ML100880354
| ML100880354 | |
| Person / Time | |
|---|---|
| Site: | Cooper  |
| Issue date: | 03/09/2009 |
| From: | Garchow S Operations Branch IV |
| To: | Ryan Lantz NRC/RGN-IV/DRP/RPB-D |
| References | |
| CN -2009-09 | |
| Download: ML100880354 (15) | |
Text
{{#Wiki_filter:March 9, 2009 FROM: ~r:e~.~~~ltJ!{fir Division of Reactor Safety TO: Steve Garchow Chief Examiner, Operations Branch
SUBJECT:
INITIAL OPERATOR LICENSING EXAMINATION ASSIGNMENT You have been assigned as Chief Examiner of the Cooper Nuclear Station initial licensing examination. The operating test has been scheduled to be completed by September 26, 2009. Thank you for contacting the Cooper Nuclear Station to finalize the details of the examination. You are reminded that the RPS/IP system must be maintained to ensure the examiners and numbers of candidates are accurate. In addition, you are reminded that only qualified examiners are permitted to conduct any part of the examination. S:\DRS\OB\OB-ONLY\ADMIN\ASSIGNMENT SHEETS\CY'09\CN-2009-09_ASSIGNMENT MEMO_SG.DOC
OBDI 202 - INITIAL OPERATOR LICENSING PROCESS EXAM ASSIGNMENT TICKLER Chief: 'St~ve'Gafch6;',"*1 Facility: . ~ .' Date of Written Exam: 9/18/2009~ Start of Op Test: *..~--~ *+----E-nd-Of-o-p-T-es-t-+:-,9-12J-6-/2-0~O~91 Written Exam Developed By: NRC I Facility Operating Test Developed By: NRC i Facility Due Date Description Date Complete Initials No~s 3/20/2009 Written Exam & Op Test Dates Confirmed 5/15/2009 NRC Examiners & Facility Contact Assigned 5/15/2009 Facility Contact Briefed on Security & Other Req's 5/15/2009 Corporate Notification Letter sent If/I"/ZiD'7 'iJ'Jrif ES-201 Att-4 produced by CE 6/19/2009 Reference material due (if NRC authored) f\J Pr "8Jne:r ES-201 Att-3 1f-_~'_&~i71c'_0_0_9_+I_n_te_gr_a_te_d_e_xa_m_o_ut_lin_e_s_d_ue -+-{,....:.../zA7f..;~l'--r0..:.Cf_~,~~-+-----------~1 7/10/2009 Outlines reviewed by CE; feedback approved by BC 7 /7/(J r ~ ES-201-2 signed by CE & BC 7/10/2009 Feedback on integrated outlines provided to facility 17/// 01 5)nty
~2009 DRAFT exam / docs / support reference material due 8/14/2009 Peer review of written exam complete NA "fJ;Jfr Document review on ES-401-9 8/14/2009 Preliminary license applications due t(;r ES-403-1 to BC 10/3/2009 Examiner's document op test results on ES 303's JO(/3 / 0; 10/10/2009 Chief Examiner review of written exam & op test completed ~ Signed ES 303's to BC 10/17/2009 Branch Chief review of exam results completed Jo ;".I!oct 10/24/2009 Waivers/deferrals reviewed for impact on licensing decision IO/N/Oi 10124/2009 License/Denial letters mailed: Facility notified of results 10/24/2009 RPS/IP number of examinees updated ;.~o- print Report-21
.-oJ /I 11/7/2009 Examination Report Issued :IJ .D"" produced by CE 11/14/2009 SUNSI checklist complete and exam docs to ADAMS c1r~'sUNS' checklist to LA 11/21/2009 Ref Mat'l Returned after Final Resolution of Appeals Replaces NUREG-1021, Revision 9, Supp 1, Forms ES-201-1 and ES-501-1
ES*201 Examination Outline Quality Checklist Form ES*201*2 FaciJity: Cooper Nuclear Station Date of Examination: 09/2112009 Initials Item Task Description a b* c#
- 1. a. Verify that the outfine(s) fit(s) the appropriate model, in accordance with ES-401. IC~ kI; ~
w R b. Assess whether the outline was systematically and randomly prepared in accordance with I Section D.1 of ES-401 and whether all KIA categories are appropriately sampled. :'~::::' ~ fn1r T T E
- c. Assess whether the outline over-emphasizes any systems, evolutions, or generic topics. Ie""'\"' .* )Jftr" N d. Assess whether the justifications for deselected or rejected KJA statements are appropriate. ~"'"') ~ ~
- 2. 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, ,(f..
S I and major transients. 10 (.~ in*' M 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 I
'k~
U k:-) 1k-L without compromising exam integrity, and ensure that each applicant can be tested using A at/east one new or significantly modified scenario, that no scenarios are duplicated T from the applicants' audit test(s), and that scenarios will not be repeated on subsequent days. iCS 11: ~ 0 c. To the extent possible, assess whether the outline(s) conform(s) with the qualitative R and quantitative criteria specified on Form ES-301-4 and described in Appendix D. 3 a. Verify that the systems walk-through outline meets the criteria specified on Form ES-301-2: (1 ) the outline(s) contain(s) the required number of control room and in-plant tasks W distributed among the safety functions as specified on the form
~ .t (2) task repetition from the last two NRC examinations is within the limits specified on the form T (3) no tasks are duplicated from the applicants' audittest(s)
(4) the number of new or modified tasks meets or exceeds the minimums specified on the form
<[::s
~l!'
(5) the number of alternate path, low-power. emergency, and RCA tasks meet the criteria on the form.
- 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) (3) at least one task is new or significantly modified no more than one task is repeated from the last two NRC licensing examinations ~::5 ~ 'S1nlr
- c. Determine if there are enough different outlines to test the projected number and mix of applicants and ensure that no items are duplicated on subsequent days. ~; {f-. ~tr
/~ Ie..
4.
~~:y
- a. Assess whether plant-specific priorities (inclUding PRA and IPE insights) are covered in the appropriate exam sections. "J/rr G
E b. Assess whether the 10 CFR 55.41/43 and 55.45 sampling is appropriate. r.::~)
.-r;:: '5att,...
N E
- c. Ensure that KJA importance ratings (except for plant-specific priorities) are at least 2.5.
.:.~
.c.:...) ~ ]nit R
A
- d. Check for duplication and overlap among exam sections. k::s ~ mt L e. Check the entire exam for balance of coverage. <~::, k;:' Wk
- f. Assess whether the exam fitstt)e appropriate job level (RO or SRO).
~ .,,~
.~ < >'1H1t Y*," '" """"Y'~'
*6~~~~'\
"-'.' Printed Name/Signature
- a. Author William Gilbert . ~~-:. ',::C'". "', \
./f:.~' ';:
~
- b. Facility Reviewer (*) Ti"l'l Chard ..tL
- c. NRC Chief Examiner (#) ,s,~ kaiL I
~ - )
- d. NRC Supervisor ~~0ll~.'iT'1 ' -4"u\. If r,........ Cf/ttj.:;;
L.J ~ ~ Note: # Independent NRC reviewer initial items in Column "c"; chief examiner concurrence required.
- Not applicable for NRC,prepared examination outlines
Operating Test Quality Checklist Form ES-301-3 Facility: Cooper Date of Examination: 9/21/09 Operating Test Number: Initials
- 1. General Criteria a b* c#
- a. The operating test conforms with the previously approved outline; changes are consistent with samplinq requirements (e.q., 10 CFR 55.45, operational importance, safety function distribution).
- b. There is no day-to*day repetition between this and other operating tests to be administered durinq this examination.
- c. The operatinq test shall nOl duplicate items from the applicants' audit testis), (see Section D.1.a.)
- d. Overlap with the written examination and between different paris of the operating test is within acceptable limits.
- e. It appears that the operating test will differentiate between competent and less-than-competent applicants at the desiqnated license level.
- 2. Walk*Throuqh 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 lime-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 nOl 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 simulatoroperaling tests (scenario sets) have been reviewed in accordance with Form ES-301-4 and a COpy is attached.
Printed Name 1 Signature Date
- a. Author William Gilbert CO ,,-;;;:;;;;:::;;;-:"'"::~:.~:::;:= __
b Facility Reviewer(*) Tim Chard ~ (lp 0.rr--...
- 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.
ES-301 Simulator Scenario Quality Checklist Form ES-301-4 Facility: Cooper Date of Exam: 9/21/09 Scenario Numbers: 1 /2/3/4 Operating Test No,: Initials QUALITATIVE ATTRIBUTES a b' C#
- 1. The initial conditions are realistic, in that some equipment and/or instrumentation may be out of service, but it does not cue the operators into expected events,
(~~ k".' lJ...< ~'16'
- 2. The scenarios consist mostly of related events,
-._) ---
1J.e... 7.1J/fJ 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 symptoms/cues that will be visible to the crew >',
7J:
~ft
- the expected operator actions (by shift position)
- the event termination point (if applicable) ~
.(:;:'~ ~ Rltth
- 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. ':'(~:r' ~ iHb
~ fl"r.,
6, Sequencing and timing of events is reasonable, and allows the examination team to obtain complete evaluation results commensurate with the scenario objectives, 7 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 given,
,,;::5 ~ f\.
)fJttFr 8, The simulator modeling is not altered. C5 ~ ~I.
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. ;:5' ~ rg;,,6
- 10. Every operator will be evaluatec using at least one new or significantly modified scenario, All other scenarios have been aitered in accordance with Section 0.5 of ES-301. .':::' ttz- ~h 11, All individual operator competencies can be evaluated, as verified using Form ES-301-6 (submit the form along with the simulator scenarios),
C~.:)' f-£ ~Ji
- ~'::5 *~
- 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. :::::5 I..u=. . CJ.
'.Irn:
Target Quantitative Attributes (Per Scenario; See Section D.S.d} Actual Attributes -- -- . 1, Total malfunctions (5-8) 616/5/6 (':'::5 ~ ~h 2, Malfunctions after EOP entry (1-2) 2/1/1/2 ~:::.:> I~ 111& 3, Abnormal events (2-4) 3/4/3/2 .~~ ~ f>>tfr
- 4. Major transients (1-2) 1/1/1/1 ;,~.. 4:[;. ~
- 5. EOPs entered/requiring substantive actions (1-2) 2/2/3/2 ks 'Iir_ lI1~
6, EOP contingencies requiring substantive actions (0-2) 1/2/211 r::S "ifc.. 'fJI~ 7, Critical tasks (2-3) 2/3/2/2 r--:)' "* 7Jtk
ES*301 Transient and Event Checklist Form ES*301*5 Facility: Cooper Date of Exam: 9/21/2009 Operating Test No.: A E Scenarios P V 1 (SPARE) 2 3 4 T M P E 0 I L N CREW CREW CREW CREW T N I T POSITION POSITION POSITION POSITION A I M C 8 A B 8 A B S A B S A B L U A T R T 0 R T 0 R T 0 R T 0 M(*) 0 C p 0 C p 0 C p 0 C p N Y R I U T P E R01 RX 1 1 1 1 0 X 1 1 1 1 NOR 1 SRO-I D SRO-U I/C 3 1 4 4 4 2 MAJ 1 1 2 2 2 1 0 T8 0 0 2 2 R02,3 RX 1 1 1 1 0 X 1 1 NOR 1 1 1 8RO-1 D I/C 3 3 6 4 4 2 8RO-U MAJ 1 1 2 2 2 1 0 T8 0 0 2 2 R04 RX 1 1 1 1 0 X SRO-I NOR 1 1 1 1 1 D SRO-U I/C 3 1 4 4 4 2 MAJ 1 1 2 2 2 1 0 T8 0 0 2 2 R05,7 RX 1 1 1 1 0 X NOR 1 1 1 1 1 8RO-1 IIC D 8RO-U 3 3 6 4 4 2 MAJ 1 1 2 2 2 1 0 T8 0 0 2 2
ES-301 Transient and Event Checklist Form ES-301-5 Facility: Cooper Date of Exam: 9/21/2009 Operating Test No.: A E Scenarios P V 1 2 3 4 T M P E 0 I L N CREW CREW CREW CREW T N I T POSITION POSITION POSITION POSITION A I M C S A B S A B S A B S A B L U A T R T 0 R T 0 R T 0 R T 0 M(*) Y 0 C P 0 C P 0 C P 0 C P N R I U T P E R06 RX 1 1 1 1 0 X NOR 1 1 1 1 1 SRO-I 0SRO-U I/C 3 1 4 4 4 2 MAJ 1 1 2 2 2 1 0 TS 0 0 2 2 I RO RX 1 1 1 1 0 0SRO-I NOR 1 1 1 1 1 2,3 I/C 3 3 6 4 4 2 SRO-U MAJ 1 1 2 2 2 1 0 TS 3 3 0 2 2 RO RX 1 1 1 1 0 0 SRO-11 NOR 1 1 1 1 1 X IIC 3 2 5 4 4 2 SRO-U MAJ 1 1 2 2 2 1 0 TS 2 2 0 2 2 RO RX 0 1 1 0 0 NOR 1 1 2 1 1 1 SRO-I 0 IIC 3 1 4 4 4 2 MAJ 1 1 2 2 2 1 SRO-U 2,3 TS 3 3 0 2 2 X Instructions:
- 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 "balance-of-plant (BOP)" positions; Instant SROs must serve in both the SRO and the ATC positions, including at least two instrument or component (I/C) malfunctions and one major transient, in the ATC position. If an Instant SRO additionally serves in the BOP position, one IIC malfunction can be credited toward the two I/C malfunctions required for the ATC position.
- 2. Reactivity manipulations may be conducted under normal or controlled abnormal conditions (refer to Section D.5.d) but must be significant per Section C.2.a of Appendix D. (*) Reactivity and normal evolutions may be replaced with additional instrument or component malfunctions on a 1-for-1 basis.
- 3. Whenever practical, both instrument and component malfunctions should be included; only those that require verifiable actions that provide insight to the applicant's competence count toward the minimum requirements specified for the applicant's license level in the right-hand columns.
ES-301 Transient and Event Checklist Form ES-301-5 Facility: Date of Exam: Operating Test No.: A E Scenarios P V 1 2 3 4 T M P E 0 I L N CREW CREW CREW CREW T N I T POSITION POSITION POSITION POSITION A I M C S A B S A B S A B S A B L U A T R T 0 R T 0 R T 0 R T 0 M(*) N Y 0 C P 0 C P 0 C P 0 C P R I U T P E RO RX 0 1 1 0 0SRO-I NOR 1 1 1 1 1 I/C 3 3 4 4 2 0 SRO-U 1 MAJ 1 1 2 2 1 X TS 3 3 0 2 2 RO RX 1 1 0 0 NOR 1 1 1 SRO-I I/C 4 4 2 0SRO-U MAJ 2 2 1 0 TS 0 2 2 RO RX 1 1 0 0 INOR 1 1 1 SRO-I 0 I/C 4 4 2 SRO-U MAJ 2 2 1 0 TS 0 2 2 RO RX 1 1 0 0SRO-I NOR 1 1 1 D IIC 4 4 2 MAJ 2 2 1 loO-U TS 0 2 2 Instructions:
- 3. 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 "balance-of-plant (BOP)" positions; Instant SROs must serve in both the SRO and the ATC positions, including at least two instrument or component (I/C) malfunctions and one major transient, in the ATC position. If an Instant SRO additionally serves in the BOP position, one I/C malfunction can be credited toward the two I/C malfunctions required for the ATC position.
- 4. Reactivity manipulations may be conducted under normal or controlled abnormal conditions (refer to Section D.5.d) but must be significant per Section C.2.a of Appendix D. (*) Reactivity and normal evolutions may be replaced with additional instrument or component malfunctions on a 1-for-1 basis.
- 3. Whenever practical, both instrument and component malfunctions should be included; only those that require verifiable actions that provide insight to the applicant's competence count toward the minimum requirements specified for the applicant's license level in the right-hand columns.
ES*301 Competencies Checklist Form ES*301*6 Facility: Cooper Nuclear Station Date of Examination: 9/21/09 Operating Test No.: APPLICANTS CRS ATCO BOP RO 0 RO X RO X RO 0 SRO-I X SRO-I X SRO-I X SRO-I 0 SRO-U X SRO-U 0 SRO-U 0 SRo-uD Competencies SCENARIO SCENARIO SCENARIO SCENARIO 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 InterpreUDiagnose 3,4, 3,4, 3,4, 2,3, 3,5, 4,5, 3,4, 3,4, 4,6, 1,3, 5,6 2,4, 5,6, 5,6, 5,6, 4,5, 7 6, 6,7 5,7, 7,8 5,6, 7,8, Events and Conditions 7,8 7,8 7 7,8, 7,8 8,9, 7 9,10 9,10 10 I Comply With and all all all all 2,3, 2,4, 2,3, 3,4, 1,4, 1,3, 1,5, 1,3, I 5, 7 5,6, 5,6, 5,6, 6, 5,6, 6 4, Use Procedures (1) 7 7 8,9, I 7,8 7 7,8, 10 9,10 Operate Control na na na na 2,3, 2,4, 2,3, 6,8, 1,4, 1,3, 1,5, 1,2, 5,7 5,7, 4,5, 9,10 5,6, 6 3,5, Boards (2) 8 6,7 I 6, 7,8 7 7,8, 9,10 Communicate all all all all all all all all all all all all and Interact Demonstrate all all all all na na na na na na na na Supervisory Ability (3) Comply With and 3,5 2,3 3,4 2,3 na na na na na na na na Use Tech. Specs. (3) 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-401 Written Examination Quality Checklist Form ES*401*6 Date of Exam:Cf f,e/u4 Exam Level: RO X SROX Initial I Item Description a b* c*
- 1. Questions and answers are technically accurate and applicable to the facility. i<'::s ~ '/If/$ I IC::J~' ~ W
- 2. a. NRC K/As are referenced for all questions.
- b. Facilitv learnino objectives are referenced as available.
- 3. SRO Questions are aporooriate in accordance with Section D.2.d of ES-401 '~ ftk It
- 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).
,6" ~ ~tb' v
- 5. Question duplication from the license screening/audit exam was controJled 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 l other (explain) Scenario #2 was developed by the utility and modified by the Chief
~
~~
Examiner. Scenario 1, 3, and 4 wers selected by the CNef Examiner with no knowiedge of the contents of the /L T Audit examination. The written examination and the JPMs have zero t'S duplication between the Audti Exam and the NRC exam. 6 Bank use meets limits (no more than 75 percent Bank Modified New
~~
from the bank, at least 10 percent new, and the rest .... new or modified); enter the actual RO I SRO-only 49/14 0/0 26/11 Question distribution(s) at riaht.
- 7. Between 50 and 60 percent of the questions on the RO Memory CIA exam are written at the comprehensionl analysis level; 1i:
~b-the SRO exam may exceed 60 percent if the randomly selected KlAs support the higher cognitive levels; enter 34/6 41/19 k'":)
the actual RO I SRO Question distribution(s) at riaht.
- 8. References/handouts provided do not give away answers or aid in the elimination of distractors. <2:5 1C.- I8mft
- 9. Question content conforms with specific K/A statements in the previously approved examination outline and is appropriate for the tier to which they are assigned; deviations are iustified.
c::s ~ ~6--
- 10. Question psvchometric quality and format meet the guidelines in ES Appendix B 2:5 ~ ~lf'"
- 11. The exam contains the required number of one-point, multiple choice items; the total is correct and aqrees with the value on the cover sheet.
.:.-:.::5" {~ ~
Pri~tEld1'J.<3.ITlEll.~i~nature Date "lh\<J'\
.jfLilf;ir~
a, Author W~
- b. Facility Reviewer (*J
- 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 "c"; cllief examiner concurrence required.
ES*403 Written Examination Grading Form ES-403-1 Quality Checklist Facility: Date of Exam: Exam Level: RO D SRoD Initials
- Item Description a b c
- 1. Clean answer sheets copied before grading ~ 1k $sJt1.r
- 2. Answer key changes and question deletions justified and documented
;VIA AlA-.. rJA
- 3. Applicants' scores checked for addition errors (reviewers spot check> 25% of examinations) c:s ~ J;rzr
- 4. Grading for all borderline cases (80 +/-2% overall and 70 or 80, 1JI~
as applicable, +/-4% on the SRO-only) reviewed in detail #~ ~lJ
- 5. All other failing examinations checked to ensure that grades JVlA ,vA-are justified ND.
- 6. Performance on missed questions checked for training deficiencies and wording problems; evaluate validity <:s ~ #!rJf) of questions missed by half or more of the applicants Printed Name/Signature Date
- a. Grader \J\\~-e-5..:,,~ ~ ~
- b. Facility Reviewer(*)
~WjCk.R q*24~l1f
- c. !\IRC Chief Examiner (*) 10 f~/rfj
- d. NRC Supervisor (*) ~h7"'\
~ ~~<...M'
'"'":t IDl\~/ua,
\ )"-J I
(*) The facility reviewer's signature is not applicable for examinations graded by the !\IRC; two independent NRC reviews are reqUired.
Page 1 of 4 Operator Licensing Exam Schedule 10/27/2009 09:37:51 From 09/01/2009 To 09/30/2010 Report 21 Region: 4 Phase Code: 5 [~~~~1[~=~~====#"@:=J~:=::J~~~:2~~1.~~~-===~1~~~,~~ 08/31/2009 Cooper 1050002981 Prep FFF GARCHOW, STEPHEN M. DEVERCELLY, RICHARD TAC #: X02409 GARCHOW, STEPHEN M. 09/21/2009 Cooper 1050002981 RO - 7 SROI - 3 Admin FFF GARCHOW, STEPHEN M. APGER, GABRIEL W. TAC #: X02409 SROU - 3 DEVERCELLY, RICHARD GARCHOW, STEPHEN M. Sites: CNS Orgs: 4620 Exam Author: ALL
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 ~l'f.-"2.\au..'1 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 e'uthorized by the NRC chief examiner. I understand that I am not to Instruct, evaluate, or provide performance feedback 10 those applicants scheduled to be administered these licensing examinations from this date until completion of examination administration, except as speciflcally noted below and authorized by the NRC (e.g., acting as a simulator booth operator 01" communicator is acceptabte if the individual does not setecl the training content or provide direct or indirect feedback). Furthermore, I am aware of the physical se(;mrity measures and reqUirements (as documented in the facmly licensee's procedures) and understand that violation of the conditions of this agreement may result in cancellation of lhe examinations and/or an enforcement action against me or Ihe facility licensee. I will immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been oompromised.
- 2. Post.Examination To the best of my knoWledge, I did not divulge to any unauthorized persons any informaCion concerning the NRC licensing examinations administered during the weekes) of"l'lf-"k,,\)! From the date that I entered into this security agreement until the compleliorl of examination administration,l did not instruct. evaluate, or prOVide performance feedback to those applicants who were administered lhese licensing examinations, except as specifically nOled below and aulhoriz:ed by It1e NRC, PRINTED NAME JOB TITLE I RESPONSIBILITY SIGNATURE (1) DATE DATE NOTE ES-201, Page 27 of 28
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 ~ t))~# as of the date of my signature. I agree that I will not knowingly divulge any information about these examinations to any persons who have not been authorized by the NRC chief examiner. I understand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examinations from this date until completion of examination administration, except as specifically noted below and authorized by the NRC (e.g., acting as a simulator booth operator or communicator is acceptable if the individual does not select the training content or provide direct or indirect feedback). Furthermore, I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action against me or the facility licensee. I will immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been compromised.
- 2. Post-Examination To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) oft.r -\15- 'il""lfS 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)
- 1. $:""77 O-e?'~J ~O~
- 2. J~M.\SS '"'!StilL 3.
4 mYIhA,.1 CI r kG,*) a (\ e.. H fJ) ~ u... ----'-"-'"-~!oi-'.o~----->.,..L+'-'=..a.....::><L...I<C-
. ....-?"~
5:~ b-~_7¢=:L ~. ~ 8.
&£~~~ ?XGiLd. ~?2
-d;;~. ~ N"'r~ - - ~. 2 .. "" 1"':'1.11}
"'". /-F-)
~o7:r~~~ 'tW£~ 11 . t:.a...(j'..,.k:t...,-----z:5
- 12. ~w~ ~ <-t/"'I{O't/~4
~~~J - ~:;:; ,/ \ A'l-:ttx:rim,lTi"i:1J
- 15. _
V' y ---- --- NOTES: I"7l 0/ 5'J~b o,,-{
~~,\
ES-201, Page 27 of 28
ES-201 Examination Security Agreement Form ES-201-3
- 1. Pre-Examination I acknowledge that I helVe acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of as of the date of my signature. I agree that I will not knowingly divulge any information about tFlese 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 f~xamination 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 lhe conditions of this agreement m3Y result in cancellation of the examinations and/or 3n enforcement action against me or the facility licensee. I will immediately report to facility management or tile NRC chief examiner <lny indications or suggestions that examin<ltion 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_
i PRINTED NAME JOB TITLE / RESPONSIBILITY SIGNATURE (1) DATE SIGNATURE (2) DATE NOTE i~r~",,, !", u J " R." fA lOr" "",--;;:;,..-Ji r -?'Z-~~-:_-:i4J 7=J=;"-='/=('~7- - ~------- =~-------~ -~------ i~8RifuMr 6;W(/AliIi..:r~~"::j'.Qj>~..I.~~ 'lI;;,{", ~G2
----~--~
8 __ .. _ -------------------- ------. ---- ---
- 9. _ _ ----------- --- ---
10.________ _ _
- 11. . __. _
12_ _ . 13_ .__. . . _ 14 _ 15 ---_. __.. _. -_ . . . ._ - - -_._-- --_._---. NOT-fs:G)s-:,'t'-&-b 4l~t r......r ~~ ~fV'
~ s~ ~f-t-~ ~ ~r J,~s_.e..- '5~~....\o~s ES-201, Page 27 of 28}}