ML102520045

Final Qa/Related Forms (Folder 1)

ML102520045
Person / Time
Site:	Ginna
Issue date:	06/28/2010
From:	Constellation Energy Nuclear Group, Ginna
To:	Todd Fish Operations Branch I
Hansell S
Shared Package
ML092470059	List: IR 05000244/2010301 ML100400205 ML101680575 ML101720347 ML101720553 ML101720560 ML101720564 ML102320373 ML102320386 ML102320393 ML102320408 ML102520045 ML102520054 ML102710006
References
TAC U01766
Download: ML102520045 (19)

Text

{{#Wiki_filter:ES*201 Examination Preparation Checklist Form ES*201*1 Facility: ~\ \.l~tk:- Date of Examination: :rv~1! ,J I r J..8 __ ,)O{O Developed by: Written - Facility s( NRC 0 /I Operating - Faci!ity tli NRC 0 Target Chief Date" Task Description (Reference) Examiner's Initials

      -180         1. Examination administration date confirmed (C.1.a; C.2.a and b)                     'Tf
           "'
      -120.       2. NRC examiners and facility contact assigned (C.1.d; C.2.e)                         -rr
      -120        3. Facility contact briefed on security and other requirements (C.2.c)                IT
      -120        4. Corporate notification letter sent (C.2.d)                                         TF

[-90] [5. Reference material due (C.1.e; C.3.c; Attachment 2)] NA. {-75} 6. Integrated examination outline(s) due, including Forms ES-201-2, ES-201-3, I ES-301-1, ES-301-2, ES-301-5. ES-D-1's, ES-401-1f2, ES-401-3, and ES-401-4. as applicable (C.1.e and f; C.3.d) TF I {-70} {7. Examination outline(s) reviewed by NRC and feedback provided to facility licensee (C.2.h; C.3.e)} tF {-45} 8. Proposed examinations (including written. walk-through JPMs, and scenarios, as applicable), supporting documentation (including Forms ES-301-3, ES-301-4, ES-301-5;ES-301-6, and ES-401-6, and any Form TF ES-201-3 updates), and reference materials due (C.1.e, f, g and h; C.3.d)

       -30        9. Preliminary license applications (NRC Form 398's) due (C.1.1; C.2.g; ES-202)                                                                           \T
       -14        10. Final license applications due and Form ES-201-4 prepared (C.1.l; C.2.i; ES-202)                                                                          Tr=
       -14         11. Examination approved by NRC supervisor for facility licensee review (C.2.h; C.3.0                                                                     TF
       -14         12. Examinations reviewed with facility licensee (C.1.j; C.2.f and h; C.3.g)          --cF
        -7        13. Written examinations and operating tests approved by NRC supervisor (C.2.i; C.3.h)                                                                    -cr
        -7         14. Final applications reviewed; 1 or 2 (if >10) applications audited to confirm qualifications / eligibility; and examination approval and waiver letters sent (C.2.i; Attachment 4; ES-202. C.2.e; ES-204)

IF

        -7         15. Proctoring/written exam administration guidelines reviewed with facility licensee (C.3.k)                                                     l'f
        -7         16. Approved scenarios. job performance measures, and questions distributed to NRC examiners (C.3.i)                                              TF
  .. Target dates are generally based on facility-prepared examinations and are keyed to the examination date identified in the corporate notification letter. They are for planning purposes and may be adjusted on a case-by case basis in coordination with the facility licensee.

(Applies only] {Does not apply} to examinations prepared by the NRC. ES-201. Page 24 of 27

ES-201 Examination Outline Quality Checklist Form ES~201-2 Facility: G:.t N IV"" Date of Examination: ~/:;l/fD -"lId{ i/O Initials Item Task Description a b* c#

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

W R b. Assess whether the outline was systematically and randomly prepared in accordance with I Section 0.1 of ES-401 and whether all KIA categories are appropriately sampled. T

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

T E N d. Assess whether the justifications for deselected or rejected KIA statements are appropriate.

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, S and major transients.

I M b. Assess whether there are enough scenario sets (and spares) to test the projected number U and mix of applicants in accordance with the expected crew composition and rotation schedule L without compromising exam integrity, and ensure that each applicant can be tested using A at least one new or significantly modified scenario, that no scenarios are duplicated T from the applicants' audit testes), and that scenarios will not be repeated on subsequent days. o c. 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. a. Verify that the systems walk-through outline meets the criteria specified on Form ES-301-2:

(1) the outline(s) contain(s) the required number of control room and in-plant tasks W distributed among the safety functions as specified on the form I (2) task repetition from the last two NRC examinations is within the limits specified on the form T (3) no tasks are duplicated from the applicants' audit testes) (4) the number of new or modified tasks meets or exceeds the minimums specified on the form (5) the number of altemate path, low-power, emergency, and RCA tasks meet the criteria on the form.

b. Verify that the administrative outline meets the criteria specified on Form ES-301-1:

(1) the tasks are distributed among the topics as specified on the form (2) at least one task is new or significantly modified (3) 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 \iI.)V ,r;P 1.<0 of applicants and ensure that no items are duplicated on subsequent days. I\ \ Assess whether plant-specific priorities (induding PRA and IPE insights) are covered v-.l" typ. ~ I' in the appropriate exam sections. I--A::';s"':s:':;e:"'s~si:.!w::':'h':'et!:.:h';;:e::':'rth:"":'e;':';1::':'O;';'C":;F':'R::::':S::';S.':'4~1/-4-3-a-n-d-S-S-.4-s-s-a-m-p-li-ng-is-a-p-p-ro-p-ri-a-te-.--------ir-1l-1-\l-+~ Ensure that KIA importance ratings (except for plant-specific priorities) are at least 2.5. Q,W ~ Check for duplication and overlap among exam sections ""')" 00 ~

          ~-C-he-C-k-t-he-e-nt-ir-e-e-xa-m-fo-r-b-a-la-n-ce-o-f-CO-V_e_rn~g:...e_.___________________ ~lL                                                                        1tt4 1(~

~--~-A-s-s-e-ss-w-h-et-h-e-rt-h-e-e-x-am-fi-lts-t-h-e-a~p~p_ro~p_ri_at_e...:j_ob__le_v_el~(~R_O_o_r_S_R_O~).___________~I~ ~

a. Author

b. Facility Reviewer (*)

c. NRC Chief Examiner (#)

d. NRC Supervisor Note: # Independent NRC reviewer initial items in Column "c"; chief examiner concurrence required.

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

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

1. Pre-Examination I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of "/)1 y- "12'I/to as of the date of my signature. I agree that I will not knowingly divulge any information about these examinations to any persons who have not been authorized by the NRC chief examiner. I understand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examinations from this date until completion of examination administration, except as specifically noted below and authorized by the NRC (e.g., acting as a simulator booth operator or communicator is acceptable if the individual does not select the training content or provide direct or indirect feedback). Furthermore, I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action against me or the facility licensee. I will immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been compromised.

2. Post-Examination To the best of my knowledge, Idid not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered the week(s) of "1..z.... Yi;r;lo. 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 SIGNATURE (1) DATE SIGNATURE (2) DATE NOTE

1. k>lIeC"o£v 2...... ~'1 £nl~~"'7r Ctt'.. f .....""

E(A-M A-ro",... fhl.1'Holt-

                                                                                           ~.d!\<--:
                                                                                             ~
                                                                                                                   ..*.-, ~ A(//.2r

(-If-IO ~ 0 F1-lo

3. 7J.l.tllii(e.rs* Ft.£ p,j~ I-/f-I" -=---/!~".Ti:!',~s.::~~---- "?-&-/;;) _ _

(vI<" tJabh;}'It S 0"1'1 <;uooQ"t'1 ?w g ~ 1(,11'0 tvJ..h. ~ ~ __ 4. 5. 6.

  *     (V{)f!,!9I'U/1."1 4 Jlt)
       }jAN /..Iut:w1..J1'
                                                        ,I "JvrJ COAffINI..JltJ' 7l..MNiN i
                                                                                .

flrtJudJi.Ltat

                                                                                                                                  ~

Il'ZA>~ fk.;!I,(£<4!f 7-C-l'o 7/"/(0

7. (2Cp..\),;!Ii 111(;'j'el!'f' SP"~"l~!$'I' S **nv,"irfM.. I(-sf ~~ }):;o/l.; Jd&ILA-dJ.a: ,/:')7/1(.>

B.t' c...7im Lf"Vd ) . . ~. ,aT", 7-I/-jiJ_ _ ~o~ 11:t= G'::IW"': (Bill bJ.~!'t£) l'<6'tw ~~02

                                                                                    -~
                                                                                                                 ~~~/. ~.':                    ad
                                                                                                                                                       /!J}-
                                                                                                                                                    ;::'..;"-
                                                                                                                                                                "lJ-"/!;o

_ _ __ 12.P,c*(i,c,/( (flrtA.("II'E  ;&I ~ flr,ln) 7/A/IO_ _ 13.-lI( {lJM!; L-t!j.aliTJ1,/) _ ~ /!/ ~ ./ A7t..- ~o_ _

14. s,;: 4,11;;" ~-;,....., l.,.,. '<....., ~ - 3erZ1i>.oJ?-. enrt// f?;r;,., . 7-/,2-~

15,1 c:.~'" '~t:e..."'IJVI'.c.. ~LI-'f~Q y. \- ~ R~"')f:: I Ie '..sJ2 ~<rI./I<Y ~t_ _ NOTES:

• T'f's.(~e.~ 6,.,.. G:S-"Cl-l r . . . ,."'AJ ~ ~ t\\~ vC. ~ +0 t?-. AcI..~_c; IS (,.'V' Y{ 0; It 0 ph ~ c *..,eR
• S/le~.,.... / 01:- ~

ES-201, Page 27 of 28

Es-201 Examination Security Agreement Form Es-201-3

1. Pre-Examination I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of ~IZ I 1 {pit l' as of the date of my signature. I agree that I will not knowingly divulge any information about these examinations to any persons who have not been authorized by the NRC chief examiner. I understand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examinations from this date until completion of examination administration, except as specifically noted below and authorized by the NRC (e.g., acting as a simulator booth operator or communicator is acceptable if the individual does not select the training content or provide direct or indirect feedback). Furthermore, I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action against me or the facility licensee. I will immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been compromised.

2. Post-Examination To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of~Iz,(,h (/10, 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 DATE NOTE

1. ~.~()"~~

                                                                                             - - - - - - -(' - _ _                                     ~0.p,,~£/

zo. _~Q.~itJ;/ -r {'::fv ~_ 7-7-/(!_ _

....<:..., -; !f /'4- .$/ on"lit I::n.... 7-7-/0

  ~;,;:...c~'--~-'---'T=-F~ --'-...L::...:..':'-"-'----Lf"':L.IU!l....,.--~~~...:..u;L-~=---.,,,..,:;."r_1b,J.-::=:::..,;..._.'i;=::.,.*IC~.....-._         ~<J/lo fi;: e.mail 1i~~-""~ d'if: __ '~,                                                                         ~

&-1 iftli

_-

                                                                                                                                                           .

O;~ r;.';/e;:;:; e4}t1li ff'--'

                                                                                                                                                                                                ~

p:[t./ 7-7-/°_ _ 7-<-(0 _ _

                                                                                                                                                          'l' u.., /er ;t'tl'".. e ;,fdi'f{eI/P';o"Tv
  ,\,1tp""1'Y "V'"7I' " -             n>..;;*'-' ..... - --,..._"...........                    ....r Ii?"<'
                                                                                                     ,                                                   41';'6.        7 ,(JV tma"il            17" ES-201, Page 27 of 28
                                                                                                                                                                                                                    ,5IJr!Cf.2 d- J::..

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

1. Pre-Examination I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of 'iu t C,j)fio as of the date of my signature. I agree that I will not knowingly divulge any information about these examinations to any persons who have not been authorized by the NRC chief examiner. I understand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examinations from this date until completion of examination administration, except as specifically noted below and authorized by the NRC (e.g., acting as a simulator booth operator or communicator is acceptable if the individual does not select the training content or provide direct or indirect feedback). Furthermore, I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action against me or the facility licensee. I will immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been compromised.

2. Post-Examination To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of "'f.21 .. r.,128/(~ 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 SIGNATURE (1) DATE SIGNATURE (2) DATE NOTE

1. ~-'-=~~'-;J'--=:::'" /?. 0 iJV <!A?d,1 I!TL.- 7-C.-/o

2. ~""-'----.J'--'-'::--'-~ ?oRo.  ;<,... i!!'4Ufi ffL- 7-(., - / c -

PD y( f?r:I'tf.ll1r.1 l i ,AT£'" 7~t'I{)-- FI~. _ ~

                                                ~. _ JIl.w,~                                                               :..cc"/
                                                                                                                           ,£tI' t/YJa~/

bntli f ~

                                                                                                                                                      /tTL.

1 'J,?o  !'

Tt.., 7-7-/0 8'-4~~~~~~~

                                         ~            -                                                                                                      ~==
                                                                                                                                                             ~--

9. ~~"--~=--_-= ~t:ClClll...~6IN~E'Z IVL.- .7-8 -/0 10'~-'-!..::L--~~",",- _Sk~~L/.'-S~ ~

11 "---.~-----O7"""'~=-=-- I!. 0 12 .~t-p.~'L-J&.~~Q..-liif- d;;::Zo 13._~""",-~~~~ ~"S'L Z _ 14 '--====-~<-LJL--7I<-:--'-=- R..JlllefX 15._..........-.:::.>..-J""--><-~ ..-;;::;;;e: -.

                                         ~-
                                                        ,S(i.- b NOTES:

(.tv ES-201, Page 27 of 28 r5/1(,Pf ~ ,rf t.

                                                                                                                                                                    .3

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

1. Pre-Examination I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of v( u. .. "'t <t as of the date of my signature. I agree that I will not knowingly divulge any information about these examinations to any persons who have not been authorized by the NRC chief examiner. I understand that I am not to instruct. evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examinations from this date until completion of examination administration, except as specifically noted below and authorized by the NRC (e.g., acting as a simulator booth operator or communicator is acceptable if the individual does not select the training content or provide direct or indirect feedback). Furthermore. I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action against me or the facility licensee. I will immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been compromised.

2. Post-Examination To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of ",it .. 'b:tl'jl'? 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.

1. 2. 3. PRINTED NAME JOB TITLE / RESPONSIBILITY 5(t. o~ ... .:.;:",~tr~ cjtt;;" [S,,:>>

4. ____________________________________________________________

E SIGNATURE (1)

                                                                                    .    .

DATE _~l."() .~ W1drJ7!lQ70f:+

                                                                                                                     - - -'J SIGNATURE (2)
                                                                                                                           -------------

DATE NOTE r; (bel. (0 "iJiZI1Q

5. _________________________________________________________

6. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

7. _ _ __

8. _ _ __

9. _ _ __

1 11._______________________________________________________ 13._______________________________________________________

  ._---------- -------------------------------------- - - -

===--------- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

NOTES: SIJ-t!~t'- + d- ~ ES-201. Page 27 of 28

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

1. Pre-Examination I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the weekes) of "tll t' &bgj/..: as of the date of my signature. I agree that I will not knowingly divulge any information about these examinations to any persons who have not been authorized by the NRC chief examiner. I understand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examinations from this date until completion of examination administration, except as specifically noted below and authorized by the NRC (e.g., acting as a simulator booth operator or communicator is acceptable if the individual does not select the training content or provide direct or indirect feedback). Furthermore, I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action against me or the facility licensee. I will immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been compromised.

2. Post-Examination To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the weekes) of (.I;u ... 'i2.if(f.o 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 SIGNATURE (1 ) DATE SIGNATURE (2) DATE NOTE

  ,<,<,n",'O"1                 YM~I4({KU. ~ A"¥4~ .t~"":~1t,*r,£IC)                                         '11-1/10   .                           {
   ,,"        ""    "C-'              ,p'~ ~                                ¥       ,-,' .
                                                                                         .
                                                                                           ~.'~/                "
                                                                                                               '" z.2. /()

0 . ~ .~I... /til...- ~. 10_ _ 7-IZ-(O 4"W . .' /0 A3tL~ ~ ViA. ..... ~ __ ~ 1-\l. fij j(}<?/ e#l(}/( A"t-- 7-{., -/0 I ---

                                                                                                                                                         --------
                                                                                                                                                                 ----
                                                                                                                                                         --------
                                                                                                                                                                 ----
                                                                                                                                                         --------
                                                                                                                                                         --------

Si1eef- tf _,_ ES-201, Page 27 of 28

~ 0 J C J:k,;v~

8-601 Examination SecuritY8greement Form ES-601-1

1. Pre-Examination acknowledge that I have acquired specialized knowledge about the NRC requaliflcation examinations scheduled for the week(s) of "121 t' '120b 3S 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 leen authorized by the NRC's chief examiner. I understand that I am not to instruct. evaluate, or provide performance feedback to those

)perators scheduled to be administered these examinations from this date until completion of examination administration, except as specifically loted below and authorized by the NRC (e.g., acting as a simulator booth operator or communicator is acceptable if the individual does not

elect 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

)f the examinations and/or an enforcement action against me or the faCility licensee. I will immediately report to facility management )rthe NRC's chief examiner any indications or suggestions that examination security may have been compromised. Z. Post-Examination ro the best of my knowledge, I did not divuZe to any unauthorized persons any information concerning the NRC requaliflcation examinations administered during the week(s) of 0/21'" 'Ip. If:? 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 operators who were administered these examinations,

!xcept as specifically noted below and authorized by the NRC.

I. PRINTED NAME Jacqueline Schelkly JOB TITLE / RESPONSIBILITY Adm Asst (M SIGNATU.RJi .. 1) 7jl,f;fltiUL.t,: . f....dld,

                                                                                                         ,;;/77/'
                                                                                                              --:5    /0 SIGNATURE (2)

(leY MINt Nt-DATE 7-&-"-/0

~.

L

).
).

I. I. O. 1.

     -----------------

2.

     -----------------

3. 4.

     -----------------                                                                                   - ---~~
     -----------------

5. - - - - - - - _.....

JOTES: S'iel!-r " 01 i:..... NUREG 1021 Revision 9

Examination Securi 2010 /.t..r Form ES-601-1 I acknowledge that I have acquired specialized knowledge about the NRC requalification examinations scheduled for the week(s) of?' I ";vjJ( :2-0101 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 I been authorized by the NRC's chief examiner. I understand that I am not to instruct, evaluate, or provide performance feedback to those I operators scheduled to be administered these examinations from this date until completion of examination administration, except as specifically I noted below and authorized by the NRC (e.g., acting as a simulator booth operator or communicator is acceptable if the individual does not select the training content or provide direct or indirect feedback). Furthermore, I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action against me or the facility licensee. I will immediately report to facility management or the NRC's chief examiner any indications or suggestions that examination security may have been compromised.

2. Post-Examination To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC requalification examinations administered during the week(s) of "12. '/" "1..2'%1~ 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 operators who were administered these examinations, except as specifically noted below and authorized by the NRC.

JOB TITLE I RESPONSIBILITY DATE 6r-rtM Av~ .)1'011"" ~!~/ < .*/ E~~ ~ tI-r \.hfO__4-~ __ =-+/--'-b-'~--=-'_ _ _ __ j:L.E 1-I'It-/o .' /? J  ;

                                              ~~~-5;pp/~~((~li",v~~                                                                                                        ..
                                              ~~1Jf... }ifJle-'4'ff                                                                  I,           (}~ 6nd;/~,.
                                                 ~i;PV ~ '-~N7i;VvM;"G.?:v( __                                                          I   2<.J. tiJtt4lltjftii

o!tUO',} Mos -rta

£, S f c*c~!. 1 S '-"1 U L.~ 1~1. \ c*

> ) 1/;<.11 0 ,~-<-. ~ .4 /,a.

~ 8. " !~ i'I/'i- K. T/01/f J).w{f; wirY" I . ()~'*'/etiiP! 9 5~f M'~~ go r 'l'o~,

• ~~: tar 12.

      ~='/t;;~l{tbprlf t:..IfTIAt.-IPC S ll\

orps - fie &

r f 1 : 1 '

                                                                                                                                       ..,

07 16 3

                                                                                                                                            )1/0     t1
                                                                                                                                                             ,Pq e-tld,(
                                                                                                                                                       ~e!Y1()t'/                 f{rt.. 7-{"-/(;

2.I.£l1()

• ~!: fi~~"'W!

                                               £)(81"'"\ ~             ..;:.':::-<'0""<,, r                                          ~                  ,tPe/ M? it              /?TL,.. 7-Y-/O 6.::.....-..- Z;:c",;('" ,                                                             .~                  ,Per (l1'ltl'/         1'1';;      7-12.-/<.:>

15. 1-:3::,./e ~"'cMC- O..6.,Pf'C't- I- ~ / I (, I eo I t.::J S:;<9~w-~ ~/()

NOTES: lJ;,i I) /110 ,t..WC ,/JfZ"Ce.:iI)I't(/ t1>.07. Jj/J(dw'" titp/((4t(.A. ern £:)-20/-3 ~,1r7S

                                                                                                                            'pJt.--
   *' //Ms/t/(e.£           ;Ai ,BS-201-,J ?tl' 7Mtl 1-/1,:';., dliecTlvn '70 "R./idc./JU                     t'>t "7'*D   jOhJYIv (ti//.

ES-601, Page 27 of 36 (!Jl/

ES*601 Examination Security Agreement J. "'I C' i .... "'1 Form ES*601*1

1. Pre*Examination I acknowledge that I have acquired specialized knowledge about the NRC requalification examinations scheduled for the week(s) of ')VN j "

as of the date of my signature. I agree that I will not knowingly divulge any information about these examinations to any persons who have not been authorized by the NRC's chief examiner. I understand that I am not to instruct, evaluate, or provide performance feedback to those operators scheduled to be administered these examinations from this date until completion of examination administration, except as specifically noted below and authorized by the NRC (e.g., acting as a simulator booth operator or communicator is acceptable if the individual does not select the training content or provide direct or indirect feedback). Furthermore, I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action against me or the facility licensee. I will immediately report to facility management or the NRC's chief examiner any indications or suggestions that examination security may have been compromised.

2. Post*Examination To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC requalification examinations administered during the week(s) of 1,/)1 .... "llW,::,. 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 operators who were administered these examinations, except as specifically noted below and authorized by the NRC.

JOB TITLE/RESPONSIBILITY ~GNAT~ ~E DA~.

       ' ... ,,. vrr -J/r"<:i'                                                       .    ',~ A                    3:p1,~                                            1 h /1.7
                                                                                                                                                                       - -/0
   /L/'V£L""""'" v      .....-....--..-   r ...,..,........ £_ ,-7-' .,....... -    ~ -~r?                         '1/.il¥'0                                         7-7-/0 1-7-/c

~~;- '~~ - 7-7-10 7-<-"

                                                                                                                                                                        --

ji.'

                                                                                                                                                          ~..-::."

7-~-/o 8. 9 jrS~if;:~ lC:,'

10. ,I.,

                   ~7~ ~

all .rr=.v~~~u:

                                        '--/~

IT 'C 5' 4-t ~ ~ ~.110  %. { e' cr

                                                                                                                                   /!f """"c/rl"'!'
                                                                                                                                  ;:'(1' (t11(ld A~

IV~ - - -

                                                                                                                                                       ,t'fL-
                                                                                                                                                       -----
                                                                                                                                                              /
                                                                                                                                                           -----

P.rr..- 7-7-/0 7-f.,-/o 7-(. -Ie 11.-:e:~],~;ifr<

12. ~ (~

S1i CiZS SI', ~W"\.('S+- .

                                                                                            .
                                                                                              "'-

4+ (0 t;/z./;c Si llCti Ji7t:~! ftJeI trtitid 2 -IJv 1Ut--

                                                                                                                                                            ----

7-.2-/D 7-(. -(0 1 1 14. ____________________ NOTES: ES-601. Page 27 of 36 cYJtXf'/ pi:- _ f1v

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

1. General Criteria a.

b. There is no day-to-day repetition between this and other operating tests to be administered durin this examination.

c. The operatin test shall not duplicate items from the ap licants' audit test s (see Section D.1.a.

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 a licants at the desi nated license level.

2. Walk-Throu h 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 s 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 2 NRC examinations) specified on those forms and Form ES-201-2.

3. Simulator Criteria The associated simulator operating tests (scenario sets) have been reviewed in accordance with Form ES-301-4 and a co is attached.

Printed Name I Signa Date G1..\W

                                                                                                           ~

a. Author

b. Facility Reviewer(') ~/O

c. NRC Chief Examiner (#) iOl9/to

d. NRC Supervisor C;)'iUO NOTE: The facility signature is not applicable for NRC-developed tests.

         #      Inde endent NRC reviewer initial items in Column "c"; chief examiner concurrence re uired.

ES-301, Page 24 of 27

ES-301 Simulator Scenario Quality Checklist Form ES-301*4 t,.I2.d,O . . . t; /Jb/t'-D Facility: {:,,/..,l\J" Date of Exam: A Scenario Numbers: i / ;;./ if Operating Test No.: { 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 ooerators into exoected events.

                                                                                                                      ~"'K-
                                                                                                                                ~           (F

!

2. The scenarios consist mostly of related events.

II* "'I I 1".... ~ 1Y

3. Each event description consists of

            **      the point in the scenario when it is to be initiated the malfunction(s) that are entered to initiate the event                                          ~rL
            ***

the symptoms/cues that will be visible to the crew the expected operator actions (by shift position) the event termination point (if applicable) t2 "(f

4. 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.

                                                                                                                      ~Jt,.
                                                                                                                       &tit- fd r2         -(t;;

5. The events are valid with regard to phYsics and thermodYnamics. l-rf

6. Sequencing and timing of events is reasonable, and allows the examination team to obtain complete evaluation results commensurate with the scenario obiectives.

fA11.- f12 rf

                                                                                                                                 ~ l'f

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

Operators have sufficient time to carry out expected activities without undue time constraints. ",-1"' Cues are given.

8. The simulator modelina is not altered.

...;)L Icti I,(f

9. 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.

4JL. r2 \f

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

All other scenarios have been altered in accordance with Section 0.5 of ES*301. t"J'-- ~ ,f

11. All individual operator competencies can be evaluated, as verified using Form ES-301-6 (submit the form alona with the simulator scenarios).

t... 1L rti (F

12. E,'" ,pp';",;11 be """""Y 1,~lw' " ~, m','m"m ""mb" of tr",..~ ,,' .~,"

specified on Form ES-301-5 (submit the form with the simulator scenarios).

                                                                                                                     ~I                     {

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

Target Quantitative Attributes (Per Scenario; See Section D.S.d) S?c{u~ <tf!rifitt - ".. I -

                                                                                                                ;~ rti

1. Total malfunctions (5--8) 8 /7 / (F 2.

3. 4. Malfunctions after EOP entry (1-2) Abnormal events (2-4) Major transients (1-2)

                                                                                                    .3 / I /
                                                                                                    .3 I
                                                                                                        /2/
                                                                                                        /  /  /

4 I

                                                                                                                       £"'1:;

L-,)L. r~ r!H! ff'

5. EOPs entered/recuiring substantive actions (1-2) I I / / I ~)L til C) fF I I t-.J< 1st <'f

6. EOP continoencies requiring substantive actions (0-2) /0 I

7. Critical tasks (2-3) 2 /3 / 2 '-X t1~ Tf' ES-30 1, Page 25 of 27

II Facility: Ginna Date of Exam: 6/21/10 A E Scenarios P V N10-1-1 N10-1-2 N10-1-3 N10-1-4 T M P E 0 I L N T N CREW CREW CREW CREW I T POSITION POSITION POSITION POSITION A I C L M A T U N Y M(W' T P S A B S A B S A B S A B R I U E R T 0 R T 0 R T 0 R T 0 0 C P 0 C P 0 C P 0 C P 0 1 1 n 1 1 1 1 1 1,2, 4,5, 8 4 4 2 SROU-1 7 3.,;4 6 I 6 2 2 2 1 1,5 I 2 0 2 2 0 1 1 0 NOR 1 1 2 1 1 1 4,5 5 4 4 2 SROU-2 lIe 2,3, 4 MAJ 5 6 2 2 2 1 TS RX NOR 2,3 1 EE8 0 1 1

                                                                                                                                                      +1:

1 1 2,3, 6 4 4 2 SROU-3 lIe 4 7 D MAJ 5 6 2 2 1 TS 2,3 2 0 2 RX 0 1 1 0 NOR 1 1 2 1 1 1 2,3, 4,5 4 4 2 SROU-4 lIe 5 4 MAJ 5 6 2 2 2 1 TS 2,3 2 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 service in both the "at-the-controls (ATe)" and "balance-of-plant (BOP)' positions; Instant SROs must serve in both the SRO and the ATe positions, including at least two instrument or component (lie) malfunctions and one major transient, in the ATe position. If an Instant SRO additionally serves in the BOP position, one IIC malfunction can be credited toward the two IIC malfunctions required for the ATe position, 2, Reactivity manipulations may be conducted under normal or controlled abnormal conditions (refer to Section D,S,d) but must be Significant per Section C,2.a of Appendix D, (0) Reactivity and nomnal evolutions may be replaced with additional instrument or component malfunctions on a 1-for-1 basis, 3, Whenever practical, both instrument and component malfunctions should be included; only those that require verifiable actions that provide insight to the applicant's competence count toward the minimum requirements specified for the applicant's license level in the right-hand columns, NUREG 1021 Revision 9

ES-301 Transient and Event Checklist Form ES-301-5 Ginna Date of Exam: 6/21/10 Operating Test No.: N10-1 A E Scenarios P V N10-1-1 N10-1-2 N10-1-3 N10-1-4 T M P E 0 I L N T N CREW CREW CREW CREW I T POSITION POSITION POSITION POSITION A I C L M A T U N Y M(* T P S A B S A B S A B S A B R I U E R T 0 R T 0 R T 0 R T 0 0 C P 0 C P 0 C P 0 C P RX 5 1 1 1 0 NOR 0 1 1 1 2,3, 1,2, 8 4 4 2 SROI*1 IIC 7 3,4, 5 MAJ 6 6 2 2 2 1 TS 2,3 2 0 2 2 RX 4 1 1 1 0 t+ NOR 1 1 2,3, 1,2. 4 2 SROI-2 I/C 8 3,4, 5 MAJ 5 6 I ~ 2 2 1 TS 1,5 I 2 0 2 2 RX 4 1 1 1 0 NOR 0 1 1 1 2,3, 8 4 4 2 SROI*3 I/C 6 3,4, 5 MAJ 5 6 2 2 2 1 TS 2,3 4 R 0 0 1 1 2 1 1 2 0 1 2,3, 1,2, 4 4 2 SROI-4 2,3 10 8 3,4, 5 Instructions: TS J 5 P, 6 3 2 2 0 2 2 1 2 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 service in both the "at-the-controls (ATC)" and "balance-of-plant (BOP)" positions; Instant SROs must serve in both the SRO and the A TC positions, including at least two instrument or component (lie) malfunctions and one major transient, in the ATC position. If an Instant SRO additionally serves in the BOP pOSition, one IIC malfunction can be credited toward the two IIC malfunctions required for the ATC position. 2, Reactivity manipulations may be conducted under normal or controlled abnormal conditions (refer to Section D.S.d) but must be significant per Section C.2.a of Appendix D. (*J Reactivity and normal evolutions may be replaced with additional instrument or component malfunctions on a 1-for-1 basis. 3, Whenever practical, both instrument and component malfunctions should be included; only those that require verifiable actions that provide insight to the applicant's competence count toward the minimum requirements specified for the applicant's license level in the right-hand columns. NUREG 1021 Revision 9

ES-301 Transient and Eve:..:.nt=-C.=:.:..:he.=.c:::.:k..::.Ii:.=*s.:..t_ _ _ __ Form ES-301-5 Facility: Operating No. A E Scenarios P V N10-1-1 N10-1-2 N10-1-3 N10-1-4 T M P E 0 J L N T N CREW CREW CREW CREW I T POSITION POSITION POSITION POSITION A I C L M A T U N Y M{* T P S A B S A B S A B S A B R I U E R T 0 R T 0 R T 0 R T 0 0 C P 0 C P 0 C P 0 C P RX 5 1 1 1 a NOR 1 1 1 1 1 2.3. 2,3, 1,2, 13 4 4 2 SROI-5 4,6, 7 3,4, 7 5 5 6 6 3 2 2 1 2,3 2 a 2 RX NOR ;f I I 4 1 1 4 1 1 4 1 1 4 a 1 2

             ~

RO*1 4,5 6 2 2 2 1 TS 0 0 2 RX 5 1 1 1 a NOR 1 1 2 1 1 1 2,3, 4,5, 11 4 4 2 RO*2 I/C 2,3. 4,6, 7 7 7 MAJ 5 6 6 3 2 2 1 TS 0 0 2 2 RX 4 1 1 1 a NOR 1 1 1 1 1 2,3 7 4 4 2 RO*3 IIC 2.3, 4,6, 7 5 6 2 2 2 1 0 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 service in both the "at-the-controls (ATC)" and "balance-of-plant (BOP)" positions; Instant SROs must serve in both the SRO and the ATC posHions, including at least two instrument or component (IIC) malfunctions and one major transient, in the ATC position. If an Instant SRO additionally serves in the BOP position, one IIC malfunction can be credited toward the two IIC malfunctions required for the ATC position.

2, Reactivity manipulations may be conducted under normal or control/ed abnormal conditions (refer to Section D.5.d) but must be significant per Section C.2.a 01 Appendix D. (*) Reactivity and normal evolutions may be replaced with additional instrument or component malfunctions on a 1-for-1 basis. 3, Whenever practical, both instrument and component malfunctions should be included; only those that require verifiable actions that provide insight to the applicant's competence count toward the minimum requirements specHied lor the applicant's license level in the right-hand columns. NUREG 1021 Revision 9

ES-301 Competencies Ch.:.,: e:. =c.:. .: kl.:.,: is,-=-t_______-'Form ES-301-6 lity: Ginna Date of Examination: 6/21/10 Operating Test No.: N10-1 APPLICANTS I SRO (Uti) ROIATC BOP Competencies SCENARIO SCENARIO SCENARIO 1 2 3 4 1 2 3 I 4 1 2 3 4 Interpret/Diagnose 2,3,4 2,3,5 1,3,5, 2,3,4 2,4,5 1,4,5 1,2,4 1,4,5 Events and 2-8 1-7 1-8 1-7 5,6,8 6,7 6,7,8 ,6,7 6,7,8 ,6 ,6,7 ,6,7 Conditions Comply With and Use 2,3,4 2,3,4 2,3,5 1,3,5, 2,3,4 1,4,5 1,2,4 1,4,5 1-8 1-7 1-8 1-7 ,5,6, Procedures (1) 5,6,8 6,7 6,7,8 ,6,7 7,8

                                                                                                                            ,6    ,6,7   ,6,7 Operate Control                                                                                                  2,3,4 2,3,4      2,3,5                   1,3,5,    2,3.4        1,4,5  1,2,4 : 1,4,5 NA      NA      NA      NA                                                     ,5,6, Boards (2)                                                    5,6,8        6,7                   6,7,8      ,6,7 7,8
                                                                                                                            ,6    ,6,7    ,6,7 Communicate and                   1-8    1-7      1-8     1-7  1-8         1-7                    1-8        1-7  1-8    1-7     1-8    1-7 Interact Demonstrate Supervisory Ability               1-8     1-7     1-8     1-7  NA          NA                     NA        NA    NA     NA      NA     NA (3)

Comply With and Use 2,3 1,5 3,5 2,3 NA NA NA NA NA NA NA NA Tech, Specs. (3) Notes:

• (1) Includes Technical Specification compliance for RO .

(2) Optional for an SRO-U. II (3) Only applicable to SROs. Instructions: Circle the applicants' license type and enter one or more event numbers that will allow the examiners to evaluate every applicable competency for every applicant. NUREG-1021, Revision 9

ES-401 Written Examination Quality Checklist Form ES-401-6 Facility: fl.. (" . b,tJ N A Date of Exam: (, 12. I 110 I 0 Exam Level: RO ~ SRO IXI i Initial Item Description a ~ c*

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

2. a. NRC KlAs are referenced for all questions.

b. Facility learning objectives are referenced as available.

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

4. The sampling process was random and systematic (If more than 4 RO or 2 SRO questions were repeated from the last 2 NRC licensing exams, consult the NRR OL program office).

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

JC the audit exam was systematically and randomly developed; or the audit exam was completed before the license exam was started; or ~vc- _ the examinations were developed independently; or _ the licensee certifies that there is no duplication; or _ other (explain) q '1"f

6. Bank use meets limits (no more than 75 percent Bank Modified New t.,.:n..

from the bank, at least 10 percent new, and the rest new or modified); enter the actual RO / SRO-only Question distribution(s) at right. 4~ /13 t2 Tr

7. Between 50 and 60 percent of the questions on the RO Memory CIA exam are written at the comprehension/ analysis level; the SRO exam may exceed 60 percent if the randomly selected KlAs support the higher cognitive levels; enter ~ S / "

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

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

9. Question content confonns with speCific KIA statements in the previously approved examination 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 ES Appendix B.

11. The exam contains the required number of one-point, multiple choice items:

the total is correct and agrees with the value on the cover sheet. Printed Name I Sigratug A ( __ Date

a. Author ~HOfl£Y 1. c"aI IIJr /b ~ ("'0-1 ~

                                                                                                                      £l~

b. Facility Reviewer (O)

c. NRC Chief Examiner (#)

d. NRC Regional Supervisor Note:

• The facility reviewer's initials/signature are not applicable for NRC-developed examinations.

            # Independent NRC reviewer initial items in Column "c"; chief examiner concurrence required.

ES*401, Page 29 of 33

ES-403 Written Examination Grading Form ES-403-1 Quality Checklist Facility: IZ.[, GIl N ~ A. Date of Exam: ""1111 I D Exam Level: ROjXI SRO I Initials Item Description a b c

1. Clean answer sheets copied before grading ""-1 '

                                                                                             ~

2. Answer key changes and question deletions justified and documented G..iL ~ Tf

3. Applicants' scores checked for addition errors (reviewers spot check> 25% of examinations) """ "itt.. ~  %

4. Grading for all borderline cases (80 +/-2% overall and 70 or 80, (" 'f,£.-( '(~

as applicable, +/-4% on the SRO-only) reviewed in detail \lk 7,4

5. All other failing examinations checked to ensure that grades are justified t...11.. \)JS ~

6. Performance on missed questions checked for training deficiencies and wording problems; evaluate validity t.. . 1-t... ~ Tf of questions missed by half or more of the applicants Printed Name/Signature Date

a. Grader L,k(o'" G~~" I /'?r I~ 1111... \10

b. Facility Reviewer(*)

c. NRC Chief Examine,

                            <?~

n* , ~~~~.~ ~ " 7('~!l\:) 1f:tfc "I," (e;,

d. NRC Supervisor (*) "5~~ ~~eIL I/~ "8'[<///0

(*) The facility reviewer's signature is not applicable for examinations graded by the NRC; two independent NRC reviews are required. ES-403, Page 6 of 6

ES-403 Written Examination Grading Form ES-403-1 Quality Checklist I Facilitr [L.G'. '-1INf'-lA Date of Exam: 1/1 \ \ 0 Exam Level: ROi* I SRO'X] I Initials Item Description a b c

1. Clean answer sheets copied before grading hK..- I\\.))' IF

2. Answer key changes and question deletions justified and documented '" )'L..

                                                                                         ~          IF

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

                                                                                         ~         %

4. 5. Grading for all borderline cases (80 +/-2% overall and 70 or 80, as applicable, +/-4% on the SRO-only) reviewed in detail All other failing examinations checked to ensure that grades L.... K.

                                                                                          ~       l%
                                                                                                   -'Ct":,/
                                                                                         ~ V~

C, h are justified

6. Performance on missed questions checked for training deficiencies and wording problems; evaluate validity of questions missed by half or more of the applicants c.,. 1-< ~ TF Printed Name/Signature Date

a. Grader ltlG(c:1Y GtiP I~ /1 ~..-- 711z.ll~

b. Facility Reviewer(*)

c. NRC Chief Examiner (0)

                             ~d~~J  ~~!.'ti'25i~~               ..,.

7( 1:3llQ 2/1-"J#0

d. NRC Supervisor (*) 54-, Iia!l.£eil r/-S~ \

g/4//0 (*) The facility reviewer's signature is not applicable for examinations graded by the NRC; two independent NRC reviews are required. ES-403, Page 6 of 6}}