ML112490390

From kanterella
Jump to navigation Jump to search

Final Qa/Related Forms (Folder 1)
ML112490390
Person / Time
Site: Millstone Dominion icon.png
Issue date: 07/22/2011
From:
NRC Region 1
To:
Dominion Resources
JACKSON D RGN-I/DRS/OB/610-337-5306
Shared Package
ML11030662 List:
References
TAC U01832, 50-423/11-302 50-423/11-302
Download: ML112490390 (13)


Text

ES-201 Examination Preparation Checkllist Form ES-201-1 Facility: f\;Il~~-e. 3 Date of Examination: "I!t- rgL" I

Developed by: Written - Facility ~RC 0 /I Operating - Facili~{ ~NRC 0 Target Chief Date* Task Description (Reference) Examiner's Initials

-180 1. Examination administration date confirmed (C.1.a; G.2.a and b) 01

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

~

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

-120 4. Corporate notification letter sent (C.2.d) DtJ2

[-90] [S. Reference material due (C.1.e; C.3.c; Attachment 3)] J;J

~

{-7S} 6. Integrated examination outline(s) due, including Forms ES*-201-2, ES-201-3, ES-301-1, ES-301-2, ES-301-S, ES-D-1's, ES-401-1/2, ES-401-3, and ES-401-4, as applicable (C.1.e and f; C.3.d)

{-70} {7. Examination outline(s) reviewed by NRC and feedback provided to facility licensee (C.2.h; C.3.e)} ~

{-4S} 8. Proposed examinations (including written, walk-through ,JPMs, and scenarios, as applicable), supporting documentation (including Forms ES-301-3, ES-301-4, ES-301-S, ES-301-6, and ES-401-lo, and any Form ES-201-3 updates), and reference materials due (C.1.e, f, g and h; C.3.d) Ud

-30 9. Preliminary license applications (NRC Form 398's) due (C.1.1; C.2.g; ES-202) ~

~

-14 10. Final license applications due and Form ES-201-4 prepared (C.1.1; C.2.i; ES-202)

-14 11. Examination approved by NRC supervisor for facility licensee review (C.2.h; C.3.f) ~

-14 12. Examinations reviewed with facility licensee (C.1.j; C.2.f and h; C.3.g) ~4

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

W

-7 14. Final applications reviewed; 1 or 2 (if >10) applications audited to confirm qualifications / eligibility; and examination approval and waiver letters sent (C.2.i; Attachment S; ES-202, C.2.e; ES-204) lftL

-7 1S. Proctoring/written exam administration guidelines reviewed with facility licensee (C.3.k) lfJ

-7 16. Approved scenarios, job performance measures, and questions distributed to NRC examiners (C.3.i) ck1

  • Target dates are generally based on facility-prepared examinations and 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] {Does not apply} to examinations prepared by the NRC.

ES-201, Page 25 of 28

ES-201 Examination Outline Quality Checklist Form ES-201-2 Facility / M* , 'Ill "t"'VI ,,3

.;> ...... Date of Examination'J:. Iy ) Hi/ toll Initials Item Task Description a b' c#

1. a. Verify that the outline(s) fil(s) the appropriate model. in accordance with ES-401.

W R b. Assess whether the outline was systematically and randomly prepared in accordance with I Section 0.1 of ES-401 and whether all KIA categories are appropriately sampled.

T c Assess whether the outline over-emphasizes any systems, evolutions, or generic topics.

T E

d. Assess whether the justifications for deselected or rejected KIA stalements are appropriate.

N

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.

S and major transients.

I M b. Assess whether there are enough scenario sets (and spares) to test the projected number U and mix of applicants in accordance with the expected crew composition and rotation schedule L without compromising exam integrity, and ensure that each applicant can be tested using A at least one new or significantly modified scenario. that no scenarios are duplicated T from the applicants' audit testIs). and that scenarios will not be repeated on subsequent days.

o c. To the extent possible. assess whether the oulline(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 oulline(s) contain(s) the required number of control room and in-plant tasks W distributed among the safety functions as specified on the form 1 (2) task repetition from the lasl two NRC examinations is within the limits specified on the form T (3) no tasks are duplicated from the applicants' audit testIs)

(4) the number of new or modified tasks meets or exceeds the minimums specified on the form (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 I.;~ 1" (2) alleast one task is new or significantly modified ~' \ljJ.

(3) no more than one task is repeated from the last two NRC IicensinR examinations

c. Determine if there are enough different outlines to test the projected number and mix /\,..J ~' 11 of applicants and ensure that no items are duplicated on subsequenl;,..d::,:a""y,-,s,:..'_ _ _ _ _ _ _--1f-'T_--ti1.-,JIJ"t-..,~_il
4. a. Assess whether plant-specific priorities (including PRA and IPE insights) are covered in the <lQ2fopriate exam sections.

£~:r-V' bY."~

G E

b. Assess whether the 10 CFR 55.41/43 and 55.45 sampling is appropriate.

I-L~~~~rr-il

/f'- i¥ Ill.

N c Ensure that KIA importance ratings (except for plant-specific priorities) are atleasl 2.5. .Il. II'-! ~

E

d. Check for duplication and overlap among exam sections.

R A e. Check the enlire exam for balance of coverage.

l

f. Assess whether the exam fits the appropriate job level (RO or SRO).
a. Author b Facility Reviewer n Note: # Independent NRC reviewer initial items in Column "c-; chief examiner concurrence required.
  • Not applicable lOt' NRC-prepared examination outlines l SQ-,\F-v' ,tvpl;cJ,o" >I\I'.rh av(.LI- t{:.J .f't, b~ C,..;>,jvIIIIJ) ~

~f,}.VL"'j N/l.. C G)(",_ A"t~o .. .> ,j"l-l£.J- A".9:\ 'te~jl s;aV'u...V','<::>.s/5P Mi ,

E5-20 1, Page 26 of 28

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

1. Pre-Examination iV\ \ lls\v~ .3 lOU NR..C. \V\,h*.J (l,f Pjvt.<,(e. L-,."'O"(..ie £'x*" ......

I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of Xlv 11,1&,2.'" 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 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

, 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 did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) Of~ 18 1/1. From the date that I entered into this security agreement until the completion of examination administration, I did not instruct. evaluate. or pro~de '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 DATE NOTE pL-1~'----"--;--f---i=;;;=~-'-:'-:'-I------- -~7\-~"""--::...---:-""'--- ~ :z/MzL"

--""-'~~--"'7'~-t.,r.=~~'-'...!..l""-'-- ---"-:;;-~~---;;;;iJL7F-..).--- /I~h

'/?6///

~;

..2L'Z /

filii

'-""'"~~~~r----:;-- =~~-7==---:=':"':'-':'-=-;---'-=-'7==-- =~~~~~~~~:~~=::===== u.J.i/u 4-/ If

~1!

1-IT-If "m

-u.J~----fJF~=----:=--- '11.l" "l/ ~~

~P-c-t-lo6-~'ih-t~'-i+-- -'..>.;LJ::~I.!..l<-~7LL~'------ ----"~~="""-"'>=,]___-..I-""""'-- ¥!it',.

. ~ifl .b

- 7-2. (-11

zJ;ElJ-J

.~,~~~~~_~ ~ "f&tlti

--":'-T~~~,,--+-'---c;;-- ~p. !Io!. -f. ,'*~"- '- "'-~" ":! -'-'-'- -'-;:- :- -~~~~~~~--~: JJil2 ,~'1;~ '-'-L

",¥--'oLL.___ ~C=U-+~-'-"-_ ---=..;;.t,.~~~~~"""""'-- -7f'4- F".,.. ::r.~ t. lLJ:,!Ac. \

N o.te.. I.' :rJ( 5.1-t'" r u.. i ~ I'I-;?t -+ fI\; lJ.do,....c/... - HI/. c'po'! P..,... V"';' It~ ..... { .,-U k.t. J;£ .....,/- ;"'I\...... J wJv~

I /

c '"' (J_v,*.;!\-t rl fJ-e1;f"v"1~,\<JI... kJJbo.cJ ~ k "'ff':~. r\'d e~'1 If' ~11t>lM i- thl'> $:.PC v.,: ~ "1V'-t.(.~.

f~ ( ()( 1

ES-201 Form ES-201-3

1. Pre-Examination / L f f1:5f:... L)laAAI\

18 I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) oUt% ~j()f/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 en ~thorized 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 diQ not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered n

during the week(s) of IIi' "iI/from the date that I entered into this security agreement until the completion of examination administration, I did not evaluate, or provtde' performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC.

PRINTED NAME SIGNATURE (1) DATE SIGNATURE (2) DATE NOTE

~zJttgr , t1
*,~c.",tJ:3/' N.k 2
3. 5+ v \ 0 r+' I If ~ l.Q/ f 4 9~&.LL /I- 14:.~".f ttt( C 13/1( "ff'7 ~ ~~I
5. 1<12/1<1 tj",Je.cwc>od z-r;;;r;, 7lidit
6. --,r.:r~. yv\V\ ~, ~'-2..~

7 . ..D<<......1 ~ ~t It.

8. :rill/hi <:::. ~lJtJK' 11J " 7 j., IFL
9. t\\\,\tlir~ .l S~ll . L:.
10. '~'- (,...'-"
11. Te{f V~.?u~

~2./IPI"1- WI~N~:V 1

-:L!=

~j

~~

{,

1 NOTES:

N v +e 2: (L"",,~( I( C"ne.# ~! ~t J- M ,*\IJfv.-e . f-k c,.." {iv~ 1/;(.. e.-1.v~1 -ttJJ It. £il' J ...,./- i dtvvvt W~"J.tI I

Or fV1l v/k fY-L-lo v ~c..t U 6".1 -.};;.~ CY f ,; ~ H\"} ~ I i'r ff rAvLJ ivI;. fh.) P. ~;"~ ":J vvtJI.-v1.

f"y- 2 or 2-

Robert S Royce (Generation. 4)

From: Jeff Spence (Generation - 6)

Sent: Tuesday, August 09,2011 7:15 AM To: Robert S Royce (Generation - 4)

Subject:

RE: NRC Exam Security Agreement

Bob, I you did not instruct, evaluate, or provide performance feedback to the Millstone 3 LOIT applicants after signing onto the Exam Security Agreement. If you PDF the security agreement I can sign off and PDF back to you.

I Jeff From: Robert S Royce (Generation - 4)

Sent: Monday, August 08, 2011 1:35 PM To: Jeff Spence (Generation - 6)

Subject:

FW: NRC Exam Security Agreement Hi Jeff; I just returned from vacation, and don't have a record of you replying back on this. Please reply to confirm that you did not instruct, evaluate, or provide performance feedback to the Millstone 3 WIT applicants after signing onto the Exam Security Agreement.

Thanks!

Bob From: Robert S Royce (Generation - 4)

Sent: ThursdaYt July 28, 2011 2:12 PM To: Jeff Spence (Generation - 6)

Subject:

NRC Exam Security Agreement Hi Jeff; Our exam has been completed, and we are in the process of getting our NRC Exam Security Agreement Signed off. You are signed onto the agreement.

Please review the post exam portion of NRC Exam Security Agreement Form ES-201-3, and reply to this email to confirm that you did not instruct, evaluate, or provide performance feedback to the applicants.

Thanks!

Bob Royce 1

Robert S Royce (Generation - 4)

From: Randall Garrett (Generation - 3)

Sent: Thursday, July28, 201111:16 PM To: Robert S Royce (Generation - 4)

Subject:

RE: Millstone 3 NRC Exam Security Agreement Attachments: Randall Garrett ES-201-3.pdf

2. Post-Examination To the best of my knowledge, I , Randall Garrett, did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered at Millstone 3. 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.

Randall Garrett Senior Instructor (Nuclear Operations)

North Anna Power Station Randall. Garrett@dom.com (540)894-2460 From: Robert 5 Royce (Generation - 4)

Sent: Thursday, July 28,2011 2:13 PM To: Randall Garrett (Generation - 3)

Subject:

Millstone 3 !\IRC Exam Security Agreement Hi Randall; Our exam has been completed, and we are in the process of getting our NRC Exam Security Agreement signed off. You are signed onto the agreement.

Please review the post exam portion of NRC Exam Security Agreement Form E5-201-3, and reply to this email to confirm that you did not instruct, evaluate, or provide performance feedback to the applicants.

Thanks!

Bob Royce 1

ES-301 Operating Test Quality Checklist Form ES-301-3 Date of Examination: fl

1. General Criteria a.

b There is no day-to-day repetition between this and other operating tests to be administered durin this examination.

c. licate items from the a licants' audit test s. see Section D.1 ,a,
d. Overlap with the written examination and between different parts of the operating test is within acce table limits
e. It appears that the operating test will differentiate between competent and less-than-competent a licants at the desi nated license level.
2. Walk-Throu h 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 01 critical steps and their associated performance standards restrictions on the se uence of ste s. if a licable b, Ensure that any changes from the previously approved systems and administrative walk-through outlines (Fomls 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 co is attached.

Oate

a. Author
b. Facility Reviewer(*)
c. NRC Chief Examiner (#)
d. NRC Supervisor S=..!!:Ot~""=::--L-=-':=:::~c.....:.-!..--/-_.....-~-=",,-*..-!!!:-~_-~

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

  1. Inde en dent NRC reviewer initial items in Column "c"; chief examin~lcurrence re uired.

ES-301, Page 24 of 27

ES-301 Simulator Scenario Quality Checklist Form ES-301-4 Facility: I'1' Date of Exam1id Scenario Numbers: I 1;/ iJJ JOperating Test No.: J..K IC QUALITATIVE ATTRIBUTES Initials a b* c#

1. The initial conditions are realistic, in that some equipment and/or instrumentation may be out of service, but il does not cue the operators into expected events.
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 symptoms/cues Ihat 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 :nto the scenario without a credible preceding incident such as a seismic event.
5. The events are valid with regard to physics and thermodynamics.
6. Sequencing and timing of events is reasonable. and allows the examination team to oblain complete evaluation results commensurate with the scenario objectives.
7. If lime 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

8. The simulator modeling is not altered.
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 runninQ the planned scenarios.
10. Every operator will be evaluated using at least one new or significantly modi"ied scenario.

All other scenarios have been altered in accordance with Section 0.5 of ES-301.

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

~ fJV'6il 12.

---~~

Each applicant will be significantly involved in the minimum number of transients and events (J(L.I 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. 1"1'1 ~

Tar~et Quantitative Attributes (Per Scenario; See Section D.5.d) Actual Attributes -- rT 1.

Total malfunctions (5-8) .: /1: ,1}7,1,: rf'~ I.~t

2. Malfunctions after EOP entry ( 1 - 2 ) . , ., .., T' WQ:J
3. Abnormal events (2-4) 5 I " l:.j i 3 1-- rf/JA \,b>
4. Maior transients (1-2)  ;;t I A. 1#1 IA ~
5. EOPs entered/requirinq substantive actions /1-2) 2. / 3 /..2 / J. 'f
6. EOP contingencies requiring substantive actions (0-2) I / I '~/' 7
7. Critical tasks (2-3) I I t/ 1')./3 ES-301, Page 25 of 27

ES-301 Transient and Event Checklist Form ES-301-5 Iacilitv: Millstone 3 Date of Exam: 7/11 - 7/15/11 OperatingTest No.: 2K11 A E Scenarios (rev 2) page 1 of 2 P V 1 2 3 (spare) 4 T M P E 0 I I

L N CREW CREW CREW CREW T N I T POSITION POSITION POSITION POSITION A I C L M A T U N Y S A B S A B S A EI S A B M(*)

T P R T 0 R T 0 R T 0 R T 0 E 0 C P 0 C P 0 C P 0 C P R I U I

RO RX 4 3 3 1 1 1 0 1,2 0

SRO-I NOR 2,5, 3

2,6 1,2, 2,4, 3

1,7 1

4,5, 2 1 1 1 IIC 9 4 4 2 8 4,6, 6,8 6, 9 7,8 0 . MAJ SRO-U

  • TS 6,9 4,8 5,9 2,4 5,9 5,9 7 5 2 2 1 0 2 2 n

RO RX 3 1 2 1 1 0 0

SRO*I NOR 4 3,5, 1,2, 3,5, 1 1 1 1 IIC 12 4 4 2 1,3 7 5,6, 8, 7 10 0 MAJ 6,9 4,8 I

7 5 2 .2 1 SRO-U tIL . 1,2, I 3 0 2 2 n

RO RX 4 3

3 2 1 1 0

SRO*I NOR i 2,3, 1,5, 0 1 1 1 IIC 8 4 4 2 2,4 5,7, 7 8 i rxl SRO-U MAJ 6,9 1,2, 4,8 4 2 2 1 TS 3 0 2 2 5

In ES-301, Page 26 of27

Transient and Event Checklist Form ES-301-5 Facility: Millstone 3 Date of Exam: 7/11 - 7/15/11 Operating Test No.: 2K11 A E Scenarios (rev 2) page 2 of2 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 C L M A T U N Y S A B S A B S A B S A B M(*)

T P R T 0 R T 0 R T 0 R T 0 E 0 C P 0 C P 0 C P 0 C P IR I U RO RX 1 1 1 1 0 D

SRO-I NOR 3,4, 0 1 1 1 IIC 7 4 4 2 5,6, 8,9, 10 D

SRO-U MAJ 7

2,3, 1 2 2 1 TS 3 0 2 2 1,2 4

!xl I 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 mList serve in both the SRO and the ATC positions, including at least two instrument or component (lIe) 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 ATe position.

2. Reactivity manipulations may be conducted under normal or control/ed 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 requirement specified for the applicant's license level in the ri~)ht-hand columns.

ES-301, Page 26 of27

I ES-301 Competencies Checklist Form ES-301-6 I

~,<

Facility: Millstone 3 Date of Examination: 7/11 - 7/15/11 Operating Test No.: 2K11 APPLICANTS page 1 of 1 Rev 1 I

RO 1,2 RO D RO D RO D SRO-I D SRO-I 1,3

[KJ SRO-I 2,4 SRO-U 1,2 SRO-U D SRO-U SRO-U SRO-U Competencies  ! SCENARIO SCENARIO SCENARIO SCENARIO 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 ATC BOP BOP BOP SRO ATC SRO ATC SRO 2,6, 2,4, 4,6, 3,4, 3,4, 2,2., 4,6, 1,5, 2,5, InterpreUDiagnose 8 6 9 5,7, 6,8 4,5, £1 7 7, Events and Conditions 9 8, 10 10 Comply With and 2,4, 5,6, 2,3, 6,8 4,5, 6,7, 3,

5" i: 1 1,2, 3,4, 1,3, 4,5 f 2,3, 4,5, 1,3, 4,5, 1,2, 3,4, Use Procedures (1)  ! 8,9 9 9 6,8 7,8, 6,9 7, 8 5,6, 10 7, 10 2,4, 2,3, 4,5, 3,4, 1,3, 1,3, Operate Control 5,6, 6,8 6,7, 5,7, 4,5, 4,5, Boards (2) 8,9 9 9 7,8, 7, 8 10 2,4, 2,3, 1,4, 3,4, 1,2, 1,3, 1,2, 1,3, 1,2, Communicate 5,6, 6,8 5,6, 5,7, 3,4, 4,5, 3'1 4 , 4,5, 3,4, and Interact 8,9 7, 9 9 5,6, 7, B, E;,6, 7,8 5,6, 7,8 10 9 7, 10 1,2, 1,2, 1,2, Demonstrate 3,4, 3,4, 3,4, Supervisory Ability (3) 5,6, e,6, 5,6, 7, 8 9 7, 10 1,2, 1,2, 2,3, Comply With and 3 e 4 Use Tech. Specs. (3)

Notes:

(1 ) Includes Technical Specification compliance for an RO.

~~~

Optional for an SRO-U.

Only applicable to SROs.

Instructions:

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

ES-301, Page 27 of27

/

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

, :l\.d'o~ 3 Date of Exam:  ::Tv I y IS) II Exam Level: R~* .::..1

/

Initial Item Description a b' c'

1. Questions and answers are technically accurate and applicable to the facility. f( ~ $L

~"loL

2. a. NRC K/As are referenced for all questions.
b. Facility learning objectives are referenced as available.
3. SRO questions are appropriate in accordance with Section D.2.d of ES-40'1 I
4. The sampling process was random and systematic (If more than 4 RO or 2 SRO questions were repeated from the last 2 NRC licensing exams, consult the NRR OL program office).
5. Question duplication from the license 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

~e audit exam was completed before the license exam was started; or

/l.. ~

_ 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 new or modified); enter the actual RO I SRO-only Question distribution{s) at right. 35'15 l. , I 391 't /l tfA )

7. Between 50 and 60 percent of the questions on the RO Memory CIA exam are written at the comprehensionl analysis level; MJ J2' 4 '1)'2.\ I- $f}1 the SRO exam may exceed 60 percent if the randomly selected KlAs support the higher cognitive levels; enter the actual RO 1SRO Question distribution(s) at right

/. ~ ~

8. References/handouts provided do not give away answers or aid in the elimination of distractors.

t< ~

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.
10. Question psychometric quality and format meet the guidelines in ES Appen::lix B. I- I'RSIA- tt
11. 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.
( 11ft UJ.

R.~ ~ey;ri7L:::e'7n;~ ~

Date I'

a. Author
b. Facility Reviewer (*) L01<.' AILf:.AS~L/::r&....J( 1. s..Lt..rn.&:>
c. NRC Chief Examiner (#) .fN. .,~J. .s; IK S'~.Vi HanS-/1I / ~C

/_~/ kJIA /7"1

.It -flVJ JJ V

7 "

d. NRC Regional Supervisor

- /V U

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-401, Page 29 of 33

ES-403 Written Examination Grading Form ES-403-1 Quality Checklist Facility: f'\ ~ \lct-o r£..-> Date of Exam: 7 /,g III I

Exam Level: ROi/sROI / '

Initials Item Description a b c

1. Clean answer sheets copied before grading e. ~ m
2. Answer key changes and question deletions justified and documented NA tJ/A Mf
3. Applicants' scores checked for addition errors (reviewers spot check> 25% of examinations) f<. tp ~
4. Grading for all borderline cases (80 +/-2% overall and 70 or 80, as applicable, +/-4% on the SRO-only) reviewed in detail i( tfJA ~
5. All other failing examinations checked to ensure that grades are justified << ~ .0

~ VJ)

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-Printed Name/Signature Date
a. Grader R., 1", ~ f<<lY<-"--/~ ~f!J#-
b. Facility Reviewer(*) Lo(1.; ~ $7tLIrIJr.{Wk, a :!l~
c. NRC Chief Examiner (*) DIl"l'ri 3;lk /.g:;; ~~  :!L 2t {J(
d. NRC Supervisor (*) S~ ~ ;£ ~~/fkiJ2A;;pll 7/(,,1/"

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

I ES-403, Page 6 of 6