ML18351A099

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2018-10-Public Forms
ML18351A099
Person / Time
Site: South Texas  
Issue date: 11/07/2018
From: Vincent Gaddy
Operations Branch IV
To:
South Texas
References
50-498/18-10, 50-499/18-10 50-498/OL-18, 50-499/OL-18
Download: ML18351A099 (18)
v • d • e


Text

EXAM ASSIGNMENT TICKLER Chief:

John Kirkland Facility:

STP 11/7/2018 U/I:

Start of Op Test:

10/22/2018 11/2/2018 Due Date Date Complete Initials 2/24/2018 01/11/2018 3/26/2018 01/11/2018 3/26/2018 01/11/2018 3/26/2018 N/A 3/26/2018 01/29/2018 4/10/2018 01/11/2018 5/25/2018 05/28/2018 6/8/2018 06/01/2018 8/8/2018 08/08/2018 8/15/2018 08/17/2018 9/2/2018 08/20/2018 9/17/2018 08/21/2018 9/17/2018 08/21/2018 9/22/2018 09/24/2018 9/17/2018 09/17/2018 9/29/2018 09/25/2018 10/8/2018 10/04/2018 10/15/2018 10/10/2018 10/15/2018 N/A 10/15/2018 10/10/2018 10/15/2018 09/21/2018 10/15/2018 10/10/2018 10/22/2018 10/22/2018 11/9/2018 11/02/2018 11/27/2018 11/16/2018 12/4/2018 11/19/2018 12/4/2018 11/19/2018 12/11/2018 11/19/2018 12/18/2018 12/03/2018 1/1/2019 N/A 1/1/2019 12/06/2018 1/1/2019 12/06/2018 1/8/2019 12/14/2018 1/15/2019 12/17/2018 1/22/2019 N/A Replaces NUREG-1021, Revision 11, Forms ES-201-1 and ES-501-1 Post exam operating test comments reviewed and ES-303-1 updated Signed ES 303's to BC produced by CE License/Denial letters mailed; Facility notified of results SUNSI checklist complete and exam docs to ADAMS SUNSI checklist to LA Ref Mat'l Returned after Final Resolution of Appeals Examination Report Issued Branch Chief review of exam results completed Approved scenarios and JPMs distributed to examiners Examiner's document op test results on ES 303's Final applications reviewed and audited; exam approval and waiver/excusal letters sent LA produces / BC signs Exam Approval Letter (ES-201 Att-5)

RPS/IP number of examinees updated print Report-21 Waivers/deferrals reviewed for impact on licensing decision Post exam written comments reviewed and incorporated and NRC grading completed Chief examiner review of operating test and/or written exam grading completed Administer Operating Test Document review on ES-401-9 Preliminary license applications & waiver/excusal requests due NRC Forms 398/396 Feedback approved by Branch Chief Examination review results discussed between NRC and facility licensee On-site validation & 10% audit of license applications Final license applications & waiver/excusal requests due ES-201-4 prepared by LA Proctoring/written exam administration guidelines reviewed with facility licensee Date of Written Exam:

Description Notes Examination administration date confirmed For NRC prepared exams, arrangements made for the facility to submit reference materials End of Op Test:

Written Exam Developed By: NRC / Facility Operating Test Developed By: NRC / Facility NRC examiners and facility contact assigned Facility contact briefed on security and other requirements Operating test outline(s) and other checklists due ES-201-2, 201-3, 301-1, 301-2, 301-5, D-1 Reference material due for NRC prepared exams ES-201 Att-3 Corporate Notification Letter sent ES-201 Att-4 produced by CE Post exam comments and graded exams received ES-403-1 to BC NRC developed written examination outline sent to facility contact ES-401-1/2 and ES-401-3 Preliminary license applications and waivers reviewed Request facility licensee management feedback on the exam Operating test outline(s) reviewed by NRC and feedback provided to facility licensee ES-201-2 signed by CE & BC Peer review of written exam complete Document review on ES-401-9 Proposed exams, outlines, supporting documentation, and reference materials due.

Exams prepared by the NRC are approved by BC and forwarded for facility licensee review Written exam and operating test reviews completed Written exams and operating tests approved by Branch Chief

ES-201 Examination Outline Quality Checklist Form ES-201-2 Facility: STPNOC Date of Examination: 10-22-2018 Item

1.

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L Task Description

a.

Verify that the outline(s) fit(s) the appropriate model, in accordance with ES-401 or ES-401 N.

b.

Assess whether the outline was systematically and randomly prepared in accordance with Section D.1 of ES-401 or ES-401 N and whether all KIA categories are appropriately sampled.

c. Assess whether the outline over-emphasizes any systems, evolutions, or generic topics.
d. Assess whether the justifications for deselected or rejected KIA statements are appropriate.
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, and major transients.

b.

Assess whether there are enough scenario sets (and spares) to test the projected number

.and mix of applicants in acco.rdance with the expected crew composition and rotation. schedule without compromising exam integrity, and ensure that each applicant can be tested using at least one new or significantly modified scenario, that no scenarios are duplicated from the applicants' audit test(s), and that scenarios will not be repeated on subsequent days.

c. To the extent possible, assess whether the outline(s) conform(s) with the qualitative and quantitative criteria specified on Form ES-301-4 and described in Appendix D and in Section D.5, "Specific Instructions for the 'Simulator Operating Test,'" of ES-301 (including overlap).
a. Verify that the systems walk-through outline meets the criteria specified on Form ES-301-2:

(1)

The outline(s) contains the required number of control room and in-plant tasks distributed among the safety functions as specified on the form (2)

Task repetition from the last two NRC examinations is within the limits specified on the form (3)

No tasks are duplicated from the applicants' audit test(s)

(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 radiologically controlled area tasks meets 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 (3)

No more than one task is repeated from the last two NRC licensing examinations

c.

Determine if there are enough different outlines to test the projected number and mix of applicants and ensure that no items are duplicated on subsequent days.

a. Assess whether plant-specific priorities (including probabilistic risk assessment and individual plant examination insights) are covered in the appropriate exam sections.
b. Assess whether the 10 CFR 55.41/43 and 55.45 sampling is appropriate.
c.

Ensure that KIA importance ratings (except for plant-specific priorities) are at least 2.5.

d. Check for duplication and overlap among exam sections and the last two NRC exams.
e. Check the entire exam for balance of coverage.
f.

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

a. Author
b. Facility Reviewer(*)
c. NRC Chief Examiner (#)
d. NRC Supervisor
  • Not applicable for NRG-prepared examination outlines.
  1. The Independent NRC reviewer initials items in Column "c"; chief examiner's concurrence required.

Initials Date S: 17-lf s-z1-r£ -~

ES-401 Written Examination Quality Checklist Form ES-401-6 Facility: STPNOC Date of Exam: 11-07-2018 Exam Level: RO

  • Initial Item Descri tion a

b*

c#

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

2.
a. NRG K/As are referenced for all questions.
b. Facility learning objectives are referenced as available.
c. Correct answer explanation and distractor analysis provided (ES-401, D.2.g)
3.

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

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4.

The sampling process was random and systematic (If more than four RO or two SRO questions were repeated from the last 2 NRG licensing exams, consult the NRR/NRO OL

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program office).. ~ RI!) ;- ~ ~ f?O e.e.. /.Of;l.'J.. (}lit tt'" ~ sa -, c,,

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5.
6.

Question duplication from the license screening/audit exam was controlled as injcated below (check the item that applies) and appears appropriate.

__0he audit exam was systematically and randomly developed. or

_ the audit exam was completed before the license exam was started, or

_ the examinations were developed independently, or

_ the licensee certifies that there is no duplication, or

_ other (explain)

Bank use meets limits (no more than 75 percent from the bank, at least 1 O % new, and the rest new or modified); enter the actual RO/ SRO-only question distribution(s) at right.

Bank Modified

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'1 I I New

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7.

Between 38 and 45 questions of the questions on the RO exam and at least 13 questions on the SRO-only portion of the exam are written at the comprehension/analysis level (see ES-401, D.2.c);

enter the actual RO/SRO question distribution(s) at right.

Memory C/A

8.
9.
10.
11.
a. Author References/handouts provided do not give away answers or aid in the elimination of distractors.

3'-1 I 1

'l l 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 quality and format meet the guidelines in Appendix B.

The exam contains the required number of one-point, multiple choice items; the total is correct and agrees with the value on the cover sheet.

Printed Name I Signature

b. Facility Reviewer(*)
c. NRG Chief Examiner(#)

I f'?

Note:

  • The facility reviewer's initials/signature are not applicable for NRG-developed examinations.
  1. Independent NRC reviewer initial items in Column "c"; chief examiner concurrence required.

Date

ES-301 Operating Test Quality Checklist Form ES-301-3 Facility: STPNOC Date of Examination: 10-22-2018 Operating Test Number: LOT 22 Initials

1. GENERAL CRITERIA a

b*

c#

a.

The operating test conforms to the previously approved outline; changes are consistent with 14-- *?kJ samplino requirements (e.g., 10 CFR 55.45, ooerational imoortance, safetv function distribution).

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b.

There is no day-to-day repetition between this and other operating tests to be administered during ~

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c.

The operatina test shall not duplicate items from the applicants' audit test(s) (see Section D.1.a.).

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d.

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

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acceptable limits.

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e.

It appears that the operating test will differentiate between competent and less-than-competent

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applicants at the designated license level.

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
  • operationally important specific performance criteria that include -

- detailed expected actions with exact criteria and nomenclature

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- 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 walkthrough outlines (Forms ES-301-1 and ES-301-2) have not caused the test to deviate from any of the

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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

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Form ES-301-4 and a copy is attached.

Printed Name/ Signature Date

a. Author

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

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d. NRC Supervisor 11,n,fo ~ &etlL1 J IJ,i1.J),cJA1 (11 1° Ao Jti If I \\

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  • The facility licensee signature is not applicable for NRG-developed tests.
  1. The independent NRC reviewer initials items in Column "c"; chief examiner concurrence is required.

Rev. 0 ES-301 Simulator Scenario Quality Checklist Form ES-301-4 Facility: STPNOC Date of Exam: 10-22-2018 Scenario Numbers: 1 /2/3/4 Operating Test No.: LOT 22 Initials QUALITATIVE ATTRIBUTES a

b*

c#

1.

The initial conditions are realistic in that some equipment and/or instrumentation may be out of j~ ~

service, but it does not cue the operators into expected events.

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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 ft,,-

the symptoms/cues that will be visible to the crew

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the expected operator actions (by shift position) fC the event termination point (if applicable)

4.

The events are valid with regard to physics and thermodynamics.

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5.

Sequencing and timing of events is reasonable, and allows the examination team to obtain complete I~

')It 'f!I-evaluation results commensurate with the scenario objectives.

6.

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.

fJtr-,,. ?-14. fd-Cues are given.

7.

The simulator modeling is not altered.

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8.

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

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9.

Scenarios are new or significantly modified in accordance with Section D.5 of ES-301.

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10.

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

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(submit the form along with the simulator scenarios).

11.

The scenario set provides the opportunity for each applicant to be evaluated in each of the applicable ~

f-;,b* p-rating factors. (Competency rating factors as described on Forms ES-303-1 and ES-303-3.)

12.

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

.94--: ~ '/£ specified on Form ES-301-5 (submit the form with the simulator scenarios).

13.

Applicants are evaluated on a similar number of preidentified critical tasks across scenarios, when ht--,tit "jt?

possible.

14.

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

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Target Quantitative Attributes (Per Scenario; See Section D.5.d)

Actual Attributes

1.

Malfunctions after EOP entry (1-2) 1 / 2

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Abnormal events (2-4) 4 I 4 I 3 I 4

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Major transients (1-2) 2 / 1 I 1 / 1

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EOPs entered/requiring substantive actions (1-2) 2 / 2 I 2 / 1

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Entry into a contingency EOP with substantive actions (<!: 1 per scenario set) 1 / 0 I 1 I 0

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6.

Preidentified Critical tasks (<!: 2) 2 I 2 I 2 I 2 JAr, ~.;fl{

  • The facility licensee signature is not applicable for NRC-developed tests.
  1. An independent NRC reviewer initials items in column "c"; chief examiner concurrence is required.

ES-403 Written Examination Grading Quality Checklist Form ES-403-1 Facility:.S ff N C Q..

Date of Exam: 11/,/1~ Exam Level:

RO SRO J:3

1.
2.

Item Description Clean answer sheets copied before grading Proposed answer key changes and question deletions justified and documented (facility reviewer initials not required (N/R) if NO post-examination comments are submitted)

3.

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

4.

Grading for all borderline cases (80% +/-2% overall and 70% or Initials a

b C

80%, as applicable, +/-4% on the SRO-only exam) reviewed in d~ ~

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detail

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5.
6.

All other failing examinations checked to ensure that grades are justified Performance on missed questions checked for training deficiencies and wording problems; evaluate validity of questions missed by one-half or more of the applicants

a. Grader
b.

Facility Reviewer(*)

d.

NRC Supervisor (*)

Date Jr1y-1 g

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(*)

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

  1. Candidates Exam Week Site / Docket # / Insp Rpt #

RO LSRO SROI SROU Type Exam Author Chief Examiner Examiners Assigned 10/21/2018 South Texas Project / 05000498 /

2018301 CAC #: 000500 1

0 8

2 FB-OR-INITIAL LICENSE EXAM ADMINIS TRATION (EXAD)

NFF Kirkland, John Hayes,Mahdi Kennard,Michael Kirkland,John Osterholtz,Clyde 10/21/2018 South Texas Project / 05000499 /

2018301 CAC #: 000500 1

0 8

2 FB-OR-INITIAL LICENSE EXAM ADMINIS TRATION (EXAD)

NFF Kirkland, John Hayes,Mahdi Kennard,Michael Kirkland,John Osterholtz,Clyde Page 1 of 4 12/17/2018 9:48:50 AM Orgs: R40KB300000 Sites: STP Exam Author: ALL Activity Codes: EXAD IP 21 Operator Licensing Exam Schedule Phase Code: 5 - Operational Region: 4 From 10/01/2018 to 11/30/2018

Summary by Date RO SROI SROU LSRO Total 10/2018 2

16 4

0 22 Page 2 of 4 12/17/2018 9:48:50 AM Orgs: R40KB300000 Sites: STP Exam Author: ALL Activity Codes: EXAD IP 21 Operator Licensing Exam Schedule Phase Code: 5 - Operational Region: 4 From 10/01/2018 to 11/30/2018

Summary by Site RO SROI SROU LSRO Total South Texas Project 2

16 4

0 22 Page 3 of 4 12/17/2018 9:48:50 AM Orgs: R40KB300000 Sites: STP Exam Author: ALL Activity Codes: EXAD IP 21 Operator Licensing Exam Schedule Phase Code: 5 - Operational Region: 4 From 10/01/2018 to 11/30/2018

Summary by Region RO SROI SROU LSRO Total Region 4 2

16 4

0 22 Page 4 of 4 12/17/2018 9:48:50 AM Orgs: R40KB300000 Sites: STP Exam Author: ALL Activity Codes: EXAD IP 21 Operator Licensing Exam Schedule Phase Code: 5 - Operational Region: 4 From 10/01/2018 to 11/30/2018

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

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1. Pre-Examination I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of 1°/2.^.//S " ^/7//&asofthe 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.kngwled; r^ theweek(s)of WW^-fl did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during l'7/lj?. 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.

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

Pre-Examination I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of 1 0-V--^ \\~~o ll(? 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.

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

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[ acknowledge that 1 have acquired specialized knowledge aboutfhe NRC licensing examinations scheduled for the week(s) of f 0-3.^-"^

cfate 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 perfomiance 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 cancellab'on of the examinations and/or an enforcement action agamst me or the facility licensee. 1 will immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have b.egg compromised.

2.

Posf-Bcammation jyj To the best of.my knowledge, 1 tfd not dwuige to any unauthorized persons any information concerning the NRC licensing examinations administered during i^ the week(s) of 10-13-/s fc/l *7- {S 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.

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

Pre-Examination I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled fortheweek(s) of/0"-2-?'/?1^3 i I ~ ^'^ of the date of my signature. I agree that I w'll not knowingly divulge any information about these examinations to any persons who have not been authorized by the NRC chief examiner. 1 understand that 1 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 authonzed 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, 1 am aware of the physical security measures and requirements (as documented in the facility licensee's procedures) and understand, that violab'on of the conditions of this agreement may result in cancellation of the examinafions and/or an enforcement action against me orthe facility licensee. I will immediately report to facility management or the NRC chief examiner any indications, or suggestions that examination security may have bgen.compromised-2.

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M 00 To the best of.my knowledge, i the week(s) of did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during 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 TFTLE / RESPONSIBILITY SIGNATURE (1)

DATE DATE NOTE iC6V^-^>>y)o-(7

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NOTES:

ES-201 Examination Security Agreement Form ES-201-3 E!-7-^

1. Pre-Examinalion I actmowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for theweek(s) oifO'^f^3 E I ~ (~^ of the date of my signature. 1 agree that I win not knowingly divulge any information about-these examinafionsto any persons who have notbsen authorized by ft s NRC chief examiner. I understand that 1 am notto instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examinafions from this date until completion ofexaminattonadminlstrafion, except as specifically noted below and authorized by the NRC (e.g-. acfmg as a simulator booth operator or communicator is acceptable ff the indiwdual does not select the fraining content or provid& dn-ect or indirect feedback). Furthermore, I am aware of the physical security measures and requirements (as documented fn the facility licensee's procedures) and understarid-that violafion ofthecondit'ons of this agreement may result in cancenafion of the examinafionsand/oran enforcemwTf action against me or the facjKy licensee. I will immedistely report to faciiity management or the NRC chief examiner any indications, or suggssflons that examination secunty may have'bgg^compromised.

2-Post-Examinarfion

^ To the best of my knowledge, I did not divulge to any unauthorized persons any information concernjng the NRC Ucenang examinations administered during N the week(s) of _. From the date that I entered info this security agreement until the compfetfon of examlnafion administration, 1 did not 2 Inshuct, evaluate, or provide performance feedback to ttiose applicanfe who were administered thes'e licensing &>caminaflons, except as specifically noted below and authorized by the NRC.

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N3 co PRINTED NAME JOB TOT-E / RESPONS1BIUTY SIGNATURE (1)

DATE DATE NOTE

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

Pre-Examination I acknowledge that I h^ve acquired s^epialized knowledge about the U.S. Nuclear Regulatory Commission (NRC) licensing examinations scheduled for the week(s) of /<- "JS//^' <-£ £'//-7/^s <bf 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's 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's chief examiner any indications or suggestions that examination security may have been compromised.

2.

Post-Examjnation

^ To the best of my knowledge, I did nqt divulge to any unauthorized persons any information concerning the NRC licensing examinations administered

^ during the week(s) of/"SA^**/'*/u. i *-n/7/i & From the date that I entered into this security agreement until the completion of examination administration, I did 0

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not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC.

PRINTED NAME JOB TITLE/RESPONSIBILITY SIGNATURE (1) 1.J.

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DATE SIGNATURE (2)

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DATE NOTE

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ES-201,Page31 of 32

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

1. Pre-Examination I acknowledge that.l have acquired specialized knowledge about the U.S. Nuclear Regulatory Commission (NRC) licensing examinations scheduled for the week(s) of c:>/i t- - f//r/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 been authorized by the NRC's 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's 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 /o-^x-iS fo (1-1 -Q From the date that I entered into this security agreement until the completion of examination administration, I did S 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.

03

% PRINTED NAME JOB TITLE/RESPONSIBILITY SIGNATURE (1) DATE SIGNATURE (2) DATE NOTE

^ i.4nyd/ic^ MoliA& A-^mini^-^^-a^-iQrN. 6L^^y^: /i/W^- fo-u^ ^/>>rfZ^'ryU~

OJ ^--

3_

4.

5.

6._

7._

8._

9._

10_

11._

12._

13._

14._

15._

NOTES:

ES-201,Page31 of 32

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

Pre-Examination I acknowledge that I t)ave acquired specialized knowledge about the D.S. Nuclear Regulatory Commission (NRC) licensing examinations scheduled for the week(s) of /c'/s.^g - i^l~(f\\'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's 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. 1 will immediately report: to facility management or the NRC's chief examiner any indications or suggestions that examination security may have been compromised.

2.

Post-Examination m

0) ro0

-D 01 (Q

(D co Q

h co 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 1.

2. DAvih /,/RSs^

3_

4.

5._

6._

7._

8_

9._

10._

11.-

12._

13._

14._

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NOTES:

JOB TITLE/RESPONSIBILITY SIGNATURE (1)

S^i-fl-W\\A.^uL.Ct<r Opt, Tn^T DATE SIGNATURE (2)

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DATE NOTE W^tS.

ES-201,Page31 of 32

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