ML12250A007: Difference between revisions

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and reference materials due (C. i.e, f, 9 and h; C.3.d) -30 9. Preliminary license applications (NRC Form 398's) due (C.i.1; C.2.g; ES-202) (P(ZZ/tl.. -14 10. Final license applications due and Form ES-201-4 prepared (C.1.1; C.2.i; 202) 1-1,,(,z -14 11. Examination approved by NRC supervisor for facility licensee review (C.2.h; C.3.f) (,/1./12.
and reference materials due (C. i.e, f, 9 and h; C.3.d) -30 9. Preliminary license applications (NRC Form 398's) due (C.i.1; C.2.g; ES-202) (P(ZZ/tl.. -14 10. Final license applications due and Form ES-201-4 prepared (C.1.1; C.2.i; 202) 1-1,,(,z -14 11. Examination approved by NRC supervisor for facility licensee review (C.2.h; C.3.f) (,/1./12.
CUt -14 12. Examinations reviewed with facility licensee (C.1.j; C.2.f and h; C.3.g) 4n -7 13. 14. Written examinations and operating tests approved by NRC supervisor (C.2.i; C.3.h) Final applications reviewed; 1 or 2 (if >10) applications audited to confirm 'Ht?'lll -7 qualifications I eligibility; and examination approval and waiver letters sent (C.2.i; Attachment 4; ES-202, C.2.e; ES-204) :Hi1-flt -7 15. Proctoringlwritten exam administration guidelines reviewed with facility licensee (C.3.k) (,{zq/lt -7 16. Approved scenarios, job performance measures, and questions distributed to NRC examiners (C.3.i) -:NfII{tZ.
CUt -14 12. Examinations reviewed with facility licensee (C.1.j; C.2.f and h; C.3.g) 4n -7 13. 14. Written examinations and operating tests approved by NRC supervisor (C.2.i; C.3.h) Final applications reviewed; 1 or 2 (if >10) applications audited to confirm 'Ht?'lll -7 qualifications I eligibility; and examination approval and waiver letters sent (C.2.i; Attachment 4; ES-202, C.2.e; ES-204) :Hi1-flt -7 15. Proctoringlwritten exam administration guidelines reviewed with facility licensee (C.3.k) (,{zq/lt -7 16. Approved scenarios, job performance measures, and questions distributed to NRC examiners (C.3.i) -:NfII{tZ.
* Target dates are generally based on facility-prepared examinations and are keyed to the examination date identified the corporate notification letter. They are for planning purposes and may be adjusted on a case-by-case basis coordination with the facility  
* Target dates are generally based on facility-prepared examinations and are keyed to the examination date identified the corporate notification letter. They are for planning purposes and may be adjusted on a case-by-case basis coordination with the facility
[Applies only] {Does not apply} to examinations prepared by the   
[Applies only] {Does not apply} to examinations prepared by the   
* *
* *
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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).
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.
Furthermore, I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action against me or the facility licensee.
I will immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been compromised.  
I will immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been compromised.
: 2. Post-Examination To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) 0 -' 3 It.. From the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or rovide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC. JOB TITLE! RESPONSIBILITY SIGNATURE (1) DATE SIGNATURE (2) DATE NOTE 1. jf"f'VYI<...,  
: 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) 0 -' 3 It.. From the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or rovide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC. JOB TITLE! RESPONSIBILITY SIGNATURE (1) DATE SIGNATURE (2) DATE NOTE 1. jf"f'VYI<...,  
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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).
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.
Furthermore, I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action against me or the facility licensee.
I will immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been compromised.  
I will immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been compromised.
: 2. Post-Examination To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s)
: 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)
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 NRO. PRINTED NAME JOB TITLE / RESPONSIBILITY  
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 NRO. PRINTED NAME JOB TITLE / RESPONSIBILITY
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ArrACHeO coN OF Fl411e 2. t:oR (2) # faje 1-)-If ES-201, Page 27 of 28 DATE NOTE tV 7  
ArrACHeO coN OF Fl411e 2. t:oR (2) # faje 1-)-If ES-201, Page 27 of 28 DATE NOTE tV 7  
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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).
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.
Furthermore, I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action against me or the facility licensee.
I will immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been compromised.  
I will immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been compromised.
: 2. Post-Examination To the best of my knowledge I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the weekes) of 712:1 -Bb It:+-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. DATE PRINTED NAME JOB TITLE / RESPONSIBILITY  
: 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 712:1 -Bb It:+-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. DATE PRINTED NAME JOB TITLE / RESPONSIBILITY
: 1.
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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).
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.
Furthermore, I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action against me or the facility licensee.
I will immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been compromised.  
I will immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been compromised.
: 2. Post-Examination To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of 7/z!,
: 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 7/z!,
From the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC. PRINTED NAME JOB TITLE / RESPONSIBILITY SIGNATURE (1) DATE SIGNATURE (2) DATE NOTE 1.j)w,O She\0.0"> A"*c>  010';' -" 9* 6 -I'l.. 2. :7.cdt t..laf..
From the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC. PRINTED NAME JOB TITLE / RESPONSIBILITY SIGNATURE (1) DATE SIGNATURE (2) DATE NOTE 1.j)w,O She\0.0"> A"*c>  010';' -" 9* 6 -I'l.. 2. :7.cdt t..laf..
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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).
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.
Furthermore, I am aware of the physical security measures and reqUirements (as documented in the facility licensee's procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action against me or the facility licensee.
I will immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been compromised.  
I will immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been compromised.
: 2. Post*Examination To the best of my know edge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) ofi;';.-::'--
: 2. Post*Examination To the best of my know edge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) ofi;';.-::'--
9 0:. 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. * ;;, ..o , $,!!We 9. t!)1r Sy'S+/-.e"!.fS'  ct..."tg r 5.,,-( ,.."",,04" of> ::::"lS<<]l'-}CQI VV,}lr '-'-7  
9 0:. 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. * ;;, ..o , $,!!We 9. t!)1r Sy'S+/-.e"!.fS'  ct..."tg r 5.,,-( ,.."",,04" of> ::::"lS<<]l'-}CQI VV,}lr '-'-7  
Line 130: Line 130:
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).
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.
Furthermore, I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action against me or the facility licensee.
I will immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been compromised.  
I will immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been compromised.
: 2. Post-Examination To the best of my I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of 19-i/*f-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 NRO. PRINTED NAME JOB TITLE / RESPONSIBILITY DATE SIGNATURE (2) DATE NOTE 1.
: 2. Post-Examination To the best of my I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of 19-i/*f-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 NRO. PRINTED NAME JOB TITLE / RESPONSIBILITY DATE SIGNATURE (2) DATE NOTE 1.
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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).
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.
Furthermore, I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action against me or the facility licensee.
I will immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been compromised.  
I will immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been compromised.
: 2. Post-Examination To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of -)12.. 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 I RESPONSIBILITY SIGNATURE (1) SIGNATURE (2) DATE NOTE 6. !Ufl9kb SV P U?:'0= 7.
: 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 -)12.. 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 I RESPONSIBILITY SIGNATURE (1) SIGNATURE (2) DATE NOTE 6. !Ufl9kb SV P U?:'0= 7.
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: 10. ____ 11. ____ 12. ____ 1 ____ ._----------------------------------------15. ____ NOTES:
P"te 01 ES-201, Page 27 of 28 ES-403 Written Examination Grading Form Quality Date of Exam: 2(112 Exam Level: R 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 (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 'ustified Performance on missed questions checked for training deficiencies and wording problems; evaluate validity of uestions missed b half or more of the a licants Printed Date WERI< / a. Grader b. Facility Reviewer(*)  
P"te 01 ES-201, Page 27 of 28 ES-403 Written Examination Grading Form Quality Date of Exam: 2(112 Exam Level: R 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 (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 'ustified Performance on missed questions checked for training deficiencies and wording problems; evaluate validity of uestions missed b half or more of the a licants Printed Date WERI< / a. Grader b. Facility Reviewer(*)
: c. NRC Chief Examiner (*) d. NRC Supervisor  
: c. NRC Chief Examiner (*) d. NRC Supervisor
(*) . The facility reviewer'S signature is not appli able for examinations graded by the NRC; two inde endent NRC reviews are re uired. ES-403, Page 6 of 6   
(*) . The facility reviewer'S signature is not appli able for examinations graded by the NRC; two inde endent NRC reviews are re uired. ES-403, Page 6 of 6   
,.,... INDIANA "".. MleHIGAN A unit of American Electric AUG 08 lOU August 8,2012 U. S. Nuclear Regulatory Commission Attn: Mr. Carl J. Moore Region III Examiner 2443 Warrenville Road, Suite 210 Lisle, Illinois 60532-4352 Donald C. Cook Nuclear Plant Units 1 and 2 Written Examination Results The written portion of the Nuclear Regulatory Commission License Examination was administered on August 3, 2012, at the Donald C. Cook Nuclear Plant (CNP). In accordance with NUREG 1021, Operator Licensing Examination Standards for Power Reactors, CNP is submitting the following exam materials:
,.,... INDIANA "".. MleHIGAN A unit of American Electric AUG 08 lOU August 8,2012 U. S. Nuclear Regulatory Commission Attn: Mr. Carl J. Moore Region III Examiner 2443 Warrenville Road, Suite 210 Lisle, Illinois 60532-4352 Donald C. Cook Nuclear Plant Units 1 and 2 Written Examination Results The written portion of the Nuclear Regulatory Commission License Examination was administered on August 3, 2012, at the Donald C. Cook Nuclear Plant (CNP). In accordance with NUREG 1021, Operator Licensing Examination Standards for Power Reactors, CNP is submitting the following exam materials:

Revision as of 06:18, 29 April 2019

2012 Donald C. Cook Nuclear Power Plant Initial License Examination Administrative Files
ML12250A007
Person / Time
Site: Cook  American Electric Power icon.png
Issue date: 07/23/2012
From:
NRC/RGN-III/DRS/OLB
To:
Indiana Michigan Power Co
Shared Package
ML11354A195 List:
References
Download: ML12250A007 (11)
v • d • e


Text

2012 D. C. COOK NUCLEAR INITIAL LICENSE ADMINISTRATIVE ES-201 Examination Preparation Checklist Form ES-201-1 Facility:

D. C. COOK Date of Examination:

7/23/12 Developed by: Written -Facility

  • NRC /I Operating

-Facility

  • NRC Chief Target Date* Task Description (Reference)

Examiner's Initials -180 1. Examination administration date confirmed (C.1.a; C.2.a and b) 11""lt.. iif,( -120 2. NRC examiners and facility contact assigned (C.1.d; C.2.e) IIII/It. -120 3. Facility contact briefed on security and other requirements (C.2.c) IllfHL -120 4. Corporate notification letter sent (C.2.d) llrfllt [-90] [S. Reference material due (C.1.e; C.3.c; Attachment 2)] I1.A CIJi,t 6. Integrated examination outline(s) due, including Forms ES-201-2, ES-201-3, {-7S} 301-1, ES-301-2, ES-301-S, 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) '-Ilft/{ct CIM {-70} {7. 8. Examination outline(s) reviewed by NRC and feedback provided to facility licensee (C.2.h; C.3.e)} Proposed examinations (including written, walk-through JPMs, and scenarios, as C({Z1{tZ {-45}

supporting do..§mentation (including S-301-S>(S-301-6, and S-401-6, and any Form ES-20i-3 updates).

and reference materials due (C. i.e, f, 9 and h; C.3.d) -30 9. Preliminary license applications (NRC Form 398's) due (C.i.1; C.2.g; ES-202) (P(ZZ/tl.. -14 10. Final license applications due and Form ES-201-4 prepared (C.1.1; C.2.i; 202) 1-1,,(,z -14 11. Examination approved by NRC supervisor for facility licensee review (C.2.h; C.3.f) (,/1./12.

CUt -14 12. Examinations reviewed with facility licensee (C.1.j; C.2.f and h; C.3.g) 4n -7 13. 14. Written examinations and operating tests approved by NRC supervisor (C.2.i; C.3.h) Final applications reviewed; 1 or 2 (if >10) applications audited to confirm 'Ht?'lll -7 qualifications I eligibility; and examination approval and waiver letters sent (C.2.i; Attachment 4; ES-202, C.2.e; ES-204) :Hi1-flt -7 15. Proctoringlwritten exam administration guidelines reviewed with facility licensee (C.3.k) (,{zq/lt -7 16. Approved scenarios, job performance measures, and questions distributed to NRC examiners (C.3.i) -:NfII{tZ.

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

[Applies only] {Does not apply} to examinations prepared by the

  • *
  • 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 7:2-7-. 2as 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 uthorized by the NRC chief examiner.

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

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

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

2. Post-Examination To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) 0 -' 3 It.. From the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or rovide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC. JOB TITLE! RESPONSIBILITY SIGNATURE (1) DATE SIGNATURE (2) DATE NOTE 1. jf"f'VYI<...,

-61 .5.,-h).-..

2..

c= 3-;a-/l-__ ..w(fI.!,,(/" SyS+-eeyS' Li tl.?q /" s.,=( 7=,.,0-/ .5. 9. .i?i"t

10.

U/c)t 12. /. . . .'ZI* n..13. ;n;;:

1'-'1-11-/

14.

ASloC.\Ll

... "

.Jl.. 15. A Q1.. 'FIMN<fl SHIPe We== 2 tNOTES
@ 1 '-ArTAtf-l£p Co?t C>P!PALje FoR 7...). fCeje I J t} ES-201, Page 27 of 28
  • *
  • ES-201 Examination Security Agreement Form ES*201*3 1. Pre*Examination I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of of the date of my signature.

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

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

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

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

2. Post-Examination To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s)

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 NRO. PRINTED NAME JOB TITLE / RESPONSIBILITY

1. f il 519hz 2. j'ECf 0, D 3 . .n.-:; !t!:1.iJt.o/;srA J)... Tit.

__ 4. lP. '<VI*"" "i Sn-s . .5 '12 5 . .5'rAl-lt£t N*6v> {!LL,

_ -I

6. -;O;,'fC!

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7. Z!?&inr ir4;-;JAJ

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C:='Q>r\C RO / DSHIF, S'IO'l?-

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&g i("(""...,e (rqL(),

g-/64'C 11. j ILe Se &..r s -"f.i1-J::l7' i 12. Ij,..l'f;k

13. jllV\ ApPiEl..:IvIIh-J t E St11 f"'r S -/:En._
14.

bA.iL go IE' iF,.

15. t'1.C/"""oL( tJd0h ii24 (i skCft ,,"*IS:/'L NOTES: fR> >IllNA,..lAl(E it=-? -

ArrACHeO coN OF Fl411e 2. t:oR (2) # faje 1-)-If ES-201, Page 27 of 28 DATE NOTE tV 7

  • *
  • 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) oh-11'" 9/siJlas 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 712:1 -Bb It:+-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. DATE PRINTED NAME JOB TITLE / RESPONSIBILITY
1.

ESS to.. OP(7

2. Sq.....,:$. I I UN ,! S4?i.I!..N

,$(;>::R.

3. .fprQt. _4.
  • ft-. 5. \ c)n..-o,...r

.;' n, 8. AI", Ho.x+ $h...I_fttW",,,t __ 9. J{V$$GL( ,J"p("", TVA C"rlf DilA eo Cct"f v)\J\T Sl./fUv\ S..,1t., 11. AJril.. lJ,n.!

<'..... "jarla'( SvPPUl 1__12.

CZ=J.R1f:,i<.

1.13.:fu!orHt *.-14. oE!l.ll..

Irc/Sh= 15, b....,."'-I L",s. ci <he-

_ JU' A,.

I J.. NOTES: r (j) >l9 NAi l.i :If q -A1TA Cj-/ eo c..o Pi D F fAG!C 3 F"f! 01 DATE NOTE

,. ES-201, Page 27 of 28

  • *
  • ES*201 Examination Security Agreement Form ES*201*3 1. Pre-Examination I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of7..jJ..tJfs//las of the date of my signature.

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

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

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

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

2. Post-Examination To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of 7/z!,

From the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC. PRINTED NAME JOB TITLE / RESPONSIBILITY SIGNATURE (1) DATE SIGNATURE (2) DATE NOTE 1.j)w,O She\0.0"> A"*c> 010';' -" 9* 6 -I'l.. 2. :7.cdt t..laf..

3.&,< XC' 2:>&'-L z:A;snu,mJ1:

f-n:.&/!?rH(, ffj

7.

..r/1lIoINt

1(2...8. AIl.Q. T1'

/ 7At4,ttJuJi 9. tolftH)

/ntA,wI;l6

10. ' ____ 11. ____ 12. ____ 13. ____ 14. ____ 15. ____ NOTES: 1"1-'1 "f ES-201, Page 27 of 28 vnu" ;. .. . e== A':: '!J' "0 :¥." ,£",,£"

,"'!!:JiIKfV\4'l

_______ ES*201 Stlcurity Agreement Form ES-201-3 1. Pre-Examination d I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the weekes) of 7.rz.'7 2.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 uthorized 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 know edge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) ofi;';.-::'--

9 0:. 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. * ;;, ..o , $,!!We 9. t!)1r Sy'S+/-.e"!.fS' ct..."tg r 5.,,-( ,.."",,04" of> ::::"lS<<]l'-}CQI VV,}lr '-'-7

'E':X ( o-t.s;.;=.-_

... W'll 1"oJ W'Y<"",.,VYJ 2 * -ne..../ .... "'4&.

"15(9 ;,<csa,..,-n S"'I-/(Pr MAvl4t;F;.

JOB TITLE I RESPONSIBILITY DATE SIGNATURE (2) DATE NOTE _________ ii1iKG

.$\ M,,)I..A-"T se. . -on

  • ""'M'"A'J in -:5 _

-<sf :1A-Il...,,;'" ====

_____ _ M-Il ______ Cl)'P'Y ftije I ttl-tf ES-201, Page 27 of 28 ES-201 Examination Security Agreement Form ES..201-3 1. Pre-Examination I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of 7-:T:? -t?P/;cias 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 I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of 19-i/*f-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 NRO. PRINTED NAME JOB TITLE / RESPONSIBILITY DATE SIGNATURE (2) DATE NOTE 1.

Ra j 0 if'e 2. :>tkf

\!::o Z'D -ft.:....-

_______ 3. s......$ -..J JllQI'>f"A p.. .No"'!'F == .jf£" 4. 1'0:£\ i<vl+to SeD Jsm n-sb\*h .. K. S '2 e

5. $rAl-iut Ai*¢lvS jSgQ / b-SHR'"C -/;z..... "...:'J'aLr"-vL..
6. -ranyc< off-fRA.! I Adm;/} _ :5.JD-fZ _______ 7. Zl'.?J'52lr tit.:t",,¥iJ Di'S ".

____ 8. --.iLJ 0 llt:::...J 'I.m::.::

2.0 I J) Stf l(:r s;.{o-I L 9. DOt\WQt(\

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Ro I D&HIPT .".. 5-/0.11-===============

____10. ____ 11. ____ 12. ____ 13. ____ 14. ____ 15. ____ NOTES: coV'l ES-201, Page 27 of 28 ES*201 Examination Security Agreement Form ES*201*3 1. Pre-Examination I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) 9/WZas of the date of my signature.

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

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

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

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

2. Post-Examination To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of -)12.. 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 I RESPONSIBILITY SIGNATURE (1) SIGNATURE (2) DATE NOTE 6. !Ufl9kb SV P U?:'0= 7.

____ 8. Alvt ko.-\-+/-

Yls'i\'l..

___----,:=-_

9. f(V$$GLt Jee(;", TvA U S"f,;ftl ,.", (7,..,. 5
10. ____ 11. ____ 12. ____ 1 ____ ._----------------------------------------15. ____ NOTES:

P"te 01 ES-201, Page 27 of 28 ES-403 Written Examination Grading Form Quality Date of Exam: 2(112 Exam Level: R 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 (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 'ustified Performance on missed questions checked for training deficiencies and wording problems; evaluate validity of uestions missed b half or more of the a licants Printed Date WERI< / a. Grader b. Facility Reviewer(*)

c. NRC Chief Examiner (*) d. NRC Supervisor

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

,.,... INDIANA "".. MleHIGAN A unit of American Electric AUG 08 lOU August 8,2012 U. S. Nuclear Regulatory Commission Attn: Mr. Carl J. Moore Region III Examiner 2443 Warrenville Road, Suite 210 Lisle, Illinois 60532-4352 Donald C. Cook Nuclear Plant Units 1 and 2 Written Examination Results The written portion of the Nuclear Regulatory Commission License Examination was administered on August 3, 2012, at the Donald C. Cook Nuclear Plant (CNP). In accordance with NUREG 1021, Operator Licensing Examination Standards for Power Reactors, CNP is submitting the following exam materials:

  • Applicant answer sheets and examination cover sheets
  • Master exam and answer key
  • Applicant questions/clat"i'fications
  • Post-exam applicant comments
  • Seating chart
  • Exam analYSis information
  • Exam security agreement If you have any comments or concerns, please contact Ted Werk or Steve Pettinger at (269) 465-5901, extension 3738/3707, or myself at (269) 466-3407.

Brian E. Evans Operations Training Manager TCW Enclosures

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