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Final Qa/Related Forms - Form ES-401-6 (Folder 1)
	ML17102A839
Person / Time
Site:	Susquehanna
Issue date:	11/10/2016
From:	; Operations Branch I
To:	; Susquehanna
Shared Package
ML16076A438	List: IR 05000387/2016301; ML16155A069; ML16315A244; ML17013A454; ML17013A455; ML17013A457; ML17013A458; ML17013A459; ML17013A460; ML17013A461; ML17013A462; ML17102A838; ML17102A839;
References
	U01931
	Download: ML17102A839 (1)
	v • d • e

ES-401 Written Examination Quality Checklist Form ES-401-6 Facility:':> IA"'" & ~4h HO. Date of Exam: 11/111/ 2 cpfb Exam Level: RO

~ SRO ~

Initial Item Description a ,,

b* c*#

1. Questions and answers are technically accurate and applicable to the facility.

~ J, *If

2. a.

b.

NRC K/As are referenced for all questions.

Facility learning objectives are referenced as available. Vo 'lA 11

3. SRO questions are appropriate in accordance with Section D.2.d of ES-401 IA YJ/, -(~

w JI 4 The sampling process was random and systematic (If more than 4 RO or 2 SRO questions were repeated from the last two NRC licensing exams, consult the NRR/NRO OL program office).

v

\f

5. Question duplication from the licensee screening/audit exam was controlled as indicated below (check the item that applies) and appears appropriate J

'){_The audit exam was systematically and randomly developed; or

_the audit exam was completed before the license exam was started; or

_the examinations were developed independently; or l)Q ~y

_the licensee certifies that there is no duplication; or

_other (explain)

6. Bank use meets limits (no more than 75 percent from the bank, at least 10 percent new, and the rest new or Bank Modified New I 7.

modified); enter the actual RO I SRO-only question distribution(s) at right Between 50 and 60 percent of the questions on the RO

~l-f I~

Memory 2.lJ I ~

C/A J.6 t 'b w ,A \~

exam are written at the comprehension/ analysis level; the SRO exam may exceed 60 percent if the randomly

.

selected K/As support the higher cognitive levels; enter the actual RO I SRO question distribution(s) at right.

3~ I 1 4/ I 1¥ l>Q j v '{f

~

8. References/handouts provided do not give away answers or aid in the elimination of distractors.

,~A (~

9. Question content conforms to specific KIA statements in the previously approved examination outline and is appropriate for the tier to which they are assigned; deviations are justified. LA I if

10. Question psychometric quality and format meet the guidelines in ES Appendix B. ~ V'il1 ff

11. The exam contains the required number of one-point, multiple choice items; the total is correct and agrees with the value on the cover sheet. N 'fj -~

ff Printed Name I Signature Date

a. Author c;,,Q <o~~. .J/ ~a ad lt/et//6 f' :i.Jr il., _-_ I l~Al r 1J/11J/1c,,

¥

b. Facility Reviewer(*) .... A looo f-i<;i1 .c.ef',* ~ h~ ~

--

c. NRC Chief Examiner (#)

_.,

hwkli'i J.. ~v~, ru 0

(

d. NRC Regional Supervisor ~l fz Note: *

" '-""

j The facility reviewer's initials or signature are not applicable for NRG-developed examinations.

Independent NRC reviewer initials items in Column "c"; chief examiner concurrence required~

@@ Line 17: / Line 17: @@
 =Text=
-{{#Wiki_filter:ES-401 Written Examination Quality Checklist Form ES-401-6 Facility:':>
+{{#Wiki_filter:ES-401                                          Written Examination Quality Checklist                                      Form ES-401-6 Facility:':> IA"'" &   ~4h HO.                  Date of Exam:     11/111/ 2 cpfb           Exam Level:     RO
-IA"'" & HO. Date of Exam: 11/111/ 2 cpf b Exam Level: RO SRO Initial Item Description a b* ,, c*# 1. Questions and answers are technically accurate and applicable to the facility. J, *If 2. a. NRC K/As are referenced for all questions.
+                                                                                                                             ~          SRO   ~
-Vo 'lA 11 b. Facility learning objectives are referenced as available.
+Initial Item Description a             ,,
-: 3. SRO questions are appropriate in accordance with Section D.2.d of ES-401 IA YJ/, 4 The sampling process was random and systematic (If more than 4 RO or 2 SRO questions w JI \f were repeated from the last two NRC licensing exams, consult the NRR/NRO OL program office). 5. Question duplication from the licensee screening/audit exam was controlled as indicated v below (check the item that applies) and appears appropriate J '){_The audit exam was systematically and randomly developed; or _the audit exam was completed before the license exam was started; or l)Q _the examinations were developed independently; or _the licensee certifies that there is no duplication; or _other (explain)
+b*        c*#
-: 6. Bank use meets limits (no more than 75 percent from the Bank Modified New I bank, at least 10 percent new, and the rest new or modified);
+: 1.          Questions and answers are technically accurate and applicable to the facility.
-enter the actual RO I SRO-only question 2.lJ I J.6 t 'b w A distribution(s) at right 7. Between 50 and 60 percent of the questions on the RO , exam are written at the comprehension/
+                                                                                                                     ~          J,            *If
-analysis level; the Memory C/A SRO exam may exceed 60 percent if the randomly 1 I 1&#xa5; . selected K/As support the higher cognitive levels; enter I 4/ l>Q '{f the actual RO I SRO question distribution(s) at right. j v 8. References/handouts provided do not give away answers or aid in the elimination of distractors.
+: 2.          a.
-: 9. Question content conforms to specific KIA statements in the previously approved examination LA , if outline and is appropriate for the tier to which they are assigned; deviations are justified.
+b.
-I 10. Question psychometric quality and format meet the guidelines in ES Appendix B. V'il1 ff 11. The exam contains the required number of one-point, multiple choice items; the total is correct N 'fj and agrees with the value on the cover sheet. ff Printed Name I Signature Date a. Author c;,,Q
+NRC K/As are referenced for all questions.
-... J/ ad lt/et//6 b. Facility Reviewer(*)
+Facility learning objectives are referenced as available.                                 Vo         'lA            11
-f' :i. Jr &#xa5; il., _ -_ I r
+: 3.          SRO questions are appropriate in accordance with Section D.2.d of ES-401 IA          YJ/,          -(~
-.... A 1J/11J/1c,, c. NRC Chief Examiner (#) looo f-i<;i1 .c.ef',* : hwkli'i J ..
+w JI 4           The sampling process was random and systematic (If more than 4 RO or 2 SRO questions were repeated from the last two NRC licensing exams, consult the NRR/NRO OL program office).
-ru 0 ( _., d. NRC Regional Supervisor
+v
---fz " j '-"" Note:
+                                                                                                                                              \f
-* The facility reviewer's initials or signature are not applicable for NRG-developed examinations.
+: 5.          Question duplication from the licensee screening/audit exam was controlled as indicated below (check the item that applies) and appears appropriate J
-# Independent NRC reviewer initials items in Column "c"; chief examiner concurrence}}
+             '){_The audit exam was systematically and randomly developed; or
+_the audit exam was completed before the license exam was started; or
+_the examinations were developed independently; or l)Q                       ~y
+_the licensee certifies that there is no duplication; or
+_other (explain)
+: 6.          Bank use meets limits (no more than 75 percent from the bank, at least 10 percent new, and the rest new or Bank         Modified       New                      I 7.
+modified); enter the actual RO I SRO-only question distribution(s) at right Between 50 and 60 percent of the questions on the RO
+                                                                                ~l-f I~
+Memory 2.lJ I  ~
+C/A J.6 t 'b    w          ,A            \~
+exam are written at the comprehension/ analysis level; the SRO exam may exceed 60 percent if the randomly
+                                                                                                                                     .
+selected K/As support the higher cognitive levels; enter the actual RO I SRO question distribution(s) at right.
+~      I 1 4/ I 1&#xa5;                l>Q            j  v       '{f
+                                                                                                                     ~
+: 8.           References/handouts provided do not give away answers or aid in the elimination of distractors.
+                                                                                                                               ,~A             (~
+: 9.          Question content conforms to specific KIA statements in the previously approved examination outline and is appropriate for the tier to which they are assigned; deviations are justified.            LA                I     if
+: 10.         Question psychometric quality and format meet the guidelines in ES Appendix B.                          ~         V'il1 ff
+: 11.         The exam contains the required number of one-point, multiple choice items; the total is correct and agrees with the value on the cover sheet.                                                           N            'fj -~
+ff Printed Name I Signature                                     Date
+: a. Author                                     c;,,Q <o~~. .J/ ~a                  ad                                        lt/et//6 f' :i.Jr il., _-_ I l~Al          r                                             1J/11J/1c,,
+:
+                                                           &#xa5;
+: b. Facility Reviewer(*)                                                                             .... A looo f-i<;i1 .c.ef',* ~ h~                    ~
+                                                                                            --
+: c. NRC Chief Examiner (#)
+_.,
+hwkli'i J.. ~v~, ru 0
+(
+: d. NRC Regional Supervisor                                                                                                          ~l fz Note:       *
+                                                              "                          '-""
+j The facility reviewer's initials or signature are not applicable for NRG-developed examinations.
+             #      Independent NRC reviewer initials items in Column "c"; chief examiner concurrence required~}}

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