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{{#Wiki_filter:I GP5-APP-A  
{{#Wiki_filter:GP5-APP-A - ASSIGNMENT TICKLER ASSIGNMENT TICKLER Chief:                  Mark Haire               I           Facility: I     SONGS               First Date of Exam: 9/19/2008 II Written Exam Developed By:             NRC I Facility                           Operating Test Developed By:             NRC I Facility Due Date                                Description                           Date Complete   Initials                   Notes
-ASSIGNMENT TICKLER ASSIGNMENT TICKLER Mark Haire I Facility:
                                                                                                                ~,O2380 5/~ot/ffi Exam Administration Date Confirmed (C.l.a; C.2.a & b)                                                       OSoeu 3 "'1/z.ooI'30\
I SONGS First Date of Exam: I 9/19/2008 Chief: Operating Test Developed By: NRC I Facility Written Exam Developed By: NRC I Facility Description Date Complete Initials Due Date Notes OSoeu 3 "'1/z.ooI'30\
3/23/2008                                                                                       if1.5/fl                  t:':'5 02.H?o                      L.. _'1 5/22/2008      NRC Staff & Facility Contact Assigned (C.l.d; C.2.e)
Exam Administration Date Confirmed (C.l.a; C.2.a & b) 3/23/2008 t:':'5 L.. _'1 if1.5/fl 02.H?o NRC Staff & Facility Contact Assigned (C.l.d; C.2.e)5/22/2008 lI#kJ Facility Contact Briefed on Security & Other Req's (C.2.c) 5/22/2008  
                                                                                  ~fi"lfI~          lI#kJ 5/22/2008     Facility Contact Briefed on Security & Other Req's (C.2.c) 5h~/L)j        ~HAJ-5/22/2008     Corporate Notification Letter (ES-201 Att-3) Sent (C.2.d) 5/z 10'9          titS&    produced by Chief Examiner 6/21/2008      Reference Material Due (if NRC authored) (C.l.e; C.3.c)          IN/A            ~Skt-7/6/2008 V    Integrated Exam Outlines Due (C.1.e & f; C.3.d)
                                                                                    ~~o o"l        tltS"f 7/11/2008      Outlines Reviewed & Feedback Provided (c.2.h; C.3.e) fnlB! bb        tJt1!Jf V                                                                    f/lj'og
                                                                                                    ~'fr 8/5/2008      Draft Exams w/References Due (C.1.e,f,g,h; C.3.d)
WILt.  ,ltv n        PIU>I/I~(f 6JLJ...v 8/20/2008      "Peer Reviewer Completes Review of Exam on ES-401-9              2/1(b~          WI&
8/20/2008      "NRC BC Approves Feedback to Facility (C.2.h; C.3.f)
Z'/0$          8m&
8/20/2008      "Exams Reviewed w/ Fac. (C.1.h;C.2.f & h; C.3.g) i//2/6!          fAter 8/20/2008      Preliminary Applications Due (C.1.I;C.2.g; ES-202)              g ZI/og        fM17 8/25/2008      Preliminary Applications Reviewed (C.1.I;C.2.g) tt 2110$ fimrr 9/5/2008      Final Applications Due (C.1.I;C.2.i;ES-202) 9/" /cj          fJnlr
~                On-Site Preparatory Week to Validate Operating Exam tI2'IO~ ~L      :J'''r7
~                On-Site Audit (10%) of License App's (ES-202 C.2.e)            1/Z.7!() 8 bu6 9/12/2008      Final Appl. OK'ed & Waiver Letters Sent (ES-204; C.2.e)        if ISla J        mtr 9/12/2008      NRC Supervisor Approved Final Exams (C.2.i;C.3.h) 9 I~ / () g PIer Exam Approval Letter (ES-201 Att-4) and List of Applicants                                  produced by OLA 9/12/2008 (ES-201-4) Prepared (C.2.i)                                    CJ/I~/~g          ~        I 9/12/2008      Proctor Rules Review w/Fac. & Written Authorized (C.3.k) t:tJp/og          Pn&*
9/12/2008      Exam Material to Exam Team (C.3.i)                              ~    I",  og 1:mu
'Y.J6            ,Administer Operating Exam On-Site                              'I, 2~    lag ".1"'0 fhL      '.;JR. \\I~N 1::l<AM .      '1/2, 10/1/2008      Facility Graded Exam & Comments Received                      q '30 fbg ~&
10/4/2008      NRC Written Exam Grading Completed
                                                                                't  /3 0 / 0 !:J 11mb 10/4/2008      Examiners Document Exam Grades on ES Forms                    /0/1 J 0 ~      1,'(}'J1t"
                                                                                                      .A.~'
10/14/2008      NRC Chief Examiner Grading Review Completed                    /0/2/0?          ( l"f1I" 10/15/2008      NRC BC Review Completed                                        /oj'/l;g        I~rmt-License/Denials Mailed; Facility Notified of Results 10/19/2008 10/b/01          It'r/f,fJ 10/19/2008      RPS/IP Number of Examinees Updated                            ,Izs//)2        I/yn/r print Report-21
                                                      ~~.J.,;"'J<. d            10/1'1/6/          ,~6"'" produced by Chief Examiner 11/3/2008 11/10/2008 Examination Report Issued Package Closed Out
                                                                      --        10  'i/62 (9JJ!r 11/10/2008    Chief QA of ADAMS and SISP review complete lo/t/O'i          .- I
                                                                                                    'I" 11/18/2008      Ref Mat'l Returned after Final Res of Appeals                      N(\            NA
" Indictates the due dates are more conservative than the ES-201-1 reqUires.
(Replaces NUREG-1021, Revision 9, ES Forms 201-1 and 501-1)


Corporate Notification Letter (ES-201 Att-3) Sent (C.2.d) produced by Chief Examiner 5/22/2008 5/z 10'9 Reference Material Due (if NRC authored) (C.l.e; C.3.c)6/21/2008 IN/A Integrated Exam Outlines Due (C.1.e & f; C.3.d)7/6/2008 V  o"l tltS"f Outlines Reviewed & Feedback Provided (c.2.h; C.3.e) 7/11/2008 fnlB!bb tJt1!Jf Draft Exams w/References Due (C.1.e,f,g,h; C.3.d) 8/5/2008 V f/lj'og WILt. ,ltv n 6JLJ...v "Peer Reviewer Completes Review of Exam on ES-401-9 8/20/2008 "NRC BC Approves Feedback to Facility (C.2.h; C.3.f) 8/20/2008 Z'/0$ "Exams Reviewed w/ Fac. (C.1.h;C.2.f
June 30, 2008 FROM:        Ryan Lantz Chief, Operations ran Division of Reactor Saf ty TO:          Steve Garchow Chief Examiner, Operations Branch
& h; C.3.g) 8/20/2008 fAter i//2/6! Preliminary Applications Due (C.1.I;C.2.g; ES-202) 8/20/2008 g ZI/og fM17 Preliminary Applications Reviewed (C.1.I;C.2.g) 8/25/2008 tt 2110$ fimrr Final Applications Due (C.1.I;C.2.i;ES-202) 9/5/2008 9/" /cj fJnlr On-Site Preparatory Week to Validate Operating Exam
 
:J'''r7 On-Site Audit (10%) of License App's (ES-202 C.2.e) 1/Z.7!() 8 Final Appl. OK'ed & Waiver Letters Sent (ES-204; C.2.e) 9/12/2008 if ISla J mtr NRC Supervisor Approved Final Exams (C.2.i;C.3.h) 9/12/2008  / () g 9 PIer produced by OLA Exam Approval Letter (ES-201 Att-4) and List of Applicants 9/12/2008  (ES-201-4)
==SUBJECT:==
Prepared (C.2.i)  I Proctor Rules Review w/Fac. & Written Authorized (C.3.k) 9/12/2008 t:tJp/og Pn&* Exam Material to Exam Team (C.3.i) 9/12/2008 og I", 1:mu fhL ,Administer Operating Exam On-Site  lag'I, '.;JR.
INITIAL OPERATOR LICENSING EXAMINATION ASSIGNMENT You have been assigned as Chief Examiner of the San Onofre, Units 1 and 2, initial licensing examination. The operating test has been scheduled to be completed by October 3, 2008.
1::l<AM . '1/2,'Y.J6 ".1"'0 Facility Graded Exam & Comments Received 10/1/2008 q '30 fbg  NRC Written Exam Grading Completed 10/4/2008
Thank you for contacting the San Onofre facility to finalize the details of the examination. You are reminded that the RPS/IP system must be maintained to ensure the examiners and numbers of candidates are accurate. In addition, you are reminded that only qualified examiners are permitted to conduct any part of the examination.
't /3 0 /0!:J Examiners Document Exam Grades on ES Forms 10/4/2008
S:\DRS\OB\OB-ONLY\ADMIN\ASSIGNMENT SHEETS\CY'08\SEP08_S0NGS_ASSIGNMENT MEMO_SG.DOC
/0/1 J 0  1,'(}'J1t" NRC Chief Examiner Grading Review Completed 10/14/2008
 
/0/2/0? ( l"f1I" NRC BC Review Completed 1 0/15/2008
ES-201                                    Examination Outline Quality Checklist                                    Form ES-201-2 Facility:                                                                                      Date of Examination:  09/22/08 San Onofre Units 2 and 3 Initials Item                                                    Task Description a      b"       c#
/oj'/l;g License/Denials Mailed; Facility Notified of Results 10/19/2008 10/b/01 It'r/f,fJ RPS/IP Number of Examinees Updated print Report-21 10/19/2008 ,Izs//)2 I/yn/r Examination Report Issued produced by Chief Examiner 11/3/2008
W 1      a. Verify that the outline(s) fit(s) the appropriate model, in accordance with ES-401.
<.d 10/1'1/6/ Package Closed Out 11/10/2008 10 'i/62 (9JJ!r .-I Chief QA of ADAMS and SISP review complete 11/10/2008 lo/t/O'i 'I" Ref Mat'l Returned after Final Res of Appeals 11/18/2008 N(\ NA " Indictates the due dates are more conservative than the ES-201-1 (Replaces NUREG-1021, Revision 9, ES Forms 201-1 and June 30, 2008 Ryan Lantz Chief, Operations Division of Reactor Saf ty ran Steve Garchow Chief Examiner, Operations Branch INITIAL OPERATOR LICENSING EXAMINATION ASSIGNMENT You have been assigned as Chief Examiner of the San Onofre, Units 1 and 2, initial licensing examination.
Nt! A            ~~If R      b. Assess whether the outline was systematically and randomly prepared in accordance with I            Section 0.1 of ES-401 and whether all KIA cateqories are appropriately sampled.                     frII    A      ~~
The operating test has been scheduled to be completed by October 3, 2008. Thank you for contacting the San Onofre facility to finalize the details of the examination.
T
You are reminded that the RPS/IP system must be maintained to ensure the examiners and numbers of candidates are accurate.
: c. Assess whether the outline over-emphasizes any systems. evolutions, or generic topics.
In addition, you are reminded that only qualified examiners are permitted to conduct any part of the examination.
T E
S:\DRS\OB\OB-ONL Y\ADMIN\ASSIGNMENT SHEETS\CY'08\SEP08_S0NGS_ASSIGNMENT MEMO_SG.DOC Examination Outline Quality Checklist Form ES-201-2 Date of Examination:
Itll      A        'h ar I~'I/
San Onofre Units 2 and 09/22/08 Task Description a b" c# Verify that the outline(s) fit(s) the appropriate model, in accordance with ES-401. 1 A  Nt!W R b. Assess whether the outline was systematically and randomly prepared in accordance frII A Section 0.1 of ES-401 and whether all KIA cateqories are appropriately sampled. T Assess whether the outline over-emphasizes any systems. evolutions, or generic topics. T 'h ar Itll A E Assess whether the justifications for deselected or rejected KIA statements are appropriate.
: d. Assess whether the justifications for deselected or rejected KIA statements are appropriate.
N Nf,1J A Using Form ES-301-5, verify that the proposed scenario sets cover the required number of normal evolutions, instrument and component failures.
N                                                                                                                          A      Nf,1J
technical 2. and major transients. A Pl1 I Assess whether there are enough scenario sets (and spares) to test the projected number and mix of applicants in accordance with the expected crew composition and rotation without compromising exam integrity.
: 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.
and ensure that each applicant can be tested at least one new or significantly modified scenario, that no scenarios are f.l4'ttfrom the applicants' audit test(s). and that scenarios will not be repeated on subsequent /14f It T a c. To the extent possible, assess whether the outline(s) conform(s) with the and quantitative criteria specified on Form ES-301-4 and described in Appendix D. 1111j, in1/ A Verify that the systems walk-through outline meets the criteria specified on Form ES-301-2:
S I
: 3. (1) the outline(s) contain(s) the required number of control room and in-plant distributed among the safety functions as specified on the form (2) task repetition from the last two NRC examinations is within the limits specified on the I (3) no tasks are duplicated from the applicants' . (4) the number of new or modified tasks meels or exceeds the minimums specified on the (5) the number of alternate path, low-power.
and major transients.
emergency, and RCA tasks meet the criteria on the form. A 1l.1f Verify thallhe administrative outline meets the criteria specified on Form ES-301-1:
Pl1        A ~I.t 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 at least one new or significantly modified scenario, that no scenarios are duplicated                                f.l4'tt A
(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 4 Jl1f Determine if there are enough different outlines to test the projected number and of applicants and ensure that no items are duplicated on subsequent 11.'1( A-Assess whether plant-specific priorities (including PRA and IPE insights) are in the appropriate exam
T            from the applicants' audit test(s). and that scenarios will not be repeated on subsequent days.     /14f    It a      c. To the extent possible, assess whether the outline(s) conform(s) with the qualitative R            and quantitative criteria specified on Form ES-301-4 and described in Appendix D.
: 4.
1111j, in1/     A
1/l'# 1 G Assess whether the 10 CFR 55.41/43 and 55.45 sampling is appropriate. Illf/ A E N Ensure that KIA importance ratings (except for plant-specific priorities) are at least 2.5. lAW A E Check for duplication and overlap among exam sections.
: 3. a. Verify that the systems walk-through outline meets the criteria specified on Form ES-301-2:
kL.\'r A.-J A R A Check the entire exam for balance of coverage.
(1) the outline(s) contain(s) the required number of control room and in-plant tasks W                    distributed among the safety functions as specified on the form I           (2) task repetition from the last two NRC examinations is within the limits specified on the form T            (3) no tasks are duplicated from the applicants' audittest(s)
rN,\3 Ail A L Assess whether the exam fits the appropriate job level (RO or SRO). M.'.\'>s'111f IA Author Rob Hampton ..:;'a..:... ,Facility Reviewer n William Arbour  JA / /'c. NRC Chief Examiner (#) Mark Haire /1. NRC Supervisor
A ~\ij*
\..6.lr.w.
                . (4) the number of new or modified tasks meels or exceeds the minimums specified on the fonm (5) the number of alternate path, low-power. emergency, and RCA tasks meet the criteria on the form.                                                                                  1l.1f
l 0..1111 (.. 4.:-('O....c  I , ,-rc;r , .Note: # Independent NRC reviewer initial items in chief examiner concurrence Not applicable for NRC-prepared examination ES-201, Page 26 of 28 Written Examination Quality Checklist Form ES-401-6 Facility:
: b. Verify thallhe administrative outline meets the criteria specified on Form ES-301-1:
SONGS 2 & Date of Exam: 09/22/08 Exam Level: RO f2l SRO  Initial Item Description a b* C# 1 Questions and answers technically accurate and applicable to facility.
(1) the tasks are distributed among the topics as specified on the form c.
"'0/ k )Jf}tr a. NRC KJAs referenced for all questions.
(2) at least one task is new or significantly modified (3) no more than one task is repeated from the last two NRC licensing examinations Determine if there are enough different outlines to test the projected number and mix Jl1f      4 ~~6\~
yFacility learninq obiectives referenced as available.
of applicants and ensure that no items are duplicated on subsequent davs                            11.'1(  A-      ~J~
k --..; A-'3lfI17SRO questions are appropriate in accordance with Section D.2.d of ES-401 The facility licensee's sampling process was random and systematic (If more than 4 RO or 2 SRO questions were repeated from the last 2 NRC licensing exams, consult the NRR OL proqram office). Question duplication from the license screening/audit exam was controlled as indicated below (check the item that applies) and appears appropriate:
: 4.      a. Assess whether plant-specific priorities (including PRA and IPE insights) are covered in the appropriate exam sections.                                                                 1/l'#      1       f'l~\~
_X_ 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 the licensee certifies that there is no duplication; other Bank use meets limits (no more than 75 percent Bank Modified from the bank at least 10 percent new, and the new or modified);
G E
enter the actual RO /
: b. Assess whether the 10 CFR 55.41/43 and 55.45 sampling is appropriate.                                Illf/     A      ~~
3/2 question distribution(s) at 43/ 6 Between 50 and 60 percent of the questions on the Memory CIA RO exam are written at the analysis level; the SRO exam may exceed 21 /2 54/23 percent if the randomly selected KJAs support the }'higher cognitive levels; enter the actual RO / question distribution(s) at  References
N       c. Ensure that KIA importance ratings (except for plant-specific priorities) are at least 2.5.        lAW A            I~\J' E
/ handouts provided do not give away answers or aid in the elimination of dis tractors.
R
1 Ar- Question content conforms with specific KiA statements in the previously approved examination outline and is appropriate for the tier to which they are assigned; (deviations are iustified.
: d. Check for duplication and overlap among exam sections.                                                A.-J A          kL.\'r A
k-1tS1JJQuestion psychometric quality and format meet the guidelines in ES Appendix B. "I /...., $hiif' The exam contains the required number of one-point.
L
multiple choice items; the -y I II-total is correct and aqrees with the value on the cover sheet. Printed Name /
: e. Check the entire exam for balance of coverage.                                                        Ail      A      rN,\3
Date a. Author IZkf
: f. Assess whether the exam fits the appropriate job level (RO or SRO).
/
111f  IA        M.'.\'>s'
: b. Facility Reviewer (*) 
                                                                ~J;,f1~ ~e/Si~uret-
/' L '9A:b% c. NRC Chief Examiner (#)
                                                                                          ,
GafT/koJ J  -/l5 NRC Regional Supervisor
I
* LfY'i rl:--ro  Cr/i)/uf6 J f , Note: The facility reviewer's initials/signature are not applicable for NRC-developed
: a. Author                            Rob Hampton
# Independent NRC reviewer initial items in Column "c"; chief examiner concurrence NUREG-1 021, Revision SONGS Sept 2008 NRC Rev Final 1 Operating Test Quality Checklist Form ES-301-3 Facility: Date of Examination:
: b. Facility Reviewer      n          William Arbour          ~//      ..:;'a..:...                                            ~'oF
09/22/08 Operating Test Number: Initials 1. GENERAL CRITERIA b*a C# The operating test conforms to the previously approved outline; changes are consistent with sampling requirements (e.g. 10 CFR 55.45, operational importance, safety function distribution).
                                                          /1. ~              /'
Z; A There is no day-to-day repetition between this and other operating tests to be administered during this examination. 'I A-The operating test shall not duplicate items from the applicants' audit test(s) (see Section y D.1.a). Overlap with the written examination and between different parts of the operating test is within acceptable limits. f9n,lr-r  It appears that the operating test will differentiate between competent and y competent applicants at the designated license level. .2. WALK-THROUGH CRITERIA --Each JPM includes the following, as applicable:
                                                                                                                              ,
JA  /
: c. NRC Chief Examiner (#)           Mark Haire
                                          \..6.lr.w. l 0..1111  (..
4.:-('O....c
: d. NRC Supervisor
                                                                          ,,-rc;r    ")
                                                                                          ~
                            # Independent NRC reviewer initial items in Colum~ chief examiner concurrence required.
Note:
                            . Not applicable for NRC-prepared examination outlines ES-201, Page 26 of 28
 
ES-401                                    Written Examination Quality Checklist                            Form ES-401-6 Facility:        SONGS 2 & 3                              Date of Exam:    09/22/08    Exam Level:  RO  f2l    SRO      ~
Initial Item Description                                          a          b*            C#
1      Questions and answers technically accurate and applicable to facility.                         "'0/      k            )Jf}tr
: 2.      a.      NRC KJAs referenced for all questions.
: b.      Facility learninq obiectives referenced as available.
y        k          ':i"h16 3       SRO questions are appropriate in accordance with Section D.2.d of ES-401                      --..;      A- '3lfI17
: 4.      The facility licensee's sampling process was random and systematic (If more than 4 RO or 2 SRO questions were repeated from the last 2 NRC licensing exams, consult the NRR OL proqram office).                                                                                  ~~
: 5.      Question duplication from the license screening/audit exam was controlled as indicated below (check the item that applies) and appears appropriate:
_X_ 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 the licensee certifies that there is no duplication; or other (explain)
: 6.      Bank use meets limits (no more than 75 percent                  Bank      Modified    New from the bank at least 10 percent new, and the rest new or modified); enter the actual RO / SRO-only              43/ 6          3/2      29/17 question distribution(s) at right.
: 7.       Between 50 and 60 percent of the questions on the Memory              CIA RO exam are written at the comprehension/
analysis level; the SRO exam may exceed 60                      21 /2           54/23 percent if the randomly selected KJAs support the
                                                                                                      }'
                                                                                                                  ~
higher cognitive levels; enter the actual RO / SRO question distribution(s) at riQht.                                                                                   ~fr
: 8.        References / handouts provided do not give away answers or aid in the elimination of distractors.                                                                             1 Ar-                  ~tr
: 9.       Question content conforms with specific KiA statements in the previously approved examination outline and is appropriate for the tier to which they are assigned; deviations are iustified.
(        k-        1tS1JJ6
: 10.     Question psychometric quality and format meet the guidelines in ES Appendix B.
                                                                                                      "I          /...., $hiif' 11      The exam contains the required number of one-point. multiple choice items; the total is correct and aqrees with the value on the cover sheet.
                                                                                                      -y        I II-       8Mf Printed Name / Signature                                    Date
: a.      Author                            IZkf /.1I~'h..:t. / 1liJ-)~ It                                                91zJ~r
: b.      Facility Reviewer (*)          I/I//I~" A(b(J(~                / '~ T      L '    ,                          9A:b%
: c.       NRC Chief Examiner (#)          -$+e.p~ GafT/koJJ ~ ~                            -/l5                        cjl3ltJ~
: d.       NRC Regional Supervisor
* Kt~ LfY'i rl:--ro ~                          -                           Cr/i)/uf6 J                f      .->~
                                                                                                                                ,
Note:                The facility reviewer's initials/signature are not applicable for NRC-developed examinations.
                #    Independent NRC reviewer initial items in Column "c"; chief examiner concurrence required.
NUREG-1 021, Revision 9.1                                                            SONGS Sept 2008 NRC Rev Final
 
ES-301                                        Operating Test Quality Checklist                        Form ES-301-3 Facility:        SONGS                                  Date of Examination:    09/22/08  Operating Test Number:          1 Initials
: 1. GENERAL CRITERIA a        b*    C#
: a. The operating test conforms to the previously approved outline; changes are consistent with sampling requirements (e.g. 10 CFR 55.45, operational importance, safety function distribution).                                                                                    Z; A            ~&
: b. There is no day-to-day repetition between this and other operating tests to be administered during this examination.                                                                          'I A-            ~Ir
: c. The operating test shall not duplicate items from the applicants' audit test(s) (see Section D.1.a).                                                                                            y        ~ ~h--
: d. Overlap with the written examination and between different parts of the operating test is within acceptable limits.                                                                        -r        ~ f9n,lr
: e.      It appears that the operating test will differentiate between competent and less-than competent applicants at the designated license level.                                            y          A ~J.r
: 2. WALK-THROUGH CRITERIA                                              -        .     -
: a.     Each JPM includes the following, as applicable:
* initial conditions
* initial conditions
* initiating cues
* initiating cues
* references and tools, including associated procedures
* references and tools, including associated procedures
* reasonable and validated time limits (average time allowed for completion) and specific designation if deemed to be time critical by the facility
* reasonable and validated time limits (average time allowed for completion) and specific
* operationally important specific performance criteria that -r -detailed expected actions with exact criteria and  
* designation if deemed to be time critical by the facility licensee operationally important specific performance criteria that include:
-system response and other examiner -statements describing important observations to be made by the  
            - detailed expected actions with exact criteria and nomenclature
-criteria for successful completion of the -identification of critical steps and their associated performance  
            - system response and other examiner cues
-restrictions on the sequence of steps, if CJn& Ensure that any changes from the previously approved systems and administrative through outlines (Forms ES-301-1 and 2) have not caused the test to deviate from any of At 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.  
                                                                                                          -r ~
'&fA 3. SIMULATOR CRITERIA --The associated simulator operating tests (scenario sets) have been reviewed in accordance with Form ES-301-4 and a copy is attached.
            - statements describing important observations to be made by the applicant
(' k Printed Name /
            - criteria for successful completion of the task
Date Author AJ..P#JM'I-1, JJ .1 / llrlJ-l  
            - identification of critical steps and their associated performance standards
,.1 q!z/lJf:, Facility Reviewer (*) W'i II/tO ,., /fAKL-_ (" I .,,1.NRC Chief Examiner (#) Gorcho.J / Jm &#xa3;k.
            - restrictions on the sequence of steps, if applicable                                                        CJn&
..".NRC Supervisor 0111'ue f I NOTE:
: 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       ~          At examinations) specified on those forms and Form ES-201-2.                                                         '&fA
* The facility signature is not applicable for NRC-developed tests. # Independent NRC reviewer initial items in Column "c", chief examiner concurrence required.
: 3. SIMULATOR CRITERIA                                               -               -
NUREG-1 021, Revision SONGS Sept 2008 ES-301-3 Rev Final 7 Simulator Scenario Quality Checklist Form ES-301-4 Facility:
The associated simulator operating tests (scenario sets) have been reviewed in accordance with Form ES-301-4 and a copy is attached.                                                                     ('         k ~~
SONGS Date of Exam: 06/04/07 Scenario Numbers: 1/2/3/4 Operating Test No.: NRC Initials QUALITATIVE ATTRIBUTES a b* c# rThe 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. 'r)1jer -yThe scenarios consist mostly of related events. Each event description consists of
Printed Name / Signature                                Date
: a.      Author                         P#JM'I- 1, JJ AJ.. .1 / llrlJ-l #~'r~'                  ,.1         q!z/lJf:,
: b.      Facility Reviewer (*)         W'i II/tO ,., At'tJt~"      /fAKL- _                             971,100
: c.      NRC Chief Examiner (#)        (" I .,,1.
Gorcho.J /         Jm &#xa3;k.           ~            9/3Jo~
: d.      NRC Supervisor                '12'l{~ ~nt ~                                ..".
0111'ue t--L-'"                            f   I NOTE:
* The facility signature is not applicable for NRC-developed tests.
              #     Independent NRC reviewer initial items in Column "c", chief examiner concurrence required.
NUREG-1 021, Revision 9.1                                                  SONGS Sept 2008 ES-301-3 Rev Final
 
ES-301                                        Simulator Scenario Quality Checklist                               Form ES-301-4 Facility:   SONGS             Date of Exam:       06/04/07       Scenario Numbers:     1/2/3/4       Operating Test No.:         NRC QUALITATIVE ATTRIBUTES                                                         Initials a         b*         c#
: 1.        The initial conditions are realistic, in that some equipment and/or instrumentation may be out of                           r service, but it does not cue the operators into expected events.                                         ~ ~                'r)1jer
: 2.        The scenarios consist mostly of related events.                                                         -y A              ~fr
: 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 malfunction(s) that are entered to initiate the event -y
* the malfunction(s) that are entered to initiate the event
                                                                                                                  -y
* the symptoms/cues that will be visible to the crew
* the symptoms/cues that will be visible to the crew
* the expected operator actions (by shift position)
* the expected operator actions (by shift position)
* the event termination point (if applicable) m&No more than one non-mechanistic failure (e.g., pipe break) is incorporated into the scenario -y without a credible preceding incident such as a seismic event. 'ifJH1fThe events are valid with regard to physics and thermodynamics.
* the event termination point (if applicable)
fbIlr"Y Sequencing and timing of events is reasonable, and allows the examination team to obtain complete evaluation results commensurate with the scenario objectives.
A    m&
1J,t(y f A If time compression techniques are used, the scenario summary clearly so indicates.
: 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.                                           -y A-            'ifJH1f
have sufficient time to carry out expected activities without undue time constraints.
: 5.        The events are valid with regard to physics and thermodynamics.                                         "Y It            fbIlr
Cues are ""'-'I The simulator modeling is not altered. -y ! . The scenarios have been validated.
: 6.        Sequencing and timing of events is reasonable, and allows the examination team to obtain complete evaluation results commensurate with the scenario objectives.                                   f A 1J,t(y 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.    ""'-'I   ~ I~b
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.
: 8.        The simulator modeling is not altered.                                                                   -y .! 1~6-
I+-Xlu/.,* Every operator will be evaluated using at least one new or significantly modified scenario.
: 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.                                             ( I+- Xlu/.,*
All other "?f scenarios have been altered in accordance with Section D.5 of ES-301. All individual operator competencies can be evaluated, as verified using Form ES-301-6 (submit the form along with the simulator scenarios).  
: 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 D.5 of ES-301.                                     "?f 1 ~~
'iAt1rEach applicant will be significantly involved in the minimum number of transients and events -z;specified on Form ES-301-5 (submit the form with the simulator scenarios).
: 11.      All individual operator competencies can be evaluated, as verified using Form ES-301-6
Ir  The level of difficulty is appropriate to support licensing decisions for each crew position. 8'M6 Target Quantitative Attributes Actual Attributes  
                                                                                                                  ~
---(Per Scenario; See Section D.5.d) (SONGS Scenario #) 1 2 4 6 )mb Y A Total malfunctions (5-8) 8 7 7 6 -r A Malfunctions after EOP entry (1-2) 2 1 1 1 A""1 Abnormal events (2-4) 3 3 3 3 7 fJIIfr -;1 2Major transients (1-2) 2 1 8JJt1f A EOPs entered/requiring substantive actions (1-2) 2 1 2 2 -r A yEOP contingencies requiring substantive actions (0-2) 0 1 0 0 (JMb-A 3Critical tasks (2-3) 3 2 2 I tiHt ft NUREG-1021 , Revision SONGS Sept 2008 ES-301-4 Rev Final ES-301 Transient and Event Checklist Form ES-301-5 Facility:
(submit the form along with the simulator scenarios).
SONGS 2 and 3 Date of Exam: 09122/08 Operating Test No.: NRC A E SCENARIOS P V P E SONGS #1 SONGS #2 SONGS #6 L N T I T MINIMUM(')
k 'iAt1r
CREW CREW CREW CREW 0 C POSITION POSITION POSITION POSITION T A T A N Y S A B S A B S A B S A B L T P R T 0 R T 0 R T 0 R T 0 R I U E 0 C P 0 C P 0 C P 0 C P RX --0 1 1 0 NOR -1 1 1 1 1 SROU-1 IIC 1,2,3, 2,3,4,5 9 4 4 2 4,5 MAJ 6 6,7 3 2 2 1 TS 1,2 3,4,5 5 0 2 2 RX --0 1 1 0 NOR -1 1 1 1 1 SROU-2 IIC 1,2,3, 2,3,4 8 4 4 2 4,5 MAJ 6 7 2 2 2 1 TS 1,2 2,4 4 0 2 2 RX 1 1 1 0 NOR --1 1 1 1 1 SROI-1 IIC 1,2,3, 3,4,5 3,8 10 4 4 4,5 MAJ 6 6,7 7 4 2 2 1 TS 1,2 --2 0 2 2 RX ---0 1 1 0 NOR 1 1 1 1 SROI-2 IIC 1,2,3, 2,3,4,5 2,4,6 12 4 4 2 4,5 MAJ 6 6,7 7 4 2 2 1 TS 1,2 3,4,5 -5 0 2 2 RX -. -0 1 1 0 NOR -1
: 12.      Each applicant will be significantly involved in the minimum number of transients and events specified on Form ES-301-5 (submit the form with the simulator scenarios).                               -z;          Ir  ~k
* 1 1 1 1 SROI-3 IIC 1,3,7, 2,3,4,5 2,4,6 11 4 4 2 8 MAJ 6 6,7 7 4 2 2 1 TS -3,4,5 -3 0 2 2 RX -1 1 1 1 0 NOR --0 1 1 1 SROI-4 I/C 1,2,3, 3,4,5 8 4 4 2 4,5 MAJ 6 6,7 3 2 2 1 TS 1,2 -2 0 2 2 RX --0 1 1 0 NOR 1
: 13.      The level of difficulty is appropriate to support licensing decisions for each crew position.             ~          ~    8'M6 Target Quantitative Attributes                               Actual Attributes               -         -         -
* 1 1 1 1 SROI-5 I/C 2,3,4,5 2,4,6 7 4 4 2 MAJ 6,7 7 3 2 2 1 TS 3,4,5
(Per Scenario; See Section D.5.d)                           (SONGS Scenario #)
* 3 0 2 2 NUREG 1021 Revision 9.1 Page 1 of 3 SONGS Sept 2008 ES-301-5 Rev Final ES-301 Transient and Event Checklist Form ES-301-5 Facility:
1         2         4         6       Y        A      )mb
SONGS 2 and 3 Date of Exam: 09/22108 Operating Test No.: NRC A E SCENARIOS P V P E SONGS #1 SONGS #2 SONGS #Q L I C A N T N T T Y P CREW POSITION S A B R T 0 CREW POSITION S A B R T 0 CREW POSITION S A B R T 0 CREW POSITION S A B R T 0 T 0 T A L MINIMUM(') R I U E 0 C P 0 C P 0 C P 0 C P RX --0 1 1 0 NOR -1 1 1 1 1 RO-1 IIC 2,4,5 3,8 5 4 4 2 MAJ 6 7 2 2 2 1 TS --0 0 2 2 RX --0 1 1 0 NOR -1 1 1 1 1 RO-2 IIC 2,4,5 2,8 5 4 4 2 MAJ 6 6,7 3 2 2 1 TS --0 0 2 2 RX -1 1 1 1 0 NOR --0 1 1 1 RO-3 IIC 1,3,7, 8 3,4,5 7 4 4 2 MAJ 6 6,7 3 2 2 1 TS --0 0 2 2 RX ---0 1 1 0 NOR -1 1 2 1 1 1 RO-4 IIC 2,4,5 2,8 3,8 7 4 4 2 MAJ 6 6,7 7 4 2 2 1 TS ---0 0 2 2 RX --0 1 1 0 NOR -1 1 1 1 1 RO*5 IIC 2,4,5 2,8 5 4 4 2 MAJ 6 6,7 3 2 2 1 TS --0 0 2 2 RX --0 1 1 0 NOR --0 1 1 1 RO-6 IIC 1,3,7, 8 2,4,6 7 4 4 2 MAJ 6 7 2 2 2 1 TS --0 0 2 2 RX 1 I -1 1 1 0 NOR -1 1 1 1 1 RO-? IIC 3,4,5 3,8 5 4 4 2 MAJ 6,7 7 3 2 2 1 TS --0 0 2 2 NUREG 1021 Revision 9.1 Page 2 of 3 SONGS Sept 2008 ES-301-5 Rev Final ES-301 Transient and Event Checklist Form ES-301-5 Facility:
: 1.        Total malfunctions (5-8)                                         8         7         7         6       -r         A       /~Ir
SONGS 2 and 3 Date of Exam: 09/22108 Operating Test No.: NRC A E SCENARIOS V P E P SONGS #2 SONGS #6 SONGS #1 N L T MINIMUM(*)
: 2.        Malfunctions after EOP entry (1-2)                               2         1         1         1       ""1       A      ~'!JJb
I C A N T T T Y P S R CREW POSITION A T B 0 S R CREW POSITION A T B 0 S R CREW POSITION A T B 0 S R CREW POSITION A T B 0 0 T A L R I U E 0 C P 0 C P 0 C P 0 C P RX --0 1 1 0 NOR -1 1 1 1 1 RO-8 lie 2,4,5 2,8 5 4 4 2 MAJ 6 6,7 3 2 2 1 TS --0 0 2 2 Instructions:
: 3.        Abnormal events (2-4)                                             3         3         3         3       7         ~      fJIIfr
: 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.
: 4.        Major transients (1-2)                                           1        2          2         1       -; A 8JJt1f
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 (I/C) malfunctions and one major transient, in the ATC position.
: 5.        EOPs entered/requiring substantive actions (1-2)                 2         1         2         2       -r       A ~6-
If an Instant SRO additionally serves in the BOP position, one IIC matfunction can be credited toward the two IIC malfunctions required for the ATC position.
: 6.        EOP contingencies requiring substantive actions (0-2)             0         1         0         0       y        A (JMb-
: 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. NUREG 1021 Revision 9.1 Page 3 of 3 SONGS Sept 2008 ES-301-5 Rev Final ES-301 Competencies Checklist Form ES-301-6 Facility:
: 7.        Critical tasks (2-3)                                             3        3         2         2     I         ft      tiHt NUREG-1021 , Revision 9.1                                                          SONGS Sept 2008 ES-301-4 Rev Final
SONGS Date of Examination:
 
09/22/08 Operating Test No. NRC 1-4 SRO RO (ATC) BOP Competencies SCENARIO SCENARIO SCENARIO 1 2 4 6 1 2 4 6 1 2 4 6 I I nose Events and Conditions 1,2,3, 4,5,6 2,3,4, 5,6,7 2,3,4, 5,6,7 1,2,3, 4,5,7 2,4,5, 6 3,4,5, 6,7 4,6,7, 8 2,4,6, 7 1,3,6, 7,8 2,5,6, 7,8 2,3,5, 6,7 3,7,8 Comply With . and Use Procedures (1) ALL ALL ALL ALL 2,3,4, 5,6 1,3,4, 5,6,7 1,4,6, 7,8 2,4,6, 7 1,3,6, 7,8 1,2,5, 6,7,8 1,2,3, 5,6,7 1,3,5, 7,8 Operate Control Boards (2) N/A N/A N/A N/A 2,3,4, 5,6 1,3,4, 5,6,7 1,4,5, 6,7,8 2,4,6, 7 1,3,6, 7,8 1,2,5, 6,7,8 1,2,3, 5,6,7 1,3,4, 5,7,8 Communicate and Interact ALL ALL ALL ALL 1,2,3, 4,5,6 1,3,4, 5,6,7, 8 1,4,5, 6,7,8 2,4,5, 6,7 1,3,4, 5,6,7, 8 1,2,3 5,6,7, 8 1,2,3, 5,6,7 1,3,4, 5,7,8 Demonstrate Supervisory Ability (3) ALL ALL ALL ALL N/A N/A N/A N/A N/A N/A N/A N/A Comply With and Use Tech. Specs. (3) 1,2 3,4 2,3 2,4 N/A N/A N/A N/A N/A N/A N/A N/A Notes: (1 ) (2) (3) Includes Technical Specification compliance for an RO. Optional for an SRO-U Only applicable to SROs. , Instructions:
ES-301                                   Transient and Event Checklist                               Form ES-301-5 Facility: SONGS 2 and 3                             Date of Exam:     09122/08     Operating Test No.:   NRC A         E                                                     SCENARIOS P         V P         E SONGS #1             SONGS #2             SONGS #6 L       N T       MINIMUM(')
I        T CREW                   CREW                 CREW           CREW         0 C
POSITION             POSITION             POSITION         POSITION       T A         T A
N         Y   S     A     B       S     A       B     S       A     B   S   A     B R     T     0       R     T       0     R       T     0   R   T     0     L    R     I T        P                                                                                                      U E   0       C     P       0     C       P     0       C     P   0   C     P RX     -                     -                                                         0     1   1     0 NOR     -                     1                                                         1     1   1     1 SROU-1   IIC 1,2,3,               2,3,4,5 9     4     4     2 4,5 MAJ     6                     6,7                                                       3     2     2     1 TS     1,2                   3,4,5                                                       5     0     2     2 RX     -                                           -                                   0     1     1     0 NOR     -                                           1                                   1     1     1     1 SROU-2   IIC 1,2,3,                                       2,3,4 8     4     4     2 4,5 MAJ     6                                           7                                   2     2     2     1 TS     1,2                                         2,4                                 4     0     2     2 RX       -                            1                          -                    1     1     1     0 NOR     -                             -                           1                     1     1     1     1 SROI-1   IIC 1,2,3,                         3,4,5                       3,8 10     4     4     ~
4,5 MAJ   6                             6,7                         7                     4     2     2     1 TS     1,2                             -                           -                   2     0     2     2 RX     -                     -                           -                           0     1     1     0 NOR     -                      1                           -                          1     1     1      1 SROI-2     IIC 1,2,3,                 2,3,4,5                       2,4,6 4,5 12     4     4     2 MAJ   6                     6,7                           7                           4     2     2     1 TS   1,2                   3,4,5                           -                           5     0     2     2 RX                   -       .                           -                           0     1     1     0 NOR                   -       1
* 1     1     1     1 SROI-3   IIC                 1,3,7, 2,3,4,5                       2,4,6 8
11     4     4     2 MAJ                   6     6,7                           7                           4     2     2     1 TS                   -     3,4,5                           -                           3     0     2     2 RX     -                             1                                                 1     1     1     0 NOR     -                             -                                                 0     1     1     1 SROI-4   I/C 1,2,3,                         3,4,5 4,5                                                                                8     4     4     2 MAJ     6                           6,7                                                 3     2     2   1 TS     1,2                             -                                                 2     0     2   2 RX                           -                             -                           0     1     1   0 NOR                           1
* 1     1     1   1 SROI-5   I/C                       2,3,4,5                       2,4,6                         7     4     4   2 MAJ                           6,7                           7                           3     2     2   1 TS                         3,4,5
* 3     0     2   2 NUREG 1021 Revision 9.1                                   Page 1 of 3       SONGS Sept 2008 ES-301-5 Rev Final
 
ES-301                             Transient and Event Checklist                                 Form ES-301-5 Facility: SONGS 2 and 3                     Date of Exam:     09/22108       Operating Test No.:     NRC A         E                                           SCENARIOS P         V P         E SONGS #1         SONGS #2           SONGS #Q L         N T       MINIMUM(')
I        T CREW            CREW                  CREW              CREW          0 C
POSITION          POSITION            POSITION            POSITION      T A          T A
N        Y S     A   B     S     A       B     S       A     B     S   A     B L
T        P  R     T   0     R    T       0     R      T     0    R    T    0            R     I     U E 0     C   P     0     C       P     0       C     P     0   C     P RX           -                                             -                       0     1     1     0 NOR           -                                             1                       1     1     1     1 RO-1     IIC         2,4,5                                         3,8                     5     4     4     2 MAJ           6                                             7                       2     2     2     1 TS           -                                             -                     0     0     2     2 RX           -                         -                                           0     1     1     0 NOR           -                         1                                           1     1     1     1 RO-2     IIC         2,4,5                     2,8                                           5     4     4     2 MAJ           6                       6,7                                           3     2     2     1 TS             -                       -                                           0     0     2     2 RX                 -           1                                                   1     1     1     0 NOR                 -           -                                                   0     1     1     1 RO-3     IIC               1,3,7,     3,4,5 7     4     4     2 8
MAJ                 6         6,7                                                   3     2     2   1 TS                 -           -                                                   0     0     2     2 RX           -                       -                     -                     0     1     1   0 NOR           -                       1                   1                       2     1     1     1 RO-4     IIC       2,4,5                     2,8                 3,8                     7     4     4     2 MAJ           6                       6,7                   7                       4     2     2     1 TS           -                       -                     -                     0     0     2     2 RX           -                       -                                           0     1     1     0 NOR           -                       1                                           1     1     1     1 RO*5     IIC       2,4,5                     2,8                                           5     4     4     2 MAJ           6                       6,7                                           3     2     2   1 TS           -                         -                                           0     0     2   2 RX                 -                               -                             0     1     1   0 NOR                 -                               -                             0     1     1   1 RO-6     IIC             1,3,7,                           2,4,6 7     4     4   2 8
MAJ               6                                 7                             2     2     2   1 TS                 -                               -                             0     0     2   2 RX                             1                 I           -                     1     1     1   0 NOR                             -                           1                     1     1     1   1 RO-?       IIC                         3,4,5                         3,8                     5     4     4     2 MAJ                           6,7                           7                       3     2     2     1 TS                             -                             -                     0     0     2     2 NUREG 1021 Revision 9.1                           Page 2 of 3         SONGS Sept 2008 ES-301-5 Rev Final
 
ES-301                                       Transient and Event Checklist                                 Form ES-301-5 Facility:     SONGS 2 and 3                             Date of Exam:     09/22108       Operating Test No.:     NRC A             E                                                     SCENARIOS P            V P             E SONGS #1              SONGS #2             SONGS #6 L            N T       MINIMUM(*)
I           T CREW                CREW                  CREW            CREW          0 C
POSITION              POSITION            POSITION          POSITION        T A            T A
N             Y     S     A     B     S       A       B     S     A      B    S    A     B L            I T             P    R      T    0     R       T       0     R      T      0   R    T     0            R           U E     0     C     P     0       C       P     0     C     P   0     C     P RX               -                           -                                         0     1     1     0 NOR               -                           1                                         1     1     1     1 RO-8           lie           2,4,5                         2,8                                         5     4     4     2 MAJ               6                           6,7                                         3     2     2     1 TS               -                             -                                         0     0     2     2 Instructions:
: 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 (I/C) malfunctions and one major transient, in the ATC position. If an Instant SRO additionally serves in the BOP position, one IIC matfunction can be credited toward the two IIC 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.
NUREG 1021 Revision 9.1                                       Page 3 of 3       SONGS Sept 2008 ES-301-5 Rev Final
 
ES-301                                           Competencies Checklist                             Form ES-301-6 Facility:     SONGS               Date of Examination:             09/22/08     Operating Test No. NRC 1-4 SRO                           RO (ATC)                         BOP Competencies                   SCENARIO                         SCENARIO                     SCENARIO 1       2       4     6         1       2     4     6     1       2       4     6 I
InterpreUDiag 1,2,3, 2,3,4,   2,3,4, 1,2,3,   2,4,5, 3,4,5, 4,6,7, 2,4,6, 1,3,6, 2,5,6,  2,3,5, nose Events              4,5,6  5,6,7   5,6,7  4,5,7      6      6,7     8      7    7,8    7,8      6,7 3,7,8 and Conditions Comply With 2,3,4, 1,3,4, 1,4,6, 2,4,6, 1,3,6, 1,2,5,   1,2,3, 1,3,5,
. and Use                  ALL    ALL      ALL    ALL 5,6    5,6,7   7,8    7    7,8    6,7,8   5,6,7  7,8 Procedures (1)
Operate 2,3,4, 1,3,4, 1,4,5, 2,4,6, 1,3,6, 1,2,5, 1,2,3, 1,3,4, Control Boards            N/A    N/A      N/A    N/A      5,6   5,6,7  6,7,8     7    7,8    6,7,8   5,6,7 5,7,8 (2)
Communicate                                                        1,3,4,               1,3,4, 1,2,3 1,2,3,         1,4,5, 2,4,5,                 1,2,3, 1,3,4, and                      ALL    ALL      ALL    ALL 4,5,6 5,6,7, 6,7,8   6,7 5,6,7,  5,6,7, 5,6,7 5,7,8 8                    8      8 Interact Demonstrate Supervisory               ALL   ALL     ALL     ALL       N/A     N/A     N/A   N/A   N/A     N/A     N/A   N/A Ability (3)
Comply With and Use Tech.             1,2   3,4     2,3     2,4     N/A     N/A     N/A   N/A   N/A     N/A     N/A   N/A Specs. (3)
Notes:
                                                                                                                        ,
(1 ) Includes Technical Specification compliance for an RO.
(2)  Optional for an SRO-U (3)  Only applicable to SROs.
Instructions:
Circle the applicants' license type and enter one or more event numbers that will allow the examiners to evaluate every applicable competency for every applicant.
Circle the applicants' license type and enter one or more event numbers that will allow the examiners to evaluate every applicable competency for every applicant.
NUREG-1021, Revision 9.1 SONGS Sept 2008 ES-301-6 Rev Final c ES-403 Written Examination Grading Form Quality Facility:
NUREG-1021, Revision 9.1                                                 SONGS Sept 2008 ES-301-6 Rev Final
Sc..1'1 (J/1r1f.:..f.
 
Date of Exam:
ES-403                               Written Examination Grading                     Form ES-403-1 Quality Checklist Facility: Sc..1'1 (J/1r1f.:..f.       Date of Exam:   9/~t;1of'    Exam Level: ROXl SROLK]
Exam Level: ROXl SROLK] Initials b Item Description Clean answer sheets copied before qradinq Answer key changes and question deletions justified and documented Applicants' scores checked for addition errors (reviewers spot check> 25% of examinations) Grading for all borderline cases (80 +/-2% overall and 70 or 80, as applicable, +/-4% on the SRO-only) reviewed in detail All other failing examinations checked to ensure that grades are justified Performance on missed questions checked for training deficiencies and wording problems; evaluate validity of questions missed by half or more of the applicants Printed Date <<1 btll uo8 , /O/I/tJ<i* d. NRC Supervisor
Initials Item Description                                 a      b        c
(*) The facility reviewer's signature is not applicable for examinations graded by the NRC; two independent NRC reviews are required.
: 1.        Clean answer sheets copied before qradinq
ES-403, Page 6 of 6
: 2.        Answer key changes and question deletions justified and documented
--Page 1 of4 Operator Licensing Exam Schedule 10101/2008 14:22:24 From 06/01/2008 To 09/30/2009 Report 21 Region: 4 Phase Code: 5 I Examiners Assigned SitelDock et No./lnsp Rpt# _ __ ._ # Candidates 08/25/2008 San Onofr e / 05000361 / 2008301 Prep FFF GARCHOW, STEPHEN M. GARCHOW, STEPHEN M. TAC #: X02380 HAIRE, MARK S. PRESBY, PETER A. 08/25/2008 San Onofre /05000362
: 3.        Applicants' scores checked for addition errors (reviewers spot check> 25% of examinations)
/ 2008301 Prep FFF GARCHOW, STEPHEN M. GARCHOW, STEPHEN M. TAC #: X02381 HAIRE, MARK S. PRESBY, PETER A. 09/22/2008 San Onofre" 05000361 /2008301 Admin FFF GARCHOW, STEPHEN M. APGER, GABRIEL W T AC #: GARCHOW, STEPHEN M. HAIRE, MARK S. PATE, ANTHONY L. PRESBY, PETER A. 09/22/2008 San Onofre /05000362/2008301 RO -6 SROI -2 Admin FFF GAR CHOW, STEPHEN M. APGER, GABRIEL W TAC #: X02381 SROU -GARCHOW, STEPHEN M. HAIRE, MARK S. PRESBY, PETER A. 11/03/2008 San Onofre / 05000361 / GARCHOW, STEPHEN M. BALDWIN, RICHARD S. Procedure
: 4.        Grading for all borderline cases (80 +/-2% overall and 70 or 80, as applicable, +/-4% on the SRO-only) reviewed in detail
#: 7111111B GARCHOW, STEPHEN M. OSTERHOL TZ, CLYDE C. 11/03/2008 San Onofre /05000362/
: 5.        All other failing examinations checked to ensure that grades are justified
GAR CHOW, STEPHEN M. BALDWIN, RICHARD S. Procedure
: 6.        Performance on missed questions checked for training deficiencies and wording problems; evaluate validity of questions missed by half or more of the applicants Printed Name/Signature                            Date
#: 7111111 B GARCHOW, STEPHEN M. OSTERHOL TZ, CLYDE C. Sites: SANO Orgs: 4620 Exam Author: ALL 
                                                                                          <<1 btll uo8 9h~kr-
--Page 1 of 4 09/18/2008 10:20:47 Report 21 Region: 4 Phase Code: 5 Exam Week II SitelDocket No.llnsp Rpt #
                                                                                                ,
San Onofre 1 05000361 12008301 TAC #: X02380 San Onofre 1 05000362 12008301 TAC #: X02381 San Onofre 105000361 12008301 TAC #: X02380 San Onofre 105000362 1 2008301 TAC #: X02381 San Onofre 105000361 12008301 TAC #: X02380 San Onofre 105000362/2008301 TAC #: X02381 San Onofre 105000361 12008301 TAC #: X02380 San Onofre 105000362/2008301 TAC # X02381 Operator Licensing Exam Schedule From 08/01/2008 To 09/30/2008
                                                                                          /O/I/tJ<i
# Candidates r Type a Exam Author_l Chief Examiner Examiners Assigned b {_ Prep FFF GARCHOW, STEPHEN M. Prep FFF GAR CHOW, STEPHEN M. Prep FFF GARCHOW, STEPHEN M. Prep FFF GARCHOW, STEPHEN M. Prep FFF GARCHOW, STEPHEN M. Prep FFF GARCHOW, STEPHEN M. Admin FFF GARCHOW, STEPHEN M. RO -6 SROI-2 Admin FFF GARCHOW, STEPHEN M. SROU -1 GARCHOW, STEPHEN HAIRE, MARK PRESBY, PETER GARCHOW, STEPHEN HAIRE, MARK PRESBY, PETER GARCHOW, STEPHEN HAIRE, MARK PRESBY, PETER GARCHOW, STEPHEN HAIRE, MARK PRESBY, PETER GARCHOW, STEPHEN HAIRE, MARK PRESBY, PETER GARCHOW, STEPHEN HAIRE, MARK PRESBY, PETER APGER, GABRIEL GARCHOW, STEPHEN HAIRE, MARK PATE, ANTHONY PRESBY, PETER APGER, GABRIEL GARCHOW, STEPHEN HAIRE, MARK PRESBY, PETER Sites: SANO Orgs: 4620 Exam Author: ALL 
                                                                                              *
/ Cljrt NfL ES-201 Examination Sec uri Agreement Form ES-201-3 if
: d. NRC Supervisor (*)
: 1. Pre-Examination r'f/ z. "If 1 I acknowledge that I  acquired specialized I<nowledge about the NRC licensing examinations scheduled for the week(s) of &#xa2;'1 /z/J1 g'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.
(*)     The facility reviewer's signature is not applicable for examinations graded by the NRC; two independent NRC reviews are required.
: 2. Post-Examination To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of . From the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or 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 (2) DATE NOTE 1. LPrfU"f./-1
ES-403, Page 6 of 6
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Page 1 of4 Operator Licensing Exam Schedule 10101/2008    14:22:24 From 06/01/2008 To 09/30/2009 Report 21 Region: 4              Phase Code: 5
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08/25/2008 SitelDocket No./lnsp Rpt# _ _ _
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San Onofre / 05000361 / 2008301
                                              ._      # Candidates Prep      FFF
                                                                                        -                    -IExaminers Assigned GARCHOW, STEPHEN M. GARCHOW, STEPHEN M.
TAC #: X02380                                                                                    HAIRE, MARK S.
PRESBY, PETER A.
08/25/2008 San Onofre /05000362 / 2008301                            Prep      FFF    GARCHOW, STEPHEN M. GARCHOW, STEPHEN M.
TAC #: X02381                                                                                    HAIRE, MARK S.
PRESBY, PETER A.
09/22/2008 San Onofre" 05000361 /2008301                            Admin      FFF    GARCHOW, STEPHEN M. APGER, GABRIEL W TAC #: X02380                                                                                    GARCHOW, STEPHEN M.
HAIRE, MARK S.
PATE, ANTHONY L.
PRESBY, PETER A.
09/22/2008 San Onofre /05000362/2008301      RO -6      SROI - 2    Admin      FFF    GARCHOW, STEPHEN M. APGER, GABRIEL W TAC #: X02381                    SROU - 1                                                        GARCHOW, STEPHEN M.
HAIRE, MARK S.
PRESBY, PETER A.
11/03/2008 San Onofre / 05000361 /                                                    GARCHOW, STEPHEN M. BALDWIN, RICHARD S.
Procedure #: 7111111B                                                                            GARCHOW, STEPHEN M.
OSTERHOLTZ, CLYDE C.
11/03/2008 San Onofre /05000362/                                                      GARCHOW, STEPHEN M. BALDWIN, RICHARD S.
Procedure #: 7111111 B                                                                            GARCHOW, STEPHEN M.
OSTERHOLTZ, CLYDE C.
Sites: SANO Orgs: 4620 Exam Author: ALL


j\ 13. [ilAg:C.
Page 1 of 4 Operator Licensing Exam Schedule 09/18/2008        10:20:47 From 08/01/2008 To 09/30/2008 Report 21 Region: 4                Phase Code: 5 Exam Week  II SitelDocket No.llnsp Rpt #          # Candidates    r Type    aExam Author_lChief Examiner      Examiners Assigned 05/22/2008  --San Onofre 1 05000361 12008301                          Prep b
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{_
.--<  .--<  <I IdJ" I  Q ES-201 ExamInation SBCUrity AgTHment . Form ES-2Q1...J
GARCHOW, STEPHEN M. GARCHOW, STEPHEN M.
: 1. Prl..exlmiNtion  lacfmawledge D'\at I  acql.hO speclallzlKl xnwAedge aboullhe NRC exeminat!oflll scheduled for  V\'a$((sj of  / as  the datil of my I agree 1ha1: I wUI nOll<rto'hfngl, divulge 811)' Informalfon abolt theM a:xamInlll.loos
TAC #: X02380                                                                                        HAIRE, MARK S.
\J) ilny who heVs r)Qt been authortzBd by U19  examinltf.
PRESBY, PETER A.
I understand 1hS1\ am not lD Il1l1mct.
05/22/2008    San Onofre 1 05000362 12008301                          Prep      FFF        GARCHOW, STEPHEN M. GARCHOW, STEPHEN M.
evakJi!&e.
TAC #: X02381                                                                                        HAIRE, MARK S.
or J7(Wkt. pWfOml.anca leadtlack 1.0 Ihooe appllaYltJi scheduled ID be lNne licel1$ing exarnlrtatKln&
PRESBY, PETER A.
from ltlis date \intn IX'mpliillcn1 of
08/25/2008    San Onofre 105000361 12008301                          Prep        FFF        GARCHOW, STEPHEN M. GARCHOW, STEPHEN M.
TAC #: X02380                                                                                      HAIRE, MARK S.
PRESBY, PETER A.
08/25/2008    San Onofre 105000362 1 2008301                          Prep        FFF        GARCHOW, STEPHEN M. GARCHOW, STEPHEN M.
TAC #: X02381                                                                                        HAIRE, MARK S.
PRESBY, PETER A.
08/30/2008    San Onofre 105000361 12008301                          Prep        FFF        GARCHOW, STEPHEN M. GARCHOW, STEPHEN M.
TAC #: X02380                                                                                      HAIRE, MARK S PRESBY, PETER A.
08/30/2008    San Onofre 105000362/2008301                            Prep        FFF        GARCHOW, STEPHEN M. GARCHOW, STEPHEN M.
TAC #: X02381                                                                                      HAIRE, MARK S.
PRESBY, PETER A.
09/22/2008    San Onofre 105000361 12008301                          Admin      FFF        GARCHOW, STEPHEN M. APGER, GABRIEL W.
TAC #: X02380                                                                                      GARCHOW, STEPHEN M.
HAIRE, MARK S.
PATE, ANTHONY L.
PRESBY, PETER A 09/22/2008    San Onofre 105000362/2008301  RO -6        SROI-2      Admin      FFF        GARCHOW, STEPHEN M. APGER, GABRIEL W.
TAC # X02381                  SROU - 1                                                            GARCHOW, STEPHEN M.
HAIRE, MARK S.
PRESBY, PETER A.
Sites: SANO Orgs: 4620 Exam Author: ALL


as spe<:mcafy nalOO below and lKIlhorU8d b., th9 NRC (aQ., acting as a booltl OPenltot or commU/ltr:a!or ill accaple.bie jfthe in<ilWiuel does ool selact L'18 lraining corit:l1t Oi pro-."lQe d!rec! or f1ledbscklo FuT1herroore, I am awsre of the rt'ysical 5aCUllly me8&IJnu and reqlJinlments (as lioclfl16lrtDd In  fdty It:\Vl1lee's pro::edJres) and undenltafJd lhet vlolatlCtl o11he cono1Uons of thla Bgreem!nl may l1!&ul( In C61\Cela.lion ontla fOOlminalk11l8 sndior an enfofcemenl ac:llan against me. or Iha faQltty IlCQflW6e.
                                                                                              / Cljrt
I wllllmmedialely rapot1 to hici.lty mlll18B9m8ll1 or the NRC any Indtca1loM or BU4JgnUo/1lS that iIXBIT1lnaUon security INI)' have beGn comproTmied.
(~  S-NfL ES-201                                                                Examination Securi        Agreement                                                Form ES-201-3 if 2a/~&
u Z H 2.  
: 1.        Pre-Examination                                                                                                                        r'f / z. "If 1 I acknowledge that I      ha~e  acquired specialized I<nowledge about the NRC licensing examinations scheduled for the week(s) of            &#xa2;'1 / z/J1    g' 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.
<I To \he b8S'l of my I dfd not cfvulge to any unauthoriz.ed lIfly irrlorrna!kln concwnlrlJ It\a NRC lb!nslClg exlPiflBtions a:1mini51MBd w during rha .....all.(8) or . From !he d. that I entllred II1to tills ascurlt')'
: 2.       Post-Examination To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of                    . From the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC.
8g'eemenl untlll1le oo-mpl611on of exsrnlna1!on adminis1rallon, I dId nat o NruO<, SOJUJ31a, or J)rw101J perfomlance reooback to those apphcMts .-he were these I!carnlng tllCi1mlr\8tions, excapL as spedllcany road bsiow and fl.ultlortzad by the NRC. PRlN1"&#xa3;D NAME Joe rIflE I RESFONSlBlLlTY
PRINTED NAME                  JOB TITLE / RESPONSIBILITY                                                            SIGNATURE (2)              DATE NOTE
: 1.  
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NiC ES-201                                                                ExamInation SBCUrity AgTHment .                                                Form ES-2Q1...J            I~ Cil
                                                                                                                                                                    '121/~                          i Cil co
: 1.        Prl..exlmiNtion                                                                                                                        ~/% ,,/~,
                                                                                                                                                                                                        ....
h~                                                        11C6P1~g                                ~              &#xa2;~ / ~rf~ ~
CSl lacfmawledge D'\at I          acql.hO speclallzlKl xnwAedge aboullhe NRC                          exeminat!oflll scheduled for    V\'a$((sj of            as    the datil        Cil of my ~sture. I agree 1ha1: I wUI nOll<rto'hfngl, divulge 811)' Informalfon abolt theM a:xamInlll.loos \J) ilny ~r80ns who heVs r)Qt been authortzBd by U19                        ~
N~C c~r examinltf. I understand 1hS1\ am not lD Il1l1mct. evakJi!&e. or J7(Wkt. pWfOml.anca leadtlack 1.0 Ihooe appllaYltJi scheduled ID be a~nistered lNne licel1$ing exarnlrtatKln& from ltlis date \intn IX'mpliillcn1 of ~ n ~mlni.tm\IDn. l!)lC~t as spe<:mcafy nalOO below and lKIlhorU8d b., th9 NRC CD (aQ., acting as a ~lafor booltl OPenltot or commU/ltr:a!or ill accaple.bie jfthe in<ilWiuel does ool selact L'18 lraining corit:l1t Oi pro-."lQe d!rec! or ~re~                    A W
f1ledbscklo FuT1herroore, I am awsre of the rt'ysical 5aCUllly me8&IJnu and reqlJinlments (as lioclfl16lrtDd In ~6 fdty It:\Vl1lee's pro::edJres) and                              CD A
undenltafJd lhet vlolatlCtl o11he cono1Uons of thla Bgreem!nl may l1!&ul( In C61\Cela.lion ontla fOOlminalk11l8 sndior an enfofcemenl ac:llan against me. or                      cD Iha faQltty IlCQflW6e. I wllllmmedialely rapot1 to hici.lty mlll18B9m8ll1 or the NRC ct4l!lf~arnlnarany Indtca1loM or BU4JgnUo/1lS that iIXBIT1lnaUon security                    Cil lD u
INI)' have beGn comproTmied.                                                                                                                                                      W'"
Z H
: 2.        PQ!ll-~nIIlQQ f-
      <I
      <I          To \he b8S'l of my ~0w1edge. I dfd not cfvulge to any unauthoriz.ed pef'&Qn~ lIfly irrlorrna!kln concwnlrlJ It\a NRC lb!nslClg exlPiflBtions a:1mini51MBd w            during rha .....all.(8) or              . From !he d . that I entllred II1to tills ascurlt')' 8g'eemenl untlll1le oo-mpl611on of exsrnlna1!on adminis1rallon, I dId nat o
NruO<, SOJUJ31a, or J)rw101J perfomlance reooback to those apphcMts .-he were adm~(slsntd these I!carnlng tllCi1mlr\8tions, excapL as spedllcany road bsiow and fl.ultlortzad by the NRC.
PRlN1"&#xa3;D NAME                Joe rIflE I RESFONSlBlLlTY
: 1. L~ ~ :r.1L.~                      ' Xt1-M ~~
                                                                                                                                                                                                      &sect;
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......                                                                                                                                                                                          (II w
                                                                                                                                                                  --~ .~.~-


(S) NOTff J.o/-Oi (J'"' ro (S)  01 ..... ro ro ..... ro ...... Cil Cil i co .... CSl Cil  CD A W CD A cD Cil lD W '" Cil W ..... (II w 2 .f f t2-!J '( !Y(( (, ES-201 Examination Security Agreement Form ES-201-3 1. Pre-Examination 9/l.'lloo I acknowledge that I have acquired specialized knowledge about the NRC licehsing examinations scheduled for the week(s) of as of the date ,/2. of my signature.
f t2-!J '(       2       .f 5>
I agree that I will not knowingly divulge any information about these examinations to any persons who have riot been authorized by the NRC chief examiner.
                                                                                                                                                !Y(( (,
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).
ES-201                                                           Examination Security Agreement                                               Form ES-201-3
Furthermore, I am aware of tile 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.
: 1.       Pre-Examination                                                                                                             9/ l.'lloo I acknowledge that I have acquired specialized knowledge about the NRC licehsing examinations scheduled for the week(s) of             ,/2. <t!~    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 riot 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 tile physical security measures and requirements (as documented in the facility licensee's procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action against me or the facility licensee, I will immediately report to facility management or the NRC chief.examiner any indications or suggestions that examination security may have been compromised.
: 2. Post-Examination To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of . From the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC. PRINTED NAME JOB TITLE / RESPONSIBILITY SIGNATURE (1) DATE SIGNATURE (2) DATE NOTE 1. -\ 'e.r   (oiiC:;;:\.eLC\2. I '-\.  "') .3. 6; V en T"e t:...b. 4,  
: 2.       Post-Examination To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of                 . From the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC.
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PRINTED NAME               JOB TITLE / RESPONSIBILITY                     SIGNATURE (1)                 DATE   SIGNATURE (2)       DATE NOTE 1.
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: 5. L_ 8 _          4(..             ~'4 L<lM1!lA<-J                    ~                        _~~          --LQc:J.L~~4~~~~-1 6,     ~        M. C VoL,.,.!               0f.-<;("'~-bo/                                      .
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: 8. !5P/VAf=P C- cc'::)a (w r* Co W1pv,";::fi "Lc<..(l
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* 0 P 5 I /Vee. ,T', " * -) jly '5120 f Ii) 0(1 1J r Nf< c ES*201 Examination Security Agreement Form ES-201-3 1. Pre-Examination
                                        ~p~~
'7/'l-z.!tFa , acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the weel<<s) of 9/21f'S asof the date of my signature.
CMr1f7:1?M9 12
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.
                                                                            ~                                  -   ~ ?".=..                 A NOTES:
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).
ES-201, Page 27 of 28
Furthermore, I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action against me or the facility licensee.
                                                                                    -.. :' . '. .  -, .; -: ~.
I will immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been compromised.
: 2. Post-Examination To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of . From the date that I entered into this security agreement witil the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC. DATE DATE NOTE 4f-7/.M,(l1..
./j{/L /Y \. '7/1/ 10 Ice  7=" "7}//0&#xa3;  * ---
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&r..:&f"ES-201, Page 27 of 28 f(jJi L(  r ___________________ES-201 Examination Security Agreement Form ES-201-3 1. Pre-Examination qj nltl6 I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of '1/2.t:t !tJ-fJ 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 !ken authorized by the NRC chief examiner.
I understand that' 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 seleel 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 aelion against me or the facility licensee.
I will immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been compromised.
: 2. Post-Examination To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of . From the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or 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) 1.8eem:r I M>tU 4(-iJ
   , c:=? 2. (}J Mj( I-l -1Jf!5tH C ,<:(5  .t, IT
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r                                                                                         Nf< c ES*201                                                                         Examination Security Agreement                                                                                 Form ES-201-3
13., ,>3
: 1.           Pre-Examination
: 14.
                                                                                                                                                                                  '7/'l-z.!tFa
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, acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the weel<<s) of                                                       9/21f'S            asof 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.
bfrze-A-10/C  . .NOTES: ES-201, Page 27 of 28 f aft! S 1 f; IVrec ES-201 Examination Security Agreement Form ES-201-3 1. Pre-Examination J 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.
: 2.             Post-Examination To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of                           . From the date that I entered into this security agreement witil 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.
I agree that I will not knowingly divulge any information about these examinations to any persons who have not e n authOrized by the NRC chief examiner.
JOB TITLE / RESPONSIBILITY                                                      DATE                                                          DATE NOTE
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 administratioh, 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).
    -" ,  ~"""""" "'"      VV'. ' v
Furthermore, I am aware of the physical security measures and requiremehts (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 v' I
I will immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been compromised.
                                                    ~
: 2. Post-Examination To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of . From the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC. PRINTED NAME DATE NOTE  AnaeL/i) t)
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1:[avr;f }- t:?t1vd.                          C)Z~. (h/I;-1J          ,54;J"n1fW  7~                              UIl!6/(                                                                -..LJ2..0.~
7/17/0&#xa3;_,                                                                itJlr ;,~
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        ~u,        ~. _    r"                    0  P5 I        /Vee.                    ~~~--1                      ,---...:=2c.:...'{-=-O..='i:?".---=-.,.."-"9JC/'-;<,-'-'':.f'--,l'T--
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                                                                                                                        ~
                          ,T',  "                      *  -    )                      ..
IV -   I"                                                                                      Ur1-t:j      '.
                                                                                              ,,:7    ., "  )          'i-p{              ~-6B                                                10 -I-~
                                                                                        ~~~~
                                                                                                                        ~&'                                                                    ~-:d-
                                                      ~Tr'l2 jly '5120
                                                                                                =-== ~      v~        1-Z9-&
7*?LJ<f[;
                                                                                                                                                                                                ~ JJ
                                                                                                                                                                                                  &r..:&f" ES-201, Page 27 of 28


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_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _IVrCc f(jJi        L( ~        r ES-201                                                                      Examination Security Agreement                                              Form ES-201-3
: 9. 7:j;v;, f:i1 fE3;:;.o:;ti
: 1.          Pre-Examination qj nltl6 I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of                '1/ 2.t:t !tJ-fJ 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 !ken authorized by the NRC chief examiner. I understand that' 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 seleel 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 aelion 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.
,. :-!.Nl') ...... "'1 ,m [, no<.( 10. c../le-+-W' V v. -JO<-'vl'l
: 2.          Post-Examination To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of                      . From the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC.
  =,_  _" u. __
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: 12.       I, 11I-e,~ J?1                              iN':. rrz-u0fl./Y\--                                            ~  ,          .~,  -*          --.--r--~
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NOTES:                                                                        r_-
ES-201, Page 27 of 28


  . 14. \I_ 15. '"---. _ NOTES: ES-201, Page 27 of 28}}
f aft! S                1 f;                                                            IVrec ES-201                                                              Examination Security Agreement                                          Form ES-201-3
: 1.        Pre-Examination J acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of ~7ftlf                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 e n 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 administratioh, 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 requiremehts (as documented in the facility licensee's procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action against me or the facility licensee. I will immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been compromised.
: 2.          Post-Examination To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of              . From the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC.
PRINTED NAME                                                                                                                    DATE NOTE 1.~1lYhe.q&#xa2;(, AnaeL/i)                                                                                                                    t)  ;6h~~r
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: 15.                                                                                                         '"---.                                     _
NOTES:
ES-201, Page 27 of 28}}

Revision as of 12:04, 14 November 2019

San Onfre - SO-2008-09 - Public Forms, Initial Operator Licensing Examination Assignment
ML082890586
Person / Time
Site: San Onofre  Southern California Edison icon.png
Issue date: 09/26/2008
From: Ryan Lantz
Division of Reactor Safety IV
To:
Southern California Edison Co
References
50-361/08-301, 50-362/08-301
Download: ML082890586 (19)


Text

GP5-APP-A - ASSIGNMENT TICKLER ASSIGNMENT TICKLER Chief: Mark Haire I Facility: I SONGS First Date of Exam: 9/19/2008 II Written Exam Developed By: NRC I Facility Operating Test Developed By: NRC I Facility Due Date Description Date Complete Initials Notes

~,O2380 5/~ot/ffi Exam Administration Date Confirmed (C.l.a; C.2.a & b) OSoeu 3 "'1/z.ooI'30\

3/23/2008 if1.5/fl t:':'5 02.H?o L.. _'1 5/22/2008 NRC Staff & Facility Contact Assigned (C.l.d; C.2.e)

~fi"lfI~ lI#kJ 5/22/2008 Facility Contact Briefed on Security & Other Req's (C.2.c) 5h~/L)j ~HAJ-5/22/2008 Corporate Notification Letter (ES-201 Att-3) Sent (C.2.d) 5/z 10'9 titS& produced by Chief Examiner 6/21/2008 Reference Material Due (if NRC authored) (C.l.e; C.3.c) IN/A ~Skt-7/6/2008 V Integrated Exam Outlines Due (C.1.e & f; C.3.d)

~~o o"l tltS"f 7/11/2008 Outlines Reviewed & Feedback Provided (c.2.h; C.3.e) fnlB! bb tJt1!Jf V f/lj'og

~'fr 8/5/2008 Draft Exams w/References Due (C.1.e,f,g,h; C.3.d)

WILt. ,ltv n PIU>I/I~(f 6JLJ...v 8/20/2008 "Peer Reviewer Completes Review of Exam on ES-401-9 2/1(b~ WI&

8/20/2008 "NRC BC Approves Feedback to Facility (C.2.h; C.3.f)

Z'/0$ 8m&

8/20/2008 "Exams Reviewed w/ Fac. (C.1.h;C.2.f & h; C.3.g) i//2/6! fAter 8/20/2008 Preliminary Applications Due (C.1.I;C.2.g; ES-202) g ZI/og fM17 8/25/2008 Preliminary Applications Reviewed (C.1.I;C.2.g) tt 2110$ fimrr 9/5/2008 Final Applications Due (C.1.I;C.2.i;ES-202) 9/" /cj fJnlr

~ On-Site Preparatory Week to Validate Operating Exam tI2'IO~ ~L :Jr7

~ On-Site Audit (10%) of License App's (ES-202 C.2.e) 1/Z.7!() 8 bu6 9/12/2008 Final Appl. OK'ed & Waiver Letters Sent (ES-204; C.2.e) if ISla J mtr 9/12/2008 NRC Supervisor Approved Final Exams (C.2.i;C.3.h) 9 I~ / () g PIer Exam Approval Letter (ES-201 Att-4) and List of Applicants produced by OLA 9/12/2008 (ES-201-4) Prepared (C.2.i) CJ/I~/~g ~ I 9/12/2008 Proctor Rules Review w/Fac. & Written Authorized (C.3.k) t:tJp/og Pn&*

9/12/2008 Exam Material to Exam Team (C.3.i) ~ I", og 1:mu

'Y.J6 ,Administer Operating Exam On-Site 'I, 2~ lag ".1"'0 fhL '.;JR. \\I~N 1::l<AM . '1/2, 10/1/2008 Facility Graded Exam & Comments Received q '30 fbg ~&

10/4/2008 NRC Written Exam Grading Completed

't /3 0 / 0 !:J 11mb 10/4/2008 Examiners Document Exam Grades on ES Forms /0/1 J 0 ~ 1,'(}'J1t"

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10/14/2008 NRC Chief Examiner Grading Review Completed /0/2/0? ( l"f1I" 10/15/2008 NRC BC Review Completed /oj'/l;g I~rmt-License/Denials Mailed; Facility Notified of Results 10/19/2008 10/b/01 It'r/f,fJ 10/19/2008 RPS/IP Number of Examinees Updated ,Izs//)2 I/yn/r print Report-21

~~.J.,;"'J<. d 10/1'1/6/ ,~6"'" produced by Chief Examiner 11/3/2008 11/10/2008 Examination Report Issued Package Closed Out

-- 10 'i/62 (9JJ!r 11/10/2008 Chief QA of ADAMS and SISP review complete lo/t/O'i .- I

'I" 11/18/2008 Ref Mat'l Returned after Final Res of Appeals N(\ NA

" Indictates the due dates are more conservative than the ES-201-1 reqUires.

(Replaces NUREG-1021, Revision 9, ES Forms 201-1 and 501-1)

June 30, 2008 FROM: Ryan Lantz Chief, Operations ran Division of Reactor Saf ty TO: Steve Garchow Chief Examiner, Operations Branch

SUBJECT:

INITIAL OPERATOR LICENSING EXAMINATION ASSIGNMENT You have been assigned as Chief Examiner of the San Onofre, Units 1 and 2, initial licensing examination. The operating test has been scheduled to be completed by October 3, 2008.

Thank you for contacting the San Onofre facility to finalize the details of the examination. You are reminded that the RPS/IP system must be maintained to ensure the examiners and numbers of candidates are accurate. In addition, you are reminded that only qualified examiners are permitted to conduct any part of the examination.

S:\DRS\OB\OB-ONLY\ADMIN\ASSIGNMENT SHEETS\CY'08\SEP08_S0NGS_ASSIGNMENT MEMO_SG.DOC

ES-201 Examination Outline Quality Checklist Form ES-201-2 Facility: Date of Examination: 09/22/08 San Onofre Units 2 and 3 Initials Item Task Description a b" c#

W 1 a. Verify that the outline(s) fit(s) the appropriate model, in accordance with ES-401.

Nt! A ~~If R b. Assess whether the outline was systematically and randomly prepared in accordance with I Section 0.1 of ES-401 and whether all KIA cateqories are appropriately sampled. frII A ~~

T

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

T E

Itll A 'h ar I~'I/

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

N A Nf,1J

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 I

and major transients.

Pl1 A ~I.t 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 at least one new or significantly modified scenario, that no scenarios are duplicated f.l4'tt A

T from the applicants' audit test(s). and that scenarios will not be repeated on subsequent days. /14f It a c. To the extent possible, assess whether the outline(s) conform(s) with the qualitative R and quantitative criteria specified on Form ES-301-4 and described in Appendix D.

1111j, in1/ A

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 I (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' audittest(s)

A ~\ij*

. (4) the number of new or modified tasks meels or exceeds the minimums specified on the fonm (5) the number of alternate path, low-power. emergency, and RCA tasks meet the criteria on the form. 1l.1f

b. Verify thallhe administrative outline meets the criteria specified on Form ES-301-1:

(1) the tasks are distributed among the topics as specified on the form c.

(2) at least one task is new or significantly modified (3) no more than one task is repeated from the last two NRC licensing examinations Determine if there are enough different outlines to test the projected number and mix Jl1f 4 ~~6\~

of applicants and ensure that no items are duplicated on subsequent davs 11.'1( A- ~J~

4. a. Assess whether plant-specific priorities (including PRA and IPE insights) are covered in the appropriate exam sections. 1/l'# 1 f'l~\~

G E

b. Assess whether the 10 CFR 55.41/43 and 55.45 sampling is appropriate. Illf/ A ~~

N c. Ensure that KIA importance ratings (except for plant-specific priorities) are at least 2.5. lAW A I~\J' E

R

d. Check for duplication and overlap among exam sections. A.-J A kL.\'r A

L

e. Check the entire exam for balance of coverage. Ail A rN,\3
f. Assess whether the exam fits the appropriate job level (RO or SRO).

111f IA M.'.\'>s'

~J;,f1~ ~e/Si~uret-

,

I

a. Author Rob Hampton
b. Facility Reviewer n William Arbour ~// ..:;'a..:... ~'oF

/1. ~ /'

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c. NRC Chief Examiner (#) Mark Haire

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d. NRC Supervisor

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  1. Independent NRC reviewer initial items in Colum~ chief examiner concurrence required.

Note:

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

ES-401 Written Examination Quality Checklist Form ES-401-6 Facility: SONGS 2 & 3 Date of Exam: 09/22/08 Exam Level: RO f2l SRO ~

Initial Item Description a b* C#

1 Questions and answers technically accurate and applicable to facility. "'0/ k )Jf}tr

2. a. NRC KJAs referenced for all questions.
b. Facility learninq obiectives referenced as available.

y k ':i"h16 3 SRO questions are appropriate in accordance with Section D.2.d of ES-401 --..; A- '3lfI17

4. The facility licensee's sampling process was random and systematic (If more than 4 RO or 2 SRO questions were repeated from the last 2 NRC licensing exams, consult the NRR OL proqram office). ~~
5. Question duplication from the license screening/audit exam was controlled as indicated below (check the item that applies) and appears appropriate:

_X_ 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 the licensee certifies that there is no duplication; or other (explain)

6. Bank use meets limits (no more than 75 percent Bank Modified New from the bank at least 10 percent new, and the rest new or modified); enter the actual RO / SRO-only 43/ 6 3/2 29/17 question distribution(s) at right.
7. Between 50 and 60 percent of the questions on the Memory CIA RO exam are written at the comprehension/

analysis level; the SRO exam may exceed 60 21 /2 54/23 percent if the randomly selected KJAs support the

}'

~

higher cognitive levels; enter the actual RO / SRO question distribution(s) at riQht. ~fr

8. References / handouts provided do not give away answers or aid in the elimination of distractors. 1 Ar- ~tr
9. Question content conforms with specific KiA statements in the previously approved examination outline and is appropriate for the tier to which they are assigned; deviations are iustified.

( k- 1tS1JJ6

10. Question psychometric quality and format meet the guidelines in ES Appendix B.

"I /...., $hiif' 11 The exam contains the required number of one-point. multiple choice items; the total is correct and aqrees with the value on the cover sheet.

-y I II- 8Mf Printed Name / Signature Date

a. Author IZkf /.1I~'h..:t. / 1liJ-)~ It 91zJ~r
b. Facility Reviewer (*) I/I//I~" A(b(J(~ / '~ T L ' , 9A:b%
c. NRC Chief Examiner (#) -$+e.p~ GafT/koJJ ~ ~ -/l5 cjl3ltJ~
d. NRC Regional Supervisor
  • Kt~ LfY'i rl:--ro ~ - Cr/i)/uf6 J f .->~

,

Note: The facility reviewer's initials/signature are not applicable for NRC-developed examinations.

  1. Independent NRC reviewer initial items in Column "c"; chief examiner concurrence required.

NUREG-1 021, Revision 9.1 SONGS Sept 2008 NRC Rev Final

ES-301 Operating Test Quality Checklist Form ES-301-3 Facility: SONGS Date of Examination: 09/22/08 Operating Test Number: 1 Initials

1. GENERAL CRITERIA a b* C#
a. The operating test conforms to the previously approved outline; changes are consistent with sampling requirements (e.g. 10 CFR 55.45, operational importance, safety function distribution). Z; A ~&
b. There is no day-to-day repetition between this and other operating tests to be administered during this examination. 'I A- ~Ir
c. The operating test shall not duplicate items from the applicants' audit test(s) (see Section D.1.a). y ~ ~h--
d. Overlap with the written examination and between different parts of the operating test is within acceptable limits. -r ~ f9n,lr
e. It appears that the operating test will differentiate between competent and less-than competent applicants at the designated license level. y A ~J.r
2. WALK-THROUGH CRITERIA - . -
a. Each JPM includes the following, as applicable:
  • initial conditions
  • initiating cues
  • references and tools, including associated procedures
  • reasonable and validated time limits (average time allowed for completion) and specific
  • designation if deemed to be time critical by the facility licensee operationally important specific performance criteria that include:

- detailed expected actions with exact criteria and nomenclature

- system response and other examiner cues

-r ~

- statements describing important observations to be made by the applicant

- criteria for successful completion of the task

- identification of critical steps and their associated performance standards

- restrictions on the sequence of steps, if applicable CJn&

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 ~ At examinations) specified on those forms and Form ES-201-2. '&fA
3. SIMULATOR CRITERIA - -

The associated simulator operating tests (scenario sets) have been reviewed in accordance with Form ES-301-4 and a copy is attached. (' k ~~

Printed Name / Signature Date

a. Author P#JM'I- 1, JJ AJ.. .1 / llrlJ-l #~'r~' ,.1 q!z/lJf:,
b. Facility Reviewer (*) W'i II/tO ,., At'tJt~" /fAKL- _ 971,100
c. NRC Chief Examiner (#) (" I .,,1.

Gorcho.J / Jm £k. ~ 9/3Jo~

d. NRC Supervisor '12'l{~ ~nt ~ ..".

0111'ue t--L-'" f I NOTE:

  • The facility signature is not applicable for NRC-developed tests.
  1. Independent NRC reviewer initial items in Column "c", chief examiner concurrence required.

NUREG-1 021, Revision 9.1 SONGS Sept 2008 ES-301-3 Rev Final

ES-301 Simulator Scenario Quality Checklist Form ES-301-4 Facility: SONGS Date of Exam: 06/04/07 Scenario Numbers: 1/2/3/4 Operating Test No.: NRC QUALITATIVE ATTRIBUTES Initials a b* c#

1. The initial conditions are realistic, in that some equipment and/or instrumentation may be out of r service, but it does not cue the operators into expected events. ~ ~ 'r)1jer
2. The scenarios consist mostly of related events. -y A ~fr
3. Each event description consists of
  • the point in the scenario when it is to be initiated
  • the malfunction(s) that are entered to initiate the event

-y

  • the symptoms/cues that will be visible to the crew
  • the expected operator actions (by shift position)
  • the event termination point (if applicable)

A m&

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. -y A- 'ifJH1f
5. The events are valid with regard to physics and thermodynamics. "Y It fbIlr
6. Sequencing and timing of events is reasonable, and allows the examination team to obtain complete evaluation results commensurate with the scenario objectives. f A 1J,t(y 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. ""'-'I ~ I~b
8. The simulator modeling is not altered. -y .! 1~6-
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. ( I+- Xlu/.,*
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 D.5 of ES-301. "?f 1 ~~
11. All individual operator competencies can be evaluated, as verified using Form ES-301-6

~

(submit the form along with the simulator scenarios).

k 'iAt1r

12. Each applicant will be significantly involved in the minimum number of transients and events specified on Form ES-301-5 (submit the form with the simulator scenarios). -z; Ir ~k
13. The level of difficulty is appropriate to support licensing decisions for each crew position. ~ ~ 8'M6 Target Quantitative Attributes Actual Attributes - - -

(Per Scenario; See Section D.5.d) (SONGS Scenario #)

1 2 4 6 Y A )mb

1. Total malfunctions (5-8) 8 7 7 6 -r A /~Ir
2. Malfunctions after EOP entry (1-2) 2 1 1 1 ""1 A ~'!JJb
3. Abnormal events (2-4) 3 3 3 3 7 ~ fJIIfr
4. Major transients (1-2) 1 2 2 1 -; A 8JJt1f
5. EOPs entered/requiring substantive actions (1-2) 2 1 2 2 -r A ~6-
6. EOP contingencies requiring substantive actions (0-2) 0 1 0 0 y A (JMb-
7. Critical tasks (2-3) 3 3 2 2 I ft tiHt NUREG-1021 , Revision 9.1 SONGS Sept 2008 ES-301-4 Rev Final

ES-301 Transient and Event Checklist Form ES-301-5 Facility: SONGS 2 and 3 Date of Exam: 09122/08 Operating Test No.: NRC A E SCENARIOS P V P E SONGS #1 SONGS #2 SONGS #6 L N T MINIMUM(')

I T CREW CREW CREW CREW 0 C

POSITION POSITION POSITION POSITION T A T A

N Y S A B S A B S A B S A B R T 0 R T 0 R T 0 R T 0 L R I T P U E 0 C P 0 C P 0 C P 0 C P RX - - 0 1 1 0 NOR - 1 1 1 1 1 SROU-1 IIC 1,2,3, 2,3,4,5 9 4 4 2 4,5 MAJ 6 6,7 3 2 2 1 TS 1,2 3,4,5 5 0 2 2 RX - - 0 1 1 0 NOR - 1 1 1 1 1 SROU-2 IIC 1,2,3, 2,3,4 8 4 4 2 4,5 MAJ 6 7 2 2 2 1 TS 1,2 2,4 4 0 2 2 RX - 1 - 1 1 1 0 NOR - - 1 1 1 1 1 SROI-1 IIC 1,2,3, 3,4,5 3,8 10 4 4 ~

4,5 MAJ 6 6,7 7 4 2 2 1 TS 1,2 - - 2 0 2 2 RX - - - 0 1 1 0 NOR - 1 - 1 1 1 1 SROI-2 IIC 1,2,3, 2,3,4,5 2,4,6 4,5 12 4 4 2 MAJ 6 6,7 7 4 2 2 1 TS 1,2 3,4,5 - 5 0 2 2 RX - . - 0 1 1 0 NOR - 1

  • 1 1 1 1 SROI-3 IIC 1,3,7, 2,3,4,5 2,4,6 8

11 4 4 2 MAJ 6 6,7 7 4 2 2 1 TS - 3,4,5 - 3 0 2 2 RX - 1 1 1 1 0 NOR - - 0 1 1 1 SROI-4 I/C 1,2,3, 3,4,5 4,5 8 4 4 2 MAJ 6 6,7 3 2 2 1 TS 1,2 - 2 0 2 2 RX - - 0 1 1 0 NOR 1

  • 1 1 1 1 SROI-5 I/C 2,3,4,5 2,4,6 7 4 4 2 MAJ 6,7 7 3 2 2 1 TS 3,4,5

ES-301 Transient and Event Checklist Form ES-301-5 Facility: SONGS 2 and 3 Date of Exam: 09/22108 Operating Test No.: NRC A E SCENARIOS P V P E SONGS #1 SONGS #2 SONGS #Q L N T MINIMUM(')

I T CREW CREW CREW CREW 0 C

POSITION POSITION POSITION POSITION T A T A

N Y S A B S A B S A B S A B L

T P R T 0 R T 0 R T 0 R T 0 R I U E 0 C P 0 C P 0 C P 0 C P RX - - 0 1 1 0 NOR - 1 1 1 1 1 RO-1 IIC 2,4,5 3,8 5 4 4 2 MAJ 6 7 2 2 2 1 TS - - 0 0 2 2 RX - - 0 1 1 0 NOR - 1 1 1 1 1 RO-2 IIC 2,4,5 2,8 5 4 4 2 MAJ 6 6,7 3 2 2 1 TS - - 0 0 2 2 RX - 1 1 1 1 0 NOR - - 0 1 1 1 RO-3 IIC 1,3,7, 3,4,5 7 4 4 2 8

MAJ 6 6,7 3 2 2 1 TS - - 0 0 2 2 RX - - - 0 1 1 0 NOR - 1 1 2 1 1 1 RO-4 IIC 2,4,5 2,8 3,8 7 4 4 2 MAJ 6 6,7 7 4 2 2 1 TS - - - 0 0 2 2 RX - - 0 1 1 0 NOR - 1 1 1 1 1 RO*5 IIC 2,4,5 2,8 5 4 4 2 MAJ 6 6,7 3 2 2 1 TS - - 0 0 2 2 RX - - 0 1 1 0 NOR - - 0 1 1 1 RO-6 IIC 1,3,7, 2,4,6 7 4 4 2 8

MAJ 6 7 2 2 2 1 TS - - 0 0 2 2 RX 1 I - 1 1 1 0 NOR - 1 1 1 1 1 RO-? IIC 3,4,5 3,8 5 4 4 2 MAJ 6,7 7 3 2 2 1 TS - - 0 0 2 2 NUREG 1021 Revision 9.1 Page 2 of 3 SONGS Sept 2008 ES-301-5 Rev Final

ES-301 Transient and Event Checklist Form ES-301-5 Facility: SONGS 2 and 3 Date of Exam: 09/22108 Operating Test No.: NRC A E SCENARIOS P V P E SONGS #1 SONGS #2 SONGS #6 L N T MINIMUM(*)

I T CREW CREW CREW CREW 0 C

POSITION POSITION POSITION POSITION T A T A

N Y S A B S A B S A B S A B L I T P R T 0 R T 0 R T 0 R T 0 R U E 0 C P 0 C P 0 C P 0 C P RX - - 0 1 1 0 NOR - 1 1 1 1 1 RO-8 lie 2,4,5 2,8 5 4 4 2 MAJ 6 6,7 3 2 2 1 TS - - 0 0 2 2 Instructions:

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 (I/C) malfunctions and one major transient, in the ATC position. If an Instant SRO additionally serves in the BOP position, one IIC matfunction can be credited toward the two IIC 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.

NUREG 1021 Revision 9.1 Page 3 of 3 SONGS Sept 2008 ES-301-5 Rev Final

ES-301 Competencies Checklist Form ES-301-6 Facility: SONGS Date of Examination: 09/22/08 Operating Test No. NRC 1-4 SRO RO (ATC) BOP Competencies SCENARIO SCENARIO SCENARIO 1 2 4 6 1 2 4 6 1 2 4 6 I

InterpreUDiag 1,2,3, 2,3,4, 2,3,4, 1,2,3, 2,4,5, 3,4,5, 4,6,7, 2,4,6, 1,3,6, 2,5,6, 2,3,5, nose Events 4,5,6 5,6,7 5,6,7 4,5,7 6 6,7 8 7 7,8 7,8 6,7 3,7,8 and Conditions Comply With 2,3,4, 1,3,4, 1,4,6, 2,4,6, 1,3,6, 1,2,5, 1,2,3, 1,3,5,

. and Use ALL ALL ALL ALL 5,6 5,6,7 7,8 7 7,8 6,7,8 5,6,7 7,8 Procedures (1)

Operate 2,3,4, 1,3,4, 1,4,5, 2,4,6, 1,3,6, 1,2,5, 1,2,3, 1,3,4, Control Boards N/A N/A N/A N/A 5,6 5,6,7 6,7,8 7 7,8 6,7,8 5,6,7 5,7,8 (2)

Communicate 1,3,4, 1,3,4, 1,2,3 1,2,3, 1,4,5, 2,4,5, 1,2,3, 1,3,4, and ALL ALL ALL ALL 4,5,6 5,6,7, 6,7,8 6,7 5,6,7, 5,6,7, 5,6,7 5,7,8 8 8 8 Interact Demonstrate Supervisory ALL ALL ALL ALL N/A N/A N/A N/A N/A N/A N/A N/A Ability (3)

Comply With and Use Tech. 1,2 3,4 2,3 2,4 N/A N/A N/A N/A N/A N/A N/A N/A Specs. (3)

Notes:

,

(1 ) Includes Technical Specification compliance for an RO.

(2) Optional for an SRO-U (3) Only applicable to SROs.

Instructions:

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

NUREG-1021, Revision 9.1 SONGS Sept 2008 ES-301-6 Rev Final

ES-403 Written Examination Grading Form ES-403-1 Quality Checklist Facility: Sc..1'1 (J/1r1f.:..f. Date of Exam: 9/~t;1of' Exam Level: ROXl SROLK]

Initials Item Description a b c

1. Clean answer sheets copied before qradinq
2. Answer key changes and question deletions justified and documented
3. Applicants' scores checked for addition errors (reviewers spot check> 25% of examinations)
4. Grading for all borderline cases (80 +/-2% overall and 70 or 80, as applicable, +/-4% on the SRO-only) reviewed in detail
5. All other failing examinations checked to ensure that grades are justified
6. Performance on missed questions checked for training deficiencies and wording problems; evaluate validity of questions missed by half or more of the applicants Printed Name/Signature Date

<<1 btll uo8 9h~kr-

,

/O/I/tJ<i

d. NRC Supervisor (*)

~

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

ES-403, Page 6 of 6

Page 1 of4 Operator Licensing Exam Schedule 10101/2008 14:22:24 From 06/01/2008 To 09/30/2009 Report 21 Region: 4 Phase Code: 5

_E~am Wee~

08/25/2008 SitelDocket No./lnsp Rpt# _ _ _

San Onofre / 05000361 / 2008301

._ # Candidates Prep FFF

- -IExaminers Assigned GARCHOW, STEPHEN M. GARCHOW, STEPHEN M.

TAC #: X02380 HAIRE, MARK S.

PRESBY, PETER A.

08/25/2008 San Onofre /05000362 / 2008301 Prep FFF GARCHOW, STEPHEN M. GARCHOW, STEPHEN M.

TAC #: X02381 HAIRE, MARK S.

PRESBY, PETER A.

09/22/2008 San Onofre" 05000361 /2008301 Admin FFF GARCHOW, STEPHEN M. APGER, GABRIEL W TAC #: X02380 GARCHOW, STEPHEN M.

HAIRE, MARK S.

PATE, ANTHONY L.

PRESBY, PETER A.

09/22/2008 San Onofre /05000362/2008301 RO -6 SROI - 2 Admin FFF GARCHOW, STEPHEN M. APGER, GABRIEL W TAC #: X02381 SROU - 1 GARCHOW, STEPHEN M.

HAIRE, MARK S.

PRESBY, PETER A.

11/03/2008 San Onofre / 05000361 / GARCHOW, STEPHEN M. BALDWIN, RICHARD S.

Procedure #: 7111111B GARCHOW, STEPHEN M.

OSTERHOLTZ, CLYDE C.

11/03/2008 San Onofre /05000362/ GARCHOW, STEPHEN M. BALDWIN, RICHARD S.

Procedure #: 7111111 B GARCHOW, STEPHEN M.

OSTERHOLTZ, CLYDE C.

Sites: SANO Orgs: 4620 Exam Author: ALL

Page 1 of 4 Operator Licensing Exam Schedule 09/18/2008 10:20:47 From 08/01/2008 To 09/30/2008 Report 21 Region: 4 Phase Code: 5 Exam Week II SitelDocket No.llnsp Rpt # # Candidates r Type aExam Author_lChief Examiner Examiners Assigned 05/22/2008 --San Onofre 1 05000361 12008301 Prep b

FFF

{_

GARCHOW, STEPHEN M. GARCHOW, STEPHEN M.

TAC #: X02380 HAIRE, MARK S.

PRESBY, PETER A.

05/22/2008 San Onofre 1 05000362 12008301 Prep FFF GARCHOW, STEPHEN M. GARCHOW, STEPHEN M.

TAC #: X02381 HAIRE, MARK S.

PRESBY, PETER A.

08/25/2008 San Onofre 105000361 12008301 Prep FFF GARCHOW, STEPHEN M. GARCHOW, STEPHEN M.

TAC #: X02380 HAIRE, MARK S.

PRESBY, PETER A.

08/25/2008 San Onofre 105000362 1 2008301 Prep FFF GARCHOW, STEPHEN M. GARCHOW, STEPHEN M.

TAC #: X02381 HAIRE, MARK S.

PRESBY, PETER A.

08/30/2008 San Onofre 105000361 12008301 Prep FFF GARCHOW, STEPHEN M. GARCHOW, STEPHEN M.

TAC #: X02380 HAIRE, MARK S PRESBY, PETER A.

08/30/2008 San Onofre 105000362/2008301 Prep FFF GARCHOW, STEPHEN M. GARCHOW, STEPHEN M.

TAC #: X02381 HAIRE, MARK S.

PRESBY, PETER A.

09/22/2008 San Onofre 105000361 12008301 Admin FFF GARCHOW, STEPHEN M. APGER, GABRIEL W.

TAC #: X02380 GARCHOW, STEPHEN M.

HAIRE, MARK S.

PATE, ANTHONY L.

PRESBY, PETER A 09/22/2008 San Onofre 105000362/2008301 RO -6 SROI-2 Admin FFF GARCHOW, STEPHEN M. APGER, GABRIEL W.

TAC # X02381 SROU - 1 GARCHOW, STEPHEN M.

HAIRE, MARK S.

PRESBY, PETER A.

Sites: SANO Orgs: 4620 Exam Author: ALL

/ Cljrt

(~ S-NfL ES-201 Examination Securi Agreement Form ES-201-3 if 2a/~&

1. Pre-Examination r'f / z. "If 1 I acknowledge that I ha~e acquired specialized I<nowledge about the NRC licensing examinations scheduled for the week(s) of ¢'1 / z/J1 g' 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) of . From the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC.

PRINTED NAME JOB TITLE / RESPONSIBILITY SIGNATURE (2) DATE NOTE

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CSl lacfmawledge D'\at I acql.hO speclallzlKl xnwAedge aboullhe NRC exeminat!oflll scheduled for V\'a$((sj of as the datil Cil of my ~sture. I agree 1ha1: I wUI nOll<rto'hfngl, divulge 811)' Informalfon abolt theM a:xamInlll.loos \J) ilny ~r80ns who heVs r)Qt been authortzBd by U19 ~

N~C c~r examinltf. I understand 1hS1\ am not lD Il1l1mct. evakJi!&e. or J7(Wkt. pWfOml.anca leadtlack 1.0 Ihooe appllaYltJi scheduled ID be a~nistered lNne licel1$ing exarnlrtatKln& from ltlis date \intn IX'mpliillcn1 of ~ n ~mlni.tm\IDn. l!)lC~t as spe<:mcafy nalOO below and lKIlhorU8d b., th9 NRC CD (aQ., acting as a ~lafor booltl OPenltot or commU/ltr:a!or ill accaple.bie jfthe in<ilWiuel does ool selact L'18 lraining corit:l1t Oi pro-."lQe d!rec! or ~re~ A W

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undenltafJd lhet vlolatlCtl o11he cono1Uons of thla Bgreem!nl may l1!&ul( In C61\Cela.lion ontla fOOlminalk11l8 sndior an enfofcemenl ac:llan against me. or cD Iha faQltty IlCQflW6e. I wllllmmedialely rapot1 to hici.lty mlll18B9m8ll1 or the NRC ct4l!lf~arnlnarany Indtca1loM or BU4JgnUo/1lS that iIXBIT1lnaUon security Cil lD u

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NruO<, SOJUJ31a, or J)rw101J perfomlance reooback to those apphcMts .-he were adm~(slsntd these I!carnlng tllCi1mlr\8tions, excapL as spedllcany road bsiow and fl.ultlortzad by the NRC.

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

1. Pre-Examination 9/ l.'lloo I acknowledge that I have acquired specialized knowledge about the NRC licehsing examinations scheduled for the week(s) of ,/2. <t!~ 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 riot 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 tile physical security measures and requirements (as documented in the facility licensee's procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action against me or the facility licensee, I will immediately report to facility management or the NRC chief.examiner any indications or suggestions that examination security may have been compromised.
2. Post-Examination To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of . From the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC.

PRINTED NAME JOB TITLE / RESPONSIBILITY SIGNATURE (1) DATE SIGNATURE (2) DATE NOTE 1.

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ES-201, Page 27 of 28

-.. :' . '. . -, .; -: ~.

f Ii) 1 1J 0(

r Nf< c ES*201 Examination Security Agreement Form ES-201-3

1. Pre-Examination

'7/'l-z.!tFa

, acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the weel<<s) of 9/21f'S asof the date of my signature. I agree that I will not knowingly divulge any information about these examinations to any persons who have not been authorized by the NRC chief examiner. I understand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examinations from this date until completion of examination administration, except as specifically noted below and authorized by the NRC (e.g., acting as a simulator booth operator or communicator is acceptable if the individual does not select the training content or provide direct or indirect feedback). Furthermore, I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action against me or the facility licensee. I will immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been compromised.

2. Post-Examination To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of . From the date that I entered into this security agreement witil 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.

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_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _IVrCc f(jJi L( ~ r ES-201 Examination Security Agreement Form ES-201-3

1. Pre-Examination qj nltl6 I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of '1/ 2.t:t !tJ-fJ 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 !ken authorized by the NRC chief examiner. I understand that' 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 seleel 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 aelion against me or the facility licensee. I will immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been compromised.
2. Post-Examination To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of . From the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC.

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ES-201, Page 27 of 28

f aft! S 1 f; IVrec ES-201 Examination Security Agreement Form ES-201-3

1. Pre-Examination J acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of ~7ftlf 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 e n 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 administratioh, 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 requiremehts (as documented in the facility licensee's procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action against me or the facility licensee. I will immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been compromised.
2. Post-Examination To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of . From the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC.

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ES-201, Page 27 of 28