ML102520084

and Peach Bottom Lsro - Final Qa/Related Forms (Folder 1)

ML102520084
Person / Time
Site:	Peach Bottom, Limerick
Issue date:	08/23/2010
From:	D'Antonio J Operations Branch I
To:	Exelon Generation Co
Hansell S
Shared Package
ML092470056	List: IR 05000277/2010301 ML102150100 ML102150104 ML102150190 ML102420204 ML102420248 ML102420261 ML102460251 ML102520084
References
TAC U01795, TAC U01796, ES-201, ES-201-3
Download: ML102520084 (15)

Text

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

1. Pre-Examination LsRo 1/\/11~4c e:;(/'7Y"t/J £-0/0 I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the weekes) of 7 9 -( 7'2 la'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 n 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 weekes) 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

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15.=-=--_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

NOTES: ---

ES-201, Page 27 of 28

ES-201 Examination Security Agreement Form ES-201-l

1. Pre-Examination I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of 7/19 - 7/26 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 facifity 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 7-19/7-26. From the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC.

PRINTED NAME JOB TITLE I RESPONSIBILITY DATE SIGNATURE (2) DATE NOTE

1. Michele Amberman -.:.,A.;::d:.:,:m:.::i:.;.n-:C:,::o;::o:..:rd:::in.::a:..::to:::r_ _ _ _ _ _ __

2. Ginnv BillinQs ....:...""'*'t--.J,...~-L.-i;:...:..------ -----

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ES-201, Page 26 of 27

ES~201 Examination Security Agreement Form ES~:101~3

1. Pre~Examinatjon LsRo /,1V'II//tL eJ(/lM 20/0 I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of 7 ,9 -t 7? - I%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 n 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.

PRINTED NAME JOB TITLE I RESPONSIBILITY SIGNATURE (1) DATE DATE NOTE

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ES-201

1. Pre-Examination Examination Security Agreement t

Form ES-201-3 I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of 7/19 - 7/26 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 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-Examlnation 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 7-19f7-26. 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 1 RESPONSIBILITY DATE SIGNATURE (2) DATE NOTE

1. Michele Ambennan Admin Coordinator 3/24/10 2.~G~in~n~V~B~iI~lin~Q~S~~~~~~~A~d~m~i~n~~~~i~na~tor~~::::::::~~~~~~~~~~~~~==~i3~~i4~/1~0 3.

4. JM-Ie. l'ul'uZ-.rJ:.1 ..:.6c-...<:.:::..:'-:::,..:.rr.L...-",(:..:;Q!r"'"','--_____________

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6. _____________________________________________________________

7. ____________________________________________________________

8. ______________________________________________________________

9. ____________________________________________________________

10.,____________________________________________________________

11.,_____________________________________________________________________ ---------------- --------

12.,___________________________________________________________

13.,______________________________________________________________

14.______________________________________________________________ ---------------- --------

15.,~---------------------------------------------------------

NOTES:

ES-201, Page 26 of 27

!:2 ES-201

1. Pre-Examination Examination Security Agreement Form ES-201-3 o

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..,. 1acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of 7/19 - 7/26 as of the date o

I 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 00 o 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 E

til 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

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lI'> the facility licensee. I will immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security a'\

o 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 7-19/7-26. From the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC.

PRINTED NAME JOB TITLE I RESPONSIBILITY DATE SIGNATURE (2) DATE NOTE

1. Michele Amberman <is'3/J

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ES-201, Page 26 of 27 lI'>

I.Pre-Examination LSRO INITIAL EXAM I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations sclteduled for the week(s) of 7/19 -7126 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 p["ovide perfonnance 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 indi["ect feedback), Furthennore, I am aware oftbe physical secu["ity measures and requirements (as dlXumented in the facility Iicensee=s procedu["es) and understand E that violation of the conditions of this agreement may result in canceUation of the examinations and/or an enforcement action against me or the facility t!!

licensee. I will immediately report to facility management or the NRC chief examiner any indications or suggestions that examination secudty 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 7119-7126

• From the date that 1 entered into this security agreement until the completion of examination administration, 1 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.

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ES-701 LSRO Examination Outline Quality Checklist Form ES-701-5 Facility, J-6S Date of Examination: 7//'//()

Initials Item Task Description a bO C#

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1, w

a, Verify that the outline fits the model in accordance with ES-701, r

R b, Assess whether the outline was systematically and randomly prepared in accordance with I Section D,l of ES-401 and whether all KiA categories are sampled at least once, tr T

T c, Assess whether the outline over-emphasizes any systems, evolutions, or generic topics, p/A ;t ty""

E N

2 d,

a.

Assess whether the justifications for deselected or rejected KiA statements are appropriate.

Verify that the overall operating test:

b'" ~ Y (1) includes at least two tasks that require the use of technical specifications DM. I ~

0 (2) does not duplicate any tasks from the applicants' audit testes)

P E b, Verify that the administrative tasks:

(1 ) are distributed among the four administrative topics described in ES-301 R

(2) include no more than one repeat from the last NRC licensing examination OtA A A

T (3) include at least one task that is new or significantly modified l.r I

c. Verify that the systems walk-through includes:

N (1 ) two tasks requiring the manipulation of fuel handling equipment G

(2) two additional tasks related to Tier 2 systems other than fuel handling equipment (3) two tasks requiring implementation of alternative path procedures (4) no more than one repeat from the last NRC licensing examination orA A...

(5) at least one task that is new or significantly modified rY

d. Verify that the E/APE walk-through includes:

(1 ) three JPMs based on the Tier 1evolutions, including a refueling accident (2) one task requiring implementation of an alternative path procedure (3) no more than one repeat from the last NRC licensing examination (4) alleast one task that is new or significantly modified opA / r

e. Determine whether there are enough different outlines to test the projected number of applicants and ensure that no items are duplicated on subsequent days. D,) ;L r 3, a. Assess whether plant-specific priorities (including PRA and IPE insights) are covered inthe appropriate exam section. otA A ,/J' G

E b, Assess whether the 10 CFR 55.41/43 and 55.45 sampling is appropriate, D~ A ~

N DrA A rY E c, Assess whether the sampling process adequately considered plant-specific refueling R components, systems, and procedures that are not included in the generic models.

A L d, Ensure that KiA importance ratings (except for plant-specific priorities) are at least 2,5.

i'D'" I' rY e, Check for duplication and overtap among exam sections. OM A rt"

f. Check the entire exam for balance of coverage. Otlt A rr g, Assess whether the proposed sample is consistent with the LSRO's job responsibilities, (}rA ./'-. V m

a, Author J>AV'" M ~rJ~SA'J~akf ~ 0 " II b, ~.ua.IIIl.J If( * ~~tI \,.."-'2. J.-:l. I' h~

Facility Reviewer (0) c.

d.

NRC Chief Examiner (#) L .tWA /

NRC Supervisor ( rSOt..A

j. f)'tr"'/iv",,~ I Ho..lIf'i~'( ---

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Note: ° The facility reviewer's initials/signature are not applicable for NRC-developed examinations,

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

ES-701, Page 15 of 18

ES-701 LSRO Examination Outline Quality Checklist Form ES-701-5 Facility: LGS I PBAPS LSRO Initial Exam (PBAPS portion) Dale of Examination; July 2010

~

Initials

''''"pO,," a b' C#

W

1. a. Verify that the outline fits the model in accordance with ES-701.

1 MJ

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rr R b. Assess whether the outline was systematically and randomly prepared in accordance with (V' T

I Sedlon 0.1 ofES-401 and whether an KIA ca1egories are sampled at least once. r T

E

c. Assess whether the outline over-emphasizes any systems, eyolutions, or generic topiCS. r lJ rv N d. Assess whether the justificetions for deselected or rejected KIA statements are appropriate.

t ry

~ ry

2. a. Verify thallhe overall opBrnting test o

(1) includes atlaasl two tasks that require the usa of technical speCifications (2) does nat duplicate any tasks from the applicants' aud'lItest(s)

I P

E b. Verify that the adminislratl\le tasks:

r if i~

R (1) are distributed among the four administratl\le topics described in ES-J01 A (2) include no more than one mpeat from the lasl NRC licensing elCaminalion T (3 i include at least one task that is new or significantly modified I

N c. Verify that the syslems walk-through includes:

(1) two tasks requiring the manipulation of fuel handling equipment l'

~ rY G

(2) two addHional tasks related 10 Tier 2 systems other than fuel handting equipment (3) two tasks requiring implementation of aHemauye path procedures (4) no mom than one mpaal from the lasl NRC licensing examination is) at least one task that is new or Significantly modifted

d. Verify that the EJAPE walk-Illrough includes:

~r (1) three JPMs based on lIIe Tier levatutions, including a refueling accident (2) one task requiring implementation of an elternative path procedure  ?

(3) no more than one repeat from the last NRC licensing examination (4) at least one task thet is new or sianilicanUy modified

e. Determine whether there are enough different ouOines to test the projected number of applicants and ensure that no items are dllPlicated on subsequent days. r 0r

3. a. Assess whelller plent-speclfic priorities (including PRA and IPE insights) are covered inthe appropriate elCSm section. 1 ~ rr G IY E b. Assess whelher tha 10 CFR 55.41/43 and 55.45 sampling is eppropriate. 'Y N

E R

c. Assess whethar the sampling process adequately considemd plant-specific refueling components, systems, and procedures that alll not included in the generic models. t rr A )

L d. Ensure tllat KIA importance ratings (except for plant""PE'cific priorities) are at leasI2.5. y (Y'

)

e. Check for duplication and overlap among exam sections. 1 I'"

f. Check the entire 8lCsm for balance of coverage.  ? V (l-

g. Assess whether the proposed sample is consistent with lIle LSRO's Job responsibilities.

I' 11 iff:

a.

b.

c.

d.

-r '(" ".

Nole:

• The facility relliewel's initials/signature are nat applicable for NRC-developed examinations.

1. Independent NRC reviewer mllial items in Column "c'; chief elCSminer concurrence reqUired.

ES-701, Page 150f18

ES*201 Examination Security Agreement Form ES-101*3

1. Pre-Examination LsRo /,¥( T/Ae..- eJ(/lyAt/J 20/ 0 I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of 7 ,9 -t 71 la'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 n 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.

PRINTED NAME JOB T."ITLE / RESPONSIBILITY ~'GNATU (1) DATE SIGNATURE (2) DATE NOTE 1.DAI/t'D MOf'JAHAf\I EXAI'A AI/THor:( ---'::~Jti~~_ ~ ____

2. ttLltkw ,JtYn/JI.(, OTr'S ~~ t ~ ~/2l//t7 _ _ __

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8. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

9. _ _ __

11.

15. _ _ __

NOTES:

ES-201, Page 27 of 28

At ES-201

1. Pre-Examination e

Examination Security Agreement Form ES-201-3 I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of 7/19 - 7/26 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) of 7-19/7-26. 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 DATE SIGNATURE (2) DATE NOTE

1. MiChele Ambennan Admin Coordinator 3/24/10

2. Ginnv BillinQs Admin Coordinator 3124/10 - - - - - - - - - - -

3. -

4. JM.Jc. l'oI'rtfl-.ri:.1 fit.!f-I ry &CJf! -------------- --- --

5. ___________________________________________ _________________ ~

6. ________________________________________________________ --

7. ___________________________________________________________ --

8. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ ----------- -------

9. _____________________________________________________ --

11.,_____________________________________________________________ -----

12._____________________________________________ -----

13.,_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ ------

15.,_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ ------

NOTES:

ES-201, Page 26 of 27

ES-701 LSRO Written Examination Form ES*701*6 Quality Checklist Facility: PBAPS Portion of the 2010 LGS/PBAPS LSRO Initial Exam Date of Exam: July 2010 Initial Item Description a b~ c#

1. Questions and answers are technically accurate and applicable to the facility. -J.y W !/J v

2. a.

b.

NRC KfAs are referenced for all questions (as applicable).

Facility leaming objectives are referenced as available. ;r ~ r

3. Questions are appropriate for LSRO applicants. '}  :,~ 14/

4. The sampling process was random and systematic (If more than 3 questions were repeated from the last 2 NRC licensing exams, consult the NRR OL program office).

!lj;f~I~(" ff

5. Question duplication from the license screening/audit exam was controlled r~

as indicated below (check the item that applies) and appears appropriate:

_ the audit exam was systematically and randomly developed, or x.. 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 tY other (explain)

6. Bank use meets limits (no more than 30 questions from the bank, at least 4 new, and the rest modified);

enter the actual question distribution at right.

Bank 0

Modified 0

New 10** r~ r Memory y~

7. Between 50 and 60 percent (20 and 24) CIA of the questions on the exam are written at the comprehension/analysis level; enter the actual Question distribution at right.

50% ** 50% ** IT

8. References/handouts provided do not give away answers or aid in eliminating distractors. r I\~ tV' 9.

10.

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

Question psychometric quaUty and format meet guidelines in ES Appendix B.

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11. The exam contains ~;~int, multiple choice items; the total is correct and agrees with value on cover sheet. (10 Questions for the PBAPS Addendum'*) 1 ~~ ;f/

Printed Name / Signature Date

a. Author GeraldW.Zelimerl AJtJ, P-- ll?-7/e

~=~

b. Facility Reviewer (*) 5-42--t""

c. NRC Chief Examiner (#) " .. /", Iv

d. NRC Regional Supervisor

~"

Note:

• The facility reviewer's initials/signature are not applicable for NRC-developed examinations.

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

• • PBAPS portion of the exam ONLY (PBAPS Addendum)

ES-701, Page 16 of 18

ES-701 LSRO Operating Test Quality Checklist Form ES-701-7

,.. -"" :PBAPS Portion ofthe 2010 LGS/PBAPS LSRO Initial Exant)ate of Examination: July2010 Operating Test Nu Initials Item Description a b* c#

1. The operating test conforms with the LSRO's job responsibilities and the previously approved outline (Form ES-701-4).

.Y ~ 1 I~

2. Any changes from the previously approved oulline have not caused the tesl 10 deviate from any of the acceptance criteria (e.g .* item distribution. bank use. repetition from the last lwo y /)

NRC examinations) specified on the outline.

y I~

3. There is no day-Io-day repetition between this and other operating tests to be administered  ;'V during this examination.

4. The operating test does not duplicate items from the applicants' audit test(s).

(See Section 0.1.a of ES-301). r ~ 'I ..........

5. Overlap between the written examination and the operating test is within acceptable limits. y ~ 'I/""

6. It appears that the operating test will differentiate between competent and less-than-competent applicants. :rl ~ ,N

7. Each JPM includes the fol/owing. as applicable:

• initial conditions

• • initiating cues references and tools, including associated procedures If reasonable and validated time limits (average time allowed for completion) and specific designation if deemed 10 be time-critical by the facility licensee rY

• - specific performance criteria that include:

detailed expected actions with exact criteria and nomenclature y v

- 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 Printed Name I Signature Date

a. Author Gerald W. Zellmer I ~J. Jd'-. 5-1.<.-; :k>/.;>

b. Facility Reviewer(*)

Ja9k;Popielarski I ~~l(l~

~ / y. Jr.1...t/..oN'r s.:,.2-/

V'"\r S'0v%{j,l L.?/,J

c. NRC Chief Examiner (#)

d. NRC Supervisor ~. tnlb Ik~~t/ '/~D_ ~/J/::J , ~Wa

"" ( 1 NOTE:

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

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

ES-701, Page 17 of 18

ES*701 LSRO Written Examination Form ES-701-6 Quality Checklist Facility: t-(j-:; Date of Exam: 7/1?//O Initial Item Description a b* c#

1. Questions and answers are technicallyaccurate and applicable to the facility. PM f- It

2. a.

b.

NRC KlAs are referenced for all questions (as applicable).

Facility learning oblectives are referenced as available. Ot/l I~ IV

3. Questions are appropriate for LSRO applicants. 10M I ' i ..,/

4. The sampling process was random and systematic (If more than 3 questions were repeated from the last 2 NRC licensing exams. consult the NRR OL program office).

1:'.;'<; ~tf~l 7

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

_ the audit exam was systematically and randomly developed, or Z

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)

(Jfl\

r tY Bank use meets limits (no more than 30 questions Bank Modified New 6.

from the bank. at least 4 new, and the rest modified);

enter the actual question distribution at right. ~ r? .~ 'I PM / -V

7. Between 50 and 60 percent (20 and 24) Memory I CIA of the questions on the exam are written

/g ptA I' 0/

at the comprehenSion/analysis level; enter the actual question distribution at right.

Z2

8. References/handouts provided do not give away answers or aid in eliminatinQ distractors.

VIti 1.('-" tV

9. 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. W#l ;V t1r

10. Question psychometric quality and format meet guidelines in ES Appendix B. t?A~ /' v

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11. The exam contains 40 one-point, multiple choice items; the total is correct and agrees with value on cover sheet. r "...,

Printed Name I Sigrr~~ Date VAlli D M MoNAIJArJJ S;~/IV

- ---=

a. Author 5/oWc.:tz. / / 0

~

b. Facility Reviewer (*) 8AiWfloN ~.

c. NRC Chief Examiner (#) :1 ' 17/} ,J I"",J f / ( r/~tJ.. ' . 0:>

~~IM J./.r-."ill / ' ' ' / ( *J...1 P£/ D.ls..o//()

d. NRC Regional Supervisor I - / (

Note:

• The facility reviewer's initials/signature are not applicable for NRC-developed examinations.

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

ES-701, Page 16 of 18

ES-701 LSRO Operating Test Quality Checklist Form ES-701-7 Facility: LGs- $ Date of Examination: 1 h~ /10 Operating Test Number:

Initials Item Description a b* c#

1. The operating test conforms with the lSRO's job responsibilities and the previously approved outline (Fonm ES-701-4). 1)"" If' r/" ,"I 2, Any changes from the previously approved outline have not caused the test to deviate from any of the acceptance criteria (e.g., item distribution, bank use, repetition from the last two NRC examinations) specified on the outline.

OM II r"Jr

3. There is no day-to-day repetition between this and other operating tests to be administered during this examination. bM fl r

4. The operating test does not duplicate items from the applicants' audit testis).

(See Section 0.1.a of ES-301).

"PM ~ /l.

5. Overlap between the written examination and the operating test is within acceptable limits, l:>M /'- /l-

6. It appears that the operating test will differentiate between competent and less-than-competent applicants. ~M / I'j/

7. 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 specific perfonmance criteria that include:

detailed expected actions with exact criteria and nomenclature

- system response and other examiner cues Df'J! r /2

- 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 Printed Name I Signature ~

a. Author "DAVID M M.ON Atj~N ../t:>N.

~

s: ~ It) i!~£~~~ g~;t:

b. Facility Reviewer(-)

c. NRC Chief Examiner (#)

d. NRC Supervisor (pI:JobCl.

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

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

ES-701. Page 17 of 18

ES-403 Written Examination Grading Form E5-403-1 Quality Checklist Facility: LGS/PBAPS Date of Exam: 07127/2010 Exam Level: RO [J SROX Initials Item Description a b c

1. Clean answer sheets copied beforegradinq r  ;\ ~

2. Answer key changes and question deletions justified and documented y f j' ~

3. Applicants' scores checked for addition errors Y~

(reviewers spot check> 25% of examinations) ;t ./V

4. Grading for all borderline cases (80 +/-2% overall and 70 or 80, as applicable, +/-4% on the SRO-only) reviewed in detail rv J /;{~ /"'"

5. All other failing examinations checked to ensure that grades are justified <ir /L. rv

6. Performance on missed questions checked for training deficiencies and wording problems; evaluate validity of questions missed by half or more of the applicants r VL rp Printed Name/Signature Date

a. Grader JoHtv fVKOG~ ~~ 9- '3" (i:J

b. Facility Reviewer(*) 'i3~M9Qt~ V<. )' rHjL.I?.~7 /'l - 6{c/i

&[01/0 f

c. NRC Chief Examiner (*)I#/~ ( T{,. ~ fl;!/

d. NRC Supervisor (*) ~ "'" N(;.(I\ se / I 7/S~ ~/l-J/I(J

(") The facility reviewer's signature is not applicable for examinations graded by the NRC; two independent NRC reviews are required.