ML21299A045

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CP-2021-08-Public Forms
ML21299A045
Person / Time
Site: Comanche Peak  Luminant icon.png
Issue date: 09/23/2021
From: Heather Gepford
Operations Branch IV
To:
Luminant Generation Co
References
Download: ML21299A045 (30)


Text

{{#Wiki_filter:EXAM ASSIGNMENT TICKLER Chief: John Kirkland Facility: CP Date of Written Exam: 8/19/2021 U/I: Start of Op Test: 8/9/2021 End of Op Test: 9/23/2021 Written Exam Developed By: NRC / Facility Operating Test Developed By: NRC / Facility Due Date Description Date Complete Initials Notes For NRC prepared exams, arrangements made 12/7/2020 Examination administration date confirmed 11/19/2020 r for the facility to submit reference materials 1/11/2021 NRC examiners and facility contact assigned 11/19/2020 r 1/11/2021 Facility contact briefed on security and other requirements 11/19/2020 r 1/11/2021 Reference material due for NRC prepared exams 3/2/2021 r ES-201 Att-3 1/11/2021 Corporate Notification Letter sent 12/11/2020 r ES-201 Att-4 produced by CE 1/25/2021 NRC developed written examination outline sent to facility contact 11/19/2020 r ES-401-1/2 and ES-401-3 3/8/2021 Operating test outline(s) and other checklists due 3/2/2021 r ES-201-2, 201-3, 301-1, 301-2, 301-5, D-1 3/22/2021 Operating test outline(s) reviewed by NRC and feedback provided to facility licensee 3/16/2021 r ES-201-2 signed by CE & BC 5/24/2021 Proposed exams, outlines, supporting documentation, and reference materials due. 5/26/2021 r Exams prepared by the NRC are approved by BC and forwarded for facility licensee review 5/31/2021 Peer review of written exam complete 6/7/2021 r Document review on ES-401-9 6/21/2021 Written exam and operating test reviews completed 6/10/2021 r Document review on ES-401-9 7/5/2021 Feedback approved by Branch Chief 6/14/2021 r 7/5/2021 Examination review results discussed between NRC and facility licensee 7/8/2021 r 7/12/2021 Preliminary license applications & waiver/excusal requests due 7/12/2021 r NRC Forms 398/396 7/5/2021 On-site validation & 10% audit of license applications 7/5/2021 r 7/19/2021 Preliminary license applications and waivers reviewed 7/12/2021 r 7/26/2021 Final license applications & waiver/excusal requests due 7/21/2021 r ES-201-4 prepared by LA 8/2/2021 Written exams and operating tests approved by Branch Chief 8/4/2021 r 8/2/2021 Request facility licensee management feedback on the exam N/A N/A 8/2/2021 Final applications reviewed and audited; exam approval and waiver/excusal letters sent 8/5/2021 r LA produces / BC signs Exam Approval Letter (ES-201 Att-5) 8/2/2021 Proctoring/written exam administration guidelines reviewed with facility licensee 7/7/2021 r 8/2/2021 Approved scenarios and JPMs distributed to examiners 8/3/2021 r 8/9/2021 Administer Operating Test 8/9/2021 r 9/30/2021 Examiner's document op test results on ES 303's 8/20/2021 r 10/13/2021 Post exam comments and graded exams received 8/30/2021 r ES-403-1 to BC 10/21/2021 Post exam written comments reviewed and incorporated and NRC grading completed 8/30/2021 r 10/21/2021 Post exam operating test comments reviewed and ES-303-1 updated 8/30/2021 r 10/28/2021 Chief examiner review of operating test and/or written exam grading completed 9/7/2021 r Signed ES 303's to BC 11/4/2021 Branch Chief review of exam results completed 9/9/2021 r 11/11/2021 Waivers/deferrals reviewed for impact on licensing decision 9/9/2021 r 11/11/2021 License/Proposed Denial letters mailed; Facility notified of results 10/1/2021 r 11/11/2021 RPS/IP number of examinees updated 9/29/2021 r print Report-21 12/2/2021 Final Denial Letters mailed (if no request for informal review) N/A N/A 21 days after proposed denial letters mailed. 12/9/2021 Examination Report Issued 10/19/2021 r produced by CE Replaces NUREG-1021, Revision 11, Forms ES-201-1 and ES-501-1 Rev. 9

password es1021 Kojak

ES-201 Examination Outline Quality Checklist Form ES-201-2 Facility: CPNPP Date of Examination: 08/09/2021 Initials Item Task Description a b* c** I1/4.

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

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

I T T C. Assess whether the outline overemphasizes any systems, evolutions, or generic topics. ~t- << .pt-j~ 15{, "f/L E d. Assess whether the justifications for deselected or rejected K/A statements 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, and major J! /5(_

s transients. ~ I M b. Assess whether there are enough scenario sets (and spares) to test the projected number and u mix of applicants in accordance with the expected crew composition and rotation schedule Jg. .51..

                                                                                                                                  ~

L withoutcompromising exam integrity, and ensure that each applicant can be tested using at A least one new or significantly modified scenario, that no scenarios are duplicated from the T applicants' audit test(s), and that scenarios will not be repeated on subsequent days. 0 C. To the extent possible, assess whether the outline(s) conforms with the qualitative and R quantitative criteria specified on Form ES-301 -4 and described in Appendix D and in j(l !:/4 fP Section D.5, "Specific Instructions for the 'Simulator Operating Test,"' of ES-301 (including overlap).

3. a. Verify that the systems walkthrough 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 w A 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. J~ ()[ 'fJt L (3) No tasks are duplicated from the applicant's audit test(s). K (4) The number of new or modified tasks meets or exceeds the minimums specified on the form. T (5) The number of alternate-path, low-power, emergency, and radiologically controlled area H tasks meets the criteria on the form . R 0 b. Verify that the administrative outline meets the criteria specified on Form ES-301 -1: u G (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. Jl fJ.

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c. Determine whether there are enough different outlines to test the projected number and mix of applicants and ensure that no items are duplicated on subsequent days.
4. a. Assess whether plant-specific priorities (including probabilistic risk assessment and individual ~,(

G plant examination insights) are covered in the appropriate exam sections. Yl 'P E b. Assess whether the 10 CFR 55.41 , 55.43, and 55.45 sampling is appropriate. J(L 6{ "#- N C. Ensure that K/A importance ratings (except for plant-specific priorities) are at least 2.5. ,e_ rt- .µ E R A

d. Check for duplication and overlap among exam sections and the last two NRC exams. je 61- 1¥ L e. Check the entire exam for balance of coverage. VL 5l r;Y£
f. Assess whether the exam fits the appropriate job level (RO or SRO). YL l;t vfr--
a. Author Jordan Rubv /

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                                                                 ,- '..,) 't,5                                                                                                                               Date 3/1/21
b. Facility Reviewer(*) Brian Edwards / 3/1/21
c. NRC Chief Examiner (#) ,John 1.L,rk..la."'cr,{t.,{._.. M<'.!: .>.. _..-/

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d. NRC Supervisor Gregory E. Werner / C,/* L - ,_, { . '(.,{_/fl./U1.4A, 03/10/2021

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  • Not applicable for NRC-prepared examination outlines.
  1. The independent NRC reviewer initials items in column "c": the chief examiner's concurrence is required .

ES-201 Examination Outline Quality Checklist Form ES-201-2 Facility: CPNPP 1 & 2 P-'fo~v? Date of Examinallon: 09/22/2021 Initials Item Task Description a b' c..

       ,.      a. Verify that the outllna(s) flt(s) the appropriate model In accordance with ES-401 or ES-401 N.       tJIAtJI~ "'/A w       b. Assess whether the ouHlne was systematlcally and randomly prepared in accordance with R           Section D.1 of Es-401 or Es-401 N and v.tlether au KIA categories are appropriately sampled.        fJ II\ NIA "IA I

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c. Assess whether the outline overemphasizes any systems, evolutions, or generic topics. NIA tJI/>.. "IA-E N
d. Assess whether the Justifications for deselected or rejected KIA statements are appropriate.

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2. a. Using Form Es-301-5, verify that the proposed scenario se1s oover the required number of
                                                                                                                        )i !JI ~

nonnal evolutions, Instrument and component failures, technical speclflcatlons, and major s lrensients. I M b. Assess llllhather there are enough scenario sets (and spares) to test the projected number and u mix of appllcants In accordance with the expected crew composition and rotation schedule L A

                   ¥.dthout 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         Yl               tf'-

T applicants' audit test(s), and that scenarios will not be repeated on subsequent days. 0

c. To the extent possible, assess whether the outllne(s) conforms with lhe qualltatlve and
                                                                                                                             ~

R quantitative criteria specified on Fonn ES-301-4 and described in Appendix D and In Seation 0 .5, "Specific Instructions for the 'Simulator Operating Test,'" of E:5-301 0ncluding JI.. 'fl-overlap).

3. a. Verify that the systems walkthrough outline meets the criteria specified on Form Es-301-2:

(1) The ouUlne(s) contains the required number of control room and In-plant tasks distributed w among the safety functions as specified on the form. A (2) Task repetition from the last two NRC examinations Is wlttin the limits specified on the form. )I__ fl-

                                                                                                                              'A L           (3) No tasks are duplicated from the applicant's audit test(s).

K (4) The m.rnber of new or modified tasks meals or exceeds the mlnlml.ll'ls specified on the form. T (5) The number of altemat81)81h, low-power, emergency, and radlologlcally controlled area H tasks meets the criteria on the fonn. R 0 b. Verify that the administrative outline meets the criteria specified on Fonn ES-301-1: u G (1) The tasks are distributed among the topics as specified on the form. (2) At least one task Is new or significantly modified. Jf f)!- H (3) No more than one task Is repeated from ttie last two NRC licensing examinations.

c. Determine whether there are enough different outBnes to test the projected number and mix of applicants and ensure that no Items are dupUcated on subsequent days. ~ .I '{It-4.

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a. Assess whether plant-specific priorities (Including probabilistic risk assessment and indMdual plant examination Insights) are covered in the appropriate exam sections. ~l ~ * #--

E b. Assess whether the 10 CFR 55.41, 55.43, and 55.46 sampling is appropriate. llf ~~ ic,f.L N e C. Ensure that KIA Importance ratings (except for plant-£peclfic priorities) are at least 2.5. \(J '-I ~ R d. Check for duplication and overlap among exam sections and the last two NRC exams. \IJ. 1 '!~ A L e. Check the entire exam for balance of coverage. :JL ,ljj ~ 1; p

f. Assess whether the exam fits Iha appropriate Job level (RO or SRO). ~ ~ ,
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a. Author
                                                                                  ~,

b. C. FaclUty Reviewer (*) NRC Chief Examiner (#) JJ.-w-Jo\..-tt

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d. NRC Supervisor I I I...../
  • Not applicable for NRC-prepared examlnallon outlines.
    # The independent NRC reviewer initials Items In column "c": the chief examiner's ooncurrence Is required.

Page 1 of 1 MAKE-UP CPNPP 2021 NRC ES-201-2 Examination O,utline Quality Checklist Rev. 0

ES-401 Written Examination Quality Checklist Form ES-401-6 Facility: CPNPP Date of Exam : 08/19/2021 Exam Level : RO SRO Initial Item Description a b* c*#

1. Questions and answers are technically accurate and applicable to the facility. J( 17- vJY-(
2. a. NRG K/As are referenced for all questions.

bf,. b. C. Facility learning objectives are referenced as available. Correct answer explanation and distractor analysis provided (ES-401, D.2.g) Jt vµ-

3. SRO questions are appropriate in accordance with Section D.2.d of ES-401 Jl ?l pL 4 The sampling process was random and systematic. (If more than four RO or two SRO questions were repeated from the last two NRG licensing exams, consult the NRR/NRO OL program office).

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5. Question duplication from the licensee 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

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_ the audit exam was completed before the license exam was started, or examinations were developed independently, or licensee certifies that there is no duplication, or

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_ other (explain).

6. Bank use meets limits (no more than 75% from the bank, Bank Modified New N/A N/A N/A at least 10% new, and the rest new or modified}; enter the actual RO/SRO-only question distribution(s) at right. 39/10 17/8 19/7 je_ 11/l .µ-
7. Between 38 and 45 questions of the questions on the RO N/A N/A N/A Memory C/A exam and at least 13 questions of the questions on the SRO-only portion of the exam are written at the
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                                                                                                                                              ~

comprehension/analysis level (see ES-401 , D.2.c); enter 36/10 39/15 the actual RO/SRO-only question distribution(s) at right.

8. References/handouts provided do not give away answers or aid in the elimination of
                                                                                                                      . \q_      9t,.

distractors. Question content conforms to specific KIA statements in the previously approved examination

                                                                                                                                              .-:flt-9.

j {L {)t 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 Appendix B.

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  • 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. $__ (fi ~
                                                              'l ,h :7v;;;

Date

9. Author :Tnrrkt~ /::??) ~OZ(
b. Facility Reviewer (*) 13r,t.i\ EJv-1;rl s f' ~ -*t=--
                                                                                                                               "7  '/_,f{_'2.o1.1
c. NRC Chief Examiner (#) Jo~"' \(,rk \a.,,J )~~ { 7V ~_;;; 'if/2 /21
                                                                                           . I fl / __
d. NRC Regional Supervisor /4//rMJ
                                                                £~,,r~I
                                                                - I II

(/ JU, , ,,, .,,, R/-!ljJiJ-L

                                                                                                    /1 Note:      .      The facility reviewer's initials or signature are not applicable for NRG-developed examinations.
              #      Independent NRG reviewer initials items in Column "c"; chief examiner concurrence is required, CPNPP 2021 NRC ES-401-6 Written Exam Quality Checklist Rev. 1

ES-301 Operating Test Quality Checklist Form ES-301-3 Facility: CPNPP Date of Examination: 8/09/2021 Operatin Test Number: CP-2021-08 Initials

1. General Criteria a b*
a. The operating test conforms with the previously approved outline; changes are consistent with sam lin r uirements (e . ., 10 CFR.55.45, o erational im ortance, safet function distribution.
b. There is no day-to-day repetition between this and other operating tests to be administered durin this examination.

c.

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 VJ /;L ah.I/

a licants at the desi nated license level. J(._ "/liv

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 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 se uence of ste s, if a licable

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 criteria (e.g., item distribution, bank use, repetition from the last two 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.

Date

a. Author 07 /-z..t / z.oz I
b. Facility Reviewer (*) "1 / i.t, /,,_.o'l-/

C. NRC Chief Examiner(#) JohY\ rfa/2 1

d. NRC Supervisor 6e:rc ~jtJ/JdJ. J
  • The facility signature is not applicable for NRC-developed tests.
# Independent NRC reviewer initial items in Column "c"; chief examiner concurrence required.

Page 1 of 1 CPNPP 2021 NRC ES-301-3 Operating Test Quality Checklist Rev. 1

ES-301 Operating Test Quality Checklist d ev p Facilitv: CPNPP 1 & 2 Date of Examination: 9/22/2021 Operating Test Number: CP-2021 08 Initials

1. General Criteria a b" c#
                                                                                                                      ~
                                                                                                                               "".~
a. The operating test confomis with the previously approved outline; changes are consistent 'Mlh samplini:i requirements (e.a .* 10 CFR 55.45, operational lmoortance, safetv funcHon dlsbibutlon). vJJ--

There Is no day-to-day repetition between this and other operating tests to be administered b. during this examination. Lit

c. The operating test shall not duplicate Items from the aoollcants' audit test{s). {see Section D.1.a.) Jt .JI ~
d. Overlap with the written examination and between different parts of the operating test Is within acceotable limits. .YI.. vfU--
e. It appears that the operating test will differentiate between competent and less-than-competent applicants at the desionated license level. JL ip-
2. Walk-Through Criteria - - --
a. Each JPM includes the following, as appllcable:
             ..       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-aitical by the facility licensee operationally Important specific performance criteria that include:                             :,_       ff {£-
                     -       detailed expected actions with exact aiteria and nomenclature
                      -      system response and other exam Iner 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 vvalk-through
                                                                                                                                         ~

ou11ines (Forms 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 two NRC examinations) specified on those fomis and Form ES-201-2.

                                                                                                                      .YI.
3. Simulator Criteria - - -

The assoclated simulator operating tesls (scenario sets) have been reviewed in accordance with Fann ES-301-4 and a copy is attached.

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                                                                 ~K~

Date a. b. Author Facility Reviewer e) 3~~ 9{rs/zoz.1 1-0>-ze.z.1

c. NRCChlof ...mlao,(#) Joh~ ll,rlb ... J~~ Cf/z,1/2 r
d. NRC Supervisor
                                                                           ~
  • The faclllty signature is not applicable for NRC-developed tests.
# Independent NRC reviewer initial items In Column 'c"; chief examiner concurrenoe reauired.

Page 1 of 1 MAKE-UP CPNPP 2021 NRC ES-301-3 Operating Test Quality Checklist Rev. 0

ES-301 Simulator Scenario Quality Checklist Form ES-301-4 Facility: CPNPP Date of Exam: 8/09/2021 Scenario Numbers: 1 / 2 / 3 I 4 Operating Test No: CP-2021-08 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. YL 6<- ,pt-
2. The scenarios consist mostly of related events. ,_JI__ I?....
                                                                                                                                       "/Pl.
3. Each event description consists of the following:
  • the point in the scenario when it is to be initiated the malfunction(s) or conditions that are entered to initiate the event the symptoms/cues that will be visible to the crew :J_ 6" ~
  • the expected operator actions (by shift position)
  • the event termination point (if applicable)

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4. The events are valid with regard to physics and thermodynamics. Jl
5. Sequencing and timing of events is reasonable and allows the examination team to obtain complete evaluation results commensurate with the scenario objectives. _J_ ,$G.- ~
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. Cues are given. j_ {)£ ~

7. The simulator modeling is not altered. J{  ?'l. 1'L
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 fidelity is maintained while running the planned scenarios. l1 ~t fl/
9. Scenarios are new or significantly modified in accordance with Section D.5 of ES-301. JfL l">t ~
10. All individual operator competencies can be evaluated, as verified using Form ES-301-6 (submit the form along with the simulator scenarios). ~(l ff. '%
11. The scenario set provides the opportunity for each applicant to be evaluated in each of the applicable lJ( 1-;;1..

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 specified
l.. (f-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 possible. J( ~ t,:,

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14. The level of difficulty is appropriate to support licensing decisions for each crew position. Je ~ .,,µ,

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

1. Malfunctions after EOP entry (1-2) 1 / 2 / 4 / 3 V!._ ~ i,p l;r--
2. Abnormal events (2-4) 4 I 3 / 4 / 4  ::ll I~
3. Major transients (1-2) 1 / 1 / 2 / 2 1,IO 54- ~
4. EOPs entered/requiring substantive actions (1-2) 1/2/2/1 ~\l 5'-' I-#'

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5. Entry into a contingency EOP with substantive actions (:!: 1 per scenario 0/0/1/1 set)
6. Preidentified critical tasks (~ 2) 2 I 2 I 2 I 3 Jt t£- l'f)l-
  • The facility signature is not applicable for NRC-developed tests.
# Independent NRC reviewer initial items in Column "c"; chief examiner concurrence required .

Page 1 of 1 CPNPP 2021 NRC ES-301-4 Simulator Scenario Quality Checklist Rev. 2

ES-301 Simulator Scenario Quality Checklist Form ES-301-4 Facility: CPNPP 1 & 2 Date of Exam: 9/22/2021 Scenario Numbers: 1 / 2 / 3 Operating Test No: CP-2021-08 lnlHals M2~vp QUALITATIVE ATTRIBUTES a b* o# 1. 2. The lnlUal 00ndltions are realistic In that some equipment and/or Instrumentation may be out of service, but It does not we the operators Into expected events. The scenarios consist mostly of related events. k\t a IA: _\tl ti, ~

3. Each event description consists of the following:
  • the point In the scenario when It Is to be initiated the malfuncUon(s) or conditions that are entered to Initiate the event the symptoms/cues that will be visible to the crew Jf. j '11'
  • the expected operator actions (by shift position)
  • the event termination point (If applicable)
4. The events are valld v.4lh regard to physics and thennodynamics. jf 6' w:£
5. Sequencing and timing of events Is reasonable and allows the examination team to obtain complete evaluation results commensmate with the scenario objectives. Jl ~ ~
6. If time compression techniques are used, the scenario summary clearly so Indicates.

Operators have suffldent time to carry out expected activities without undue time constraints. Cues are given. tJ}A NIA lt A 7. 8. The simulator modeling Is not altered. The scenarios have been validated. Pursuant to 10 CFR 66.46(d}, any open simulator performance deficiencies or deviations from the referenced plant have been evaluated to ensure that functional fidelity ls maintained v.tllle running the planned scenarios. Jl

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                                                                                                                                 "'     ,,r,L
9. Scenarios are new or slgnlflcanUy modified In accordance with Section D.6 of ES-301. \(/ ~ L/rL
10. All Individual operator competencies can be evaluated, as verified using Form ES-301-6 (submit the form along with the simulator scenarios). ..le 1f/

J<<. ( r,/tL 11 . The scenario set provides the opportunity for each applicant to be evaluated In each of the applicable raUng factors. {Competency Rati~ factors as described on forms ES-303-1 and ES-303--3.)

12. Each applicant wlll be significanHy Involved In the minimum number of transients and events specified on Form ES-301-5 {submit the form with the simulator scenarios). J/l.. 4 v/1-
13. Applicants are evaluated on a simllar n1111ber of preldentlfied critical tasks across scenarios, when possible. .JI.. ~,,.,,. lfL-
14. The level of difficulty Is appropriate to support licensing decisions for each aew position. Jtl. -#--

Target Quantitative Attributes (Per Scenario; See Section D.5.d) Actual Attributes - - - _VJ ~ , i&-

1. Malfunctions after EOP entry (1-2) 2 I 2 I 2
2. Abnormal events (2-4) 5 / 3/ 4 ,Jt fl ,,lltf.
3. Major transients (1-2) 2 I 1/ 2 \l ~ , :p_
4. EOPs entered/requiring substantive actions (1-2) 2 I 2I 2 \e.. 1, ~
5. Entry Into a contingency EOP with substantive actions (~ 1 per scenario set) 1 / OI 0 J[ .N r/}L
6. Preidentlffed crittcal tasks (~ 2) /i/12 ' Ji ltll #-
  • The facility signature Is not applicable for NRC-developed tests. 3 J ~~~~ "L \ ~ 7/,Wr-,
    # Independent NRC reviewer lnlHa\ Items In Column "c'; chief examiner conCU1T8nce required ,        ,I/     U   <<-t q.,0-2 1 Page 1 of 1          MAKE-UP CPNPP 2021 NRC ES-301-4 Simulator Scenario Quality Checklist Rev. 0

ES-403 Written Examination Grading Form ES-403-1 Quality Checklist Facility: CrN P? Date of Exam. 21 Exam Level: RO Item Description Initials a b C

1. Clean answer sheets copied before grading
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2. Proposed answer key changes and question deletions justified and documented (facility reviewer initials not required rJ/A (N/R) if NO post-examination comments are submitted) tJ/A Nf;f
3. Applicants' scores checked for addition errors (reviewers spot check> 25% of examinations) j{l /ft! .p-
4. Grading for all borderline cases (80% +/-2% overall and 70% or 80%, as applicable, +/-4% on the SRO-only exam) reviewed in J~ vjP!--

5. detail All other failing examinations checked to ensure that grades are justified rJ/1-\

                                                                                      *N/f      ,.J/,A
6. Performance on missed questions checked for training deficiencies and wording problems; evaluate validity of  :.,( ;ti fil questions missed by one-half or more of the applicants Date Printed Name/Signature
a. Grader q/7~0ZJ
b. Facility Reviewer(*) GJ/z/goz.1
                                                                                     <f /8/2 l
c. NRC Chief Examiner (*)
d. NRC Supervisor(*)
                                                                                  ~            /

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

ES-301 Transient and Event Checklist Form ES-301-5 Facility: CPNPP 1 and 2 Date of Exam: 08/09/21 Operating Test No.: NRC A E SCENARIOS P V P E CPNPP #1 CPNPP #2 CPNPP #3 CPNPP #4 L N (SPARE) T MINIMUM (*) I T CREW CREW CREW CREW O C POSITION POSITION POSITION POSITION T A T A N Y S A B S A B S A B S A B L T P R T O R T O R T O R T O R I U E O C P O C P O C P O C P RX 1 - 1 1 1 0 NOR - - - 1 1 1 SRO-U1 I/C 4 4 8 4 4 2 MAJ 1 2 3 2 2 1 TS 3 2 5 0 2 2 RX 1 - 1 1 1 0 NOR - - - 1 1 1 SRO-U2 I/C 4 4 8 4 4 2 MAJ 1 2 3 2 2 1 TS 3 2 5 0 2 2 RX 1 - 1 1 1 0 NOR - - - 1 1 1 SRO-U3 I/C 4 6 10 4 4 2 MAJ 1 2 3 2 2 1 TS 3 4 7 0 2 2 RX 1 - 1 1 1 0 NOR - - - 1 1 1 SRO-I1 I/C 3 6 9 4 4 2 MAJ 1 2 3 2 2 1 TS - 4 4 0 2 2 RX 1 - 1 1 1 0 NOR - - - 1 1 1 SRO-I2 I/C 3 6 9 4 4 2 MAJ 1 2 3 2 2 1 TS - 4 4 0 2 2 RX - - - 1 1 0 NOR - - - 1 1 1 RO1 I/C 4 3 7 4 4 2 MAJ 2 2 4 2 2 1 TS - - - 0 2 2 Page 1 of 3 CPNPP 2021 NRC ES-301-5 Transient and Event Checklist Rev. 2

ES-301 Transient and Event Checklist Form ES-301-5 Facility: CPNPP 1 and 2 Date of Exam: 08/09/21 Operating Test No.: NRC A E SCENARIOS P V P E CPNPP #1 CPNPP #2 CPNPP #3 CPNPP #4 L N (SPARE) T MINIMUM (*) I T CREW CREW CREW CREW O C POSITION POSITION POSITION POSITION T A T A N Y S A B S A B S A B S A B L T P R T O R T O R T O R T O R I U E O C P O C P O C P O C P RX - - - - 1 1 0 NOR - - - - 1 1 1 RO2 I/C 2 5 4 11 4 4 2 MAJ 1 2 2 5 2 2 1 TS - - - - 0 2 2 RX - - - - 1 1 0 NOR - - - - 1 1 1 RO3 I/C 2 4 3 9 4 4 2 MAJ 1 2 2 5 2 2 1 TS - - - - 0 2 2 RX - - - 1 1 0 NOR - - - 1 1 1 RO4 I/C 5 4 9 4 4 2 MAJ 2 2 4 2 2 1 TS - - - 0 2 2 RX 1 - 1 1 1 0 NOR - - - 1 1 1 RO5 I/C 3 5 8 4 4 2 MAJ 1 2 3 2 2 1 TS - - - 0 2 2 RX - - - 1 1 0 NOR - - - 1 1 1 RO6 I/C 2 4 6 4 4 2 MAJ 1 2 3 2 2 1 TS - - - 0 2 2 Page 2 of 3 CPNPP 2021 NRC ES-301-5 Transient and Event Checklist Rev. 2

ES-301 Transient and Event Checklist Form ES-301-5 Instructions:

1. Check the applicant level and enter the operating test number and Form ES-D-1 event numbers for each event type; TS are not applicable for RO applicants. ROs must serve in both the at-the-controls (ATC) and balance-of-plant (BOP) positions; Instant SROs must serve in both the SRO and the ATC positions, including at least two instrument or component (I/C) malfunctions and one major transient, in the ATC position. If an Instant SRO additionally serves in the BOP position, one 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 applicants competence count toward the minimum requirements specified for the applicants license level in the right-hand columns.

Page 3 of 3 CPNPP 2021 NRC ES-301-5 Transient and Event Checklist Rev. 2

ES-301 Transient and Event Checklist Form ES-301-5 Facility: CPNPP 1 and 2 Date of Exam: 09/22/21 Operating Test No.: NRC A E SCENARIOS P V P E CPNPP #1 CPNPP #2 CPNPP #3 L N (SPARE) T MINIMUM (*) I T CREW CREW CREW O C POSITION POSITION POSITION T A T A N Y S A B S A B S A B L T P R T O R T O R T O R I U E O C P O C P O C P RX - 1 1 1 1 0 NOR - - - 1 1 1 SRO-U1 I/C 6 4 10 4 4 2 MAJ 2 2 4 2 2 1 TS 3 3 6 0 2 2 RX - 1 1 1 1 0 NOR - - - 1 1 1 RO1 I/C 4 2 6 4 4 2 MAJ 2 2 4 2 2 1 TS - - - 0 2 2 Instructions:

1. Check the applicant level and enter the operating test number and Form ES-D-1 event numbers for each event type; TS are not applicable for RO applicants. ROs must serve in both the at-the-controls (ATC) and balance-of-plant (BOP) positions; Instant SROs must serve in both the SRO and the ATC positions, including at least two instrument or component (I/C) malfunctions and one major transient, in the ATC position. If an Instant SRO additionally serves in the BOP position, one 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 applicants competence count toward the minimum requirements specified for the applicants license level in the right-hand columns.

Page 1 of 1 MAKE-UP CPNPP 2021 NRC ES-301-5 Transient and Event Checklist Rev. 0

ES-301 Competencies Checklist Form ES-301-6 Facility: Date of Examination: 08/09/21 Operating Test No: CP-2021-08 CPNPP Applicants SRO-U1 SRO-U2 SRO-U3 Competencies SCENARIO SCENARIO SCENARIO 1 2 3 4 1 2 3 4 1 2 3 4 Interpret/Diag- 1,2, 1,2, 1,2,3,4 2,3,4,5 2,3,4,5 2,3,4,5 nose Events ,6 3,4,

                                                                ,6 3,4,
                                                                                            ,6
                                                                                                       ,5,6,7, 5,8                            5,8                   8 and Conditions Comply With                                         1,2,                           1,2,              1,2,3,4 1,2,3,4                             1,2,3,4                     1,2,3,4 and Use                   ,5,6 3,4,
                                                               ,5,6 3,4,
                                                                                           ,5,6
                                                                                                       ,5,6,7, 5,8                           5,8                   8 Procedures (1)

Operate Control Boards - - - - - - (2) Communicate 1,2,3, 1,2,3, 1,2,3,4 1,2,3,4 1,2,3,4 1,2,3,4 and ,5,6,7 4,5,6,

                                                              ,5,6,7 4,5,6,
                                                                                          ,5,6,7
                                                                                                       ,5,6,7, 7,8                            7,8                   8,9 Interact Demonstrate                                       1,2,3,                         1,2,3,              1,2,3,4 1,2,3,4                             1,2,3,4                     1,2,3,4 Supervisory              ,5,6,7 4,5,6,
                                                              ,5,6,7 4,5,6,
                                                                                          ,5,6,7
                                                                                                       ,5,6,7, 7,8                            7,8                   8,9 Ability (3)

Comply With and Use Tech. 2,4,5 1,3 2,4,5 1,3 2,4,5 1,2,3,4 Specs. (3) Notes: (1) Includes Technical Specification compliance for an RO. (2) Optional for an SRO-U. (3) Only applicable to SROs. Page 1 of 4 CPNPP 2021 NRC ES-301-6 Competencies Checklist Rev. 2

ES-301 Competencies Checklist Form ES-301-6 Facility: Date of Examination: 08/09/21 Operating Test No: CP-2021-08 CPNPP Applicants SRO-I1 SRO-I2 RO1 Competencies SCENARIO SCENARIO SCENARIO 1 2 3 4 1 2 3 4 1 2 3 4 Interpret/Diag- 1,2,3,4 1,2,3,4 1,2,4,5 2,3,5,6 nose Events 3,4,5,6 ,5,6,7, 3,4,5,6 ,5,6,7,

                                                                                                      ,7,8    ,8 8                              8 and Conditions Comply With                               1,2,3,4                         1,2,3,4 1,3,4,5                             1,3,4,5                                1,2,4,5 2,3,5,6 and Use                    ,6
                                            ,5,6,7,
                                                                ,6
                                                                           ,5,6,7,
                                                                                                      ,7,8    ,8 8                              8 Procedures (1)

Operate 1,3,4,5 1,3,4,5 1,2,4,5 2,3,5,6 Control Boards ,6

                                                                ,6
                                                                                                      ,7,8    ,8 (2)

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

                                            ,5,6,7,
                                                              ,5,6,7
                                                                           ,5,6,7,                  ,5,6,7, ,5,6,7, 8,9                            8,9                      8,9      8 Interact Demonstrate                               1,2,3,4                         1,2,3,4 Supervisory                 -              ,5,6,7,              -         ,5,6,7,                      -      -

8,9 8,9 Ability (3) Comply With and Use Tech. - 1,2,3,4 - 1,2,3,4 - - Specs. (3) Notes: (1) Includes Technical Specification compliance for an RO. (2) Optional for an SRO-U. (3) Only applicable to SROs. Page 2 of 4 CPNPP 2021 NRC ES-301-6 Competencies Checklist Rev. 2

ES-301 Competencies Checklist Form ES-301-6 Facility: Date of Examination: 08/09/21 Operating Test No: CP-2021-08 CPNPP Applicants RO2 RO3 RO4 Competencies SCENARIO SCENARIO SCENARIO 1 2 3 4 1 2 3 4 1 2 3 4 Interpret/Diag-1,2,3,5 1,3,4,5 1,2,4,5 2,3,5,6 1,2,3,5 1,3,4,5 nose Events 2,6,7

                                            ,6,8,9  ,7,8 2,6,7
                                                                            ,7,8     ,8                ,6,8,9   ,7,8 and Conditions Comply With 1,2,3,5 1,3,4,5                 1,2,4,5 2,3,5,6             1,2,3,5 1,3,4,5 and Use                   2,6,7
                                            ,6,8,9  ,7,8 2,6,7
                                                                            ,7,8     ,8                ,6,8,9   ,7,8 Procedures (1)

Operate 1,2,3,5 1,3,4,5 1,2,4,5 2,3,5,6 1,2,3,5 1,3,4,5 Control Boards 2,6,7

                                            ,6,8,9  ,7,8 2,6,7
                                                                            ,7,8     ,8                ,6,8,9   ,7,8 (2)

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

                                                             ,5,6,7
                                                                           ,5,6,7, ,5,6,7,             4,5,6,  ,5,6,7, 7,8,9      8                      8,9      8                7,8,9      8 Interact Demonstrate Supervisory                 -                -       -         -             -       -                   -       -

Ability (3) 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. Page 3 of 4 CPNPP 2021 NRC ES-301-6 Competencies Checklist Rev. 2

ES-301 Competencies Checklist Form ES-301-6 Facility: Date of Examination: 08/09/21 Operating Test No: CP-2021-08 CPNPP Applicants RO5 RO6 Competencies SCENARIO SCENARIO 1 2 3 4 1 2 3 4 Interpret/Diag-1,2,3,5 1,2,4,5 nose Events 3,4,5,6

                                            ,6,8,9 2,6,7
                                                                             ,7,8 and Conditions Comply With 1,3,4,5           1,2,3,5                         1,2,4,5 and Use                    ,6              ,6,8,9 2,6,7
                                                                             ,7,8 Procedures (1)

Operate 1,3,4,5 1,2,3,5 1,2,4,5 Control Boards ,6 ,6,8,9 2,6,7

                                                                             ,7,8 (2)

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

                                                              ,5,6,7
                                                                           ,5,6,7, 7,8,9                            8,9 Interact Demonstrate Supervisory                 -                -                  -             -

Ability (3) 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. Page 4 of 4 CPNPP 2021 NRC ES-301-6 Competencies Checklist Rev. 2

ES-301 Competencies Checklist Form ES-301-6 Facility: Date of Examination: 09/22/21 Operating Test No: CP-2021-08 CPNPP Applicants SRO-U1 RO1 Competencies SCENARIO SCENARIO 1 2 3 1 2 3 Interpret/Diag-1,2,3,4, 2,3,4,5, 2,4,5,6, nose Events 5,6,7,8 6,7 7,8 3,4,6,7 and Conditions Comply With 1,2,3,4, 1,2,3,4, 2,4,5,6, 1,3,4,6, and Use 5,6,7,8 5,6,7 7,8 7 Procedures (1) Operate 2,4,5,6, 1,3,4,6, Control Boards - - 7,8 7 (2) Communicate 1,2,3,4, 1,2,3,4, 1,2,3,4, 1,2,3,4, and 5,6,7,8 5,6,7 5,6,7,8 5,6,7 Interact Demonstrate 1,2,3,4, 1,2,3,4, Supervisory 5,6,7,8 5,6,7 Ability (3) Comply With and Use Tech. 1,2,4 3,4,5 - - Specs. (3) Notes: (1) Includes Technical Specification compliance for an RO. (2) Optional for an SRO-U. (3) Only applicable to SROs. Page 1 of 1 MAKE-UP CPNPP 2021 NRC ES-301-6 Competencies Checklist Rev. 0

IP 21 Operator Licensing Exam Schedule From 08/01/2020 to 09/30/2021 Phase Code: 2 - Construction, 5 - Operational Region: 4

                                                          # Candidates Exam           Site / Docket # / Insp Rpt #            RO LSRO SROI SROU    Type  Exam Author Chief Examiner Examiners Assigned Week 08/08/2021     Comanche Peak / 05000445, 05000446 /     5    0    2     2 FB-OR-      NFF     Kirkland, John Doyle,Matthew 2021301                                                    INITIAL                            Kirkland,John CAC #: 000500                                              LICENSE                            Osterholtz,Clyde EXAM                               Steely,Chris ADMINIS TRATION (EXAD) 09/19/2021     Comanche Peak / 05000445, 05000446 /     1    0    0     1 FB-OR-      NFF     Kirkland, John Bergeon,Bryan 2021301                                                    INITIAL                            Hernandez,Nick CAC #: 000500                                              LICENSE EXAM ADMINIS TRATION (EXAD)

Sites: CP Orgs: ALL Exam Author: ALL Activity Codes: EXAD 9/29/2021 9:50:51 AM Page 1 of 4

IP 21 Operator Licensing Exam Schedule From 08/01/2020 to 09/30/2021 Phase Code: 2 - Construction, 5 - Operational Region: 4 Summary by Date RO SROI SROU LSRO Total 08/2021 5 2 2 0 9 09/2021 1 0 1 0 2 Sites: CP Orgs: ALL Exam Author: ALL Activity Codes: EXAD 9/29/2021 9:50:51 AM Page 2 of 4

IP 21 Operator Licensing Exam Schedule From 08/01/2020 to 09/30/2021 Phase Code: 2 - Construction, 5 - Operational Region: 4 Summary by Site RO SROI SROU LSRO Total Comanche Peak 6 2 3 0 11 Sites: CP Orgs: ALL Exam Author: ALL Activity Codes: EXAD 9/29/2021 9:50:51 AM Page 3 of 4

IP 21 Operator Licensing Exam Schedule From 08/01/2020 to 09/30/2021 Phase Code: 2 - Construction, 5 - Operational Region: 4 Summary by Region RO SROI SROU LSRO Total Region 4 6 2 3 0 11 Sites: CP Orgs: ALL Exam Author: ALL Activity Codes: EXAD 9/29/2021 9:50:51 AM Page 4 of 4

IP 21 Operator Licensing Exam Schedule From 08/01/2020 to 09/30/2021 Phase Code: 2 - Construction, 5 - Operational Region: 4

                                                          # Candidates Exam           Site / Docket # / Insp Rpt #            RO LSRO SROI SROU    Type  Exam Author Chief Examiner Examiners Assigned Week 08/08/2021     Comanche Peak / 05000445, 05000446 /     6    0    2     3 FB-OR-      NFF     Kirkland, John Doyle,Matthew 2021301                                                    INITIAL                            Kirkland,John CAC #: 000500                                              LICENSE                            Osterholtz,Clyde EXAM                               Steely,Chris ADMINIS TRATION (EXAD) 09/19/2021     Comanche Peak / 05000445, 05000446 /     6    0    2     3 FB-OR-      NFF     Kirkland, John Bergeon,Bryan 2021301                                                    INITIAL                            Hernandez,Nick CAC #: 000500                                              LICENSE EXAM ADMINIS TRATION (EXAD)

Sites: CP Orgs: ALL Exam Author: ALL Activity Codes: EXAD 9/29/2021 9:50:51 AM Page 1 of 4

IP 21 Operator Licensing Exam Schedule From 08/01/2020 to 09/30/2021 Phase Code: 2 - Construction, 5 - Operational Region: 4 Summary by Date RO SROI SROU LSRO Total 08/2021 6 2 3 0 11 09/2021 6 2 3 0 11 Sites: CP Orgs: ALL Exam Author: ALL Activity Codes: EXAD 9/29/2021 9:50:51 AM Page 2 of 4

IP 21 Operator Licensing Exam Schedule From 08/01/2020 to 09/30/2021 Phase Code: 2 - Construction, 5 - Operational Region: 4 Summary by Site RO SROI SROU LSRO Total Comanche Peak 12 4 6 0 22 Sites: CP Orgs: ALL Exam Author: ALL Activity Codes: EXAD 9/29/2021 9:50:51 AM Page 3 of 4

IP 21 Operator Licensing Exam Schedule From 08/01/2020 to 09/30/2021 Phase Code: 2 - Construction, 5 - Operational Region: 4 Summary by Region RO SROI SROU LSRO Total Region 4 12 4 6 0 22 Sites: CP Orgs: ALL Exam Author: ALL Activity Codes: EXAD 9/29/2021 9:50:51 AM Page 4 of 4

ES-201 1 Form ES-201-3

1. Pre-Examination I acknowledge tha have cquired specialized knowledge about the U.S. Nuclear Regulatory Commission (NRC) licensing examinations scheduled for the week(s) of'8}i# l*iJz fn persons who have not e z,as of the date of my signature. I agree that I will not knowingly divulge any information about these examinations to any n 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 kno dge I id not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of &ZI- From the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or p ovide 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 DATE NOTE 1.- C _ J.+- 2.-----="""->=L-'!'1---

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ES-201 1 Form ES-201-3

1. Pre-Examination I ackno1Medge thar hEcquired specialized kno1Medge about the U.S. Nuclear Regulatory Commission (NRG) licensing examinations scheduled for the week(s) persons who h o~fe ZJ- U3s of the date of my signature. I agree that I will not knowingly divulge any information about these examinations to any not een 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 knowlijdge,~d not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) oreJ4 t.i* 1 !Lfrom the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC.

PRINTED NAME JOB TITLE/ RESPONSIBILITY SIGNATURE (1) DATE SIGNATURE (2) DATE NOTE 1.__,~=-i=~~ ~ ~ - 2 ._-,---'---,.,.......:-'-'--,,..-.- - 3 *-;:;::=s="'-'f'"-"!"""-"--.-- 4,-.3...~~j,6~~!....,.,.., 5 . ~~..L..!..-=-o::'-------'--'-----:---:::S.--:-..U.S-. 6 .-=~'-"-----':::........>"--"""""--- 7 .....:::;..;..::..:..:....::.___,;........!.:.!.:~~- 8 .~~./:i;:J.':$~:........ 9 .--'-=-..L!!.::.=-:----;,f+.Lf=~...:... 10 .....;:;:::....L!:..i..s..;.....!.L.J=J...,3:::.~ 11 .-1-J,J~tdL!-LL~~.!!..._

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ES-201 1 Form ES-201-3

1. Pre-Examination I acknowledge t t I h v acquired specialized knowledge about the U.S. Nuclear Regulatory Commission (NRC) licensing examinations scheduled for the week(s) ofg J ~ 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 no 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 kno~r~a.!d not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of ., i-1From the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or pro ide pe ormance 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) DATE SIGNATURE (2) DATE NOTE ll.o /2 0

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