ML12137A306

Final Qa/Related Forms (Folder 1)

ML12137A306
Person / Time
Site:	Three Mile Island
Issue date:	05/04/2012
From:	Caruso J G Operations Branch I
To:	Vanwyen T Exelon Nuclear
Jackson D E
Shared Package
ml113350031	List: ML12137A306
References
TAC U01847
Download: ML12137A306 (14)

Text

Examination Preparation Checklist Form ES-201-1 Facility:

ItftL-n:.

MtLt;. J5.[ l(PI T I Date of Examination:

t;/19 '-:. rV VI /. IUjll, 7 t;arf,ultl1 Developed by: Written -Facility)J NRC /I Operating

-Facility NRC 0 \

Target Chief Date* Task Description (Reference)

Examiner's ation administration date confirmed (C.1.a; C.2.a and b) -120 NRC examiners and facility contact assigned (C.1.d; C.2.e) -120 Facility contact briefed on security and other requirements (C.2.c) -120 Corporate notification letter sent (C.2.d) [-90] Reference material due (C.1.e; C.3.c; Attachment 3)] I" {-75} Integrated examination outline(s) due, including Forms ES-201-2, ES-301-1, ES-301-2, ES-301-5, ES-D-1's, ES-401-1/2, ES-401-3, ES-401-4, as applicable (C.1.e and f; v {-70} Examination outline(s) reviewed by NRC and feedback provided to licensee (C.2.h; {-45} Proposed examinations (including written, walk-through JPMs, scenarios, as applicable), supporting documentation (including ES-301-3, ES-301-4, ES-301-5, ES-301-6, and ES-401-6, and any ES-201-3 updates), and reference materials due (C.1.e, f, g and h; -30 Preliminary license applications (NRC Form 398's) due (C.1.1; -14 Final license applications due and Form ES-201-4 pmpared (C.1.1; v -14 Examination approved by NRC supervisor for facility licensee (C.2.h; -14 Examinations reviewed with facility licensee (C.1.j; C.:2.f and h; C.3.g) -7 Written examinations and operating tests by NRC (C.2.i; v -7 Final applications reviewed; 1 or 2 (if >10) applications audited to qualifications

/ eligibility; and examination approval and waiver letters (C.2.i; Attachment 5; ES-202, C.2.e; -7 Proctoring/written exam administration guidelines with facility licensee -7 Approved scenarios, job performance measures, and distributed to NRC examiners

• Target dates are generally based on facility-prepared examinations and are keyed to the examination date identified in the corporate notification letter. They are for planning purposes and may be adjusted on a case basis in coordination with the facility licensee.

[Applies only] {Does not apply} to examinations prepared by the NRC. ES-20 1, Page 25 of 28 Examination Outline Quality Checklist Form ES-201-2 Date of Examination:

l\,-( <0 f2 Item Task a b* 1. Verify that the outline(s) fit(s) the appropriate model, in accordance with ES-401. .!JI7IIlixD

<i11 W R b. Assess whether the outline was systematically and randomly prepared in accordance with lI.*., I Section D.1 of ES-401 and whether all KIA categories are appropriately sampled. vqpr WI..{) T c. Assess whether the outline over-emphasizes any systems, evolutions, or generic topics. ",YIjI N I;iw qAssess whether the justifications for deselected or rejected KIA statements are appropriate. a. Using Form ES-301-5, verify that the proposed scenario sets cover the required number V of normal evolutions, instrument and component failures, technical specifications, JJ$

S and major vAssess whether there are enough scenario sets (and spares) tf:> test the projected number and mix of applicants in accordance with the expected crew composition and rotation without compromising exam integrity, and ensure that each applicant can be tested L at least one new or significantly modified scenario, that no scenarios are from the applicants' audit test(s), and that scenarios will not be repeated on subsequent A To the extent possible, assess whether the outline(s) conform(s) with the qualitative R and quantitative criteria specified on Form ES-301-4 and described in Appendix D. *3. Verify that the systems walk-through outline meets the criteria specified on Form ES-301-2: the outline(s) contain(s) the required number of control ro<:>m and in-plant tasks distributed among the safety functions as specified on the I (2) task repetition from the last two NRC examinations is within the limits specified on the T (3) no tasks are duplicated from the applicants' audit the number of new or modified tasks meets or exceeds the minimums specified on the form the number of alternate path, low-power, emergency, and RCA tasks meet the criteria on the form. b. Verify that the administrative outline meets the criteria speCified on Form ES-301-1:

tl.iW 1 .. the tasks are distributed among the topics as specified on the form ,)V1f'

.,\".I at least one task is new or significantly modified no more than one task is repeated from the last two NRC licensing examinations Determine if there are enough different outlines to test the projected number and mix 0. PRI 8W VI," of applicants and ensure that no items are duplicated on subsequent days. /"""'P £1\ 4. Assess whether plant-specific priorities (including PRA and IPE insights) are covered 1< I?LU in the appropriate exam sections.

/IV'Pp b. Assess whether the 10 CFR 55.41/43 and 55.45 sampling is 1'1 E N Ensure that KIA importance ratings (except for plant-specific priorities) are at least 2.5. (}!>>E R d. Check for duplication and overlap among exam

..'H:/I frIN A L e. Check the entire exam for balance of coverage. {)(P Assess whether the exam fits the appropriate job level (RD or SRO) . .:...._________

I I a. Author b. Facility Reviewer (*) . -z.-c. NRC Chief Examiner (#) d. NRC Supervisor t;J Note: # Independent NRC reviewer initial items in Column "e"; chief examiner concurrence required.

• Not applicable for NRC-prepared examination outlin*es v

E8-201 Examination Security Agreement Form ES-201-3 1. Pre-Examination I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of II/til lIZ as of the date of my signature.

I agree that I will not knowingly divulge any information about these examinations to any persons who have not been authorized by the NRC chief examiner.

I understand that I am not to Instruct, evaluate, or provide performance feedback to those appHcants scheduled to be administered these licensing examinations from this date until completion of examination administration, except as specifically noted below and authorized by the NRC (e.g., acting as a simulator booth operator or communicator is acceptable if the individual does not select the training content or provide direct or indirect feedback).

Furthermore, I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action against me or the facility licensee.

I will immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been compromised.

2. Post-Egmlnatlon To the best of my djd not divulge to any unauthorized persons any information concemlng the NRC licensing examinations administered during the week(s) of From the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations.

except as specifically noted below and authorized by the NRC. PRINTED NAME JOB TITLE / RESPONSIBILITY DATE NOTE ,... , " .. " -"" ,-C:;"[O"-'

t ..CT OU?" &,uAdK , "i" 1--.Wili. I I<""I'¥ -= .' .4/t!J .!ifJ.!l.

fi1t. ,..."==

lOC.I:.C:If' ..;JEQ *I (D.+-pr. FjJ.1'-+*':::+ , -. >> __r l'l.iir= .,.........

............ .

<1II"fC"I _. _ .. _.co: .,,.,,,., , __ ES-201, Page 27 of 28

• ; I ! : , I, j , , I ! j f , I ES-201 examination Security Agreement Form ES-201-3 1. Pre-Exam1natlon I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of qftr It?,.. as of the date of my signature.

I agree that I will not knowingly divulge any information about these examinations to any persons who have not been authorized by the NRC chief examiner.

I understand that I am not to Instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examinations from this date until completion of examination administration, except as specifically noted below and authorized by the NRC (e.g., acting as a simulator booth operator or communicator is acceptable If the Individual does not select the training content or provide direct or indirect feedback).

Furthermore, I am aware of the physical security measures and reqUirements (as documented in the facility licensee's procedures) and understand that violation of the conditions of this agreement may result In cancellation of the examinations and/or an enforcement action against me or the facility licensee.

I will immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been compromised.

2. POlt..examinallOQ To the best of my knowledge I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of qfo/p. ,.M. From the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC. JOB TITLE I RESPONSIBILITY DATE DATE NOTE 1. f104H DUI.I.r7 t£o . ., i4i\q At ...... "... 'T _L :zi:!!al ()

.... ¥"'t c ... \.... ,c:c..'"\

... CJto eRO c"'\l...o £.w .LA. ..:> .'i'"rt 6't..o :z/) c; ES*201. -27 of 28 es.201 examination Security Agreement Form es.201-3 1. Pre-ExglnsUon I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s} of t/lrl"/tr as of the date of my signature.

I agree that I will not knowingly divulge any information about these examinations to any persons who have not been authorized by the NRC ohief examiner.

I understand that I am not to instruct, evaluate, or provide performance feedback to those applicams 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 direc::t or indirect feedback).

Furthermore, I am aware of the physical security measures and requiremems (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 wil immediately report to facility management or the NRC chief examiner any Indications or suggestions that examination security may have been compromised.

2. Pos1:Examloatlon To the best of my not divulge to any unauthorized persons any Information concerning the NRC licensing examinations administered durirg the week(s) of "tId." OJ!,J? From the date that I entered into this security agreement until the completion of examination administration, I did not instruct.

evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC. PRINTED NAME JOB TITLE I RESPONSIBILITY L3,?ts,§u8j -4: <:1' ;;do. e e...

cZii) .."AlR-""""'."..5. ____ 6. ____ 7. ____ S. ____ 9. ____ 10. ____ it ____ 12. ____ 13. ____ 14. ____ 15. ____ NOTES; es.201. -*ge27of28

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

ADrll2012. .Operating Test Number:.289-2012-301

1. GENERAL CRITERIA The operating test conforms with the previously approved outline; changes are consistent with sampling requirements (e.g., 10 CFR 55.45, operational importance, safety function distribution). There is no day-to-day repetition between this and other operating tests to be administered during this examination. The operating test shall not duplicate items from the applicants' audit test(s)(see Section D.1.a). Overlap with the written examination and between different parts of the operating test is within acceptable limits. It appears that the operating test will differentiate between competent and less-than-competent applicants at the designated license level. 2. WALK-THROUGH CRITERIA 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/or completion) and specific* designation if deemed to be time critical by the facility licensee

• operationally important specific performance criteria that detailed expected actions with exact criteria and system response and other examiner -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 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 1from any of the acceptance criteria (e.g., item distribution, bank use, repetition from the 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 copy is attached.

Printed Name I Sig:tture

a. Author Grea Hoek / Cr. b. Facility Reviewer (*) Deb Oshall c. NRC Chief Examiner (#) Johocaru", _yh ttv--J),1V;f£O

/ cJJJlt!d. NRC Supervisor L. NOTE:

• The facility signature is not applicable for NRC-developed testa # Independent NRC reviewer initial items in Column "c"; chief e>:aminer concurrence is required.

ES-301, Page 24 of 27 a b* f:.w tv; 'lr

• r.JL: lxso " i>tP ku 12J/iJIJ bu> 1l Mt4 ko hl Date q b..4.(-;-(L y-t-/L...

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i Simulator Scenario Quality Checklist Form ES-301-4 Facility:

Three Mile Island Date of Examination:

Agril2012 Scenario Numbers: 4/1/2/5 Operating Test Number:_289-2012-301 a b* bW txD-lxu(0/\ bt;oCV I.J/;'; /)u 'jl OW l<j V t>lP M' JI/fI ..rlt hw' f::1\L but 9fiIP J)£.O QUALITATIVE ATTRIBUTES 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. The scenarios consist mostly of related events. Each event description consists of

• the point in the scenario when it is to be initiated

• the malfunction(s) that are entered to initiate the event

• the symptoms/cues that will be visible to the crew

• the expected operator actions (by shift position)

• the event termination point (if applicable) No more than one non-mechanistic failure (e.g., pipe break) is incorporated into the scenario without a credible preceding incident such as a seismic event. The events are valid with regard to physics and thermodynamics. Sequencing and timing of events is reasonable, and allows the examination team to obtain complete evaluation results commensurate with the scenario objectives. If time compression techniques are used, the scenario summary clearly so indicates.

Operators have sufficient time to carry out expected activities withclut undue time constraints.

Cues are given. The simulator modeling is not altered. The scenarios have been validated.

Pursuant to 1 OCFR55.46(d), any open performance defiCiencies or deviations from the referenced plant have !Jeen to ensure that functional fidelity is maintained while running the planned Every operator will be evaluated using at least one new or significantly modified All other scenarios have been altered in accordance with Section D.5 of All individual operator competencies can be evaluated, as verified using Form (submit the form along with the simulator Each will be significantly involved in the minimum number of transients and events specified on Form ES-301-5 (submit the form with the simulator scenarios). The level of difficulty is appropriate to support licensing decisions for each crew position.

Target Quantitative Attributes (Per Scenario; See Section D.S.d) Total malfunctions (5-8) Malfunctions after EOP entry (1-2) I Abnormal events (2-4) Major transients (1-2) EOPs entered/requiring substantive actions (1-2) EOP contingencies requiring substantive actions (0-2) Critical tasks (2-3) ES-301, Page 25 of 27 Actual Attributes 4/1/2/5 7 /7/ 7/7 1/1/1/1 2/2 / 2/3 1/1/1/1 2/1/1/1 3/3/2/3 3/3/3/2 ES-301 Transient and Event Checklist Form ES-301-5 Facility:

Three Mile Date of Exam: April 2012 Operating Test Number: 289-2012-301 Scenarios A ..I P V I I 1 2 5 'T MP E I 0 IN CREW CREW CREW CREW POSITION POSITION POSITION POSITION T NT A I C S B S A B S A B S A B L M A T R 0 R T 0 R T 0 R T 0 U 0 P 0 C P 0 C P 0 C P M(*)T P i N Y II R I U!i I I ! i 1 I IRX i 1 1 0 II 1 I 0 I 0 1 1SRO-I-1 IIC 1,2,3,4,5, i 4 4[gI , 8 15 2 I; SRO-U i MAJ 6 7 3 2 2 1 II o I TS 1,5 4 0 2 2 ,RX 1 I 1 1 i 1 NOR a 1 1 0 i 1,2,3,4,5, 1.2,4,5,6,15 4 4 2 lllc 7 8[gI , SRO-U MAJ 6 6 7 3 2 2 0 TS 1,3 4 0 2 2 i I 5 1 1 1 0 0 NOR i 0 1 1 I SRO-I-3 1,2,3,4,5, 2,3,4,5,6.1,4,!> 15 4 4 2[gI 8 I I ISRO-U MAJ 6 7 7 3 2 2 1 0 TS 1,3 1,5 4 0 2 2 i RX 1 1 1 0 0 iNOR 0 1 1 1,2,4,5,6'i

[gI i IIC I 3,4,5,6 13 4 4 2! !SRO-U

• MAJ 7 7 3 2 2 1I o I2,3 2 0 2 2 i Instructions: Check the afglicant level and enter the operating test number and Form ES-D-1 event numbers for event tyrae; are not for RO applicants.

ROs must serve in both the "at-the-controls and "ba ance-of-f"ant (B P)" positions.

Instant SROs must serve in both the SRO and the A TC including at leas two instrument or component (I/C) malfunctions and one major transient, in the If an Instant SRO additionally serves in the BOP position, one IIC malfunction can be oward the two IIC malfunctions required for the ATC position.

manipulations may be conducted under normal or control/ed abnormal conditions (refer Section .5.d) but must be significant per Section C.2.a of Appendix D. h] Reactivity and evolutions may be replaced with additional instrument or component mal nctions on a 1-for-1 i 3 Whenever practica'i both instrument and co onent malfunctions should be included; only those that require verifiab e actions that provide in the applicant's competence count toward i1 . the minimum requirements specified for the applicant's license level in the right-hand columns. -ES,*301, Page 26 of :27 eS-301 Transient and Event Checklist Form eS0301-5 Facility:

Three Mile Date of Exam: April201:?

Operating Test Number: 289-2012-301 ScenariosE V ___4 _________1_________2________5____

ME IL N CREW CREW CREW CREW POSITION POSITION POSITION POSITION NT I C S A B S A B S A B S A B l MT R T 0 R T 0 R T o R T 0 U pY p o C P o C ! P o C o C P M(*)T ! R I U 1 E I I 5 1 ! 1 a I RO-1 , l8J NOR I SRO-I o IIC l ! 1,2,3,7 1,4,6 3,4,5,6 11 4 4 2 SRO-U MAJ I 6 7 7 3 2 2 l' o Q a 2 2 ! 5 1 1 1 0 RO-2 l8J : NOR : 0 1 1 1 EfO-1 1"M_AJ______

TS I 0 0 2! 2 'I RX 5 1 1 1 0 RO-3 l8J NOR o 1 1 1 1 EfO-1 ,-I II_C__-+____+-__--1'-1_,2_,3_,7-+-

__-+____1--__+ __-+____+-2_,_4_,5_,8-+-

__--+_2_.4._6,8-+

____1--1_2-+-_4-r-1

_4--1__2-11 SRO-U IMAJ 7 7 3 2 2 1 Iii*,r, ITS ! 0 0 2 2 o RO o 4 4 2 o SRO-U 2 2 0 1 o 2 2 Instructions: 1 Check the applicant level and enter the operating test number and Form ES-D-1 event numbers for event type; TS are not aJ)plicable for RO applicants.

ROs must serve in both the "at-the-controls and "balance-of-plant (BOP)" positions.

Instant SROs must serve in both the SRO and the ATC including at least two instrument or component (I/C) malfunctions and one major transient, in the position.

If an Instant SRO additionally serves in the BOP pOSition, one IIC malfunction can be toward the two IIC malfunctions required for the ATC Reactivity manipulations may be conducted under normal or controlled abnormal conditions (refer Section D,5.d) but must be significant per Section C.2.a of Appendix D. (*) Reactivity and evolutions may be replaced With additional instrument or component malfunctions on a 1-10r-1 Whenever practical, both instrument and component malfunctions should be included; only that require verifiable actions that provide insight to the applicanfs competence count the minimum requirements specified for the applicant's license level in the right-hand ES-301, Page 26 of :27

'ES-301 Competencies Checklist Form ES-301-6 Facility*

Three Mile Island Date of Examination:

April 2012 Operating Test No.: 289-2012-301 RO D RO D RO D RO D SRO-I-1 t.8J SRO-I-2 t.8J SRO-I-3 t.8J SRO-I-4 t.8J I Competencies SRO-U D SRO-U D SRO-U D SRO-U D , 2

• 5 4 1 : 2 5!c!s I A;C I 2 c;s.r A;C c!s, c;s I ATC I CRS ATC CRS BOP 11,2,3,11,2,3, II 1,2,3,' 1,2,3, 1,2,3, 1,2,3, 11,2,3,11,2,3, 1,2,3, 1,2,3, 1,2,3, ! Interpret!

Diagnose 4,5,6, 4,5,6, 4,5,6, 4,5,6, , 4,5,6, .4,5,6, 4,5,6, 1 ,4,5,6, 4,5,6, 78 I 78' 7 7,8 7 7 7,8 , I t : 7,8 7,8. Events and Conditions I Comply With and Use 1,2,3, 1 2 4 1,2,3, 1,2,3, 1,4,5, I

,.1,2,4, 1 1,2,3"345 4,5,6, 1; 6 ' 4,5,6, 4,5,6, :4,5,6'1 ' , , 6,7 I 78',1 5,6 I 78 6,7, 7,8 ' 7 7,8 , Procedures (1) I ' " i ' I I Operate Control 1,2,4, I 13,4,5, 5,6 I 6,7 , Ilw*j , Boards (2) , i ,1,2,3, 1,2,3, 1 1,2,3,11,2,3, 14,5,6, 4,5,6, 4,5,6, 4,5,6, 4,5,6, 4,5,6, i 4,5,6, 4,5,6, i 4,5,6, 4,5,6, ,4,5,6, ! Communicate 11,2,3: !1,2,3: I 1 1 ,2,3, 1,2,3, 1,2,3, 1,2,3,

• 7,8 7,B. 7

• 7,B

• 7,B 'and Interact : 7 ! 7 I ; 7,8, 7 7, 7,8 Demonstrate 1,2,3, 1 1 ,2,3, 1,2,3, 1,2,3, 1,2,3, 1,2,3, 4,5,6, 4,5,6, 4,5,6, 4,5,6, 4,5,6, 4,5,6,

__

Comply With and I 1 I i , I 2,3 1,3 I ! 1,5 I i 2,3 Use Tech Specs. (3) 1 ,3 l /1,5 Ii I I II I I ' Notes: (1 ) Includes Technical Specification compliance for an RO. (2) Optional for an SRO-U. (3) Only applicable to SROs. Instructions:

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

ES-301, Page 27 of 27 Competencies Checklist Form ES-301-6 Facility:

Three Mile Island Date of Examination:

April 2012 Operating Test No.: 289-2012-301 RO-1 [gJ RO-2 RO-3 [gJ RO-4 SRO-I D ! SRO-I D SRO-I D SRO-I Competencies SRO-U D :l SRO-U D ! SRO-U D SRO-U D SCENARIO 4 1 2 5:1 4 : 1 2 5 4 1 2 5 I BOP ATC BOp** . BOP BOP ATC BOP BOP ATC I Interpret!

Diagnose Events and Conditions 1 1 ,2,3'1 4,5,a, 7 I 1,2,3,; 1 ,2,3, 4,5,a'14,5,a, 7,8 7,8 1,2,3, .1,2,3, : 1 ,2,3, '1,2,3, 4,5,a, *4,5,a, 4,5,a,* 4,5,a, 7 7,8 7,8 I 7 1,2,3, 1,2,3, 4,5,6, 4,5,6, 7,8 7,8 I I Comply With and Use I Procedures (1) I I *1,2,3,* a,7 I 1,4,5, 3,4,5,; 6,7 6,7 i Operate Control Boards (2) Communicate and Interact 1,2,3, a,7 I 1,2,3:1 4,5,a, I 7 i 1,4,5, 3,4,5,! 6,7 6,7* 1,2,3, 1,2,3, I 4,5,6, 4,5,6,: 7,8 7,8. I I 'I i: I.1,2,4, 2,4,5, 2,4,5,.1,2,3, 2,4,5, 2,4,5, Ii . . 5,6 7,8 *i,7,8:1 6,7 : ; 7,8 . 6,7,8* I 1,2,3, . 1,2,3, 1,2,3, .1-,2-,3,+:

1--+-1-,2-,3,+1-,2-,3-,11----+--1--+1--1 4,5,6, 4,5,6, 4,5,6,.4,5,6, 4,5,6, 4,5,6, 7 . 7,8 7,8 7. 7,8 7,8. Demonstrate Supervisory Ability (3) I I Comply With and I . Use Tech Specs. (3) I I I , I I Notes: (1 Includes Technical Specification compliance for an RO. Optional for an SRO-U. Only applicable to SROs. il (3)

Instructions:

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

ES-301, Page 27 of 27 Written Examination Quality Checklist Form ES-401-6 Facility:

Three Mile Island Date of Exam: 4/24/12 Item Description Questions and answers are technically accurate and applicable to the facility. a. NRC KlAs are referenced for all questions.

---.:-------+=-.:....+----W=--II

b. Facility learning objectives are referenced as available. SRO questions are appropriate in accordance with Section D.2.d of ES-401 The sampling process was random and systematic (If more than 4 FlO or 2 SRO were repeated from the last 2 NRC licensing exam, consult the NRB OL program Question duplication from the license screening/audit exam was as indicated below (check the item that applies) and appears the audit exam was systematically and randomly developed; the audit exam was completed before the license exam was started; _ the examinations were developed independently; the licensee certifies that there is no duplication; _ other Bank Modified NewBank use meets limits (no more than 75 from the bank, at least 10 percent new, and the new or modified);

enter the actual RO / SRO-only 28/9 4/3 question distribution(s) at Memo CIABetween 50 and 60 percent of the questions on the exam are written at the comprehension

/analysis the SAO exam may exceed 60 percent if the 35/6 40/19 selected KAs support the higher cognitive levels; the actual RO I SRO question distribution(s) at Referenceslhandouts provided do not give away or aid in the elimination of Question content conforms with specific KIA statements in the previously examination outline and is appropriate for the Tier to which they are deviations are Question psychometric quality and format meet the guidelines in ES Appendix B. The exam contains the required number of one-point, multiple choice the total is correct and agrees with value on cover Printed Name,l Signature 4/18/12 a. Author b. Facility Reviewer (*) c. NRC Chief Examiner (#) d. NRC Regional Supervisor

• The facility reviewer's initials/signature are not applicable for NA -developed

1. Independent NRC reviewer initial items in Column "c"; chief examiner concurrence ES-401, Page 29 of 33 Written Examination Grading Form E8-403-1 Quality Checklist FaciiitTf/f.:.EE 11:r£* .I"5tl\l\Ij)

Date of Exam: 11 Exam Level: ROX SRO>G Initials Clean answer sheets copied before grading Answer key changes and question deletions and Applicants' scores checked for addition reviewers spot check> 25% of

4. Grading for all borderline cases (80 +/-2% overall an(j 70 or 80, 1f--__8S applicable, +/-4% on the SRO-only) reviewed in detail All other failing examinations checked to ensure that Performance on missed questions checked for ceficiencies and wording problems; evaluate of questions missed by half or_more of the Name/Signature Date a Grader b. Facility Reviewer(*)

c. NRC Chief Examiner (*) d. NRC Supervisor

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

ES-403, Page 6 of 6