 24 of 27 I I

ESSOl Shnulatot Scenarfo QualityChedtllst Fomr E M 0 1 4 ES-301,Page 25 of 27

ES-301 Transient and Event Checklist Form ES-301-5

-~ ____~____ -_ ~~ ~ ~~

Facility: !2 Date

____ of Exam: 3/21/05 ~~ Operating Test No.: 1 A Scenarios P

P L 1 I 2 3 4 I T I ESWLII , 1 ES04L12 ESML13 C CREW POSITION I CREW POSITION A

N S A B S A B T R T O R T O TS SRO-l

-9 SRO-I Instructions:

1. Circle the applicant level and enter the operating test number and Form ES-D-1 event numbers for each evolution type; TS are not applicable for RO applicants. ROs must serve in both the "at the controls (ATC)"

and "balance of plant (BOP)" positions; Instant SROs must do one scenario, including at least two instrument or component (VC) malfunctions and one major transient, in the ATC position.

2. Reactivity manipulations may be conducted under normal or controlled abnormal conditions (refer to Section D.5.d) but must be significant per Section C.2.a of Appendix D.

• Reactivity and normal evolutions may be replaced with additional instrument or component malfunctions on a 1-for-1 basis.

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.

ES-3-1, Page 26 of 27

ES-301 Competencies Checklist Form ES-301-6

'P

' Facilit Millstone 2 Date of Examination: 3/21/05 Operating Test No.: 1 APPLICANTS I

@RO-I R-

/SRO-U /SRO-U Competencies Sce ario - scc iario Sce ario 1 2 3 2 3 4 1 2 3 4 ATC BOP 1I Bop -

ATC us ATC 1:z Interpret/Diagnose 2, 3.

4 , 6, 2, 4 , NIA NA 2, 4 , NIA 2, 4.

4, 6, NIA N IA Events and Conditions 7, 8 6, 7 6, 8 6, 7.

- 7, 8 2, 3, Comply With and 1, 2 , 1, 2, 1, 2 .

4 , 5.

4, 6, NIA NIA N/A 3, 4 , NIA 4 , 6. N/A NIA Use Procedures (1) 6, 7.

7 6, 8 7.

8 Operate Control 1, 5, 1,2, 6, 7, 4, 6, NIA 7NIA

2. 3, 5, 6.

NIA

1. 3, 4 , 6, N/A NA

1. 2, N/A NIA Boards (2)

Communicate 8

1. 4 ,

7 1, 2, +- 1 8 3 , 5, 8

1. 2 ,

4, 6 1, 2, 3, 4 , NI A 3, 4 , NI A 5 . 6, NIA NIA 6, 7, NIA 4, 6, NIA and Interact 6, 7, 1 8 5. 6, 7 7.8 8 7,8 Demonstrate NA NA NA

-lr NA NIA N/A 2 , 3, 4,5. NIA NIA NIA Supervisory Ability (3) NA 6, 7.

8 Comply With and NA NA NA NA NIA NIA 2. 4 N/A N/A NIA Use Tech. Specs. (3)

Notes:

(1) Includes Technical Specification compliance for an RO I (2) Optional for an SRO-U

~ (3) Only applicable to SROs Instructions:

Cir-cle tlie applicant's license type and enter one or more event numbers that will allow the examiners to evaluate every applicable competency for every Author NRC Reviewer ES-301, Page 27 of 27

ES-401 Written Examination Quality Checklist Form ES-401-6 Facility: Date of Exam: Exam Level: RO/SR(

I Initial

5. Question duplication from the license screeningaudit exam was controlled as 'ndicated below (check the item that applies) and appears appropriate:

-A h e audit exam was systematically and randomly developed

- the audit exam was completed before the license exam was started NIA

- the examinations were developed independently

-the licensee certiies that there is no duplication

- other (explain)

/?

I I I e than 75 percent ent new, and the rest ual RO I SRO-only Printed Name I Signature Date f# &

a.

b.

c.

Author Facility Reviewer (*)

NRC Chief Examiner (#)

Peter Presbv I Joe DAntonio I

• f

/ E -yL/

-9 02/07/05

d. NRC Regional Supervisor Richard Conte I /A Note: The facility reviewer's initialdsignatureare not applicable for NF Y C-developed examinations.

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

NOTE: - Written Exam Quality Checklist covers 38 Questions (51-75,88-100) for 1&time submittal and 62 questions resubmitted for licensee review following initial comment resolution NUREG-1021, Final Revision 9

ES-403 Written ExamhationGrading F O I ES403-1

~

d Qualfty Checklist Date

a. Grader

b. Facility Reviewer(')

c. NRC Chief Examiner C)

d. NRC Supervisor c) r) The facifiireviewets signature b not applicable for examinations graded by the NRC; twu independent NRC reviews are required.

ES-403, Page 5 of 5