IR 05000395/2011301

VC Summer 05000395/2011301 Exam Administrative Items 2D

ML18057B537
Person / Time
Site:	Summer
Issue date:	02/26/2018
From:	NRC/RGN-II
To:	South Carolina Electric & Gas Co
References
50-395/11-301 50-395/OL-11
Download: ML18057B537 (24)

Text

ES-201 Examination Preparation Checklist Form ES-201-1 September Facility: VC Summer 2011-301 Date of Examination: 2011

.

lit NRC Examinations Developed by:

Written / Operating Test Written / Operating Test T aret Chief Task Description (Reference) Examiners Initials-180 Examination administration date confirmed (C.l.a; C.2.a and b)

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

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

-120 Corporate_notification_letter_sent (C.2.d)

[-901 [5. Reference material due (C.1.e; C.3.c; Attachment 2)]

{ -75) Integrated examination outline(s) due, including Forms ES-20 1 -2, ES-20 1 -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)

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

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

-30 Preliminary license applications (NRC Form 398s) due (C.1.l; C.2.g; ES-202)

-14 10. Final license applications due and Form ES-201-4 prepared (C.1.l; C.2.i; ES-202)

-14 1 1. Examination approved by NRC supervisor for facility licensee review (C.2.h; C.3.t)

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

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

-7 14. Final applications reviewed; I or 2 (if >10) applications audited to confirm qualifications / eligibility; and examination approval and waiver letters sent (C.2.i;_Attachment_4;_ES-202,_C.2.e;_ES-204)

-7 15. Proctoring/written exam administration guidelines reviewed with facility licensee (C.3.k)

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

Target dates are generally based on facility-prepared examinations and are keyed to the examination date identified in the corporate notification letter. They are for planning purposes and may be adjusted on a case-by-case basis in coordination with the facility license [Applies only] {Does not apply) to examinations prepared by the NR ES-201 Examination Outline Quality Checklist Form ES-20f-2 Facility: VC Summer Date of Examination: 9/12/2011 In itia Is Item Task Description a b* Verify that the outline(s) fit(s) the appropriate model, in accordance with ES-40 ,14 w

R I Assess whether the outline was systematically and randomly prepared in accordance with Section D.1 of ES-401 and whether all K/A categories are appropriately sample *

I T c. Assess whether the outline over-emphasizes any systems, evolutions, or generic topic d. Assess whether the justifications for deselected or rejected K/A statements are appropriat ... Using Form ES-301 -5, verify that the proposed scenario sets cover the required number of normal evolutions, instrument and component failures, technical specifications, S and major transient M Assess whether there are enough scenario sets (and spates) to test the projected number U and mix of applicants in accordance with the expected crew composition and rotation schedule L without compromising exam integrity, and ensure that each applicant can be tested using A at least one new or significantly modified scenario, that no scenarios are duplicated T from the applicants audit test(s), and that scenarios will not be repeated on subsequent day To the extent possible, assess whether the outline(s) conform(s) with the qualitative and quantitative criteria specified on Form ES-301-4 and described in Appendix . a. Verify that the systems walk-through outline meets the criteria specified on Form ES-301-2:

(1) the outline(s) contain(s) the requited number of control room and in-plant tasks W distributed among the safety functions as specified on the form I (2) task repetition from the last two NRC examinations is within the limits specified on the form 1 (3) no tasks are duplicated from the applicants audit test(s)

(4) the number of new or modified tasks meets or exceeds the minimums specified on the form (5) the number of alternate path, low-power, emergency, and RCA tasks meet the criteria on the for b. Verifythatthe administrative outline meets the criteria specified on Form ES-301-1:

(1) the tasks are distributed among the topics as specified on the form (2) at least one task is new or significantly modified (3) no more than one task is repeated from the last two NRC licensing examinations Determine if there are enough different outlines to test the projected number and mix of applicants and ensure that no items are duplicated on subsequent day . Assess whether plant-specific priorities (including PRA and IPE insights) are covered in the appropriate exam section G E b. Assess whether the 10 CFR 55.41/43 and 55.45 sampling is appropriat N Ensure that KIA importance ratings (except for plant-specific priorities) are at least R U. Check for duplication and overlap among exam section L e. Check the entire exam for balance of coverag Assess whether the exam fits the appropriate job level (RO or SRO). *1. Author Facility Reviewer (*) NRC Chief Examiner (#) NRC Supervisor Note: # Independent NRC reviewer initial items in Column c; chief examiner concurrence require *

Not applicable for NRC-prepared examination outlines 1.1 cA r1 i S AJ ZT i7*: fli-i - C j

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

tD/ 0/IJ

. Initials Item Task Descnption a b* a. Verify that the outline(s) fit(s) the appropriate model, in accordance with ES-40 w R b. Assess whether the outline was systematically and randomly prepared in accordance with I Section D.1 of ES401 and whether all KJA categories are appropriately sample c. Assess whether the outline over-emphasizes any systems, evolutions, or generic topic d. Assess whether the justifications for deselected or rejected K/A statements are appropriat . a. Using Form ES-301-5, verify that the proposed scenario sets cover the required number S

of normal evolutions, instwment and component failures, technical specifications, and major transient ,t1/ l/

M b. Assess whether there are enough scenario sets (and spates) to test the projected number u and mix of applicants in accordance with the expected crew composition and rotation schedule L without compromising exam integrity, and ensure that each applicant can be tested using i/fl jjp, A at least one new or significantly modified scenario, that no scenarios are duplicated T from the applicants audit test(s), and that scenarios will not be repeated on subsequent day c. To the extent possible, assess whether the outline(s) conform(s) with the qualitative R it and quantitative criteria specified on Form ES-3014 and described in Appendix /11/A a. Verify that the systems walk-through outline meets the criteria specified on Form ES-301-2:

(1) the outline(s) contain(s) the required number of control room and in-plant tasks W distributed among the safety functions as specified on the form I (2) task repetition from the last two NRC examinations is within the limits specified on the form 1 (3) no tasks are duplicated from the applicants audit test(s) fl tJf4 (4) the number of new or modified tasks meets or exceeds the minimums specified on the form (5) the number of alternate path, low-power, emergency, and RCA tasks meet the criteria on the for b. Verify that the administrative outline meets the criteria specified on Form ES-301 -1:

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

(3) no more than one task is repeated from the last two NRC licensing examinations c. Determine if there are enough different outlines to test the projected number and mix of applicants and ensure that no items are duplicated on subsequent day )(

i/A a. Assess whether plant-specific priorities (including PRA and IPE insights) are covered in the appropriate exam section b. Assess whether the 10 CFR 55.41/43 and 55.45 sampling is appropriat N c. Ensure that K/A importance ratings (except for plant-specific priorities) are at least d. Check for duplication and overlap among exam section F A

L e. Check the entire exam for balance of coverag Assess whether the exam fits the appropriate job level (RO or SRO).

a Author b. Facility Reviewer(*)

Mm1IJ , 8ep t/L/fI b/I 6(tç c. NRC Chief Examiner (#) 1?pGI.)A.Lfl 5 &i-E)

d. NRC Supervisor 6 Note: # Independent NRC reviewer initial items in Column UC; chief examiner concurrence require Not applicable for NRC-prepared examination outlines ES-201, Page 26 of 28

ES-201 Examination Secuty Agreement Form ES-20J-3 Pre-Examination I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of as of the date of my signatur I agree that I will not knowingly divulge any information about these examinations to any persons who have not been authorized by the NRC chief examine I understand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examinations from this date until completion of examination administration, except as specifically noted below and authorized by the NRC (e.g., acting as a simulator booth operator or communicator is acceptable if the individual does not select the training content or provide direct or indirect feedback). Furthermore, I am aware of the physical security measures and requirements (as documented in the facility licensees procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action against me or the facility licensee. I will immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been compromised. Post-Examination To the best of my knoledqe I dj.d,qjpt divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or provide erformance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NR PRINTED NAME JOB TITLE! RESPONSIBILITY SIGNATURE (1) DATE SIGNATURE (2) DATE NOTE

4 5 ti/ Z-c1 E i/%& c1 si iJt,i p 7. )iiid ct)i2LrI 51)-! tAJi,Uev- r (ACZtY 10 1j1i

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15. Hr I NOTES

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ES-201 Examination Security Aqreement Form ES-201-3 Pre-Examination I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of 7/tz L?as of the date of my signature. I agree that I will not knowingly divulge any information about these examinations to any persons who have not been authorized by the NRC chief examiner. I understand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examinations from this date until completion of examination administration, except as specifically noted below and authorized by the NRC (e.g., acting as a simulator booth operator or communicator is acceptable if the individual does not select the training content or provide direct or indirect feedback). Furthermore, I am aware of the physical security measures and requirements (as documented in the facility licensees procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action against me or the facility licensee. I will immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been compromise . Post-Examination To the best of my knoIfdge, I diç1,,rdivulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of itI, ?/I7,. Prom the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NR PRINTED NAME JOB TITLE I RESPONSIBILITY GNATURE (1) DATE SIGNATURE (2) DATE NOTE 1 .J* ft 4,/Ic

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ES-201, Page 27 of 28

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as of the date I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of of my signature. I agree that I will not knowingly divulge any information about these examinations to any persons who have not been authorized by the NRC chief examiner. I understand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examinations from this date until completion of examination administration, except as specifically noted below and authorized by the NRC (e.g., acting as a simulator booth operator or communicator is acceptable if the individual does not select the training content or provide direct or indirect feedback). Furthermore, I am aware of the physical security measures and requirements (as documented in the facility licensees procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action against me or the facility licensee. I will immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been compromised. Post-Examination To the best of my knoedqe, I did,t,,divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) ofl/1Z, Y/l?1.i6im the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NR PRINTED NAME JOB TITLE / RESPONSIBILITY SIGNATURE (1) DATE SIGNATUR (2) DATE NOTE A-f Scuf g /pc J(LcE t41 CrI I OFh1RF A .

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ES-201, Page 27 of 28

ES-201 Examination Security Agreement Form ES-201-3 Pre-Examination I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) ofir) of the date of my signature. I agree that I will not knowingly divulge any information about these examinations to any persons who have nof been authorized by the NRC chief examiner. I understand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examinations from this date until completion of examination administration, except as specifically noted below and authorized by the NRC (e.g., acting as a simulator booth operator or communicator is acceptable if the individual does not select the training content or provide direct or indirect feedback). Furthermore, I am aware of the physical security measures and requirements (as documented in the facility licensees procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action against me or the facility licensee. I will immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been compromised. Post-Examination To the best of my knowle e I did,n t divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of %/ /i; rom the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or pro ide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NR PRINTED NAME JOB TITLE / RESPONSIBILITY SIGNATURE (1) DATE SIGNATURE (2) DATE NOTE 1.4Q?J 44fi l%J3 i:4S ek CA, 7,A,ii)1i 5i , Teb jftk j_ %4-t Jo-JL)-ei - i .r,ti TrauccTc F- L-.- -jJ 0 c/17i1 i1afP I &c4fLdT- 7-tE 7 i,z/ij L9 (1b04e 7-1e 8. 11 aV6-/) Z iM 9. )J,as Otl e-f 7cj 74_ 1aL Fr7tt(

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ES-201, Page 27 of 28

Examination Security Agreement Form ES-201-3 ES-201 j Pre-Examination of as of the date I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s)

about these examinations to any persons who have not been authorized by the of my signature. I agree that I will not knowingly divulge any information instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered NRC chief examiner. I understand that I am not to authorized by the NRC these licensing examinations from this date until completion of examination administration, except as specifically noted below and select the training content or provide direct or indirect (e.g., acting as a simulator booth operator or communicator is acceptable if the individual does not requirements (as documented in the facility licensees procedures) and feedback). Furthermore, I am aware of the physical security measures and may result in cancellation of the examinations and/or an enforcement action against me or understand that violation of the conditions of this agreement examination security the facility licensee. I will immediately report to facility management or the NRC chief examiner any indications or suggestions that may have been compromise . Post-Examination administered To the best of my knowIede I diç1,t divulge to any unauthorized persons any information concerning the NRC licensing examinations the date that I entered into this security agreement until the completion of examination administratio n, I did not during the week(s) of T/!2/114!,

who were administered these licensing examinations , except as specifically noted instruct, evaluate, or provide performance feedback to those applicants below and authorized by the NR JOB TITLE I RESPONSIBILITY SIGNATURE (1) DATE SIGNATURE (2) DATE NOTE PRINTED NAME e-çQ , Io/Ltf ç4,J ES 4-f CAEJ) rvs .L+.1 (i.: Al I/Ak/us FT_t5fV5 ,

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ES-201, Page 27 of 28

ES-301 Operating Test Quality Checklist Form ES-301-3 Facility: Vc. .S Date of Examination: /iz_/Zcáioeratin Test Number Initials 1. General Criteria a b c# The operating test conforms with the previously approved outline; changes are consistent with sampling requirements (e.g., 10 CFR 55.45, operational importance, safety function distribution). There is no day-to-day repetition between this and other operating tests to be administered during this examinatio ,fr

._L The operating test shall not duplicate items from the applicants audit test(s). (see Section D.1 .a.) . j.4.... Overlap with the written examination and between different parts of the operating test is within - l4 acceptable limit It appears that the operating test will differentiate between competent and less-than-competent ,App- L, applicants at the designated license leve . Walk-Through Criteria -- Each JPM includes the following, as applicable:

• initial conditions initiating cues

• references and tools, including associated procedures reasonable and validated time limits (average time allowed for completion) and specific designation if deemed to be time-critical by the facility licensee operationally important specific performance criteria that include:

detailed expected actions with exact criteria and nomenclature system response and other examiner cues statements describing important observations to be made by the applicant criteria for successful completion of the task identification of critical steps and their associated performance standards restrictions on the sequence of steps, if applicable Ensure that any changes from the previously approved systems and administrative walk-through outlines (Forms ES-301-1 and 2) have not caused the test to deviate from any of the acceptance criteria (e.g., item distribution, bank use, repetition from the last 2 NRC examinations) specified on those forms and Form ES-201- . Simulator Criteria The associated simulator operating tests (scenario sets) have been reviewed in accordance with Form ES-3014 and a copy is attache %

Printed Name I Sign ture Date Author M Y3/2°tl Facility Reviewer(*) k%.  ?/3 (Z c( NRC Chief Examiner (#) j?LCt144 AL4 wJ/,4c-..L!4d- 7/17/F NRC Supervisor &. c\A i)gl,..,ii NOTE: *

The facility signature is not applicable for NRC-developed test # Independent NRC reviewer initial items in Column C; chief examiner concurrence require ES-301 Simulator Scenario Quality Checklist Form ES-301 4 Facilty: V. C. Summer Date of Exam: 9/12/2011 Scenario Numbers: 1 /2 / 3// Operating Test No.: 2 ott 3 oj Initials QUALITATIVE ATTRIBUTES a b* The initial conditions are realistic, in that some equipment and/or instrumentation may be out of service, but it does not cue the operators into expected event . The scenarios consist mostly of related event . Each event description consists of

. the point in the scenario when it is to be initiated

. the malfunction(s) that are entered to initiate the event

. the symptoms/cues that will be visible to the crew

. the expected operator actions (by shift position)

. the event termination point (if applicable) No more than one non-mechanistic failure (e.g., pipe break) is incorporated into the scenario without a credible preceding incident such as a seismic even . The events are valid with regard to physics and thermodynamic . Sequencing and timing of events is reasonable, and allows the examination team to obtain complete evaluation results commensurate with the scenario objective . If time compression techniques are used, the scenario summary clearly so indicate Operators have sufficient time to carry out expected activities without undue time constraint Cues are give . The simulator modeling is not altere . The scenarios have been validated. Pursuant to 10 CFR 55.46(d), any open simulator performance deficiencies or deviations from the referenced plant have been evaluated to ensure that functional fidelity is maintained while running the planned scenario . Every operator will be evaluated using at least one new or significantly modified scenari All other scenarios have been altered in accordance with Section D.5 of ES-30 . All individual operator competencies can be evaluated, as verified using Form ES-301-6 (submit the form along with the simulator scenarios).

1 Each applicant will be significantly involved in the minimum number of transients and events specified on Form ES-301-5 (submit the form with the simulator scenarios).

1 The level of difficulty is appropriate to support licensing decisions for each crew positio Target Quantitative Attributes (Per Scenario; See Section D.5.d) Actual Attributes Total malfunctions (58) 6 I 8 / 7/ 8 Malfunctions after EOP entry (12) 2 I 1 / 2 / 2 G7 Abnormalevents(24) 3 / 4 /4 / 5 Major transients (12) 1 / 1 / 1 / 1 EOPs enteredlrequiring substantive actions (12) 1 / 2 / 2 / 1 EOP contingencies requiring substantive actions (02) 1 / 1 /0 I 1 Critical tasks (23) 2 / 2 I3 /4

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NRC 2011 Transient and Event Checklist Form ES-301-5 Facility: VC Summer Date of Exam: 9/12/2011 Operating Test No.: NRC

• A Scenarios THREE SCENARIOS per day schedule L T  : 0 MINIMUM

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NUREG 1021 Revision 9

NRC 2011 Transient and Event Checklist Form ES-301-5 iIity: vc Summer Date of Exam: 9/12/2011 NRC T

i mz 2 3 TOTAL MINIMUM Position Position Position S A B S A B S A B R T 0 R T 0 R T 0 I R I U 0 C P 0 C P o C P RX - 1 1 1 NOR - 2 2 1 ROl I/C - 2 2 4 4 MAJOR - 1 1 2 2 TS - - - - - - - -

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- 0 0 RX - 1 1 1 NOR - 1 1 1 R05

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- 0 0 RX 1 1 1 NOR - 1 1 1 R07 IC - 2 2 4 4 MAJOR - 1 1 2 2 TS 0 0 NUREG 1021 Revision 9

NRC 2011 Transient and Event Checklist Form ES-301-5 ility: VC Summer Date of Exam: 9/12/2011 Operating Test No.: NRC E

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SROU5 MAJOR 1 1 - - - 1 TS 2 2 2 NUREG 1021 Revision 9

NRC 2011 Transient and Event Checkhst Form ES-301-5 SPARE ility: VC Summer Date of Exam: 9/12/2011 NRC TOTAL 1 2 Backup (This

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- 2 1 2 MAJOR - 1 1 2 IS - - - - - - - - - - - - 0 0 pic - 1 1 1 NOR - 1 1 1 R05 2 2 4 I/C -

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NUREG 1021 Revision 9

NRC 2011 Transient and Event Checklist Form ES-301-5 Facility: VC Summer Date of Exam: 9/12/2011 Operating Test No.: 2001301 Scenarios 1 2 l T Crew Crew Crew M A POSItiOfl POSItIOflPOSIIIOfl L N p S A B S A B S A B T E R T 0 R T 0 R T 0 0 C P 0 C P 0 C P RI u b

RX 0 0 NOR 1 1 2 1 I/C 2 2 SROUI 4 2 MAJOR 1 1 2 1 TS 2 2 4 2 RX 0 0 NOR 1 2 3 1 I/C 2 4 SROU2 6 2 MAJOR 1 1 TS 2242 RX o 0 NOR 1 2 3 1 i/C 2 4 SROU3 6 2 MAJOR 1 1 2 1 TS 2 2 4 2 RX 0 0 NOR 2 2 1 SROU4 4 2 MAJOR 1 1 1 TS 2 2 2 NUREG 1021 Revision 9

NRC 2011 Transient and Event Checklist Form ES-301-5 ciIfty: VC Summer Date of Exam: 9/12/2011 Operating Test No.: NRC

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Scenarios 1 2 L T MINIMUM I Crew Crew Crew T C T Position Position Position A A

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L N P R T 0 R T 0 R T 0 R U T E 0 C P 0 C P 0 C P RX o o NOR 1 1 2 1 I/C 2 2 SROUI 4 2 MAJOR 1 1 2 1 TS 2 2 4 2 RX o o NOR 1 1 2 1 I/C 2 2 SROU2 4 2 MAJOR 1 1 2 1 TS 2 2 4 2 RX NOR 1 1 2 1 I/C 2 2 SROU3 4 2 MAJOR 1 2 1 TS 2 2 4 2 RX o o NOR 1 1 i

/C 2 SROU4 2 2 MAJOR 1 1 TS 2 2 2 RX o o NOR 1 1 1 I/C 2 SROU5 2 2 MAJOR i

TS 2 2 2 NUREG 1021 Revision 9

NRC 2011 Transient and Event Checklist Form ES-301-5 ity: VC Summer Date of Exam: 6/4/2007 NRC 1 2 3 TOTAL

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m MINIMUM I

5 -o Position Position Position

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z I

S A B S A B S A B R T 0 R T 0 R T 0 IR I U 0 C P 0 C P 0 C P RX - 1 1 1 NOR - 1 1 1 ROl I/C - 2 2 4 4 MAJOR - 1 1 2 2 TS - - - - - - - -

- 0 0

- 1 1 RX 1 1 1 1

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NOR R02 2 2 I/C

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4 4 MAJOR - 1 1 2 2 TS - - - - - - - -

- 0 0 PiC - 1 1 1 NOR - 1 1 1 R03 2 2 I 4 4

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I/C MORZ 1 2 2 MAJOR - 1 1 2 2 TS - - - - - - - -

- 0 0 RX

- 1 1 1 1 I I

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NOR R05 2 2 I/C

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4 4 MAJOR - 1 1 2 2 TS - - - - - - - - - -

- 0 0 RiC - 1 1 1 NOR - 1 1 1 R06 2 2 I/C

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4 4 MAJOR - 1 1 2 2 TS - - - - - - - - - - -

- 0 0 RX - 1 1 1 NOR - 1 1 1 R07 IC - 2 2 4 4 MAJOR - 1 1 2 2 TS - - - - - - - - - - - - 0 0 NUREG 1021 Revision 9

NRC 2011 Transient and Event Checklist Form ES-301-5 uctions: Circle the applicant level and enter the operating test number and Form ES-D-l event numbers for each event type; TS are not applicable for RO applicants. ROs must service in both the at-the-controls (ATC) and balance-of-plant (BOP)

positions; Instant SROs must do one scenario, including at least two instrument or component (I/C) malfunctions and one major transient, in the ATC positio . Reactivity manipulations may be conducted under normal or controlled abnormal conditions (refer to Section D.5.d) but must be significant per Section C.2.a of Appendix D. (*) Reactivity and normal evolutions may be replaced with additional instrument or component malfunctions on a 1-for-i basi . Whenever practical, both instrument and component malfunctions should be included; only those that require verifiable actions that provide insight to the applicants competence count toward the minimum requirements specified for the applicants license level in the right-hand column This form assumes Scenarios land 2 are to be performed, with scenario 3 as the spare. Only required positions are listed for attributes.

NUREG 1021 Revision 9

ES-301 Competencies Checklist Form ES-301-6 Facility: VC Summer Date of Examination: 09/12/2011 Operating Test No.:2011301 APPLICANTS RO-1 RO-2 RO-3 RO-4 Competencies N2 CNAIQ SCNAIO_

1 2341 2341 2341234 Interpret/Diagnose 5,6, 5,6, 1,4 2,3 2,4 1,4 4,5 2,4 Events and Conditions Comply With and 1,4, 1,2, 1,3, 1,4 1,2, 1,3, 13 24 Use Procedures (1) 3 6,7 ,5 3 6,7 Operate Control 1,3, 1,6, 2,4, 1,6, 1 3 Boards (2) 4,5 3 7 5 7 Communicate 1,3, 1,3 1,3, 1,3, 1,2, 14 5,6, 14 5,6, and Interact 4,5 5,6 Demonstrate Supervisory Ability (3)

Comply With and Use Tech. Specs. (3) = = = = = = = = = = = = = =

Notes:

(1) Includes Technical Specification compliance for an R (2) Optional for an SRO- (3) Only applicable to SROs.

Instructions:

Check the applicants license type and enter one or more event numbers that will allow the examiners to evaluate eveiy applicable competency for evenj applican ES-301 Competencies Checklist Form ES-301-6 Facility: VC Summer Date of Examination: 09/12/2011 Operating Test No.:2011301 APPLICANTS RO-5 RO-6 RO-7 Competencies NAJO_ 0 SCENARIO 1234123412341234 Interpret/Diagnose 14 45 24 5,6, 4,5,

Events and Conditions

Comply With and 1,4,

1,2 1,3,

Use Procedures (1)

6,7 6 Operate Control 1,3, 2,4, 1,6, 2,4, 4,5, Boards (2) 4,5 7 6 Communicate 1,3, 3,4, 3,4, 1,4, 1*4 and Interact 4,5 5,6 5,6 5,6 Demonstrate Supervisory Ability (3)

Comply With and Use Tech. Specs. (3) = = = = = =

Notes:

(1) Includes Technical Specification compliance for an R (2) Optional for an SRO- (3) Only applicable to SROs.

Instructions:

Check the applicants license type and enter one or more event numbers that will allow the examiners to evaluate eveiy applicable competency for everj applican ES-301 Competencies Checklist Form ES-301-6 Facility: VC Summer Date of Examination: 09/12/2011 Operating Test No.:2011301 APPLICANTS Ui U2 U3 U4 Competencies SCEN!O_ Q CNl Q Q 1 234123412341234 Interpret/Diagnose 1,2, 1,2 3,4, 1,2 3,4, 2 6 Events and Conditions 4 - ,4 5,6 ,4 5,6 Comply With and 1,3, 1,2 3,4, 1,2 3,4 3,4, 1,2, 45 4 Use Procedures (1) 4,6 6, 6 8 6 78 $

Operate Control Boards(2)

Communicate 14 26 1-4 3-8 1-4 3-8 3-8 and Interact Demonstrate Supervisory Ability (3)

Comply With and 1 4 14 37 14 37 37 Use Tech. Specs. (3) = = = =

Notes:

(1) Includes Technical Specification compliance for an R (2) Optional for an SRO- (3) Only applicable to SROs.

Instructions:

Check the applicants license type and enter one or more event numbers that will allow the examiners to evaluate every applicable competency for evenj applican ..*

• ..::

ES-301 Competencies Checklist Form ES-301-6 Facility: VC Summer Date of Examination: 09/12/2011 Operating lest No. :2011301 APPLICANTS U Spare RO Spare BOP Spare Competencies cgNAJO_ SNIO_ SCENARIO 1234123412341234 Interpret/Diagnose 1,3, Events and Conditions 4 Comply With and 2,3, 1,2 Use Procedures (1) 4 ,5 Operate Control 2,3, 1,2 Boards (2) 4 ,5 Communicate 1 5 2,3, 1,2 and Interact -

Demonstrate

. . 1-5 Supervisory Ability (3)

.

Comply With and 24 Use Tech. Specs. (3) = = = = = = = = = =

Notes:

(1) Includes Technical Specification compliance for an R (2) Optional for an SRO- (3) Only applicable to SROs.

Instructions:

Check the applicants license type and enter one or more event numbers that will allow the examiners to evaluate every applicable competency for every applicant 1., ,. .* -

ES403 Written Examination Grading Form ES403-1 Quality Checklist Facility: V. c er Date of Exam: )oJ.2.o/ii Exam Level: RO)Z SRO Initials Item Description a b c Clean answer sheets copied before grading Answer key changes and question deletions justified JJ/ti

/

and documented Applicants scores checked for addition errors (reviewers spot check> 25% of examinations)

7 Grading for all borderline cases (80 +/-2% overall and 70 or 80, )t/J IT cE7 as applicable, +/-4% on the SRO-only) reviewed in detail AHotherfaNing examinations checked to ensure that grades 7 Performance on missed questions checked for training deficiencies and wording problems; evaluate validity of questions_missed_by half or more of the applicants Printed Name/Signature Date a. Grader 10/21/il b. Facility Reviewer(*) lZVO.Lk fOtZLtCf c. NRC Chief Examiner (*)

d. NRC Supervisor (*)

(*) The facility reviewers signature is not applicable for examinations graded by the NRC; two independent NRC reviews are require ES-403, Page 6 of 6