ML052910092

Various Checklists for the Prairie Island Initial Examination - August 2005

ML052910092
Person / Time
Site:	Prairie Island
Issue date:	08/08/2005
From:	Mcneil D NRC/RGN-III/DRS/OLB
To:	Nuclear Management Co
Shared Package
ML052720166	List: L-PI-05-078, Facility Post-Examination Comments for the Prairie Island Initial Examination - August 2005 ML052900478 ML052900501 ML052910092 ML052910118
References
50-282/05-301, 50-306/05-301
Download: ML052910092 (27)

Text

VARIOUS CHECKLISTS FOR THE PRAIRIE ISLAND INITIAL EXAMINATION - AUGUST 2005

ES-201, Rev. 9E Examination Preparation Checklist Form ES-201-1 Taraet Chief Task Description (Reference) Examiner's Initials

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

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

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

-120 4. Corporate notification letter sent (C.2.d) hp 1 [-go1 1 [5. Reference material due (C.1.e; C.3.c; Attachment 2)] I nla I

(-75) 6. Integrated examination outline@)due, including Forms ES-201-2, ES-201-3, ES-301-1. ES-301-2, ES-301-5, ES-D-1's. ES-401-1/2, ES-401-3. and drm ES-401-4. as applicable (C.1.e and f; C.3.d) 1 (-70) I (7. Examination outline($ 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 drm 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)

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

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

-14 11. Examination approved by NRC supervisor for facility licensee review drm (C.2.h; C.3.0

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

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

-7 14. Final applications reviewed; 1 or 2 (if >IO) applications audited to confirm qualifications / eligibility; and examination approval and waiver letters sent drm (C.2.i: Attachment 4: ES-202. C.2.e; ES-204)

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

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

ES-301 Operating Test Quality Checklist Form ES-301-3 Facilily ~ ~ \ R \ \sL(Cclb r ' Dale of Exammalion. P -g -os Operalin! 'esl Number:

"lllals

1. General Criteria b' C#

a Tne operatng lesl conloims wsn Ine previo~siyapproved oulline. changes are consoslenl n In samplmq requ remenls (e q , 10 CFR 55 45 operational Imporlance. sately Lncbon doslrioA on) b There F no day-lo-oay repel lion belncen Ins and other operaling 1851s 10 be aam.nislered a d n g lnis examlnaton c The operallnq lesl sha I no1 d.plocale .terns from (he applmnts' a.or Iesqs) (see Sccuon D 1 a ,

d Over ap n Ih Ine wr lien exammalion and between 0 Rerent pans of the operaling lesi 8s hdnm acceplaole limils e 11 appears lhal the operaling 1011 61s 0 Werentlate belvreen competent an0 1ess.lhan-compelenl ,

1 applicants at Ihe des gnaleo Icense level

2. Walk-Through Criteria .. ..

as appllcao e a

..EachininJPM n c l ~ o e sme lial conall i m n g cues on5 lollo*my

.. references leasonab e and and loois nclm ng assocmled procedures ra m l e d me I lim11s (average lime allowed for compleuonl ana spec fic

. opcrauona ocs gna1.o" deemed be m e - c r lical by the facility lfcensee ly f 10 imponant spec GC performance cnlena lnal include oeta lea expecled aclmns w lh exact cnlena and nomencbtLre

- syslem response and other exammer CLes slalemenls descr.b.ng imponant observationslo be made by the appslcanl

- crileiia lor successlLI complelnon of Ihe task

- ldenliflcalion 01 c r m a sleps ana lheir associated performance slanaards

- ieslnclaons on Ine sequence 01 steps. 1apmicable 0 Ensure mal any changes from m e pievioLsly approvw syxlems and admin.slralide walk-InroLgn out1 ne3 (Forms ES-301-1 an0 2) have nal ca~sealhe test lo deveale lrom any 01 lne acceplance CI leria le q , Icm diSlribLLon oani LSO repelition from the lasl2 hRC erammal!onsJ spec fie0 on those firms and Form ES-201-2

3. Simulator Criteria The associated simulator operaling tests (scenario sets) have been reviewed in accordance wilh Form ES-3014 and a copy is attached.

Printed Name ISignalure Dale

a. Author

b. Facility Reviewerr)

c. NRC Chief Examiner (#)

d NRC Supervisor hOTE ' The lac8lly slgnalrre 1s no1 applcaole lor N F d 4 e w o p e d tesls II lnaependenl NRC rererrer tnil.al lems m Column'c' chief examinor conc~rrencereqL rea ES-301,Page 24 of 27

ES-301 Simulator Scenario Quality Checklist Form ES-301-4 ES-301, Page 25 of 27

ES-301 Simulator Scenario Quality Checklist Form ES-301-4 QUALITATIVE ATrRIBUTES

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

2. The scenarios consist mostly of related events.

3.

Each evenl description consists of lhe point in the Scenario when it is lo be initiated the malfunction(s) that are entered lo initiate lhe evenl

... the symplomSICues that will be visible to lhe crew the expected operator actions (by shin position) the event termination point (if applicable)

4. No more than one "on-mechanistic failure (e.g., pipe break) is inwrwraled into the scenario without a credible preceding incident such as a seismic event.

6 Sequencing and I.ming 01 events s reasonable. ana allam the examma1.m leam lo obla n complele evaluation resrlls CommensLrale wilh the scenano ob,eclwes 7 .I I me compression lechniqms are "sea. Ihe scenario summary clearly so lnoicales Operalors have s ~ f f , c e nlime l IO c a r q 0-1 expected actlviles rvllhoul Lndm time conslralnts CLes are gown 8 The SlmLlalor mmellng 1s not allele0 9 The scenanos have been valaatea Pursuant lo IO CFR 55.46(a). any open s.mulator performance def,c,encies of deviabons from the referenced plant have been evalLale0 lo ensure that fLnclional Aaelily is maintained while runnmg Ihe planned scenanos IO Every operalor wid be evaluated Lsng al least one new of signlficanlly mwifieo scenano All Other scenanos have been altered in accaaaoce with Sedoon D.5 01 ES-301 11 All .naw dual operator competencies can be evalualed. as verified Lsmg Form ES-301.6 (subm IIhe lorm along w l h Ine simdator scenarios) 12 Each app.#canlwill be significanl y involred in the minimum number of transients and events spec.1.w on Form ES-301-5 (submfl the form with the SimLlalor scenams) 13 The level 01 dimculty IS approprate to s ~ p p o rlicensing t aecisions tor each crew pos.tlon Target Quantltatlve Attributes (Per Scenario; See Sectlon D.5.d) Act-a1 Allrooules 1 Total malfunctions (%E) si818 2 MaHmcUons aner EOP entry (1.-2) 3 . 3 2 3 Abnormal erenlS (24) L z.3 4 M a p lransients (1-2) I 1 2 . I 5 EOPs enterealreqwr nQ subslant ue actions (1-2) 2 I /

6 EOP conimgencer requring SLbSlanUve aclions ('2-2) / , I . /

7 Crilsal lasks (2-3) 3 .at ES-301, Page 25 of 27

ES-301 Simulator Scenario Quality Checklist Form ES-301-4 QUALITATIVE AlTRlBUTES n lials Each event description consists of

• the point in the scenario when it is lo be initiated Sequencing and timing of events I

I I

ES-301, Page 25 of 27

ES-301 Simulator Scenario Quality Checklist Form ES-301-4 QUALITATIVE AITRIBUTES Eacn even1 aescnplan cons s1s 01 the p i n t in the Scenario m e n 11IS lo be indialed

. Ihe malLncl#on(s)lhal are enlered to initiate the event me SympIomSICues lhal L* II be visible lo the Crew ES-301, Page 25 of 27

'li ES-301

'acilitv P/Ui/: c I S U W ~

A lu T

Y P

I Transient and Event Checklist I

Date of Exam: 8//5/05 7 I Scenarios 3 I 4 Form ES-301-5 Operatina Test No.: f jR0-I FRO-I TS RO RX SRO-l TS Instructions:

1. Check the applicant level and enter the operating test number and Form ES-D-I event numbers for eacl event 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 (I/C) malfunctions and one major transient, in the ATC position.

2. Reactivity manipulations may be conducted under normal or controlledabnormal conditions (refer to Section D.5.d) but must be significant per Section C.2.a of Appendix D. r) Reactivity and normal evolutions may be replaced with additional instrument or component malfunctions on a I-for-1 basis

3. Whenever practical, both instrument and component malfunctionsshould be included: only those that require verifiable actions that provide insight to the applicant's competence count toward the minimum requirements specified for the applicanh license level in the right-hand columns ES-301, Page 26 of 27

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

acilitv: p t w i a. 7 ISLRCrb Date of Exam: R//L/DJ- Operatinq Test No.: t A E Scenarios P v P E 1 M L N zoos- I I I T N C CREW I A T POSITION M

N Y U T P M(')

E

<O - Rx

~

NOR I/C jR0-U MAJ

~~

1 TS 70

- RX NOR I/C jR0-U MAJ TS CO

- RX NOR I/C jR0-U MAJ

~ - TS 30 Rx I

jR0-l - NOR I/C jR0-U MAJ

! - TS nstructions:

I. Check the app cant level and enter the operating test nmber and Form ES-D-1event nLmbers lor eacn event type; TS are not apphcabie for RO applicants ROs must serve n both me "at-tne-controls (ATC)'

and 'balance-ot-p.ant (BOP)' positions; Instant SROs must do one scenar 0.including at least two instrament or component (IC) malfunctions and one major transient. In the ATC pos tion.

Reactivity man pLlationS may be conducted under normal or conlrolleo abnormal conoiltons (refer to Sectton D 5 d) bJt must be slgriificant per Section C.2 a of Appeodix D. (*) Reactivity and norma evoILt.ons may be replaced with additional instrument or component mallmct.ons on a 1-for-1bass 1 Whenever practical. both ;nstrument and component mallLnctnons shoLld De nclLdeo only lnose that reqLire verifiable actions that provide insight to the appl cant s competence comt toward the m nimum requirements specified for the applicants license level in the rignt-hana coILmns ES-301, Page 26 of 27 2 "f 4

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

I. Check the applicant level and enter the operating test number and Form ES-D-I event numbers for each event 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 (IIC) malfunctions and one major transient, in the ATC position.

1. Reactivity manipulationsmay 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. (7 Reactivity and normal evolutions may be replaced with additional instrument or component malfunctions on a I-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 requirements specified for the applicant's license level in the right-hand columns.

ES-301, Page 26 of 27

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

A P

P L

I C

A N

T g

SRO-I C

I SRO-U 0

-RO SRO-i c?

SRO-U

-RO 0

SRO-I SRO-U r

RO

,:C SRO-l 0

SRO-U c1 p

1. Check 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 serve in both the "at-the-controls (ATC)"

and -balanm-of-piant (BOP)' positions: Instant SROs must do one scenario. including at least two instrument or component (I/C) malfunctions and one major transient, in the ATC position.

2. Reactivity manipulations may be conducted under normal or contmlled abnormal conditions (refer to Section D.5.d) but must be significant per Sectlon C.2.a of Appendix D. r) Reactivity and normal evolutions may be replaced with additional instrument or component malfunctionson a 1-for-1 basis.

3. Whenever practical. both instrument and component malfunctionsshould be included; only those that require verifiable actions that provide insight to the applicant's competence count toward I the minimum requirements specified for the applicant's license level in the right-hand columns.

ES-301 Competencies Checklist Form ES-301-6 I Facility: p&,U\ ~sclms) Date of Examination: g/IS/O< Operating Test No.: I Notes:

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

(3) Only applicable to SROs.

Instructions:

Check the applicants license type and enter one or more event numbers that will allow the examiners to evaluate every applicab/e competency for every applicant.

ES-301. Page 27 of 27

ES-301 Competencies Checklist Form ES-301-6 RO SRO-I DC I 1 SRO-U I 1 TLl SRO-I Vr, SRO-U I 1 SRO-I )c RO SRO-I SRO-U 2 3 I

4 Instructions:

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

ES-301, Page 27 of 27

ES-301 Competencies Checklist Form ES-301-6 1 Facility: f&!l\~\r& Date of Examination: 8 1 ~ 7I o 5 Operating Test No.: 3 Competencies Communicate Comply With and Notes:

(1) Includes Technical Specification compliance for an RO.

(2) Optional for an SRO-U.

(3) Only applicable to SROs.

Instructions:

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

ES-301, Page 27 of 27

ES-301 Competencies Checklist Form ES-301-6 Facility: pmL6 IS- Date of Examination: ~ l , s l ~ s Operating Test No.:

I Notes:

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

(3) Only applicable to SROs.

1 I

lnstrucfions:

Check the applicantslicense type and enter one or more event numbers that will allow the examiners to evaluate evely applicable competency for every applicant.

ES-301, Page 27 of 27

ES-201 Examination Security Agreement Form ES-201-3 I. Pre-Examination I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of w 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(s) of&bPdIdS 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 r,o?edbelow 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 Examination Security Agreement Form ES-201-3 I. Pre-Examination I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of vv+ @'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 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 f ~ r k F r o m 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 IRESPONSIBILITY SIGNATURE (1)

1. kbss E.C*CS- P1PEF;TTtn ___ --

8 . 3 0___as-

-_-__-_I_-__

2. Pcwcn I h V . h l l TFrnC< J C Z O L C E 5eerdirCe . .

7 % .

3. __ I _ - I _ -ruhr.,&.ue ES-201, Page 26 of 27

ES-201 Examination Security Agreement Form ES-201-3 I. Pre-Examination I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of f'W4& 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 know1 dge 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 I RESPONSIBILITY SIGNATURE (1) DATE SIGNATURE (2) DATE NOTE 14

.c ES-201, Page 2 6 of 27

i ES-201 Examinallon Security Agreement F o ES-201-3

~

1. Pro-Examination Iacknowledge lhal I have acquired specialized knowledge aboul Ihe NRC licensing examinations scheduled for the week@) of $'  %<as of the date of my signature. I agree that IWill no1 knowingly divulge any information about these examinations to any persons who have no1 been authorized by the NRC chief examiner. I understand that I am not to instruct evaluate, or provide performance feedback lo those applicants scheduled to be administered these licensing examinations from this date until completion of exarninalion.administralion,except as specifcalty noted below and authorized by the NRC (e.g., acling as a simulator booth operator M 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 documentd in the facility licenseeis prooedures) and understand that violation of the conditions of this agreement may resull in cancellation of the examinations andlor an enforcement action against me or the faulily licensee, Iwill immediately report l o facility management or the NRC chief examiner any indications or suggestions that examinalion security may have been compromised.

2. Post-Exanination during Ihe week@)of 0 2 f& -A-To the best of my kno edge Idid not divulge lo any UnauVlorized persons any information concerning the NRC licensing examinations administered

, From the date that I entered into this secudy agreement until the completion of exarninalion administration, I did not instruct. evaluate. or provide performance feedback lo those applicants who were administered these licensing examinations, excepl as specifically noted below and authorized by the NRC.

PRINTED NAME JOB TITLE IRESPONSIBILITY SIGNATURE (1) DATE SlGNATURE(2) DATE NOTE 1 6 .n"llru 8?b= riA Z~%7/Yc/4J A/a_--* A X W - d & S 2 --

3. __-- -_ -

4. --__ _-

5 . ___ -~ _____- __ __

6.- - ______ -- -

ES-201,Page 26 of 27

ES-201 Examination Security Agreement F O ~ MES-201-3

1. Pre-Examination I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of 9 k ? %< 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 ifthe 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. Iwill 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 knowled e, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of f / f f 'hio< 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 (I\ DATE SIGNATURE (21 DATE NOTE ES-201, Page 26 of 27

ES-201 Examination Security Agreement Form ES-201-3 T. Pre-Examination I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of *I8 y/'as of the date of my signature. I 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$i!cants scheduled to be administered these licensing examinations from this date until completion of examination administration, except as specfically 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 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 knowled I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered F%

during the week@) ofi7bf /< 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 administered these licensing examinations. except as specifically noted below and authorized by the NRC.

PRINTED NAME JOE TITLE / RESPONSIBILITY SIGNATURE (1) 1.

E 0

ES-201, Page ?" ?f 27

ES-201 Examination Security Agreement F o ES-201-3

~

I. Pre-Examination I acknowledge that I have acquired specialized knowledge about the NliC licensing examinations scheduled for the week(s) oJf$+&hs as of the date of my signature. I agree that I will not knowingly divulge any infontiation 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 %*&/:;. 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.

?f?!NTE@ NAME JOE TITLE I RESPONSIBILITY GN4TURE (2) DATE NOTE 1 . 4 C ~~ A O - J ~ PO ~

2. ss Rb _

a0 L Ro

6. & _ Z l i ? i ? - & &

7 . + t k 2 L L s s c -L&L-------

WfJ ___

12. D./e x ri s 5 137Bm!&-__&Z:I Z L _ ? Z NOTES:

ES-201,Page 26 of 27

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

1. Pre-Examination I acknowledge that 1 have acquired specialized knowledge about the NRC licensing examinations scheduled for the week@) of g p d d s 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 examhations 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, did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of Bh, { r 0 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 IRESPONSIBILITY SIGNATURE (1) DATE SIGNATURE f2) ., DATE NOTE 2.

lsoc

5. &A.. M. #J+wr/J kS4cj-Da 6Ekf24d GVk 4.

6.

7.&Q M . pV -i &

Ipy?

11. Be*7 024. c eo 12.nG-was +kJ4- ,*kTCL&l= f ES-201, Page 26 of 27

ES-401 Record of Reiected WAS Form ES-401-4 Randomly Selected Tier I Group Reason for Rejection K/A

1. 6 Cannot write an Emergency Plan WA against this EAPE. Replaced RO 111 022 2.4.50 with examiner concurrence with 027 2.1.20.

1. 11 Unable to write an acceptable question on this WA. Randomly RO Ill 056 AA2.42 replaced with 056 AA2.17.

1. I5 SRO-only WA as involves selection of procedures, not appropriate RO I l l E04 EA2.1 for RO exam. Randomly replaced with E04 EA1 . l .

1. 20 PI procedurally is not allowed to operate with a dropped rod, so RO 112 003 AK3.07 unable to write a TS question on this operation. Randomly replaced witk 067 AK3.04 as no K3 level WA's could be used for this APE.

1. 22 PI CR evacuation places SRO's in locations where SG level is RO 112 068 AA2.01 determined and acted upon. Randomly replaced with 068 AA2.07.

1. 33 Unable to write question on this KIA due to plant method of drawing RO 211 007 K5.02 a pressurizer bubble. WA previously rejected 011 2004 exam. Randomly replaced with 013 K5.02 as no other 007 K5's are above 2.5.

RO 211 026 A3.02

1. 40 Eauioment not installed at PI. redaced with 039 A3.02 (randomlv selcetcd systcm as no other A3 K A available l h s) stem 026) . .-

n j 0 Radiation-effluent rclcclses for PRM already part ot'NR(' J P \ l c s m and similar to other questions (i.c. 068 K6.10) on NRC' anJ audit. No RO 211 073 K3.01 other 073 K3 K A's csist. First ranllomly replaceJ 073 K3.01 n i t h 078 K3.03. This resulted in no 073 system selected. s o replaced duplicate selecteJ

~. . system K A 063 A1.03 !\ith -. 073 A1.03. .~ -

RO 211 063 A4.03 Replaced with 073. A1.03

. per ahow.

F53 Instrument air not TS rclatcJ equipment LII PI. rephccJ M i G 5 0 RO 211 078 2.2.25 2.2.12 (randomly selectcd system as no other G 2.2 K .X; avail~blcfor system 078). ~. .___.

1155 Emcr&cy Containtncnt Entry JlChlIspart ofaudit exam. unahle to wits qucstion that is not repetitiw. Replaced ir,ith 007 ..\.3.01 ns I03 RO 211 103 A2.05 A2.01 is already selected and system 007 was onl!. 2 I s)'stcm n o t already sclected. A3.01 selected with A 3 categor! chosen as only 2.3 K A and Tier . .2 only had 2- A3's

. pysviously sclected.

NUREG-1021, Revision 9 Page 27 of 33

ES-401 Record of Rejected WAS Form ES-401-4

1. 77 Two 027 EAPE WAS randomly selected initially, this one replaced SRO 111 027 AA2.10 as similar to audit scenario malfunction. Randomly replaced with 038 EA2.02.

1. 81 Cannot write SRO level question on this WA. Randomly replaced SRO 111 057 AA2'18 with 005 AA2.01.

1. 82 Cannot write SRO level question on this KIA. Randomly replaced SRO 112 024 AA2'04 with 069 AA2.01.

1. 84 Cannot write SRO level question on this WA. Randomly replaced SRO 112 060 AA2'03 with 037 2.1.2.

1. 86 Unable to write an acceptable SRO level question on this WA.

SRO 211 Oo4 Randomly replaced with 004 A2.06.

1. 91 WD program did not include Fuel Handling System 34 KIA's as required by Rev 9. Per discussion with Chief Examiner on 1119105, randomly replaced one Tier 21Gp 2 SRO System with randomly selected SRO 212 01 1 A2.04 fuel handling system W A 034 A2.02. A satisfactory question could not be written on this W A due to limited exposureltraining of plant SRO's on cask handling. Substituted 034 A2.03 as A2.01 only other choice and it L

1. lo0 Cannot write SRO level question on an RO task WA. Randomly SRO G 2.4.34 NUREG-1 02 1, Revision 9 Page 27 of 33

ES-401 Written Examination Quality Checklist Form ES-401-6 Facility ?(LA\ R\ I S C W4 DateofExam &-I?'-OS ExamLevel R O W SRO k Initial 1

2. a.

Item Description Questions and answers are technically accurate and applicableto lhe facility.

NRC WAS are referenced for all questions.

a g

b. Facility learning objectives are referenced as available.

I

3. SRO questions are appropriate in accordance wllh Section D.2.d of ES-401 4 v

4. The sampling process was random and systematic (If more than 4 RO or 2 SRO questions were repeated from the last 2 NRC licensing exams, consult the NRR OL program office).

5. Question duplication from the license screeninglaudit exam was controlled as indicated below (check the item lhat applies) and appears appropriate:

A the audit exam was systematically and randomly developed; or

-~the audit exam was completed before the license exam was starled; or

~~ the examinations were developed independently; or

~-the licensee certifies that there is no duplication; or

. .other (explain) exam are wnlten at Ihe comprehens on1 analysis level.

Ine SRO exam may exceeo 60 percent1the rarmomly Prinled Name I Signaim a Author b Facility Reviewer r) c NRC Chief Examiner (#)

d NRC Regional SUpeNiSOr Y

Note:

• The facility reviewer's initialslsignatureare not applicable for NRCdeveloped examinations.

1. independent NRC reviewer initial items in Column "d; chef examiner concurrence required.

ES-401, Page 29 of 33

ES-403 Written Examination Grading Form ES-403-1 Quality Checklist Facility: Qm\p\e Island Date of Exam: 8//4/OS Exam Level: R O H S R O W

- Initials Item Description a

1. Clean answer sheets copied before grading LR

2. Answer key changes and question deletions justified and documented 3-

3. Applicants scores checked for addition errors (reviewers spot check > 25% of examinations) 2-

4. Grading for all borderline cases (80 rt2% overall and 70 or 80, as applicable, +4% on the SRO-only) reviewed in detail z

5. All other failing examinations checked to ensure that grades are justified d/A fi IP

6. Performance on missed questions checked for training deficiencies and wording problems; evaluate validity s of questions missed by half or more of the applicants

a. Grader

b. Facility Reviewer(*)

c. NRC Chief Examiner (*)

d. NRC Supervisor (*)

I

(*) The facility reviewers signature is not app icable for examinations graded by the NRC; two independent NRC reviews are required.

ES-403, Page 5 of 5