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| issue date = 04/08/2013
| issue date = 04/08/2013
| title = 2013 Duane Arnold Energy Center Initial License Examination Administrative Files
| title = 2013 Duane Arnold Energy Center Initial License Examination Administrative Files
| author name = Palagi B B
| author name = Palagi B
| author affiliation = NRC/RGN-III/DRS/OLB
| author affiliation = NRC/RGN-III/DRS/OLB
| addressee name =  
| addressee name =  
Line 16: Line 16:


=Text=
=Text=
{{#Wiki_filter:DUANE ARNOLD ENERGY CENTER INITIAL LICENSE EXAMINATION ADMINISTRATIVE FILES
{{#Wiki_filter:~013 DUANE ARNOLD ENERGY CENTER INITIAL LICENSE EXAMINATION ADMINISTRATIVE FILES
-fiwal-forms-ms doc Form ES-201-1 Facility:
 
I2 tA 'f' "" e_
~§020r9-supl        -fiwal-forms-ms doc Form ES-201-1 Facility:   I2tA 'f' "" e_           Av~.,.,JJ                                        Date of Examination:   7')~
Date of Examination:
Developed by: V\(ritten - Facility ~ NRCD                         II Operating - Facility ~    NRC   D Target                 I Chief Date*                   i Task Description (Reference)                                 Examiner's Initials
Developed by: V\(ritten  
    -180         1.         Examination administration date confirmed (C.1.a; C.2.a and b)                     t¥~
-Facility NRCD II Operating  
                                                                                                                            ~
-Facility NRC D Target I Chief Date* Task Description (Reference)
    -120         2.         NRC examiners and facility contact assigned (C.1.d; C.2.e)
Examiner's i 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) I -120 4. i Corporate notification letter sent (C.2.d) [-90] [5. Reference material due (C.1.e; C.3.c; Attachment 3)] IVA {-75} 6. I Integrated examination outline(s) due, including Forms ES-201-2, ES-201-3, \=' ES-301-1, ES-301-2, ES-301-5, ES-D-1's, ES-401-1/2, ES-401-3, and ES-401-4, as applicable (C.1.e and f; C.3.d) {7. ;
                                                                                                                ~
{-70} Examination outline(s) reviewed by NRC and feedback provided to facility licensee (C.2.h; C.3.e)} {-45} 8. I Proposed examinations (including written, walk-through JPMs, and ¥?-11'1> scenarios, as applicable), supporting documentation (including Forms ES-301-3, ES-301-4, ES-301-5, ES-301-6, and ES-401-6, and any Form ES-201-3 updates), and reference materials due (C.1.e, f, g and h; C.3.d) ' -30 9. Preliminary license applications (NRC Form 398's) due (C.1.1; C.2.g; &f? i ES-202) -14 10.! Final license applications due and Form ES-201-4 prepared (C.1.1; C.2.i; (jf I ES-202) !
(3~
-14 11. Examination approved by NRC supervisor for facility licensee review (JP (C.2.h; C.3.f) -14 12.' Examinations reviewed with facility licensee (C.1.j; C.2.f and h; C.3.g) gp V-tl) -7 13.! Written examinations and operating tests approved by NRC supervisor ' (C.2.i; C.3.h) -7 14. Final applications reviewed; 1 or 2 (if >1 0) applications audited to confirm (}f qualifications I eligibility; and examination approval and waiver letters sent (C.2.i; Attachment 5; ES-202, C.2.e; ES-204) -7 ! Proctoring/written exam administration guidelines reviewed (!f 15.: with facility licensee (C.3.k) -7 16.: Approved scenarios, job performance measures, and questions e( distributed to NRC examiners (C.3.i)
                                                                                                                            ~
    -120         3.         Facility contact briefed on security and other requirements (C.2.c)
I
                                                                                                                          ~
    -120         4.       i Corporate notification letter sent (C.2.d)                                       d~
[-90]       [5.         Reference material due (C.1.e; C.3.c; Attachment 3)]                               IVA         \='
{-75}       6.     I Integrated examination outline(s) due, including Forms ES-201-2, ES-201-3, ES-301-1, ES-301-2, ES-301-5, ES-D-1's, ES-401-1/2, ES-401-3, and ES-401-4, as applicable (C.1.e and f; C.3.d)                                       ~
                                                                                                                            ~'-">
                                                                                                                ~fl
{-70}       {7. ; Examination outline(s) reviewed by NRC and feedback provided to facility licensee (C.2.h; C.3.e)}
                                                                                                                              ¥?-11'1>
{-45}       8.         Proposed examinations (including written, walk-through JPMs, and I scenarios, as applicable), supporting documentation (including Forms ES-301-3, ES-301-4, ES-301-5, ES-301-6, and ES-401-6, and any Form ES-201-3 updates), and reference materials due (C.1.e, f, g and h; C.3.d)         ~
                                                                                                                            ~
      -30         9.         Preliminary license applications (NRC Form 398's) due (C.1.1; C.2.g; i
ES-202)                                                                         &f?
                                                                                                                            -~
      -14         10.!
I Final license applications due and Form ES-201-4 prepared (C.1.1; C.2.i; ES-202)                                                                           (jf
      -14         11.         Examination approved by NRC supervisor for facility licensee review                         1::~
(C.2.h; C.3.f)                                                                   (JP
      -14         12.'         Examinations reviewed with facility licensee (C.1.j; C.2.f and h; C.3.g)         gp         V-tl)
                                                                                                                            ~
                                                                                                              ~~
      -7         13.!         Written examinations and operating tests approved by NRC supervisor (C.2.i; C.3.h)
                                                                                                                            ~
      -7         14.         Final applications reviewed; 1 or 2 (if >1 0) applications audited to confirm qualifications I eligibility; and examination approval and waiver letters sent (C.2.i; Attachment 5; ES-202, C.2.e; ES-204)
(}f
                      !                                                                                                      ~l.li:
      -7         15.:        Proctoring/written exam administration guidelines reviewed with facility licensee (C.3.k)                                                   (!f
                                                                                                                            ~
      -7         16.:       Approved scenarios, job performance measures, and questions distributed to NRC examiners (C.3.i)                                             e(
* Target dates are generally based on facility-prepared examinations and are keyed to the examination date identified in the corporate notification letter. They are for planning purposes and may be adjusted on a case-by-case basis in coor¢1ination with the facility licensee.
* Target dates are generally based on facility-prepared examinations and are keyed to the examination date identified in the corporate notification letter. They are for planning purposes and may be adjusted on a case-by-case basis in coor¢1ination with the facility licensee.
[Applies only] {DoEI!s not apply} to examinations prepared by the NRC.
[Applies only] {DoEI!s not apply} to examinations prepared by the NRC.
FPLE/DAEC MASTER SECURITY AGREEMENT
 
**-*--**  
FPLE/DAEC
* *****--*-'""""**---***-**--
                                      **-*--** !*~-***
**-*-*-**-**-***-*-*-*  
MASTER                    SECURITY          AGREEMENT
******-*-*****-***--****  
                                                        ******--*-'""""**---***-**-- **-*-*-**-**-***-*-*-* ******-*-*****-***--**** ****----------*-*-********-**-***-**-*****--------*****-----*-**-w***-****-* *--* - - - - - - - - - - * * - * - - -
****----------*-*-********-**-***-**-*****--------*****-----*-**-w***-****-*  
The Master Security Agreemeht is used for those personnel having both knowledge of Exam Sensitive Material and unrestricted access to Primary and Secondary Containment. '
*--* ----------**-*---
L   _ere-Examination (Revie~ TDAP 1836, Attachment 1 for pre-job briefing requirements)
The Master Security Agreemeht is used for those personnel having both knowledge of Exam Sensitive Material and unrestricted access to Primary and Secondary Containment.  
. . ~f~fr~o~le 1\.~ 13        ~--*..
' L _ere-Examination TDAP 1836, Attachment 1 for pre-job briefing requirements) . .
ge that I have~*cquired specialized knowledge about the @I?> N~ \t.:f examination(s) scheduled for the date(s) of
ge that I cquired specialized knowledge about the @I?> \t.:f examination(s) scheduled for the date(s) of 13
__._... as oft e date of my signature. I agree that I will not knowingly divulge any information about these examinations to any persons who ave not bee authorized by an Operations Training Supervisor. I understand that I am not to instruct, evaluate, or provide performance feedback to those individuals scheduled to be administered these examinations from this date until completion of examination administration. Acting as al simulator booth operator or communicator is acceptable if I do not select the training content or provide direct or indirect feedback to an ex~minee. Furthermore, I am aware of the physical security measures and requirements (as documented in NMC procedures) and understa~d that violation of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action against my facility or me. I will immediately report to the Exam Project Manager any indications or suggestions that examination security may ~1ave been compromised.
__ ._ ... as oft e date of my signature.
: 2. Post-Examination i
I agree that I will not knowingly divulge any information about these examinations to any persons who ave not bee authorized by an Operations Training Supervisor.
To the best of ll?Yt knowledpe. I did not divulge to any unauthorized persons any information concerning the examinations administered during the date(s) of *"'i\i'2.ci'"?         '                       . From the date that I entered into this security agreement until the completion of examination administration, l did not in1truct, evaluate, or provide performance feedback to those individuals who were administered these examinations.
I understand that I am not to instruct, evaluate, or provide performance feedback to those individuals scheduled to be administered these examinations from this date until completion of examination administration.
I f.:RINTED NAME                       JOB TITLE I RESP.ONSIBILITY                                           ~.f~RE                            .(1)     DATE                SIGNATURE (2)                      DATE          NOTE
Acting as al simulator booth operator or communicator is acceptable if I do not select the training content or provide direct or indirect feedback to an Furthermore, I am aware of the physical security measures and requirements (as documented in NMC procedures) and that violation of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action against my facility or me. I will immediately report to the Exam Project Manager any indications or suggestions that examination security may been compromised.
          £tte-         ~}vr~ £xo.mt}~ ~-"J'ioo~~I-4~'-'--+- ~*
: 2. Post-Examination
I.
: 2. 3. 4. 5. 6. 7 i To the best of ll?Yt knowledpe.
: 2. _L~r~, &~;i:Si --l~cr~,._; 1e,*<- 2cvteN ~2+/-;~
I did not divulge to any unauthorized persons any information concerning the examinations administered during the date(s) of *"'i\*i'2.ci'"?  
i
' . From the date that I entered into this security agreement until the completion of examination administration, l did not in1truct, evaluate, or provide performance feedback to those individuals who were administered these examinations.
                                                                                                                                                                      ~fl.__ _ _ __
I f.:RINTED NAME I. JOB TITLE I RESP.ONSIBILITY .(1) &#xa3;tte-i 1e,*<-2cvteN  
i    '
\:.>>
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: 4.                                                                                                                                                                  CH((! 2 _ _ _ __
/?0 Page 1 of 2 DATE SIGNATURE (2) DATE NOTE
: 5.                                                                                                                                                                lLb4t~----------
____ _ i ' Cit {tit-'--.-
: 6.                                                                                                                                                                 to(J1{~;1-     ______
---------CH((! 2 ____ _
7                                                          /?0                                                                                                    lo/!,i/~
_____ _
Page 1 of 2
FPLE/DAEC
 
*****-** *-*****--*
________ j _________
:-------*---**-----**---*-*-**--**-*
*--**-**--**
__
______________________ . _ _ _____ 1 The Master Security is used for those personnel having both knowledge of Exam Sensitive Material and unrestricted access to Primary and Secondary Containment.
PRINTED NAME \0.
11 .J\vv.
: 12. JOB TITLE I RESPONSIBILITY
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_________
NOTES Page 2 of 2 DATE SIGNATURE (2) DATE NOTE ,:flill_ --------r:/1:/ct I **+***---------**-***------*-*--*------------*
-----------------*******--*------*-**-***-**-***--*
****************--*-***-**------****
FPLE/DAEC
FPLE/DAEC
_ ........ ..!. ..... *************-*-***-*-*-*-**--------------M_A_S_TER SECURITY
*****-** *-*****--* ________ j _________ :------- *---**-----**---*-*-**--**-* *--**-**--** ----~-,A.ST_E_R_.&sect;EG~_F3_1TY        __~~REEMENT______________________ . _ ______1 The Master Security Agreeme~t is used for those personnel having both knowledge of Exam Sensitive Material and unrestricted access to Primary and Secondary Containment.
__ I i The Master Security is used for those personnel having both knowledge of Exam Sensitive Material and unrestricted access to Primary and Secondary Containment.  
PRINTED NAME                JOB TITLE I RESPONSIBILITY                                                              DATE      SIGNATURE (2) DATE    NOTE
' 17. / ll*.*(l(l__,'*,*/jJ i8. \ \&.. --J -19.
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7
ES-201 Examination Security Agreement Form ES-201-3 1.
: 14.       -           'f                         )1 ()                                          /_'7#'?P"7f"i--'----
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: 15.      ~~/:~~~~~:fe~~,i -/c :.~:. : :;:._,_ _ _ _ _ _ _ _ _ :~=!:;t~#:i=.~sr NOTES Page 2 of 2
I acknowledge that I acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of A/w,z-4/f/JJ the date of my signature.
 
I agrfje that I will not knowingly divulge any information about these examinations to any persons who have by the NRC chief examiner.
I
li understand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examirjations from this date until completion of examination administration, except as specifically noted below and authorized by the NRC (e.g., acting as a booth operator or communicator is acceptable if the individual does not select the training content or provide direct or indirect feedback).
                                                        **+***---------**-***------*-*--*------------*                                -----------------*******--*------*-**-***-**-***--* ****************--*-***-**------****
I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures) and understand that violati'n of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action against me or the facility licensee.
FPLE/DAEC
I .)vm immediately report to faciiHy management or the NRC chief examiner any indications or suggestions that examination security may have been comprpmised.
_........ ..!. ..... *************-*-***-*-*-*-**--------------M_A_S_TER SECURITY AGREEfv!~!'I_T __
: 2. Post-Examin;ltion To the best of my I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the of , . From the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or p vide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized , y the NRC. I PRINTED NAME 1. Puc J JOB TITLE I RESPONSIBILITY SIGNATURE (1) DATE
I i
''----= &#xa5;4-u---------
The Master Security Agreeme~t is used for those personnel having both knowledge of Exam Sensitive Material and unrestricted access to Primary and Secondary Containment. '
SIGNATURE (2) DATE NOTE ---'------
            /
----3*-----+--
: 17.      ll*.*(l(l__,'*,*/jJ                                                i?.. /~.
-------------------
i8.
: 4. ------+-----------------------
        /~::_,.vV.>**'"\ fr;_,~\*\ ~
: 5. _____ +---------------------
J -
: 6. _____ +---------------------
                                              \ \&..
: 7. _____ -+-----------------------
: 19.  ~K~t4r
: 8. _____ -+-----------------------
: 20. Gee;~ e Wf.i<,--=>:J1' 21 . j::r* v< ~ H,,\o,*/                                                                                                                  ;-?-*3
: 9. _____ -+-----------------------
                                                                                                                                              ~-*.,...*;;
10 .. ______ -r---------------------------------
: 22. _U,t~! *1                    4rrc,n<<f                                                                                                    I j?l/ ::;.*_,- - - - - - - -
11 .. _____ -+--------------------------------------
23      Sftu-< b:'C-<-v*u*-                                                                                                                 i/7)11 24::_-r;_r,"                      ~--                                                                                                       ;/-;/;*..,
: 12. _________
                                  =;u_
------------------------------
_j 25  j)W~-                                                                                                                                   /f/!:3
: 13. ________ --------------------------
    \~,,                  r      1**(\ '      <'                                                                                          otO'ti-~'
: 14. _____ -+--------------------------
: 26. l    ) ...:;:; .*..<'-:J  \ ' ':.....*S~\...
: 15. ______ -+-----------------------
: 27.      -&-:-!,;.;            ~.A.~---.                                                                                                  / /h/~*
NOTES: ------------
                                                                                                                                                //  ,_,
-------------
: 28.          :: N Allf: C f (JSS                                                                                                            !-9' - - - - - -
------------
29      *'
-----------------------
      ~Ai<-b ir:EtL D .                                                                                                    l-'l-1~
-------------------------------------------------------ES-201 , Page 27 of 28 -----------.......---1------------*-****-***-** 
: 30.  ?~G..~~~~                                                                                                                              \k,\:~
-ES-201 Form ES-201-3 i.
31    5-f-.e.v-e. 5 {>-f:../15                                                                                                                /* 'j-1!
<ilt I acknov.1edge that I acquired specialized knowledge about the NRC licensing examinations scheciuied for the week(s) of L/ j tltiJ? as of the date of my signature.
NOTES Page 3 of 3
*' "'1ree that I will not knowingly divulge any information about these examinations to any persons who have not been authorized by the NRC ctnef examtner., I understand that I am not to instruct.
 
evaluate, or provide perfonmance feedback to those applicants scheduled to be admlmstered these licensing exaniinations from this date unti! completion of examination administretion, except as specifically noted below and authorized by the NRC (e.g., acting as a sirr1ulator booth operator or communicator is acceptable if the individual does nat select the training content or provide direct or indirect feedback).
ES-201                                                          Examination Security Agreement                                                Form ES-201-3
Further:'lore.
: 1.        Pre-Examina~on                                                                                                        't>ll~  p.ii\)OLJ)
I am aware of the physical security measures and requirements (as documented the facility licensee's procedures) and understand that viol1t1on 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 acknowledge that I  h~ve    acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of      A/w,z- 4/f/JJ      the date of my signature. I agrfje that I will not knowingly divulge any information about these examinations to any persons who have no~rized by the NRC chief examiner. li understand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examirjations from this date until completion of examination administration, except as specifically noted below and authorized by the NRC (e.g., acting as a simul~tor booth operator or communicator is acceptable if the individual does not select the training content or provide direct or indirect feedback). Furthermo~e, I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures) and understand that violati'n 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 .)vm immediately report to faciiHy management or the NRC chief examiner any indications or suggestions that examination security may have been comprpmised.
11 wi!i Immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been compromised
: 2.        Post-Examin;ltion To the best of my  kno~edge,    I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the ~k(s) of ,                . From the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or p vide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized , y the NRC.
: 2. Post-Examihation I To the best of my knpwlftdge l did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of '1.1.1&sect;}3_.
                                                                        ''----= &#xa5;4-u---------
From the date that 1 entered into this security agreement unti! the completion of examination administration, I did not instruct, evaluate, oriprcv!de performance feeciback to those applicants who were administered these licensing examinations.
I PRINTED NAME              JOB TITLE I RESPONSIBILITY                  SIGNATURE (1)              DATE        SIGNATURE (2)      DATE NOTE
except as specifically noted below ard by the NRC. 1. 2. *:1' *3 <<f 4,*. PRINTED NAME f1t. 5" .lsf til. 7 -----*---------1---*---
: 1. Puc !4N<~i:li4k              ...!.F.=!:L!f.C~ull.!:tM.~sv~~
8 -*-----**---*-------+*--*--
        ~                      J 3*-----+-- - - - - - - - - - - - - - - - - - - -                                                                   ------------
>*--*******-*---***--*!----
: 4. ------+-- ---------------------
--***------------------*----
: 5. _ _ _ _ _+-- - - - - - - - - - - - - - - - - - - -
:*----*****---*--+---
: 6. _ _ _ _ _+-- - - - - - - - - - - - - - - - - - - -                                                               ------------
------------
: 7. _ _ _ _ _-+-- ---------------------
: 14. ___ ._ 15. ' NOTEs: ;J/* C,-y\'\. ..f'a_t( i, Sk-e:\ SIGNATURE
: 8. _ _ _ _ _-+-- ---------------------
{2) DATE NOTE -------------
: 9. _ _ _ _ _-+-- ---------------------
---------------
10 . _ _ _ _ _ _-r---------------------------------                                                                  --------- - - - -
----*-------
11 . _ _ _ _ _-+--------------------------------------                                                              ---------- - - - -
*----------------------***-----
12._ _ _ _ _ _ _ _ _ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
---------
13._ _ _ _ _ _ _ _ - - - - - - - - - - - - - - - - - - - - - - - - - -
QF-1071-01 Rev. 0 ,-----------[---+---' ----r* ---FPLE/DAEC MASTER SECURITY
14._ _ _ _ _-+--
_____________________
15._ _ _ _ _ _-+--
NOTES:
ES-201 , Page 27 of 28
-----------.......---1------------*-****-***-**
 
ES-201                '-*---------------------=Ex~a~m~in~a~ti~o~n~S~e~c~u~r~itr~A~g~r~ee~m~en~t~-------------                                 Form ES-201-3
: i.        pre-Examin~tion                                                                                                                  <ilt I acknov.1edge that I    ~ave  acquired specialized knowledge about the NRC licensing examinations scheciuied for the week(s) of L/    j tltiJ?  as of the date of my signature. *' "'1ree that I will not knowingly divulge any information about these examinations to any persons who have not been authorized by the NRC ctnef examtner., I understand that I am not to instruct. evaluate, or provide perfonmance feedback to those applicants scheduled to be admlmstered these licensing exaniinations from this date unti! completion of examination administretion, except as specifically noted below and authorized by the NRC (e.g., acting as a sirr1ulator booth operator or communicator is acceptable if the individual does nat select the training content or provide direct or indirect feedback). Further:'lore. I am aware of the physical security measures and requirements (as documented ;~ the facility licensee's procedures) and understand that viol1t1on of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action against me or the facility licensee. 11 wi!i Immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been compromised
: 2.        Post-Examihation I
To the best of my knpwlftdge l did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of '1.1.1&sect;}3_. From the date that 1entered into this security agreement unti! the completion of examination administration, I did not instruct, evaluate, oriprcv!de performance feeciback to those applicants who were administered these licensing examinations. except as specifically noted below ard authorize~ by the NRC.
PRINTED NAME                                                                                                  SIGNATURE {2)          DATE NOTE 1.
2.
  *:1'  *3
  <<f 4,*.
f1t. 5"
  .lsf til.
7  -----*---------1---*---                                                                                        -------------
8    -*-----**---*-------+*--*--                                                                                    ---------------
9~*-----------~-----*--                                                                                                ----*-------
:*----*****---*--+--- - - - - - - - - - - - -                                                                    -------- ---***-----
13._*----*---~---*--**- ~~=:=_---..---------
14._ _ _._
: 15.                    '                                                                                                    ---------
NOTEs: ;J/*      t)J{~(Q.f-ci ~ C,-y\'\. ..f'a_t( i, ~'(.:5li.."'-tt. '"Tv\,~..::, Sk-e:\
 
QF-1071-01 Rev. 0
  ,----- - - - - - - [ - --+---                                                            FPLE/DAEC
  '                                    -- - r* ---                          MASTER SECURITY AGR~~S_f'J_L _____________________ ---*--*-*----~
The Master Security Agreemerit is used for those personnel having both knowledge of Exam Sensitive Material and unrestricted access to Primary and Secondary Containment.
The Master Security Agreemerit is used for those personnel having both knowledge of Exam Sensitive Material and unrestricted access to Primary and Secondary Containment.
: 1. Pre-Examination (Review!TDAP 1836, Attachment 1 for pre-job briefing requirements)
: 1. Pre-Examination (Review!TDAP 1836, Attachment 1 for pre-job briefing requirements)
* I ac nowle ge that I have specialized knowledge about the @I?> NR.e \l.-J examination(s) scheduled for the date(s) of  
* I ac nowle ge that I have ~cquired specialized knowledge about the @I?>             NR.e   \l.-J examination(s) scheduled for the date(s) of
!3 as of date of my signature.
~l<s{ !3                           as of th~ date of my signature. I agree that I will not knowingly divulge any information about these examinations to any persons w o ave not bee~ authorized by an Operations Training Supervisor. I understand that I am not to instruct, evaluate, or provide performance feedback to ttiose individuals scheduled to be administered these examinations from this date until completion of examination administration. Acting as a ~imulator booth operator or communicator is acceptable if I do not select the training content or provide direct or indirect feedback to an examinee. Furthermore, I am aware t>f the physical security measures and requirements (as documented in NMC procedures) and understan~ that violation of the conditions c~f this agreement may result in cancellation of the examinations and/or an enforcement action agains~ my facility or me. I will immediately report to the Exam Project Manager any indications or suggestions that examination security may Have been compromised.
I agree that I will not knowingly divulge any information about these examinations to any persons w o ave not authorized by an Operations Training Supervisor.
: 2. Post-Examination To the best of "'i knowled$e. I did not divulge to any unauthorized persons any information concerning the examinations administered during the date(s) of* g -zot3           ,       . From the date that I entered into this security agreement until the completion of examination administration, did not ins ruct, evaluate, or provide performance feedback to those individuals who were administered these examinations.
I understand that I am not to instruct, evaluate, or provide performance feedback to ttiose individuals scheduled to be administered these examinations from this date until completion of examination administration.
PRINTED NAME                                                                                                                               NOTE
Acting as a booth operator or communicator is acceptable if I do not select the training content or provide direct or indirect feedback to an examinee.
            &#xa3;rt~      YY1vrrC\y 2.
Furthermore, I am aware t>f the physical security measures and requirements (as documented in NMC procedures) and that violation of the conditions this agreement may result in cancellation of the examinations and/or an enforcement action my facility or me. I will immediately report to the Exam Project Manager any indications or suggestions that examination security may Have been compromised.  
3.
! 2. Post-Examination
4.
: 2. 3. 4. 5. 6. 7 To the best of "'i knowled$e.
5.
I did not divulge to any unauthorized persons any information concerning the examinations administered during the date(s) of* g -zot3 , . From the date that I entered into this security agreement until the completion of examination administration, did not ins ruct, evaluate, or provide performance feedback to those individuals who were administered these examinations.
6.
PRINTED NAME NOTE YY1vrrC\y
7
: 8. Ue ") I' <r .v .fi$ ,.,
: 8. Ue ")   I'<r.v.fi$ ,.,
f.e.II\Cl'(l..r OF 1071-01 Rev 0 ! ,***-*********-----*********--r**-****--*-*-*--+**--------***-
(J)W~iU>. f.e.II\Cl'(l..r
***-*---*
 
I ! ! : _________________
OF 1071-01 Rev 0                               !
_l __ -----+---------*-----
  ,***-*********-----*********--r**-****--*-*-*--+**--------***-***-*---*         - - - - - - - - * - FPLE/DAEC---------------*----------1 I                                  !            !
--------*-
:_________________ _l __                  -----+---------*-----                           MASTER SECURITY AGREEMENT                             _________         ---~~
FPLE/DAEC---------------*----------1 MASTER SECURITY AGREEMENT
The Master Security Agreement is used for those personnel having both knowledge of Exam Sensitive Material and unrestricted access to Primary and Secondary Containment ,
_________
L   Pre-Examination (Revielll( TDAP 1836, Attachment 1 for pre-job briefing requirements)
The Master Security Agreement is used for those personnel having both knowledge of Exam Sensitive Material and unrestricted access to Primary and Secondary Containment , L Pre-Examination (Revielll( TDAP 1836, Attachment 1 for pre-job briefing requirements) . *. l ac nowle ge that I have specialized knowledge about the @I!? NRC \l-i examination(s) scheduled for the date(s) of t'> as of ttje date of my signature.
.   *. l ac nowle ge that I have ~cquired specialized knowledge about the @I!?                         NRC   \l-i examination(s) scheduled for the date(s) of
I agree that I will not knowingly divulge any information about these examinations to any persons who ave not beein authorized by an Operations Training Supervisor.
'\k~ t'>             ~-                  as of ttje date of my signature. I agree that I will not knowingly divulge any information about these examinations to any persons who ave not beein authorized by an Operations Training Supervisor. I understand that I am not to instruct, evaluate, or provide performance feedback to t~ose individuals scheduled to be administered these examinations from this date until completion of examination administration. Acting as ~ simulator booth operator or communicator is acceptable if I do not select the training content or provide direct or indirect feedback to an ex~minee. Furthermore, I am aware of the physical security measures and requirements (as documented in NMC procedures) and understa~d that violation of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action again~t my facility or me. I will immediately report to the Exam Project Manager any indications or suggestions that examination security may rave been compromised.
I understand that I am not to instruct, evaluate, or provide performance feedback to individuals scheduled to be administered these examinations from this date until completion of examination administration.
: 2. Post-Examination To the best of~~~ kno:""ledge, I did not divulge to any unauthorized persons any information concerntng the examinations administered during the date(s) of jj~ 2vl3 '                                 . From the date that I entered 1nto th1s secunty agreement unt1l the completion of examtnabon administration, I did not instruct, evaluate, or provide performance feedback to those individuals who were administered these examinations 1.
Acting as simulator booth operator or communicator is acceptable if I do not select the training content or provide direct or indirect feedback to an Furthermore, I am aware of the physical security measures and requirements (as documented in NMC procedures) and that violation of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action my facility or me. I will immediately report to the Exam Project Manager any indications or suggestions that examination security may rave been compromised.
2 3.
: 2. Post-Examination
4.
: 1. 2 3. 4. S. G 7 8 To the best kno:""ledge, I did not divulge to any unauthorized persons any information concerntng the examinations administered during the date(s) of 2vl3 ' . From the date that I entered 1nto th1s secunty agreement unt1l the completion of examtnabon administration, I did not instruct, evaluate, or provide performance feedback to those individuals who were administered these examinations QF-1071..{)1 fiev:=.
S.
[_________
G 7
_ _ ! MASTER
8
_ __j The Master Security is used for those personnel having both knowledge of Exam Sensitive Material and unrestricted access to Primary and Secondary Containmj:!nt I I t. Pre--Examination (Rejview TDAP 1836, Attachment 1 for pre-:job briefing requirements) that I acquired specialized knowledge about the tl>l!> Ngf. \!;[ examination(s) scheduled for the date(s) of as lot the date of my signature.
 
I agree that I wiU not knowingly divulge any information about these examinations to any ns w o ave not! been authorized by an Operations Training Supervisor.
QF-1071..{)1 fiev:=.0"--.,--+*------------------;=--:=:;;;-;::-=::=---------.,---------------~
I understand that I am not to instruct, evaluate, or provide performance feedbacl&#xa2; to those individuals scheduled to be administered these examinations from this date until completion of examination administration.
[_________ __ !                                                        MASTER      S~~~~~~REEMENT                                                  ___j The Master Security Ag~ment is used for those personnel having both knowledge of Exam Sensitive Material and unrestricted access to Primary and Secondary Containmj:!nt I
Acting las a simulator booth operator or communicator is acceptable if I do not select the training content or provide direct or indirect feedback to a'fl examinee.
I
Furthem10re, I am aware of the physical security measures and requirements (as documented in NMC procedures) and uncterstand that violation of the conditions of this agreement may result in canceUation of the examinations and/or an enforcement action against my facility or me. I will immediately report to the Exam Project Manager any Indications or suggestions that examination security may have been compromised.
: t. Pre--Examination (Rejview TDAP 1836, Attachment 1 for pre-:job briefing requirements) that I h~ve acquired specialized knowledge about the tl>l!> Ngf. \!;[ examination(s) scheduled for the date(s) of
: 2. Post-Examination
    "!!l~l=::'!tj~,n~ as lot the date of my signature. I agree that I wiU not knowingly divulge any information about these examinations to any ns w o ave not! been authorized by an Operations Training Supervisor. I understand that I am not to instruct, evaluate, or provide performance feedbacl&#xa2; to those individuals scheduled to be administered these examinations from this date until completion of examination administration. Acting las a simulator booth operator or communicator is acceptable if I do not select the training content or provide direct or indirect feedback to a'fl examinee. Furthem10re, I am aware of the physical security measures and requirements (as documented in NMC procedures) and uncterstand that violation of the conditions of this agreement may result in canceUation of the examinations and/or an enforcement action against my facility or me. I will immediately report to the Exam Project Manager any Indications or suggestions that examination security may have been compromised.
: 1. 2. 3 4. 5 6 l. 8. To the best of y, knoWtedge, I did not divulge to any unauthorized persons any information concerning the examinations administered during the date(s) of & -zc.,l . From the date that I entered into this securitY agreement until the completion of examination administration, did n , t instruct, evaluate, or provide performance feedback to those individuals who were administered these examinations.
: 2. Post-Examination To the best of y, knoWtedge, I did not divulge to any unauthorized persons any information concerning the examinations administered during the date(s) of & -zc.,l                 . From the date that I entered into this securitY agreement until the completion of examination administration, did n , t instruct, evaluate, or provide performance feedback to those individuals who were administered these examinations.
Page 1 of 2 The Master Security Agreement is used for those personnel having both knowledge of Exam Sensitive Material and unrestricted access to Primary and Secondary Containment.
1.
PRINTED NAME 9. tt 1 41Af:k
2.
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Page 1 of 2
FPLEJDAEC
 
' ! ! : ...............
The Master Security Agreement is used for those personnel having both knowledge of Exam Sensitive Material and unrestricted access to Primary and Secondary Containment.
---------*-******--
PRINTED NAME                                                        E (1)  DATE                                 DATE     NOTE
.. *****-***1 I __ __j The Master Security Agreement is used for those personnel having both knowledge of Exam Sensitive Material and unrestricted access to Primary and Secondary Containment.
: 9. tt 141Af:k        J]-!Jt-~_&_
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: 15.  (kfl/zfL<YtfdievVrJ _t2__*-----J:S~~q
-::t15AtAW-:.b A 0.,._1-\, r c Page 2 of 2 QF-1071..()1 Rev. 0 I J FPLE/DAEC MASTER SECURITY AGREEMENT The Master Security is used for those personnel having both knowledge of Exam SensitiVe Material and unrestricted access to Primary and Secondary Containm.nt.
~ t,  <-~j~ (L-'' ,(/ d r-.J*-1--        /<,;1::)
PRINTED NAME[ 9.
NOTES Page 2 of 2
: 10. * !56 aJuvw4:: 11. J\yy..
 
: 12. -v ...... ,
QF-10'11-01 Rev. 0                                          ,
C/l-S I s-r A.
,------* ------,------,-------                                                                                FPLEJDAEC                                                ---------*-******-- .. *****-***1
* 13. ::s <.;,>{. \._t, ...... \'\,:..;+.  
'                                                  !          !              ~                                                                                                                          I
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:...............--------*--*******--L-----~---------------'-M=A..:...:S:..:T-=Ec...;Rc..:S=E=C_;;;;U-'-'Rc...:ITY...:....:..A.:..:G'-'-R-'-Ec=E'-'-'-M=E'-'-N'-'-T------                        __ __j The Master Security Agreement is used for those personnel having both knowledge of Exam Sensitive Material and unrestricted access to Primary and Secondary Containment.
/.,.,.. .
PRINTED NAME                            JOB TITLE I RESPONSIBILITY
NOTES: Page 2 of 2 L-!#z --
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FPLEJDAEC MASTER SECURITY AGREEMENT
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FPLEJDAEC                                                                      '
MASTER SECURITY AGREEMENT                                                    ________ j The Master Security Agr$ement is used for those personnel having both knowledge of Exam Sensitive Material and unrestricted access to Primary and SecOndary Containrrlent PRINTED NAM~          JOB TITLE/ RESPONSIBILITY                                DATE            SIGNATURE (2)                DATE      NOTE
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The Master Security Agreementi is used for those personnel having both knowledge of Exam Sensitive Material and unrestricted access to Primary and Secondary Containment.
The Master Security Agreementi is used for those personnel having both knowledge of Exam Sensitive Material and unrestricted access to Primary and Secondary Containment.
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<;;f>-<CirS NOTES: Page 3 of 3 FPLEIDAEC MASTER SECURITY AGREEMENT The Master Security Agreemerilt is used for those personnel having both knowledge of Exam Sensitive Material and unrestricted access to Primary and Secondary Containment.
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FPLEIDAEC MASTER SECURITY AGREEMENT The Master Security Agreemerilt is used for those personnel having both knowledge of Exam Sensitive Material and unrestricted access to Primary and Secondary Containment.
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* The Master Security is used for those personnel having both knowledge of Exam Sensitive Material and unrestricted access to Primary and Secondary Containment.  
* The Master Security Agreemen~ is used for those personnel having both knowledge of Exam Sensitive Material and unrestricted access to Primary and Secondary Containment. *
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ES-201                                                         Examination Security Agreement                                                 Form ES-201-3
-ES-201 Examination Security Agreement Form ES-201-3 1. I acknowledge that I have acquired specialized about the NRC licensing examinations scheduled fer the week(s) of L/ J t[t/;3 as of the date of my signature.
: 1.       Pre-Examin~tlon                                                                                                                  ~
I 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 acknowledge that I have acquired specialized       ~nowledge  about the NRC licensing examinations scheduled fer the week(s) of L/   Jt[t/;3   as of the date of my signature. I a~ree 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<mderstand that I am not to Instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing exanjinations from this date until completion of examination administration, except as specifically noted below and authorized by the NRC (e.g., acting as a simjulator booth operator or communicator Is acceptable if the individual does not select the training content or provide direct or indirect feedback). Furthern1ore, I am awllre 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. II wi!l immediately report to facility management or the NRC chief examiner any Indications or suggestions tr.at examination security may have been compromised.
i<mderstand that I am not to Instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing exanjinations from this date until completion of examination administration, except as specifically noted below and authorized by the NRC (e.g., acting as a simjulator booth operator or communicator Is acceptable if the individual does not select the training content or provide direct or indirect feedback).
: 2.       Post-Examipatlon To the best of my knbwl ge I did not divulge to any unauthorized persons any information concerning the NRC !lcensing examinations administered during the week(s)   or       I.S. !3. 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 authorize~ by the NRC.
Furthern1ore, I am awllre 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.
: 8. ---*--*                         --
II wi!l immediately report to facility management or the NRC chief examiner any Indications or suggestions tr.at examination security may have been compromised.  
: 9. -------+------                  -
! ' 2. Post-Examipatlon To the best of my knbwl ge I did not divulge to any unauthorized persons any information concerning the NRC !lcensing examinations administered during the week(s) or I.S. !3. 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 by the NRC. 8. ---*--* --9. -------+------
: 10.                   '
-10. ' 11.------;---
11.------;--- - - * - - - - - - - - - - - - - - - - - - - -                                                         -------- ----
--*--------------------
12 - - * - - : * - - - - - - - - - - - - - - - - - - - - - - - - - - - -                                             -------- - - - -
12 --*--:*---
13 _______ , _ _ _ - - -
-------------------------
                                                                                                                        -----~--
------------------------
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----13 _______ , ___ ---------------
NOTES;~, f)v~liCct.f.ec/ -~-Cil'Y\. -{'ct_ctl,*~y$1\.e.t::.*\-. \(..\.~ ,Sl..o'E:~ p'fC"J(<l.e_A-:--b.r--(~'~--~--(~---CJn~.
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ES:.~1_____________________;E=:x:::a:::m,_i:.:.n:.:a:::ll=.o!:n_,S,_,e:.::*:.:u::.;rl"'ty'-'-'A"'g.:..;re:.:e:.:.m:::e:.:n.:.:l,___ _            Form ES-201-3
*****-------
: 1.       P[J~Examinatton                                                                                                                  ... *
____________________
  '                                                                                                                                       I   1) I I ack~<>W;edge that I have acquired specie,zod <nowledge about tne NRC licensing examinations scnedulad for !i1e week(s) of           .!:LJ!!la. as of lhe date of m1 signature. I agree that I will not Knowingly divcige any information about these examinations to any perscns who have not oeen authorized oy the NRC! chief examiner. I understand that I am nol to instruct, evaluate, or provide performance feedback to those applicants scheduled to tie administered toes$ licensiog examinatlons from this d9te until completion o* examination administnation, except as specifJCally noted below and authorized by the NRC (e.g.) acting as a simulator booth cpera!or or communicator is acceptable if tne individual does not salect the tralnir;g .conte!1t or prov;de d!rect or i!'lci;rect
_;E=:x:::a:::m,_i:.:.n:.:a:::ll=.o!:n_,S,_,e:.::*:.:u::.;rl"'ty'-'-'A"'g.:..;re:.:e:.:.m:::e:.:n.:.:l,__
'eed~ack). Furthermore, I am aware of the physical security measunes and requirements (as documented m the facility licensee's procedures) and undelrstand that violakm of the condUions cf this agreement may result In cancellatton of the exam!natlons and/or an enforcement action against me or the f'ci!lty licensee. I Wl~l !mrned!atety report to faclHty management cr the NRC chiefexam!ner any indications or suggestions that e:..:emtl'!atlor< see:'.lrity may /'!ewe been c.omprcmised
__ Form ES-201-3 1.  
: 2.       Post-Examination To the oest of rny kncm.it&#xa5;.J9~ Ld.!d not dJVulge lo any unauthorized persons any information concerning the NRC iicensing examinations admimsiered
... * ' I 1) I I that I have acquired specie,zod  
~un~g the week{s) of t.Jj__.~zQ.. From the date that 1entered into this security agreement Until the completion of exami~ation administrat,*on. I CtC not lnsnct, evaluate, or prcv<de performance feedback to those appiica~us who "~.-ere administered these. hcensir.g exam!nat1cns_ except as spec.kaily noted oell>f and authOrized by the NRC.
<nowledge about tne NRC licensing examinations scnedulad for !i1e week(s) of .!:LJ!!la.
 
as of lhe date of m1 signature.
ES-201                                                       Examination Security Agreement                                                     Form ES-201-3
I agree that I will not Knowingly divcige any information about these examinations to any perscns who have not oeen authorized oy the NRC! chief examiner.
: 1.           Pre-Examl!!atlon                                                                                                                 %
I understand that I am nol to instruct, evaluate, or provide performance feedback to those applicants scheduled to tie administered toes$ licensiog examinatlons from this d9te until completion o* examination administnation, except as specifJCally noted below and authorized by the NRC (e.g.) acting as a simulator booth cpera!or or communicator is acceptable if tne individual does not salect the tralnir;g .conte!1t or prov;de d!rect or i!'lci;rect Furthermore, I am aware of the physical security measunes and requirements (as documented m the facility licensee's procedures) and undelrstand that violakm of the condUions cf this agreement may result In cancellatton of the exam!natlons and/or an enforcement action against me or the f'ci!lty licensee.
I acknowledge that II have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of L/             j Ji;-/;3 as of the dale of my signature. I a~ree that! will not knowingly divulge any information about these examinations to any persons who have not been authorized by the NRC chief examine~. I understand that 1am 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 sirllulator booth operator or communicator is acceptable if the individual does not select the training content or provide direct or indirect feedback). Fur!herrj,ore, I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures) and understand that vlol,t,on of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action against me or the facility licensee.ll will immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been cof11prof1liSed.                                                                                                         .
I  
: 2.           Post-Examination To the best of my k~ow)fjdga, l_!iid not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered durtng the weak(s) qt WflQ. From the date that 1 entered Into this security agreement until the completion of examination administration, I did nat instruct, evaluate, ol provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorlz~d by the NRC.
!mrned!atety report to faclHty management cr the NRC chiefexam!ner any indications or suggestions that e:..:emtl'!atlor<
I PRINTED ~AME          J~ TITLE}HESPONSIB~UTY                ,/,/ S~N'}1URE (1)                   DATE           SIGNATURE (2)     DATE NOTE
see:'.lrity may /'!ewe been c.omprcmised
: 1. f\ii.\-rk.5:.rr 1ictr1J v..- (SE6x~"A Vlfr,t'r-r ~A-t(~.,(....;_                                      .;/;?).;; ~?rev'lolb P~e.
: 2. Post-Examination To the oest of rny Ld.!d not dJVulge lo any unauthorized persons any information concerning the NRC iicensing examinations admimsiered the week{s) of  
-~ ~:                    1.\d..o~      m::'t' 'M.-o   r>o.~L*~n.        ,~,_,      <1 -A~- :"7.~*: ~ ~~
.. From the date that 1 entered into this security agreement Until the completion of administrat,*on.
;!&#xa3;. ;v . * :-*.[:.
I CtC not lnsnct, evaluate, or prcv<de performance feedback to those who administered these. hcensir.g exam!nat1cns_
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except as spec.kaily noted oell>f and authOrized by the NRC.
                      ??J*s,... , ~ii..ioc;;rL-741'"'"""'
ES-201 Examination Security Agreement Form ES-201-3 1. Pre-Examl!!atlon  
            'll =~~ !!~sr:~                :: *, ===                .*_                              :.*-- -~:--
% I acknowledge that II have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of L/ j Ji;-/;3 as of the dale of my signature.
:.:.:__'1Ji1I:J;____,_,--.- - -
I that! will not knowingly divulge any information about these examinations to any persons who have not been authorized by the NRC chief I understand that 1 am not to Instruct, evaluate.
: 7.   ----+--- ------------=--v__________ - - - - - - - - -
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 sirllulator booth operator or communicator is acceptable if the individual does not select the training content or provide direct or indirect feedback).
8 ----+--- ------------------------------
Fur!herrj,ore, I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures) and understand that vlol,t,on of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action against me or the facility licensee.ll will immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been cof11prof1liSed. . 2. Post-Examination To the best of my l_!iid not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered durtng the weak(s) qt WflQ. From the date that 1 entered Into this security agreement until the completion of examination administration, I did nat instruct, evaluate, ol provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and by the NRC. I PRINTED  
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      ~~:*----+--- - - - - - - - - - - - - - - - - - - -                                                                       ------- ----
m::'t' 'M.-o  
NOTES:;j, l),;fltC*tf<<d -h*c-,"V\. +Q<< 1,~'(-"'>k<o-t:t. '\~''"' <;!.;;..,:~
<1 ;!&#xa3;. ; .. * :-*.[:. ??J*s,...
 
:: *, === :.*-:.:.:__'1Ji1I:J;____,_,--.  
ES-201                                                           Examination Security Agreement                                                 Form ES-201-3
---ls( v 'll , . *_ -
: 1.       Pre-Examlnallfn                                                                                                         'bllMJif.. 11<~\.l)
: 7. ----+---------------=--v
I acknowledge that I ha+e acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) ofA/o.M_4/9/)Jthe date of my signature. I agre. that 1. will not knowingly divulge any information about these examinations to any persons who have no~rized 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 examin~tions from this date until completion of examination administration, except as specifically noted below and authorized by the NRC (e.g., acting as a simul~tor booth operator or communicator is acceptable if the Individual does not select the training content or provide direct or indirect feedback). Furthermonl. 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 ...Jill immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been compromised.
__________
: 2.       Post-Examlna~on 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     1
---------8 ----+---------------------------------
* From the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or pr~vide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted
9*-----+--
                                                                                  =
----------------------------*-
below and authorized~ the NRC.
: 10. ____ -r----------------------
PRINTED   NA~E              JOB TITLE I RESPONSIBILITY                 SIGNATURE (1)               DATE         SIGNATURE (2)       DATE NOTE 1.
g----+----------------------
2.
----------
H1c 1!1tW ~~atG!ftV  '
-----------13*----+---
fLU["     6(/.)._SIJ~.                                                  #JJ _____
-------------------
: 3. _   __;__ _ _...,.__ - - - - - - - - - - - - - - - - - - -
---------------------
4*------+-- - - - - - - - - - - - - - - - - - - -
-----------NOTES:;j, l),;fltC*tf<<d -h*c-,"V\.  
5*------+-- - - - - - - - - - - - - - - - - - - -
+Q<<
: 6. _ _ _ _ _ _+-- - - - - - - - - - - - - - - - - - - - - -
ES-201 Examination Security Agreement Form ES-201-3 1. Pre-Examlnallfn  
7.------1--- - - - - - - - - - - - - - - - - - - - - -
'bllMJif..
: 8. _ _ _ _ _~----------------------                                                                                 ------------
I acknowledge that I ha+e acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) ofA/o.M_4/9/)Jthe date of my signature.
9*------+-- - - - - - - - - - - * - - - - - - - - -
I agre. that 1. will not knowingly divulge any information about these examinations to any persons who have by the NRC chief examiner.
10._ _ _ _ _            +------------*-----------                                                                   -----------
I Understand that I am not to Instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing from this date until completion of examination administration, except as specifically noted below and authorized by the NRC (e.g., acting as a booth operator or communicator is acceptable if the Individual does not select the training content or provide direct or indirect feedback).
11 . _ _ _ _ _      -+-----------------------
Furthermonl.
12 . _ _ _ _ _+------------------------
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*-----+-- - - - - - - - - - - - - - - - - - - -                                                                     ------------
I ...Jill immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been compromised.
14*-----+-- ------~------------
: 2.
15.=.,..-----+---                 ---------------------
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 1
NOTES:
* From the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and the NRC. PRINTED JOB TITLE I RESPONSIBILITY SIGNATURE (1) DATE SIGNATURE (2) DATE NOTE 1. H1c 1!1tW
ES-201, Page 27 of 28
: 2. ' fLU["  
---~..,..-,..__,----~---------------*--*--*--*-- ..-----*
= #JJ _____ _ 3. _ __;_ ___ ...,.__ -------------------
 
4*------+--
ES-201                                                         Examination Security Agreement                                                 Form ES-201-3
-------------------
: 1.       Pre-Examinati~n                                                                                                        'tvNJi- t><&#xa3;AJOLD I acknowledge that I   ha~e    acquired specializ~d knowledge about the NRC licensing examinations scheduled for the week(s) of     4     -4   fitJthe date 0f my signature. I agre~ that I will not knowingly divulge any information about these examinations to any persons who have not b en au orized by the NRC chief examiner. I pnderstand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examin~tions from this date until completion of examination administration, except as specifically noted below and authonzed by the NRC (e.g., acting as a simul<jtor booth operator or communicator is acceptable if the individual does not select the training content or provide direct or indirect feedback). Furthermor$, I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures) and understand that violatiort 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 comprqmised.
5*------+--
Z.       Post-Examinalion To the best of my k n o mI ,did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of               . From the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or p vi e performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized ~y the NRC.
-------------------
6*-----~- - - - - - - - - - - - - - - - - - - -
: 6. ______ +-----------------------
7.___                   -r-- - - - - - - - - - - - - - - - - - - -
7.------1---
: 8. _ _ _ _ _J . _ _              -------------------                                                               ------------
---------------------
: 9. ------+--
: 8. _____
10 _______ _                                                                                                       ----------
9*------+--
11                      '        -------------------------*                                                                                  ----
----------*---------
12====---r-----                                                                                                     ------- ----
: 10. _____ +------------*-----------
14.
11 .. _____ -+-----------------------
15.
12 .. _____ +------------------------
                ---+----- - - - - - - - - - - - * - - - - - - - - - -                                               ------- ----
13*-----+--
t.JOTFS ES-201, Page 27 of 28
-------------------
* ES-403                            Written Examination Grading Quality Checklist Form ES-403-1 Facili : Dua e Arnold                Date of Exam: 4/16/2013 Item Descri tion 1.
14*-----+--
: 2. Ans er key changes and question deletions justified and ocumented
15.=.,..-----+---
: 3. Appli~ants' scores checked for addition errors revi wers s ot check > 25% of examinations
---------------------
: 4. Grading for all borderline cases (80 +/-2% overall and 70 or 80, as a licable, +/-4% on the SRO-onl reviewed in detail
NOTES: ES-201, Page 27 of 28
: 5. All other failing examinations checked to ensure that grades are *
.. -----* _ __;_ _____ ----------------
* stified
-----------
: 6.     Perfdrmance on missed questions checked for training defic!encies and wording problems; evaluate validity of uestions missed b half or more of the a licants Date
------------
: a. Grader i
-----------
I
----------
                                                                                        ~t.,lzo1
------------
: b. Facility R!eviewer(*)                                                            ~{u,[J3
------------
: c.                                                                                  s/t/13
------------
: d. NRC Supervisor (*)                                                                5/r}_r I
ES-201 ------Examination Security Agreement Form ES-201-3 1.  
(*)   The ~acility reviewer's signature is not applicable for examinations graded by the NRC; two i de endent NRC reviews are re uired .
'tvNJi-t><&#xa3;AJOLD I acknowledge that I acquired knowledge about the NRC licensing examinations scheduled for the week(s) of 4 -4 fitJthe date 0f my signature.
* ES-403, Page 6 of 6
I that I will not knowingly divulge any information about these examinations to any persons who have not b en au orized by the NRC chief examiner.
 
I pnderstand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing from this date until completion of examination administration, except as specifically noted below and authonzed by the NRC (e.g., acting as a simul<jtor booth operator or communicator is acceptable if the individual does not select the training content or provide direct or indirect feedback).
NextEra Energy Duane Arnold, LLC 32n DAEC Road Palo, Iowa 52324 April22, 2013                                                             NG-13-0179 I                                                 NUREG 1021 U.S. Nuclear Regulatqry Commission, Region Ill Attention: Bruce Palagi 2443 Warrenville Road, Suite 210 Lisle, IL 60532-4352   !
Furthermor$, I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures) and understand that violatiort of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action against me or the facility licensee.
Duane Arnold Energy!Center Docket 50-331
I Will immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been comprqmised.
* Renewed Op. Licens~ No. DPR-49 Re: Aori116. 2013. NRC Initial License Written Examination i
Z. Post-Examinalion To the best of my knom, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of . From the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or p vi e performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized the NRC. < "*  
On April16, 2013, th~ Duane Arnold Energy Center (DAEC) administered the LOIT Written Examination to 9 appl,cants (4 SRO Instants, 2 SRO Upgrades, and 3 RO Upgrades). A formal, written examir)ation review was conducted on April17, 2013, and revealed no challenges to any of t~e 100 questions administered. As such, the DAEC will not be submitting any challer!lges to the LOIT written examination.
-------------------
In addition, the DAECI. is requesting that the written examination be withheld from public disclosure for a perioq of 24 months from the date administered as discussed with the NRC Chief Examiner,! B. Palagi.
7.___ -r---------------------
If you have any questions, please call William Simmons, Training Manager, at (319) 851-7181.       .
: 8. _____ J.__ -------------------
This letter contains no new commitments.
: 9. ------+--10 _______ _ ------------
Enclosures CC:     Chief Operator! License Branch, Region Ill NRC Resident! Inspector NRC Document Control Desk APR 2:4 2013
------------
 
----------
SLIND CARBON COPY LIST FOR NG-13-0179 April 22, 2013 W. Rushworth w/o C. Bauerw/o G. Pry w/o W. Simmons w/o E. Murray w/o T. Biesterveld w/o IRMSw/o B. Murrell w/o     ,
11 ' -------------------------*
Licensing CTS Proje~t w/o
----12====---r-----
-------,., 14. 15. t.JOTFS --------------+----------------*----------
-----------ES-201, Page 27 of 28
.--------------------------------
----* *
* ES-403 Written Examination Grading Quality Checklist Facili : Dua e Arnold Date of Exam: 4/16/2013
: 1. 2. 3. 4. 5. 6. a. b. c. d. Item Descri tion Ans er key changes and question deletions justified and ocumented
'
scores checked for addition errors revi wers s ot check > 25% of examinations Grading for all borderline cases (80 +/-2% overall and 70 or 80, as a licable, +/-4% on the SRO-onl reviewed in detail All other failing examinations checked to ensure that grades are *
* stified Perfdrmance on missed questions checked for training defic!encies and wording problems; evaluate validity of uestions missed b half or more of the a licants i Grader I Facility R!eviewer(*)
NRC Supervisor
(*) Form ES-403-1 Date
* s/t/13 5/r}_r I (*) The reviewer's signature is not applicable for examinations graded by the NRC; two i de endent NRC reviews are re uired . ES-403, Page 6 of 6 NextEra Energy Duane Arnold, LLC 32n DAEC Road Palo, Iowa 52324 April22, 2013 I U.S. Nuclear Regulatqry Commission, Region Ill Attention:
Bruce Palagi 2443 Warrenville Road, Suite 210 Lisle, IL 60532-4352  
! Duane Arnold Energy!Center Docket 50-331
* Renewed Op.
No. DPR-49 NG-13-0179 NUREG 1021 Re: Aori116. 2013. NRC Initial License Written Examination i On April16, 2013, Duane Arnold Energy Center (DAEC) administered the LOIT Written Examination to 9 appl,cants (4 SRO Instants, 2 SRO Upgrades, and 3 RO Upgrades).
A formal, written examir)ation review was conducted on April17, 2013, and revealed no challenges to any of 100 questions administered.
As such, the DAEC will not be submitting any challer!lges to the LOIT written examination.
In addition, the DAECI. is requesting that the written examination be withheld from public disclosure for a perioq of 24 months from the date administered as discussed with the NRC Chief Examiner,!
B. Palagi. If you have any questions, please call William Simmons, Training Manager, at (319) 851-7181. . This letter contains no new commitments.
Enclosures CC: Chief Operator!
License Branch, Region Ill NRC Resident!
Inspector NRC Document Control Desk APR 2:4 2013 W. Rushworth w/o C. Bauerw/o G. Pry w/o W. Simmons w/o E. Murray w/o T. Biesterveld w/o IRMSw/o SLIND CARBON COPY LIST FOR NG-13-0179 April 22, 2013 B. Murrell w/o , Licensing CTS w/o  


==SUBJECT:==
==SUBJECT:==
f.pril16.
f.pril16. 2013. NRC Initial License Written Examination
2013. NRC Initial License Written Examination 1'-JFXJ era** I WRITTEN EXAMINATION ITEM REVIEW ** --* HUQ.f.AR I RID! I Directions: (Refer to TR-AA-230-1 004 SAT Implementation)
 
* Note: This item analysis performed per TR-AA-220-1 0008 for post IL T NRC Written Exam ;Grading and Analysis Checklist.
1'-JFXJ era** I EN~m:~;                  WRITTEN EXAMINATION ITEM REVIEW
Complete this1analysis for each question missed by more than 30% of the students.
    ** --*   HUQ.f.AR I RID!
Per TR-AA-220-1 0008 DAEC NRC WRITTEN Evaluation Title/Number:
I Directions: (Refer to TR-AA-230-1 004 SAT Implementation)
EXAMINATION ALL 100, REV. 03-28-SLV.DOC Date the examination was administered:
* Note: This ex~m item analysis performed per TR-AA-220-1 0008 for post ILT NRC Written Exam ;Grading and Analysis Checklist.
04/16/2013 Number of questions on the examination:
Complete this1analysis for each question missed by more than 30% of the students. Per TR-AA-220-1 0008 DAEC NRC WRITTEN Evaluation Title/Number:                                               EXAMINATION ALL 100, REV. 03-       ,
75 (RO) I 25 (SRO) Number of that were missed by more than 30% of the students:
28-SLV.DOC Date the examination was administered:                                 04/16/2013 Number of questions on the examination:                                 75 (RO) I 25 (SRO)
6 (RO) I 3 (SRO) Number of evaluated:
Number of que~tions that were missed by more than 30% of 6 (RO) I 3 (SRO) the students:
3(RO) /6 (SRO) Number of who failed the exam: i 0 Percent of stud.nts who failed the examination:
Number of stud~nts evaluated:                                         3(RO) /6 (SRO)                     :~
0% Complete page 21 of this form. I Indicate AR numl:>er(s) generated as a result of this analysis (or indicate "NONE"):
Number of stud~nts who failed the exam:                                 0 i
Review by: Eric Murray Date: 04/18/2013 Instructor Approved Date: Training Supervisor Revision 0 Page 1 of 2 ,. , : . '*
Percent of stud.nts who failed the examination:                         0%
LIST EACH QUESTION THAT WAS MISSED BY MORE THAN 40% OF THE STUDENTS I Review Conclusions Comment Section %of # of students Question students who missed the Include a comment for each Number who missed question AND A. B. c. D. E. F. G. H. "NO" answer. If a corrective action is the question failed the exam generated, list the corrective action number on the front paqe. 16 33.3 0 [8JY OY [8JY [8JY [8JY [8JY [8JY [8JY None ON ON ON ON ON ON ON ON 35 33.3 0 [8JY [8JY [8JY [8JY [8JY [8JY [8JY [8JY None ON ON ON ON ON ON ON ON 38 44.6 0 [8JY [8JY [8JY [8JY [8JY [8JY [8JY [8JY None ON ON ON ON ON ON ON ON I 43 33.3 0 [8JY [8JY [8JY [8JY [8JY [8JY [8JY [8JY None ON ON ON ON ON ON ON ON 57 44.6 0 [8JY [8JY [8JY [8JY [8JY [8JY [8JY [8JY None ON ON ON ON ON ON ON ON 65 33.3 0 [8JY [8JY [8JY [8JY [8JY [8JY [8JY [8JY None ON ON ON ON ON ON ON ON 77 33.3 0 [8JY [8JY [8JY [8JY [8JY [8JY [8JY [8JY None (SRO) ON ON ON ON ON ON ON ON 93 83.3 0 [8JY [8JY [8JY [8JY [8JY None (SRO) ON ON ON ON ON ON ON ON 98 50 0 [8JY [8JY [8JY IZIY [8JY IZIY [8JY None (SRO) ON ON ON ON ON ON ON ON Review
Complete page 21 of this form.
I Indicate AR numl:>er(s) generated as a result of this analysis (or indicate "NONE"):
NON~
Review     perfo~med        by:                   Eric Murray Date:
04/18/2013 Instructor Approved     by~
                                      &#xa3;~
Training Supervisor Date: r4~1JJ TR-AA-230-1004~F02        Revision 0                                                       Page 1 of 2
 
LIST EACH QUESTION THAT WAS MISSED BY MORE THAN 40% OF THE STUDENTS I                                                                       Review Conclusions                                               Comment Section
                      %of         # of students Question         students     who missed the                                                                                         Include a comment for each Number       who missed     question AND failed the exam A.     B.     c.         D.         E.       F.       G.       H.       "NO" answer. If a corrective action is generated, list the corrective action the question number on the front paqe.
[8JY     OY     [8JY       [8JY     [8JY     [8JY     [8JY     [8JY     None 16            33.3              0 ON       ON     ON         ON         ON       ON       ON       ON
[8JY     [8JY   [8JY       [8JY       [8JY     [8JY     [8JY     [8JY     None 35            33.3              0 ON       ON       ON         ON         ON       ON       ON       ON
[8JY     [8JY     [8JY       [8JY       [8JY     [8JY     [8JY     [8JY     None 38            44.6              0 I
ON       ON       ON         ON       ON       ON       ON       ON
[8JY     [8JY     [8JY       [8JY     [8JY     [8JY     [8JY     [8JY     None 43            33.3              0 ON       ON       ON         ON       ON       ON       ON       ON
[8JY     [8JY     [8JY       [8JY     [8JY     [8JY     [8JY     [8JY     None 57            44.6                0 ON     ON       ON         ON       ON       ON       ON       ON
[8JY     [8JY   [8JY       [8JY     [8JY     [8JY     [8JY     [8JY     None 65            33.3                0 ON     ON       ON         ON       ON       ON       ON       ON 77                                             [8JY     [8JY   [8JY       [8JY     [8JY     [8JY     [8JY     [8JY 33.3                0          ON       ON       ON         ON         ON       ON       ON       ON       None (SRO) 93                                           [8JY     [8JY     ~y        [8JY       ~y      [8JY     ~y      [8JY 83.3              0          ON       ON       ON ON                 ON ON             ON ON             None (SRO) 98                                           [8JY     [8JY     ~y        [8JY       IZIY [8JY         IZIY [8JY 50                0          ON       ON       ON ON                 ON ON             ON ON             None (SRO)
Review


== Conclusions:==
== Conclusions:==
 
Review the question for each of the areas               A. Does the test question tie directly to the learning objective(s)?
Review the question for each of the areas A. Does the test question tie directly to the learning objective(s)?
identified in A through H and check a "Y" for"Yes" or "N" for "No" to       B. Is the test question at the same cognitive level as the tested objective(s)?
identified in A through H and check a "Y" for"Yes" or "N" for "No" to B. Is the test question at the same cognitive level as the tested objective(s)?
determine if there is a discrepancy with the question. For any 'NO'         c. Does the lesson plan/ instructor guide provide information to support the objective(s)?
determine if there is a discrepancy with the question.
D. Is the training material content correct regarding the exam answer (that is, does the response(s) to A-H, initiate a corrective action if needed to define material support the answer or does it lead to an incorrect answer)?
For any 'NO' c. Does the lesson plan/ instructor guide provide information to support the objective(s)?
the issues and document the corrective action number on the front            E. Is there ONLY one correct answer provided on the exam?
response(s) to A-H, initiate a corrective action if needed to define D. Is the training material content correct regarding the exam answer (that is, does the the issues and document the corrective action number on the front material support the answer or does it lead to an incorrect answer)? page. Attach this form electronically to the corrective action (if E. Is there ONLY one correct answer provided on the exam? F. Does the exam answer key indicate the correct answer? written) and file the paper copy with the exam key. One corrective G. Does the test question m.eet the guidance in TR-AA-230-1 002 SAT Design Phase? action may be used to document multiple issues. H. Is this an acce table test uestion er res onse of A-G 1.e. all 'YES' res onses ? Verify response to column H is 'YES' if no corrective action is indicated.  
page. Attach this form electronically to the corrective action (if          F. Does the exam answer key indicate the correct answer?
-* ------------TR-AA-230-1004-F02 Revision 0 Page 2 of2}}
written) and file the paper copy with the exam key. One corrective           G. Does the test question m.eet the guidance in TR-AA-230-1 002 SAT Design Phase?
action may be used to document multiple issues.                             H. Is this an acce table test uestion er res onse of A-G 1.e. all 'YES' res onses ?
Verify response to column     -*
H   is 'YES' if no- -
corrective action is indicated.
TR-AA-230-1004-F02 Revision 0                                                                             Page 2 of2}}

Latest revision as of 19:59, 25 February 2020

2013 Duane Arnold Energy Center Initial License Examination Administrative Files
ML13235A360
Person / Time
Site: Duane Arnold NextEra Energy icon.png
Issue date: 04/08/2013
From: Palagi B
NRC/RGN-III/DRS/OLB
To:
Duane Arnold
Shared Package
ML11354A335 List:
References
Download: ML13235A360 (27)


Text

{{#Wiki_filter:~013 DUANE ARNOLD ENERGY CENTER INITIAL LICENSE EXAMINATION ADMINISTRATIVE FILES

~§020r9-supl -fiwal-forms-ms doc Form ES-201-1 Facility: I2tA 'f' "" e_ Av~.,.,JJ Date of Examination: 7')~ Developed by: V\(ritten - Facility ~ NRCD II Operating - Facility ~ NRC D Target I Chief Date* i Task Description (Reference) Examiner's Initials

    -180         1.          Examination administration date confirmed (C.1.a; C.2.a and b)                     t¥~
                                                                                                                           ~
    -120         2.          NRC examiners and facility contact assigned (C.1.d; C.2.e)
                                                                                                                ~

(3~

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

I

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

[-90] [5. Reference material due (C.1.e; C.3.c; Attachment 3)] IVA \=' {-75} 6. I Integrated examination outline(s) due, including Forms ES-201-2, ES-201-3, ES-301-1, ES-301-2, ES-301-5, ES-D-1's, ES-401-1/2, ES-401-3, and ES-401-4, as applicable (C.1.e and f; C.3.d) ~

                                                                                                                            ~'-">
                                                                                                                ~fl

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

                                                                                                                             ¥?-11'1>

{-45} 8. Proposed examinations (including written, walk-through JPMs, and I scenarios, as applicable), supporting documentation (including Forms ES-301-3, ES-301-4, ES-301-5, ES-301-6, and ES-401-6, and any Form ES-201-3 updates), and reference materials due (C.1.e, f, g and h; C.3.d) ~

                                                                                                                           ~
     -30         9.          Preliminary license applications (NRC Form 398's) due (C.1.1; C.2.g; i

ES-202) &f?

                                                                                                                           -~
     -14         10.!

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

     -14         11.          Examination approved by NRC supervisor for facility licensee review                          1::~

(C.2.h; C.3.f) (JP

     -14         12.'         Examinations reviewed with facility licensee (C.1.j; C.2.f and h; C.3.g)         gp          V-tl)
                                                                                                                            ~
                                                                                                              ~~
      -7         13.!         Written examinations and operating tests approved by NRC supervisor (C.2.i; C.3.h)
                                                                                                                           ~
      -7         14.          Final applications reviewed; 1 or 2 (if >1 0) applications audited to confirm qualifications I eligibility; and examination approval and waiver letters sent (C.2.i; Attachment 5; ES-202, C.2.e; ES-204)

(}f

                     !                                                                                                      ~l.li:
      -7         15.:         Proctoring/written exam administration guidelines reviewed with facility licensee (C.3.k)                                                    (!f
                                                                                                                           ~
      -7         16.:        Approved scenarios, job performance measures, and questions distributed to NRC examiners (C.3.i)                                             e(
  • Target dates are generally based on facility-prepared examinations and are keyed to the examination date identified in the corporate notification letter. They are for planning purposes and may be adjusted on a case-by-case basis in coor¢1ination with the facility licensee.

[Applies only] {DoEI!s not apply} to examinations prepared by the NRC.

FPLE/DAEC

                                      **-*--** !*~-***

MASTER SECURITY AGREEMENT

                                                       ******--*-'""""**---***-**-- **-*-*-**-**-***-*-*-* ******-*-*****-***--**** ****----------*-*-********-**-***-**-*****--------*****-----*-**-w***-****-* *--* - - - - - - - - - - * * - * - - -

The Master Security Agreemeht is used for those personnel having both knowledge of Exam Sensitive Material and unrestricted access to Primary and Secondary Containment. ' L _ere-Examination (Revie~ TDAP 1836, Attachment 1 for pre-job briefing requirements)

. . ~f~fr~o~le 1\.~ 13         ~--*..

ge that I have~*cquired specialized knowledge about the @I?> N~ \t.:f examination(s) scheduled for the date(s) of __._... as oft e date of my signature. I agree that I will not knowingly divulge any information about these examinations to any persons who ave not bee authorized by an Operations Training Supervisor. I understand that I am not to instruct, evaluate, or provide performance feedback to those individuals scheduled to be administered these examinations from this date until completion of examination administration. Acting as al simulator booth operator or communicator is acceptable if I do not select the training content or provide direct or indirect feedback to an ex~minee. Furthermore, I am aware of the physical security measures and requirements (as documented in NMC procedures) and understa~d that violation of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action against my facility or me. I will immediately report to the Exam Project Manager any indications or suggestions that examination security may ~1ave been compromised.

2. Post-Examination i

To the best of ll?Yt knowledpe. I did not divulge to any unauthorized persons any information concerning the examinations administered during the date(s) of *"'i\i'2.ci'"? ' . From the date that I entered into this security agreement until the completion of examination administration, l did not in1truct, evaluate, or provide performance feedback to those individuals who were administered these examinations. I f.:RINTED NAME JOB TITLE I RESP.ONSIBILITY ~.f~RE .(1) DATE SIGNATURE (2) DATE NOTE

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*****-** *-*****--* ________ j _________ :------- *---**-----**---*-*-**--**-* *--**-**--** ----~-,A.ST_E_R_.§EG~_F3_1TY        __~~REEMENT______________________ . _ ______1 The Master Security Agreeme~t is used for those personnel having both knowledge of Exam Sensitive Material and unrestricted access to Primary and Secondary Containment.

PRINTED NAME JOB TITLE I RESPONSIBILITY DATE SIGNATURE (2) DATE NOTE

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FPLE/DAEC _........ ..!. ..... *************-*-***-*-*-*-**--------------M_A_S_TER SECURITY AGREEfv!~!'I_T __ I i The Master Security Agreeme~t is used for those personnel having both knowledge of Exam Sensitive Material and unrestricted access to Primary and Secondary Containment. '

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

1. Pre-Examina~on 't>ll~ p.ii\)OLJ)

I acknowledge that I h~ve acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of A/w,z- 4/f/JJ the date of my signature. I agrfje that I will not knowingly divulge any information about these examinations to any persons who have no~rized by the NRC chief examiner. li understand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examirjations from this date until completion of examination administration, except as specifically noted below and authorized by the NRC (e.g., acting as a simul~tor booth operator or communicator is acceptable if the individual does not select the training content or provide direct or indirect feedback). Furthermo~e, I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures) and understand that violati'n 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 .)vm immediately report to faciiHy management or the NRC chief examiner any indications or suggestions that examination security may have been comprpmised.

2. Post-Examin;ltion To the best of my kno~edge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the ~k(s) of , . From the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or p vide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized , y the NRC.
                                                                       ----= ¥4-u---------

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

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       ~                       J 3*-----+-- - - - - - - - - - - - - - - - - - - -                                                                    ------------
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.......---1------------*-****-***-**

ES-201 '-*---------------------=Ex~a~m~in~a~ti~o~n~S~e~c~u~r~itr~A~g~r~ee~m~en~t~------------- Form ES-201-3

i. pre-Examin~tion <ilt I acknov.1edge that I ~ave acquired specialized knowledge about the NRC licensing examinations scheciuied for the week(s) of L/ j tltiJ? as of the date of my signature. *' "'1ree that I will not knowingly divulge any information about these examinations to any persons who have not been authorized by the NRC ctnef examtner., I understand that I am not to instruct. evaluate, or provide perfonmance feedback to those applicants scheduled to be admlmstered these licensing exaniinations from this date unti! completion of examination administretion, except as specifically noted below and authorized by the NRC (e.g., acting as a sirr1ulator booth operator or communicator is acceptable if the individual does nat select the training content or provide direct or indirect feedback). Further:'lore. I am aware of the physical security measures and requirements (as documented ;~ the facility licensee's procedures) and understand that viol1t1on of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action against me or the facility licensee. 11 wi!i Immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been compromised
2. Post-Examihation I

To the best of my knpwlftdge l did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of '1.1.1§}3_. From the date that 1entered into this security agreement unti! the completion of examination administration, I did not instruct, evaluate, oriprcv!de performance feeciback to those applicants who were administered these licensing examinations. except as specifically noted below ard authorize~ by the NRC. PRINTED NAME SIGNATURE {2) DATE NOTE 1. 2.

 *:1'  *3
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NOTEs: ;J/* t)J{~(Q.f-ci ~ C,-y\'\. ..f'a_t( i, ~'(.:5li.."'-tt. '"Tv\,~..::, Sk-e:\

QF-1071-01 Rev. 0

  ,----- - - - - - - [ - --+---                                                             FPLE/DAEC
  '                                    -- - r* ---                           MASTER SECURITY AGR~~S_f'J_L _____________________ ---*--*-*----~

The Master Security Agreemerit is used for those personnel having both knowledge of Exam Sensitive Material and unrestricted access to Primary and Secondary Containment.

1. Pre-Examination (Review!TDAP 1836, Attachment 1 for pre-job briefing requirements)
  • I ac nowle ge that I have ~cquired specialized knowledge about the @I?> NR.e \l.-J examination(s) scheduled for the date(s) of

~l<s{ !3 as of th~ date of my signature. I agree that I will not knowingly divulge any information about these examinations to any persons w o ave not bee~ authorized by an Operations Training Supervisor. I understand that I am not to instruct, evaluate, or provide performance feedback to ttiose individuals scheduled to be administered these examinations from this date until completion of examination administration. Acting as a ~imulator booth operator or communicator is acceptable if I do not select the training content or provide direct or indirect feedback to an examinee. Furthermore, I am aware t>f the physical security measures and requirements (as documented in NMC procedures) and understan~ that violation of the conditions c~f this agreement may result in cancellation of the examinations and/or an enforcement action agains~ my facility or me. I will immediately report to the Exam Project Manager any indications or suggestions that examination security may Have been compromised.

2. Post-Examination To the best of "'i knowled$e. I did not divulge to any unauthorized persons any information concerning the examinations administered during the date(s) of* g -zot3 , . From the date that I entered into this security agreement until the completion of examination administration, did not ins ruct, evaluate, or provide performance feedback to those individuals who were administered these examinations.

PRINTED NAME NOTE

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_________________ _l __ -----+---------*----- MASTER SECURITY AGREEMENT _________ ---~~

The Master Security Agreement is used for those personnel having both knowledge of Exam Sensitive Material and unrestricted access to Primary and Secondary Containment , L Pre-Examination (Revielll( TDAP 1836, Attachment 1 for pre-job briefing requirements)

.   *. l ac nowle ge that I have ~cquired specialized knowledge about the @I!?                          NRC   \l-i examination(s) scheduled for the date(s) of

'\k~ t'> ~- as of ttje date of my signature. I agree that I will not knowingly divulge any information about these examinations to any persons who ave not beein authorized by an Operations Training Supervisor. I understand that I am not to instruct, evaluate, or provide performance feedback to t~ose individuals scheduled to be administered these examinations from this date until completion of examination administration. Acting as ~ simulator booth operator or communicator is acceptable if I do not select the training content or provide direct or indirect feedback to an ex~minee. Furthermore, I am aware of the physical security measures and requirements (as documented in NMC procedures) and understa~d that violation of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action again~t my facility or me. I will immediately report to the Exam Project Manager any indications or suggestions that examination security may rave been compromised.

2. Post-Examination To the best of~~~ kno:""ledge, I did not divulge to any unauthorized persons any information concerntng the examinations administered during the date(s) of jj~ 2vl3 ' . From the date that I entered 1nto th1s secunty agreement unt1l the completion of examtnabon administration, I did not instruct, evaluate, or provide performance feedback to those individuals who were administered these examinations 1.

2 3. 4. S. G 7 8

QF-1071..{)1 fiev:=.0"--.,--+*------------------;=--:=:;;;-;::-=::=---------.,---------------~ [_________ __ ! MASTER S~~~~~~REEMENT ___j The Master Security Ag~ment is used for those personnel having both knowledge of Exam Sensitive Material and unrestricted access to Primary and Secondary Containmj:!nt I I

t. Pre--Examination (Rejview TDAP 1836, Attachment 1 for pre-:job briefing requirements) that I h~ve acquired specialized knowledge about the tl>l!> Ngf. \!;[ examination(s) scheduled for the date(s) of
    "!!l~l=::'!tj~,n~ as lot the date of my signature. I agree that I wiU not knowingly divulge any information about these examinations to any ns w o ave not! been authorized by an Operations Training Supervisor. I understand that I am not to instruct, evaluate, or provide performance feedbacl¢ to those individuals scheduled to be administered these examinations from this date until completion of examination administration. Acting las a simulator booth operator or communicator is acceptable if I do not select the training content or provide direct or indirect feedback to a'fl examinee. Furthem10re, I am aware of the physical security measures and requirements (as documented in NMC procedures) and uncterstand that violation of the conditions of this agreement may result in canceUation of the examinations and/or an enforcement action against my facility or me. I will immediately report to the Exam Project Manager any Indications or suggestions that examination security may have been compromised.
2. Post-Examination To the best of y, knoWtedge, I did not divulge to any unauthorized persons any information concerning the examinations administered during the date(s) of & -zc.,l . From the date that I entered into this securitY agreement until the completion of examination administration, did n , t instruct, evaluate, or provide performance feedback to those individuals who were administered these examinations.

1. 2. 3 4. 5 6 l. 8. Page 1 of 2

The Master Security Agreement is used for those personnel having both knowledge of Exam Sensitive Material and unrestricted access to Primary and Secondary Containment. PRINTED NAME E (1) DATE DATE NOTE

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...............--------*--*******--L-----~---------------'-M=A..:...:S:..:T-=Ec...;Rc..:S=E=C_;;;;U-'-'Rc...:ITY...:....:..A.:..:G'-'-R-'-Ec=E'-'-'-M=E'-'-N'-'-T------ __ __j The Master Security Agreement is used for those personnel having both knowledge of Exam Sensitive Material and unrestricted access to Primary and Secondary Containment.

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QF-1071..()1 Rev. 0 I r-======~[==-~---- J FPLE/DAEC MASTER SECURITY AGREEMENT The Master Security A~ment is used for those personnel having both knowledge of Exam SensitiVe Material and unrestricted access to Primary and Secondary Containm.nt. PRINTED NAME[

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FPLEJDAEC ' MASTER SECURITY AGREEMENT ________ j The Master Security Agr$ement is used for those personnel having both knowledge of Exam Sensitive Material and unrestricted access to Primary and SecOndary Containrrlent PRINTED NAM~ JOB TITLE/ RESPONSIBILITY DATE SIGNATURE (2) DATE NOTE ..;;,-I_ totH A:t::h.- ,_ 1 <e*sd:b*-:::==~~\=~------~~~::e;:::;::~==-::::*-f~-- C"'f'iO~td f"" '""'-J.S i"J:j<

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FPLEIDAEC MASTER SECURITY AGREEMENT The Master Security Agreemerilt is used for those personnel having both knowledge of Exam Sensitive Material and unrestricted access to Primary and Secondary Containment. 17 18. 19 ~K).f~

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  • The Master Security Agreemen~ is used for those personnel having both knowledge of Exam Sensitive Material and unrestricted access to Primary and Secondary Containment. *
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45. Page 4 of4

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

1. Pre-Examin~tlon ~

I acknowledge that I have acquired specialized ~nowledge about the NRC licensing examinations scheduled fer the week(s) of L/ Jt[t/;3 as of the date of my signature. I a~ree 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<mderstand that I am not to Instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing exanjinations from this date until completion of examination administration, except as specifically noted below and authorized by the NRC (e.g., acting as a simjulator booth operator or communicator Is acceptable if the individual does not select the training content or provide direct or indirect feedback). Furthern1ore, I am awllre 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. II wi!l immediately report to facility management or the NRC chief examiner any Indications or suggestions tr.at examination security may have been compromised.

2. Post-Examipatlon To the best of my knbwl ge I did not divulge to any unauthorized persons any information concerning the NRC !lcensing examinations administered during the week(s) or I.S. !3. 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 authorize~ by the NRC.
8. ---*--* --
9. -------+------ -
10. '

11.------;--- - - * - - - - - - - - - - - - - - - - - - - - -------- ---- 12 - - * - - : * - - - - - - - - - - - - - - - - - - - - - - - - - - - - -------- - - - - 13 _______ , _ _ _ - - -

                                                                                                                       -----~--

i~:-----1--- --------------------- -------- ---- NOTES;~, f)v~liCct.f.ec/ -~-Cil'Y\. -{'ct_ctl,*~y$1\.e.t::.*\-. \(..\.~ ,Sl..o'E:~ p'fC"J(<l.e_A-:--b.r--(~'~--~--(~---CJn~.

--r--------------------------------------***- *****------- ES:.~1_____________________;E=:x:::a:::m,_i:.:.n:.:a:::ll=.o!:n_,S,_,e:.::*:.:u::.;rl"'ty'-'-'A"'g.:..;re:.:e:.:.m:::e:.:n.:.:l,___ _ Form ES-201-3

1. P[J~Examinatton ... *
  '                                                                                                                                       I   1) I I ack~<>W;edge that I have acquired specie,zod <nowledge about tne NRC licensing examinations scnedulad for !i1e week(s) of           .!:LJ!!la. as of lhe date of m1 signature. I agree that I will not Knowingly divcige any information about these examinations to any perscns who have not oeen authorized oy the NRC! chief examiner. I understand that I am nol to instruct, evaluate, or provide performance feedback to those applicants scheduled to tie administered toes$ licensiog examinatlons from this d9te until completion o* examination administnation, except as specifJCally noted below and authorized by the NRC (e.g.) acting as a simulator booth cpera!or or communicator is acceptable if tne individual does not salect the tralnir;g .conte!1t or prov;de d!rect or i!'lci;rect
'eed~ack). Furthermore, I am aware of the physical security measunes and requirements (as documented m the facility licensee's procedures) and undelrstand that violakm of the condUions cf this agreement may result In cancellatton of the exam!natlons and/or an enforcement action against me or the f'ci!lty licensee. I Wl~l !mrned!atety report to faclHty management cr the NRC chiefexam!ner any indications or suggestions that e:..:emtl'!atlor< see:'.lrity may /'!ewe been c.omprcmised
2. Post-Examination To the oest of rny kncm.it¥.J9~ Ld.!d not dJVulge lo any unauthorized persons any information concerning the NRC iicensing examinations admimsiered
~un~g the week{s) of t.Jj__.~zQ.. From the date that 1entered into this security agreement Until the completion of exami~ation administrat,*on. I CtC not lnsnct, evaluate, or prcv<de performance feedback to those appiica~us who "~.-ere administered these. hcensir.g exam!nat1cns_ except as spec.kaily noted oell>f and authOrized by the NRC.

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

1. Pre-Examl!!atlon  %

I acknowledge that II have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of L/ j Ji;-/;3 as of the dale of my signature. I a~ree that! will not knowingly divulge any information about these examinations to any persons who have not been authorized by the NRC chief examine~. I understand that 1am 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 sirllulator booth operator or communicator is acceptable if the individual does not select the training content or provide direct or indirect feedback). Fur!herrj,ore, I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures) and understand that vlol,t,on of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action against me or the facility licensee.ll will immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been cof11prof1liSed. .

2. Post-Examination To the best of my k~ow)fjdga, l_!iid not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered durtng the weak(s) qt WflQ. From the date that 1 entered Into this security agreement until the completion of examination administration, I did nat instruct, evaluate, ol provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorlz~d by the NRC.

I PRINTED ~AME J~ TITLE}HESPONSIB~UTY ,/,/ S~N'}1URE (1) DATE SIGNATURE (2) DATE NOTE

1. f\ii.\-rk.5:.rr 1ictr1J v..- (SE6x~"A Vlfr,t'r-r ~A-t(~.,(....;_ .;/;?).;; ~?rev'lolb P~e.

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8 ----+--- ------------------------------ 9*-----+-- ----------------------------*- 10._ _ _ _-r--- - - - - - - - - - - - - - - - - - - - ---------- g----+--- ------------------- - - - - - - - ---- 13*----+--- ------~------------ ----------

      ~~:*----+--- - - - - - - - - - - - - - - - - - - -                                                                       ------- ----

NOTES:;j, l),;fltC*tf<<d -h*c-,"V\. +Q<< 1,~'(-"'>k<o-t:t. '\~"' <;!.;;..,:~

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

1. Pre-Examlnallfn 'bllMJif.. 11<~\.l)

I acknowledge that I ha+e acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) ofA/o.M_4/9/)Jthe date of my signature. I agre. that 1. will not knowingly divulge any information about these examinations to any persons who have no~rized 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 examin~tions from this date until completion of examination administration, except as specifically noted below and authorized by the NRC (e.g., acting as a simul~tor booth operator or communicator is acceptable if the Individual does not select the training content or provide direct or indirect feedback). Furthermonl. 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 ...Jill immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been compromised.

2. Post-Examlna~on 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 1
  • From the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or pr~vide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted
                                                                                  =

below and authorized~ the NRC. PRINTED NA~E JOB TITLE I RESPONSIBILITY SIGNATURE (1) DATE SIGNATURE (2) DATE NOTE 1. 2. H1c 1!1tW ~~atG!ftV ' fLU[" 6(/.)._SIJ~. #JJ _____

3. _ __;__ _ _...,.__ - - - - - - - - - - - - - - - - - - -

4*------+-- - - - - - - - - - - - - - - - - - - - 5*------+-- - - - - - - - - - - - - - - - - - - -

6. _ _ _ _ _ _+-- - - - - - - - - - - - - - - - - - - - - -

7.------1--- - - - - - - - - - - - - - - - - - - - - -

8. _ _ _ _ _~---------------------- ------------

9*------+-- - - - - - - - - - - * - - - - - - - - - 10._ _ _ _ _ +------------*----------- ----------- 11 . _ _ _ _ _ -+----------------------- 12 . _ _ _ _ _+------------------------ 13*-----+-- - - - - - - - - - - - - - - - - - - - ------------ 14*-----+-- ------~------------ 15.=.,..-----+--- --------------------- NOTES: ES-201, Page 27 of 28 ---~..,..-,..__,----~---------------*--*--*--*-- ..-----*

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

1. Pre-Examinati~n 'tvNJi- t><£AJOLD I acknowledge that I ha~e acquired specializ~d knowledge about the NRC licensing examinations scheduled for the week(s) of 4 -4 fitJthe date 0f my signature. I agre~ that I will not knowingly divulge any information about these examinations to any persons who have not b en au orized by the NRC chief examiner. I pnderstand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examin~tions from this date until completion of examination administration, except as specifically noted below and authonzed by the NRC (e.g., acting as a simul<jtor booth operator or communicator is acceptable if the individual does not select the training content or provide direct or indirect feedback). Furthermor$, I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures) and understand that violatiort 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 comprqmised.

Z. Post-Examinalion To the best of my k n o mI ,did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of . From the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or p vi e performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized ~y the NRC. 6*-----~- - - - - - - - - - - - - - - - - - - - 7.___ -r-- - - - - - - - - - - - - - - - - - - -

8. _ _ _ _ _J . _ _ ------------------- ------------
9. ------+--

10 _______ _ ---------- 11 ' -------------------------* ---- 12====---r----- ------- ---- 14. 15.

               ---+----- - - - - - - - - - - - * - - - - - - - - - -                                                ------- ----

t.JOTFS ES-201, Page 27 of 28

  • ES-403 Written Examination Grading Quality Checklist Form ES-403-1 Facili : Dua e Arnold Date of Exam: 4/16/2013 Item Descri tion 1.
2. Ans er key changes and question deletions justified and ocumented
3. Appli~ants' scores checked for addition errors revi wers s ot check > 25% of examinations
4. Grading for all borderline cases (80 +/-2% overall and 70 or 80, as a licable, +/-4% on the SRO-onl reviewed in detail
5. All other failing examinations checked to ensure that grades are *
  • stified
6. Perfdrmance on missed questions checked for training defic!encies and wording problems; evaluate validity of uestions missed b half or more of the a licants Date
a. Grader i

I

                                                                                       ~t.,lzo1
b. Facility R!eviewer(*) ~{u,[J3
c. s/t/13
d. NRC Supervisor (*) 5/r}_r I

(*) The ~acility reviewer's signature is not applicable for examinations graded by the NRC; two i de endent NRC reviews are re uired .

  • ES-403, Page 6 of 6

NextEra Energy Duane Arnold, LLC 32n DAEC Road Palo, Iowa 52324 April22, 2013 NG-13-0179 I NUREG 1021 U.S. Nuclear Regulatqry Commission, Region Ill Attention: Bruce Palagi 2443 Warrenville Road, Suite 210 Lisle, IL 60532-4352  ! Duane Arnold Energy!Center Docket 50-331

  • Renewed Op. Licens~ No. DPR-49 Re: Aori116. 2013. NRC Initial License Written Examination i

On April16, 2013, th~ Duane Arnold Energy Center (DAEC) administered the LOIT Written Examination to 9 appl,cants (4 SRO Instants, 2 SRO Upgrades, and 3 RO Upgrades). A formal, written examir)ation review was conducted on April17, 2013, and revealed no challenges to any of t~e 100 questions administered. As such, the DAEC will not be submitting any challer!lges to the LOIT written examination. In addition, the DAECI. is requesting that the written examination be withheld from public disclosure for a perioq of 24 months from the date administered as discussed with the NRC Chief Examiner,! B. Palagi. If you have any questions, please call William Simmons, Training Manager, at (319) 851-7181. . This letter contains no new commitments. Enclosures CC: Chief Operator! License Branch, Region Ill NRC Resident! Inspector NRC Document Control Desk APR 2:4 2013

SLIND CARBON COPY LIST FOR NG-13-0179 April 22, 2013 W. Rushworth w/o C. Bauerw/o G. Pry w/o W. Simmons w/o E. Murray w/o T. Biesterveld w/o IRMSw/o B. Murrell w/o , Licensing CTS Proje~t w/o

SUBJECT:

f.pril16. 2013. NRC Initial License Written Examination

1'-JFXJ era** I EN~m:~; WRITTEN EXAMINATION ITEM REVIEW

    ** --*    HUQ.f.AR  I RID!

I Directions: (Refer to TR-AA-230-1 004 SAT Implementation)

  • Note: This ex~m item analysis performed per TR-AA-220-1 0008 for post ILT NRC Written Exam ;Grading and Analysis Checklist.

Complete this1analysis for each question missed by more than 30% of the students. Per TR-AA-220-1 0008 DAEC NRC WRITTEN Evaluation Title/Number: EXAMINATION ALL 100, REV. 03- , 28-SLV.DOC Date the examination was administered: 04/16/2013 Number of questions on the examination: 75 (RO) I 25 (SRO) Number of que~tions that were missed by more than 30% of 6 (RO) I 3 (SRO) the students: Number of stud~nts evaluated: 3(RO) /6 (SRO)  :~ Number of stud~nts who failed the exam: 0 i Percent of stud.nts who failed the examination: 0% Complete page 21 of this form. I Indicate AR numl:>er(s) generated as a result of this analysis (or indicate "NONE"): NON~ Review perfo~med by: Eric Murray Date: 04/18/2013 Instructor Approved by~

                                     £~

Training Supervisor Date: r4~1JJ TR-AA-230-1004~F02 Revision 0 Page 1 of 2

LIST EACH QUESTION THAT WAS MISSED BY MORE THAN 40% OF THE STUDENTS I Review Conclusions Comment Section

                     %of         # of students Question         students     who missed the                                                                                          Include a comment for each Number        who missed      question AND failed the exam A.      B.      c.          D.         E.       F.       G.       H.        "NO" answer. If a corrective action is generated, list the corrective action the question number on the front paqe.

[8JY OY [8JY [8JY [8JY [8JY [8JY [8JY None 16 33.3 0 ON ON ON ON ON ON ON ON [8JY [8JY [8JY [8JY [8JY [8JY [8JY [8JY None 35 33.3 0 ON ON ON ON ON ON ON ON [8JY [8JY [8JY [8JY [8JY [8JY [8JY [8JY None 38 44.6 0 I ON ON ON ON ON ON ON ON [8JY [8JY [8JY [8JY [8JY [8JY [8JY [8JY None 43 33.3 0 ON ON ON ON ON ON ON ON [8JY [8JY [8JY [8JY [8JY [8JY [8JY [8JY None 57 44.6 0 ON ON ON ON ON ON ON ON [8JY [8JY [8JY [8JY [8JY [8JY [8JY [8JY None 65 33.3 0 ON ON ON ON ON ON ON ON 77 [8JY [8JY [8JY [8JY [8JY [8JY [8JY [8JY 33.3 0 ON ON ON ON ON ON ON ON None (SRO) 93 [8JY [8JY ~y [8JY ~y [8JY ~y [8JY 83.3 0 ON ON ON ON ON ON ON ON None (SRO) 98 [8JY [8JY ~y [8JY IZIY [8JY IZIY [8JY 50 0 ON ON ON ON ON ON ON ON None (SRO) Review

Conclusions:

Review the question for each of the areas A. Does the test question tie directly to the learning objective(s)? identified in A through H and check a "Y" for"Yes" or "N" for "No" to B. Is the test question at the same cognitive level as the tested objective(s)? determine if there is a discrepancy with the question. For any 'NO' c. Does the lesson plan/ instructor guide provide information to support the objective(s)? D. Is the training material content correct regarding the exam answer (that is, does the response(s) to A-H, initiate a corrective action if needed to define material support the answer or does it lead to an incorrect answer)? the issues and document the corrective action number on the front E. Is there ONLY one correct answer provided on the exam? page. Attach this form electronically to the corrective action (if F. Does the exam answer key indicate the correct answer? written) and file the paper copy with the exam key. One corrective G. Does the test question m.eet the guidance in TR-AA-230-1 002 SAT Design Phase? action may be used to document multiple issues. H. Is this an acce table test uestion er res onse of A-G 1.e. all 'YES' res onses ? Verify response to column -* H is 'YES' if no- - corrective action is indicated. TR-AA-230-1004-F02 Revision 0 Page 2 of2}}