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{{#Wiki_filter:I Examination Preparation Checklist Form ES*201*1 Facility:
{{#Wiki_filter:ES*201                                Examination Preparation Checklist                             Form ES*201*1 Facility:     NK'f' --1                                                      Date of Examination:   S/)..f/k;(3   (wj Developed by: Written - Facility       rfJ. NRC       /I Operating - Facility pQ   NRCD         S/13 -1'1!;.tJ13 Co)
NK'f' Date of Examination:
Target                                                                                                 Chief Date*                                   Task Description (Reference)                               Examiner's Initials
S/)..f/k;(3 (wj Developed by: Written -Facility rfJ. NRC /I Operating  
    -180
-Facility pQ NRCD S/13 -1'1!;.tJ13 Co) Target Date* Task Description (Reference)  
          /
-180 Examination administration date confirmed (C.1.a; C.2.a and b) If'/ -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) Lf -120 Corporate notification letter sent (C.2.d) {f [-90] Reference material due (C. i.e; C.3.c; Attachment 2)] Nt< {-7S} Integrated examination outline(s) due, including Forms ES-201-2, ES-301-1, ES-301-2, ES-301-S, ES-D-1's, ES-401-1/2, ES-401-3, ES-4D1-4.
: 1. Examination administration date confirmed (C.1.a; C.2.a and b)                     If'
as applicable (C.1.e and f; 1f {-7D} Examination outline(s) reviewed by NRC and feedback provided to licensee (C.2.h; C.3.e)} {-4S} Proposed examinations (including written, walk-through JPMs, scenarios, as applicable), supporting documentation (including ES-301-3, ES-301-4, ES-301-S, ES-301-6, and ES-401-6, and any ES-201-3 updates), and reference materials due (C.1.e, f, g and h; -rr -30 Preliminary license applications (NRC Form 398's) due (C.l.I; Tf -14 Final license applications due and Form ES-201-4 prepared (C.1.1; Tf -14 Examination approved by NRC supervisor for facility licensee (C.2.h; -rf -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; -rf -7 Final applications reviewed; 1 or 2 (if >10) applications audited to qualifications I eligibility; and examination approval and waiver letters sent (C.2.1; Attachment 4; ES-202, C.2.e; -7 Proctoring/written exam administration guidelines reviewed -(f with facility licensee (C.3.k) -7 Approved scenarios, job performance measures, and questions -c P distributed to NRC examiners (C.3.i) " 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
    -120         2. NRC examiners and facility contact assigned (C.1.d; C.2.e) r~
[Applies only] {Does not apply} to examinations prepared by the ES-201. Page 24 of 27 ES-201 Examination Outline Quality Checklist Nine Mile Point Unit 1 Date of Examination:
    -120         3. Facility contact briefed on security and other requirements (C.2.c)
May 2013 Task Description 1, a. Verify that the outline(s) fit{s) the appropriate model, in accordance with ES-401. W R b. Assess whether the outline was systematically and randomly prepared in accordance with I Section D.1 of ES-401 and whether all KIA categories are appropriately sampled. T T c. Assess whether the outline over-emphasizes any systems, evolutions, or generic topics. E N d. Assess whether the justifications for deselected or rejected KIA statements are appropriate.
Lf
: 2. 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, S and major transients.
    -120         4. Corporate notification letter sent (C.2.d)                                       {f
I 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 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 days. o R o the extent possible, assess whether the outline(s) conform(s) with the qualitative d quantitative criteria specified on Form ES-301-4 and described in Appendix D. 3. a. Verify that the systems walk-through outline meets the criteria specified on Form ES-301-2:
[-90]       [S. Reference material due (C. i.e; C.3.c; Attachment 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 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 t1est(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 form. b. Verify that the administrative outline meets the criteria specified on Form ES-301-1:
Nt<
{-7S}       6. Integrated examination outline(s) due, including Forms ES-201-2, ES-201-3, ES-301-1, ES-301-2, ES-301-S, ES-D-1's, ES-401-1/2, ES-401-3, and ES-4D1-4. as applicable (C.1.e and f; C.3.d)                                      1f
{-7D}       {7. Examination outline(s) reviewed by NRC and feedback provided to facility licensee (C.2.h; C.3.e)}                                                           \f
{-4S}       8. Proposed examinations (including written, walk-through JPMs, and
      -30        9.
scenarios, as applicable), supporting documentation (including Forms ES-301-3, ES-301-4, ES-301-S, ES-301-6, and ES-401-6, and any Form ES-201-3 updates), and reference materials due (C.1.e, f, g and h; C.3.d)
Preliminary license applications (NRC Form 398's) due (C.l.I; C.2.g;
                                                                                                        -rr ES-202)
Tf
      -14         10. Final license applications due and Form ES-201-4 prepared (C.1.1; C.2.i; ES-202)
Tf I
      -14         11. Examination approved by NRC supervisor for facility licensee review (C.2.h; C.3.f)                                                                    -rf
      -14         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)                                                                  -rf
      -7         14. Final applications reviewed; 1 or 2 (if >10) applications audited to confirm qualifications I eligibility; and examination approval and waiver letters sent (C.2.1; Attachment 4; ES-202, C.2.e; ES-204)
                                                                                                        -cr
      -7         1S. Proctoring/written exam administration guidelines reviewed with facility licensee (C.3.k)
                                                                                                        -(f
      -7         16. Approved scenarios, job performance measures, and questions distributed to NRC examiners (C.3.i)                                             -cP
  " 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 licensee,
[Applies only] {Does not apply} to examinations prepared by the NRC.
ES-201. Page 24 of 27
 
ES-201                                   Examination Outline Quality Checklist                                   Form ES-201-2 Nine Mile Point Unit 1                                           Date of Examination: May 2013 Initials Task Description 1,     a. Verify that the outline(s) fit{s) the appropriate model, in accordance with ES-401.
W R       b. Assess whether the outline was systematically and randomly prepared in accordance with I         Section D.1 of ES-401 and whether all KIA categories are appropriately sampled.
T T       c. Assess whether the outline over-emphasizes any systems, evolutions, or generic topics.
E N       d. Assess whether the justifications for deselected or rejected KIA statements are appropriate.
: 2. 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, S           and major transients.
I 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 each applicant can be tested using             f1 _ t'      ./.(%
A           at least one new or significantly modified scenario, that no scenarios are duplicated                   c..--        t.. .
T           from the applicants' audit test(s), and that scenarios will not be repeated on subsequent days.
o             o the extent possible, assess whether the outline(s) conform(s) with the qualitative             Pf'1 _  f">.  -('.-'
R d quantitative criteria specified on Form ES-301-4 and described in Appendix D.                     v--        \ y
: 3. 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 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 t1est(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 form.
: 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 (3) no more than one task is repeated from the last two NRC licensing examinations
(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
: 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 days. 4. a. Assess whether plant-specific priorities (including PRA and IPE inSights) are covered . te exam sections.
: 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 days.
G E ether the 10 CFR 55.41/43 and 55.45 sampling is appropriate.
: 4. a. Assess whether plant-specific priorities (including PRA and IPE inSights) are covered
N E that KIA importance ratings (except for plant-specific priorities) are at least 2.5. R A d. Check for duplication and overlap among exam sections.
                              . te exam sections.
L e. Check the entire exam for balance of coverage.
G E                       ether the 10 CFR 55.41/43 and 55.45 sampling is appropriate.
: f. Assess whether the exam fits the appropriate job level (RO or SRO). a. Author b. Facility Reviewer (*) c. NRC Chief Examiner (#) d. NRC Supervisor Form ES-201-2 Initials f1 _ %t' ./.( c..--t.... Pf'1 _f">. -('.-' v--\ y Date 'Z I * {3 :J , iif # Independent NRC reviewer initial items in Column "c ; chief examiner concurrence required.
N that KIA importance ratings (except for plant-specific priorities) are at least 2.5.
* Not applicable for NR ared examination outlines Nit ,1ile Point Unit 1 LC1 11-01 Initial NRC Exam 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 May 13 th & 20 th , 2013 as of the date of my signature.
E R       d. Check for duplication and overlap among exam sections.
I agree that J will not knowingly divulge any information about these examinations to any persons who have not been authorized by the NRC chief examiner.
A L     e. Check the entire exam for balance of coverage.
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).
: f. Assess whether the exam fits the appropriate job level (RO or SRO).
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.
Date iif
I will immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been compromised.
: a. Author
: 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 5/13 + Sjw/.z./j13 . From the date that I entered into this security agreement until the completion of examination administration, I did not (nstruct, 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) DATE DATE NOTE * ""--. '....,." -, E", .. "" Oeve'itjf *..... s/7/1'J. 15;'/' /' " ojf -G.'f.It;l DEII61..o Il. fll'/I1.. stu-I!, ...V_., --SfY\, ..s..,re r+ ..,"" ,
: b. Facility Reviewer (*)                                                                                               'Z        I
1+1 r.A' --":""-Ii f!;f!I1A ES*201 Examination Security Agreement Form ES-201-3 1. Pre*Examination (fIQI/ 13"''' + 10+'" 20/3 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.
: c. NRC Chief Examiner (#)                                                                                             *            {3
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.
: d. NRC Supervisor                                                                                                     :J       ,
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).
                        # Independent NRC reviewer initial items in Column "c ; chief examiner concurrence required.
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.
* Not applicable for NR           ared examination outlines
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 5/ 13 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 DATE NOTE ,.--, // ' q,vt{? 1. fh/lrfIJ, i" {I a
Nit       ,1ile Point Unit 1 LC1 11-01 Initial NRC Exam ES-201                                                         Examination Security Agreement                                                 Form ES-201-3
* vn v-v ,-
: 1.           Pre-Examination I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of May 13th & 20th , 2013 as of the date of my signature. I agree that J 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.
cf.&#xa3;RAir::R f>AVG BitLLJYY>
: 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 5/13 + Sjw/.z./j13                                   . From the date that I entered into this security agreement until the completion of examination administration, I did not (nstruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC.
CIil'f<,..T;;t.
PRINTED NAME           JOB TITLE I RESPONSIBILITY               SIGNATURE (1)                 DATE                             DATE NOTE
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ES*201                                                             Examination Security Agreement                                             Form ES-201-3
: 1.         Pre*Examination (fIQI/ 13"''' + 10+'"   20/3 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 week(s) of5/ 13 "'SjJoJlI.'~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.
a' PRINTED NAME             JOB TITLE / RESPONSIBILITY                         SIGNATURE (1)         DATE                             DATE NOTE
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,",'.. _lops . .,-. G> ES-201, Page 27 of 28 ES*201 Examination Security Agreement Form ES*201-3 1. Pre-Examination PlttY lb..... 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.
_~O~p5~t;.:..loIfj~~
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.
OF'S S ,            i ) . . . c : :~~~=~=== ~~
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).
                                                      ....,......-_____                                                                        ~17iT At1vnm o.Pe&tmJ!L sw                                                                                                      &#xa5;m,--ar
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~
I will immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been compromised.
o:~t\S~~= ~~Q                                                                                                                                  :;~: ~
: 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) oti'" +'1>>/141'.
                                        ~~                                                                                                      r~'~
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 DATE SIGNATURE (2) DATE NOTE fro t4d4" ... J1..JC .....Io... I'\N's}'\;'H, h\"".,tt *
                ,",'..                ~~
@ PER EPl,q'l ESM201, Page 27 of 28
_lops
_______________________________________
                                                                                                                                                ~~: . .,
_ ES-201 Examination Security Agreement Form ES-201-3 1. Pre-Examination 11111''( 1,';'-1 t 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).
G> P6~              GM4,,
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.
ES-201, Page 27 of 28
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 weekes) of Sf') f. t;/1#/ltl/f.
ES*201                                                              Examination Security Agreement                                                Form ES*201-3
From the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC.
: 1.        Pre-Examination PlttY I$~i- lb.....
NAME JOB TITLE I RESPONSIBILITY (1) DATE (2) DATE NOTE 1. WV fiMfrl A!MJb= 2. _____________________________________
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.
_ 3. _____________________________________
: 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) oti'" +    '1>>/141'. 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.
_ 4. _____________________________________
PRINTED NAME                JOB TITLE / RESPONSIBILITY                                                DATE        SIGNATURE (2)      DATE NOTE fro  t4d4" . '1tt~fr/Jf oP~-h,lA,.,J rfl~t1..
_ 5. _____________________________________
J1..JC ~..... Io...
_ 6. _____________________________________
                                      ~'" I'\N
_ 7. _____________________________________
                                      's}'\;'H, h\"".,tt
_ 8. _____________________________________
                                            \tI.~r (2.~TI>Q....
_ _._---------------------------------------11. ______ 12. ______ 13. ______ 14. ______ 15. ___". __ NOTES: ES-201, Page 27 of 28 Operating Test Quality Checklist Form ES-301-3 Facir Nine Mile Point Unit 1 Date of Examination:
                                      ~          * "'Td1!LlU,,,,,1(
Ma Test Number: LC111-01 Ini 1. General Criteria a a. There is no day-to-day repetition between this and other operating tests to be durin this The 0 eratin test shall not duplicate items from the a licants' audit testes). (see Section 0.1.a. Overlap with the written examination and between different parts of the operating test is acce table It appears that the operating test will differentiate between competent and e desi nated license 2. Walk-Through Criteria Each JPM includes the following, as initial initiating references and tools, including associated reasonable and validated time limits (average time allowed for completion) and designation if deemed to be time-critical by the facility operationally important specific performance criteria that 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 se uence of ste s, if a licable Ensure that any changes from the previously approved systems and administrative outlines (Forms ES-301-1 and 2) have not caused the test to deviate from any of the criteria (e.g., item distribution, bank use, repetition from the last 2 NRC examinations) on those forms and Form
@ PER          EPl,q'l ESM201, Page 27 of 28
: 3. Simulator Criteria The associated simulator operating tests (scenario sets) have been reviewed in accordance . Date a. "'/10j" b. Facility S
 
: c. NRC Chief Examiner (#) d. NRC Supervisor
ES-201                                                            Examination Security Agreement                                                      Form ES-201-3
* The facility signature is not applicable for NRC-developed # Inde endent NRC reviewer initial items in Column *c"; chief examiner concurrence Simulator Scenario Quality Checklist Form ES-301-4 Nine Mile Point Unit 1 Date of Exam: May 2013 Scenario Numbers: 1/2/3/4/5 Operating Test No.: LC1 11 Initials QUALITATIVE ATTRIBUTES a b* C# 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 events. flrt \t'The scenarios consist mostly of related events. PF' -(f d:::lo Each event description consists of
: 1.        Pre-Examination                                                                                                              11111''( 1,';'-1 t  ).D~""
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 conceming the NRC licensing examinations administered during the weekes) ofSf') f. t;/1#/ltl/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 NRC.
PRINTE~ NAME                  JOB TITLE I RESPONSIBILITY                ~~Nf'~~RE (1)                DATE        SJ9NATU~~ (2)            DATE NOTE
: 1. 6*~~                            ~* WV
: 2. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
fiMfrl                        SJliJI.~    A!MJb=                    ~~_
: 3. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
: 4. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
: 5. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
: 6. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
: 7. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
: 8. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
9~. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
_. _ - - - - - - - -------------------------------- -----
: 11.                                                                                                                                                    ______
: 12.                                                                                                                                                   ______
: 13.                                                                                                                                                    ______
: 14.                                                                                                                                                    ______
: 15.                                                                                                                                                    ___  ". _ _
NOTES:
ES-201, Page 27 of 28
 
ES-301                                            Operating Test Quality Checklist                                        Form ES-301-3 Facir    Nine Mile Point Unit 1                  Date of Examination: Ma 2013                                Test Number: LC111-01 Ini
: 1. General Criteria a
a.
: b.          There is no day-to-day repetition between this and other operating tests to be administered durin this examination.
: c.          The 0 eratin test shall not duplicate items from the a      licants' audit testes). (see Section 0.1.a.
: d.          Overlap with the written examination and between different parts of the operating test is within acce table limits.
: e.          It appears that the operating test will differentiate between competent and less-than-competent e desi nated license level.
: 2. Walk-Through Criteria
: a.          Each JPM includes the following, as applicable:
initial conditions initiating cues references and tools, including associated procedure:;;
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 se uence of ste s, if a licable
: b.          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-201-2.
: 3. Simulator Criteria The associated simulator operating tests (scenario sets) have been reviewed in accordance with
                                  .        ed.
Date
: a. Author                                                                                                          "'/10j"
: b. Facility Reviewer(*)                                                                                            S '~l,)
: c. NRC Chief Examiner (#)
: d. NRC Supervisor NOTE:
* The facility signature is not applicable for NRC-developed tests.
              #    Inde endent NRC reviewer initial items in Column *c"; chief examiner concurrence required.
 
ES-301                                    Simulator Scenario Quality Checklist                                  Form ES-301-4 Facilty: Nine Mile Point Unit 1      Date of Exam: May 2013          Scenario Numbers: 1/2/3/4/5 Operating Test No.: LC1 11 QUALITATIVE ATTRIBUTES                                                    Initials a    b*        C#
: 1.        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 events.
flrt  ~        \t'
: 2.      The scenarios consist mostly of related events.                                                        PF'    d:::lo  -(f
: 3.       Each event description consists of
* the point in the scenario when it is to be initiated
* the point in the scenario when it is to be initiated
* the maifunction(s) that are entered to initiate the event "1* the symptoms/cues that will be visible to the crew
          *
* the expected operator actions (by shift position)  
* the maifunction(s) that are entered to initiate the event the symptoms/cues that will be visible to the crew "1
-((.. the event termination pOint (if applicable) No more than one non-mechanistic failure (e.g., pipe break) is incorporated into the scenario rfl without a credible preceding incident such as a seismic event. c:;,; The events are valid with regard to physics and thermodynamics.
          ..
PFI Ir(<(-'Sequencing and timing of events is reasonable, and allows the examination team to obtain PrJ complete evaluation results commensurate with the scenario objectives. If time compression techniques are used, the scenario summary clearly so indicates.
* the expected operator actions (by shift position) the event termination pOint (if applicable)                                                             c:::.
                                                                                                                                  -((
: 4.        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 event.
rfl c:;,;
                                                                                                                                    "((
: 5.      The events are valid with regard to physics and thermodynamics.                                         PFI   ~r      Ir(<(-'
: 6.      Sequencing and timing of events is reasonable, and allows the examination team to obtain complete evaluation results commensurate with the scenario objectives.
PrJ I~
                                                                                                                                  -((
: 7.      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.
Operators have sufficient time to carry out expected activities without undue time constraints.
PFI I(f Cues are given. Il""o;-,r The simulator modeling is not altered. 1c.'.Y Itf The scenarios have been validated.
Cues are given.
Pursuant to 10 CFR 55.46(d), any open simulator performance deficiencies or deviations from the referenced plant have been evaluated Pf'1 to ensure that functional fidelity is maintained while running the planned Every operator will be evaluated using at least one new or significantly modified scenario.
PFI Il""o;-,r I(f
ffl All other scenarios have been altered in accordance with Section 0.5 of ES-301. c:::r All individual operator competencies can be evaluated, as verified using Form ES-301-6 pFI (submit the form along with the simulator scenarios).
: 8.      The simulator modeling is not altered.                                                                   P~I  1c.'.Y   Itf
I ,p,Each applicant will be significantfy involved in the minimum number of transients and events lf specified on Form ES-301-5 (submit the form with the simulator scenarios). The level of difficulty is appropriate to support licensing deCisions for each crew position.
: 9.      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 scenarios.
Pf\ Target Quantitative Attributes (Per Scenario; See Section D.S.d) Actual Attributes  
Pf'1
----Total malfunctions (5-8) 7/9171617 Malfunctions after EOP entry (1-2) 4/3/212/2 f'fJ {(/Abnormal events (2-4) 2/3/3/3/2 "PI Major transients (1-2) 1/111/1/1 ,rl If EOPs entered/requiring substantive actions (1-2) 2/2/112/2 Pft Ic.:::r ff 6 EOP contingencies requiring substantive actions (0-2) 1/1/1/1/2 Prl \f Critical tasks (2-3) 2/3/2/3/3 "I 1('
                                                                                                                          ~
Transient and Event Checklist Form ES-301-5 Facility: Nine Mile Point Uni t 1 Date of Exam: May 2013 Operating Test No.: LC1 11-01 Scenarios 1 2 3 5 T M CREW POSITION S A B R T 0 0 C P CREW POSITION S A B R T 0 0 C P CREW POSITION S A B R T 0 0 C P CREW POSITION S A B R T 0 0 C P 0 T A L I N I M U M(*) R U 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 t he SRO and the ATC positions , including at least two instrument or component (IIC) malfunctions and one ma j or transient , in the ATC position. If an Instant SRO additionally serves in the BOP position , one IIC malfunction can be credited toward the two I/C malfunctions required for the ATC position.
                                                                                                                                    ~
2Reactivity manipulations may be conducted under normal or controlled abnormal condi t ions (refer to Section D.5.d) but must be sign i ficant per Section C.2.a of Appendix D. (*) Reactivity and normal evolutions may be replaced with addit i onal 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 requirements specified for the applicant's license level i n the right-hand co l umns.
ffl c:::r ~
ES-301 Facility:
: 10.      Every operator will be evaluated using at least one new or significantly modified scenario.
A L I C A N T R06 R07 ROB ISRO 1 & ISR03 Transient and Event Checklist Form ES-301-5 Nine Mile Point Uni t 1 Date of Exam: May 2013 Operating Test No. : LC E Scenarios V E N T T Y P 1 CREW POSITION S A B R T 0 0 C P 2 CREW POSITION S A B R T 0 0 C P 3 CREW POSITION S A B R T 0 0 C P 5 CREW POSITION S A B R T 0 0 C P T 0 T A L M I N I M U M(*) R U E RX NOR I/C MAJ TS RX NOR I/C MAJ TS RX NOR I/C MAJ TS RX NOR I/C MAJ TS ES-301 Transient and Event Checklist Form ES-301-5 1I1-""r-.lot\l:
All other scenarios have been altered in accordance with Section 0.5 of ES-301.
Nine Mile Point Uni t 1 Date of Exam: May 2013 Operating Test No.: LC1 11 A E P V P E L N I T C A T N Y T P E RX NOR ISRO 2 I/C & ISR04 MAJ TS RX NOR I/C ISR05 MAJ TS RX NOR IIC USRO 1 MAJ TS RX NOR I/C USR02 MAJ TS S A B R T 0 0 C P 2 S A B R T 0 0 C P Scenarios 3
pFI
S A B R T 0 0 C P 5 T M CREW POSITION 0 T A I N I M S A B L U R 0 T C 0 P M(*) R U Competencies Checklist Form ES-301-6 Facility:
                                                                                                                                  ~
Nine Mile Point Unit 1 Date of Examination:
11        All individual operator competencies can be evaluated, as verified using Form ES-301-6 (submit the form along with the simulator scenarios).                                                         c:::or-
May 2013 Operating Test No.: LC111-01 APPLICANTS RO 1 R02 & & R05 R06 R03 R04 SCENARIO SCENARIO Competencies 1 2 3 5 1 2 3 5 1 I nterpretlDiagnose Events and Conditions Comply With 1.4, 5.7, Use Procedures (1) 8,9 7 Operate-1,4, 5,7, Boards 8, 9 7 Communicate All and Interact Notes: (1) Includes Technical Specification compliance for an RO. (2) Optional for an SRO-U. (3) Only applicable to SROs. Instructions:
: 12.      Each applicant will be significantfy involved in the minimum number of transients and events specified on Form ES-301-5 (submit the form with the simulator scenarios).
                                                                                                                  ,p,  I Q        lf
: 13.      The level of difficulty is appropriate to support licensing deCisions for each crew position.           Pf\     ~      I~
Target Quantitative Attributes (Per Scenario; See Section D.S.d)                     Actual Attributes     --       --     -
1      Total malfunctions (5-8)                                                               7/9171617         P~t  ia.:r    [,(
: 2.      Malfunctions after EOP entry (1-2)                                                     4/3/212/2         f'fJ I~        (~
: 3.      Abnormal events (2-4)                                                                 2/3/3/3/2         "PI   Ir-~
{(/
: 4.      Major transients (1-2)                                                               1/111/1/1         ,rl Ic.:::r  If
: 5.      EOPs entered/requiring substantive actions (1-2)                                     2/2/112/2         Pft Ic.:::r     ff 6       EOP contingencies requiring substantive actions (0-2)                                 1/1/1/1/2         Prl ~r-          \f
: 7.      Critical tasks (2-3)                                                                   2/3/2/3/3 "I     ~      1('
 
ES-301                                    Transient and Event Checklist                             Form ES-301-5 Facility: Nine Mile Point Unit 1                 Date of Exam : May 2013               Operating Test No.: LC1 11-01 Scenarios 1                   2                   3                 5           T     M 0      I CREW                CREW                  CREW              CREW           T      N POSITION            POSITION              POSITION          POSITION                 I A
M S     A     B     S     A     B       S     A       B   S     A     B   L      U R     T     0     R    T      0       R    T      0   R    T     0          M(*)
0      C      P    0    C      P        0    C      P    0    C      P R       U
: 1.      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 I/C malfunctions required for the ATC position.
: 2.      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.
: 3.      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 requirements specified for the applicant's license level in the right-hand columns.
 
ES-301                             Transient and Event Checklist                   Form ES-301-5 Facility: Nine Mile Point Unit 1       Date of Exam: May 2013       Operating Test No. : LC A            E                                       Scenarios P          V             1          2                  3            5            T      M P          E                                                                     0      I L          N         CREW          CREW              CREW          CREW          T       N I          T     POSITION      POSITION        POSITION      POSITION                 I A
M C                  S       A B   S   A     B     S     A     B S   A     B     L      U A            T    R       T 0   R  T      0     R    T   0 R    T     0            M(*)
N            Y    0      C  P  0  C      P    0    C    P 0    C      P R     U T          P E
RX NOR I/C R06 MAJ TS RX NOR R07      I/C MAJ TS RX NOR I/C ROB MAJ TS RX NOR ISRO 1    I/C
    &
ISR03 MAJ TS
 
ES-301                                 Transient and Event Checklist                   Form ES-301-5 1I1-""r-.lot\l: Nine Mile Point Unit 1       Date of Exam: May 2013       Operating Test No.: LC1 11 A             E                                       Scenarios P           V             1          2                  3            5            T      M P             E                                                                     0      I L           N        CREW          CREW              CREW          CREW          T      N I           T       POSITION      POSITION        POSITION      POSITION        A I
M C                   S      A  B  S  A      B    S    A      B S    A      B    L      U A           T      R      T  0  R  T      0    R    T    0  R    T     0            M(*)
N             Y     0      C  P  0  C      P    0    C      P 0    C      P R      U T             P E
RX NOR ISRO 2         I/C
        &
ISR04 MAJ TS RX NOR I/C ISR05 MAJ TS RX NOR IIC USRO 1 MAJ TS RX NOR I/C USR02 MAJ TS
 
ES-301                                  Competencies Checklist                 Form ES-301-6 Facility: Nine Mile Point Unit 1 Date of Examination: May 2013 Operating Test No.: LC111-01 APPLICANTS RO 1               R02
                                        &                 &             R05       R06 R03                 R04 Competencies              SCENARIO           SCENARIO 1   2     3   5   1     2   3   5   1 InterpretlDiagnose Events and Conditions Comply With and                                                1.4, 1,3, 5.7, 4,5, Use Procedures (1)                                             8,9   7 Operate- Control                                                1,4, 1,3, 5,7, 4,5, Boards (2)                                                      8, 9 7 Communicate                                                     All and Interact Notes:
(1)     Includes Technical Specification compliance for an RO.
(2)     Optional for an SRO-U.
(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.
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.
ES-301 Competencies Checklist Form ES-301-6 II Nine Mile Point Unit 1 Date of Examination:
 
M "'Qr""tir." Test No.: L APPLICANTS ISRO 1 ISR02 R07 Roa & & ISR03 ISR04 SCENARIO SCENARIO SCENARIO SCENARIO Competencies 1 2 3 5 1 2: 3 5 1 2 3 5 1 2 3 5 I nterpretlDiag nose 3,5, 3,4, Events and Conditions 7,8, 5, 7 9 Comply With and 1,3, 4,5, Use Procedures (1) 7 Operate Control 1,3, Boards (2) 4,5, 7 Communicate All and Interact Notes: (1 ) Includes Technical Specification compliance for an RO. (2) Optional for an SRO-U. (3) Only applicable to SROs. Instructions:
ES-301                                       Competencies Checklist                       Form ES-301-6 II ~,,,,,.illihr  Nine Mile Point Unit 1 Date of Examination: M             "'Qr""tir." Test No.: L APPLICANTS ISRO 1               ISR02 R07               Roa               &                   &
ISR03               ISR04 Competencies                SCENARIO         SCENARIO       SCENARIO           SCENARIO 1   2   3 5   1   2:   3   5 1   2     3     5   1   2   3 5 InterpretlDiag nose                                                       3,5, 3,4, Events and Conditions               5, 7 7,8, 9
Comply With and                     1,3, 4,5, Use Procedures (1)                   7 Operate Control                     1,3, 4,5, Boards (2)                           7 Communicate                         All and Interact Notes:
(1 )         Includes Technical Specification compliance for an RO.
(2)           Optional for an SRO-U.
(3)           Only applicable to SROs.
Instructions:
Check the applicants'license type and enter one or more event numbers that will aI/ow the examiners to evaluate every applicable competEmcy for every applicant.
Check the applicants'license type and enter one or more event numbers that will aI/ow the examiners to evaluate every applicable competEmcy for every applicant.
ES-301 Competencies Checklist Form ES-301-6 oint Unit 1 Date of Examination:
 
M ISR05 USRO 1 USR02 SCENARIO SCENARIO Competencies 1235123512 SRO I nterpretlDiag nose 2.3. 4.5.Events and Conditions 6.7, 8 Comply With and All Use Procedures Operate Control Boards Communicate and Interact Notes: (1 ) Includes Technical Specification compliance for an RO. (2) Optional for an SRO-U. (3) Only applicable to SROs. Instructions:
ES-301                                 Competencies Checklist                 Form ES-301-6 oint Unit 1 Date of Examination: M ISR05           USRO 1     USR02 Competencies                SCENARIO       SCENARIO 1235123512 SRO InterpretlDiag nose           2.3.
Events and Conditions          4.5.
6.7, 8
Comply With and                 All Use Procedures Operate Control Boards Communicate and Interact Notes:
(1 )   Includes Technical Specification compliance for an RO.
(2)     Optional for an SRO-U.
(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 competEmcy for every applicant.
Check the applicants' license type and enter one or more event numbers that will allow the examiners to evaluate every applicable competEmcy for every applicant.
Written Examination Quality Checklist Form ES-401*6 Date of Exam: May 2013 Item Description Questions and answers are technicall accurate and a licable to the facilit . a. NRC KJAs are referenced for all questions, b. Facilit learnin ob'ectives are referenced as available. SRO ro riate in accordance with Section D.2.d of ES-401 The sampling process was random and systematic
 
{If more than 4 RO or 2 SRO questions were re eated from the last 2 NRC licensin exams, consult the NRR OL ro ram office *Question duplication from the license screening/audit exam was controlled as indicated below (check. the item that applies) and appears  
ES-401                                    Written Examination Quality Checklist                               Form ES-401*6 Date of Exam: May 2013 Item Description
-2L the audit exam was systematically and randomly developed; _ the audit exam was completed before the license exam was started; _ the examinations were developed independently; -2L the licensee certifies that there is no duplication; _ other Bank. use meets limits (no more than 75 percent Bank from the bank, at least 10 percent new, and the rest new or modified);
: 1.          Questions and answers are technicall accurate and a           licable to the facilit .
enter the actual RO / SRO-only 16%/240;;
: 2.          a.           NRC KJAs are referenced for all questions,
13%/4% 71%172% PM Tf , uestion distribution s at ri ht. Between 50 and 60 percent of the questions on the RO I l\ilemory CIA exam are written at the comprehension  
: b.           Facilit learnin ob'ectives are referenced as available.
/ analySiS level; the SRO exam may exceed 60 percent if the randomly 45%/32% 55%/68%selected KJAs support the higher cognitive levels; the actual RO / SRO question distribution{s) at ri References/handouts provided do not give away answers or aid in the elimination of distractors. Question content conforms with specific KJA statements in the previously approved . examination outline and is appropriate for the tier to which they are deviations are
: 3.          SRO                       ro riate in accordance with Section D.2.d of ES-401
: 10. The exam contains the required number of one-point, multiple choice items; the total is correct and ith the value on the cover sheet , Date I , a. Author Paul F. Isham Jr. I b, Facility .Reviewer
: 4.          The sampling process was random and systematic {If more than 4 RO or 2 SRO questions were re eated from the last 2 NRC licensin exams, consult the NRR OL ro ram office
(*) 7/3 c. NRC Chief Examiner .'" Jg d. NRC Regional Supervisor 3
: 5.          *Question duplication from the license screening/audit exam was controlled as indicated below (check. the item that applies) and appears appropriate:
* The facility reviewer's initials/signature are not applicable for NRC-developed examinations.  
                -2L the audit exam was systematically and randomly developed; or
# Inde en dent NRC reviewer initial items in Column "c"; chief examiner concurrence re uired.
_ the audit exam was completed before the license exam was started; or
c Written Examination Grading Form ES-403-1 Quality Checklist Facility:
_ the examinations were developed independently; or
Nine Mile Point Unit 1 Date of Exam:
                -2L the licensee certifies that there is no duplication; or
Exam Level: RO C8J sRolXJl Initials a b Item Description Clean answer sheets copied before grading PH Tf Answer key changes and question deletions justified V Pfl and documented c.:s: .Applicants' scores checked for addition errors PFI :;!{;(reviewers spot check> 25% of Ir..:r Grading for all borderline cases (80 +/-2% overall and Cr PFI as applicable, +/-4% on the SRO-only) reviewed in detail "'ONE N(\C-.::::c All other failing examinations checked to ensure that r{ade:) are justified toIotJe PPJ rJf\C.!C Performance on missed questions checked for training 'deficiencies and wording problems; evaluate validity PFf of questions missed by half or more of the applicants C$ If Date Printed
_ other (explain)
: a. Paul F. Isham JrJ, 5/22/13 b. Facility Reviewer(*)
: 6.          Bank. use meets limits (no more than 75 percent                     Bank from the bank, at least 10 percent new, and the rest new or modified); enter the actual RO / SRO-only                 16%/240;; 13%/4% 71%172%     PM ~ Tf
Aaron Armstrong!
            , uestion distribution s at ri ht.
C4..G sJ.uJ,:1... c. NRC Chief Examiner (*) U-!
7,          Between 50 and 60 percent of the questions on the RO           I     l\ilemory           CIA exam are written at the comprehension / analySiS level; the SRO exam may exceed 60 percent if the randomly 45%/32%             55%/68%
i{1l) s./;;.ell3
selected KJAs support the higher cognitive levels; enter the actual RO / SRO question distribution{s) at ri hI.
: d. NRC Supervisor
: 8.          References/handouts provided do not give away answers or aid in the elimination of distractors.
(*) T1m4'LIJ _\""IL"1(M Ib 1 ( rtJ / ) ,/3"3 / The facility reviewer's signature is not applicable for graded by the NRC; two independent NRC reviews are required.}}
: 9.          Question content conforms with specific KJA statements in the previously approved
            .examination outline and is appropriate for the tier to which they are assigned; deviations are 'ustified.
10.
                                                                                                                        ,
: 11.         The exam contains the required number of one-point, multiple choice items; the total is correct and           ith the value on the cover sheet
                                                                                        , nature                    Date I
: a. Author                                               Paul F. Isham Jr. I b, Facility .Reviewer (*)                                                                                             7/3
: c. NRC Chief Examiner (#)                                                                                          .'"   Jg
: d. NRC Regional Supervisor 3
Note:
* The facility reviewer's initials/signature are not applicable for NRC-developed examinations.
              # Inde en dent NRC reviewer initial items in Column "c"; chief examiner concurrence re uired.
 
ES-403                              Written Examination Grading                   Form ES-403-1 Quality Checklist Facility: Nine Mile Point Unit 1     Date of Exam:   ~)!21!2013  Exam Level: RO C8J       sRolXJl Initials Item Description                                  a     b         c
: 1.        Clean answer sheets copied before grading                           PH ~,            Tf
: 2.        Answer key changes and question deletions justified     V       ~)
Pfl and documented                                           tJO~E            c.:s:       tJ~
: 3.      .Applicants' scores checked for addition errors (reviewers spot check> 25% of examinations)                          PFI Ir..:r
:;!{;
: 4.        Grading for all borderline cases (80 +/-2% overall and 7~ Cr 8~)      PFI as applicable, +/-4% on the SRO-only) reviewed in detail "'ONE             C-.::::c N(\
: 5.        All other failing examinations checked to ensure that r{ade:)
are justified                                             toIotJe   PPJ C.!C       rJf\
: 6.        Performance on missed questions checked for training
          'deficiencies and wording problems; evaluate validity of questions missed by half or more of the applicants PFf C$         If Printed Nam~ure                                  Date
: a. Grader                          Paul F. Isham JrJ,     ~~                            5/22/13
: b. Facility Reviewer(*)           Aaron Armstrong! C4..~      G ~...                    sJ.uJ,:1
: c. NRC Chief Examiner (*)                               !
l-~ U- ~\ ~~ JiJ~.A i{1l) h-                        s./;;.ell3
: d. NRC Supervisor (*)               T1m4'LIJ _\""IL"1(M / Ib 1
(
rtJ/     ) ,/3"3
(*)      The facility reviewer's signature is not applicable for examin~s graded by the NRC; two independent NRC reviews are required.}}

Revision as of 16:25, 4 November 2019

Final Qa/Related Forms (Folder 1)
ML13182A494
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Site: Nine Mile Point Constellation icon.png
Issue date: 06/03/2013
From:
Operations Branch I
To:
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Download: ML13182A494 (16)


Text

ES*201 Examination Preparation Checklist Form ES*201*1 Facility: NK'f' --1 Date of Examination: S/)..f/k;(3 (wj Developed by: Written - Facility rfJ. NRC /I Operating - Facility pQ NRCD S/13 -1'1!;.tJ13 Co)

Target Chief Date* Task Description (Reference) Examiner's Initials

-180

/

1. Examination administration date confirmed (C.1.a; C.2.a and b) If'

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

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

Lf

-120 4. Corporate notification letter sent (C.2.d) {f

[-90] [S. Reference material due (C. i.e; C.3.c; Attachment 2)]

Nt<

{-7S} 6. Integrated examination outline(s) due, including Forms ES-201-2, ES-201-3, ES-301-1, ES-301-2, ES-301-S, ES-D-1's, ES-401-1/2, ES-401-3, and ES-4D1-4. as applicable (C.1.e and f; C.3.d) 1f

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

{-4S} 8. Proposed examinations (including written, walk-through JPMs, and

-30 9.

scenarios, as applicable), supporting documentation (including Forms ES-301-3, ES-301-4, ES-301-S, ES-301-6, and ES-401-6, and any Form ES-201-3 updates), and reference materials due (C.1.e, f, g and h; C.3.d)

Preliminary license applications (NRC Form 398's) due (C.l.I; C.2.g;

-rr ES-202)

Tf

-14 10. Final license applications due and Form ES-201-4 prepared (C.1.1; C.2.i; ES-202)

Tf I

-14 11. Examination approved by NRC supervisor for facility licensee review (C.2.h; C.3.f) -rf

-14 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) -rf

-7 14. Final applications reviewed; 1 or 2 (if >10) applications audited to confirm qualifications I eligibility; and examination approval and waiver letters sent (C.2.1; Attachment 4; ES-202, C.2.e; ES-204)

-cr

-7 1S. Proctoring/written exam administration guidelines reviewed with facility licensee (C.3.k)

-(f

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

" 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 licensee,

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

ES-201. Page 24 of 27

ES-201 Examination Outline Quality Checklist Form ES-201-2 Nine Mile Point Unit 1 Date of Examination: May 2013 Initials Task Description 1, a. Verify that the outline(s) fit{s) the appropriate model, in accordance with ES-401.

W R b. Assess whether the outline was systematically and randomly prepared in accordance with I Section D.1 of ES-401 and whether all KIA categories are appropriately sampled.

T T c. Assess whether the outline over-emphasizes any systems, evolutions, or generic topics.

E N d. Assess whether the justifications for deselected or rejected KIA statements are appropriate.

2. 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, S and major transients.

I 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 each applicant can be tested using f1 _ t' ./.(%

A at least one new or significantly modified scenario, that no scenarios are duplicated c..-- t.. .

T from the applicants' audit test(s), and that scenarios will not be repeated on subsequent days.

o o the extent possible, assess whether the outline(s) conform(s) with the qualitative Pf'1 _ f">. -('.-'

R d quantitative criteria specified on Form ES-301-4 and described in Appendix D. v-- \ y

3. 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 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 t1est(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 form.

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 (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 days.
4. a. Assess whether plant-specific priorities (including PRA and IPE inSights) are covered

. te exam sections.

G E ether the 10 CFR 55.41/43 and 55.45 sampling is appropriate.

N that KIA importance ratings (except for plant-specific priorities) are at least 2.5.

E R d. Check for duplication and overlap among exam sections.

A L e. Check the entire exam for balance of coverage.

f. Assess whether the exam fits the appropriate job level (RO or SRO).

Date iif

a. Author
b. Facility Reviewer (*) 'Z I
c. NRC Chief Examiner (#) * {3
d. NRC Supervisor :J ,
  1. Independent NRC reviewer initial items in Column "c ; chief examiner concurrence required.
  • Not applicable for NR ared examination outlines

Nit ,1ile Point Unit 1 LC1 11-01 Initial NRC Exam 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 May 13th & 20th , 2013 as of the date of my signature. I agree that J 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 5/13 + Sjw/.z./j13 . From the date that I entered into this security agreement until the completion of examination administration, I did not (nstruct, 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) DATE DATE NOTE

  • ""--.

-

...V _.,

'....,." -,

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

1. Pre*Examination (fIQI/ 13" + 10+'" 20/3 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 week(s) of5/ 13 "'SjJoJlI.'~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.

a' PRINTED NAME JOB TITLE / RESPONSIBILITY SIGNATURE (1) DATE DATE NOTE

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ES-201, Page 27 of 28

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

1. Pre-Examination PlttY I$~i- lb.....

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 week(s) oti'" + '1>>/141'. 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 DATE SIGNATURE (2) DATE NOTE fro t4d4" . '1tt~fr/Jf oP~-h,lA,.,J rfl~t1..

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@ PER EPl,q'l ESM201, Page 27 of 28

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

1. Pre-Examination 11111( 1,';'-1 t ).D~""

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 conceming the NRC licensing examinations administered during the weekes) ofSf') f. t;/1#/ltl/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 NRC.

PRINTE~ NAME JOB TITLE I RESPONSIBILITY ~~Nf'~~RE (1) DATE SJ9NATU~~ (2) DATE NOTE

1. 6*~~ ~* WV
2. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

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3. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
4. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
5. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
6. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
7. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
8. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

9~. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

_. _ - - - - - - - -------------------------------- -----

11. ______
12. ______
13. ______
14. ______
15. ___ ". _ _

NOTES:

ES-201, Page 27 of 28

ES-301 Operating Test Quality Checklist Form ES-301-3 Facir Nine Mile Point Unit 1 Date of Examination: Ma 2013 Test Number: LC111-01 Ini

1. General Criteria a

a.

b. There is no day-to-day repetition between this and other operating tests to be administered durin this examination.
c. The 0 eratin test shall not duplicate items from the a licants' audit testes). (see Section 0.1.a.
d. Overlap with the written examination and between different parts of the operating test is within acce table limits.
e. It appears that the operating test will differentiate between competent and less-than-competent e desi nated license level.
2. Walk-Through Criteria
a. Each JPM includes the following, as applicable:

initial conditions initiating cues references and tools, including associated procedure:;;

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 se uence of ste s, if a licable

b. 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-201-2.
3. Simulator Criteria The associated simulator operating tests (scenario sets) have been reviewed in accordance with

. ed.

Date

a. Author "'/10j"
b. Facility Reviewer(*) S '~l,)
c. NRC Chief Examiner (#)
d. NRC Supervisor NOTE:
  • The facility signature is not applicable for NRC-developed tests.
  1. Inde endent NRC reviewer initial items in Column *c"; chief examiner concurrence required.

ES-301 Simulator Scenario Quality Checklist Form ES-301-4 Facilty: Nine Mile Point Unit 1 Date of Exam: May 2013 Scenario Numbers: 1/2/3/4/5 Operating Test No.: LC1 11 QUALITATIVE ATTRIBUTES Initials a b* C#

1. 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 events.

flrt ~ \t'

2. The scenarios consist mostly of related events. PF' d:::lo -(f
3. Each event description consists of
  • the point in the scenario when it is to be initiated
  • the maifunction(s) that are entered to initiate the event the symptoms/cues that will be visible to the crew "1

..

  • the expected operator actions (by shift position) the event termination pOint (if applicable) c:::.

-((

4. 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 event.

rfl c:;,;

"((

5. The events are valid with regard to physics and thermodynamics. PFI ~r Ir(<(-'
6. Sequencing and timing of events is reasonable, and allows the examination team to obtain complete evaluation results commensurate with the scenario objectives.

PrJ I~

-((

7. 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 given.

PFI Il""o;-,r I(f

8. The simulator modeling is not altered. P~I 1c.'.Y Itf
9. 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 scenarios.

Pf'1

~

~

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10. Every operator will be evaluated using at least one new or significantly modified scenario.

All other scenarios have been altered in accordance with Section 0.5 of ES-301.

pFI

~

11 All individual operator competencies can be evaluated, as verified using Form ES-301-6 (submit the form along with the simulator scenarios). c:::or-

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

,p, I Q lf

13. The level of difficulty is appropriate to support licensing deCisions for each crew position. Pf\ ~ I~

Target Quantitative Attributes (Per Scenario; See Section D.S.d) Actual Attributes -- -- -

1 Total malfunctions (5-8) 7/9171617 P~t ia.:r [,(

2. Malfunctions after EOP entry (1-2) 4/3/212/2 f'fJ I~ (~
3. Abnormal events (2-4) 2/3/3/3/2 "PI Ir-~

{(/

4. Major transients (1-2) 1/111/1/1 ,rl Ic.:::r If
5. EOPs entered/requiring substantive actions (1-2) 2/2/112/2 Pft Ic.:::r ff 6 EOP contingencies requiring substantive actions (0-2) 1/1/1/1/2 Prl ~r- \f
7. Critical tasks (2-3) 2/3/2/3/3 "I ~ 1('

ES-301 Transient and Event Checklist Form ES-301-5 Facility: Nine Mile Point Unit 1 Date of Exam : May 2013 Operating Test No.: LC1 11-01 Scenarios 1 2 3 5 T M 0 I CREW CREW CREW CREW T N POSITION POSITION POSITION POSITION I A

M S A B S A B S A B S A B L U R T 0 R T 0 R T 0 R T 0 M(*)

0 C P 0 C P 0 C P 0 C P R U

1. 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 I/C malfunctions required for the ATC position.

2. 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.
3. 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 requirements specified for the applicant's license level in the right-hand columns.

ES-301 Transient and Event Checklist Form ES-301-5 Facility: Nine Mile Point Unit 1 Date of Exam: May 2013 Operating Test No. : LC A E Scenarios P V 1 2 3 5 T M P E 0 I L N CREW CREW CREW CREW T N I T POSITION POSITION POSITION POSITION I A

M C S A B S A B S A B S A B L U A T R T 0 R T 0 R T 0 R T 0 M(*)

N Y 0 C P 0 C P 0 C P 0 C P R U T P E

RX NOR I/C R06 MAJ TS RX NOR R07 I/C MAJ TS RX NOR I/C ROB MAJ TS RX NOR ISRO 1 I/C

&

ISR03 MAJ TS

ES-301 Transient and Event Checklist Form ES-301-5 1I1-""r-.lot\l: Nine Mile Point Unit 1 Date of Exam: May 2013 Operating Test No.: LC1 11 A E Scenarios P V 1 2 3 5 T M P E 0 I L N CREW CREW CREW CREW T N I T POSITION POSITION POSITION POSITION A I

M C S A B S A B S A B S A B L U A T R T 0 R T 0 R T 0 R T 0 M(*)

N Y 0 C P 0 C P 0 C P 0 C P R U T P E

RX NOR ISRO 2 I/C

&

ISR04 MAJ TS RX NOR I/C ISR05 MAJ TS RX NOR IIC USRO 1 MAJ TS RX NOR I/C USR02 MAJ TS

ES-301 Competencies Checklist Form ES-301-6 Facility: Nine Mile Point Unit 1 Date of Examination: May 2013 Operating Test No.: LC111-01 APPLICANTS RO 1 R02

& & R05 R06 R03 R04 Competencies SCENARIO SCENARIO 1 2 3 5 1 2 3 5 1 InterpretlDiagnose Events and Conditions Comply With and 1.4, 1,3, 5.7, 4,5, Use Procedures (1) 8,9 7 Operate- Control 1,4, 1,3, 5,7, 4,5, Boards (2) 8, 9 7 Communicate All and Interact Notes:

(1) Includes Technical Specification compliance for an RO.

(2) Optional for an SRO-U.

(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.

ES-301 Competencies Checklist Form ES-301-6 II ~,,,,,.illihr Nine Mile Point Unit 1 Date of Examination: M "'Qr""tir." Test No.: L APPLICANTS ISRO 1 ISR02 R07 Roa & &

ISR03 ISR04 Competencies SCENARIO SCENARIO SCENARIO SCENARIO 1 2 3 5 1 2: 3 5 1 2 3 5 1 2 3 5 InterpretlDiag nose 3,5, 3,4, Events and Conditions 5, 7 7,8, 9

Comply With and 1,3, 4,5, Use Procedures (1) 7 Operate Control 1,3, 4,5, Boards (2) 7 Communicate All and Interact Notes:

(1 ) Includes Technical Specification compliance for an RO.

(2) Optional for an SRO-U.

(3) Only applicable to SROs.

Instructions:

Check the applicants'license type and enter one or more event numbers that will aI/ow the examiners to evaluate every applicable competEmcy for every applicant.

ES-301 Competencies Checklist Form ES-301-6 oint Unit 1 Date of Examination: M ISR05 USRO 1 USR02 Competencies SCENARIO SCENARIO 1235123512 SRO InterpretlDiag nose 2.3.

Events and Conditions 4.5.

6.7, 8

Comply With and All Use Procedures Operate Control Boards Communicate and Interact Notes:

(1 ) Includes Technical Specification compliance for an RO.

(2) Optional for an SRO-U.

(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 competEmcy for every applicant.

ES-401 Written Examination Quality Checklist Form ES-401*6 Date of Exam: May 2013 Item Description

1. Questions and answers are technicall accurate and a licable to the facilit .
2. a. NRC KJAs are referenced for all questions,
b. Facilit learnin ob'ectives are referenced as available.
3. SRO ro riate in accordance with Section D.2.d of ES-401
4. The sampling process was random and systematic {If more than 4 RO or 2 SRO questions were re eated from the last 2 NRC licensin exams, consult the NRR OL ro ram office
5. *Question duplication from the license screening/audit exam was controlled as indicated below (check. the item that applies) and appears appropriate:

-2L 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

-2L the licensee certifies that there is no duplication; or

_ other (explain)

6. Bank. use meets limits (no more than 75 percent Bank from the bank, at least 10 percent new, and the rest new or modified); enter the actual RO / SRO-only 16%/240;; 13%/4% 71%172% PM ~ Tf

, uestion distribution s at ri ht.

7, Between 50 and 60 percent of the questions on the RO I l\ilemory CIA exam are written at the comprehension / analySiS level; the SRO exam may exceed 60 percent if the randomly 45%/32% 55%/68%

selected KJAs support the higher cognitive levels; enter the actual RO / SRO question distribution{s) at ri hI.

8. References/handouts provided do not give away answers or aid in the elimination of distractors.
9. Question content conforms with specific KJA statements in the previously approved

.examination outline and is appropriate for the tier to which they are assigned; deviations are 'ustified.

10.

,

11. The exam contains the required number of one-point, multiple choice items; the total is correct and ith the value on the cover sheet

, nature Date I

a. Author Paul F. Isham Jr. I b, Facility .Reviewer (*) 7/3
c. NRC Chief Examiner (#) .'" Jg
d. NRC Regional Supervisor 3

Note:

  • The facility reviewer's initials/signature are not applicable for NRC-developed examinations.
  1. Inde en dent NRC reviewer initial items in Column "c"; chief examiner concurrence re uired.

ES-403 Written Examination Grading Form ES-403-1 Quality Checklist Facility: Nine Mile Point Unit 1 Date of Exam: ~)!21!2013 Exam Level: RO C8J sRolXJl Initials Item Description a b c

1. Clean answer sheets copied before grading PH ~, Tf
2. Answer key changes and question deletions justified V ~)

Pfl and documented tJO~E c.:s: tJ~

3. .Applicants' scores checked for addition errors (reviewers spot check> 25% of examinations) PFI Ir..:r
!{;
4. Grading for all borderline cases (80 +/-2% overall and 7~ Cr 8~) PFI as applicable, +/-4% on the SRO-only) reviewed in detail "'ONE C-.::::c N(\
5. All other failing examinations checked to ensure that r{ade:)

are justified toIotJe PPJ C.!C rJf\

6. Performance on missed questions checked for training

'deficiencies and wording problems; evaluate validity of questions missed by half or more of the applicants PFf C$ If Printed Nam~ure Date

a. Grader Paul F. Isham JrJ, ~~ 5/22/13
b. Facility Reviewer(*) Aaron Armstrong! C4..~ G ~... sJ.uJ,:1
c. NRC Chief Examiner (*)  !

l-~ U- ~\ ~~ JiJ~.A i{1l) h- s./;;.ell3

d. NRC Supervisor (*) T1m4'LIJ _\""IL"1(M / Ib 1

(

rtJ/ ) ,/3"3

(*) The facility reviewer's signature is not applicable for examin~s graded by the NRC; two independent NRC reviews are required.