ML12031A207: Difference between revisions

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| issue date = 11/08/2011
| issue date = 11/08/2011
| title = Final Qa/Related Forms (Folder 1)
| title = Final Qa/Related Forms (Folder 1)
| author name = Presby P A
| author name = Presby P
| author affiliation = NRC/RGN-I/DRS/OB
| author affiliation = NRC/RGN-I/DRS/OB
| addressee name = Armstrong L
| addressee name = Armstrong L
Line 9: Line 9:
| docket = 05000336
| docket = 05000336
| license number = DPR-065
| license number = DPR-065
| contact person = Jackson D E
| contact person = Jackson D
| case reference number = TAC U01834, 50-366/11-301
| case reference number = TAC U01834, 50-366/11-301
| document report number = 50-366/11-301
| document report number = 50-366/11-301

Revision as of 04:55, 29 June 2019

Final Qa/Related Forms (Folder 1)
ML12031A207
Person / Time
Site: Millstone Dominion icon.png
Issue date: 11/08/2011
From: Peter Presby
Operations Branch I
To: Armstrong L
Dominion Nuclear Connecticut
Jackson D
Shared Package
ML102850247 List:
References
TAC U01834, 50-366/11-301 50-366/11-301
Download: ML12031A207 (14)


Text

I Examination Preparation Checklist Form ES-201-1 Facility:

/t(/IIs-hsn Date of Examination:

/ofo .3 Itt. Developed by: Written -Facility NRC I II Operating

-Facility)(l NRC ._J Target Chief Date* Task Description (Reference)

Examiner's Initials -180 Examination administration date confirmed (C.1.a; C.2.a and b) -120 NRC examiners and facility contact assigned (C.1.d; C.2.e) -120 Facility contact briefed on security and other requirements (C.2.c) -120 Corporate notification letter sent (C.2.d) [-90] Reference material due (C.1.e; C.3.c; Attachment 3)] {-75} Integrated examination outline(s) due, including Forms ES-201-2, ES-301-1, ES-301-2, ES-301-5, ES-D-1's, ES-401-1/2, ES-401-3, ES-401-4, as applicable (C.1.e and f; C.3.d) {-70} Examination outline(s) reviewed by NRC and feedback provided to licensee (C.2.h; {-45} Proposed examinations (including written, walk-through JPMs, scenarios, as applicable), supporting documentation (including ES-301-3, ES-301-4, ES-301-5, ES-301-6, and ES-401-6, and any ES-201-3 updates), and reference materials due (C.1.e, f, g and h; -30 Preliminary license applications (NRC Form 398's) due (C.1.1; C.2.g; ES-202) -14 Final license applications due and Form ES-201-4 prepared (C.1.1; -14 Examination approved by NRC supervisor for facility licensee review (C.2.h; -14 Examinations reviewed with facility licensee (C.1.j; C.2.f and h; C.3.g) -7 Written examinations and operating tests approved by NRC (C.2.i; -7 Final applications reviewed; 1 or 2 (if >10) applications audited to qualifications

/ eligibility; and examination approval and waiver letters (C.2.i; Attachment 5; ES-202, C.2.e; -7 Proctoring/written exam administration guidelines with facility licensee -7 Approved scenarios, job performance measures, and distributed to NRC examiners

  • Target dates are generally based on facility-prepared examinations and are keyed to the examination identified in the corporate notification letter. They are for planning purposes and may be adjusted on a case basis in coordination with the facility

[Applies only] {Does not apply} to examinations prepared by the ES-201, Page 25 of 28 Examination Outline Quality Checklist Form ES-201-2 Facility:

It<

2-Date of Examination:

It>

Initials Item Task Description a b* c# 1. W a. Verify that the outline(s) fit(s) the appropriate model, in accordance with ES-401. r!Il f14..R I b. Assess whether the outline was systematically and randomly prepared in accordance with Section 0.1 of ES-401 and whether all KIA categories are appropriately sampled. 1"14 T T c. Assess whether the outline over-emphasizes any systems, evolutions, or generic topics. In:i .L?E N d. Assess whether the justifications for deselected or rejected KIA statements are appropriate. Ir* 2. S a. Using Form ES-301-5, verify that the proposed scenario sets cover the required number of normal evolutions, instrument and component failures, technical specifications, and major transients. ITWI M b. Assess whether there are enough scenario sets (and spares) 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 eSlch 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 days. 0 R c. 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 D. (jt lil-t 3. Verify that the systems walk-through outline meets the criteria specified on Form ES-301-2:

(1 the outline(s) contain(s) the required number of control room and in-plant tasks distributed among the safety functions as specified on the form 1 (2) task repetition from the last two NRC examinations is within the limits specified on the form T (3) no tasks are duplicated from the applicants' audit tEist(s) the number of new or modified tasks meets or exceeds the minimums specified on the form the number of alternate path, low-power, emergency, and RCA tasks meet the criteria on the form. Verify that the administrative outline meets the criteria specified on Form ES-301-1: the tasks are distributed among the topics as specilied on the form (fL 11-(at least one task is new or significantly modified 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 days. ftt 11\-4 a. Assess whether plant-specific priorities (including PRA and IPE insights) are covered in the appropriate exam sections. G E Assess whether the 10 CFR 55.41/43 and 55.45 sampling is appropriate.

I nA N Ensure that KIA importance ratings (except for plant-specific priorities) are at least 2.5. \QJ. Check for duplication and overlap among exam sections.

R E A e. Check the entire exam for balance of coverage. L Assess whether the exam fits the appropriate job level (HO or SRO). 1t"Jl4 kk. / Author 7 /0 Facility Reviewer (*) -12* ,"0NRC Chief Examiner (#)

L I 1'0 NRC Supervisor I Note: # Independent NRC reviewer initial items in Column "c"; chief examiner concurrence required.

  • Not applicable for NRC-prepared examination outlines ES-201, Page 26 of 28

" :)Jo ES-201 Examination Security Agreement Form ES-201*3 1. Pre-Examination I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of 03/14/11 as of the date of my signature, I agree that I will not knowingly divulge any information about these examinations to any persons who have not been authorized by the NRC chief examiner.

I understand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examinations from this date until completion of examination administration, except as specifically noted below and authorized by the NRC (e.g., acting as a simulator booth operator or communicator is acceptable if the individual does not select the training content or provide direct or indirect feedback).

Furthermore, I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations andlor an enforcement action against me or the facility licensee.

I will immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been compromised.

2. Post-Examination To the best of my knowledge, I did not divulge to any unauthorized persons any information conceming the NRC licensing examinations administered during the week(s) of 03/14/11 . From the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC. PRINTED NAME JOB TITLE 1 RESPONSIBILITY SIGNATURE (1) DATE SIGNATURE (2) DATE NOTE 1.1?..

L. 2.

1: 3./11/'ch &. eIG.J:!:J!3.

4. Ka+hl<e*'

l... 1J\ie.,I.5

5. 1 }"',' , 6. -:Tit ,\1 x: . G-it G",fl / 7.
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GM U4j NOTES: ! ES-201, Page 27 of 28 ES-201 Examination Security Agreement Form ES-201-3 1. Pre-Examination I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the weekes) of as of the date of my signature.

I agree that I will not knowingly divulge any information about these examinations to any persons who have not been authorized by the NRC chief examiner.

I understand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examinations from this date until completion of examination administration, except as specifically noted below and authorized by the NRC (e.g., acting as a simulator booth operator or communicator is acceptable if the individual does not select the training content or provide direct or indirect feedback).

Furthermore, I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action against me or the facility licensee.

I will immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been compromised.

2. Post-Examination To the best of my knowledge I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the weekes) of From the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or feedback to those applicants who were administered these licensing examinations, except as speCifically noted below and authorized by the NRC. PRINTED NAME JOB TITLE / RESPONSIBILITY SIGNATURE (1) SIGNATURE (2) DATE NOTE 015 tJj?s Y4u.dt.i7ivt ..J,.wq (Il. Of> go 6?'

1).a OE"'> S,""t'1 \-'\.......

U2. ors U!\\."\

04.$', JT"c.J of'S

...c;e." Y}JW" YIn 5 vb, oJ of" u> op) I",}v" c::c e.lZ .,/.5 uS U.:b Rt(iUfvr OPU"4t.."...

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..-r VJ.. oPS ,J:U3T U1-Of S J N c-(a R... ES-201, Page 26 of 27


' ES-201 Examination Security Agreement Form ES-201-3 1. Pre-Examination I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of as of the date of my signature.

I agree that I will not knowingly divulge any information about these examinations to any persons who have not been authorized by the NRC chief examiner.

I understand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examinations from this date until completion of examination administration, except as specifically noted below and authorized by the NRC (e.g., acting as a simulator booth operator or communicator is acceptable if the individual does not select the training content or provide direct or indirect feedback).

Furthermore, I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action against me or the facility licensee.

I will immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been compromised.

2. Post-Examination To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the weekes) of . From the date that I entered into this security agreement until the completion of examination administration, I did not instruct.

evaluate.

or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC. JOB TITLE I RESPONSIBILITY DATE SIGNATURE (2) DATE NOTE , -::-",.._, ""'. "1jf '.J(I .....,,-..........

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_ 2M:tZF K ______ ES-201, Page 27 of 28 Examination Form ESM201-3 1. Pre-Examination I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week{s) of as of the date of my signature.

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 Ucensing examinations from this date until completion of examination administration, except as specifically noted below and authorized by the NRC (e.g., acting as a simulator booth operator or communicator is acceptable if the individual does not select the training content or provide direct or indirect feedback).

Furthermore, I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action against me or the facility licensee.

I will immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been compromised.

2. Post-Examination To the best of my knowledge I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s} of From the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or feedback to those applicants who were administered these licensing examlnations, except as specifically noted below and authorized by the NRC. PRINTED NAME JOB. TITL.

DATE SIGNATURE (2) DATE e. -p. 1/A110 ',;Itl II /<<"' c;;ii -(jjJS 1/ Z. of'S fi! f* i§.5iIii.-_

eta. Of'§. SI-...t'-\ I/fl.t/II I "'I.IV"" '-1 ........ "..2. ors kLr.. " ti. L ob',J!",J Of'S ,+Iq....

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'i .., I -u 2\ cPS !s:;;t.t.'1 CJ: U OfS. Ttl ____" _ VA oP"S :J:f..J'!S1" cr/:lfi/It \n..Qfs IN'(,e"c:ro& 10 -/1-1( j ,il ES-201, Page 26 of 27

__ ;!!Ie I/!To;; Bob

//'tJ ES-201 ..____ ..

security Agreement Form ES-201-3 1. Pre-Examination I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of as of the date of my signature.

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 appUcants 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 provlde direct or indirect feedback). Furthermore.

I am aware afthe physical security measures and requirements (as documented In the facility licensee's procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action against me or the facility licensee.

I will immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been compromised.

2. Post-Examination To the best of my knowledge I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s} of i};:;7Ii From the date that I entered into this security agreement until the completion of examination administration, J did not Y. instruct, evaluate, or feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC. PRIN.TEO NAME ,£CF" "wvpy .... v ... , "'(' -..
  • "Irl'CJtJ"'+'" "LJ\!l\ . HuSled-

."19!.l)!

$11118 JOB TiTlE I RESPONSIBILITY SIGNATURE (1) SIGNATURE (2)

II? of> go v,a.. Of'>, Sl....t'i Uz. (;IPS Ot\\'t 4"N,;;["'-",r(",.....r Of'S t"'Q"I)t.'je..=:

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VJ, oP'S __J ,,,7F""{ 'i r; '1. . ff crhM'( ==== DATE 'it dr.:z"l Ii! f ,r.!I'l{U

__ ____' _ I 70 J I ES-201. Page 26 of 27 ES*301 Operating Test Quality Checklist Form ES*301*3 Test Number: I' 1. G8n8ral Criteria a Initials b' c# a. b. There is no day-ta-day repetition between this and other operating tests to be administered duri this examination.

c, d, Overlap with the wrlHen examination and between different parts of the operating lest is within acce table limits. e. It appears that the operating test will differentiate between competent and less-than-competenl a licants at the des! nated license level. 2. Walk-Throu h Criteria a Each JPM includes the following, as applicable:

Initial conditions initialing cues references and tools, Including associated procedures reasO:lable and validated time limits (average time aj,jowed for completion) and specific designation If deemed to be time-critical by the facility licensee aperalionally important specific perfonnance criteria that include: detailed expected actions with exact criteria and nomenclature system response and other examiner cues statements describing Importanl observations to be made by lhe applicant for successful completion of the task identification of critical steps and their associated performance standards restrictions 011 the se uence of ste ,if a licable b. Ensure thai any changes from the prevlOlisly approved systems and administrative walk-through outlines (Forms ES-301-1 and 2) have not caused Ihe test Ie deviate from any of the acceptance criteria (e.g., Item distribulion, bank use, repetition from the last 2 NRC examinations) specified on those forms and Form ES-201-2.

3. Simulalor Criteria The associated simulator operating tests (scenario sets) have been reviewed In accordance with Form E5-301-4 and a co is attached.

Printed Name ,

a. Author b. Facility Reviewer(')

c, NRC Chief Examiner (#) d. NRC Supervisor NOTE: # The facility signature is not appliceble for NRC-developed tests. lnde endant NRC reviewer initial items in Column 'c" chief examiner concurrence ra uired. ES-301, Page 24 of 27 Simulator Scenario Quality Checklist Form ES-301-4 Facility:

jl(,lks.fw,,.

U';'t 2-Dale of Examf".,uScenariO Numbers: I f LI3 Operating Test No .. t Initials ! Ib' cit 11 it t T1fnf* Ttl ,L, !' (f) in,. t Tli-If/}, m A . '7QUAt.ITATIVE ATIRIBUTES :he initial condiMns are realisl'c.ln 1M! some equipment and/or inslrumentation may be out 0' service, but ii does not cue the operators into expected events The scenmi()s cOr'sist f"'ostiy of related evonts Each event description consists 01 * *

  • the point in the scenario when it's to bo lhe malfunction(s) that are enlered to mitiale Ihe
  • the symptomSlcues thaI will be visible to the the expected operator actions (by shift Ihe event termination point (if 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 evenl. The events are valid wllh regard to physics and thermodynamics. Sequencing and timing of events is reasonable, and allows the examination team to obtain complete evaluation results commensurate with the scenario objectives. If time compression teChniques are used, the scenario summary clearly so indicates.

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

Cues are aiven. The simulator modeling is not altered. The scenarios have been validated.

Pursuant to 10 CFR 55A6(d), any open slrrulator performance deficiencies or deviations from the referenced plant have been evaluated to ensure that functional fidelity is maintained while running the olanned scenarios. Every Opel"<110r will be evaluated using at least one new or signifi<;<lntiy f'lodlfied scenario Ail other scenarios have been altered in acmrdance wilh Section D5 of ES*301 !l,H individual operator compotencies can be evaluated, as verified using Form E5-301*6 'Sliomillhe form along wHhlhe simulator scenarios), Each applicant will be significantly involved in the minimum nun'ber of Iransililf1ts and ovonts speCified on FOri" E5*301*5 (submit the rOff" with the simulator scenarios) The level of dilficulty is appropriate to support iicensinq decisions for each crew position.

Target Quantitative Attributes (Per Scenario' See SectiOJn D.5.d) 1. Total malfunctions

[5-8) 2 Maifuf'lctlons after EOr entry (1-2) :} Abnorr'al events (2'4) 4 Major transients (1-2) 5 fOPs enteredlmqllinng substantive actions (1-2) 6. EOP contingencies requiring substantive actions (0-2) 7, Critical tasks (2-31 ES-301, Page :?5 of 27 Actual Attributes 7 f 113 Z ! l ! I 5 I"11 i-t Z I l I I Z. i I o I J I 0 :it 1313 ES-301 Transient and Event Checklist Form ES-301-5 Facility:

Millstone 2 Date of Exam: Week of 10103/2011 Operating Test No.: 1 A E Scenarios P V P E 1 2 3 4 T M L I C N T ES11 Ll1 CREW POSITION ES11L12 CREW POSITION ES11L13 CREW POSITION ES11L14 CREW POSITION 0 T A I N I M A T L u N y T P E S R 0 1-1 RO D SRO-I*SRO-U RX NOR lie MAJ TS 5 1 4 2 0 1 4 2 2 0 1 2 1 2 RO*SRO-I RX NOR 1 1 0 R-1 D lie 4 4 2 SRO-U D MAJ TS 2 0 2 2 1 2 RO*SRO-I RX NOR 1 0 R-2 D lIe 4 2

  • SRO-U iD MAJ TS 2 2 1 2 RX 0 i 1-2 SRO-I*
  • u NOR lie MAJ TS 1 4 2 0 4 2 2 2 2 Ii RX NOR 1 1 1 1 0 1 R-3 aO-1 lIe 4 4 2 u 2 2 0 2 2 Ii 1 1 0 1 1 R-4
  • 4 4 2 !
  • EJO-U 2 2 1 0 2 2 1-3 EJ' 1°-1 RX iNOR . lie 5 1 1 4 1 4 0 1 !2 ! EJO-U MAJ 2 2 1 TS 0 2 2 ES-3-1, Page 26 of 27 A E Scenarios P V P L I C E N T 1 ES11L11 CREW POSITION 2 ES11L12 CREW POSITION 3 ES11L13 CREW POSITION 4 ES11L14 CREW POSITION T 0 T A M I N I M A L u N M* T B R U 1 0SRO-I
  • R-5 D SRO-U D RO iD iO-1 1-4 SRO-U 6 D 1,4 Instructions: Check the applicant level and enter the operating test number and Form ES-D-1 event numbers for each event type; TS are not applicable for RO applicants, ROs must serve in both the "at-the-controls (ATC)" and "balance-of-plant (BOP)" positions';

Instant SROs must serve in both the SRO and the ATC positions, including at least two instrument or component (IIC) malfunctions and one major transient, in the ATC position, If an Instant SRO additionally serves in the BOP position, one IIC malfunction can be credited toward the two IIC malfunctions required for the ATC position.

i Reactivity manipulations may be conducted under normal or controlled abnormal conditions (refer to Section D.5.d) but must be significant per Section C.2.a of Appendix D. (*) Reactivity and normal evolutions may be replaced with additional instrument or component malfunctions on a 1-for-1 basis. Whenever practical, both instrument and component malfunctions should be included; only those that require verifiable actions that provide insight to the applicant's competence count toward the minimum re uirements s ecified for the a licant's license level in the ri ht-hand columns. ES-3-1, Page 26 of 27 ES-301 Competencies Checklist Form ES-301-6 Facility:

Millstone Unit 2 Date of Examination:

10/3/2011 Operating Test No.: 1 I APPLICANTS RO (ATC) RO (BOP) RO D SRO-I D SRO-I D SRO-I SRO-U D SRO-U D SRO-U D Com petencies SCENARIO SCENARIO SCENARIO 1 2 3 4 1 2 3 4 1 2 3 4 2,3, 1,2, 2,3, 1,3, 2,4, I nterpretiDiagnose 2,4, 2,4, 2,4, 3,8, 1,3, 3,7, 4,6, 3,4, 4,5, 6,7, 5,6, 1-8 Events and Conditions 6, 7 5, 7 5,6 9 6 8 7,8, 5,6, 6,7, 8 7 9 7 8 1,3,2,5, 2,4, 1,3, 2,4, 1,3, 2,4, 1,3, Comply With and 4,5, 6,7, 5,6, 5,6, 5,6, 5,6, 5,6, 5,7, 1-9 1-8 1-8 1-8 Use Procedures (1) 7,8, 9 8 7, 8 7 7 7 8 9 1,3, 2,5, 1,3, 2,4, 1,3, 1,3, Operate Control 2,5, 4,5, 2,4, 6,7, 5,6, 5,6, 5,6, 5,7, N/A N/A N/A N/A Boards (2) 6,8 7,8, 5,6 9 7,8 7 7 8 9 2,3, 1,3, 2,4, 1,3, 2,4, 1,3, 2,4, 1,3, Communicate 4,5, 4,5, 5,6, 5,6, 5,6, 5,6, 5,6, 5,7, 1-9 1-8 1-8 1-8 and Interact 6,7, 7,8, 7, 9 7,8 7 7 7 8 8 9 Demonstrate NA NA NA N/A NA NA N/A N/A 1-9 1-8 1-8 1-8 Supervisory Ability (3) Comply With and 2,4, NA NA NA N/A NA NA N/A N/A 1,4 1 4 Use Tech. Specs. (3) 6 Notes: (1 ) Includes Technical Specification compliance for an RO (2) Optional for an SRO-U (3) Only applicable to SROs Instructions:

Check the applicant's license type and enter one or more event numbers that will allow the examiners to evaluate every applicable competency for every applicant.

ES-301, Page 27 of:27 Written Examination Quality Checklist Form ES-401-6 Exam level: SROfij Initial Item Description licable to the facili! . a. NRC KlAs are referenced for all questions. Facilit learnin ob'ec!ives are referenced as available.

The sampling process was random and systematic (If more than 4 RO or 2 SRO were re ated from the last 2 NRC licensin exams, consult the NRR Ol ram Question duplication from the license screening/audit exam was as indicated below (check the item that applies) and appears Q5, the audit exam was systematically and randomly developed; the audit exam was completed before the license exam was started; the examinations were developed independently; the licensee certifies that there is no duplication; other Bank use meets limits (no more than 75 percent Bank Modified from the bank, at least 10 percent new, and the new or modified);

enter the actual RO I uestion distribution s at ri "/ I (; J.." I if Between 50 and 60 percent of the questions on the RO Memory exam are written at the comprehensionl analysis the SRO exam may exceed 60 percent if the selected KlAs support the higher cognitive levels; enter 3Jf I II "II / the actual RO I SRO uestion distribution s at ri References/handouts provided do not give away or aid in the elimination of Question content confonms with specific KIA statements in the previously examination outline and is appropriate for the tier to which they are deviations are

10. The exam contains the required number of one-point, multiple choice the total is correct and a rees with the value on the cover Date a. Author b. Facility Reviewer (*) ;1 If. Cl " c. NRC Chief Examiner If) d. NRC Regional Supervisor IDlu* I"
  • The facility reviewer's initials/signature are not applicable for NRC-developed
  1. !nde endent NRC reviewer initial items in Column "c"; chief examiner concurrence re ES-401, Page 29 of 33 Written Examination Grading Form ES-403-1 Quality Checklist Facilit : z. Date of Exam: lelll If Initials Item Descri tion 1. Answer key changes and question deletions justified and documented Applicants' scores checked for addition errors reviewers s ot check> 25% of examinations Grading for all borderline cases (SO +/-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 'ustified Performance on missed questions checked for training deficiencies and wording problems; evaluate validity of estions missed b half or more of the a licants Printed Date a. Grader b. Facility Reviewer(*)
c. NRC Chief Examiner (*) d. NRC Supervisor

(*) The facility reviewer's signature is not applicable for examinations graded by the NRC; two inde endent NRC reviews are re uired. ES-403, Page 6 of 6