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| author name =  
| author name =  
| author affiliation = Constellation Energy Nuclear Group, LLC
| author affiliation = Constellation Energy Nuclear Group, LLC
| addressee name = Silk D M
| addressee name = Silk D
| addressee affiliation = NRC/RGN-I/DRS/OB
| addressee affiliation = NRC/RGN-I/DRS/OB
| docket = 05000244
| docket = 05000244
| license number = DPR-018
| license number = DPR-018
| contact person = Jackson D E
| contact person = Jackson D
| case reference number = TAC U01901
| case reference number = TAC U01901
| package number = ML13060A101
| package number = ML13060A101
Line 19: Line 19:


=Text=
=Text=
{{#Wiki_filter:Examination Preparation Checklist Form ES-201-1 Facility:
{{#Wiki_filter:ES-201                                Examination Preparation Checklist                             Form ES-201-1 Facility:     61'1t(\4     (~&lC;v                                              Date of Examination: (~ If   /26/1J (0) f/I)/13 Developed by: Written - Facility         ~RC              /I Operating - Facility ~NRC 0 Target                                                                                                   Chief Date'"                                   Task Description (Reference)                               Examiner's Initials
61'1t(\4 Date of Examination: If/26/1J f/I)/13 Developed by: Written -Facility /I Operating  
    -180         1. Examination administration date confirmed (C.1.a; C.2.a and b)                     ~
-Facility 0 Target Chief Date'" Task Description (Reference)
    -120         2. NRC examiners and facility contact assigned (C.1.d; C.2.e)                         ~
Examiner's Initials -180 Examination administration date confirmed (C.1.a; C.2.a and b) -120 NRC examiners and facility contact assigned (C.1.d; C.2.e) vrj-120 Facility contact briefed on security and other requirements (C.2.c) -120 Corporate notification letter sent (C.2.d) !>to ] [5. Reference material due (C.1.e; C.3.c; Attachment {-75} Integrated examination outline(s) due, including Forms ES-201-2, ES-301-1, ES-301-2, ES-301-5, ES-O-1's, ES-401-1/2, ES-401-3, ES-401-4, as applicable (C.1.e and f; C.3.d) {-70} Examination outline(s) reviewed by NRC and feedback provided to licensee (C.2.h; C.3.e)} {-45} Proposed examinations (including written, walk-through JPMs, scenarios, as applicable), supporting documentation (including ES-301-3, ES-301-4, ES-301-5.
    -120         3. Facility contact briefed on security and other requirements (C.2.c)                 vrj
ES-301-6, and ES-401-6, and any ES-201-3 updates), and reference materials due (C.1.e, f, 9 and h; C.3.d) -30 Preliminary license applications (NRC Form 398's) due (C.1.1; C.2.g; /V/t,/", r"M te ES-202) -14 Final license applications due and Form ES-201-4 prepared (C.1.1; C.2.!; (ti ES-202) -14 Examination approved by NRC supervisor for facility licensee (C.2.h; til -14 Examinations reviewed with facility licensee (C.1.j; C.2.f and h; C.3.g) A14 -7 Written examinations and operating tests approved by NRC supervisor Yj (C.2.!; C.3.h) -7 Final applications reviewed; 1 or 2 (if >10) applications audited to qualifications I eligibility; and examination approval and waiver letters (C.2.i; Attachment 5; ES-202, C.2.e; ES-204) Proctoring/written exam administration guidelines reviewed with facility licensee (C.3.k) -7 Approved scenarios, job performance measures, and questions vJ distributed to NRC examiners (C.3.!)
    -120         4. Corporate notification letter sent (C.2.d)                                         !>to
* Target dates are generally based on faCility-prepared examinations and are keyed to the examination identified in the corporate notification letter. They are for planning purposes and may be adjusted on a case basis in coordination with the facility  
          ]       [5. Reference material due (C.1.e; C.3.c; Attachment 3)]                              0J
[Applies only] {Does not apply} to examinations prepared by the Page 25 of 28 Examination Outline Quality Checklist Form ES-201-2 Date of Examination:
{-75}         6. Integrated examination outline(s) due, including Forms ES-201-2, ES-201-3,
Facility:
                                                                                                          ~
/2a6t/1£.
ES-301-1, ES-301-2, ES-301-5, ES-O-1's, ES-401-1/2, ES-401-3, and ES-401-4, as applicable (C.1.e and f; C.3.d)
G/rtl1t!V 447V@1 Item Task a b* 1. Verify that the outline(s) fit(s) the appropriate model, in accordance with ES-401. 11 R b. Assess whether the outline was systematically and randomly prepared in accordance with ruJ 11 vj)I Section 0.1 of ES-401 and whether all KIA categories are appropriately sampled. c. Assess whether the outline over-emphasizes any systems, evolutions, or generic topics. t uJ 14 ItA T d. Assess whether the justifications for deselected or rejected KIA statements are appropriate.
{-70}       {7. Examination outline(s) reviewed by NRC and feedback provided to facility licensee (C.2.h; C.3.e)}                                                           ~
N 1i tlJ a. Using Form E5-301-5, verify that the proposed scenario sets cover the required number of normal evolutions, instrument and component failures, technical specifications, t% ,41/4 S and major M b. Assess whether there are enough scenario sets (and spares) to test the projected 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 using iii,;" !l# 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. 0 c. To the extent possible, assess whether the outline(s) conform(s) with the qualitative R and quantitative criteria specified on Form E5-301-4 and described in Appendix D. i1 wi,}'" AlIt 3. Verify that the systems walk-through outline meets the criteria specified on Form E5-301-2:  
{-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              rj);)
(1 ) the outline(s) contain(s) the required number of control room and in-plant tasks I W distributed among the safety functions as specified on the form I (2) task repetition from the last two NRC examinations is .,.,;thin the limits specified on the form ¢11 1iJ rJJ T (3) no tasks are duplicated from the applicants' audit testes) 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:  
ES-201-3 updates), and reference materials due (C.1.e, f, 9 and h; C.3.d)
(1 the tasks are distributed among the topics as specified on the form 1ti at least one task is new or Significantly modified no more than one task is repeated from the last two NRC licensing examinations  
    -30         9. Preliminary license applications (NRC Form 398's) due (C.1.1; C.2.g; ES-202)                                                                          /V/t,/", r"Mte
: c. Determine if there are enough different outlines to test the projected number and mix r,{j/ of applicants and ensure that no items are duplicated on subsequent days. 4. Assess whether plant-specific priorities (including PRA and IPE insights) are covered '1tti in the appropriate exam sections.  
    -14         10. Final license applications due and Form ES-201-4 prepared (C.1.1; C.2.!;
: b. Assess whether the 10 CFR 55.41/43 and 55.45 sampling is III E N c. Ensure that KIA importance ratings (except for plant-specific priorities) are at least 2.5. 'Ji( ,wi) E d. Check for duplication and overlap among exam I?it' IIJ:i R A e. Check the entire exam for balance of coverage. *714. 1/,1)1 L Assess whether the exam fits the appropriate job level (RO or SRO). 7ltl rAj Date a. Author /i tr/l';cJ<.  
ES-202)
..j.-L.tit1; er:r / -.2J"-/.?  
(ti
: b. Facility Reviewer n  
    -14         11. Examination approved by NRC supervisor for facility licensee review (C.2.h; C.3.f}                                                                    til
(,.
    -14         12. Examinations reviewed with facility licensee (C.1.j; C.2.f and h; C.3.g)             A14
sJ.. J/;. I  
      -7         13. Written examinations and operating tests approved by NRC supervisor (C.2.!; C.3.h)
: c. NRC Chief Examiner (#) JJ.rv*,J 5.'/ K 1'1.\(1{ -J d. NRC ... l .,v.__.I r tW...V liz;,Ir!:> ( :/ r Note: # Independent NRC reviewer initial items in Column *c"; chief examiner concurrence required.
Yj
* Not applicable for NRC-prepared examination outlines ES-201, Page 26 of 28 1
      -7
Examination Security Agreement  
                                                                                                        ~
,'(,-,,0 A.';:::?T?/;I(e&#xa3; Form Pre-Examination I acknowledge that I have acquired knowledge about the NRC licensing examinations scheduled for the week(s) of as of the date of my signature.
: 14. 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)
I agree that I will not knowingly divulge any information about these examinations to any persons who have not authorized by the NRC chief examiner.
: 15. Proctoring/written exam administration guidelines reviewed with facility licensee (C.3.k)                                                     ~
I understand that I am not to instruct, evaluate.
      -7         16. Approved scenarios, job performance measures, and questions distributed to NRC examiners (C.3.!)                                               vJ
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 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).
* 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.
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.
[Applies only] {Does not apply} to examinations prepared by the NRC.
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}
ES~201,    Page 25 of 28
From the date that I entered into this security agreement until the completion of examination administration, I did not 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 SIGNATURE (1) DATE SIGNATURE (2) DATE NOTE 1. __
 
______________________________________________
ES-201                                Examination Outline Quality Checklist                                       Form ES-201-2 Facility:
_
Item
_________________
          /2a6t/1&#xa3;.         G/rtl1t!V Task Description Date of Examination:
___ ___
447V@1 a
__ 3' __
Initials b*
_______
1.
_____
W
_____
: a. Verify that the outline(s) fit(s) the appropriate model, in accordance with ES-401.
__ __
                                                                                                                    ~~    11 ~
_____________________
R I
_______ __
: b. Assess whether the outline was systematically and randomly prepared in accordance with Section 0.1 of ES-401 and whether all KIA categories are appropriately sampled.
__ 5.
ruJ 11 vj)
___--"--"'-'---....--'--'-'""--""'--"'--
T T
_____  
E
..;.;...:.--+-...;'
: c. Assess whether the outline over-emphasizes any systems, evolutions, or generic topics.
__
tuJ 14 ItA N
__ 6
: d. Assess whether the justifications for deselected or rejected KIA statements are appropriate.           ~ 1i tlJ
.. ,.. /tf.l , Page 27 of 28 
: 2. a. Using Form E5-301-5, verify that the proposed scenario sets cover the required number
&#xa3;:5-201 Examination Security Agreement x' I ". ,lI (+,' /"<
                                                                                                                            ~~ ,41/4 S
... Form ES-201-3 Pre-Examination GIN N/J /{O iljJ/';/ that I have acquired specialized knowledge about the NRC exnminations scheduled for the week{s) of as of the date of my I agree that t wi!! nol knowingly divulge any intormation about these examinations
of normal evolutions, instrument and component failures, technical specifications, and major transients.
\0 a.ny persons who have not been 8Llthorized by the NRC chief examiner, lunders\and that I am not to 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 noied below and authorized by the NRC , acting as a slmulator booth operator or communicator is acceptahle if the Individual does not select the training content or provide direct or II1djrecl Furthermore, 1 am aware of the security measures and documented in the facility licensee's procedures) and understand that violation ot the conditions of lhis agreement may result in cancellation of the examinations and/or an enfol*cement action against me or the licensee.
t%
I will immediately report to management or the NRC examiner any indications or stlggestions that examination security may have been 2. Post.Exgmillatio!l To the best of my knowfedge, I dld not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered the week{s) of From the date that I entered into this security agreement untif the completion of examination administration.
I M     b. Assess whether there are enough scenario sets (and spares) to test the projected number and mix of applicants in accordance with the expected crew composition and rotation schedule
did not instruct, evaluate, or provide performance feedback to those applicants who were administered U1ese licensing examinatiCllls, except as specifically noted below and authorized by the NRC. JOB TITLE f SIGNATURE (2) DATE NOTE e:Xti"11 Of'Yt';t'p/'/, 2. ___ Ld . 3.
                                                                                                                    ~
: 4.
U L        without compromising exam integrity, and ensure that each applicant can be tested using at least one new or significantly modified scenario, that no scenarios are duplicated iii,;" !l#
5
A T        from the applicants' audit testes), and that scenarios will not be repeated on subsequent days.
...:-J1u;2----=
0     c. To the extent possible, assess whether the outline(s) conform(s) with the qualitative R         and quantitative criteria specified on Form E5-301-4 and described in Appendix D.                     ~ti1  wi,}'" AlIt
_ ----'-..,.,f-'--'--'-----
: 3. a. Verify that the systems walk-through outline meets the criteria specified on Form E5-301-2:
----'.,:::.;,.:.,.
(1 ) the outline(s) contain(s) the required number of control room and in-plant tasks                               I W               distributed among the safety functions as specified on the form I
11_ j' ----.......l"..' NOTES. ES-201, Page 27 28 
T (2) task repetition from the last two NRC examinations is .,.,;thin the limits specified on the form (3) no tasks are duplicated from the applicants' audit testes)
----------
                                                                                                                    &#xa2;11  1iJ rJJ (4) the number of new or modified tasks meets or exceeds the minimums specified on the form (5) the number of alternate path, low-power, emergency, and RCA tasks meet the criteria on the form.
ES-201 Examination Security Agreement
: b. Verify that the administrative outline meets the criteria specified on Form ES-301-1:
,,:;;t'l/j Form ES*201*3 1.
(1 ) the tasks are distributed among the topics as specified on the form (2) at least one task is new or Significantly modified
knowledge about the NRC licensing examinations scheduled for the week(s) of as of the date of my signature.
                                                                                                                    ~ 1ti ~
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.
(3) no more than one task is repeated from the last two NRC licensing examinations
I understand that! am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these examinations from this date until completion of examination administration, except as specifically noted below and authorized by the NRC as a simulator booth or communicator is acceptable if the individual does no! select the content or provide direct or indirect 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 \0 facility management or the NRC chief examiner any indications or suggestions that examination may have been 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 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 bv the NRC. PRINTED NAME JOB TITLE I RESPONSIBILITY DATE SIGNATURE DATE NOTE 1 ....
: 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.                             ~ r,{j/ ~
__
: 4. a. Assess whether plant-specific priorities (including PRA and IPE insights) are covered in the appropriate exam sections.                                                                     ~ '1tti        4tb G
__ . o
E
_____ 4. I*-'ji .x
: b. Assess whether the 10 CFR 55.41/43 and 55.45 sampling is appropriate.                                  ~ III         ~
/"':' --rL-t
N     c. Ensure that KIA importance ratings (except for plant-specific priorities) are at least 2.5.           ~ 'Ji(       ,wi)
__ ..__7. 8, --"=':::...:L.._",-'-
E R
..____._
: d. Check for duplication and overlap among exam sections.                                                ~  I?it' IIJ:i A     e. Check the entire exam for balance of coverage.                                                         ~    *714. 1/,1)1 L
____1 --------,------, ----_.._-------------.... ----_._.._. ----_..NOTES: ES-201, Page 27 of 28 Landers, Patrick J From: Landers, Patrick J Sent: Thursday, May 16, 20134:20 PM To: Harper, Robert; Reed, Scott; List, John; Dean, Donald; Dean, Daniel; Garrish, Kyle; Hudnut, Daniel; Dettman, Donald; Blankenship, James D: Collins, Keith; White, Robert A; Matz, Whitman, John H; lacampo, Michael A; Schnall, Robert; Miller, Jason; Bolender, Julie; Hurlburt, David A; Bisaillon, Dale; Gregg, Keith; Koshak, James; Brown, John P; Ball, Gary A; Eckl, Barbara; 'Jim Lloyd';
: f. Assess whether the exam fits the appropriate job level (RO or SRO).                                   ~ 7ltl rAj
David; Millard, Charles Weber, Wade R; Snider, Stephen; Bianchi, Michael; Chang, BenjamIn A; Smith, Harold; Slaby, Michael; Spalding, Philip; Deogracias, Edward C; Scarrott, Robert; Brzezniak, Dobbins Jr, William  
                                                    - L.tit1;lPrin.'-:~~
Date
: a. Author                             /itr/l';cJ<. ..j.       er:r       .'                                              / -.2J"-/.?
: b. Facility Reviewer   n             J(~/t: (,. C~"rt      sJ.. I~  J/;. (/~i*lltk*                                      I Zl~Z'l JJ.rv*,J 5.'/ K             /{~                  -J
                                                                                                                          ~
: c. NRC Chief Examiner (#)                                                  1'1.\(1{
                                      ~(... l .,v.__.I         r tW...V r Ir!:>
: d. NRC Supervisor                                                                                                      liz;,
(         ~I :/
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           ";::f/~'"' ,'(,-,,0 A.';:::? T?/;I(e&#xa3; t;;X~Ar1                Form ES~201..J 1          Pre-Examination I acknowledge that I have acquired                           knowledge about the NRC licensing examinations scheduled for the week(s) of                                             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                                                 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 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~._._. From the date that I entered into this security agreement until the completion of examination administration, I did not 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                           SIGNATURE (1)                       DATE               SIGNATURE (2)                     DATE NOTE
: 1. __~~~~~~~ __~~~_________________~~~~_______________;~__~___________
2'-L_~~~~~~~~                      __~~~_______________~~~~~~~~___ ~w-~___~~~~+-__
3' __~~~~~_______~~~~~~___~ __~~p=~~~~_____ ~~_L~~~~~~__ ~~,~__
4.~~~~___~w-____~~~~______________~~~~~~_______ ~~~~__~~-f~~_ _
: 5. _.,..........-"-'~~......,..~_ _ _--"--"'-'---....--'--'-'""--""'--"'--_____ ---;.........,r-~----'--'--"""'~;::__- ..;.;...:.--+-...;'_ _.:::...:::.;~..:...;..:;;;.;;....._ _
6 ~_4....!.!L..!'..i.~~~-- .. ,..
                                        /tf.l
                                                                                      , Page 27 of 28
 
&#xa3;:5-201                                                      Examination Security Agreement x'            I ". ,lI ( + , ' /"<        /~~'</~lll ... Form ES-201-3 Pre-Examination      GINN/J /{O                                                                                                      iljJ/';/
that I have acquired specialized knowledge about the NRC                  exnminations scheduled for the week{s) of              ;zty~ as of the date of my              I agree that t wi!! nol knowingly divulge any intormation about these examinations \0 a.ny persons who have not been 8Llthorized by the NRC chief examiner, lunders\and that I am not to                 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 noied below and authorized by the NRC
    , acting as a slmulator booth operator or communicator is acceptahle if the Individual does not select the training content or provide direct or II1djrecl Furthermore, 1 am aware of the            security measures and                    documented in the facility licensee's procedures) and understand that violation ot the conditions of lhis agreement may result in cancellation of the examinations and/or an enfol*cement action against me or the        licensee. I will immediately report to          management or the NRC            examiner any indications or stlggestions that examination security may have been
: 2.       Post.Exgmillatio!l To the best of my knowfedge, I dld not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered the week{s) of                From the date that I entered into this security agreement untif the completion of examination administration. did not instruct, evaluate, or provide performance feedback to those applicants who were administered U1ese licensing examinatiCllls, except as specifically noted below and authorized by the NRC.
JOB TITLE f                                                                              SIGNATURE (2)            DATE NOTE e:Xti"11 Of'Yt' ;t'p/'/,
: 2. _ __
Ld            .
: 3. -L:.~~~~ IL--,L~~_ ---6-'::r--::----
5  ~~J..?:-~""'-- =~~---=~~;:~-.;~~~~~h:u 6.~~~~-- ...:-J1u;2----=
4.
  ----'-..,.,f-'--'--'----- - - - - '.,:::.;,.:.,.                                                          -~'- -~
                                                                            }~"y~~~'                           11_ j'  - - - -........ .,.,---'-----
                                  ~~~~~------.~                        ~.
l"..'
NOTES.
ES-201, Page 27          28
 
ES-201                                                              Examination Security Agreement              ,,:;;t'l/j  1f&#xa5;),I('~ tf'~tc 1:~'5 Form ES*201*3
: 1.        E'Te~Exami'lation
                                        "'fJ'~"liCI!lL:I::U knowledge about the NRC licensing examinations scheduled for the week(s) of                          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! am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these               examinations from this date until completion of examination administration, except as specifically noted below and authorized by the NRC as a simulator booth              or communicator is acceptable if the individual does no! select the                  content or provide direct or indirect 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 \0 facility management or the NRC chief examiner any indications or suggestions that examination may have been
: 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 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 bv the NRC.
PRINTED NAME              JOB TITLE I RESPONSIBILITY                                                            DATE        SIGNATURE            DATE NOTE 1....~.r-~__~,.~_"_
2.-=~~~~~~~ __                      .
o 0.~~~~~"=~                    _____
: 4.                                                                                I*-'ji .x '"ZL~ /"':'  ~-~~ --rL-t ".
5.~~~~~~~__ ..__~~~~~~~:~~-=:.
6.~~~~~~~__
7.
8, --"=':::...:L.._",-'- ..____._
9*~~~~~~.7* ____~'
1 NOTES:
ES-201, Page 27 of 28
 
Landers, Patrick J From:                      Landers, Patrick J Sent:                      Thursday, May 16, 20134:20 PM To:                        Harper, Robert; Reed, Scott; List, John; Dean, Donald; Dean, Daniel; Garrish, Kyle; Hudnut, Daniel; Dettman, Donald; Blankenship, James D: Collins, Keith; White, Robert A; Matz, Whitman, John H; lacampo, Michael A; Schnall, Robert; Miller, Jason; Bolender, Julie; Hurlburt, David A; Bisaillon, Dale; Gregg, Keith; Koshak, James; Brown, John P; Ball, Gary A; Eckl, Barbara; 'Jim Lloyd'; RainwatE~r, David; Millard, Charles Weber, Wade R; Snider, Stephen; Bianchi, Michael; Chang, BenjamIn A; Smith, Harold; Slaby, Michael; Spalding, Philip; Deogracias, Edward C; Scarrott, Robert; Brzezniak,       Dobbins Jr, William


==Subject:==
==Subject:==
ILT Retake Exam Security Agreement The III Retake NRC exam has been completed and we are down from exam security, Each of you on this list has been signed on to the security agreement for either supporting the written or the JPM exam (thanks for your help!). Please review Section 2, Post-Examination, and VOTE YES if you agree that you did not divulge exam information to the students during the process. Please place your purple/magenta badges in a company envelope and send it back to me. Thanks! Pat Operating Test Quality Checklist Form ES-301-3 Date of Examination:
ILT Retake Exam Security Agreement The III Retake NRC exam has been completed and we are               down from exam security, Each of you on this list has been signed on to the security agreement for either supporting the written or the JPM exam (thanks for your help!).
Operating Test Number: Initials General Criteria a b* C# The operating test conforms with the previously approved outline; changes are consistent with samplinq requirements (e.q., 10 CFR 55.45 operational importance, safety function distribution). rta{ t There is no day-to-day repetition between this and other operating tests to be administered durinQ this fJV rJUi The operating test shall not duplicate items from the applicants' audit testes). (see Section D.1.a.) \(Iv "]til Overlap with the written examination and between different parts of the operating test is within  
Please review Section 2, Post-Examination, and VOTE YES if you agree that you did not divulge exam information to the students during the process. Please place your purple/magenta badges in a company envelope and send it back to me.
,//)acceptable 1'4111. It appears that the operating test will differentiate between competent and less-than-competent applicants at the desiqnated license level. 'Pi 2. Walk-Throuah  
Thanks!
---Each JPM includes the following, as applicable:  
Pat
*
 
* initial initiating
ES-301                                            Operating Test Quality Checklist                                   Form ES-301-3 Facility:                                                                Date of Examination:             Operating Test Number:
* references and tools, including associated procedures
Initials
* reasonable and validated time limits (average time allowed for completion) and specific
: 1. General Criteria a         b*       C#
* designation if deemed to be time-critical by the facility operationally important specific performance criteria that  
: a.        The operating test conforms with the previously approved outline; changes are consistent with                 ~v samplinq requirements (e.q., 10 CFR 55.45 operational importance, safety function distribution).                     rta{       t
-detailed expected actions with exact criteria and  
: b.          There is no day-to-day repetition between this and other operating tests to be administered durinQ this examination.
-system response and other examiner -statements describing important observations to be made by the  
fJV rJUi           ~
-criteria for successful completion of the -identification of critical steps and their associated performance  
: c.          The operating test shall not duplicate items from the applicants' audit testes). (see Section D.1.a.)       \(Iv   "]til ~
\tlV JIJ Ii-restrictions on the sequence of steps, if applicable Ensure that any changes from the previously approved systems and administrative walk-through oullines (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 v on those forms and Form ES-201-2.
: d.        Overlap with the written examination and between different parts of the operating test is within           N/~V ,//) \L~
ra'W 3. Simulator  
acceptable limits.                                                                                                  1'4111.
----!lIft The associated simulator operating tests (scenario sets) have been reviewed in accordance with )11i) Form ES-301-4 and a copy is fSl,... i->I .... Printed Name I Date a. l1rl;cRJ;Ltfitvlers +'-5'-t.;?
: e.          It appears that the operating test will differentiate between competent and less-than-competent applicants at the desiqnated license level.                                                                 p5~ 'Pi ~
VJ L Ga/'v\lsh r  
: 2. Walk-Throuah Criteria                                                -          --     -
: b. Facility Reviewer(*) c. NRC Chief Examiner (#)
: a.            Each JPM includes the following, as applicable:
s,lk / Llitl.L( 3 NRC Supervisor I AI) Wt'L }::::::) tI!Z3!I3 d. , -v (/
            **       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
* The facility signature is not applicable for NRC-developed tests. # Independent NRC reviewer initial items in Column *c"; chief examiner concurrence reQuired.
* operationally important specific performance criteria that include:
ES-301, Page 24 of 27 Written Examination Quality Checklist Form ES-401*6 Exam Level: RO SRO LJ Date of Exam: ..I /':12 I, 'I Initial Item Description a b* 1. Questions and answers are technically accurate and applicable to the facility.  
                    -     detailed expected actions with exact criteria and nomenclature
: 2. a. NRC KlAs are referenced for all questions.  
                    -     system response and other examiner cues
: b. Facility learning objectives are referenced as available.  
                    -     statements describing important observations to be made by the applicant
: 3. SRO Questions are appropriate in accordance with Section D.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:
                    -     criteria for successful completion of the task identification of critical steps and their associated performance standards restrictions on the sequence of steps, if applicable
_ 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 :t.-the licensee certifies that there is no duplication; or _ other (explain) 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);
                                                                                                                        \tlV JIJ            Ii
enter the actual RO I SRO-only Question distribution(s) at right. Between 50 and 60 percent of the questions on the RO Memory CIA exam are written at the comprehensionl analysis level; the SRO exam may exceed 60 percent if the randomly selected KlAs support the higher cognitive levels; enter 33 / ).6 the actual RO I SRO question distribution(s) at right. References/handouts provided do not give away answers or aid in the elimination of distractors. 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. Question psychometric Quality and format meet the guidelines in ES Appendix B. The exam contains the required number of one-point, multiple choice items; (75) the total is correct and agrees with the value on the cover sheet. Printed Name /
: b.            Ensure that any changes from the previously approved systems and administrative walk-through oullines (Forms ES-301-1 and 2) have not caused the test to deviate from any of the acceptance rav'W J11 criteria (e.g .. item distribution, bank use, repetition from the last 2 NRC examinations) specified on those forms and Form ES-201-2.
Date a. flttrici.
: 3. Simulator Criteria                                              --           --     -
J: L.IJAdel"s.//iltllib b. Facility Reviewer (*) c. NRC Chief Examiner i 1/ d. NRC Regional Supervisor I /
The associated simulator operating tests (scenario sets) have been reviewed in accordance with                         !lIft fSl,... i->I)11i)  ~~
* The facility reviewer's initials/signature are not applicable for NRC-developed examinations.  
Form ES-301-4 and a copy is attached.                                                                                                   ....
# Independent NRC reviewer initial items in Column "c"; chief examiner concurrence required.
Printed Name I Signature                                      Date
ES-401, Page 29 of 33 Written Examination Grading Form ES-403-1 Quality Checklist Facilit : it' E. G/i'MN Date of Exam: 2G. -2013 Exam Level: RO Initials Item Descri tion 1. Answer key changes and question deletions justified and documented  
: a. Author                                l1rl;cRJ;Ltfitvlers /'~                                              +'-5'-t.;?
: 3. Applicants' scores checked for addition errors reviewers s ot check> 25% of examinations  
4-t~l1.)
: 4. Grading for all borderline cases (80 +/-2% overall and 70 or 80, JUL as a licable, +/-4% on the SRO-onl reviewed in detail 5. All other failing examinations checked to ensure that grades IJ/. are 'ustified lit Performance on missed questions checked for training deficiencies and wording problems; evaluate validity of uestions missed b half or more of the a licants Printed Date 4-2i.-13 a. Grader Facility Reviewer(*)
                                                              / ~J ~~
5 I;; It5 5" Ifo/13 c. NRC Chief Examiner CJhl'f t d. NRC Supervisor S/7/13 The facility reviewer's signature is not applicable for examinations graded by the NRC; two inde endent !\IRC reviews are re uired. ES-403. Page 6 of 6}}
: b. Facility Reviewer(*)                VJ L Ga/'v\lsh         r ~
: c. NRC Chief Examiner (#)               rkv[~ s,lk                                                           Llitl.L( 3
: d. NRC Supervisor                     ~/,.pJ..dt~ ,I               AI) Wt'L }::::::)
                                                                          -v tI!Z3!I3
(/
NOTE:        *#      The facility signature is not applicable for NRC-developed tests.
Independent NRC reviewer initial items in Column *c"; chief examiner concurrence reQuired.
ES-301, Page 24 of 27
 
ES-401                                    Written Examination Quality Checklist                                 Form ES-401*6 Date of Exam: ..I /':12 I, 'I     Exam Level: RO ~ SRO LJ Initial 1.
Item Description Questions and answers are technically accurate and applicable to the facility.
a      b*    r::
: 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 D.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:
_ 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
:t.- 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.
: 7.          Between 50 and 60 percent of the questions on the RO               Memory             CIA exam are written at the comprehensionl analysis level; the SRO exam may exceed 60 percent if the randomly selected KlAs support the higher cognitive levels; enter         33 / ).6 the actual RO I 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 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.
: 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; (75) the total is correct and agrees with the value on the cover sheet.
Printed Name / Signature                                  Date flttrici. J: L.IJAdel"s.//iltllib ~
                                                                                                                      ~:m-~~-13
: a. Author
: b. Facility Reviewer (*)
: c. NRC Chief Examiner (#)                                                                                              i   1/
: d. NRC Regional Supervisor                                                                                                 I
                                                                                            /
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 Facilit : it' E. G/i'MN               Date of Exam:     2G. -2013 Exam Level: RO Initials Item Descri tion 1.
: 2.      Answer key changes and question deletions justified and documented
: 3.     Applicants' scores checked for addition errors reviewers s ot check> 25% of examinations
: 4.     Grading for all borderline cases (80 +/-2% overall and 70 or 80,         JUL as a licable, +/-4% on the SRO-onl reviewed in detail
: 5.     All other failing examinations checked to ensure that gradesIJ/.       ~
are 'ustified                                                     lit
: 6.      Performance on missed questions checked for training deficiencies and wording problems; evaluate validity                   ~
of uestions missed b half or more of the a licants Printed Name/Signature                            Date
: a. Grader                                                                              4-2i.-13
: b. Facility Reviewer(*)                                                             5 I;; It5 5" Ifo/13
: c. NRC Chief Examiner (*)                                                                CJhl'f t ,
: d. NRC Supervisor (*)                                                                  S/7/13
(*)    The facility reviewer's signature is not applicable for examinations graded by the NRC; two inde endent !\IRC reviews are re uired.
ES-403. Page 6 of 6}}

Latest revision as of 04:29, 6 February 2020

Final Qa/Related Forms (Folder 1)
ML13184A120
Person / Time
Site: Ginna Constellation icon.png
Issue date: 05/16/2013
From:
Constellation Energy Nuclear Group
To: David Silk
Operations Branch I
Jackson D
Shared Package
ML13060A101 List:
References
TAC U01901
Download: ML13184A120 (9)


Text

ES-201 Examination Preparation Checklist Form ES-201-1 Facility: 61'1t(\4 (~&lC;v Date of Examination: (~ If /26/1J (0) f/I)/13 Developed by: Written - Facility ~RC /I Operating - Facility ~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) ~

-120 2. NRC examiners and facility contact assigned (C.1.d; C.2.e) ~

-120 3. Facility contact briefed on security and other requirements (C.2.c) vrj

-120 4. Corporate notification letter sent (C.2.d)  !>to

] [5. Reference material due (C.1.e; C.3.c; Attachment 3)] 0J

{-75} 6. Integrated examination outline(s) due, including Forms ES-201-2, ES-201-3,

~

ES-301-1, ES-301-2, ES-301-5, ES-O-1's, ES-401-1/2, ES-401-3, and ES-401-4, as applicable (C.1.e and f; C.3.d)

{-70} {7. Examination outline(s) reviewed by NRC and feedback provided to facility licensee (C.2.h; C.3.e)} ~

{-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 rj);)

ES-201-3 updates), and reference materials due (C.1.e, f, 9 and h; C.3.d)

-30 9. Preliminary license applications (NRC Form 398's) due (C.1.1; C.2.g; ES-202) /V/t,/", r"Mte

-14 10. Final license applications due and Form ES-201-4 prepared (C.1.1; C.2.!;

ES-202)

(ti

-14 11. Examination approved by NRC supervisor for facility licensee review (C.2.h; C.3.f} til

-14 12. Examinations reviewed with facility licensee (C.1.j; C.2.f and h; C.3.g) A14

-7 13. Written examinations and operating tests approved by NRC supervisor (C.2.!; C.3.h)

Yj

-7

~

14. 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)
15. Proctoring/written exam administration guidelines reviewed with facility licensee (C.3.k) ~

-7 16. Approved scenarios, job performance measures, and questions distributed to NRC examiners (C.3.!) vJ

  • 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 25 of 28

ES-201 Examination Outline Quality Checklist Form ES-201-2 Facility:

Item

/2a6t/1£. G/rtl1t!V Task Description Date of Examination:

447V@1 a

Initials b*

1.

W

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

~~ 11 ~

R I

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

ruJ 11 vj)

T T

E

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

tuJ 14 ItA N

d. Assess whether the justifications for deselected or rejected KIA statements are appropriate. ~ 1i tlJ
2. a. Using Form E5-301-5, verify that the proposed scenario sets cover the required number

~~ ,41/4 S

of normal evolutions, instrument and component failures, technical specifications, and major transients.

t%

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

~

U L without compromising exam integrity, and ensure that each applicant can be tested using at least one new or significantly modified scenario, that no scenarios are duplicated iii,;" !l#

A T from the applicants' audit testes), and that scenarios will not be repeated on subsequent days.

0 c. To the extent possible, assess whether the outline(s) conform(s) with the qualitative R and quantitative criteria specified on Form E5-301-4 and described in Appendix D. ~ti1 wi,}'" AlIt

3. a. Verify that the systems walk-through outline meets the criteria specified on Form E5-301-2:

(1 ) the outline(s) contain(s) the required number of control room and in-plant tasks I W distributed among the safety functions as specified on the form I

T (2) task repetition from the last two NRC examinations is .,.,;thin the limits specified on the form (3) no tasks are duplicated from the applicants' audit testes)

¢11 1iJ rJJ (4) the number of new or modified tasks meets or exceeds the minimums specified on the form (5) 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:

(1 ) the tasks are distributed among the topics as specified on the form (2) at least one task is new or Significantly modified

~ 1ti ~

(3) no more than one task is repeated from the last two NRC licensing examinations

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. ~ r,{j/ ~
4. a. Assess whether plant-specific priorities (including PRA and IPE insights) are covered in the appropriate exam sections. ~ '1tti 4tb G

E

b. Assess whether the 10 CFR 55.41/43 and 55.45 sampling is appropriate. ~ III ~

N c. Ensure that KIA importance ratings (except for plant-specific priorities) are at least 2.5. ~ 'Ji( ,wi)

E R

d. Check for duplication and overlap among exam sections. ~ I?it' IIJ:i A e. Check the entire exam for balance of coverage. ~ *714. 1/,1)1 L
f. Assess whether the exam fits the appropriate job level (RO or SRO). ~ 7ltl rAj

- L.tit1;lPrin.'-:~~

Date

a. Author /itr/l';cJ<. ..j. er:r .' / -.2J"-/.?
b. Facility Reviewer n J(~/t: (,. C~"rt sJ.. I~ J/;. (/~i*lltk* I Zl~Z'l JJ.rv*,J 5.'/ K /{~ -J

~

c. NRC Chief Examiner (#) 1'1.\(1{

~(... l .,v.__.I r tW...V r Ir!:>

d. NRC Supervisor liz;,

( ~I :/

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 ";::f/~'"' ,'(,-,,0 A.';:::? T?/;I(e£ t;;X~Ar1 Form ES~201..J 1 Pre-Examination I acknowledge that I have acquired knowledge about the NRC licensing examinations scheduled for the week(s) of 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 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 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~._._. From the date that I entered into this security agreement until the completion of examination administration, I did not 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 SIGNATURE (1) DATE SIGNATURE (2) DATE NOTE

1. __~~~~~~~ __~~~_________________~~~~_______________;~__~___________

2'-L_~~~~~~~~ __~~~_______________~~~~~~~~___ ~w-~___~~~~+-__

3' __~~~~~_______~~~~~~___~ __~~p=~~~~_____ ~~_L~~~~~~__ ~~,~__

4.~~~~___~w-____~~~~______________~~~~~~_______ ~~~~__~~-f~~_ _

5. _.,..........-"-'~~......,..~_ _ _--"--"'-'---....--'--'-'""--""'--"'--_____ ---;.........,r-~----'--'--"""'~;::__- ..;.;...:.--+-...;'_ _.:::...:::.;~..:...;..:;;;.;;....._ _

6 ~_4....!.!L..!'..i.~~~-- .. ,..

/tf.l

, Page 27 of 28

£:5-201 Examination Security Agreement x' I ". ,lI ( + , ' /"< /~~'</~lll ... Form ES-201-3 Pre-Examination GINN/J /{O iljJ/';/

that I have acquired specialized knowledge about the NRC exnminations scheduled for the week{s) of ;zty~ as of the date of my I agree that t wi!! nol knowingly divulge any intormation about these examinations \0 a.ny persons who have not been 8Llthorized by the NRC chief examiner, lunders\and that I am not to 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 noied below and authorized by the NRC

, acting as a slmulator booth operator or communicator is acceptahle if the Individual does not select the training content or provide direct or II1djrecl Furthermore, 1 am aware of the security measures and documented in the facility licensee's procedures) and understand that violation ot the conditions of lhis agreement may result in cancellation of the examinations and/or an enfol*cement action against me or the licensee. I will immediately report to management or the NRC examiner any indications or stlggestions that examination security may have been

2. Post.Exgmillatio!l To the best of my knowfedge, I dld not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered the week{s) of From the date that I entered into this security agreement untif the completion of examination administration. did not instruct, evaluate, or provide performance feedback to those applicants who were administered U1ese licensing examinatiCllls, except as specifically noted below and authorized by the NRC.

JOB TITLE f SIGNATURE (2) DATE NOTE e:Xti"11 Of'Yt' ;t'p/'/,

2. _ __

Ld .

3. -L:.~~~~ IL--,L~~_ ---6-'::r--::----

5 ~~J..?:-~""'-- =~~---=~~;:~-.;~~~~~h:u 6.~~~~-- ...:-J1u;2----=

4.


'-..,.,f-'--'--'----- - - - - '.,:::.;,.:.,. -~'- -~

}~"y~~~' 11_ j' - - - -........ .,.,---'-----

~~~~~------.~ ~.

l"..'

NOTES.

ES-201, Page 27 28

ES-201 Examination Security Agreement ,,:;;t'l/j 1f¥),I('~ tf'~tc 1:~'5 Form ES*201*3

1. E'Te~Exami'lation

"'fJ'~"liCI!lL:I::U knowledge about the NRC licensing examinations scheduled for the week(s) of 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! am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these examinations from this date until completion of examination administration, except as specifically noted below and authorized by the NRC as a simulator booth or communicator is acceptable if the individual does no! select the content or provide direct or indirect 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 \0 facility management or the NRC chief examiner any indications or suggestions that examination may have been

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 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 bv the NRC.

PRINTED NAME JOB TITLE I RESPONSIBILITY DATE SIGNATURE DATE NOTE 1....~.r-~__~,.~_"_

2.-=~~~~~~~ __ .

o 0.~~~~~"=~ _____

4. I*-'ji .x '"ZL~ /"':' ~-~~ --rL-t ".

5.~~~~~~~__ ..__~~~~~~~:~~-=:.

6.~~~~~~~__

7.

8, --"=':::...:L.._",-'- ..____._

9*~~~~~~.7* ____~'

1 NOTES:

ES-201, Page 27 of 28

Landers, Patrick J From: Landers, Patrick J Sent: Thursday, May 16, 20134:20 PM To: Harper, Robert; Reed, Scott; List, John; Dean, Donald; Dean, Daniel; Garrish, Kyle; Hudnut, Daniel; Dettman, Donald; Blankenship, James D: Collins, Keith; White, Robert A; Matz, Whitman, John H; lacampo, Michael A; Schnall, Robert; Miller, Jason; Bolender, Julie; Hurlburt, David A; Bisaillon, Dale; Gregg, Keith; Koshak, James; Brown, John P; Ball, Gary A; Eckl, Barbara; 'Jim Lloyd'; RainwatE~r, David; Millard, Charles Weber, Wade R; Snider, Stephen; Bianchi, Michael; Chang, BenjamIn A; Smith, Harold; Slaby, Michael; Spalding, Philip; Deogracias, Edward C; Scarrott, Robert; Brzezniak, Dobbins Jr, William

Subject:

ILT Retake Exam Security Agreement The III Retake NRC exam has been completed and we are down from exam security, Each of you on this list has been signed on to the security agreement for either supporting the written or the JPM exam (thanks for your help!).

Please review Section 2, Post-Examination, and VOTE YES if you agree that you did not divulge exam information to the students during the process. Please place your purple/magenta badges in a company envelope and send it back to me.

Thanks!

Pat

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

Initials

1. General Criteria a b* C#
a. The operating test conforms with the previously approved outline; changes are consistent with ~v samplinq requirements (e.q., 10 CFR 55.45 operational importance, safety function distribution). rta{ t
b. There is no day-to-day repetition between this and other operating tests to be administered durinQ this examination.

fJV rJUi ~

c. The operating test shall not duplicate items from the applicants' audit testes). (see Section D.1.a.) \(Iv "]til ~
d. Overlap with the written examination and between different parts of the operating test is within N/~V ,//) \L~

acceptable limits. 1'4111.

e. It appears that the operating test will differentiate between competent and less-than-competent applicants at the desiqnated license level. p5~ 'Pi ~
2. Walk-Throuah 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 sequence of steps, if applicable

\tlV JIJ Ii

b. Ensure that any changes from the previously approved systems and administrative walk-through oullines (Forms ES-301-1 and 2) have not caused the test to deviate from any of the acceptance rav'W J11 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 !lIft fSl,... i->I)11i) ~~

Form ES-301-4 and a copy is attached. ....

Printed Name I Signature Date

a. Author l1rl;cRJ;Ltfitvlers /'~ +'-5'-t.;?

4-t~l1.)

/ ~J ~~

b. Facility Reviewer(*) VJ L Ga/'v\lsh r ~
c. NRC Chief Examiner (#) rkv[~ s,lk Llitl.L( 3
d. NRC Supervisor ~/,.pJ..dt~ ,I AI) Wt'L }::::::)

-v tI!Z3!I3

(/

NOTE: *# The facility signature is not applicable for NRC-developed tests.

Independent NRC reviewer initial items in Column *c"; chief examiner concurrence reQuired.

ES-301, Page 24 of 27

ES-401 Written Examination Quality Checklist Form ES-401*6 Date of Exam: ..I /':12 I, 'I Exam Level: RO ~ SRO LJ Initial 1.

Item Description Questions and answers are technically accurate and applicable to the facility.

a b* r::

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 D.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:

_ 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

t.- 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.
7. Between 50 and 60 percent of the questions on the RO Memory CIA exam are written at the comprehensionl analysis level; the SRO exam may exceed 60 percent if the randomly selected KlAs support the higher cognitive levels; enter 33 / ).6 the actual RO I 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 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.
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; (75) the total is correct and agrees with the value on the cover sheet.

Printed Name / Signature Date flttrici. J: L.IJAdel"s.//iltllib ~

~:m-~~-13

a. Author
b. Facility Reviewer (*)
c. NRC Chief Examiner (#) i 1/
d. NRC Regional Supervisor I

/

Note:

  • The facility reviewer's initials/signature are not applicable for NRC-developed examinations.
  1. 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 Facilit : it' E. G/i'MN Date of Exam: 2G. -2013 Exam Level: RO Initials Item Descri tion 1.

2. Answer key changes and question deletions justified and documented
3. Applicants' scores checked for addition errors reviewers s ot check> 25% of examinations
4. Grading for all borderline cases (80 +/-2% overall and 70 or 80, JUL as a licable, +/-4% on the SRO-onl reviewed in detail
5. All other failing examinations checked to ensure that gradesIJ/. ~

are 'ustified lit

6. Performance on missed questions checked for training deficiencies and wording problems; evaluate validity ~

of uestions missed b half or more of the a licants Printed Name/Signature Date

a. Grader 4-2i.-13
b. Facility Reviewer(*) 5 I;; It5 5" Ifo/13
c. NRC Chief Examiner (*) CJhl'f t ,
d. NRC Supervisor (*) S/7/13

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

ES-403. Page 6 of 6