ML082381152
ML082381152 | |
Person / Time | |
---|---|
Site: | North Anna ![]() |
Issue date: | 08/21/2008 |
From: | NRC/RGN-II |
To: | Virginia Electric & Power Co (VEPCO) |
References | |
50-338/08-301, 50-339/08-301, ES-401-06 | |
Download: ML082381152 (12) | |
See also: IR 05000338/2008301
Text
Draft Submittal
(Pink Paper)
DRAFT Written Exam Quality Checklist (ES-401-6)
&Written Exam Sample Plan
NORTH ANNA JUNE 2008 EXAM
05000338/2008301 & 05000339/2008301
(
ES*401
Written Examination Quality Checklist
Form ES-401*6
b (L(i--F T
c
Facility:
fJOp..TJ-I
fll-SrJA
Date of Exam: "/~4Iog
Exam Level: RO ~RO 0
Initial
Item Description
a
bO
c'
1.
Questions and answers are technicallv accurate and aDDlicable to the facility.
1)
LV,,"
~ l-
2.
a.
NRC KlAs are referenced for all questions.
~
11);; ~
b.
Facilitv Jeamina obiectives are referenced as available.
3.
SRO questions are appropriate in accordance with Section D.2.d of ES-401
tJlA
lli" ~
4.
The sampling process was random and systematic (If more than 4 RO or 2 SRO questions
~
/JJ{ ~
were repeated from the last 2 NRC licensing exams, consult the NRR OL program office).
5.
Question duplication from the license screening/audit exam was controlled
lV? ~
~dicated below (check the item that applies) and appears appropriate:
.
the audit exam was systematically and randomly developed; or
c::o
_
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)
6.
Bank use meets limits (no more than 75 percent
Bank
Modified
New
from the bank, at least 10 percent new, and the rest
~
UJ~ rti?
new or modified); enter the actual RO / SRO-only
f,/tl(A.
1'5 / 'fA- '-n/tJ/A-
auestion distribution(s) at right.
7.
Between 50 and 60 percent of the questions on the RO
Memory
CIA
~
If
exam are written at the comprehension/ analysis level;
the SRO exam may exceed 60 percent if the randomly
'1()/ ,J/~
~
selected KlAs support the higher cognitive levels; enter
'35/ ,v/}-
~
the actual RO / SRO auestion distribution(sl at right.
8.
Referenceslhandouts provided do not give away answers
<;-
~J
.f-
or aid in the elimination of distractors.
f'If£
9.
Question content conforms with specific KIA statements in the previously approved
/)-j
rib
f
examination outline and is appropriate for the tier to which they are assigned;
<;-
deviations are justified.
10.
Question psychometric quality and format meet the guidelines in ES Appendix B.
'7
/1-'
~ #
11.
The exam contains the required number of one-point, multiple choice items;
err W
.'A(3.
the total is correct and agrees with the value on the cover sheet.
Printed Name I ~re
Date
a. Author
SQ p..\\\\~ I
~
4-1l-0Y
b. Facility Reviewer (0)
U. In \\+."'\\),lAre:..
\\ *"" *C'I \\\\_\\'t.
-
../ z.~ ...
c. NRC Chief Examiner (#)
,N111'U<. ...
D .... --: NVUl1.1 ....~ t. ~NW~*/~~
d. NRC Regional Supervisor
d'.~..... ~' .
'a'//'
""/!Iv
6
"
l '-./
r
Note:
° The facility reviewer's initials/signature are not applicable for NRC-developed examinations.
- Independent NRC reviewer initial items in Column *c*; chief examiner concurrence required.
ES-401, Page 29 of 33
Written Examination Quality Checklist
Form ES-401*6
Facility: North Anna
Date of Exam: 6/24/08
Exam Level: ROD
SRO X
Initial
New
CIA
~/A / 19
Modified
Memory
Bank
~/A / 0
Item Description
Question psychometric Quality and format meet the guidelines in ES Appendix B.
The exam contains the required number of one-point, multiple choice items;
the total is correct and agrees with the value on the cover sheet.
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 duplication from the license screening/audit exam was controlled
as indicated below (check the item that applies) and appears appropriate:
'/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)
References/handouts provided do not give away answers
or aid in the elimination of distractors.
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 KlAs support the higher cognitive levels; enter
the actual RO / SRO Question distribution(s) at right
Questions and answers are technically accurate and applicable to the facility.
a.
NRC KlAs are referenced for all questions.
b.
Facility leaming obiectives are referenced as available.
SRO Questions are appropriate in accordance with Section D.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 Iicensina exams, consult the NRR OL program office).
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.
9.
7.
5.
8.
4.
6.
3.
1.
2.
10.
11.
a. Author
b. Facility Reviewer (*)
c. NRC Chief Examiner (#)
d. NRC Regional Supervisor
-
Note:
- The facility reviewer's initials/signature are not applicable for NRC-developed examinations.
- Independent NRC reviewer initial items in Column "CO; chief examiner concurrence required.
(
Site-Specific SRO Written Exal!1ination
Cover Sheet
Form ES-401-8
u.s. Nuclear Regulatory Commission
Site-Specific SRO Written Examination
Applicant Information
Name:
Date:
u/ZOO'it
Facility/Unit: No.+"'-
A-V\\V\\~
Region:
I 0
II It.9 III 0
IV 0
Reactor Type:
WlX! CE D BW [)3E D
Start Time:
Finish Time:
Instructions
Use the answer sheets provided to document your answers. Staple this cover sheet
on top of the answer sheets. To pass the examination you must achieve a final grade
of at least 80.00 percent overall, with 70.00 percent or better on the SRO-only items
if given in conjunction with the RO exam; SRO-only exams given alone require a final grade
of 80.00 percent to pass. You have 8 hours9.259259e-5 days <br />0.00222 hours <br />1.322751e-5 weeks <br />3.044e-6 months <br /> to complete the combined examination,
and 3 hours3.472222e-5 days <br />8.333333e-4 hours <br />4.960317e-6 weeks <br />1.1415e-6 months <br /> if you are only taking the SRO portion.
Applicant Certification
All work done on this examination is my own. I have neither given nor received aid.
Applicant's Signature
Results
RO/SRO-OnlylTotal Examination Values
!JIPr /
1.... 5/ --
Points
Applicant's Scores
-- / -- / --
Points
Applicant's Grade
-- / -- / --
Percent
c....
ES-401, Page 31 of 33
c
I ES-401
Site-Specific RO Written Examination
Cover Sheet
Form ES-401-7
\\' ....
u.s. Nuclear Regulatory Commission
Site-Specific RO Written Examination
Applicant Information
Name:
Date:
Facility/Unit:
NA F's /oNr,
1'1"2-
Region:
I 0
II ~ III 0
IV 0
Reactor Type:
WgjCE D BWOGED
Start Time:
Finish Time:
Instructions
Use the answer sheets provided to document your answers. Staple this cover sheet
on top of the answer sheets. To pass the examination, you must achieve a final grade
of at least 80.00 percent. Examination papers will be collected 6 hours6.944444e-5 days <br />0.00167 hours <br />9.920635e-6 weeks <br />2.283e-6 months <br /> after the examination begins.
Applicant Certification
All work done on this examination is my own. I have neither given nor received aid.
Applicant's Signature
Results
Examination Value
,5
Points
Applicant's Score
Points
Applicant's Grade
Percent
ES-401, Page 30 of 33
PWR Examination Outline
Form ES-401*2
FacilItY:
NOR"~
AtlNA
Oate of Exam:
- fU"4
~OO8
RO KIA C8teg r1tY Polnt8
SRQ.OnIy Points
TIer
Group
K
K
K
K
K
K
A
A
A
A
G
A2
G"
Total
1
2
3
4
5
e
1
2
3
4
"
Total
,.
1
1
3
'{
3
3
3
18
3
3
6
Emergency &
2
0
J
- J.
- l
(
9
2
~
4
Abnormal
NJA
NJA
Plant
~ 5
~
5 5
l(
21
5
"
10
Evolutions
TlerTota11
~
1
'3
3
.3
y
J
I
3
I
I
Y 3
28
- J.
3
5
2.
.,
0
I
- .
0
I
0
I
I
I
I
'1
I
Plant
2
"'-
10
- .
3
Systems
TlerTota11
5
~
~
f.J
~
- 2
3 J
~
~ If
38
Ii
L{
8
3. Genertc: Knowledge and AbIlities
1
2
3
4
10
1
2
3
4
7
C8tegorle8
3
3
J.
J.
- l
~
\\
~
Note:
,.
EMu,."'a1 lit...1two tapIcI from lMtfY IIPPIICabIe KIA category ere umpIed within each tier of the RO
and SRQ.anIy outlines (I**** except for one C111eg01y In T1er 3 of the SROoonIy outline. the "'T1er TotBl."
'-1
In ellCh KIA calltgory ah8II not be lea Ih8n two).
2.
The point taIII/ for each group and IIer In the prapoeed outline rmJ.t metch thallpec:H\\ed In the llItIIe.
The fInlIl point IotaI for eech group and tier !MY devlaw by tl from IhIIIIP8CII\\ed In the Iable baed on NRC nMIIona.
The lIneI RO eum muIt total 75 polrQ ~ the SRO-onty exam must lobII25 ~.
3.
Systerne/eYoIul wItI*1 uch group... Identlfted on the auod8ted outIN; ~I or evoIutlons Ih8t do not apply
aI the facility .houId be deleted and Jullltled: operetlanaUy Important, sJte.apecItlc systemlleYOlutlons that ere not
Included on the outline Ihou/d be edded. Refer to section a.l.b of E8-401 for guldam:e regarding the eUmlnatlon
of Inapproprtata KIA atlit~.
4.
Select toplc:a from .. many ayaterM and evolullonl .. pouIb/e: aempIe every system or lIYOlution In lha group before
selecllng aleCClnd topic 101' any IyIt8m or evolution.
5.
Absent a pIankpecI1lc prtortty, only thoR KlAa haYIng an lmpor1llnce reUng (IR) of 2.5 or higher ahall be selected.
Ule the RO and SRO ratings for the RO lind SROoonIy portion** ~.
6.
SeIe<:t SRO topica for nere 1 and 2 from the Iheded systema and KIA ~a.
7.'
The generic (0) KlAa In T1er11 and 2 IhalI be aaleeted from SedIon 2 of the KIA catalog. but the topic.
must be reIevIInt to the applicable evolution or tyItem. Refer to SectIon a.l.b of ES-4Ol for the applicable KlAI.
8.
On the following pages. enter Ihe KIA numbef'l. a brief desctlptlon Of each Iopic. the topics' ImporWnce ra~ (IRa)
for the appIIcabIellcenae 1eYeI. and the point lDtaIa (') for each system and category. EntBr the group and IIer totals
for each category In the table abow: It fuel handling equipment II sampled In other Ih8n C8Iegory A2 or O' on the
SRQ.orIly exam. enter It on the left lIlde of Column A2 far TIer 2, Gtaup 2 (Note '1 ctoe. not apply).
Use duplicate
pages for RO and SR().onJy exams.
9.
For TIer.3. select ~ from Section 2 Of the KIA clItaIog. and enter the t<JA numbers. deIcrtptIons. IRa.
and DOint totals f.\\ on Fonn ES-40l-3. UrnIt SRO HIec:tIonlto KlAithat.. "nked to 10 CFR 55.43.
ES-401, Page 21 of 33
E5-401
PWR Exemlnetlon OUtline
Fonn E5-401-2
E
end Abnonn8J Plent Evolutions - TIer 1/GrOua 1 IRO I SRO\\
,
0
.,
'" ..
"
E1APE ., PUmel Sat.ty Function
K
K
K
A
A
G
KIA TopIc:(s)
IR *
1
2
3
1
2
I
~1(BYVIE02&E10;CElE02)Reackw
Tr..o Stabilization
0 R...--v 11
000008 Preaaurtzer VIIp<< Space
R
5
sooSAG.l. L(.8( 43.$)
':,'15
-
2-
RClO~ HA2. ::l'{
AccIdent I 3
il. Z.1I
J
000009 Sm" BIWek LOCA I 3
R
RCO'Nl(.,. ~.l.j.Y
R'Io5
"t
000011 L..aroe Break LOCA I 3
R.
~O\\\\ lV-:J.O:J..
R.?"
.ll..
RO/5/'7 AK,7.01
P-2.Q
f
000015111 Rep MIIIfuncIIons/4
(,
000022 LOllS of Rx Coolant Meketm I 2
~
Ron AV,3.03
lt3,\\
-
.,
000025 loA of RHR SVIItem 14
Cl.. S
~ 0 ~ S' A A ;1. ~ ~ l ~ 3. oS )
~)*8
01~AtJ 101
tJ.(P
~
000026 Loa of component CoolIng
R
S
5 OJ.IJA~~.I. 7 ('1'3.5)
5'1.?
YVater' 8
R o;;l~AAJ.o\\
Po,:I.q
000021 Pressurizer Preaunt Control
R
r.- 0;1'1 A6o~.~. '"11.
U*~
q
Swtem Malfunction' 3
d
000029 ATYVS I 1
R
Ro~g "\\<...I,OS"
~l.8
000038 Steern Gen. Tube RlJDUel 3
..s
~ O'3~£A 1.\\5 ( 'f3. 5)
S If*<i
000040 (BYV/E05; CElE05; YV/E12)
IR
R w!c l;l (;1(,. ;J, \\
,n*'!
- t
Steam Une Rupture
0 Excesalve Hut
Transfer 14
000054 (CElE06) Lo.. of Main
it
R 05'1 All- 3.0\\
ll.. 4.\\
.)
Feedwater , 4
r~
000055 Station Bl8dtout' 8
R
R
o~S'~I.()~
ll.'f'\\
'.
000056 Loa of Off*slte Power I 8
R
S
5 o!"tI A(,;1.;I,JII (Lj3.1.)
.s ~.z.
ll, oSCQ ~A~. 1:1
A'10\\
I.,
000057 Lou of Vital AC lnat Bus I 8
I¥-
R OS'! A& ~.lf, 4S"
INI
1"1
000058 LOllS of DC Power I 8
.r-
ROS@,AI(.\\.ol
iz.g
-
Ilt
ooooe2 Lou of Nudeer Svc Wat... , 4
S
SOu~ AA~.OS Clf3S)
$j.S"
'(f
000065 Lo.. of Instrument AJr , 8
R,
R O(gS A}(., 3.03
- ,l,q
"
WIE04 LOCA Outside Containment I 3
..
WIE11 Loss of Emergency Coolant
Reclre.' 4
BWIE04; YV/E05 Inadequate He8t
1ft.
R w/f..o5' fll..3.'/
R3.'1
'to:.
Transfer* Loea of S
HelltSrrk/4
I~~
000077 Generator Voltage end E1edrtc
tt-
l<.O'l7AAI.OI
~3*(g
GJId DIsturbances I 8
KIA catllOOl'V Totals:
~
2. 3
II .3
.3
J.
Group Point Total:
1816
Q8-4G1
5
2
- )
.3
ES-401, Page 22 of 33
Form ES-401*2
Form E&0401*2
3
E5-401
PWR e.-lIIIon 0UtRne
Fonn E8-401*2
and AbnonNII PI8nt EwUkN * TlIr 1JGrouD 2 tAO I SRQ\\
ElAPE II N.m. Isafety FundIon
K
~ k A j. 'Ii
KIA Topk:(a)
IR ,
1
2
3
1
2
000001 ContlnuouI Rod WIthdr8w8J 11
000003 enma.d CanIroI ADd 11
0000051
ConuoI Rod 11
~
S r)O~flA _,Od.L'IJ.s)
jJ.O
000024
BcnIlan/1
000028 PntuurIzer LewI Malfln:lIon I 2
000032 Lou of Source Ral'llltl Nil 7
P,
A. O;:l. AlI.3*'"I
i...3..;t
000033 LON of InI8nnedIate RMae NI11
000038l8WlA081 Fuel
Ac:cIdent 18
a
R O'3/g APt I. 0\\
~J*3
000037 Steam GeI**1Or Tube Leak 13
000051 Lou of CondenI<< V*UUm J4
S
S()~AG-:l. J.4~(lj3.5~
- >~,L/
000059 AccIderUllJauld R8dWute Ret 19
- ooooeo Acll:lderQI GueauI R8dwate ReI. J9
I~
t:l..o<Po At) .;1.0S'
l\\ ).'7
000081 ARM Sw.-m Alarm. 11
~ Ill.
~IAG-). Y.:!
SOu I tlAJ.o'ltlf] '1) Pol,'
S3.,.
000087 Pllnt FIre On-elte 1II
DOOO88 tBW/N18\\ ConIrol Room Ev8c. I 8
OOOO891W1E14\\ Lou at CTMT 1nt8alttv15
,
000074 IWlE08&E071 \\ned. Core CnnIInnI.
000078 HIGh RIIectDr Caal8lIt AdIvItv I ,
Il..
R 0'1(; At.. :1.01
R.7."
WlE01 &E02
& SI Termination 13
WfE13 sc-n Generator Over
14
S
S~k13 Ar.r;r. £i. :20 i~~.s')
~ '/.3
WfE15 ConIIIInment FIoadIna 15
R
Po. '--iii IS &IU, \\
Rl.&
WIE18 HIah ContaInment RadIaUan I 8
If{
Po. \\oJlt" j!'p l: l;, 3. \\
R.H
BW/M1 PIanl RmbKk' 1
8W/NJ2&AD3 Lou at NNI-XIY I 7
BW/NJ4 TurtJIne Trio 14
BW/NJ5
DieMI Adu8tIon 18
8W/Nl7 FIaocIlna 18
BWJE03
Stbc:ooIlnft u.mInI.
i
BWIEDA: WIE03 LOCA Cocldawn* 0.-... J4
~
R. ..../I,o'!> f. A I. ~
~3.7
BW/E09: CElA13' WlE09&E10 Natural CIrc. I"
IR
(\\"'IEO~fA~.1
R3.1
BW1E13&E14 EOP RuIa and Enc:IalIwft
CElA11' WIE08 ReS
- PTS/4
CElA18 Exceu RCS L---/2
CEIE09 Func:tIanaJ
KIA
Point ToWII:
~
0 2
2.
z..
2. I
GrDuD PoInt TcQI:
g,.
7
~L.
,(
.',
- 7
",
"
I:
.---
.,
$
1
2.
ES401, Page 23 of 33
Form ES.....1*2
z
-
J
's
It-'
,..
"
~I
n.
PWR EMmlnIIIkln OutlIne
Form ES-401-2
PlMt SWtIrM * TIer 2IGftlUD 1 :toI SRQI
I
l. ,
~
$'
1#
7
to
q
,. "
Syatem./N.-
K
K
K
K
K
K
A
A
A
A
G
KIA TopIc(l)
IR
t#
1
2
3
4
5
8
1
2
3
4
003 ReectDJ CooI8nt Pumo
~
"003 A.,. 0'1
IH.1I
004 ChemIcal end Volume
R
~ 00'1 Go.? ).3
~U
ConIroI
005 R811du81 Heat Removal
R
~
I~ 005'CO'ol,.1 .... P('1).l.,'I,.S")
S'l*7
Oo'! K \\.01.1
leJ.5
008
Core Coollna
IR
.5
I~00(, 1l1,O~~"')
S 1.7
00... 'f-.:J.
9,,;.;
007 Pre8aurtzer Relief/Quench
1\\
R S
S oo'7G-J. ';1.3~ ('l3.1J
S ~.~
~oo., '" "3.0\\
R 3,~
Tank
~ 00'1 A'f. 10
jl,:I.1o
008 ComllClNml CooIIna Wlilar
~
~ooe"'~.ol
IHI
010 PreSlurtzer Pressure Control
~
R 0101'- 5". 0\\
B5'"
IR
S
Ii O\\;lA t,O'l{-i3. S)
SH.
012 Re8ctDr ProtecIIan
. 1')12l1.~*(')e
~.(,
013 EngIneerid s.tety F..u-
R
R
R013
~.,. 15
,u~
Ac:tu8tion
R. 0\\3 AI.o']
R3.lt
022 Containment Cocllno
(\\
~
~ O;l.;l v.. (.11'1
~;1,1\\
Po fJ:l.:l
tl.:L 010
It..*e
025 Ice Conden8.
028 Cont8Inment SnnN
Po.
R
~ O;l.e"
",~. 0\\
IU*'1
1\\ o.1u A~. 01
Po '1,S'
039 ~ end Reheet StMm
R
(2, o3q Go.2. I. 3;l.
<<J.8
0S9 MaIn Feedw8ter
R
S
.s oS't G.1.,. ,l. ~l 'II.S")
~
~.'1
.il. no;-q", \\. oJ.
R,.'{
061 AwdIiIIrylEmergency
R
~ O~\\
~J.OI
!?3,J.
Feedw8ter
062 AC EJectrlceI Diatribution
R
Po.
~ OU~ G-.t.I.:i'l
R3.'t
P\\ Ou,jl '" '!>.o3
ll.1.7
063 DC Electrtcel OIatr1but1On
R
A. 0 (, 3 ~ Ii. 01
R2.'1
064 EmetaenCY DIeeeI Gener8tor
(\\
R OClli ,~ '3. O;l
t~,z.
073 ProceA R8dI8tIon
(2,.
~
R 0'1:) ¥-$ .".1
~ 2.S'
MonItDrtna
R 6'13 A \\.01
fl.1.Z.
076 5eMce Water
IR
~ O~ itl. o.;l
~.?llJ
078 Instrument I4Jr
12-
<<
,~ o~~ ~'/.03
1\\.1. \\
P..o'l
of 01
~'3. \\
103 Cont8Inment
R.
R 103(.\\.3*01
").~
KJA C8teaorv Point Totall:
~
3
3>
~
~
~ 1 3 1\\
Lf
3
GrouD Point Totld:
2815
s
2
3
ES-401, Page 24 of 33
~::S"';;-40~1
--':5=--
"':'F.:=:orm~E~S::::-4:::0:"1~.2
Es-401
PWR ex.mJndan O\\dne
Farm ES-<401*2
PIent e ,.-0. ~
- T1er~ G;. un 2 (R() I SRO)
I
l
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c.
7
~
., . .,
System. , N8l1le
K K K
K
K
K
A A A A G
KIA Topic:(a)
IR
II
1
2
3 * 5
8
1
2
3
4
.
001 Con1rd Rod Drive
R R 001 (;..I. '1. 3/
t *.z.
l
002 RaclDr CooIInt
}
011 PresIuttzIw Level Control
.(
014 Rod PoaItIon Indlcatlon
S'
015 Nuclear lnalnmentatlon
(.
016 Non-nudur II1I~tation
K
R.OI~ K l.oJ.
t 3.'1
...
7
0111n-core T
McnItar
S
c...
SOl I A J.";'l'i~*')
5 1.1
~(ll"l A II. IT:]
Il.~.t;
~
021 Cont8lnment lodlne RemoYII
5 S O~'7&).;.25"(Q3.£)
S'I*L
~
028 Hydrogen RecombIner
IR
R 0;8'" ~.O\\
<J.3
and PiJme*Control
10
029 ContaInment Pume
R
Ro~to'-4.03
~ :U,
-' ~.
033 SDIlIII Fuel Pool Cooina
R
P.. 033~li.OS
~ '3.\\
,
034F....1
E
~
So o3'f ,A..2.;lj ('i'l ~J
~'t.O
035 SteIItn GenerItDr
0011 Steam DwnpfTurbine
P-
~OL.j\\ \\<.<g.o3
Rl.1
B-Contn:ll
10('
045 MaIn TurtlIne Gener8tDr
~~
0Sl5 Condenser 1IJr RemcMll
~
R t) S'~ A 3. 0.3
IU,S
':
056 Condenaate
"C
088 lJauid R8dw88te
/Ii
011 W.... Gas D1aDOSlll
It
IROtjUIJ.O~
p3
..
t(J
012 AIea RadI8tion Monilortna
7*
015
W8ter
7~
079 StatIon AJr
IZ
IR.O"l~" 1.01
\\t1.0
1}
088 Fire ProcItdIon
KIA Cateaorv PoInt Tot8Is:
,.,
J.. o \\
.~ 0
\\ 0
\\
\\ I
I
GtouD Point Tol8I:
.,
1013
5
z.
ES-401, Page 25 of 33
8-i01
Generic Knowledge and Abilitle. Outline mer 3):--__.:.F.;;.;onn:.::;.;.ES:.-40~.:.1-3.:
Facility:
Date d Exam:
I
category
KIA #I
Topic
I:ln
~g".nnIu
I
IR
IR
2.1.
~ &:1.1.:Lo
Y.lo
I
1.
2.1.
r.- G- 1, 1.4 I
2.8
Condud
2.1.
R c:,.;1.,. 37
4.3
of Operations
2.1.
50 &- ;1.1*4 (li3,;)
3.8
2.1.
S r;.). ,. (p (1j3,5)
4.B,
2.1.
I
Subtotal
~~"'.~
2.2.
R
C:r ..<. J.I
4.5
2.2.
R
G~. .l.ry
.,,?~
I
2.
2.2.
~
(,;1.,2, :/1
39
Equipment
2.2.
50
f,.~. ,2. 35 (L/3.)')
'-I,S"
Control
2.2.
- , r;. A. J" I ("1 1.~)
~.3
0
2.2.
.
Subtotal
2.3.
R
(~~. 3.l.j
1,;1.
2.3.
R
r~J..3.\\S"
7.q
I
3.
2.3.
S
~~. 3. ~ ('\\).'\\)
'3, E!>
Radiation
Control
2.3.
2.3.
2.3.
I
Subtotal
2.4.
R
C, j,/.{-3J.
3.(,
I
4.
2.4.
R
C;~.l/.q
3.8
Emergency
2.4.
S C..2. "'.:1.7 {'"i1.~
3.~
Procedures I
~
G~. 4. (g (Y3.5
Plan
2.4.
~.,.,
2.4.
2.4.
I
Subtotal
I
ner 3 Point Total
10
7
ES-401, Page 26 of 33
I
Record of Rejected KlAs
Form ES-401-4
I
,
Tier I
Randomly
Reason for Rejection
Group
Selected KIA
Ti/c,.i
¥.IA -rott.. n
roo.
J'JI"'~) cJclf.,S r-O+ -\\-it-
\\Ni~
l(. ,.en
Oil G"K \\.0\\
!'\\~w
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Oil K.;l. O~.
1 1ki
0(,'5 n~J.o~
~()
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tJf.Nj r
....
,
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1t1A- i~:
Or..SAII..3.o3.
""11./~ J.
0'7(, A1(.1.08
f'J.l<.I~;V\\
~\\,..;~
~~UI*\\-'"
l:~'*2.5.
N...
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,:J. 1&1
02;2 lc-(P.QU
No
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N,"",
~eJ~
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Oil~ ~ 3. 0 Gl".
/;/'1
o'lS AI.O~
!'Io ,cIA;", ~ So<<<..H......
""~
.r1t~z.>.
Nq,
("a...J........'w ~L~A
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018 I<.. ~.O3
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0'18 A~,o\\
Nil
"'~ ~_ -t"-d .a.......... ",,\\M ~ 7"
~. S.
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(,)'lSIl"l.OI
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(J171"-)*0\\
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....:~ ~ ',z*s.
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"~h
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rJ~ f"lIMd.......w H.\\~,~A
"'I~ ;~:
033 \\I."\\. 05
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~'>\\ 1.S.
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O"l~ ~ 1.0\\
1;'/(,-1-
()s!: It I. ();;.
1'117 ~ 11'+:.... ~ w,...*-. .,..........
~"2*~,
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ES-401, Page 27 of 33