ML113500280

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Final Qa/Related Forms (Folder 1)
ML113500280
Person / Time
Site: Salem  PSEG icon.png
Issue date: 11/08/2011
From:
Public Service Enterprise Group
To:
Operations Branch I
JACKSON D RGN-I/DRS/OB/610-337-5306
Shared Package
ML110030673 List:
References
TAC U01830
Download: ML113500280 (13)
v • d • e


Text

ES-201 Examination Preparation Checklist Form ES-201-1 Facility: Sa.1e.f'YJ L1i1.t 1s. 1 {Z-Date of Examination: 2ItUZoll Developed by: Written Facility y( NRC *

// Operating - Facility ~NRC ~

Target Chief Date*

Task Description (Reference)

Examiner's Initials

-180 nfirmed (C.1.a; C.2.a and b)

~

-120

2.

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

A..J.L7

-120

3.

Facility contact briefed on security and other requirements (C.2.c)

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-120

4.

Corporate notification letter sent (C.2.d)

~

[-90]

[5. Reference material due (C.1.e; C.3.c; Attachment 3)]

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{-75}

6.

Integrated examination outline(s) due, including Forms ES-201-2, ES-201-3, ES-301-1, ES-301-2, ES-301-5, ES-D-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)}

~

{-45}

8.

Proposed examinations (including written, walk-through JPMs, and scenarios, as applicable), supporting documentation (including Forms ES-301-3, ES-301-4, ES-301-5, ES-301-6, and ES-401-6, and any Form ES-201-3 updates), and reference materials due (C.1.e, f, g and h; C.3.d)

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-30

9.

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

,A._

-14

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

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-14

11. Examination approved by NRC supervisor for facility licensee review (C.2.h; C.3,t)

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-14

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

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-7

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

~

-7

14. Final applications reviewed; 1 or 2 (if >10) applications audited to confirm qualifications I eligibility; and examination approval and waiver letters sent (C.2.i; Attachment 5; ES-202, C.2.e; ES-204)

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-7

15. Proctoring/written exam administration guidelines reviewed with facility licensee (C.3.k)

~

-7 16 Approved scenarios, job performance measures, and questions 1

. distributed to NRC examiners (C.3.i)

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  • 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 II Facility:

Date of Examination:

Sa/~VY\\ Unrl! I(.2 9-/9-11 Initials II Item Task Description a

b*

c#

1

2. Verify that the ouUine(s) fit(s) the appropriate mOdel. in accordance with ES-401.

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[)J h k R

b. Assess whether the outline was systematic ally and randomly prepared in accordance with I

Section 0.1 of ES-401 and whether all Ki A categories are appropriately sampled.

l4 f; l?

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

T T

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d. Assess whether the justifications for deselec ted or rejected KiA statements are appropriate.

N E

AI /J ~

2.

cL Using Form ES-3C1-5. verify that the proposed scenario sets cover the required number of normal evolutions. instrument and com ponent failures. technical specifications, S

and major transients.

  1. b ~

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 schedLlle L

Without compromising exam integrity, and ens ure tnat each applicantcan be testee! using A

at least one new or significantly modifi ed scenario, that no scenarios are duplicated I>> b /t-T from the applicants' audit test(s), and that scenarios will not be repeated on subsequent days.

i 0

c. To the extent possible, assess whether t he outline(s) conform(s) with the qualitative R

and quantitative criteria specified on Form ES-301-4 and described in Appendix O.

l! h IJ,.

3.
a. Verify that the systems walk-through outline meets the criteria specified on Form ES-301-2:

(1) the outliners) contain(s) the required number of control room and in-planllasks W

distributed among the safety func lions as specified on the form I

(2) task repetition from the last two NRC examinat ions is within the limits specified on the fonm T

(3) no tasks are duplicated from the applicants' audit tesl(s)

(4) the number of new or modffied tasks meels or exceeds the minimums specffied on the fonm A-b I~

(S) 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) at least one task is new or significantly modified d b (3) no more than one task is repeated from the last two NRC licensing examinations

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c. Determine if there are enough different outli nes to test the projected number and mix of applicants and ensure that no items are duolicated on subsequent days.

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4.
a. Assess whether plant-specific priorities (including PRA and IPE insights) are covered in the appropriate exam sections.

~ ~..rt:,..

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

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E ~

N r-;

Ensure that KiA importance ratings (except fa r plant-specffic priorili es) are at least 2.5.

t.... b ~

E R

d Check for duplication and overlap among exam sections.

J~ Afl",.

A L I e. Check the entire exam for balance of coverage.

1.> ~

I f.

Assess whether the exam fits the appropriate job level (RO or SRO).

IAt-I?~~

Plnte~ '~Si9Y;;ure Date
a. Author GualJ.. 6~;>'I4 (1.

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(,-/4-11

b. Facility Reviewer (*)

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c. NRC Chief Examiner (#)
  1. ~.J'"e. 'K.4

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d. NRC Supervisor

--S-~_1.,4'.\\1 /-k.",wJ( iTr, /~ _0.

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4%

Note:

  1. Independent NRC reviewer initial items in Co lumn "c"; chief exami ner concurrence required.

Not applicable for NRC-prepared examination outlines ES-201. Page 26 of 28

~a/~()-

0<1.0 I NK<-'

h _____

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

1.

Pre-Examination acknowledqe that I have acquired specialized knowledge about the NRC licensing examinations scheduled for tile week(s) of as of the date

<1//'1 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 kno~tgl'l ~ 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 bv the NRC.

PRINTED NAME JOB TITLE / RESPONSIBILITY DATE SIGNATURE (2)

DATE NOTE 4-hJLu",

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ES-201, Page 27 of 28

Se-rJ~.v() o~-DINeL (x~

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

1.

Pre-Examination I acknowledge that 1 have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of.<'1 I, '1/, I 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 knowled e, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of "I,<I I)

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 If.SIGNATURE (1)

DATE

1. £uIA ~/Jh-ke. A:/mIn St-!I?/?I r I 14-e-U;(~
2. JOJEfU PIEItc;..~

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pder dl o-f 3 ES-201, Page 27 of 28

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

1.

Pre-Examination acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of e;..)'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 10 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 thai 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 t), t'J-t!

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,)iIQministered these licenSing examinations, except as specifically noted below and authorized bv the NRC.

PRINTED NAME JOB TITLE I RESPONSIBILITY DATE DATE NOTE i

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3.

S:o.rl v.I~c:: ~(.....

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5. ___________________________________
6. ___________________________________
7. ___________________________________
8.
9.

1.________________________________________

11.___________________________________

1 NOTES:

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~d* ) I~ 1 ES-201, Page 27 of 28

ES-301 Operating Test Quality Checklist Form ES-301-3 II

('....

I I \\' l l~ ~

Date of Examination: 9 ~ I q~. I I Operating Test Number: oq-( I Initials

1. General Criteria a

b' C#

a.

The operating test conforms with the previously approved outline; changes are consistent with

sampling requirements (e.g" 10 CFR 55.45, operational importance, safety function distribution). ft D ""

b, There is no day-to-day repetition between this and other operating tests to be administered during this examination, A

'is ~

c.

d, The operating test shall not duplicate items from the applicants' audit testes), (see Section D,1,a,)

Overlap with the written examination and between different parts of the operating test is within acceptable limits,

,4.

)1

~ :l B

e, It appears that the operating test will differentiate between competent and less-than-competent applicants at the designated license level.

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2. Walk-Through Criteria

a, Each JPM includes the following, as applicable:

initial conditions initiating cues references and tools, including associated procedures reasonable and validated time limits (average time allowed for completion) and specific deSignation if deemed to be time-critical by the facility licensee t p k

  • operationally important specific performance criteria that include:

detailed expected actions with exact criteria and nomenclature system response and other examiner cues statements describing important observations to be made by the applicant criteria for successful completion of the task identification of critical steps and their associated performance standards restrictions on the sequence of steps, if applicable b,

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

.B 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 J<l-.D
""red&;:"~

Date a,

Author 8-'1-1/

Ge&al&~~I~

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b, Facility Reviewer(')

-tk"""A~I(_~~ ~

si, [.1 c,

NRCChiefExaminer(#) IEter.AJtL.~ /-LlJ..4~ /"\\

d, NRC Supervisor

]),.""WE."~/ tJJ'1d!t:J CJ.

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,fgtll

/

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NOTE:,

The facility signature is not applicable for NRC-developed ~

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Independent NRC reviewer initial items in Column "c"; chief examiner concurrence required, ES-301, Page 24 of 27

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

'HG\\-fI r J.. 3 Date of Exam:

Scenario Numbers:

I

/

Operating Test No.: 0<1-0 I I Faci!it~: :;-aI-lr'hUods I ~ Z 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 it does not cue the operators into expected events.

S.,A

2.

The scenarios consist mostly of related events.

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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 A. 5 the expected operator actions (by shift position)

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the event termination point (if applicable)

4.

No more than one non-mechanistic failure (e.g., pipe break) is incorporated into the scenario M-f3 without a credible preceding incident such as a seismic event

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5.

The events are valid with reqard to physics and thermodynamics.

,d-B.~

6.

Sequencing and timing of events is reasonable, and allows the examination team to obtain 6

complete evaluation results commensurate with the scenario objectives.

4-

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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.

.M islAo-Cues are given.

8.

The simulator modeling is not altered.

4-B ~

9.

The scenarios have been validated. Pursuant to 10 CFR 55A6(d), any open simulator performance deficiencies or deviations from the referenced plant have been evaluated 4 f>

10 ensure that functional fidelity is maintained while running the planned scenarios.

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10.

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

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

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11.

All individual operator competencies can be evaluated, as verified using Form ES-301-6

,J /J (submit the form along with the simulator scenarios).

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12.

Each applicant will be significantly involved in the minimum number of transients and events

,J I; specified on Form E8-301-5 (submit the form with the simulator scenarios).

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13.

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

At I>

I I 81 Target Quantitative Attributes (Per Scenario; See Section D.S.d)

Actual Attributes

1.

Total malfunctions (5-8) lo /7 1 (, tJ

!J fo

2.

Malfunctions after EOP entry (1--2) di 1 i I I

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3.

Abnormal events (2-4)

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4.

Maior transients (1-2)

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5.

EOPs entered/requiring substantive actions (1-2)

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6.

EOP continaencies requiring substantive actions (0-2) 0 I r I I

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7.

Critical tasks (2-3) 3 13 I 3 A /!> ~

ES-301, Page 25 of 27

I ES-301, Rev. 9, Supp. 1 Transient and Event Checklist Form ES-301-5 Facility:

A P

P L

I C

A N

T SRO(U) 1 SRO(I)

SRO (I) 2 SRO{I) 3 Salem Generating Station E

V ESG-1 E

N T

CREW POSITION S

A B

T R

T 0

Y 0

C P

P 1,2,5,8 Date of Exam: 09/19/2011 ESG-2 CREW POSITION S

A B

R T

0 0

C P

3,7 3,7 2,3,7

,8 Operating Test No.: 09-01 NRC Scenarios ESG-3 ESG-4 (Spare-not T

M included in TOTAL) 0 T

N CREW POSITION CREW POSITION A

S A

B S

A B

L M

R T

0 0

0 C

3 2,7 ESG 1,2,3 1--+--.--+---+---__~__1I__-+_-_II_--_+-__4--_II_-+_-_+_---

SRO(I) 4 2,3,7 2,5,7 ESG 1,2,3

,8

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 positiors, including at least two instrument or component (l/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.
  • 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.

ES301 Page 26 of 27 Page 1 of 2

ES-301, Rev. 9, Supp. 1 Transient and Event Checklist Form ES-301-5 Facility:

Salem Gener~lting Station Date of Exam: 09/19/2011 Operating Test No.: 09-01 NRC A

E Scenarios P

V P

E ESG-1 ESG-2 ESG-3 ESG-4 (Spare-not T

M L

N included in TOTAL) 0 I

I T

CREW POSITION CREW POSITION CREW POSITION CREW POSITION T

N C

A N

T T

Y P

S R

0 A

T C

B 0

P S

R 0

A T

C B

0 P

S R

0 A

T C

B 0

P S

R 0

A T

C B

0 P

A L

I M

U M(')

E R

I U

RX 5

3 1 11'" o.

NOR 3

1 1

1 1

1 SRO(I) 5 ESG 1,2,3 IIC MAJ 1,2,5,8 2,3,7, 8

6 2.7 4,6 4

2 lC~~WI

'2.

2 1

!TS 2,3 1,2 L

RX 5

SRO(I)

NOR 3

1 6

ESG 1,2 IIC 1,2,5,8 2,3,7, 8

2 MAJ 4

6 ITS 2,3 RX 5

3 1

0 ROi NOR 3

1 1

1 ESG 1,2,3 IIC 2,6,7 3,7 2,5,7 4

2 i

MAJ 6

4,6 2

1 TS 2

2.

Ir i

I i

I I I

I I

t1

Ll

~strg:~~s~he 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 IIC malfunctions required for the ATC position.

2. Reactivity manipulatons 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.

ES301 Page 26 of 27 Page 2 of 2

ES-301 Competencies Checklist Form ES-301-6 Facility: Salem Date of Examination:

09/19/2011 Operating Test No.: 09-01 NRC APPLICANTS 1

RO-1 0

RO D

RO D

RO D

SRO-I SRO-11 0

SRO-12 0

SRO-13

[{1 SRO-U SRO-U SRO-U SRO-U1 Competencies SCENARIO SCENARIO SCENARIO SCENARIO 1

2 3

4 1

2 3

4 1

2 3

4 1

2 3

4 Interpret/Diagnose Events and Conditions 2,4, 6,7 2,3, 5,6, 7

1,2, 4,6 1,2,4, 5,6,7, 8

2,3, 5,6, 7

1,2, 4,6 1,2, 4,5, 6

2,3, 4,5, 6,7, 2,4,5, 6,7 2,4,6, 7

2,3,4, 5,6,7, 8

2,4,5,6,7 8

Comply With and Use Procedur1es (1) 2,3, 4,6, 7

1,3, 5,6, 7

1,2, 3,6 1,2,3, 4,5,6, 7,8 1,3, 5,6, 7

1,2, 3,6 1,2, 3,4, 5,6, 1,2, 3,4, 5,6, 1,2,3, 4,5,6, 7

2,3,4, 6,7 1,2,3, 4,5,6, 7,8 2,3,4,5,6

,7 8

7,8 Operate Control Boards (2) 2,3, 6,7 1,3, 5,6, 7

1,2, 3.6 1,3, 5,6, 7

1,2, 3,6 1,2, 3,4, 5,8 1,2.

5,6, 7

2,3,6, 7

2,3,5,6,7 Communicate 1,2, 1,2, 1,2, 1,2,3, 1,2, 1,2, 1,2, 1,2, 1,2,3, 1,2,3, 1,2,3, 1,2,3,4,5 and Interact 3,4, 6,7 3,6, 7

3,4, 6

4,5,6, 7,8 3,6, 7

3,4, 6

3,4, 5,8 3,4, 5,6, 4,5,6, 7

4,6,7 4,5,6, 7,8

,6,7 7,8 Demonstrate 1,2,3, 1,2,3.

1,2,3, Supervisory Ability (3) 4,5,6, 7,8 4,6,7 4,5,6, 7,8 Comply With and 1,2 1,2 2,3 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.

Page 1 of 2

ES*301 Competencies Checklist Form ES*301*6 Facility: Salem Date of Examination:

09/19/2011 Operating Test No.: 09-01 NRC APPLICANTS RO-1 RO i RO

[J RO SRO-14 0

SRO-15 0

SRO*16 0

SRO-I SRO-U SRO-U D

SRO*U SRO-U1 0

Competencies SCENARIO SCENARIO SCENARIO SCENARIO 1

2 3

4 1

2 3

4 1

2 3

4 1

2 3

4 1.2, 2,3, 2,4, 1,2,4, 2,3, 2,4, 1,2, 2,3, 1,2,4, 2,3,5, I nterpretiDiagnose 4,5, 4,5, 5,6, 5,6 4,5, 5,6, 4,5, 4,5,

! 5,6,7, 6,7 Events and Conditions 6,7, 6,7, 7

6,7, 7

6 6,7, 8

8 8

8 8

' 1,2, 1.2, 2,3, 1,2,3, 1,2, 1,2, 1,2, 1,2, 1,2,3, 1,3,5, Comply With and 3,4, 3,4, 4,5, 4,5,6, 3,4, 3,4, 3,4, 3,4, 4,5,6, 6,7 Use Procedures (1)

I 5,6, 5,6, 6,7 8

5,6, 5,6, 5,6, 5,6, 7,8 7,8 7,8 7,8 7

8 7,8 '

1,2, 2,3, 1,2,3, 1,2, L,3,5, Operate Control 5,6, 5,6, 4,5,8 3,4, 6,7 Boards (2) 7 7

5.8 1,2, 1,2, 1,2, 1,2,3, 1,2, 1,2, 1,2, 1,2, 1.2,3.

1,2,3.

Communicate 3,4.

3,4.

3,4.

i 4,5,8 3,4, 3,4, 3,4, 3,4,

, 4,5,6, 6,7 and Interact 5,6, 5,6, 5,6, 5,6, 5,6, 5,8 5,6, 7,8 7,8 7,8 7

7,8 7

7,8 1,2, 1,2, 1,2, 1,2,

!' 1,2,3, Demonstrate 3,4, 3,4.

3,4, 3,4, 4,5,6, Supervisory Ability (3) 5,6, 5,6, 6,7 5,6, 7,8 7,8 7,8 7,8 1,2 2,3 1,2 2,3 1,2 Comply With and 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.

Page 2 of 2

ES*401 Written Examination Quality Checklist Form ES*401*6 II F:acility':

Salem Generating Station Date of Exam: 9/26111 Exam Level: RO [2g SRO ~

Initial c#

Item Description a

b*

1.

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

A 6 Jfp

2.
a.

NRC KlAs are referenced for all questions.

b.

Facility leaming objectives are referenced as available.

/!; 6 ~

3.

SRO questions are appropriate in accordance with Section D.2.d of ES-401 fr.

1> ~

4.

The sampliMg process was random and systematic (If more than 4 RO or 2 SRO questions were

,rJ..

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 (ch~k the item that applies) and appears appropriate:

£ the audit exam was systematically and randomly developed; or b

__ the audit exam was completed before the license exam was started; or J

~

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 1SRO-only 48%/32%

3%18%

49%/60%

b question distribution{s) at right.

7.

Between 50 and 60 percent of the questions on the RO Memory CIA exam are written at the comprehension/ analysis level; the SRO exam may exceed 60 percent if the randomly 44%/48%

56%/52%

selected KlAs support the higher cognitive levels; enter the actual RO I SRO question distribution{s) at right.

8.

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

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.

i

10.

Question psychometric quality and format meet the guidelines in ES Appendix B.

11.

The exam contains the required number of one-point, multiple choice items; the total is correct a

with the value on the cover sheet.

Date

a. Author q tz.-I,
b. Facility Reviewer (*)

Y*.J'J*iI

c. NRC Chief Examiner (#)

rt-,zz.I/

d. NRC Regional Supervisor f04z,..l~

(/

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.

I ES-403 Written Examination Grading Form ES-403-1 Quality Checklist IF T aClltv: SQt

\\'Y\\

Date of Exam: q/JtJ 11 Exam Level: RO=:?SRu.:("11 I

Item Description

1.

Clean answer sheets copied before arading 2

Answer key changes and question deletions justified 1

and documented

3.

Applicants' scores checked for addition errors (reviewers spot check> 25% of examinations)

I 4.

Grading for all borderline cases (80 +/-2% overall and 70 or 80, as applicable, +/-4% on the SRO-only) reviewed in detail 5,

Ali other failing examinations checked to ensure that grades are justified I

I

! 6.

Peliormance on missed questions checked for training I

deficiencies and wording probiems; evaluate vaiidity

,I I

of questions missed by half or more of the aDplicants I

I I I a. Grader

b. Facility Reviewer(*)
c. NRC Chief Examiner (*)

I NRC Supervisor (*)

I d.

I Printed Name/Signature

(';.,.oI.d haJ;'5.)).~Jaut1CJ J"~,,, Lar"!'/; I ~~

~dslL.K 9':eiIJ... IA.. fJ...

~----

A6rg~uitfip<fk~

J'

{UP, 1),""#1;) e..J-tK.t....d-.~___

I Initials a

b c

A t ~

t7 ll-

<~ ~ ~

'/J- !l

1- £~ I

~

'~

I;l ~ ~

/J lr

~

Date

'1-l9-if I o-i(- /I IT~

/<L~.

~1'{'1 _.

, (*)

The facility reviewer's signature is not applicable for examinations graded by the NRC:

two Independent NRC reviews are reqUIred.

ES-403, Page 6 of 6

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