ML063560248

Final Qa/Related Forms (Folder 1)

ML063560248
Person / Time
Site:	Oyster Creek
Issue date:	09/29/2006
From:	D'Antonio J Operations Branch I
To:
Sykes, Marvin D.
References
Download: ML063560248 (19)

Text

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

-120

-120 1-90]

-75

-70

-45 Date of Examination:

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 211

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)

Examination outline@) 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-3014, ES-301-5, ES301-6, and ES-401-6), and reference materials due (C.l.e, f, g and h; C.3.d)

7.

8.

Examinations Developed by:

Facility / NRC (circle one)

I

-14

-1 4 Target Date*

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)

Task Description (Reference)

I I

-180 I 1.

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

-120 I 2.

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

9.

130 I ES-202)

Preliminary license applications (NRC Form 398's) due (C.l.I; C.2.g;

-14 I 10. Final license applications due and Form ES-201-4 prepared (C.1.l; C.2.i; ES-202)

13. Written examinations and operating tests approved by NRC supervisor

-7 I (C.2.i; C.3.h)

14. Final applications reviewed; examination approval and waiver letters sent

-7 I (C.2.i; Attachment 4; ES-204)

15. Proctoringhntten exam administration guidelines reviewed

-7 1

with facility licensee (C.3.k)

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

Chief Examiner's Initials rb L 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

I ES-201 Examination Outline Quality Checklist Form ES-201-2 Facility: Oyster Creek Date of Examination: 09/18/2006 Item

1.

W R

I T

T E

N

2.

S I

M U

L A

T 0

R

3.

W

/

T I

4.

G E

N E

R A

L Initials a

1 b* I c#

Task Description

~~

a.

Using Form ES-301-5, verib that the proposed scenario sets cover the required number of normal evolutions, instrument and component failures, technical specifications, 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 e outline(s) contain(s) the required number of control room and in-plant tasks distributed among the safety functions as specified on the form task repetition from the last two NRC examinations is within the limits specified on the form no tasks are duplicated from the applicants audit test(s) the number of new or modified tasks meets or exceeds the minimums specified on the form Date 1

a. Author

b. Facility Reviewer (*)

NRC Chief Examiner (#)

I(

NOTE:

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

ES-201, Page 25 of 27

f

/&A2 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 g-10 &

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.

\\LT o w as of the

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 SIGNATURE (1)

DATE SIGNATURE (2)

DATE NOTE ES-201, Page 26 of 27

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

1.

Pre-Examination

\\Q cy-[

I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of @<-is IA 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.

as of the

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 SIGNATURE (1)

DATE SIGNATURE (2)

DATE NOTE

9.

10.

11.

12.

13.

ES-201 Page 26 of 27

Z O C ES-201 Examination Security Agreement Form ES-201-3

1.

Pre-Examination as 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 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.

~

~

-~

12.

13.

14.

15 NOTES.

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 s w h h 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 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.

\\CY oyo-z-aCc

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 CO -z-eki. 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, Page 26 of 27

Form ES-201-3 z ES-201 Examination Security Agreement I.

Pre-Examination lb' . Io-zaG 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 willnot knowingly diiulge any information about these examinations to any persons who have 6 t 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 lo-~-c(.

. 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 Securitv Aareement Form ES-201-3

1.

Pre-Examination I LT 05-4 I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of tO-'z-+

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.

as of the

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 w-2 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.

PRINTED NAME JOB TITLE / RESPONSIBILITY SIGNATURE (1)

DATE SIGNATURE (2) DATE NOTE

10.

11.

12.

13.

14.

15.

NOTES:

ES-201, Page 26 of 27

ES-301 Operating Test Quality Checklist Form ES-301-3 Facility: Ovster Creek Date of Examination: 9-1 8-06 Operating Test Number: NRC 2006-i

1. GENERAL CRITERIA

a.

b.

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 during this examination.

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

Overlap with the written examination and between 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.

C.

d.

e.

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 sequence of steps, if applicable

b.

Ensure that any changes from the previously approved systems and administrative walk-through outlines (Forms ES-301-1 and 2) have not caused the test to deviate from any of 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.

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

Printed Name

a. Author

b. Facility Reviewer (*)

c. NRC Chief Examiner (#)

d. NRC Supervisor iitial: -

b* -

C#

Date 8-2-06 8-2-06 I

NOTE:

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

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

c ES-301, Page 24 of 27

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

~~

~

Facility: Oyster Creek Date of Exam: 9-1 8-06 Scenario Numbers: 1 12 120perating Test Number: NRC 2006-1 QUALITATIVE AURIBUTES

1.

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

Initials

2.

The scenarios consist mostly of related events.

3.

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

4.

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

~~

~~

~

~

5.

The events are valid with regard to physics and thermodynamics.

~

6.

7.

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

If time compression techniques are used, the scenario summary clearly so indicates.

Operators have sufficient time to carry out expected activities without undue time constraints.

Cues are aiven.

8.

The simulator modelina is not altered.

9.

The scenarios have been validated. Pursuant to 10CFR55.46(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.

v

10.

Every operator will be evaluated using at least one new or significantly modified scenario.

All other scenarios have been altered in accordance with Section D.5 of ES-301.

11.

12.

All individual operator competencies can be evaluated, as verified using Form ES-301-6 (submit the form along with the simulator scenarios).

Each applicant will be significantly involved in the minimum number of transients and events specified on Form ES-301-5 (submit the form with the simulator scenarios).

13.

The level of difficulty is appropriate to support licensing decisions for each crew position.

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

I Actual Attributes

1.

Total malfunctions (5-8)

I 8 1 8 1 8

2.

Malfunctions after EOP entry (1-2)

I 1 1 2 1 1

3.

Abnormal events (2-4)

I 4 1 4 1 4

4.

Major transients (1-2)

I 2 1 2 1 2

5.

EOPs enteredlrequiring substantive actions (1-2)

I 2 1 1 1 1

6.

EOP contingencies requiring substantive actions (0-2)

I 0 1 1 1 1

7.

Critical tasks (2-3)

I 2 1 2 / 1 ES-301, Page 25 of 27

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

acility: Oyster Creek Date of Exam: 09/18/2006 Operating Test Number: NRC 2006-1 A

P P

L I C

A N

T 3 0 51 T O - ]

3RO-U 1

r 7

SRO-I XI 5RO-U 1

10 7

a SRO-l SRO-U 0

Instruci Ins:

M I

N I

M U

P/f

++

2

4 012

1.

Check the a licant level and enter the operating test number and Form ES-D-1 event numbers for each event ty e f8 are not ap licable for RO applicants. ROs must serve in both the at-the-controls (ATC) and bake-of-plant (B8P) 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.

Reactivi manipulations may be conducted under normal or contrqlled abnormal conditions (refer to Section 8.5.d) but must be significant.per Section C.2.a of Appendix D

) Reactivity and normal Whenever practical both instrument and component malfunctions should be included; only those that require verifiabje actions that provide insight to the applicants competence count toward the minimum requirements specified for the applicants license level in the right-hand columns.

2.

evolutions may be replaced with additional instrument or component mal. r unctions on a I-for-I basis.

3.

ES-301, Page 26 of 27

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

I T

2 3

4 0

Facility: Oyster Creek Date of Exam: 0911 8/2006 Operating Test Number: NRC 2006-1 A

E P

V P

E L

N I

T C

A T

N Y

T P

E RO Rx

[XI SRO-I 0

I/C SRO-U 0

MAJ TS Rx SRO-I

[XI I/C SRO-U 0

MAJ TS RO F?x SRO-I 0

SRO-U 0

SRO-I SRO-U MAJ TS Instructions:

Check the a two instrument or component (VC) malfunctions and one major transient, in the ATC position.

licant level and enter the operating test number and Form ES-D-1 event numbers for each f8 are not ap licable for RO applicants. ROs must serve in both the at-the-controls (ATC) of-plant (BOP) positions Instant SROs must do one scenario, including at least

2.

Reactivi manipulations may be conducted under normal or controlled abnormal conditions (refer to Section 8.5.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 mal unctions on a I-for-I basis.

I

3.

Whenever practical both instrument and component malfunctions should be included; only those that require verifiable actions that provide insight, to the applicants competence count toward the minimum requirements specified for the applicants license level in the right-hand columns.

ES-301, Page 26 of 27

r c f 2 ES-301 Transient and Event Checklist Form ES-301-5

-acility: Oyster Creek Date of Exam: 0911 812006 Operating Test Number: NRC 2006-1 SP"'

SRO-U 0

RO- -

[XI SRO-I, RO 4 4 SRO-I SRO-U 0

Instruct; E

l Scenarios v

E N

1 2

3 4

I I

I CREW CREW CREW CREW T

T POSITION POSITION POSITION POSITION

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 a plicable for RO applicants. ROs must serve in both the."at-the-controls (ATC)"

and,"balance-of-pknt (BOP)" positions; Instant SROs must d.0 one scenario, including at)east two instrument or component (IIC) matfunctions and one major transient, in the ATC posrtion.

2.

Reactiv mani ulations may be conducted under normal or controlled abnormal conditions (refer to Section%.5.d) &ut must be significant.per Section C.2.a of Appendix D. (*) Reactivity and normal evolutions may be replaced with addrtional instrument or component malfunctions on a 1 -for-I 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 com etence count toward the minimum requirements specified for the applicant's license level in &e right-hand columns.

ES-301, Page 26 of 27

acilii: Oyster Creek Date of Exam: 09/18/2006 Operating Test Number: NRC 2006-1 Instructions:

1.

Check the applicant level and enter the operatin test number and Form ES-D-1 event numbers for each event type; TS are not a plicable for RO applicants. 8 0 s must serve in both the "at-the-controls (ATC)"

and "balance-of-pknt (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.

Reactiv mani ulations may be conducted under normal or controlledabnormal conditions (refer to Section%.5.d) gut must be significant,per Section C.2.a of Appendix D. (') Reactivity and normal evolutions may be replaced wlth additional instrument or component malfunctions on a 1 -for-1 basis.

Whenever practical, both instrument and component malfunctions should be included; only those that require verifiable actions that provide insightto the applicant's com etence count toward the minimum requirements speclfied for the applicant's license level in tte right-hand columns.

2.

3.

ES-301, Page 26 of 27

Crew 1 SRO NRC 1 NRC2 SROUl SROI 1 I

I RO BOP SROI I RO I RO 1 SROUl Crew 2 I

SRO NRc1 NRC2 SROU2 RO SROI2 I

SROI2 RO2 Crew 3 I

BOP NRC 1 NRc2 SROU;!

I SRO RO BOP SROI~

SROI~

SROI~

SROI~

SURR SURR

ES-301 ComDetencies Checklist Form ES-301-6 Facility: Oyster Creek Competencies Interpret/ Diagnose Events and Conditions Comply With and Use Procedures (1)

Operate Control Boards (2)

Corn m u nicate and Interact Date of Examination: 9-1 8-06 Operating Test No.: NRC 2006-1 Demonstrate Supervisory Ability (3)

Comply With and Use Tech Specs. (3)

Notes:

(1)

(2)

Optional for an SRO-U.

(3)

Only applicable to SROs.

Includes Technical Specification compliance for an RO.

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: Oyster Creek Date of Examination: 9-1 8-06 Operating Test No.: NRC 2006-1 Competencies Interpret/ Diagnose Events and Conditions 9 10 Comply With and Use 1 1; Procedures (1)

Operate Control Boards (2) 2 4 89 Communicate and Interact 10 Demonstrate Supervisory Ability (3)

Comply With and Use Tech Specs. (3)

Notes:

(1)

(2)

Optional for an SRO-U.

(3)

Only applicable to SROs.

Includes Technical Specification compliance for an RO.

Instructions:

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

ES-301, Page 27 of 27

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

6.

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

Between 50 and 60 percent of the questions on the RO exam are written at the comprehension /analysis level; the SRO exam may exceed 60 percent if the randomly selected KAs support the higher cognitive levels; enter the actual RO I SRO cluestion distributionlsl at right.

7.

\\-

\\J Bank Modified New 714 1 2/3 5611 8 Memory CIA 31 12 44 I23

=acility: Oyster Creek Date of Exam: 9-1 8-06 Exam Level: RO SRO Item Description

1.

2.

Questions and answers are technically accurate and applicable to the facility.

a. NRC WAS are referenced for all questions.

b. Facility learning objectives are referenced as available.

~~~

~~

3.

4.

SRO questions are appropriate in accordance with Section 0.2.d of ES-401 The sampling process was random and systematic (If more than 4 RO or 2 SRO questions were repeated from the last 2 NRC licensing exam, consult the NRR OL program office).

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

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

5.

8.

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

Initial h

9.

Question content conforms with specific WA statements in the previously approved examination outline and is appropriate for the Tier to which they are assigned; deviations are justified 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 I Signature Date

1. Author 8-2-06

3. Facility Reviewer (*)

. NRC Chief Examiner (#)

3. NRC Regional Supervisor Vote:

The facility reviewers initials/signature are not applicable for NRC-developed examinations.

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

ES-401, Page 29 of 33

ES-403 Written Examination Grading Form ES-403-1 Quality Checklist Facility: &JbV CkQk Date of Exam: IO-oy-ab Exam Level: R O B SRO[;YI Initials Item Description a

1.

Clean answer sheets copied before grading

2.

3.

4.

5.

6.

Answer key changes and question deletions justified and documented Applicants' scores checked for addition errors (reviewers spot check > 25% of examinations)

Grading for all borderline cases (80 *Z% overall and 70 or 80, as applicable, +4% on the SRO-only) reviewed in detail All other failing examinations checked to ensure that grades are justified Performance on missed questions checked for training deficiencies and wording problems; evaluate validity

/)I 0

b of questions missed by half or more of the applicants Printed NameISignature 11 a. Grader I( b. Facility Reviewerr)

Net \\

c. NRC Chief Examiner (*)

d. NRC Supervisor (*)

Date jo-3a - 0 1

(")

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