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{{#Wiki_filter:-fiDal-foPTIs-ills doc Form ES-201-1 Facility:
{{#Wiki_filter:~~9-supJ      -fiDal-foPTIs-ills doc Form ES-201-1 Facility: Peach Bottom                                              Date of Examination: 1/31 - 2/4 2011 Developed by: Written - Facility     X   NRCD         /I Operating - Facility X NRCD Target                                                                                                       Chief Date*                                 Task Description (Reference)                                   Examiner's Initials
Peach Date of Examination:
    -180     1. Examination administration date confirmed (C.1.a; C.2.a and b)
1/31 -2/4 2011 Developed Written -Facility X NRCD /I Operating  
                                                                                                      ~
-Facility X NRCD 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) -120 Facility contact briefed on security and other requirements (C.2.c) -120 Corporate notification letter sent (C.2.d) [-90] Reference material due (C.1.e; C.3.c; Attachment 3)] , {-75} Integrated examination outline(s) due, including Forms ES-201-2, ES-301-1, ES-301-2, ES-301-5, ES-D-1's, ES-401-1/2, ES-401-3, ES-401-4, as applicable (C.1.e and f; a &/ {-70} Examination outline(s) reviewed by NRC and feedback provided to licensee (C.2.h; d '?/{-45} Proposed examinations (including written, walk-through JPMs, scenarios, as applicable), supporting documentation (including ES-301-3, ES-301-4, ES-301-5, ES-301-Ei, and ES-401-6, and any ES-201-3 updates), and reference materials due (C.1.e, f, g and h; 4-30 Preliminary license applications (NRC Form 398's) due (C.1.1; .b -14 Final license applications due and Form ES-201-4 prepared (C.1.1; -14 Examination approved by NRC supervisor for facility licensee review (C.2.h; C.3.f) -14 Examinations reviewed with facility licensee (C.1.j; C.2.f and h; C.3.g) ..., -7 Written examinations and operating tests approved by NRC supervisor (C.2.i; C.3.h) #} v -7 Final applications reviewed; 1 or 2 (if >10) applications audited to qualifications  
                                                                                                      ~
/ eligibility; and examination approval and waiver letters (C.2.i; Attachment 5; ES-202, C.2.e; & v Proctoring/written exam administration guidelines with facility licensee -7 Approved scenarios, job performance measures, and distributed to NRC examiners 4 Examination Outline Checklist Form ES-201-2 Facility:
    -120     3. Facility contact briefed on security and other requirements (C.2.c)
Peach Date of Examination:
                                                                                                        ~
1/31/2011 Initials Item Task Description a b* c# 1. a. Verify that the outline(s) fit(s) the appropriate model, in accordance with R b. Assess whether the outline was systematically and randomly prepared in accordance I Section D.1 of ES-401 and whether all KIA categories are appropriately T Assess whether the outline over-emphasizes any systems, evolutions, or generic topiCS. N d. Assess whether the justifications for deselected or rejected KIA statements are T Using Form ES-301-5, verify that the proposed scenario SEltS cover the required number 2. of normal evolutions, instrument and component failures, technical and major S I Assess whether there are enough scenario sets (and to test the projected number M and mix of applicants in accordance with the expected crew composition and rotation schedule U without compromising exam integrity, and ensure that each applicant can be tested using L at least one new or significantly modified scenario, that no scenarios are duplicated A from the applicants' audit testes), and scenarios will not be repeated on subsequent days. T o To the extent possible, assess whether the outline(s) conform(s) with the qualitative R and quantitative criteria specified on Form ES-301-4 and described in Appendix D. Verify that the systems walk-through outline meets the critE!ria specified on Form ES-301-2:  
    -120     4. Corporate notification letter sent (C.2.d)
: 3. the outline(s) contain(s) the required number of control room and in-plant distributed among the safety functions as specified on the W task repetition from the last two NRC examinations is within the limits specified on the form 1 no tasks are duplicated from the applicants' audit le51{s)T the number of new or modified tasks meets or exceeds the minimums specified on the form Ihe number of alternate path, low-power, emergency, and RCA tasks meet the criteria on the form Verify that the administrative outline meets the criteria specified on Form ES-301-1: the tasks are distributed among the topics as specified on the form at least one task is new or significantly modified no more than one task is repeated from the last two NRC licensinq examinations Determine if there are enough different outlines to test the projected number and of applicants and ensure that no items are duplicated on subsequent a. Assess whether plant-specific priorities (including PRA and IPE insights) are in the appropriate exam G Assess whether the 10 CFR 55.41/43 and 55.45 sampling is appropriate.
                                                                                                      ~
E N Ensure that KIA importance ratings (except for plant-specific priorities) are at least 2.5. E Check for duplication and overlap among exam sections. Check the entire exam for balance of coverage.
[-90]     [5. Reference material due (C.1.e; C.3.c; Attachment 3)]                               ~~
L Assess whether the exam fits the appropriate job level (RO or SRO).
{-75}     6. Integrated examination outline(s) due, including Forms ES-201-2, ES-201-3,
1 01 Date! a. Author Fred J. Bruns I -11'(FhA-",130ft/)  
{-70}    {7.
: b. Facility Reviewer (*) Phil P. Breidenbauch .f'V\...t.. 011110 c. NRC Chief Examiner (#) J.
ES-301-1, ES-301-2, ES-301-5, ES-D-1's, ES-401-1/2, ES-401-3, and ES-401-4, as applicable (C.1.e and f; C.3.d)
I 1'11/ d. NRC Supervisor rk1... /-->7 '72 ., I Z.;J/zol/ I
Examination outline(s) reviewed by NRC and feedback provided to facility a  &/
* NOTE: # Independent NRC Reviewer initial items in Column "e"; chief examiner concurrence required.
licensee (C.2.h; C.3.e)}
d
                                                                                                      '?/
{-45}     8. Proposed examinations (including written, walk-through JPMs, and scenarios, as applicable), supporting documentation (including Forms
    -30      9.
ES-301-3, ES-301-4, ES-301-5, ES-301-Ei, and ES-401-6, and any Form ES-201-3 updates), and reference materials due (C.1.e, f, g and h; C.3.d)
Preliminary license applications (NRC Form 398's) due (C.1.1; C.2.g; 4
ES-202)
                                                                                                        .b
    -14     10. Final license applications due and Form ES-201-4 prepared (C.1.1; C.2.i; ES-202) 4
                                                                                                      ~
    -14     11. Examination approved by NRC supervisor for facility licensee review (C.2.h; C.3.f)
    -14     12. Examinations reviewed with facility licensee (C.1.j; C.2.f and h; C.3.g)
                                                                                                        ~ ...,
      -7     13. Written examinations and operating tests approved by NRC supervisor (C.2.i; C.3.h)                                                                   #} v
      -7     14. Final applications reviewed; 1 or 2 (if >10) applications audited to confirm qualifications / eligibility; and examination approval and waiver letters sent (C.2.i; Attachment 5; ES-202, C.2.e; ES-204)                                    & v
      -7      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.i)                                                4
 
ES-201                              Examination Outline                               Checklist                         Form ES-201-2 Facility: Peach Bottom                                                                          Date of Examination: 1/31/2011 Initials Item                                                     Task Description a       b*   c#
: 1.       a. Verify that the outline(s) fit(s) the appropriate model, in accordance with ES-401.
W R       b. Assess whether the outline was systematically and randomly prepared in accordance with I           Section D.1 of ES-401 and whether all KIA categories are appropriately sampled.
T T       c. Assess whether the outline over-emphasizes any systems, evolutions, or generic topiCS.
E N       d. Assess whether the justifications for deselected or rejected KIA statements are appropriate.
: a. Using Form ES-301-5, verify that the proposed scenario SEltS cover the required number 2.
of normal evolutions, instrument and component failures, technical specifications, and major transients.
S I
: b. Assess whether there are enough scenario sets (and span~s) to test the projected number M             and mix of applicants in accordance with the expected crew composition and rotation schedule U
without compromising exam integrity, and ensure that each applicant can be tested using L             at least one new or significantly modified scenario, that no scenarios are duplicated A             from the applicants' audit testes), and scenarios will not be repeated on subsequent days.
T o       c. To the extent possible, assess whether the outline(s) conform(s) with the qualitative R
and quantitative criteria specified on Form ES-301-4 and described in Appendix D.
: 3.      a. Verify that the systems walk-through outline meets the critE!ria specified on Form ES-301-2:
(1) the outline(s) contain(s) the required number of control room and in-plant tasks W                  distributed among the safety functions as specified on the form 1            (2) task repetition from the last two NRC examinations is within the limits specified on the form T            (3) no tasks are duplicated from the applicants' audit le51{s)
(4) the number of new or modified tasks meets or exceeds the minimums specified on the form (5) Ihe 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 (3) no more than one task is repeated from the last two NRC licensinq 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.
: 4.      a. Assess whether plant-specific priorities (including PRA and IPE insights) are covered in the appropriate exam section.
G E
: b. Assess whether the 10 CFR 55.41/43 and 55.45 sampling is appropriate.
N       c. Ensure that KIA importance ratings (except for plant-specific priorities) are at least 2.5.
E R        d. Check for duplication and overlap among exam sections.
A        e. Check the entire exam for balance of coverage.
L
: f. Assess whether the exam fits the appropriate job level (RO or SRO).
4~Name 1 Signature                                              01 Date!
: a. Author                       Fred J. Bruns I         -11'(FhA-                 _                                    ",130ft/)
: b. Facility Reviewer (*)       Phil P. Breidenbauch l~.L .f'V\...t..                     ')                          011110
: c. NRC Chief Examiner (#)         J. Yll.rfll"'r;~ I ~                          --...:;;:=-                              /~/(,.I 1'11/
: d. NRC Supervisor               ~~          rk1... ~/{ /-->7 '72           ., p~                                      I I
Z.;J/zol/
                                                                ~
NOTE:               # Independent NRC Reviewer initial items in Column "e"; chief examiner concurrence required.
* Not applicable for NRC-prepared examination outiim!s.
* Not applicable for NRC-prepared examination outiim!s.
ES-201, Page 25 of 27 ES-201 Examination Security Agreement Form ES-201-3 1. Pre-Examination I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of as of the date of my signature.
ES-201, Page 25 of 27
I agree that I will not knowingly divulge any information about these examinations to any persons who have not been authorized by the NRC chief examiner.
 
I understand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examinations from this date until completion of examination administration, except as specifically noted below and authorized by the NRC (e.g., acting as a simulator booth operator or communicator is acceptable if the individual does not select the training content or provide direct or indirect feedback).
ES-201                                                         Examination Security Agreement                                                 Form ES-201-3
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.
: 1.       Pre-Examination I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of           ,kl-~tt;      as of the date of my signature. I agree that I will not knowingly divulge any information about these examinations to any persons who have not been authorized by the NRC chief examiner. I understand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examinations from this date until completion of examination administration, except as specifically noted below and authorized by the NRC (e.g., acting as a simulator booth operator or communicator is acceptable if the individual does not select the training content or provide direct or indirect feedback). Furthermore, I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action against me or the facility licensee. I will immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been compromised.
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 i- 31 to ;.-(1 Fr61-n the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC.
: 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 i-31 to ;.-(1 Fr61-n the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC. PRINTED NAME JOB TITLE / RESPONSIBILITY SIGNATURE (1) DATE SIGNATURE (2) DATE NOTE 1. UUi.,,> 2. kO'f14A""Lo 7P£H r2ftJ 1 wfl ?f'., TtY'7f(v/}-tJ,. edt.J\..''""\
PRINTED NAME             JOB TITLE / RESPONSIBILITY                   SIGNATURE (1)                 DATE       SIGNATURE (2)       DATE NOTE 1.
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frw--ifr'-ES-201, Page 27 of 28 Examination Security Agreement Form ES-201*3 1. Pre-Examination I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of Ibl-;;Jih, as of the date of my signature.
                                    -.edt?:>
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.
7-/..,l.-/u ~        Kkf:r;
I understand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examinations from this date until completion of examination administration, except as specifically noted below and authorized by the NRC (e.g., acting as a simulator booth operator or communicator is acceptable if the individual does not select the training content or provide direct or indirect feedback).
                                                                                                            ?-/2.-/!J ==ttl~~' __ ~/1 f1i:l~
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)                                       ,1/...., {t. ~~                            ~
I will immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been compromised.  
    ~t;~                    +   ~N~ ~~J~                              --Ft-~~-&#xa5;-:-:----- 5/~.1? /.{~ ~q~
: 2. Post-Examination To the best of my knowledge, I did n9t divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of t-31 til From the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC. PRINTED NAME JOB TITLE / RESPONSIBILITY SIGNATURE SIGNATURE (2) DATE NOTE 1. Rtc-tLlrtI 2. 0 es. TFGH 12*.iJ'wt1l!i-!t (3. 71'. kf"l'7il v --11__ 4.1'\11 .
  ,;iJi/3SJCf>v.iC.Mls~:Ui~NkdZ3l                                                                          .~ &#xa3;~ iJJ~
___________
  . ~ ~ ?Sf                          -~                                                                      ll/.UOJfll;_--*
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NOTES: ES-201, Page 27 of 28 ES-201 Examination Security Agreement Form ES-201-3 1. Pre-Examination I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of 1--31-;.the date of my signature.
ES-201, Page 27 of 28
I agree that I will not knowingly divulge any information about these examinations to any persons who have not been authorized by the NRC chief examiner.
 
I understand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examinations from this date until completion of examination administration, except as specifically noted below and authorized by the NRC (e.g., acting as a simulator booth operator or communicator is acceptable if the individual does not select the training content or provide direct or indirect feedback).
ES*201                                                        Examination Security Agreement                                                                Form ES-201*3
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.
: 1.        Pre-Examination I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of                    Ibl-;;Jih,       as of the date of my signature. I agree that I will not knowingly divulge any information about these examinations to any persons who have not been authorized by the NRC chief examiner. I understand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examinations from this date until completion of examination administration, except as specifically noted below and authorized by the NRC (e.g., acting as a simulator booth operator or communicator is acceptable if the individual does not select the training content or provide direct or indirect feedback). Furthermore, I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action against me or the facility licensee. I will immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been compromised.
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 n9t divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of t- 31 til ,._~I From the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC.
: 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 I-JI f.;.
PRINTED NAME              JOB TITLE / RESPONSIBILITY                  SIGNATURE (1)                                SIGNATURE (2)                  DATE NOTE
the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC. PRINTED NAME JOB TITLE / RESPONSIBILITY SIGNATURE (1) DATE SIGNATURE (2) DATE NOTE 1. il/IO/tO 2. y)ecMrJ kes ...
: 1.                                   Rtc-tLlrtI ~                                                                                                          ~
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: 12. / 1 '---------------------------------------14.______________________________________
                                                                                                                                                      ""r    Z-U4, ==
_ NOTES: --------1 *a-+UuP. fr ES-201, Page 27 of 28 ES-201 Examination Security Agreement Form ES-201-l 1. Pre-Examination
: 9.                                                                                                          7114/ttJ ,                                              __
/"-3 -).-/(-11 I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of* I as of the date of my signature.
: 10.                                                                                                         ~ "", ':'h              ' '.     ,\..          q-/141_ _
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.
: 11. "                                                                                                      ~.                        '          "        v
I understand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examinations from this date until completion of examination administration, except as specifically noted below and authorized by the NRC (e.g., acting as a simulator booth operator or communicator is acceptable if the individual does not select the training content or provide direct or indirect feedback).
: 12.                                                                                                         lIb/to                                          a ~/I-II
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.
: 13.                                                                                                          /1-1-10                                          .:J-I/-~
I will immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been compromised.
: 14.                                                                                                          - :"'/6                                          -/  -:LL 1 5 . . 0                                                                                                                                                    2 - I <{::::.J.L.
: 2. Post-Examination To the best of my knowledge, I did 9pt divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of f.;. -II t=rom the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC. PRINTED NAME JOB TITLE I RESPONSIBILITY DATE DATE NOTE >siSo / e,se, ./ SIGNATURE (1) 1. A. Ii IrCl(.<Jcl<
: 2. at'it41 \.,j Jl)cda rd 6 4.3. " ..",,,-Co . sRQ,/Ie, ces / ."-t:;-: ---..dd'ii ,..-';'JE
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1-"-1/ _1'9 13 14: wd., -L.c.z...fv ." '1'0/" . 15.
NOTES:
NOTES:
Page 27 of 28 Operating Test Quality Checklist Form ES-301-3 Facility:
ES-201, Page 27 of 28
Peach Date of Examination:
 
1131/2011 Operating Test Number: ____ 1. GENERAL CRITERIA The operating test conforms with the previously approved ()utline; changes are consistent with sampling requirements (e.g., 10 CFR 55.45, operational importance, safety function distribution). There is no day-Io-day repetition between this and other operating tests to be administered during this examination. The operating test shall not duplicate items from the applicants' audit test(s)(see Section D.1.a). Overlap with the written examination and between different parts of the operating test is within acceptable limits. It appears that the operating test will differentiate between competent and less-than-competent applicants at the designated license level. 2. WALK-THROUGH CRITERIA Each JPM includes the following, as applicable: initial conditions initiating cues references and tools, including associated procedures reasonable and validated time limits (average time allowed for completion) and specific deSignation if deemed to be time critical by the facility licensee
ES-201                                                        Examination Security Agreement                                                Form ES-201-3
* operationally important specific performance criteria that detailed expected actions with exact criteria and system response and other examiner -statements describing important observations to be made by the applicant  
: 1.        Pre-Examination I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of 1- ;.        -I(~~~f    the date of my signature. I agree that I will not knowingly divulge any information about these examinations to any persons who have not been authorized by the NRC chief examiner. I understand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examinations from this date until completion of examination administration, except as specifically noted below and authorized by the NRC (e.g., acting as a simulator booth operator or communicator is acceptable if the individual does not select the training content or provide direct or indirect feedback). Furthermore, I am aware of the phYSical security measures and requirements (as documented in the facility licensee's procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action against me or the facility licensee. I will immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been compromised.
-criteria for successful completion of the task -identification of critical steps and their associated performance standards  
: 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 I- JI f.;. -/~ ~~om the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC.
-restrictions on the sequence of steps, if applicable Ensure that any changes from the previously approved systems and administrative walk-through outlines (Forms ES-301-1 and 2) have not caused the test to deviate from any of the acceptance criteria (e.g., item distribution, bank use, repetition from the last 2 NRC examinations) specified on those forms and Form ES-201-2.  
PRINTED NAME              JOB TITLE / RESPONSIBILITY                  SIGNATURE (1)                  DATE      SIGNATURE (2)      DATE NOTE
: 3. SIMULATOR CRITERIA The associated simulator operating tests (scenario sets) have been r,eviewed in accordance with Form ES-301-4 and a copy is attached.  
                                                                            /
: a. Author b. Facility Reviewer (*) c. NRC Chief Examiner (#) d. NRC Supervisor 1\
: 1. A~'.hlH:Otuc;R
1 Signature Fred J. Bruns  011 .-.... __ / NOTE:
  &I~ y)ecMrJ S!?~/f2iy
* The facility signature is not applicable for NRC-developed tests # Independent NRC reviewer initial items in Column "c"; chief examiner concurrence is required.
                                    ~gQ:Z      kes
ES-301, Page 24 of 27 a b*
                                                                        ~.
Simulator Scenario Quality Checklist Form ES-301-4 : Peach Bottom Date of Exam: 1/31/2011 Scenario Numbers: 1 12/3 Operating Test Number: QUALITATIVE ATTRIBUTES a The initial conditions are realistic, in that some equipment and/or instrumentation may be out of service, but it does not cue the operators into expected events. The scenarios consist mostly of related events. Each event description consists of
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                                                                                                                                                    ~
                                                                                                                                                    ~
                                                                                                                                                    ~
                                                                                                                                            .;l/4iOt/_
: 12.        ~                                                                                                          /
                                -----------------------~------- - - -
1 '-------- -------------------------------                                                                                                  ---
14._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
1 NOTES:                                                                                                              -------- ---
                              ~ a-+UuP. ~ fr fOOf-&#xa3;K~ ~O ES-201, Page 27 of 28
 
ES-201                                                                      Examination Security Agreement                                                            Form ES-201-l
: 1.              Pre-Examination
                                                                                                                                                              /" ).-/(-11 I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of* I                                              as of the date of my signature. I agree that I will not knowingly divulge any information about these examinations to any persons who have not been authorized by the NRC chief examiner. I understand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examinations from this date until completion of examination administration, except as specifically noted below and authorized by the NRC (e.g., acting as a simulator booth operator or communicator is acceptable if the individual does not select the training content or provide direct or indirect feedback). Furthermore, I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action against me or the facility licensee. I will immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been compromised.
: 2.              Post-Examination To the best of my knowledge, I did 9pt divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of                      f.;. -II t=rom the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC.
PRINTED NAME                        JOB TITLE I RESPONSIBILITY                                                  DATE                                    DATE NOTE
                                                    >siSo / e,se,                          ./    SIGNATURE (1)
A. Ii I (~H rCl(.<Jcl<
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                    " ..~                              ~'. ,/Ie,
                                                        ~                                  ~-,~ ~../
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112C~~6~-"':t.Viii&1fx-0.~u.~,-,e.:U:A./JdtiW      'f~u1\. ~              ~c-~                                                                  r/"';I -1:~~~~~
fffj' >                                                                                                                  iJIi'/;i              .. ' :... ",,,;;;;r,
                                                                                          ~=~~                                              ~$~;~i=-
: 9.                                                      &1                                                      .-                                                    "1c'J'-'j
                                                                                          ~~                                                                            ~
112':            >Jt!,/J                                                                                      ===        I 10
                                                                                      ~                                    L/;-.J~I-~I L~.,f;&#xa5;~~~~~L-l-fO-/f
                                                                                                                              ~:2/~l=//t~(=Z~~~~~~~
13 14:
: 15.                wd.,                            -L.c.z...fv                                        .. "----------
                                                                                                              ."            '1'0/"
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NOTES:
ES~201, Page 27 of 28
 
ES-301                                          Operating Test Quality Checklist                                   Form ES-301-3 Facility: Peach Bottom                                          Date of Examination: 1131/2011     Operating Test Number: _ _ __
Initials
: 1. GENERAL CRITERIA a      b*    c#
: a.          The operating test conforms with the previously approved ()utline; changes are consistent with sampling requirements (e.g., 10 CFR 55.45, operational importance, safety function distribution).
: b.          There is no day-Io-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 acceptable limits.
: e.          It appears that the operating test will differentiate between competent and less-than-competent applicants at the designated license level.
: 2. WALK-THROUGH 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
: b.          Ensure that any changes from the previously approved systems and administrative walk-through outlines (Forms ES-301-1 and 2) have not caused the test to deviate from any of the acceptance criteria (e.g., item distribution, bank use, repetition from the last 2 NRC examinations) specified on those forms and Form ES-201-2.
: 3. SIMULATOR CRITERIA The associated simulator operating tests (scenario sets) have been r,eviewed in accordance with Form ES-301-4 and a copy is attached.
1\ AP.!.t!!edA~m(~ 1 Signature
: a. Author                           Fred J. Bruns I~r          011 .- . .                  __
: b. Facility Reviewer (*)
: c. NRC Chief Examiner (#)
: d. NRC Supervisor
{                              /
NOTE:
* The facility signature is not applicable for NRC-developed tests
              # Independent NRC reviewer initial items in Column "c"; chief examiner concurrence is required.
ES-301, Page 24 of 27
 
ES-301                                Simulator Scenario Quality Checklist                                   Form ES-301-4
: Peach Bottom           Date of Exam: 1/31/2011                 Scenario Numbers: 1 12/3     Operating Test Number:
QUALITATIVE ATTRIBUTES a
: 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.
: 2.      The scenarios consist mostly of related events.
: 3.      Each   event description consists of
* the point in the scenario when it is to be initiated
* the point in the scenario when it is to be initiated
* the malfunction(s) that are entered to initiate the event
* the malfunction(s) that are entered to initiate the event
* the symptoms/cues that will be visible to the crew
* the symptoms/cues that will be visible to the crew
* the expected operator actions (by shift position)
* the expected operator actions (by shift position)
* the event termination point (if applicable) No more than one non-mechanistic failure (e.g., pipe break) is incorporated into the scenario without a credible preceding incident such as a seismic The events are valid with regard to physics and thermodynamics. Sequencing and timing of events is reasonable, and allows; the examination team to obtain complete evaluation results commensurate with the scenario objectives. If time compression techniques are used, the scenario summary clearly so indicates.
* the event termination point (if applicable)
: 4.      No more than one non-mechanistic failure (e.g., pipe break) is incorporated into the scenario without a credible preceding incident such as a seismic eVI~nt.
: 5.      The events are valid with regard to physics and thermodynamics.
: 6.      Sequencing and timing of events is reasonable, and allows; the examination team to obtain complete evaluation results commensurate with the scenario objectives.
: 7.      If time compression techniques are used, the scenario summary clearly so indicates.
Operators have sufficient time to carry out expected activities without undue time constraints.
Operators have sufficient time to carry out expected activities without undue time constraints.
Cues are given. The simulator modeling is not altered. The scenarios have been validated.
Cues are given.
Pursuant to 10CFR55.46(d), any open simulator performance deficiencies or deviations from the referenced plant have been evaluated to ensure that functional fidelity is maintained while running the planned scenarios. Every operator will be evaluated using at least one new or significantly modified scenario.
: 8.      The simulator modeling is not altered.
All other scenarios have been altered in accordance with Section 0.5 of ES-301. All individual operator competenCies can be evaluated, as verified using Form ES-301-6 (submit the form along with the simulator scenarios). 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). The level of difficulty is appropriate to support licensing decisions for each crew position.
: 9.      The scenarios have been validated. Pursuant to 10CFR55.46(d), any open simulator performance deficiencies or deviations from the referenced plant have been evaluated to ensure that functional fidelity is maintained while running the planned scenarios.
Target Quantitative Attributes (Per Scenario; See Section D.S.d) ual Attributes Total malfunctions (5-8) 6 I 7 I 6 Malfunctions after EOP entry (1-2) 2/2/2 Abnormal events (2-4) 3/3/2 Major transients (1-2) 1 / 1 / 1 EOPs entered/requiring substantive actions (1-2) 2 I 2 I 2 EOP contingencies requiring substantive actions (0-2) 1 1 1 1 1 Critical tasks (2-3) 3 1 2 1 2 ES-301, Page 25 of 27 Simulator Form ..."",-.nl -4 Date of Exam: 1131/2011 Scenario Numbers: 4 I 5 I Operating Test Number: Initials QUALITATIVE ATTRIBUTES 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, 2, The scenarios consist mostly of related events, 3, Each event description consists of
: 10. Every operator will be evaluated using at least one new or significantly modified scenario.
All other scenarios have been altered in accordance with Section 0.5 of ES-301.
: 11. All individual operator competenCies can be evaluated, as verified using Form ES-301-6 (submit the form along with the simulator scenarios).
: 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).
: 13. The level of difficulty is appropriate to support licensing decisions for each crew position.
                                                                                              ========9==9==~=91 Target Quantitative Attributes (Per Scenario; See Section D.S.d)                       ual Attributes
: 1.      Total malfunctions (5-8)                                                               6 I 7 I 6 Malfunctions after EOP entry (1-2)                                                     2/2/2 Abnormal events (2-4)                                                                 3/3/2 Major transients (1-2)                                                                 1 / 1 / 1
: 5.      EOPs entered/requiring substantive actions (1-2)                                       2 I 2 I 2
: 6.      EOP contingencies requiring substantive actions (0-2)                                 1 11 11
: 7.      Critical tasks (2-3)                                                                   3 12 12 ES-301, Page 25 of 27
 
Simulator Scenario                                                        Form ..."",-.nl -4 Date of Exam: 1131/2011               Scenario Numbers: 4 I 5 I         Operating Test Number:
Initials QUALITATIVE ATTRIBUTES 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, 2,   The scenarios consist mostly of related events, 3,   Each event description consists of
* the point in the scenario when it is to be initiated
* the point in the scenario when it is to be initiated
* the malfunction(s) that are entered to initiate the eve,nt
* the malfunction(s) that are entered to initiate the eve,nt
* the symptomslcues that will be visible to the crew
* the symptomslcues that will be visible to the crew
* the expected operator actions (by shift position)
* the expected operator actions (by shift position)
* the event termination point (if applicable) 4, No more than one non-mechanistic failure (e.g., pipe break) is incorporated into the scenario without a credible preceding incident such as a seismic event. 5, The events are valid with regard to physics and thenmodynamics. Sequencing and timing of events is reasonable, and allows the examination team to obtain complete evaluation results commensurate with the scenario objectives. If time compression techniques are used, the scenario summary clearly so indicates, Operators have sufficient time to carry out expected activities without undue time constraints, Cues are given, The Simulator modeling is not altered. The scenarios have been validated, Pursuant to 10CFR55,46(d), any open simulator performance deficiencies or deviations from the referenced plant have been evaluated to ensure that functional fidelity is maintained while running the planned scenarios. 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, All individual operator competencies can be evaluated, as verified using Form ES-301-6 (submit the form along with the simulator scenarios), Each applicant will be significantly involved in the minimum number of tranSients and events specified on Fonm ES-301-5 (submit the form with the simulator scenarios), The level of difficulty is appropriate to support licensing decisions for each crew position.
* the event termination point (if applicable) 4,   No more than one non-mechanistic failure (e.g., pipe break) is incorporated into the scenario without a credible preceding incident such as a seismic event.
Target Quantitative Attributes (Per Scenario; See Section D.S.d) Actual Attributes Total malfunctions (5-8) 6 1 7 / Malfunctions after EOP entry (1-2) 2 121 Abnormal events (2-4) 3 / 2 / 4, Major transients (1-2) 1 I 1 / 5, EOPs entered/requiring substantive actions (1-2) 212 I 6, EOP contingencies requiring substantive actions (0-2) 012 I 7, Critical tasks (2-3) 2/3 1 ES-301, Page 25 of 27 II ES-301 Transient and Event Checklist Form ES-301-5 Facility:
5,   The events are valid with regard to physics and thenmodynamics.
Peach Date of Exam: 1/31/2011 Operating Test Number: A E Scenarios P V P E T IVI 1 3 4 L 0 I T T NCREW CREW CREW CREW A I A T POSITION POSITION POSITION POSITION L M N Y A B S A B S A B S A B UT P R T 0 R T 0 R T 0 R T 0 M(*)0 C P 0 C P 0 C P 0 C P R I U RO 1 RX 1 1 1 0[8J NOR 1 1 1 1 SRO-I D IIC 2,7 4 4 4 2 SRO-U MAJ D 5 5 2 2 2 1 TS --0 2 2 R02 RX 1 1 1 0 [8J NOR 1 1 1 1 SRO-I D IIC 4,6 4 4 4 2 SRO-U MAJ D 5 5 2 2 2 1 TS --0 2 2 R03 RX 1 1 1 0 [8J NOR 1 1 1 1 SRO-I D IIC 3,6 4 4 4 2 SRO-U MAJ D 5 7 2 2 2 1 TS --0 2 2 R04 2 1 1 1 0 [8J NOR 1 1 1 11 D IIC 4,5,8 5 4 4 2 SRO-U D MAJ 5 7 2 2 2 1 TS --0 2 2 Instructions: Check the afglicant level and enter the operating test number and Form ES-D-1 event numbers for event are not for RO applicants.
: 6. Sequencing and timing of events is reasonable, and allows the examination team to obtain complete evaluation results commensurate with the scenario objectives.
ROs must serve in both the "at-the-controls and "ba ance-of-plant (B P)" positions' Instant SROs must do one scenario, including at two instrument or component (IIC) malfunctions and one major transient, in the ATC manipulations may be conducted under normal or controlled abnormal conditions (refer Section .5.d) but must be significant per Section C.2.a of Appendix D. P Reactivity and evolutions may be replaced with additional instrument or component mal unctions on a 1-for-1 Whenever practical, both instrument and component malfunctions should be included; only that require verifiable actions that provide insight to the applicant's competence count the minimum requirements specified for the applicanfs license level in the right-hand ES-301, Page .26 of 27 ES-301 Transient and Event Checklist Form ES-301-5 IFacility:
7,    If time compression techniques are used, the scenario summary clearly so indicates, Operators have sufficient time to carry out expected activities without undue time constraints, Cues are given, 8,  The Simulator modeling is not altered.
Peach Date of Exam: 1/31/2011 Operating Test Number: A E ScenariosP V P E T M 1 3 4 L N 0 I T T NCREW CREW CREW CREW A I A T POSITION POSITION POSITION POSITION L M N Y S A 8 S A 8 S A 8 S A 8 UT P R T 0 R T 0 R T 0 R T 0 M(*)E 0 C P 0 C P 0 C P 0 C P R I U R05 RX 1 1 1 0 I:8l NOR 1 1 1 1 SRO-I D IIC 3,6 4 4 4 2 SRO-U MAJ D 5 7 2 2 2 1 TS --0 2 2 ROS RX 1 1 1 0 I:8l NOR 1 1 1 1 SRO-I D IIC 3,7 5 4 4 2 SRO-U MAJ D 5 7 2 2 2 1 TS --0 2 2 RO RX --1 1 0 D NOR SRO-I --1 1 1 D IIC --4 4 2 SRO-U D MAJ --2 2 1 TS --0 2 2 RO RX --1 1 0 D NOR--1 1 1 D --4 4 2 SRO-U D MAJ --2 2 1 TS --0 2 2 Instructions: Check the a-fElicant level and enter the operating test number and Form ES-D-1 event numbers for event tYFae; are not for RO applicants.
9,  The scenarios have been validated, Pursuant to 10CFR55,46(d), any open simulator performance deficiencies or deviations from the referenced plant have been evaluated to ensure that functional fidelity is maintained while running the planned scenarios.
ROs must serve in both the "at-the-controls and "ba ance-of-plant (8 P)" positions' Instant SROs must do one scenario, including at two instrument or component (IIC) malfunctions and one major transient, in the ATC manipulations may be conducted under normal or controlled abnormal conditions (refer Section .5.d) but must be significant per Section C.2.a of Appendix D. P Reactivity and evolutions may be replaced with additional instrument or component mal unctions on a 1-for-1 Whenever practical, both instrument and component malfunctions should be included; only that require verifiable actions that provide insight to the applicant's competence count the mimmum requirements specified for the applicant's license level in the right-hand ES-301, Page .26 of 27 ES-301 Transient and Event Checklist Form ES-301-5 h Date of Exam: 1/31/2011 Operating Test Nu A E Scenarios P 4 M P *61 1 3 I T NCREW CREW CREW L I mm I A T POSITION POSITION POSITION t
10,  Every operator will be evaluated using at least one new or significantly modified scenario, All other scenarios have been altered in accordance with Section D,5 of ES-301,
* I M Instructions:
: 11. All individual operator competencies can be evaluated, as verified using Form ES-301-6 (submit the form along with the simulator scenarios),
N T Y P E S R 0 A T C B 0 P S R 0 A T C I B 0 P I S R 0 A T C B 0 P S R 0 . A T C B, 0 P U M(*) R . I U I RO iD SRO-I RX NOR 3 1 4 2 1 1 1 1 1 I 0 1 1,4 r8J SRO-U 0 IIC ,MAJ TS 2,4 6,7 5 2,4 I I i 2,6 5 ! 6 2 2 4 I 2 o I 4 2 2 2 1 2 RO 0 SRO-I 2,5 [gJ SRO-U 0 RX NOR IIC 'MAJ C=c:;: TS 3 2,7 5 I 2 1
: 12. Each applicant will be significantly involved in the minimum number of tranSients and events specified on Fonm ES-301-5 (submit the form with the simulator scenarios),
* 3,4 6,-_.. 7 3,5,6 I I I 2 1 7 2 3 1 1 4 I 2 0 1 1 4 2 2 ! 0 1 2 1 2 ._.... RO 0 SRO-I RX NOR , I 4 1 2 I 2 1 1 1 1 1 0 1 3,6 [gJ SRO-U 0 IIC MAJ TS 2,3 6,7 5 3,4 4,5,8 7 I I 7 2 2 4 I 2 i 0 4 2 2 2 1 I RO 0 SRO-I 7 I:8J SRO-U RX INOR IIC MAJ I I I* I 2 1 3,4,5 6, E, 7 I I 1 4,5 6 1 7 ......1 1 4 I 2 1 0 1 1 4-T2 2 l 1 TS 3, i 3 0 I 2 2
: 13. The level of difficulty is appropriate to support licensing decisions for each crew position.
* Check the afg'icant level and enter the operating test number and Form ES-D-1 event numbers for each event tYFae; are not for RO applicants.
Target Quantitative Attributes (Per Scenario; See Section D.S.d)                     Actual Attributes 1,  Total malfunctions (5-8)                                                               6 17 /
ROs must serve in both the "at-the-controls (ATC)" and "ba ance-of-plant (B P)" positionSj Instant SROs must do one scenario, including at least two instrument or component (I/G) mal unctions and one major transient, in the ATC position.
Malfunctions after EOP entry (1-2)                                                     2 121 Abnormal events (2-4)                                                                   3 / 2 /
manipulations may be conducted under normal or controlled abnormal conditions (refer to Section .5.d) but must be significant per Section C2.a of Appendix D. P Reactivity and normal evolutions may be replaced with additional instrument or component mal unctions on a 1-for-1 basis. 3. Whenever practical.
4,   Major transients (1-2)                                                                   1 I 1 /
both instrument and component malfunctions should be included; only those ,I that require verifiable actions that provide insight to the applicant's competence count toward I the minimum requirements specified for the applicant's license level in the right-hand columns. II ES-301, Page 26 of 27 ES-301 Transient and Event Checklist Form ES-301-5 IFacility:
5,   EOPs entered/requiring substantive actions (1-2)                                       212 I 6,   EOP contingencies requiring substantive actions (0-2)                                   012 I 7,   Critical tasks (2-3)                                                                   2/3 1 ES-301, Page 25 of 27
Peach Date of Exam: 1/31/2011 Operating Test Number: A P P L I C A N T E V E N T T Y P E CREW POSITION S A R T o C B o P Scenarios
 
...-,..........
ES-301 Transient and Event Checklist Form ES-301-5 Facility: Peach Bottom                            Date of Exam: 1/31/2011                     Operating Test Number:
*.-----.--------r=-.,----:-:-----il 2 3 4 T M o I t Z CREW POSITION S A B R T 0 o C P S A B R T 0 o C P S R o A B T 0 C P u M(*) R I U RO D SRO-I RX NOR 3 4 2 2 1 1 1 1 I 0 1 D SRO*U 2,3 6,7 8 4 4 2 1 5 2 2 2 1 3,4 4 0 2 2 IjO RX' 3 2 2110 SRO-I NOR 1 1 2 1 1 1 __l--_..__
II A         E                                                   Scenarios P         V P         E 1                   2                    3                 4 T      IVI L         N                                                                                        0       I I          T                                                                                         T     N C                    CREW                   CREW                 CREW               CREW            A       I A         T       POSITION             POSITION             POSITION           POSITION N          Y                                                                                        L     M T          P    S      A       B     S     A     B       S     A       B     S     A       B           U E    R       T     0       R     T     0       R     T       0     R     T       0           M(*)
4,-7-+-.__-+__l-.......+_--i__
0       C       P     0     C       P       0     C       P     0     C       P R     I U RO 1       RX               3                                                                          1   1   1   0
5-+ ___ ..._..+ __ -+__
[8J NOR                                                                                         1   1   1   1 SRO-I                                                     1 D           IIC             2,7                         3,7                                            4   4   4   2 SRO-U D          MAJ               5                           5                                             2   2   2   1 TS                                                                                           -- 0   2   2 R02         RX                                     4                                                    1   1   1   0
2 MAJ 5 7 2221 2, 3. 5. 6 5 0 2 RO RX 1 2110 D NOR 2 2 1 1 1 SRO*I D IIC 2, 3, 4 8 4 4 2 5,7 SRO-U 3 MAJ 5 6 222 TS 3,4 4 0 2 2
[8J SRO-I      NOR                     1                                                                  1   1   1   1 D           IIC                     4,6           2,6                                                    4   4   4   2 SRO-U D          MAJ                     5             5                                                     2   2   2   1 TS                                                                                           -- 0   2   2 R03         RX               3                                                                          1   1   1   0
..* RO .-1 1 0 D  
[8J SRO-I      NOR                                                                 1                       1   1   1  1 D           IIC             2,7                                              3,6                       4   4   4   2 SRO-U D          MAJ               5                                                 7                       2   2   2   1 TS                                                                                           -- 0   2   2 R04         RX                                                          2                               1   1   1   0
....11-= ._+--I --0 2 2Instructions: Check the applicant level and enter the operating test number and Form ES-D-1 event numbers for each event type; TS are not aRplicable for RO applicants.
[8J SRO-I      NOR                     1                                                                  1  1   1   1 D           IIC                     4,6                                4,5,8                             5   4   4   2 SRO-U D           MAJ                     5                                   7                               2   2   2   1 TS                                                                                           -- 0   2   2 Instructions:
ROs must serve in both the "at-the-controls (ATC)" and "barance-of-plant (BOP)" positions' Instant SROs must do one scenario, including at least two instrument or component (IIC) malfunctions and one major transient, in the ATC position. 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 1-for-1 basis. 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. ES-301, Page 26 of 27 ES-301 Competencies Checklist Form ES-301-6 Date of Examination:
: 1.      Check the afglicant level and enter the operating test number and Form ES-D-1 event numbers for each event ty~e;    are not a~licable for RO applicants. ROs must serve in both the "at-the-controls (ATC)"
1/31/2011 Operating Test No.: APPLICANTS RO RO 0 RO 0 RO SRO-I SRO-I [g] SRO-I 0 SRO-I Competencies SRO-U 0 SRO-U D SRO-U [g] SRO-U D SCENARIO SCENARIO 'I=I\IARIO SCEN,...., "\.,'-' 1 2 3 4 1 2 3 4 1 2 3 4 1 Interpret!
and "ba ance-of-plant (B P)" positions' Instant SROs must do one scenario, including at least two instrument or component (IIC) malfunctions and one major transient, in the ATC position.
Diagnose 1-8 1-7 1-9 1-8 1-8 1-7 1-9 1-8 1-8 1-7 1-9 1-8 Events and Conditions I Comply With and Use 1-6 1-7 1-9 1-8 1*8 1-7 1-9 1-8 1-8 1-7 1-9 1-8 Procedures (1) Operate Control 1-9 1-8 1-8 1-7 1-9 1-8 Boards (2) Communicate 1-8 1-7 1-9 1-8 1-8 1-7 1-9 0 1-9 1-8 and Interact ...Demonstrate
Reactivi~ manipulations may be conducted under normal or controlled abnormal conditions (refer to 2.
: I" 1-8 1-7 1-9 1-8 1-9 1-8 Supervisory Ability (3) Comply With and 2,4 3.4 3,5, I'> 34 2,4 3,4 3.5,6 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:
Section .5.d) but must be significant per Section C.2.a of Appendix D.     P Reactivity and normal evolutions may be replaced with additional instrument or component mal unctions on a 1-for-1 basis.
: 3.      Whenever practical, both instrument and component malfunctions should be included; only those that require verifiable actions that provide insight to the applicant's competence count toward the minimum requirements specified for the applicanfs license level in the right-hand columns.
ES-301, Page .26 of 27
 
ES-301 Transient and Event Checklist Form ES-301-5 IFacility: Peach 80ttom                            Date of Exam: 1/31/2011                     Operating Test Number:
A         E                                                   Scenarios P        V P         E                                                                                         T     M L        N              1                   2                    3                 4           0       I I        T                                                                                         T     N C                    CREW                 CREW                 CREW              CREW A         T         POSITION             POSITION             POSITION           POSITION A      I N        Y                                                                                        L     M T        P      S     A     8       S     A       8       S     A     8     S     A       8           U E      R     T     0       R     T     0       R     T     0     R     T       0           M(*)
0     C     P       0     C       P       0     C       P     0     C       P R     I U R05         RX                                     4                                                    1   1   1   0 I:8l       NOR SRO-I                                                                          1                        1   1   1   1 D           IIC                                   2,6                          3,6                       4   4   4   2 SRO-U D          MAJ                                   5                           7                       2   2   2   1 TS                                                                                           -- 0   2   2 ROS         RX                                                           2                              1   1   1   0 I:8l       NOR SRO-I                                                    1                                             1   1   1  1 D           IIC                                         3,7           4,5,8                            5  4   4   2 SRO-U D          MAJ                                           5             7                               2   2   2   1 TS                                                                                           -- 0   2   2 RO         RX                                                                                           -- 1   1   0 D           NOR SRO-I                                                                                                   -- 1   1   1 D           IIC                                                                                         -- 4   4   2 SRO-U D           MAJ                                                                                         -- 2   2   1 TS                                                                                           -- 0   2   2 RO         RX                                                                                           -- 1   1   0 D           NOR SRO-I                                                                                                    -1   1   1 D           IIC                                                                                          -- 4   4   2 SRO-U D           MAJ                                                                                         -- 2   2   1 TS                                                                                           -- 0   2   2 Instructions:
: 1.      Check the a-fElicant level and enter the operating test number and Form ES-D-1 event numbers for each event tYFae;   are not a~licable for RO applicants. ROs must serve in both the "at-the-controls (ATC)"
and "ba ance-of-plant (8 P)" positions' Instant SROs must do one scenario, including at least two instrument or component (IIC) malfunctions and one major transient, in the ATC position.
: 2.      Reactivi~ manipulations may be conducted under normal or controlled abnormal conditions (refer to Section .5.d) but must be significant per Section C.2.a of Appendix D. P Reactivity and normal evolutions may be replaced with additional instrument or component mal unctions on a 1-for-1 basis.
: 3.      Whenever practical, both instrument and component malfunctions should be included; only those that require verifiable actions that provide insight to the applicant's competence count toward the mimmum requirements specified for the applicant's license level in the right-hand columns.
ES-301, Page .26 of 27
 
ES-301 Transient and Event Checklist Form ES-301-5 h Bottom                        Date of Exam: 1/31/2011                               Operating Test Nu A         E                                                         Scenarios P         V P                                                                                                           *61               M CRE~Tt
* E                                                                                    4 L          N              1                   2                          3             mm I                                      I I         T                                                                                                                   N C                      CREW                 CREW                      CREW A
N T
Y    ~.-.--
POSITION             POSITION                   POSITION               POSITIO~                        M I
S     A     B     S     A     B           S       A   B        S  . A        B,                    U T         P      R      T    0      R      T  I  0           R       T    0         R      T       0                   M(*)
E      0      C      P      0      C      P          0            P        0              P I              C                    C                      t-=  .
R        I    U I
RO          RX iD 3                           4                                                                   2   1       1  I  0 SRO-I      NOR        1                                                                                               1   1       1     1 1,4         IIC        2,4 2,6                                                           !     6   4 I 4          2 r8J                    6,7        I SRO-U ,MAJ              5                          5                                                                    2   2       2     1 0
I TS        2,4 i
2    o  I 2        2 RO          RX                 3                                     2                                 I             2   1      1     0 0          NOR SRO-I                                                                  1                                                1    1      1      1 I
2,5        IIC                2,7
* 3,4                                                     7    4      4      2
[gJ                                                            -_.. 6, SRO-U      'MAJ                5                                     7                                                2 I 2       2 1 I                                                               I 0         C=c:;:
TS                                                      3,5,6                                                3    0       2     2 RO 0
RX
                        ,             I         4                                 2 I
2   1       1     0 SRO-I      NOR                              1                                                                           1   1       1      1 3,6         IIC
[gJ 2,3 6,7 4,5,8               I                     7   4      4      2 SRO-U      MAJ                              5                                  7                                        2 Ii 2      2     1 0
                                                                                                                                              ~
TS                                                                                            I 3,4                                                                         2   0      2 I
RO          RX                                                        2                             1                       1      1    0 0         INOR SRO-I                                                                 1                                                1    1      1      1 7
I:8J IIC I
3,4,5 6, E,                         I 4,5                 7   4       4-T2 ---.~
MAJ                    I SRO-U                I                          I 7
I 6
                                                                                                                      . . .~ I 2        2 l  1 TS                                                     3,                                                   3   0       2     2 i                            I Instructions:
1,      Check the afg'icant level and enter the operating test number and Form ES-D-1 event numbers for each event tYFae;     are not a~licable for RO applicants. ROs must serve in both the "at-the-controls (ATC)"
and "ba ance-of-plant (B P)" positionSj Instant SROs must do one scenario, including at least two instrument or component (I/G) mal unctions and one major transient, in the ATC position.
: 2.      Reactivi~ manipulations may be conducted under normal or controlled abnormal conditions (refer to Section .5.d) but must be significant per Section C2.a of Appendix D.               P Reactivity and normal evolutions may be replaced with additional instrument or component mal unctions on a 1-for-1 basis.
,I
: 3.       Whenever practical. both instrument and component malfunctions should be included; only those I           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.
II ES-301, Page 26 of 27
 
ES-301 Transient and Event Checklist Form ES-301-5 IFacility: Peach Bottom                                Date of Exam: 1/31/2011                                   Operating Test Number:
A         E                                                                  Scenarios P         V                                                 ...-,..........* . - - - - - . - - - - - - - - r = - . , - - - - : - : - - - - - i l P          E 2                               3                       4 T         M L          N                                                                                                              o t
I I          T C
A N
T Y
CREW POSITION CREW POSITION                      p8~ttioN          Int'~r"\'                          Z T         P         S          A    B      S      A    B              S        A        B      S       A     B                 u E          R         T   o     R     T    0              R        T      0      R      T     0               M(*)
o          C    P      o      C      P              o        C        P      o      C      P R     I   U RO         RX             3                     4                                                                           2     1     1   I 0 D         NOR SRO-I                                                                                                                        2    1    1    1 D                                              2,3 6,7 8     4     4     2 SRO*U                                                                                                      .~-~----i--,~-~
1                                                 5                                                                           2     2     2     1
~
3,4                                                                           4     0     2     2 IjO       RX'             3                                                   2                                             2110 SRO-I     NOR             1                                                   1                                             2     1     1     1
~O.U I-:I-,:-/C-:---+~~:l..:4,-7-+-.__-+_ _  l-.......+_--i_ _      +-3.: :o6~.: :85-+_ _l--_..f___ ..._..+__-+__+-9-l-~4_ _4_+~2--l1 2         MAJ           5                                                   7                                             2221
~        ~T~S--r--+---~--+-*******~---+--4---~-4--~-+---~-+--~--l---~*2 2, 4                                            3. 5. 6                                             5    0     2 RO        RX                                    4                                                      1                    2110 D
SRO*I      NOR                                    1                                                    2                    2    1    1     1 D         IIC                                  2, 3                                                  3, 4                  8    4    4    2 SRO-U                                          6,7                                                    5,7 3          MAJ                                    5                                                    6                    222
~          TS                                                                                                                4    0    2 34                                                    3,4                                      2 I~;:::_--+-;:;;_;_;_-.----_+_-*--f--+--_+_--I__-+---+---+--~--__t-*-+~-_+_--!-......L---+-*-..*
RO        RX                                                                                                                .-    1    1    0 D        ~,~~--_r.--r--~--~--+---+---~~--_4--_+---r----~~--~~,~
I~:~ ~:R:=~===:===:===:===:===:===:==:=:===:===:===:===~===:I::=::=:=:=:=+.._:_~-
11-=
TS=---+ ._+--               I    i                                                                              --   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 aRplicable for RO applicants. ROs must serve in both the "at-the-controls (ATC)"
and "barance-of-plant (BOP)" positions' Instant SROs must do one scenario, including at least two instrument or component (IIC) malfunctions and one major transient, in 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 1-for-1 basis.
3,      Whenever practical, both instrument and component malfunctions should be included; only those that require verifiable actions that provide insight to the applicant's competence count toward the minimum requirements specified for the applicant's license level in the right-hand columns.
ES-301, Page 26 of 27
 
ES-301                                Competencies Checklist                                        Form ES-301-6 Date of Examination: 1/31/2011                          Operating Test No.:
APPLICANTS 0                                                  0
                                            ~
RO                  RO                        RO            0        RO Competencies SRO-I                SRO-I        [g]        SRO-I        0        SRO-I SRO-U 0              SRO-U D                  SRO-U [g]              SRO-U D SCENARIO            SCENARIO                    'I=I\IARIO            SCEN,...., "\.,'-' I 1    2    3    4    1    2    3        4    1      2    3    4  1 Interpret! Diagnose 1-8  1-7  1-9  1-8 1-8    1-7  1-9      1-8 1-8    1-7    1-9  1-8 Events and Conditions                                  I Comply With and Use 1-6  1-7  1-9  1-8 1*8    1-7  1-9      1-8 1-8    1-7    1-9  1-8 Procedures (1)
Operate Control 1-9  1-8 1-8    1-7  1-9      1-8 Boards (2)
Communicate                                                              0 1-9  1-8 1-8  1-7  1-9  1-8 1-8    1-7  1-9 and Interact                                                                                        ... _-
Demonstrate                                              1-7  1-9      1-8
:    I"      1-9  1-8 1-8 Supervisory Ability (3)
Comply With and                                  2,4    3.4 3,5, I'>   34 2,4   3,4   3.5,6 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 applicant's license type and enter one or more event numbers that will allow the examiners to evaluate every applicable competency for every applicant.
Check the applicant's license type and enter one or more event numbers that will allow the examiners to evaluate every applicable competency for every applicant.
ES-301, Page 27 of 27 I Written Examination Quality Checklist Form ES-401-6 F acUity: Peach Bottom Date of Exam; 1/3112011 Exam Level: RO IZI SRO IZI Initial Item a b" r! Queslions and answers are technically accurate and applicable to the facility.
ES-301, Page 27 of 27
fftJ-00 /J-, a. NRC KlAs are referenced for all questions.  
 
: b. Facility learning objectives are referenced as (#J f\){h SRO questions are appropriate in accordance with Section D.2.d of ES-401 fir fYIh The sampling process was random and systematic (If more than 4 RO or 2 SRO questions r"JI'" were repealed from the last 2 NRC licensing exam, consult the NRR OL program offICe), Question duplication from the license screening/audit exam was as indicated below (check the item that applies) and appears
ES-401                                Written Examination Quality Checklist                                     Form ES-401-6 FacUity: Peach Bottom                               Date of Exam; 1/3112011                   Exam Level: RO       IZI SRO IZI Initial Item Description                                              a       b"       r!
_ the audit exam was systematically and randomly developed; _ the audit exam was completed before the license exam was started; 2L the examinations were developed independently; 2L the licensee certifIeS that there is no duplication; 2L other (explain) the "original" CERT exam was verified to have no overlap with the exam. Since two individuals failed the SRO section on the first CERT exam, a second SRO* only CERT exam was developed independently from the NRC exam process. This  
: 1.      Queslions and answers are technically accurate and applicable to the facility.                       fftJ-   00       /J-,
&0 t1' AFTER NRC exam submittal.
: 2.      a. NRC KlAs are referenced for all questions.
The individuals who developed the NRC exam have knowledge of the contents of the second CERT exam, and the individuals that developed second CERT exam have no knowledge of the contents of the NRC Modified NewBank use meets limits (no more than 75 from the bank. at least 10 percent new. and the ('j{7 IY new or modified);
: b. Facility learning objectives are referenced as available.                                        (#J f\){h       ~
enter the actual RO I SRQ.only 30/4 2518 question distribution(s) at Memory CIABetween 50 and 60 percent of the questions on the exam are written at the comprehension lanalysis the SRO exam may exceed 60 percent If the r! 35/5 40/20 selected KAs support the higher cognitive levels; the actual RO I SRO question distribution(s) at Referenceslhandouts provided do not give away answers tY" or aid in the elimination of distractors.
: 3.      SRO questions are appropriate in accordance with Section D.2.d of ES-401                             fir fYIh ~I
fir CIf' Question content conforms with specific KIA statements in the previously approved examination outline and is appropriate for the Tier to which they are assigned; tYCfrJ deviations are Justified Question psychometric quality and format meet the guidelines in ES Appendix B, CAl' 'Y The exam contains the required number of one-point, mulliple choice the total is correct and agrees with value on cover sheet fir CJf' ! Date I Signature  
: 4.        The sampling process was random and systematic (If more than 4 RO or 2 SRO questions were repealed from the last 2 NRC licensing exam, consult the NRR OL program offICe),                                 r"JI'"
: a. Fred J. Bruns I -..b. Facility Reviewer (") PhilP. .."I. I c. NRC Chief Examiner (#) :1 -ytt",[<1"/L7 I l'" t d. NRC Regional Supervisor 2Y-d...C/J/;' .. The facility reviewers initials/signature are not applicable for NRC-developed  
5,      Question duplication from the license screening/audit exam was controlled as indicated below (check the item that applies) and appears appropriate:
# Independent NRC reviewer initial items in Column *c"; chief examiner concurrence ES-401, Page 29 of 33 c Written Examination Grading Form ES-403-1 Checklist Facility:
_ the audit exam was systematically and randomly developed; or
Peach Bottom Date of Exam: 1/31/2011 Exam Level: RO [g] SRO Initials Item Description a b Clean answer sheets copied before grading fflf 7" Answer key changes and question deletions justified rJlA til/(and documented Applicants' scores checked for addition errors (reviewers spot check >25% of examinations) ff.y 0/i-; Grading for all borderline cases (80% +/- 2% overall and 70 or 80, as applicable, +/-4% on the SRO-only) reviewed in detail N(A tJlA .toIkr All other failing examinations checked to ensure that grades are justified tJ/A !JIlt "..IllY Performance on missed questions checked for training deficiencies and wording problems; evaluate validity ffo CjJ I/r of questions missed by half or more of the applicants Printed Name I Signature Date a. Fred J. Bruns I d-/'ltJ III b. Facility Reviewer(*)
_ the audit exam was completed before the license exam was started; or 2L the examinations were developed independently; or 2L the licensee certifIeS that there is no duplication; or
Phil P. BreidenbauQh Wi Il/\ L --) zLn iu. J.  
                                                                                                                ~ &0 2L other (explain) the "original" CERT exam was verified to have no overlap with the NRC exam. Since two individuals failed the SRO section on the first CERT exam, a second SRO*
(/fr,YW c. NRC Chief Examiner(*) d. NRC Supervisor(*)
only CERT exam was developed independently from the NRC exam process. This occurred                                      t1' AFTER NRC exam submittal. The individuals who developed the NRC exam have no knowledge of the contents of the second CERT exam, and the individuals that developed the second CERT exam have no knowledge of the contents of the NRC exam.
SO-W\.
: 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 SRQ.only question distribution(s) at right.
f/zIz.s/t, The facility reviewer's signature is not applicable for examinations graded by the two independent NRC reviews are ES-403, Page 5 of 5}}
30/4      2518      20113      ft' ('j{7        IY
: 7.        Between 50 and 60 percent of the questions on the RO                Memory            CIA exam are written at the comprehension lanalysis level; the SRO exam may exceed 60 percent If the randomly selected KAs support the higher cognitive levels; enter the actual RO I SRO question distribution(s) at right.
35/5            40/20        fi;-    r!      /)-
: 8.        Referenceslhandouts provided do not give away answers or aid in the elimination of distractors.                                                           fir CIf'         tY"
: 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                                                                             ~      CfrJ      tY
                                                                                                                ~      CAl'      'Y 10,      Question psychometric quality and format meet the guidelines in ES Appendix B,
: 11.      The exam contains the required number of one-point, mulliple choice Items; the total is correct and agrees with value on cover sheet                                           fir CJf'         y
                                                                      ~e I Signature                                         Date
: a. Author                                  Fred J. Bruns I
: b. Facility Reviewer (")                   PhilP.           .."I. I ~~~)~ ~..
: c. NRC Chief Examiner (#)                 :1 - ytt", [<1"/~ /~~                                            L7           I l'"     t
: d. NRC Regional Supervisor                   0~<N1. /~.f~/( /~<:/~2Y-                                 ~                d.. C/J/;'
Note:      .. The facility reviewers 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 Checklist Facility: Peach Bottom                   Date of Exam: 1/31/2011             Exam Level: RO [g] SRO Initials Item Description                                         a     b       c
: 1.        Clean answer sheets copied before grading fflf CP~ 7"
: 2.        Answer key changes and question deletions justified and documented                                                                  N(A  rJlA   til/(
: 3.        Applicants' scores checked for addition errors (reviewers spot check >25% of examinations)                                       ff.y 0/i-; 1-
: 4.        Grading for all borderline cases (80% +/- 2% overall and 70 or 80, as applicable, +/- 4% on the SRO-only) reviewed in detail                         N(A tJlA .toIkr
: 5.        All other failing examinations checked to ensure that grades are justified                                                                   tJ/A !JIlt "..IllY
: 6.        Performance on missed questions checked for training deficiencies and wording problems; evaluate validity of questions missed by half or more of the applicants ffo CjJ I/r Printed Name I Signature                       Date
: a. Author                        Fred J. Bruns I     ~>;Yk-                                      d-/'ltJ III
: b. Facility Reviewer(*)           Phil P. BreidenbauQh I~Wi     Il/\         L
                                                                                ~
                                                                                      --)           zLn iu.
J. ?AJI-O~        (/fr,YW
: c. NRC Chief Examiner(*)                                                                           &4
: d. NRC Supervisor(*)               SO-W\.         L.fo.:I1.s~tl f/ ~5~ ~                          zIz.s/t,
(*)      The facility reviewer's signature is not applicable for examinations graded by the NRC; two independent NRC reviews are required.
ES-403, Page 5 of 5}}

Latest revision as of 22:01, 10 March 2020

Final Qa/Related Forms (Folder 1)
ML111580037
Person / Time
Site: Peach Bottom  Constellation icon.png
Issue date: 02/28/2011
From:
NRC Region 1
To:
Hansell S
Shared Package
ML102220201 List:
References
TAC U01769
Download: ML111580037 (16)


Text

~~9-supJ -fiDal-foPTIs-ills doc Form ES-201-1 Facility: Peach Bottom Date of Examination: 1/31 - 2/4 2011 Developed by: Written - Facility X NRCD /I Operating - Facility X NRCD 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)

~

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

~

[-90] [5. Reference material due (C.1.e; C.3.c; Attachment 3)] ~~

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

{-70} {7.

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

Examination outline(s) reviewed by NRC and feedback provided to facility a &/

licensee (C.2.h; C.3.e)}

d

'?/

{-45} 8. Proposed examinations (including written, walk-through JPMs, and scenarios, as applicable), supporting documentation (including Forms

-30 9.

ES-301-3, ES-301-4, ES-301-5, ES-301-Ei, and ES-401-6, and any Form ES-201-3 updates), and reference materials due (C.1.e, f, g and h; C.3.d)

Preliminary license applications (NRC Form 398's) due (C.1.1; C.2.g; 4

ES-202)

.b

-14 10. Final license applications due and Form ES-201-4 prepared (C.1.1; C.2.i; ES-202) 4

~

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

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

~ ...,

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

-7 14. Final applications reviewed; 1 or 2 (if >10) applications audited to confirm qualifications / eligibility; and examination approval and waiver letters sent (C.2.i; Attachment 5; ES-202, C.2.e; ES-204) & v

-7 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.i) 4

ES-201 Examination Outline Checklist Form ES-201-2 Facility: Peach Bottom Date of Examination: 1/31/2011 Initials Item Task Description a b* c#

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

W R b. Assess whether the outline was systematically and randomly prepared in accordance with I Section D.1 of ES-401 and whether all KIA categories are appropriately sampled.

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

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

a. Using Form ES-301-5, verify that the proposed scenario SEltS cover the required number 2.

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

S I

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

without compromising exam integrity, and ensure that each applicant can be tested using L at least one new or significantly modified scenario, that no scenarios are duplicated A from the applicants' audit testes), and scenarios will not be repeated on subsequent days.

T o c. To the extent possible, assess whether the outline(s) conform(s) with the qualitative R

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

3. a. Verify that the systems walk-through outline meets the critE!ria specified on Form ES-301-2:

(1) the outline(s) contain(s) the required number of control room and in-plant tasks W distributed among the safety functions as specified on the form 1 (2) task repetition from the last two NRC examinations is within the limits specified on the form T (3) no tasks are duplicated from the applicants' audit le51{s)

(4) the number of new or modified tasks meets or exceeds the minimums specified on the form (5) Ihe 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 (3) no more than one task is repeated from the last two NRC licensinq 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.
4. a. Assess whether plant-specific priorities (including PRA and IPE insights) are covered in the appropriate exam section.

G E

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

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

E R d. Check for duplication and overlap among exam sections.

A e. Check the entire exam for balance of coverage.

L

f. Assess whether the exam fits the appropriate job level (RO or SRO).

4~Name 1 Signature 01 Date!

a. Author Fred J. Bruns I -11'(FhA- _ ",130ft/)
b. Facility Reviewer (*) Phil P. Breidenbauch l~.L .f'V\...t.. ') 011110
c. NRC Chief Examiner (#) J. Yll.rfll"'r;~ I ~ --...:;;:=- /~/(,.I 1'11/
d. NRC Supervisor ~~ rk1... ~/{ /-->7 '72 ., p~ I I

Z.;J/zol/

~

NOTE: # Independent NRC Reviewer initial items in Column "e"; chief examiner concurrence required.

  • Not applicable for NRC-prepared examination outiim!s.

ES-201, Page 25 of 27

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

1. Pre-Examination I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of ,kl-~tt; as of the date of my signature. I agree that I will not knowingly divulge any information about these examinations to any persons who have not been authorized by the NRC chief examiner. I understand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examinations from this date until completion of examination administration, except as specifically noted below and authorized by the NRC (e.g., acting as a simulator booth operator or communicator is acceptable if the individual does not select the training content or provide direct or indirect feedback). Furthermore, I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action against me or the facility licensee. I will immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been compromised.
2. Post-Examination To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of i- 31 to ;.-(1 Fr61-n the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC.

PRINTED NAME JOB TITLE / RESPONSIBILITY SIGNATURE (1) DATE SIGNATURE (2) DATE NOTE 1.

2.

~ UUi.,,> ~LIT'f ~

~ kO'f14A""Lo ()P~ 7P£H r2ftJ wfl 1

~ ~
Jpf,,-

?f'., TtY'7f(v/}-tJ,. Ylo.:::~~ ~/_ _

edt.J\..""\ -I<'-LU~~ ~L-V'~,7,'t~.'&, tJ'Ut."Yl/ A~'I/I (/l

-.edt?:>

7-/..,l.-/u ~ Kkf:r;

?-/2.-/!J ==ttl~~' __ ~/1 f1i:l~

  • I) ,1/...., {t. ~~ ~

~t;~ + ~N~ ~~J~ --Ft-~~-¥-:-:----- 5/~.1? /.{~ ~q~

,;iJi/3SJCf>v.iC.Mls~:Ui~NkdZ3l .~ £~ iJJ~

. ~ ~ ?Sf -~ ll/.UOJfll;_--*

~iit~ %0 4!.iic t

-* ~ ct~~ frw-- ifr'- ~-Ma-%. ~

ES-201, Page 27 of 28

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

1. Pre-Examination I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of Ibl-;;Jih, as of the date of my signature. I agree that I will not knowingly divulge any information about these examinations to any persons who have not been authorized by the NRC chief examiner. I understand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examinations from this date until completion of examination administration, except as specifically noted below and authorized by the NRC (e.g., acting as a simulator booth operator or communicator is acceptable if the individual does not select the training content or provide direct or indirect feedback). Furthermore, I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action against me or the facility licensee. I will immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been compromised.
2. Post-Examination To the best of my knowledge, I did n9t divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of t- 31 til ,._~I From the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC.

PRINTED NAME JOB TITLE / RESPONSIBILITY SIGNATURE (1) SIGNATURE (2) DATE NOTE

1. Rtc-tLlrtI ~ ~

2.

3.

0 es. TFGH 12.iJ 71'. kf"l'7il ).-tJ; v

'w te t1l!i-!t

- -11_ _

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a 7.

8.

7~z~u 1/,.,/t- -(jlt.i-=tr~-t"'Or:ll~-::--:---:7'"~.

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9. 7114/ttJ , __
10. ~ "", ':'h ' '. ,\.. q-/141_ _
11. " ~. ' " v
12. lIb/to a ~/I-II
13. /1-1-10 .:J-I/-~
14. - :"'/6 -/ -:LL 1 5 . . 0 2 - I <{::::.J.L.

NOTES:

ES-201, Page 27 of 28

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

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

PRINTED NAME JOB TITLE / RESPONSIBILITY SIGNATURE (1) DATE SIGNATURE (2) DATE NOTE

/

1. A~'.hlH:Otuc;R

&I~ y)ecMrJ S!?~/f2iy

~gQ:Z kes

~.

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7. c:I-..... :> m <<.:::t;-v<-/
8. 'J4v~:D pv4~<:A&:f
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14._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

1 NOTES: -------- ---

~ a-+UuP. ~ fr fOOf-£K~ ~O ES-201, Page 27 of 28

ES-201 Examination Security Agreement Form ES-201-l

1. Pre-Examination

/" ).-/(-11 I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of* I as of the date of my signature. I agree that I will not knowingly divulge any information about these examinations to any persons who have not been authorized by the NRC chief examiner. I understand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examinations from this date until completion of examination administration, except as specifically noted below and authorized by the NRC (e.g., acting as a simulator booth operator or communicator is acceptable if the individual does not select the training content or provide direct or indirect feedback). Furthermore, I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action against me or the facility licensee. I will immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been compromised.

2. Post-Examination To the best of my knowledge, I did 9pt divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of f.;. -II t=rom the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC.

PRINTED NAME JOB TITLE I RESPONSIBILITY DATE DATE NOTE

>siSo / e,se, ./ SIGNATURE (1)

A. Ii I (~H rCl(.<Jcl<

~AIi:...'i.~- """,,,1<'

" ..~ ~'. ,/Ie,

~ ~-,~ ~../

1.

2. at'it41 Jl)cda rd

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NOTES:

ES~201, Page 27 of 28

ES-301 Operating Test Quality Checklist Form ES-301-3 Facility: Peach Bottom Date of Examination: 1131/2011 Operating Test Number: _ _ __

Initials

1. GENERAL CRITERIA a b* c#
a. The operating test conforms with the previously approved ()utline; changes are consistent with sampling requirements (e.g., 10 CFR 55.45, operational importance, safety function distribution).
b. There is no day-Io-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 acceptable limits.
e. It appears that the operating test will differentiate between competent and less-than-competent applicants at the designated license level.
2. WALK-THROUGH 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

b. Ensure that any changes from the previously approved systems and administrative walk-through outlines (Forms ES-301-1 and 2) have not caused the test to deviate from any of the acceptance criteria (e.g., item distribution, bank use, repetition from the last 2 NRC examinations) specified on those forms and Form ES-201-2.
3. SIMULATOR CRITERIA The associated simulator operating tests (scenario sets) have been r,eviewed in accordance with Form ES-301-4 and a copy is attached.

1\ AP.!.t!!edA~m(~ 1 Signature

a. Author Fred J. Bruns I~r 011 .- . . __
b. Facility Reviewer (*)
c. NRC Chief Examiner (#)
d. NRC Supervisor

{ /

NOTE:

  • The facility signature is not applicable for NRC-developed tests
  1. Independent NRC reviewer initial items in Column "c"; chief examiner concurrence is required.

ES-301, Page 24 of 27

ES-301 Simulator Scenario Quality Checklist Form ES-301-4

Peach Bottom Date of Exam: 1/31/2011 Scenario Numbers: 1 12/3 Operating Test Number:

QUALITATIVE ATTRIBUTES a

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.
2. The scenarios consist mostly of related events.
3. Each event description consists of
  • the point in the scenario when it is to be initiated
  • the malfunction(s) that are entered to initiate the event
  • the symptoms/cues that will be visible to the crew
  • the expected operator actions (by shift position)
  • the event termination point (if applicable)
4. No more than one non-mechanistic failure (e.g., pipe break) is incorporated into the scenario without a credible preceding incident such as a seismic eVI~nt.
5. The events are valid with regard to physics and thermodynamics.
6. Sequencing and timing of events is reasonable, and allows; the examination team to obtain complete evaluation results commensurate with the scenario objectives.
7. If time compression techniques are used, the scenario summary clearly so indicates.

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

Cues are given.

8. The simulator modeling is not altered.
9. The scenarios have been validated. Pursuant to 10CFR55.46(d), any open simulator performance deficiencies or deviations from the referenced plant have been evaluated to ensure that functional fidelity is maintained while running the planned scenarios.
10. Every operator will be evaluated using at least one new or significantly modified scenario.

All other scenarios have been altered in accordance with Section 0.5 of ES-301.

11. All individual operator competenCies can be evaluated, as verified using Form ES-301-6 (submit the form along with the simulator scenarios).
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).
13. The level of difficulty is appropriate to support licensing decisions for each crew position.

========9==9==~=91 Target Quantitative Attributes (Per Scenario; See Section D.S.d) ual Attributes

1. Total malfunctions (5-8) 6 I 7 I 6 Malfunctions after EOP entry (1-2) 2/2/2 Abnormal events (2-4) 3/3/2 Major transients (1-2) 1 / 1 / 1
5. EOPs entered/requiring substantive actions (1-2) 2 I 2 I 2
6. EOP contingencies requiring substantive actions (0-2) 1 11 11
7. Critical tasks (2-3) 3 12 12 ES-301, Page 25 of 27

Simulator Scenario Form ..."",-.nl -4 Date of Exam: 1131/2011 Scenario Numbers: 4 I 5 I Operating Test Number:

Initials QUALITATIVE ATTRIBUTES 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, 2, The scenarios consist mostly of related events, 3, Each event description consists of

  • the point in the scenario when it is to be initiated
  • the malfunction(s) that are entered to initiate the eve,nt
  • the symptomslcues that will be visible to the crew
  • the expected operator actions (by shift position)
  • the event termination point (if applicable) 4, No more than one non-mechanistic failure (e.g., pipe break) is incorporated into the scenario without a credible preceding incident such as a seismic event.

5, The events are valid with regard to physics and thenmodynamics.

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

7, If time compression techniques are used, the scenario summary clearly so indicates, Operators have sufficient time to carry out expected activities without undue time constraints, Cues are given, 8, The Simulator modeling is not altered.

9, The scenarios have been validated, Pursuant to 10CFR55,46(d), any open simulator performance deficiencies or deviations from the referenced plant have been evaluated to ensure that functional fidelity is maintained while running the planned scenarios.

10, Every operator will be evaluated using at least one new or significantly modified scenario, All other scenarios have been altered in accordance with Section D,5 of ES-301,

11. All individual operator competencies can be evaluated, as verified using Form ES-301-6 (submit the form along with the simulator scenarios),
12. Each applicant will be significantly involved in the minimum number of tranSients and events specified on Fonm ES-301-5 (submit the form with the simulator scenarios),
13. The level of difficulty is appropriate to support licensing decisions for each crew position.

Target Quantitative Attributes (Per Scenario; See Section D.S.d) Actual Attributes 1, Total malfunctions (5-8) 6 17 /

Malfunctions after EOP entry (1-2) 2 121 Abnormal events (2-4) 3 / 2 /

4, Major transients (1-2) 1 I 1 /

5, EOPs entered/requiring substantive actions (1-2) 212 I 6, EOP contingencies requiring substantive actions (0-2) 012 I 7, Critical tasks (2-3) 2/3 1 ES-301, Page 25 of 27

ES-301 Transient and Event Checklist Form ES-301-5 Facility: Peach Bottom Date of Exam: 1/31/2011 Operating Test Number:

II A E Scenarios P V P E 1 2 3 4 T IVI L N 0 I I T T N C CREW CREW CREW CREW A I A T POSITION POSITION POSITION POSITION N Y L M T P S A B S A B S A B S A B U E R T 0 R T 0 R T 0 R T 0 M(*)

0 C P 0 C P 0 C P 0 C P R I U RO 1 RX 3 1 1 1 0

[8J NOR 1 1 1 1 SRO-I 1 D IIC 2,7 3,7 4 4 4 2 SRO-U D MAJ 5 5 2 2 2 1 TS -- 0 2 2 R02 RX 4 1 1 1 0

[8J SRO-I NOR 1 1 1 1 1 D IIC 4,6 2,6 4 4 4 2 SRO-U D MAJ 5 5 2 2 2 1 TS -- 0 2 2 R03 RX 3 1 1 1 0

[8J SRO-I NOR 1 1 1 1 1 D IIC 2,7 3,6 4 4 4 2 SRO-U D MAJ 5 7 2 2 2 1 TS -- 0 2 2 R04 RX 2 1 1 1 0

[8J SRO-I NOR 1 1 1 1 1 D IIC 4,6 4,5,8 5 4 4 2 SRO-U D MAJ 5 7 2 2 2 1 TS -- 0 2 2 Instructions:

1. Check the afglicant level and enter the operating test number and Form ES-D-1 event numbers for each event ty~e; are not a~licable for RO applicants. ROs must serve in both the "at-the-controls (ATC)"

and "ba ance-of-plant (B P)" positions' Instant SROs must do one scenario, including at least two instrument or component (IIC) malfunctions and one major transient, in the ATC position.

Reactivi~ manipulations may be conducted under normal or controlled abnormal conditions (refer to 2.

Section .5.d) but must be significant per Section C.2.a of Appendix D. P Reactivity and normal evolutions may be replaced with additional instrument or component mal unctions on a 1-for-1 basis.

3. Whenever practical, both instrument and component malfunctions should be included; only those that require verifiable actions that provide insight to the applicant's competence count toward the minimum requirements specified for the applicanfs license level in the right-hand columns.

ES-301, Page .26 of 27

ES-301 Transient and Event Checklist Form ES-301-5 IFacility: Peach 80ttom Date of Exam: 1/31/2011 Operating Test Number:

A E Scenarios P V P E T M L N 1 2 3 4 0 I I T T N C CREW CREW CREW CREW A T POSITION POSITION POSITION POSITION A I N Y L M T P S A 8 S A 8 S A 8 S A 8 U E R T 0 R T 0 R T 0 R T 0 M(*)

0 C P 0 C P 0 C P 0 C P R I U R05 RX 4 1 1 1 0 I:8l NOR SRO-I 1 1 1 1 1 D IIC 2,6 3,6 4 4 4 2 SRO-U D MAJ 5 7 2 2 2 1 TS -- 0 2 2 ROS RX 2 1 1 1 0 I:8l NOR SRO-I 1 1 1 1 1 D IIC 3,7 4,5,8 5 4 4 2 SRO-U D MAJ 5 7 2 2 2 1 TS -- 0 2 2 RO RX -- 1 1 0 D NOR SRO-I -- 1 1 1 D IIC -- 4 4 2 SRO-U D MAJ -- 2 2 1 TS -- 0 2 2 RO RX -- 1 1 0 D NOR SRO-I -- 1 1 1 D IIC -- 4 4 2 SRO-U D MAJ -- 2 2 1 TS -- 0 2 2 Instructions:

1. Check the a-fElicant level and enter the operating test number and Form ES-D-1 event numbers for each event tYFae; are not a~licable for RO applicants. ROs must serve in both the "at-the-controls (ATC)"

and "ba ance-of-plant (8 P)" positions' Instant SROs must do one scenario, including at least two instrument or component (IIC) malfunctions and one major transient, in the ATC position.

2. Reactivi~ manipulations may be conducted under normal or controlled abnormal conditions (refer to Section .5.d) but must be significant per Section C.2.a of Appendix D. P Reactivity and normal evolutions may be replaced with additional instrument or component mal unctions on a 1-for-1 basis.
3. Whenever practical, both instrument and component malfunctions should be included; only those that require verifiable actions that provide insight to the applicant's competence count toward the mimmum requirements specified for the applicant's license level in the right-hand columns.

ES-301, Page .26 of 27

ES-301 Transient and Event Checklist Form ES-301-5 h Bottom Date of Exam: 1/31/2011 Operating Test Nu A E Scenarios P V P *61 M CRE~Tt

  • E 4 L N 1 2 3 mm I I I T N C CREW CREW CREW A

N T

Y ~.-.--

POSITION POSITION POSITION POSITIO~ M I

S A B S A B S A B S . A B, U T P R T 0 R T I 0 R T 0 R T 0 M(*)

E 0 C P 0 C P 0 P 0 P I C C t-= .

R I U I

RO RX iD 3 4 2 1 1 I 0 SRO-I NOR 1 1 1 1 1 1,4 IIC 2,4 2,6  ! 6 4 I 4 2 r8J 6,7 I SRO-U ,MAJ 5 5 2 2 2 1 0

I TS 2,4 i

2 o I 2 2 RO RX 3 2 I 2 1 1 0 0 NOR SRO-I 1 1 1 1 1 I

2,5 IIC 2,7

  • 3,4 7 4 4 2

[gJ -_.. 6, SRO-U 'MAJ 5 7 2 I 2 2  ! 1 I I 0 C=c:;:

TS 3,5,6 3 0 2 2 RO 0

RX

, I 4 2 I

2 1 1 0 SRO-I NOR 1 1 1 1 1 3,6 IIC

[gJ 2,3 6,7 4,5,8 I 7 4 4 2 SRO-U MAJ 5 7 2 Ii 2 2 1 0

~

TS I 3,4 2 0 2 I

RO RX 2 1 1 1 0 0 INOR SRO-I 1 1 1 1 1 7

I:8J IIC I

3,4,5 6, E, I 4,5 7 4 4-T2 ---.~

MAJ I SRO-U I I 7

I 6

. . .~ I 2 2 l 1 TS 3, 3 0 2 2 i I Instructions:

1, Check the afg'icant level and enter the operating test number and Form ES-D-1 event numbers for each event tYFae; are not a~licable for RO applicants. ROs must serve in both the "at-the-controls (ATC)"

and "ba ance-of-plant (B P)" positionSj Instant SROs must do one scenario, including at least two instrument or component (I/G) mal unctions and one major transient, in the ATC position.

2. Reactivi~ manipulations may be conducted under normal or controlled abnormal conditions (refer to Section .5.d) but must be significant per Section C2.a of Appendix D. P Reactivity and normal evolutions may be replaced with additional instrument or component mal unctions on a 1-for-1 basis.

,I

3. Whenever practical. both instrument and component malfunctions should be included; only those I 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.

II ES-301, Page 26 of 27

ES-301 Transient and Event Checklist Form ES-301-5 IFacility: Peach Bottom Date of Exam: 1/31/2011 Operating Test Number:

A E Scenarios P V ...-,..........* . - - - - - . - - - - - - - - r = - . , - - - - : - : - - - - - i l P E 2 3 4 T M L N o t

I I T C

A N

T Y

CREW POSITION CREW POSITION p8~ttioN Int'~r"\' Z T P S A B S A B S A B S A B u E R T o R T 0 R T 0 R T 0 M(*)

o C P o C P o C P o C P R I U RO RX 3 4 2 1 1 I 0 D NOR SRO-I 2 1 1 1 D 2,3 6,7 8 4 4 2 SRO*U .~-~----i--,~-~

1 5 2 2 2 1

~

3,4 4 0 2 2 IjO RX' 3 2 2110 SRO-I NOR 1 1 2 1 1 1

~O.U I-:I-,:-/C-:---+~~:l..:4,-7-+-.__-+_ _ l-.......+_--i_ _ +-3.: :o6~.: :85-+_ _l--_..f___ ..._..+__-+__+-9-l-~4_ _4_+~2--l1 2 MAJ 5 7 2221

~ ~T~S--r--+---~--+-*******~---+--4---~-4--~-+---~-+--~--l---~*2 2, 4 3. 5. 6 5 0 2 RO RX 4 1 2110 D

SRO*I NOR 1 2 2 1 1 1 D IIC 2, 3 3, 4 8 4 4 2 SRO-U 6,7 5,7 3 MAJ 5 6 222

~ TS 4 0 2 34 3,4 2 I~;:::_--+-;:;;_;_;_-.----_+_-*--f--+--_+_--I__-+---+---+--~--__t-*-+~-_+_--!-......L---+-*-..*

RO RX .- 1 1 0 D ~,~~--_r.--r--~--~--+---+---~~--_4--_+---r----~~--~~,~

I~:~ ~:R:=~===:===:===:===:===:===:==:=:===:===:===:===~===:I::=::=:=:=:=+.._:_~-

11-=

TS=---+ ._+-- I i -- 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 aRplicable for RO applicants. ROs must serve in both the "at-the-controls (ATC)"

and "barance-of-plant (BOP)" positions' Instant SROs must do one scenario, including at least two instrument or component (IIC) malfunctions and one major transient, in 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 1-for-1 basis.

3, Whenever practical, both instrument and component malfunctions should be included; only those that require verifiable actions that provide insight to the applicant's competence count toward the minimum requirements specified for the applicant's license level in the right-hand columns.

ES-301, Page 26 of 27

ES-301 Competencies Checklist Form ES-301-6 Date of Examination: 1/31/2011 Operating Test No.:

APPLICANTS 0 0

~

RO RO RO 0 RO Competencies SRO-I SRO-I [g] SRO-I 0 SRO-I SRO-U 0 SRO-U D SRO-U [g] SRO-U D SCENARIO SCENARIO 'I=I\IARIO SCEN,...., "\.,'-' I 1 2 3 4 1 2 3 4 1 2 3 4 1 Interpret! Diagnose 1-8 1-7 1-9 1-8 1-8 1-7 1-9 1-8 1-8 1-7 1-9 1-8 Events and Conditions I Comply With and Use 1-6 1-7 1-9 1-8 1*8 1-7 1-9 1-8 1-8 1-7 1-9 1-8 Procedures (1)

Operate Control 1-9 1-8 1-8 1-7 1-9 1-8 Boards (2)

Communicate 0 1-9 1-8 1-8 1-7 1-9 1-8 1-8 1-7 1-9 and Interact ... _-

Demonstrate 1-7 1-9 1-8

I" 1-9 1-8 1-8 Supervisory Ability (3)

Comply With and 2,4 3.4 3,5, I'> 34 2,4 3,4 3.5,6 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 applicant's license type and enter one or more event numbers that will allow the examiners to evaluate every applicable competency for every applicant.

ES-301, Page 27 of 27

ES-401 Written Examination Quality Checklist Form ES-401-6 FacUity: Peach Bottom Date of Exam; 1/3112011 Exam Level: RO IZI SRO IZI Initial Item Description a b" r!

1. Queslions and answers are technically accurate and applicable to the facility. fftJ- 00 /J-,
2. a. NRC KlAs are referenced for all questions.
b. Facility learning objectives are referenced as available. (#J f\){h ~
3. SRO questions are appropriate in accordance with Section D.2.d of ES-401 fir fYIh ~I
4. The sampling process was random and systematic (If more than 4 RO or 2 SRO questions were repealed from the last 2 NRC licensing exam, consult the NRR OL program offICe), r"JI'"

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 2L the examinations were developed independently; or 2L the licensee certifIeS that there is no duplication; or

~ &0 2L other (explain) the "original" CERT exam was verified to have no overlap with the NRC exam. Since two individuals failed the SRO section on the first CERT exam, a second SRO*

only CERT exam was developed independently from the NRC exam process. This occurred t1' AFTER NRC exam submittal. The individuals who developed the NRC exam have no knowledge of the contents of the second CERT exam, and the individuals that developed the second CERT exam have no knowledge of the contents of the NRC exam.

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 SRQ.only question distribution(s) at right.

30/4 2518 20113 ft' ('j{7 IY

7. Between 50 and 60 percent of the questions on the RO Memory CIA exam are written at the comprehension lanalysis level; the SRO exam may exceed 60 percent If the randomly selected KAs support the higher cognitive levels; enter the actual RO I SRO question distribution(s) at right.

35/5 40/20 fi;- r! /)-

8. Referenceslhandouts provided do not give away answers or aid in the elimination of distractors. fir CIf' tY"
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 ~ CfrJ tY

~ CAl' 'Y 10, Question psychometric quality and format meet the guidelines in ES Appendix B,

11. The exam contains the required number of one-point, mulliple choice Items; the total is correct and agrees with value on cover sheet fir CJf' y

~e I Signature Date

a. Author Fred J. Bruns I
b. Facility Reviewer (") PhilP. .."I. I ~~~)~ ~..
c. NRC Chief Examiner (#) :1 - ytt", [<1"/~ /~~ L7 I l'" t
d. NRC Regional Supervisor 0~<N1. /~.f~/( /~<:/~2Y- ~ d.. C/J/;'

Note: .. The facility reviewers 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 Checklist Facility: Peach Bottom Date of Exam: 1/31/2011 Exam Level: RO [g] SRO Initials Item Description a b c

1. Clean answer sheets copied before grading fflf CP~ 7"
2. Answer key changes and question deletions justified and documented N(A rJlA til/(
3. Applicants' scores checked for addition errors (reviewers spot check >25% of examinations) ff.y 0/i-; 1-
4. Grading for all borderline cases (80% +/- 2% overall and 70 or 80, as applicable, +/- 4% on the SRO-only) reviewed in detail N(A tJlA .toIkr
5. All other failing examinations checked to ensure that grades are justified tJ/A !JIlt "..IllY
6. Performance on missed questions checked for training deficiencies and wording problems; evaluate validity of questions missed by half or more of the applicants ffo CjJ I/r Printed Name I Signature Date
a. Author Fred J. Bruns I ~>;Yk- d-/'ltJ III
b. Facility Reviewer(*) Phil P. BreidenbauQh I~Wi Il/\ L

~

--) zLn iu.

J. ?AJI-O~ (/fr,YW

c. NRC Chief Examiner(*) &4
d. NRC Supervisor(*) SO-W\. L.fo.:I1.s~tl f/ ~5~ ~ zIz.s/t,

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

ES-403, Page 5 of 5