ML052010298

Final Qa/Related Forms (Folder 1)

ML052010298
Person / Time
Site:	Crane
Issue date:	03/24/2005
From:	D'Antonio J Operations Branch I
To:	Conte R Operations Branch I
Conte R
References
50-289/05-301 50-289/05-301
Download: ML052010298 (25)

Text

ES-201 Examination Preparation Checklist Form ES-201-1 11 Facility:

TMI Date of Examination:

5/9-16 2005 Examinations Developed by:

Facility / NRC (circle one)

I I

Target Date*

Task Description (Reference)

-180 Chief Examiners initials

1.

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

-120 I 2.

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

I

/

I-

3.

Facility contact briefed on security and other requirements (C.2.c)

4.

Corporate notification letter sent (C.2.d)

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

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-ls, ES-401-1/2, ES-401-3, and ES-401-4, as applicable (C.l.e and f; C.3.d)

-70

-45

7. Examination outline(s) reviewed by NRC and feedback provided to facility licensee (C.2.h; C.3.e)

Proposed examinations (including written, walk-through JPMs, and scenarios, as applicable), supporting documentation (including Forms ES-301-3, ES-301-4, ES-301-5, ES-301-6, and ES-401-6), and reference materials due (C.1.e, f, g and h; C.3.d)

8.

-30

-14

-14

-14

-7

-7

-7

-7

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

I

10. Final license applications due and Form ES-201-4 prepared (C.1.I; C.2.i; ES-202)

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

12. Examinations reviewed with facility licensee (C.l.j; C.2.f and h; C.3.g)

I

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

I d

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

15. Proctoring/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)

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 Examination Outline Qualitv Checklist Form ES-201-2 Three Mile Island Date of Examination:

05 5/91>

Facility:

Item

~~

iitials Task Description

1.

w R

I T

T E

N 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.

2.

S I

M U

L A

T 0

R

a. Using Form 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.

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; and ensure that each applicant can be tested using at least one new or significantly modified scenario, that no scenarios are duplicated from the applicants' audit test(s). and scenarios will not be repeated 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 systems walk-through outline meets the criteria specified on Form ES-301-2:

(1) the outline(s) contain(s) the required number of control room and in-plant tasks, distributed among the safety functions as specified on the form (2) task repetition from the last two NRC examinations is within the limits specified on the form, (3)' no tasks are duplicated from the applicants' audit test(s)

(4) the number of alternate path. low-power, emergency and RCA tasks meet the criteria on the form.

3.

W I T

b Verify that the administrative outline meets the criteria specified on Form ES-301-1 (1) the tasks are distributed among the topics as specified 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 n,

c Determine if there are enough different outlines to test the projected number and mix of 1

applicants and ensure that no items are duplicated on subsequent days I d I

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

N b

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 Assess whether the 10CFR 55 41143 and 55 45 sampling is appropriate f

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

' d u Date Printed Name / S i g n a t u r w a

Author 5, --d&L 2//8 bb' b

Facility Reviewer (*)

9-tl. L.D/.,ekG' c

NRC Chief Examiner (#)

1 s, /!y)J)

' f. h,c-d NRC Supervisor

/ 6 ; > q Lp jc Q G c

/ I v

NOTE

1. Independent NRC reviewer initial items in Column "c", chief examiner concurrence required NUREG-1021. Revision 9

L 41 n..

I; A-n W.-

in N

Y d

I t

.m 13 P,

rt I

ES-2rl.l Examination Security Agreement Form ES-201-3 I

I 11 :i, I Ilau~= acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of 5,& f<$&2s of the t l r l ~ t : I r ~

I I,, :,I:JII~I~~II~ I agree that I will not knowingly divulge any information about these examinations to any persons who have not been authorized I + IIL I J I ? C. t. 1 1 1 ~ t.xtailiil-ler. I understand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be c ~ L l ~

( 1 1 1 l~,~L:~.;,I 11 l,;.;t$ lic:ari:jing examinations from this date until completion of examination administration, except as specifically noted below and c i u l l ~ L ~ ~

'. t : c l L I Y tI,< IJRC (1: y., acting as a simulator booth operator or communicator is acceptable if the individual does not select the training content or p OLII,L, 01. ti~,t cil 111t1irt;cl feedback). Furthermore, I am aware of the physical security measures and requirements (as documented in the facility I I W I ~ ~

(2's, ) I O, ; ~. L ~ I U I ~ S J dlid understand that violation of the conditions of this agreement may result in cancellation of the examinations andlor an

~ I I ~ L A C ~ ~, I I I ~ ~ I ~ ~

A~I.)II against me or the facility licensee. I will immediately report to facility management or the NRC chief examiner any indications or wgge.,iitil iOLII diairlination security may have been compromised.

- P! r: -

tx~ttniiration I

[llI, iJL.

I I

~

I

1. Iiowledye, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered LIUI II ~g i t IG.%cd~t,) of :kL~-&

From the date that I entered into this security agreement until the completion of examination administration, I did not III.A IIL I I, dhldll or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically lit,lL.l

.ii,tj 111thnriied by the NRC.

Ptcll d l L1 1 EJAFJE JOB TITLE I' RESPONSIBILITY SIGNATURE (1)

DATE SIGNATURE (2)

DATE NOTE ES-201, Page 26 of 27

ES-20

- - - - I -

Examination Security Agreement Form ES-201-3 I d, h l l t J \\ h h ~ e

. I I ', I i i, d ~ ~ ~

ci~:qiii~

ad specialized knowledge about the NRC licensing examinations scheduled for the week(s) of J&:

ijf I,Y tt-,e hN; t III.;~

c.,, a ~ ~ ~ ~ ~

I I 1 trnderstand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be 2

t l

~

1

~

~

~

~

~

~

~

~

~

d it ii:Lt 01 ~ I I

,Illy txminations from this date until completion of examination administration, except as specifically noted below and r l ~ ~ t t ~ ~ ~ ~ i c d b y tiid tiki, it:

g., acting as a simulator booth operator or communicator is acceptable if the individual does not select the training content or

~ I ~ I V I & ; L i

~

I

~

~

~

ill. i i ~

t d

t8.:edbac;l;). Furthermore, I am aware of the physical security measures and requirements (as documented in the facility Iic,mbtL's p i t ~ ~ ~ : h ~ ~ ~ )

d.

,A undeistand that violation of the conditions of this agreement may result in cancellation of the examinations andlor an Giifoiczwiitvil dt.liuI dgditl.;t me oi the facility licensee. I will immediately report to facility management or the NRC chief examiner any indications or N ~ C J ~ S ~ I O I ~ ~

Ihcli t!,wi1iw1uon security may have been compromised.

as of the a ~ ! j ~,. A [ l ~,

c:

I c l ( ~ ~ t ; e that 1 will not knowingly divulge any information about these examinations to any persons who have not been authorized i-0 ttw btst < J t,ly I., \\ < I W I I I ige, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered

<J{IIIII~

ItIt; LVt:Ll, (>). ~ f

. From the date that I entered into this security agreement until the completion of examination administration, I did not ii-\\bt;,it,t e\\ ~ I u ~ I :

>,r ~ I X J ' I I C I ~

p:tformance feedback to those applicants who were administered these licensing examinations, except as specifically IiOted t > c ! l ~ ~ v V ~ I I ~ J L i i t t l ~ > r I. : ~. : ~ l b y the NRC.

JOB TITLE I RESPONSIBILITY SIGNATURE (1 )

DATE SIGNATURE (2)

DATE NOTE ES-201, Page 26 of 27

ln To the best of my k n d r e. I did not didgo to any unsulhorirad person8 any inkmation wnmmb lhe NRC llthnsing sxamlnr(im admlnlsknd instrucf, avdmts, or provide performam feedback to those applimnts nrho wwa admlnirterod these Iknslng eImmlrm$ms. except an sp.clCaly nded below and euthofized by the NRC.

dwinQ the wook(s) of& P 4. ~ m n me datm lhrt t entered into ~ l l s secwlty agrwmant lmtD h e completian of mamindion rdmirrislrdlon, I did not I

1 0

Q U

n

. n bl B

0 Y

bl a

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

1.

Pre-Examination 4 / q 5 k - W -

(has of the I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of 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 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 J&%+

9 ef.

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 I RESPONSIBILITY SIGNATURE (1)

DATE SIGNATURE Q)

DATE NOTE 1.3.

14.

15.

NOTES:

(

ES-201, Page(

f 27 t

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 5A f 4 k a s 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 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 : h 9 @k From the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC.

PRINTED NAME JOB TITLE / RESPONSIBILITY SIGNATURE (1)

DATE SIGNATURE (2)

DATE NOTE ES-201, -le 26 of 27

\\

T i

rl d

4 E

L k !!

? ?

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

1.

Pre-Examination 16 I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of /q i %h/o5as 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 5?-d,l9. From the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC.

PRINTED NAME JOB TITLE / RESPONSIBILITY SIGNATURE (1)

DATE SIGNATURE (2)

DATE NOTE ES-201, 7e 26 of 27

\\

March 24, 2005 5928-05-20087 US. NRC Region I Administrator 475 Allendale Road King of Prussia, PA 19406 Three Mile Island Unit I Facility Operating License No. DPR-50 NRC Docket No. 50-289

Subject:

Submittal of Integrated Initial License Training Examination Materials Enclosed are the examination materials, which TMI Unit 1 is submitting in support of the Initial License Examination scheduled for the week of May 9, 2005, at TMI Unit 1.

This submittal includes the Senior Reactor Operator Written Examinations, Job Performance Measures, and Integrated Plant Operation Scenario Guides.

These examination materials have been developed in accordance with NUREG-1021, "Operator Licensing Examination Standards," Revision 9. Please note that reference materials are attached to each individual examination question or item.

Some minor modifications have been made to the Integrated Examination Outline with regards to the operational scenarios in order to improve balance and content. These changes improve examination quality and are in compliance with NUREG-1021, Revision 9, "Operator Licensing Examination Standards."

Some modifications or adjustments to the examination material may be required due to procedural changes.

In accordance with NUREG 1021, Revision 9, Section ES-201, please ensure that these materials are withheld from public disclosure until after the examinations are complete.

Should you have any questions concerning this letter or the examination materials, please contact Greg Hoek at 71 7-948-2027.

RRspectf u I1 y kussell G. west Vice President TMI, Unit I RGW/awm

Enclosures:

(Mailed to Joseph D'Antonio, Chief Examiner, NRC Region I)

SRO Composite Examinations with references attached Control Room Systems and Facility Walk-Through Job Performance Measures with references attached Administrative Topic Job Performance Measures with references attached Integrated Plant Operation Scenario Guides Completed Checklists:

Operating Test Quality Checklist (Form ES-301-3)

Simulator Scenario Quality Checklist (Form ES-301-4)

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

Competencies Checklist (Form ES-301-6)

Written Exam Quality Checklist (Form ES-401-6)

Examination Security Agreements (Form ES-201-3)

Record of Rejected WAS (Form ES401-4) cc:

(without attachments)

Chief, NRC Operator Licensing Branch NRC Senior Resident Inspector - TMI-1 File 05003 Operations Training Manager

ES-30 1 Operating Test Quality Checklist Form ES-301-3

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).

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

b.

c.

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

M f Y /

d.

e.

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

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:

• 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 operationally important specific performance criteria that include:

- detailed expected actions with exact criteria and nomenclature

- system response and other examiner cues

- statements describing important observations to be made by the applicant

- criteria for successful completion of the task

- identification of critical steps and their associated performance standards

- restrictions on the Seauence of steps. if aDDlicable

b.

Ensure that any changes from the previously approved systems and administrative walk-the acceptance criteria (e.g., item distribution, bank use, repetition from the last 2 NRC examinations) specified on those forms and Form ES-201-2.

through outlines (Forms ES-301-1 and 2) have not caused the test to deviate from any of

/--

Date

a.

Author GkE&RY R. /doEk/,

7 / t Y/ tu55

b.

Facility Reviewer r)

c.

NRC Chief Examiner (#)

d.

NRC Supervisor NOTE:

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

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

I NUREG-1021, Revision 9

ES-301 Simulator Scenario Quality Checklist Form ES-301-4 Facility: 7 I+ R E /Y ri E rs L AN*) Date of Exam: 5 / y 120 c 5 Scenario Numbers:

QUALITATIVE AlTRlBUTES Z I7 12a5 Operating Test No.&,fc Initials b'

a

1.

2.

The initial conditions are realistic, in that some equipment andlor instrumentation may be out of service, but it does not cue the operators into expected events.

The scenarios consist mostly of related events.

3.

Each event description consists of 0

0 0

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.

The events are valid with reaard to Dhvsics and thermodynamics.

the point in the scenario when it is to be initiated the malfunction(s) that are entered to initiate the event the symptomslcues that will be visible to the crew the expected operator actions (by shift position) the event termination point (if applicable)

4.

5.

6.

Sequencing and timing of events is reasonable, and allows the examination team to obtain complete evaluation results commensurate with the scenario obiectives.

7.

If time compression techniques are used, the scenario summary clearly so indicates. Operators have sufficient time to carrv out exDected activities without undue time constraints.

c

8.

The simulator modeling is not altered.

9.

The scenarios have been validated. Pursuant to 10 CFR 55.46(d), any open simulator performance deficiencies or deviations from the referenced plant have been evaluated to ensure that functional fidelity is maintained while running the planned scenarios.

Every operator will be evaluated using at least one new or significantly modified scenario. All other scenarios have been altered in accordance with Section 0.5 of ES-301.

10.

11.

All individual operator competencies can be evaluated, as verified using Form ES-301-6 (submit the form aloncl 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.

I ~4 Target Quantitative Attributes (Per Scenario; See Section D.5.d)

Actual Attributes

1.

Total malfunctions (5-8) 7 1

7 1

7

&4

2.

Malfunctions after EOP entry (1-2) 1 1 2 1 2 &@

3.

Abnormal events (2-4)

'4 I 4 1 3 -&Q I

1 1 1 1 2 1M

4.

Maior transients (1-2)

5.

EOPs enteredlrequiring substantive actions (1 -2)

6.

EOP contingencies requiring substantive actions (0-2)

7.

Critical tasks (2-3)

NUREG-1021, Revision 9

=acility:

A P

P L

I C

A N

T SROI-SROI-2 SROI-3 SR014 Three Mile Island Date of Exam:

5/9/2005 Owrating Test No.:

NRC T

T CREW POSITION Y

P E

S A

B R

T 0

0 C

P RX NOR 4

NOR I 4

I I

IIC 1,3,6, 8

M A

J 7

TS 2,5,6 m

4 NOR I/C 1 3,

6 3 MAJ 7

TS CREW POSITION 5

1 I

=tt-Scenarios U

NUREG 1021 Revision 9

ES-301 Transient and Event Checklist Form ES-301-5 Scenarios Instructions: k Circle the applicant level and enter the operating test number and Form ES-D-1 event numbers for each event type; TS are not applicable for RO applicants. ROs must service in both the "at-thecontrols (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.

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 l-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 Author:

NRC Reviewer:

NUREG 1021 Revision 9

ES-301 Competencies Checklist Form ES-301-6 N R C Facility:

Three Mile Date of Examination:

May I Operating Test No.:

Island 2005 APPLICANTS SRO-1-2 (ATC/SRO)

SRO-1-3 (SROIATC)

SRO-1-4 (ATC/SRO)

SCENARIO SCENARIO Competencies t10 3

4

ENARIO 2

3 4

1 2 4 3 7 3 1-8 NA 1-8 1-8 InterpretlDiagnose 1,3 1,2 Events and Conditions 4,6 4,6 7,8 7,8 1-8 Comply With and Use 1,3 1-8 Procedures (1) 496 1-8 NA 1-8 Operate Control Boards (2)

NA 1-8 NA 1-8 1-8 1-8 NA NA Communicate and 1-8 1-8 Interact Demonstrate 1,3 NA Supervisory Ability (3) 4,6 NA NA NA 1-8 3-5 Comply With and Use 1 2,5 I NA Tech. Specs. (3)

NA -

Notes:

(1)

(2)

Optional for an SRO-U.

(3)

Only applicable to SROs.

Includes Technical Specification compliance for an RO 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:

NUREG-1021, Revision 9

ES-301 Competencies Checklist Form ES-301-6 IVP c Facility:

Three Mile Date of Examination:

May I Operating Test No.:

Island 2005 I

APPLICANTS SRO-1-5 SRO-1-6 (S RO/ATC)

(ATCIS RO) v Competencies InterpretIDiagnose 193 Events and Conditions 4,6 Comply With and Use 1,3 Procedures (1) 496 7,8 Operate Control Boards (2)

Communicate and Interact Demonstrate 193 Supervisory Ability (3) 4,6 7 3 Comply With and Use 25 Tech. Specs. (3)

ENE 2 -

1-8 1-8 1-8 NA NA -

Notes:

(1)

(2)

Optional for an SRO-U.

(3)

Only applicable to SROs.

Includes Technical Specification compliance for an RO.

SRO-1-7 (SROIATC)

SCENARIO -

1 2

3 1,3 1,2 4,6 4,6 7,8 7,8 1,3 1-8 7 3 NA 1-8 1-8 1-8 1,3 NA 788 2,5 NA N/A SCENARIO 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:

NRC Reviewer:

NUREG-1021, Revision 9

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

1.

2.

a.

NRC WAS referenced for all questions.

3.

4.

Questions and answers technically accurate and applicable to facility.

b.

SRO questions are appropriate in accordance with Section D.2.d of ES-401 If more than four RO and two SRO questions are repeated from the last two NRC licensing exams, the facility licensees sampling process was random and systematic.

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

Facility learning objectives referenced as available.

5.

the audit exam was systematically and randomly developed the audit exam was completed before the license exam was started the examinations were developed independently the licensee certifies that there is no duplication other (explain)

6.

Bank use meets limits (no more than 75 percent from the bank at least 10 percent new, and the rest new or modified); enter the actual RO / SRO-only question distribution@) at right.

Between 50 and 60 percent of the question on the RO exam are written at the comprehension1 analysis level; the SRO exam may exceed 60 percent if the randomly selected WAS support the higher cognitive levels; enter the actual RO / SRO question distribution(s) at right

7.

Bank I Modified I New I

1 Memory 32/6 loa I 51/17 CIA 43/19

8.

9.

Referenceslhandouts provided do not give away answers or aid in the elimination of distractors.

Question content conforms with specific KIA statements in the previously approved examination outline and is appropriate for the tier to which they are assigned; deviations are justified.

Question psychometric quality and format meet the guidelines in ES Appendix B.

10.

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

Printed Name / Signature Exam RO@

Level:

a.

Author

b.

Facility Reviewer (*)

c.

NRC Chief Examiner (#)

d.

NRC Regional Supervisor Date Note:

The facility reviewers initialslsignature are not applicable for NRC-developed examinations.

NUREG-1 021, Revision 9

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 5fi 3 4 I / &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 be& 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 ? / 4 - 5 6 h 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.

le 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 d j<<kas 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 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 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 zh P $k 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, p-ye 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 'k 5 qill h a s 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 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(?) of Y&%+ d.

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.

11.

15.

NOTES:

ES-201, Page f 27

P 6 W L t O S - O i W n N P

93LaJ r

L 4

a 3

c 4

0 u

a R

c-0 La Ir 8

b a

t 3 t e

I CI 0

N !!

0 h) a a..

c b

n t

m n

a b -

w.

3 a

cn 0 r X

U c

c

?

r

ES-201 Examination Security Agreement Form ES-201-3 5.

Pre-Examination I acknowledge that I have acquired specialized knowledge about the NRC licensing eminatins scheduled for the week(s) of cf4/.I as of the date of my signature. 1 agree that I will not knowingly divulge any information about these examinations to any persons whc have not been authorized by the NRC chief examiner. I understand that I am not to instruct, evaluate, or provide performance feedback to those ap$irtants scheduled to be administered these licensing examinations from this date until completion of examination adminishation. except as specificalfy 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 sware 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 wiH immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been compromised.

I

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@) 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 I RESPONSIBILITY DATE SIGNATUKE (2)

DATE NOTE

1. 9

@ i r r __---

fi&AE@

ES-201, Page 3y $27 3

I

ES-403 Written Examination Grading Form ES-403-1 Quality Checklist Facility: Tfl - 2 Date of Exam: 5//6/2005 Exam Level: R O

B 1 I Initials

6.

Performance on missed questions checked for training

a. Grader C

b. Facility Reviewer(*)

c. NRC Chief Examiner (*)

d. NRC Supervisor (*)

(*)

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