ML22178A177

From kanterella
Jump to navigation Jump to search
PV-2022-05-Public Forms
ML22178A177
Person / Time
Site: Palo Verde  Arizona Public Service icon.png
Issue date: 04/12/2022
From: Heather Gepford
NRC/RGN-IV/DORS/OB
To:
Arizona Public Service Co
References
Download: ML22178A177 (25)


Text

EXAM ASSIGNMENT TICKLER Chief:

John Kirkland Facility:

PV 5/12/2022 U/I:

Start of Op Test:

5/2/2022 5/6/2022 Due Date Date Complete Initials 8/30/2021 7/13/2021 10/4/2021 7/13/2021 10/4/2021 7/13/2021 10/4/2021 11/22/2021 10/4/2021 7/14/2021 10/18/2021 7/13/2021 11/29/2021 11/22/2021 12/13/2021 11/29/2021 2/14/2022 2/24/2022 2/21/2022 N/A N/A 3/14/2022 3/10/2022 3/28/2022 3/10/2022 3/28/2022 3/30/2022 4/4/2022 4/4/2022 3/28/2022 3/28/2022 4/11/2022 4/4/2022 4/18/2022 4/14/2022 4/25/2022 4/12/2022 4/25/2022 N/A N/A 4/25/2022 4/14/2022 4/25/2022 5/5/2022 4/25/2022 4/25/2022 5/2/2022 5/2/2022 5/13/2022 5/13/2022 6/1/2022 5/19/2022 6/9/2022 5/20/2022 6/9/2022 2/21/2022 6/16/2022 5/22/2022 6/23/2022 5/23/2022 6/30/2022 5/23/2022 6/30/2022 6/1/2022 6/30/2022 5/24/2022 7/21/2022 N/A N/A 7/28/2022 6/27/2022 8/4/2022 N/A N/A 9/1/2022 6/27/2022 Rev. 9 21 days after proposed denial letters mailed.

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 Administer Operating Test 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 NRC developed written examination outline sent to facility contact ES-401-1/2 and ES-401-3 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 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 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 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)

Post exam comments and graded exams received ES-403-1 to BC Final Denial Letters mailed (if no request for informal review)

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/Proposed 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

password es1021

Form 2.3-1 Examination Outline Quality Checklist Facility: PVNGS I Date of Examination: 5/2/2022 Item Task Description (Y)es / (N)o a

b*

c#

z The outline was systematically and randomly prepared in accordance with the w

instructions in Section B of ES-4.1, and all knowledge and ability (KIA) categories JR

'fl'--

I-are aoorooriatelv sampled I-c2 The outline does not overemphasize any systems, evolutions, or generic topics JR AM 4£--

s Justifications for deselected or rejected KIA statements are acceptable.

JR AM ~

Using Form 3.4-1, Events and Evolutions Checklist, verify that the proposed scenario sets cover the required number of normal evolutions, reactivity JR AM evolutions, instrument and component failures, manual control evolutions,

.p.-

0:::

technical specifications, and major transients.

0 There are enough scenarios (and spares) for the projected number and mix of

~

applicants in accordance with the expected crew composition and rotation JR AM schedule without compromising exam integrity. Ensure that scenarios will not be of"--

~

repeated on subseQuent davs.

ci5 Ensure that all scenarios are new or significantly modified in accordance with ES-JR" AM" ~

3.4 and that no scenarios are duplicated from the aoolicants' audit test(s).

To the extent possible, assess whether the outline(s) conforms with the qualitative JR AM.p-and auantitative simulator set criteria specified on Form 2.3-2.

Verify that the control room and in-plant systems outline meets the criteria specified in the instructions on Form 3.2-2 and that no tasks are duplicated from JR" AM".p-the aoolicant's audit test(s).

en Verify that the administrative outline meets the criteria specified in the instructions

~

JR" AMA ~

a..

on Form 3.2-1 and that no tasks are duplicated from the aoolicant's audit test(s).

Determine whether the number of job performance measures (JPMs) and JPM types is sufficient for the projected number and mix of applicants and ensure that JR AM ~

no items are duplicated on subseQuent davs.

Assess whether the appropriate exam sections cover plant-specific priorities JR AM,p:--

(includina probabilistic risk assessment and individual plant examination insiahts).

Assess whether the 1 O CFR 55.41, 1 O CFR 55.43, and 1 O CFR 55.45 sampling is JR AM ifL-

....J aoorooriate.

ci Check whether KIA importance ratings (except for plant-specific priorities) are JR AM..pt w

greater than or equal to 2.5.

z Check for duplication and overlap across the exam and with the last two NRC w

JR AM #-

C) exams.

Check the entire exam for balance of ~overage.

JR AM #-

Assess whether the exam fits the appropriate job level (reactor operator or senior JR

,p--

reactor operator).

AM Printed Name I Signature Date Dlgltally signed by John Rodgers

a. Author John Rodgers DN:rn=John Rodgers, o-Exi.m Group, ou-9618, emalf=john.rodge~aps:.com. c=US Date: 2021.11.1711:35:19-07'00' O)gltally signed by ~

n Mar:sh

b. Facility Reviewer(*) Allen Marsh ON: cn=Alen MaM, o-PVNGS,o~ratians,<ll!maif=a1len.mar:sh@aps.com. e=US Date: 2021.11.1913:35:S-4-07'00' C.

NRC Reviewer (#)

j Q~ "- \\L,,~ \\a"'ol ;</lL ~

l'l-/ I /z.J NRC Chief Examiner Jo"-V\\.

\\(,~ k_ I 11... cl{W ~

11-/t /21 NRC Supervisor u

  • The facility licensee signature is not applicable for NRC developed tests
  1. An independent NRC reviewer performs the steps in column "c". This may be the NRC Chief Examiner if he/she did not develop the outline under review "The audit exam has not yet been developed but the instructions on the referenced forms and NUREG 1021 sections have been met SIGN

Form 2.3-2 Operating Test Quality Checklist Facility: PVNGS I Date of Examination: 5/2/2022 I Operating Test Number: 2022 General Criteria (Y)es/ (N)o a

b*

c#

a.

The operating test meets the criteria on the associated test outline y

y 1

b.

There are enough test items so that test items will not be repeated on more than 1 day of the y

y operating test y

C.

The operating test does not duplicate items from the applicant's audit test(s) y y

y

d.

Overlap with the written examination and between different part of the operating test is minimized y

y

'I

e.

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

y y

applicants at the designated license level Walkthrough Criteria Each job performance measure (JPM) includes the following, as applicable:

y y

'--(

Task standard Initial conditions Initiating cues References and tools, including associated procedures Reasonable and validated time limits (average time allowed for completion) and specific designation if the facility licensee deems it to be time critical Specific designation if it meets the criteria of alternate path Operationally important specific performance criteria that include the following:

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 JPM task standard 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 JPM outlines (Forms 3.2-1 and 3.2-2) y y

'f 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 Simulator Scenario Set Criteria for Scenario Numbers: 2 / 4 / 3 (1 Is the spare)

QUALITATIVE ATTRIBUTES

1.

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

y

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

2.

The scenarios consist mostly of related events y

y y

3.

Each event description consists of the following:

y y

'I 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 The expected operator actions (by shift position)

The event termination point (if applicable)

(Y)es/(N)o QUALITATIVE ATTRIBUTES continued a

b*

elf.

4.

The events are valid with regard to physics and thermodynamics y

y y

5.

The sequencing and timing of events is reasonable and allows the examination team to observe y

y y

and evaluate applicant performance

6.

If time compression techniques are used, the scenario summary clearly so indicates. Operators y

y y

have sufficient time to carry out expected activities without undue time constraints. Cues are given.

7.

The simulator modeling is not altered y

y y

8.

The scenarios have been validated. Pursuant to 10 CFR 55.46(d), any open simulator y

y performance deficiencies or deviations from the referenced plant have been evaluated to ensure y

that functional fidelity is maintained while running the planned scenarios.

9.

Scenarios are new or significantly modified in accordance with ES-3.4 y

y

'(

10. Scenarios (as grouped) allow each applicant to be significantly involved in the minimum number y

y y

of transients, events, and evolutions specified on the version Form 3.4-1 submitted with the scenario set 11. Applicants are evaluated on a similar number of pre-identified critical tasks across scenarios, y

y y

when possible

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

y y

Actual Attributes by (Y)es/ (N)o TARGET QUANTITATIVE ATTRIBUTES per Scenario (See ES-3.4)

Scenario No.

2 I 41 3 / 1 (spare) a b*

elf.

1.

Malfunctions after emergency operating procedure (EOP) entry (1-2) 1/3/3/2 y

y y

2.

Abnormal events (2-4) 4/3/3/3 y

y y

3.

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

y

'(

4.

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

y y

5.

Entry into a contingency EOP with substantive actions (~ 1 per y

y scenario set, set is the entire set of scenarios prepared for the 0/1/1/0 y

scheduled exam)

6.

Pre-identified critical tasks (~ 2) 3/2/2/2 y

y y

Pointed Name/-

~

~

Date

a.

Author John Rodgers I 4/5/2022

b.

Facility Reviewer (*)

Allen Marsh I / J6/-c>-:r7X 4/5/2022

c.

NRC Reviewer (#)

JohV\\ IL,rk..la~cl 1-:J)J.[ rfl.:::--.:..~

4(12 /z. 2..

NRC Chief Examiner Jc),-w1 \\l 1rkla,0/4,ir~

4Jr2.. /2,2.

NRC Supervisor

µt~{htr Ge.1)-\\o,~ ~/4L"1f-kfa..Jf ~ic/ ~/;di~

J,,J I,

  • The facility licensee signature is not applicable for NRC developed tests
  1. An independent NRC reviewer performs the steps in column "c". This may be the NRC Chief Examiner if he/she did not develop the etltline under review

Form 2.3-4 Written Examination Quality Checklist Facility: PVNGS Date of Exam: 512/2022 Exam Level:

RO ~ SRO~

(Y)es I (N)o Item Description a

b*

c#

1.

Questions and answers are technically accurate and applicable to the facility. Each question y

y y

includes a technical reference.

2.
a. All questions reference NRC knowledge and abilities (K/As) requirements.

y y

b. Facility learning objectives are referenced as available.

y

c. All questions include an explanation of the correct answer and a distractor analysis.
3.

Senior reactor operator (SRO) questions test at the SRO license level.

y y

y

4.

The sampling process was random and systematic. (If more than four reactor operator (RO) or two y

y SRO questions were repeated from the last two NRC licensing exams, including full (100-question)

~

retake examinations, consult the NRC Office of Nuclear Reactor Regulation operator licensing program office.)

5.

Question duplication from the licensee screening/audit exam was controlled as indicated below y

y (check the item that applies) and appears appropriate:

_ The audit exam was systematically and randomly developed

'(

_ The audit exam was completed before the license exam was started

_ The examinations were developed independently

_X_ The licensee certifies that there is no duplication

_ Other (explain):

6.

Bank use meets limits (no more than 75% from the bank, at least Bank Modified New y

y 10% new (at the comprehension/analysis level), and the rest new or y

modified); enter the actual RO/SRO-only questions distribution >

16/6 7/3 52 / 16

7.

Between 38 and 45 questions of the question on the RO exam and Memory CIA y

y at least 13 of the questions on the SRO-only portion of the exam 1

are written at the comprehension/analysis level; enter the actual 31 / 10 44/ 15 RO/SRO-only question distribution >

8.

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

y y

'I

9.

Question content conforms to specific KIA statements in the previously approved examination outline y

y and is appropriate for the KIA statements' assigned tier; deviations are justified.

y

10. Question psychometric quality and format meet the instructions and guidelines in ES-4.2.

y y

y.
11. The exam contains the required number of one-point, multiple-choice items; the total is correct and y

y

'I agrees with the value on the cover sheet.

Primed N,me / Sigoature

~

Date

(

a.

Author John Rodgers I ~

4/5/2022

b.

Facility Reviewer(*)

Allen Marsh '/~£<_

4/5/2022

c.

NRC Reviewer(#)

JC> hV\\ ll,~k.\\aV\\d ~~-->2/

I 4/12/?2.

NRC Chief Examiner Jotivt ll 1,1'.Jd"'d U::;;/V-()

> 4)12'2 2-I -,.

NRC Supervisor J..l~dih-t, Gt~i~ I if / 1aYb5f.S//1ffe1// <f /J;i/4:J-

-;p

/

If -,

  • The facility licensee signature is not applicable for NRC developed tests
  1. An independent NRC reviewer performs the steps in column "c". This may be the NRC Chief Examiner if he/she did not develop the 8l:ltline under review

Facility:

2022 E

A V

M P

E I

P N

T N

L T

O I

I T

M C

T A

U A

Y S

A B

S A

B S

A B

S A

B L

M N

P R

T O

R T

O R

T O

R T

O T

E O

C P

O C

P O

C P

O C

P RX 0

1 1

0 R1 NOR 1

1 2

1 1

1 I/C 3,4,5 3,4,5 2,3,4,7

,8 11 4

4 2

MAJ 6

6 5

3 2

2 1

Man. Ctrl.

4,5 4,5 2,4,7 7

1 1

0 13 TS 0

0 2

2 RX 0

1 1

0 R2 NOR 1

1 1

1 1

I/C 2,3,4,7 3,4,6,8 8

4 4

2 MAJ 6

5 2

2 2

1 Man. Ctrl.

4,6,7 4

4 1

1 0

9 TS 0

0 2

2 RX 0

1 1

0 R3 NOR 1

1 2

1 1

1 I/C 3,4,5 3,4,5 6

4 4

2 MAJ 6

6 2

2 2

1 Man. Ctrl.

4,5 4,5 4

1 1

0 8

TS 0

0 2

2 RX 0

1 1

0 R4 NOR 2

1 1

1 1

I/C 2,3,4,7 3,4,5,8

,9 9

4 4

2 MAJ 6

6 2

2 2

1 Man. Ctrl.

4,6,7 4,5 5

1 1

0 10 TS 0

0 2

2 RX 0

1 1

0 R5 NOR 1

1 1

1 1

I/C 3,4,5 2,3,4,7

,8 8

4 4

2 MAJ 6

5 2

2 2

1 Man. Ctrl.

4,5 2,4,7 5

1 1

0 9

TS 0

0 2

2 Scenarios PVNGS 5/2/2022 Operating Test Number:

Form 3.4-1 Events and Evolutions Checklist (Based on running Scenarios 2/4/3)

Date of Exam:

RO SRO-I SRO-U 1

2 3

4 POSITION POSITION POSITION POSITION RX+NOR

+I/C RX+NOR

+I/C RX+NOR

+I/C RX+NOR

+I/C RX+NOR

+I/C

Facility:

2022 E

A V

M P

E I

P N

T N

L T

O I

I T

M C

T A

U A

Y S

A B

S A

B S

A B

S A

B L

M N

P R

T O

R T

O R

T O

R T

O T

E O

C P

O C

P O

C P

O C

P RX 0

1 1

0 R6 NOR 1

1 1

1 1

I/C 2,3,4,7 3,4,6,8 8

4 4

2 MAJ 6

5 2

2 2

1 Man. Ctrl.

4,6,7 4

4 1

1 0

9 TS 0

0 2

2 RX 0

1 1

0 R7 NOR 1

1 2

1 1

1 I/C 3,4,5 3,4,6,8 7

4 4

2 MAJ 6

5 2

2 2

1 Man. Ctrl.

4,5 4

3 1

1 0

9 TS 0

0 2

2 RX 0

1 1

0 R8 NOR 2

1 1

1 1

I/C 3,4,5,8

,9 2,3,4,7

,8 10 4

4 2

MAJ 6

5 2

2 2

1 Man. Ctrl.

4,5 2,4,7 5

1 1

0 11 TS 0

0 2

2 RX 0

1 1

0 R9 NOR 1

1 1

1 1

I/C 2,3,4,7 3,4,6,8 8

4 4

2 MAJ 6

5 2

2 2

1 Man. Ctrl.

4,6,7 4

4 1

1 0

9 TS 0

0 2

2 RX 0

1 1

0 R10 NOR 2

1 1

1 1

I/C 3,4,5,8

,9 2,3,4,7

,8 10 4

4 2

MAJ 6

5 2

2 2

1 Man. Ctrl.

4,5 2,4,7 5

1 1

0 11 TS 0

0 2

2 Form 3.4-1 Events and Evolutions Checklist PVNGS Date of Exam: 5/2/2022 Operating Test Number:

Scenarios 1

2 3

4 RX+NOR

+I/C POSITION POSITION POSITION POSITION RX+NOR

+I/C RX+NOR

+I/C SRO-U RX+NOR

+I/C RX+NOR

+I/C RO SRO-I

Facility:

2022 E

A V

M P

E I

P N

T N

L T

O I

I T

M C

T A

U A

Y S

A B

S A

B S

A B

S A

B L

M N

P R

T O

R T

O R

T O

R T

O T

E O

C P

O C

P O

C P

O C

P RX 0

1 1

0 I1 NOR 1

1 1

1 1

I/C 3,4,5 3,4,5,8

,9 2,3,4,6

,7,8 14 4

4 2

MAJ 6

6 5

3 2

2 1

Man. Ctrl.

4,5 2

1 1

0 15 TS 2,4 3,4 4

0 2

2 Form 3.4-1 Events and Evolutions Checklist PVNGS Date of Exam: 5/2/2022 Operating Test Number:

Scenarios 1

2 3

4 SRO-U RX+NOR

+I/C POSITION POSITION POSITION POSITION RO SRO-I

Facility:

2022 E

A V

M P

E I

P N

T N

L T

O I

I T

M C

T A

U A

Y S

A B

S A

B S

A B

S A

B L

M N

P R

T O

R T

O R

T O

R T

O T

E O

C P

O C

P O

C P

O C

P RX 0

1 1

0 U1 NOR 0

1 1

1 I/C 2,3,4,5

,7 2,3,4,6

,7,8 11 4

4 2

MAJ 6

5 2

2 2

1 Man. Ctrl.

0 1

1 0

11 TS 2,4 3,4 4

0 2

2 RX 0

1 1

0 U2 NOR 0

1 1

1 I/C 2,3,4,5

,7 3,4,5,8

,9 10 4

4 2

MAJ 6

6 2

2 2

1 Man. Ctrl.

0 1

1 0

10 TS 2,4 2,4 4

0 2

2 RX 0

1 1

0 U3 NOR 0

1 1

1 I/C 2,3,4,5

,7 2,3,4,6

,7,8 11 4

4 2

MAJ 6

5 2

2 2

1 Man. Ctrl.

0 1

1 0

11 TS 2,4 3,4 4

0 2

2 RX 0

1 1

0 U4 NOR 0

1 1

1 I/C 3,4,5,8

,9 2,3,4,6

,7,8 11 4

4 2

MAJ 6

5 2

2 2

1 Man. Ctrl.

0 1

1 0

11 TS 2,4 3,4 4

0 2

2 RX 0

1 1

0 U5 NOR 1

1 1

1 1

I/C 2,3,4,5

,7 3,4,5 8

4 4

2 MAJ 6

6 2

2 2

1 Man. Ctrl.

4,5 2

1 1

0 9

TS 2,4 2

0 2

2 3

4 Form 3.4-1 Events and Evolutions Checklist POSITION POSITION POSITION POSITION RX+NOR

+I/C RX+NOR

+I/C RX+NOR

+I/C SRO-U RX+NOR

+I/C RX+NOR

+I/C RO SRO-I PVNGS Date of Exam: 5/2/2022 Operating Test Number:

Scenarios 1

2

0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 1

0.5 0.5 0.5 1

0.5 0.5 0.5 0.5 0.5 0.5 0.5 3

0.5 0.5 0.5 3

0.5 0.5 5

0.5 0.5 0.5 0.5 1

0.5 0.5 0.5 1

0.5 0.5 1

0.5 0.5 0.5 0.5 2

0.5 0.5 0.5 2

0.5 0.5 3

0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 1

0.5 0.5 0.5 0.5 0.5 0.5 4

0.5 0.5 0.5 0.5 4

0.5 0.5 0.5 0.5 0.5 0.5 1

0.5 0.5 0.5 0.5 1

0.5 0.5 0.5 0.5 0.5 0.5 3

0.5 0.5 0.5 0.5 1

0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 1

0.5 0.5 0.5 1

0.5 0.5 0.5 0.5 0.5 0.5 0.5 3

0.5 0.5 0.5 3

0.5 0.5 0.5 0.5 0.5 0.5 0.5 1

0.5 0.5 0.5 1

0.5 0.5 0.5 0.5 0.5 0.5 0.5 2

0.5 0.5 0.5 2

0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 1

0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 4

0.5 5

0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 1

0.5 1

0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 3

0.5 2

0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 1

0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 3

0.5 0.5 0.5 0.5 0.5 0.5 5

0.5 0.5 0.5 0.5 1

0.5 0.5 0.5 0.5 0.5 0.5 1

0.5 0.5 0.5 0.5 2

0.5 0.5 0.5 0.5 0.5 0.5 3

0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5

0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 1

0.5 0.5 0.5 0.5 0.5 0.5 4

0.5 0.5 0.5 0.5 4

0.5 0.5 0.5 0.5 0.5 0.5 1

0.5 0.5 0.5 0.5 1

0.5 0.5 0.5 0.5 0.5 0.5 3

0.5 0.5 0.5 0.5 1

0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 1

0.5 1

0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 3

0.5 4

0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 1

0.5 1

0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 2

0.5 1

0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 1

0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 5

0.5 0.5 0.5 5

0.5 0.5 0.5 0.5 0.5 0.5 0.5 1

0.5 0.5 0.5 1

0.5 0.5 0.5 0.5 0.5 0.5 0.5 2

0.5 0.5 0.5 3

0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 1

0.5 0.5 0.5 0.5 0.5 0.5 4

0.5 0.5 0.5 0.5 4

0.5 0.5 0.5 0.5 0.5 0.5 1

0.5 0.5 0.5 0.5 1

0.5 0.5 0.5 0.5 0.5 0.5 3

0.5 0.5 0.5 0.5 1

0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 1

0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 5

0.5 0.5 0.5 5

0.5 0.5 0.5 0.5 0.5 0.5 0.5 1

0.5 0.5 0.5 1

0.5 0.5 0.5 0.5 0.5 0.5 0.5 2

0.5 0.5 0.5 3

0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5

0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 1

0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 3

0.5 5

0.5 0.5 6

0.5 0.5 0.5 0.5 0.5 0.5 1

0.5 1

0.5 0.5 1

0.5 0.5 0.5 0.5 0.5 0.5 2

0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 2

0.5 0.5 2

0.5 0.5

0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 5

0.5 0.5 0.5 0.5 0.5 6

0.5 0.5 0.5 0.5 0.5 1

0.5 0.5 0.5 0.5 0.5 1

0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 2

0.5 0.5 0.5 0.5 0.5 2

0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 5

0.5 0.5 5

0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 1

0.5 0.5 1

0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 2

0.5 0.5 2

0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 5

0.5 0.5 0.5 0.5 0.5 6

0.5 0.5 0.5 0.5 0.5 1

0.5 0.5 0.5 0.5 0.5 1

0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 2

0.5 0.5 0.5 0.5 0.5 2

0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 5

0.5 0.5 6

0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 1

0.5 0.5 1

0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 2

0.5 0.5 2

0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 1

0.5 0.5 0.5 0.5 0.5 0.5 5

0.5 0.5 0.5 0.5 3

0.5 0.5 0.5 0.5 0.5 0.5 1

0.5 0.5 0.5 0.5 1

0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5 2

0.5 0.5 0.5 0.5 0.5 0.5 2

0.5 0.5 0.5 0.5 0.5 0.5 0.5 0.5

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

RO LSRO SROI SROU Type Exam Author Chief Examiner Examiners Assigned 05/01/2022 Palo Verde / 05000528, 05000529, 05000530

/ 2022301 CAC #: 000500 10 0

1 5

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

NFF Kirkland, John Bergeon,Bryan Clayton,Kelly Doyle,Matthew Hernandez,Nick Kirkland,John Osterholtz,Clyde You,David Page 1 of 4 5/24/2022 3:05:18 PM Orgs: ALL Sites: ANO, CALL, CNS, CP, DIAB, GG, PALO, RBS, STP, WAT, WC, WNP Exam Author: ALL Activity Codes: EXAD, NEXAD, NOV, OV IP 21 Operator Licensing Exam Schedule Phase Code: 2 - Construction, 5 - Operational Region: 4 From 05/01/2022 to 05/07/2022

Summary by Date RO SROI SROU LSRO Total 05/2022 10 1

5 0

16 Page 2 of 4 5/24/2022 3:05:18 PM Orgs: ALL Sites: ANO, CALL, CNS, CP, DIAB, GG, PALO, RBS, STP, WAT, WC, WNP Exam Author: ALL Activity Codes: EXAD, NEXAD, NOV, OV IP 21 Operator Licensing Exam Schedule Phase Code: 2 - Construction, 5 - Operational Region: 4 From 05/01/2022 to 05/07/2022

Summary by Site RO SROI SROU LSRO Total Palo Verde 10 1

5 0

16 Page 3 of 4 5/24/2022 3:05:18 PM Orgs: ALL Sites: ANO, CALL, CNS, CP, DIAB, GG, PALO, RBS, STP, WAT, WC, WNP Exam Author: ALL Activity Codes: EXAD, NEXAD, NOV, OV IP 21 Operator Licensing Exam Schedule Phase Code: 2 - Construction, 5 - Operational Region: 4 From 05/01/2022 to 05/07/2022

Summary by Region RO SROI SROU LSRO Total Region 4 10 1

5 0

16 Page 4 of 4 5/24/2022 3:05:18 PM Orgs: ALL Sites: ANO, CALL, CNS, CP, DIAB, GG, PALO, RBS, STP, WAT, WC, WNP Exam Author: ALL Activity Codes: EXAD, NEXAD, NOV, OV IP 21 Operator Licensing Exam Schedule Phase Code: 2 - Construction, 5 - Operational Region: 4 From 05/01/2022 to 05/07/2022

Form 1.3-1 Examination Security Agreement - 2022 PVNGS NRC Initial License Examination

( 1) Pre-Examination I acknowledge that I have acquired specialized know ledge about the U.S. Nuclear Regulatory Commission (NRC) licensing examination scheduled for May 2, 2022 through May 12, 2022, as of the date of my signature. 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 the completion of examination administration, except as specifically noted below or authorized by the NRC. 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 enforcement action by the NRC against me or the facility licensee, or both. I will immediately report to facility licensee management or the NRC chief examination any indication or suggestions that examination security may have been compromised.

(2) Post-Examination To t he best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations scheduled to be administered from May 2, 2022 through May 12, 2022. From the date that I entered into this examination 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 or authorized by the NRC.

Print Name Job Title Date Note

1.

e,J..J,c-,A ~

o ~

~Hl-2-(

2.

'i d".

1 *-W-i-

3.

f>... \\ \\6'- MIi\\. I' h

$11\\A

4.

f!,4Zi~ ~S.ON M1-iofl..--

5.

t>/N'(' D &,\\~ (l-

6.

~1/2 \\,4(.{~~r-1 S1.1M. -,vf('o~

7.

Sl-o.,..r,J S~t:"N l U-Ef-S' LAA 7vf/O(l-r

8.

~S1~

~

9.

wMe(Z.--

+H

10.

1,/ee IZ.-C,,-z Notes: ( - S,l~f'Afl> P~fil.,Cqll./. ~

Form 1.3-1 Examination Security Agreement - 2022 PVNGS NRC Initial License Examination (1) Pre-Examination I acknowledge that I have acquired specialized knowledge about the U.S. Nuclear Regulatory Commission (NRC) licensing examination scheduled for May 2, 2022 through May 12, 2022, as of the date of my signature. 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 the completion of examination administration, except as specifically noted below or authorized by the NRC. 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 enforcement action by the NRC against me or the facility licensee, or both. I will immediately report to facility licensee management or the NRC chief examination any indication 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 scheduled to be administered from May 2, 2022 through May 12, 2022. From t he date that I entered into this examination 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 or authorized by the NRC.

Print Name Job Title Date Signature (2)

Date Note

1.

D~V)/\\)

C.\\CINELL\\

11. ~ Z \\
2.
3.

4

5.
6.
7.
8.
9.

I Notes:

{.,. S '" ~

Pff--- ~

M ~

~

Form 1.3-1 Examination Security Agreement - 2022 PVNGS NRC Initial License Examination (1) Pre-Examination I acknowledge that I have acquired specialized knowledge about the U.S. Nuclear Regulatory Commission (NRC) licensing examination scheduled for May 2, 2022 through May 12, 2022, as of the date of my signature. That I will not knowingly divulge any information about these examinations to any persons w ho 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 the completion of examination administration, except as specifically noted below or authorized by the NRC. 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 enforcement action by the NRC against me or the facility licensee, or both. I will immediately report to facility licensee management or the NRC chief examination any indication 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 scheduled to be administered from May 2, 2022 through May 12, 2022. From the date that I entered into this examination 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 or authorized by the NRC.

Print Name Job Title Signature (1)

Date Note

1.

I

2.

I

3.

-z;;;s,1c....

fk,,, le:-~

4.

~

m; 1w

~o

5.

((

-[~

Q..-:::>

6. C Ao
7.

~

CA A\\ \\JU\\

8.
9.
10.

Form 1.3-1 Examination Security Agreement - 2022 PVNGS NRC Initial License Examination (1) Pre-Examination I acknowledge that I have acquired specialized knowledge about the U.S. Nuclear Regulatory Commission (NRC) licensing examination scheduled for May 2, 2022 through May 12, 2022, as of the date of my signature. 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 the completion of examination administ ration, except as specifically noted below or authorized by t he NRC. Furthermore, I am aware of the physical security measures and requirements (as documented in t he facility licensee's procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations, and enforcement action by the NRC against me or the facility licensee, or both. I will immediately report to facility licensee management or the NRC chief examination any indication 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 scheduled to be administered from May 2, 2022 through May 12, 2022. From the date that I entered into this examination 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 or authorized by the NRC.

Print Name Job Title Note

1.

7l£a.,<.rc /Ylo,., rr1w.

2. C,\\..\\.~~,~b.t.u-t~
3.

r

4.

I

5.

.,S (Z.C,

6.

~

7.

720

8. c~U::G f0LScN
ie.o
9. 1/4eu Sfl.O

(

10. \\

C-o

)

Form 1.3-1 Examination Security Agreement - 2022 PVNGS NRC Initial License Examination (1) Pre-Examination I acknowledge that I have acquired specialized knowledge about the U.S. Nuclear Regulatory Commission (NRC) licensing examination scheduled for May 2, 2022 through May 12, 2022, as of the date of my signature. That I will not knowingly divulge any informat ion about these examinat ions 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 the completion of examination administration, except as specifically noted below or authorized by t he NRC. 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 enforcement action by the NRC against me or the facility licensee, or both. I w ill immediately report to facility licensee management or the NRC chief examination any indication 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 scheduled to be administered from May 2, 2022 through May 12, 2022. From the date that I entered into this examination 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 or aut horized by the NRC.

Print Name Job Title Signature (1)

Date Signature (2)

Date Note

1.
2.
3.
4.
5.
6.
7.

(

8.

I

(

Form 1.3-1 Examination Security Agreement-2022 PVNGS NRC Initial License Examination (1) Pre-Examination I acknowledge that I have acquired specialized knowledge about the U.S. Nuclear Regulatory Commission (NRC) licensing examination scheduled for May 2, 2022 through May 12, 2022, as of the date of my signature. 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 the completion of examination administration, except as specifically noted below or authorized by the NRC. 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 enforcement action by the NRC against me or the facility licensee, or both. I will immediately report to facility licensee management or the NRC chief examination any indication 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 scheduled to be administered from May 2, 2022 through May 12, 2022. From the date that I entered into this examination 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 or authorized by the NRC.

Print Name Job Title Date Note

l.
2.
3.
4.

\\

1 Notes:

Form 1.3-1 Examination Security Agreement - 2022 PVNGS NRC Initial License Examination (1) Pre-Examination I acknowledge t hat I have acquired specialized knowledge about t he U.S. Nuclear Regulatory Commission (NRC) licensing examination scheduled for May 2, 2022 t hrough May 12, 2022, as of the date of my signature. 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 t hose applicants scheduled to be administered these licensing examinations from this date until t he completion of examination administrat ion, except as specifically noted below or authorized by the NRC. 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 condit ions of this agreement may result in cancellation of the examinat ions, and enforcement action by the NRC against me or the facility licensee, or both. I w ill immediately report to facility licensee management or the NRC chief examination any indication 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 examinat ions scheduled to be administered from May 2, 2022 through May 12, 2022. From the date that I entered into this examination security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to t hose applicants who were administered t hese licensing examinations, except as specifically noted below or aut horized by the NRC.

Print Name Job Title Signatur~ (1)

Date Signature l2)

Date Note

l.

fV[li:N v~

DPS M ~P...

~l u. -

'f {-ti~

<fl.u J I

_}

"ff t2 'll..

I

2.

J ~ ~

'O <ot-lwN'\\v

<;M

~Po.; f\\.u

.,-('f'lu.

~

  • tJ r1,,,,

s--h" l"VI I

3.

M Al'r S t M cP-s

<:h,vl)

I

~{'fli2 m,a1llJ r{_..

1d11 i:z..

l

4.
5.
6.
7.
8.
9.

10.