ML17261B060

Final QA Related Forms (Folder 1)

ML17261B060
Person / Time
Site:	Oyster Creek
Issue date:	02/16/2016
From:	Exelon Generation Co
To:	Brian Fuller Operations Branch I
Shared Package
ML15219A259	List: IR 05000219/2016301 ML15224B314 ML16026A581 ML16064A171 ML16064A177 ML17216A172 ML17216A174 ML17261B060 ML17261B165 ML17261B167 ML17261B168 ML17261B169
References
TAC U01929
Download: ML17261B060 (13)

Text

ES-201 Examination Preparation Checklist Form ES-201-1 Facility: otsreg__ C.gec:K Date of Examination: z / 1 /z.o JG:,

I Developed by: Written: Facility ~ NRC D II Operating Facility rgI NRC D Chief Target Task Description (Reference) Examiner's Date*

Initials

-180 1. Examination administration date confirmed (C.1.a; C.2.a and b)

F

-150 2. NRC examiners and facility contact assigned (C.1.d; C.2.e)

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-150 3. Facility contact briefed on security and other requirements (C.2.c) f

-150 4. Corporate notification letter sent (C.2.d)

F

[-120] 5. Reference material due (C.1.e; C.3.c; Attachment 3) F

{-90} 6. Integrated examination outline(s) due, including Forms ES-201-2, ES-201-3, ES-301-1, ES-301-2, ES-301-5, ES-D-1, ES-401-1/2, ES-401N-1/2, ES-401-3, ES-401N-3, p ES-401-4, and ES-401 N-4, as applicable (C.1.e and f; C.3.d)

{-85} 7. Examination outline(s) reviewed by NRC and feedback provided to facility licensee (C.2.h; C.3.e) F

{-60} 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, ES-401N-6, and any Form ES-201-2, ES-201-3, ES-301-1, or ES-301-2 updates), and reference materials due (C.1.e, f, g and h; F

C.3.d}

-45 9. Written exam and operating test reviews completed. (C.3.f} F

-30 10. Preliminary license applications (NRC Form 398's) due (C.1.1; C.2.g; ES-202) c

-21 11. Examination approved by NRC supervisor for facility licensee review (C.2.h; C.3.f) f

-21 12. Examinations reviewed with facility licensee (C.1.j; C.2.f and h; C.3.g) F"

-14 13. Final license applications due and Form ES-201-4 prepared (C.1.1; C.2.i; ES-202) f

-14 14. Written examinations and operating tests approved by NRC supervisor (C.2.i; C.3.h) F'

-7 15. Facility licensee management queried regarding the licensee's views on the examination. (C.2 j) F

-7 16. Final applications reviewed; 1 or 2 (if >10) applications audited to confirm qualifications I eligibility; and examination approval and waiver letters sent (C.2.i; Attachment 5; ES-202, C.2.e; ES-204) f

-7 17. Proctoring/written exam administration guidelines reviewed with facility licensee (C.3.k) F

-7 18. Approved scenarios, job performance measures, and questions distributed to NRC examiners (C.3.i) ~

• 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 Examination Outline Quality Checklist Form ES-201-2 Facility: Date of Examination:

Initials Item Task Description a b* c#

.1.t 'tJ~I SF 1.

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

1:/l ~t BF R b. Assess whether the outline was systematically and randomly prepared in accordance with I

Section 0.1 of ES-401 or ES-401N and whether all KIA categories are appropriately sampled.

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c. Assess whether the outline over-emphasizes any systems, evolutions, or generic topics. 1/f.- I~ ~J BF

d. Assess whether the justifications for deselected or rejected KIA statements are appropriate. ;fA. ~ii 6F

2. a. Using Form ES-301-5, verify that the proposed scenario sets cover the required number of normal evolutions, instrument and component failures, technical specifications, and major f1. \~ Bf

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s transients.

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b. Assess whether there are enough scenario sets (and spares) to test the projected number and ffl ~I BF M

u 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 at A least one new or significantly modified scenario, that no scenarios are duplicated from the T applicants' audit test(s), and that scenarios will not be repeated on subsequent days.

~~ ~I 0 c. To the extent possible, assess whether the outline(s) conform(s) with the qualitative and R

quantitative criteria specified on Form ES-301-4 and described in Appendix D.

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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 distributed w

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K T

H (2)

(3)

(4)

(5) among the safety functions as specified on the form task repetition from the last two NRC examinations is within the limits specified on the form no tasks are dupllcated from the applicants' audit test(s) 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.

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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 1/1- g SF

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

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4. a. Assess whether plant-specific priorities (including PRA and IPE insights) are covered in the appropriate exam sections. BF G

E b. Assess whether the 10 CFR 55.41/43 and 55.45 sampling is appropriate. ', (\;

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

d. Check for duplication and overlap among exam sections.

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' Ill ~<:~ BF 5F L e. Check the entire exam for balance of coverage. J v I') 5F

f. Assess whether the exam fits the appropriate job level (RO or SRO). ' rv~ - BF'

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Printed Nam 17ignature

a. Author t .... _'\, JI. \ 2 ., ~- , ,-:,. * ,, L~ .d" /'. *~* 4'.'1

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b. Facility Reviewer (*) ~A- .A. , .. C."'\ "r:f/'Q~ Be

c. NRC Chief Examiner (#) "8n~ Fil ll~ A.& Ji~ BF°

d. NRG Supervisor 1 )..&.l.A I 'i'\ l.. _f/.-. l

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

• Not applicable for NRG-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 aboot the NRC licensing examinations scheduled for ttle week( s) of z. u. u,. as of the date of my signature. I agree that I will not knowingly divulge any informatloo 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 simu!atOf booth operator or oommunicatOf is acceptable if the individual does not select the training content or provide direct or indirect feedback). Furthemlore, f 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 mTo the best of my koowiedge, I did not divulge to any ;..mauthorized persons any informatloo ooncerning the NRC licensing examinatkms administered during

,:.,, the week(s) of . From the date that I entered into this security agreement until the com~tioo of examination adrrnnistration, I did not

~ instruct, evaluate, or provide performance feedback to those applicants who were administered these 1irensing examinations, except as specifically noted iJ below and authorized by the NRC.

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<t> PRINTED NAME JOB TITLE I RESPONSIBILITY SIGNATURE ( 1) DATE SIGNATURE (2) DATE NOTE

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NOTES:

ES-301 Operating Test Quality Checklist Form ES-301-3 Date of Examination: Z () b 0 eratin Test Number: /lJ (2 C.. 2-o//,

Initials

1. General Criteria

a. The operating test conforms with the previously approved outline; changes are consistent with sam lin re uirements e ... 10 CFR 55.45, o erational im ortance, safet function distribution.

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

c. The operating test shall not duplicate items from the applicants' 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 se uence of ste s, if a licable

b. Ensure that any changes from the previously approved systems and administrative walk-through outlines (Forms ES-301-1 and 2) have not caused the test to deviate from any of the acceptance criteria (e.g., item distribution, bank use, repetition from the last 2 NRC examinations) specified on

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Ii {3F those forms and Form ES-201-2.

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

Date

a. Author

b. Facility Reviewer(*)

c. NRC Chief Examiner (#)

d. NRC Supervisor NOTE:

• The facility signature is not applicable for NRG-developed tests.

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

ES-301, Page 24 of 27

ES-301 Simulator Scenario Quality Checklist Form ES-301-4 Facility: ormrz [~QK. Date of Exam: zh()/b Scenario Numbers: I I l 1} Operating Test No.:NRL l.JJ/1 QUALITATIVE ATTRIBUTES Initials a b* r;//

1. The initial conditions are realistic, in that some equipment and/or instrumentation may be out of service, but it does not cue the operators into expected events. 11!L ,;.1 sf

2. The scenarios consist mostly of related events. 1111L (~' IFf"

3. Each event description consists of

(

..* the the the point in the scenario when it is to be initiated malfunction(s) or conditions that are entered to initiate the event symptoms/cues that will be visible to the crew Pf ef the the expected operator actions (by shift position) event termination point (if applicable) 11-*

4. The events are valid with regard to physics and thermodynamics. 1/tl- ~6- ff Ii.~

5. Sequencing and timing of events is reasonable, and allows the examination team to obtain complete evaluation results commensurate with the scenario objectives. II ~

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

{.ft-Operators have sufficient time to carry out expected activities without undue time constraints.

Cues are given. ~G rf

7. The simulator modeling is not altered. ,1/-- 1Ji1 Bf

8. The scenarios have been validated. Pursuant to 1 O CFR 55.46(d), any open simulator performance f1A ~-l (';F deficiencies or deviations from the referenced plant have been evaluated to ensure that functional fidelity is maintained while running the planned scenarios.

9. Every operator will be evaluated using at least one new or significantly modified scenario. All other scenarios have been altered in accordance with Section D.5 of ES-301. ~l ~f- t:f

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

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11. The scenario set provides the opportunity for each applicant to be evaluated in each of the applicable rating factors. (Competency Rating factors as described on forms ES-303-1 and ES-303-3.) 1v g1 tf

12. Each applicant 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). 4f-f;f'-

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13. The level of difficulty is appropriate to support licensing decisions for each crew position. f>f Target Quantitative Attributes (Per Scenario; See Section 0.5.d) Actual Attributes -- -- --

1. Malfunctions after EOP entry (1-2) z._ I 2. I

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2 Abnormal events (2-4) 3 IL/ I 5 '!/!- ~ 6F

3. Major transients (1-2) i I I I z, 1r!'-- l?c fl..~

4. EOPs entered/requiring substantive actions (1-2) 2... I I I 2.... J);L Ae OF

5. EOP contingencies requiring substantive actions (0-2) CJ I I I z All Ii~ SF

6. EOP based Critical tasks (2-3) ;_ I i I  ? Jf... 1r PF NOTE: . The facility signature is not applicable for NRG-developed tests .

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

ES-301, Page 25 of 27

ES-301 Transient and Event Checklist Form ES-301-5 Facility: Oyster Creek Date of Exam: 2016 Operating Test No.: /vJ2c 2-0/h A E Scenarios p v 1 2 3 4 T M p E 0 I L N CREW CREW POSITION CREW POSITION CREW POSITION T N I T POSITION I

c s A B s A B s A B s A B A M

A T L N y R T 0 R T 0 R T 0 R T 0 u T p 0 c p 0 c p 0 c p 0 c p M(*)

E R I u RX 2 1 1 1 0 R0-1 NOR 2 1 2 1 1 1 R0-2 l/C 4,6, 2,3,5, 3,5 11 4 4 2 7,9 6,8 R0-3 MAJ 8 7 6,8 4 2 2 1 TS 0 2 2 RX 5 1 1 1 0 NOR 2 1 1 1 1 R0-4 l/C 4,6, 4,6, 7 4 4 2 7,9 3 MAJ 8 7 2 2 2 1 TS 0 2 2 RX 1 5 2 1 1 0 ISR0-1 NOR 1 1 2 1 1 t ISR0-2 1/C 3, 5, 2, 3, 2,4,5 12 4 4 2 7 4,6,8 *** ,7 ISR0-6 MAJ 8 7 6,8 .

4 2 2 1 TS 2,3 2 0 2 2 RX 5 2 2 1 1 0 NOR 1 1 1 1 1 ISR0-3 l/C 4,6, 3,4,5 7 4 4 2 3 ,7 ISR0-4 MAJ 7 6,8 *. 3 2 2 1 TS 2,4 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 serve in both the "at-the-controls" (ATC) and "balance-of-plant" (BOP) positions. Instant SROs (SRO-I) must serve in both the SRO and the ATC positions, including at least two instrument or component (l/C) malfunctions and one major transient, in the ATC position. If an SRO-I additionally serves in the BOP position, one l/C malfunction can be credited toward the two l/C malfunctions required for the ATC position.

2. Reactivity manipulations may be conducted under normal or controlled abnormal conditions (refer to Section D.5.d) but must be significant per Section C.2.a of Appendix D. (*) Reactivity and normal evolutions may be replaced with additional instrument or component malfunctions on a one-for-one 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.

4. For licensees that use the ATC operator primarily for monitoring plant parameters, the chief examiner may place SRO-I applicants in either the ATC or BOP position to best evaluate the SRO-I in manipulatinQ plant controls.

ES-301 Transient and Event Checklist Form ES-301-5 Facility: Oyster Creek Date of Exam: 2016 Operating Test No.: /lfll.C [J)v A E Scenarios p v 2 3 4 T M p E 0 I L N CREW CREW POSITION CREW POSITION CREW POSITION T N I T POSITION I

c s A B s A B s A B s A B A

M A T R T 0 R T 0 R T 0 R T 0 L u N y T p 0 c p 0 c p 0 c p 0 c p M(*)

E RX NOR l/C ISR0-5 MAJ TS RX NOR l/C USR0-2 MAJ TS RX NOR l/C USR0-1 MAJ TS RX NOR USR0-4 l/C USR0-5 MAJ TS RX NOR l/C USR0-3 MAJ TS

ES-301 Competencies Checklist Form ES-301-6 Facility: Oyster Creek Date of Examination: 2016 Operating Test No.: //Joe, 'lPJlh APPLICANTS RO 1 SR0-11

& SR0-13 R02 R04 SR0-12 &

& SR0-14 R03 SR0-16 Competencies SCENARIO SCENARIO SCENARIO SCENARIO 1 2 3 1 2 3 1 2 3 1 2 3 BOP BOP ATC BOP ATC ATC SRO BOP ATC SRO Interpret/Diagnose 2, 3, 4, 6, 2, 3, 4, 6, 3, 4, 2, 4, 3, 4, 3, 4, 3, 5, 3, 5, 4, 5, Events and Conditions 7, 8, 5, 6, 6,8 7, 8, 5, 6, 7,8 6, 7, 5, 6, 5, 6, 5, 6, 9 7, 8 9 7 7,8 7 7, 8 8

Comply With and 1, 2, 1, 2, 2, 4, 2, 3, 2, 4, 3, 4, 1, 3, 3, 4, 3, 5, 4, 5, Use Procedures {1) 6, 7, 6, 7, 5, 6, 6, 7, 5, 6, 5, 7, All 6, 7, 5, 6, All 8,9 8 8, 9 7 8 7 8 8 Operate Control 1, 2, 1, 2, 2, 4, 2, 3, 2, 4, 3, 4, 1, 3, 3, 4, 3, 5, 4, 5, Boards (2) 6, 7, 6, 7, 5, 6, 6, 7, 5, 6, 5, 7, 6, 7, 5, 6, 8,9 8 8, 9 7 8 7 8 8 Communicate All All All All All All All All All All and Interact *.

Demonstrate All All Suoervisorv Abilitv (3)

Comply With and 2,3 2,4 Use Tech. Specs. (3)

Notes:

( 1) Includes Technical Specification compliance for an RO.

(2) Optional for an SRO-U.

(3) Only applicable to SROs.

Instructions:

Check the applicants' license type and enter one or more event numbers that will allow the examiners to evaluate evety applicable competency for evety applicant. (This includes all rating factors for each competency.) (Competency Rating factors as described on forms ES-303-1 and ES-303-3.)

ES-301 Competencies Checklist Form ES-301-6 Facility: Oyster Creek Date of Examination: 2016 Operating Test No.: Al'R.l 201~

APPLICANTS SR0-15 SRO-U 1 SRO-U 2 SRO-U 3 Competencies SCENARIO SCENARIO SCENARIO SCENARIO 1 2 3 1 2 3 1 2 3 1 2 3 ATC SRO SRO ATC SRO BOP SRO Interpret/Diagnose 2, 3, 3, 4, 3, 4, 3, 4, 2, 3, 3, 4, 3, 5, 4, 5, 5, 6, 5, 6, Events and Conditions 7,8 6, 7, 7, 8, 5, 6, 7, 8, 5, 6, 5, 6, 7 7,8 7,8 8 9 9 Comply With and 1, 2, 1, 3, 3, 4, 3, 5, Use Procedures ( 1) 5, 7, All All 5, 6, All 6, 7, All 8 7 8

Operate Control 1, 2, 1, 3, 3, 4, 3, 5, Boards (2) 5, 7, 5, 6, .*

6, 7, 8 7 8

Communicate All All All All All All All and Interact Demonstrate All All All All Supervisory Ability (3)

Comply With and 2,3 3,4 3,4 2,4 Use Tech. Specs. (3) I Notes:

( 1) Includes Technical Specification compliance tor an RO.

(2) Optional tor an SRO-U.

(3) Only applicable to SROs.

Instructions:

Check the applicants' license type and enter one or more event numbers that will allow the examiners to evaluate every applicable competency for every applicant. (This includes all rating factors for each competency.) (Competency Rating factors as described on forms ES-303-1 and ES-303-3.)

ES-301 Competencies Checklist Form ES-301-6 Facility: Oyster Creek Date of Examination: 2016 Operating Test No.: NRl (DJI APPLICANTS SRO-U 4 SRO-U 5 Competencies SCENARIO SCENARIO SCENARIO SCENARIO 1 2 3 1 2 3 4 1 2 3 4 1 2 3 4 SRO Interpret/Diagnose 3, 4, ...

5, 6, Events and Conditions 7,8,9 .* *.

Comply With and All Use Procedures (1)

Operate Control I Boards (2)

Communicate I*

All and Interact *.**

Demonstrate .

All Supervisory Ability (3) .*

Comply With and 3,4 Use Tech. Specs. (3)

Notes:

( 1) Includes Technical Specification compliance for an RO.

(2) Optional for an SRO-U.

(3) Only applicable to SROs.

Instructions:

Check the applicants' license type and enter one or more event numbers that will allow the examiners to evaluate every applicable competency for every applicant. (This includes all rating factors for each competency.) (Competency Rating factors as described on forms ES-303-1 and ES-303-3.)

ES-401 Written Examination Quality Checklist Form ES-401-6 yster Creek Date of Exam: February 2016 Exam Level: RO/SRO Initial Item Description a b* c#

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

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2. a.

b.

NRC K/As are referenced for all questions.

Facility learning objectives are referenced as available.

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3. SRO questions are appropriate in accordance with Section D.2.d of ES-401 ;Jt- f!f Bf

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). 1l- ~ SF

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

2-- the audit exam was systematically and randomly developed; or

_the audit exam was completed before the license exam was started; or

_ the examinations were developed independently; or If- 91 Sf 2-- the licensee certifies that there is no duplication; or

_other (explain)

6. Bank use meets limits (no more than 75 percent Bank Modified New from the bank, at least 10 percent new, and the rest new or modified); enter the actual RO I SRO-only question distribution(s) at right.

37 / 11 712 31 / 12 If( ~ lf 49%144% 9%/8% 41%/ 48%

7. Between 50 and 60 percent of the questions on the RO Memory C/A

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exam are written at the comprehension I analysis level; the SRO exam may exceed 60 percent if the randomly selected K/As support the higher cognitive levels; enter 31 / 6 44 / 19 6f the actual RO I SRO question distribution(s) at right. 41% / 24% 59% 176%

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

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9. Question content conforms with specific KIA statements in the previously approved examination outline and is appropriate for the tier to which they are assigned; deviations are justified. VL* ~ ~

10. Question psychometric quality and format meet the guidelines in ES Appendix B. fl-- rfJV ~y

11. The exam contains the required number of one-point, multiple choice items; the total is correct and aorees with the value on the cover sheet. I~ & 6f Printed Name ~t~ Date a.

b.

c.

d.

Author Facility Reviewer(*)

NRC Chief Examiner (#)

NRC Regional Supervisor John J. Rizzo Jr. I Brvan Eaaan I

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Note:

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

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

ES-403 Written Examination Grading Form ES-403-1 Quality Checklist Facility: 0Y5/E.lt C (ZEE/\ Date of Exam: f.::>/;t// fl Exam Level: RO @JsRO I J Item Description Initials a b c

1. Clean answer sheets copied before grading Ji,_

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2. Answer key changes and question deletions justified and documented !v BF

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3. Applicants' scores checked for addition errors l

(reviewers spot check > 25% of examinations)

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4. Grading for all borderline cases (80 +/-2% overall and 70 or 80,

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as applicable, +/-4% on the SRO-only) reviewed in detail 4-.*' 5F

5. All other failing examinations checked to ensure that grades tllf:t are justified j t- &F

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

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a. Grader 'f.l/f urV &er f/11 Ck~

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b. Facility Reviewer(*)

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c. NRG Chief Examiner (*)

d. NRG Supervisor (*) n."4<.Jl ..lo.d<so,, 7/1/, 66

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

ES-403, Page 6 of 6

ES-403 Written Examination Grading Form ES-403-1 Quality Checklist Facility: CJ J ~n -((ff-; Date of Exam: &/Jo/lb Exam Level: RO SRO icJ4 Item Description Initials a b c

1. Clean answer sheets copied before grading

2. Answer key changes and question deletions justified and documented

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

4. Grading for all borderline cases (80 +/-2% overall and 70 or 80, as applicable, +/-4% on the SRO-only) reviewed in detail

5. All other failing examinations checked to ensure that grades 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 Printed Name/Signature Date

b. Facility Reviewer(*)

c. NRC Chief Examiner (*)

(*) 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