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{{#Wiki_filter:I  Facility:      xp$-                                                  Date of Examivation:
0 Qers.;nB : i O//& -ao/ou Examinations Developed by:
I
                                                      /  NRC (circle one)        tur;+b5      io /$&/@+
Target                                                                                          Chief Date*                              Task Description / Reference                          Examiner's Initials 1      -180    I  1. Examination administration date confirmed (C.l .a; C.2.a & b)          I    TF 1      -120    I 2. NRC examiners and facility contact assigned (C.1.d; C.2.e) 7c
        -70    I 7. Examination outline(s) reviewed by NRC and feedback provided to facility licensee (C.2.h; C.3.e)
        -45      8. Proposed examinations, supporting documentation, and reference materials due (C.l.e, f, g & h; C.3.d)                          7T-
        -30      9. Preliminary license applications due (C. 1.I; C.2.g; ES-202)
        -I4    I 10. Final license applications due and assignment sheet prepared (C.1.l; C.2.g; ES-202)                                                I  w-
        -I4 I  11. Examination approved by NRC supervisor for facility licensee I    review (C.2.h; C.3.f)
* Target dates are keyed to the examination date identified in the corporate notification letter.
They are for planning purposes and may be adjusted on a case-by-case basis in coordination with the facility licensee.
[ ]  . Applies only to examinations prepared by the NRC.
25 of 25              NUREG-1021, Draft Revision 9
 
ES-201                                                              Examination Outline                                  Form ES-201-2 Quality Checklist Initials Item                                                                  Task Description                                    I 1.
w
: a. Veriij that the outline@) fit(s) the appropriate modei per ES-401.
l@pqfl R
I T
T E
  -  N 2.
S RC examination, ent an alternate path procedure.
ss whether plant-@c          priorities (including P
: 1. Author
: 3. Facility Re-)
:. Chief Examiner
: j. NRCSupervisor NUREG-1021, Draft Revision 9                                              24 of 25
 
ES-201                                      Examination Outline Quality Checklist                                  Form ES-201-2 Initials Item                                                      Task Description a      b*    c#
: 1. a. Verify that the outline(s) fit(s) the appropriate model per ES-401.
W                                                                                                            I    I        I
: b. Assess whether the outline was systematically and randomly prepared in accordance with I    Section D.1 of ES-401 and whether all KIA categories are appropriately sampled.
r(A    ,qfi    Mb T
I T    c. Assess whether the outline over-emphasizes any systems, evolutions, or generic topics.
F I                                                                                                        I dal d8 I w b L
: d. Assess whether the justifications for deselected or rejected WA statements are appropriate.
    ~                  ~~
: 2. a. Using Form ES-301-5, verify that the proposed scenario sets cover the required number of normal evolutions, instrument and component failures, and major transients.                            rn c
13 I    b. Assess whether there are enough scenario sets (and spares) to test the projected number and M    mix of applicants in accordance with the expected crew composition and rotation schedule without compromising exam integrity; ensure each applicant can be tested using at least one new or significantly modified scenario, that no scenarios are duplicated from the applicants' audit test(s)',
and scenarios will not be repeated on subsequent days.
: c. To the extent possible, assess whether the outline(s) conform(s) with the qualitative and quantitative criteria specified on Form ES-301-4 and described in Appendix D.
: 3. a. Verify that:
(1) the outline(s) contain(s) the required number of control room and in-plant tasks, W      (2) no more than 30% of the test material is repeated from the last NRC examination, I    (3)' no tasks are duplicated from the applicants' audit test(s), and T    (4) no more than 80% of any operating test is taken directly from the licensee's exam banks.
: b. Verify that:
: c.            (1) the tasks are distributed among the safety function groupings as specified in ES-301, (2) one task is conducted in a low-power or shutdown condition, (3) 4 - 6 (2 - 3 for SRO-U) of the tasks require the applicant to implement an alternate path procedure, (4) one in-plant task tests the applicant's response to an emergency or abnormal condition, and (5) the in-plant walk-through requires the applicant to enter the RCA.
: c. Verify that the required administrative topics are covered w
number and mix of Date
: a. Author                        G;)+c'tmn        s. A                                                              7-LC g L (
: b. Facility Reviewer (*)
: c. NRC Chief Examiner (#)
: d. NRC Supervisor r    -  .
I Note:        Not applicable for NRC-developed examinations.
                # Independent NRC reviewer initial items in Column "c;" chief examiner concurrence required.
    ,is Q 4          LLQ,J&&            :s fbr Op "Le+-            ~6*                    oi;kG=          p r ~ ' h d y5 d b NIUREG-1021, Draft Revision 9 .                                  24of25      d        W ; d              by L-E-On 'I(iq
 
ES-201                                                        Examination Security Agreement                                              Form ES-201-3      f 1 I4
: 1.      Pre-Examination I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of 10/11-22/04 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. Furthermore, I am aware of the physical security measures and requirements (as documented in the facility licensees 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 managementor the NRC chief examiner any indicationsor 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 performancefeedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC.
25 of 25                                      NUREG-1021, Draft Revision 9
 
42-14
'1.
I aekrrwrledge h t Ik u s acquired rapeejalized knlaur1-e a b w t the NRC liceneing examinations rackdulled fm the Imeekls) td IO!l 1-22rQ4a a af the date of my signature. I q r s e that Iwill rat kncwuiqly dwulge any infwmsrtiw, a b u t thetie exerninations b m y pernunswvha hare not been authmizsd by the WRG did examiner. I underletardthal I am rWt tct inetrud, evaluate, or pmpidle perbrmance feedbadr bz~t b e e appIiart& echledulled In km adrninisZwed m i licensi examinlatbne firm this elate until m p l e t i m o f mamination adniristratim, except as Bpiecifimlly noted below and authcrized by the WRC. Furthemxrrre, Iam aware of the phyical security meaaums and r q u i m l e n t a (as d o c u m h d in the hciliiy licensee"s pmadures] and u r d e m n d that lridation of ths conditions of this agreement may result in canrrrilattirsn d the examinations a n d h an lerrfaroement aetbn again& me arthe fadlity licensee. Iwill immediately report ~IZI facility management or the NRC chief examiner any irrdiications ar suggrediitionti that mamindtion ~ u r i t may y haw been compromised.
To the beet d my k n m l ~ ~ @I e did                                            ~ einfnrmtion conmri ng tlm M RC liceming ~vxmhatimlgadminiated
                                    , nat dirulge ba any unautbrired p ~ r ~ 3arrry durilpg the week@) of              . Fromthe d a b hat Ierstrated into this murity ageanent until the mplrrtion arf examination adm ristmlim, Idid not inertrud. pvaluaw, or p i d e pwficlrmance fsedbacktn t h a e applieanb whEl wem adrninistrard thsae libeming exam mtians. ex~eptaa spsrjficslly rsdtsd b e h end authorired by the NRC.
PRINTED M M E            JOETlTLE f RESPONSIBILKY                                                                                    DATE NOTE 25 0125
 
ES2U 1                                                  Wa mlnakn Security Agwrnsnt                                                F#lm ES-2l 1-5 1.
I  I sdimrvledge that I h v e acquired spedalirod knclnlledge &cut the NRC licensing examinatiors e W u l e d fcc tha waek(6) d 10111-22'04 as cd the date af my sgnslurrt. I qrse that Iwill ml knaviqtyddir'ulge any infmsrim abut lhaoe cxaminatbns lo any persons \ a b have nct been aulhctizd by h e NRC chief examiner. I unjerst& that I am mt Ioinbtrud, maluate, or prolrae performsnae feedback bo t h e applicants scheduled IOte i  3dmini6Lwed f h s e licendrgemrninatbnr irmthis dale until mplelionof examinationadmd6ltalim, except 88 speufimlly ncted bdw o d sulhaizd by the NRC. Furhemre. I am a w e of rhe W&cd eecurity mawre6 and requirements (35dmm-mled In lhs faailily licenw-6 procedures) and understand \hat ddalion of Ihe condition5 of Ihia agreemenl msy nsull In cenor?lltitbnd the examinations andm 3n enforwnent adbn again81me or the iadlity licensee. I will immediately reprt Io facilib managemnlor h a NRC dief exsmlnH any irdics!ions, or auggealions hi examindim wurity may have been compomised.
: 2.      Fast-Examination To he best cf my knclrvlrdge, Idi ncl divu$e b any unautbriied persow 3ny informlion conowchg lk NRC licnnsing errarrimlicm adminktersd
-  durinej the .;.reek(@)of        . From tha dak llut Ientered into lhis murip$ s g m s n t until dw mpletion of emminPcm adrrMtilralim, I did ml instruct, waluale, or FroJide prlbmrne feedback lo I h e spplicsnts r v b were adminibtered these liwnsing mxm-imiianti,except a8 epeafically i mted beksr and autbfired bg Ae NRC.
PRINTED N4ME                                                                              DATE        SIGNEITURE (25        CATE NOTE NOTES:
25 of 25                                    NUREGV321. Drat Reviston 9
 
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25 0125                          NUREG-1021. Dmt FlWlsKJn 9 0
 
ES-301                                          Operating Test Quality Checklist                                Form ES-301-3 Facility:                                                          Date of Examination:                Operating Test Number:
I. GENERAL CRITERIA I
L a
: a.        The operating test conforms with the previously approved outline: changes are consistent with sampling requirements (e.g., 10 CFR 55.45, operational importance, safety function distribution).
: b.        There is no day-to-day repetition between this and other operating tests to be administered during this examination.                                                                              fA C.        The operating test shall not duplicate items from the applicants audit test(s)(see Section D.l .a). bb I d e.
Overlap with the written examination and between different parts of the operating test e a t e g e k is within acceptable limits.
It appears that the operating test will differentiate between competent and less-than-competent kAr applicants at the designated license level.
: 2. WALK-THROUGH-                              CRITERIA                              -
t
: 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
            . specific performance criteria that include:
                  - detailed expected actions with exact criteria and nomenclature
                  - system response and other examiner cues
                  - statements describing important observations to be made by the applicant
                  - criteria for successful completion of the task
                  - identification of critical steps and their associated performance standards
                  - restrictions on the sequence of steps, if applicable
. eb.
6c.
Repetition from operating tests used during the previous licensing examination is within acceptable limits (30% for the walk-through) and do not compromise test integrity.
At least 20 percent of the JPMs on each test are new or significantly modified.                      e L A
: 3. S I M U L A T O R W CRITERIA                                                  -
: a.        The associated simulator operating tests (scenario sets) have been reviewed in accordance with        &
Form ES-301-4 and a copy is attached.
Date
: a. Author                                                                                                          f -3 0 -oL(
: b. Facility Reviewer(*)                                                                                              lo 1 I !OY
: c. NRC Chief Examiner (#)
: d. NRC Supervisor 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-1021, Draft Revision 9                                      24 of 27
 
ES-301                                      Simulator Scenario Quality Checklist                                  Form ES-30 1-4 Facility: Indian Point 2            Date of Exam: 10-11-2004          Scenario Numbers:    1 I 2 I 3 14  Operating Test No QUALITATIVE ATTRIBUTES                                                        Initi:
I I a I b '
: 1.          The initial conditions are realistic, in that some equipment andlor instrumentation may be out of service, but it does not cue the operators into expected events.
: 2.          The scenarios consist mostly of related events.
I  U
: 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 the symptomslcues that will be visible to the crew the expected operator actions (by shift position) the event termination point (if applicable)
: 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.
: 5.          The events are valid with regard to physics and thermodynamics.
: 6.          Sequencing and timing of events is reasonable, and allows the examination team to obtain complete evaluation results commensurate with the scenario objectives.                                  M#
: 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
: 8.          The simulator modeling is not altered.
: 9.          The scenarios have been validated. Pursuant to 10 CFR 55.46(d), any open simulator performance deficiencies have been evaluated to ensure that functional fidelity is maintained while running the planned scenarios.
IO.        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.
: 11.        All individual operator competencies can be evaluated, as verified using Form ES-301-6 (submit the form along with the simulator scenarios).
: 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).
1I 13.        The level of difficulty is appropriate to support licensing decisions for each crew position.
I TARGET QUANTITATIVE ATTRIBUTES (PER SCENARIO; SEE SECTION                                    Actual Attributes      -          l -
D.5.d)
: 1.          Total malfunctions (5-8)                                                            6 1 6 I 6 15
: 2.          Malfunctions after EOP entry (1-2)                                                  2121212          &A
: 3.          Abnormal events (2-4)                                                                3131312          .lu*7
: 4.          Major transients (1-2)                                                              1 I 1 I1 I1
: 5.          EOPs enteredlrequiring substantive actions (1-2)                                      2111212
: 6.          EOP contingencies requiring substantive actions (0-2)                                0111011          *
: 7.          Critical tasks (2-3)                                                                3121213 25 of 27                    NUREG-1021, Draft Revision 9
 
ES-301                          Transient and Event Checklist                      Form ES-301-5 OPERATING TEST NO.: 1 Reactivity        1*        1              1                1            3 As RO        Normal          0                                                      1 Instrument /      2*        2 3            2,3            233,            295, Component                    4                            6,7            6 I                  Major          1        5              4              5              4 Reactivity        0 Normal          1*            1              1              1              1 AS SRO      Instrument /      2*          2,3,4,6        2,3,5          2,3,4,7        2,356 Component Major            1            5              4              5              4 Instructions:  (1)    Enter the operating test number and Form ES-D-1 event numbers for each evolution type.
(2)    Reactivity manipulations may be conducted under normal or controlled abnormal conditions (refer to Section D.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 one-for-one basis.
(3)    Whenever practical, both instrument and component malfunctions should be included; only those that require verifiable actions that provide insight ce count toward the minimum requirement.
Author:
NRC Reviewer:
NUREG-1021, Draft Revision 9
 
              ~~~~
ES-301                              Competencies Checklist                          Form ES-301-6 SRO                                                BOP Competencies                                                                  SCEl 4RIO I
3 I
Interpret / Diagnose                      293,                                          274, 23, Events and                                4,5                                            597 4 Conditions I
Comply With and Use Procedures (1)
T 374,  394, Operate Control Boards (2)
T                                                                    12, 3,4,
                                                                            -r 5
Communicate and          12,    172, Interact                3947  374,                                        3,4,    374, 5,6  5
                          %f:
                                                                            -t Demonstrate Supervisory Ability      394,  3,4, (3)
Comply With and                            1 Use Tech. 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 applicant's license type and enter one or more event numbers that will allow the examiners to evaluate e Author:
NRC Reviewer:
NUREG-1021, Draft Revision 9
 
ES-401                                            Written Examination                              Form ES-401-76 Quality Checklist Facility:    segc          ON    1-r I                    Date of Exam:      1Q/%LldL)      Exam Level: ROlSRC I
Item Description I  a
                                                                                                        , Initial b:
: 1.        Questions and answers technically accurate and applicable to facility
: 2.        a. NRC WAS referenced for all questions
: b. Facility learning objectives referenced as available
: 5.        Question duplication from the license screening/audit exam was controlled as indicated below (check the item that applies) and appears appropriate:
            & the audit exam was systematically and randomly developed; or
__ the audit exam was completed before the license exam was started; or X 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 from the bank at least 10 percent new, and the rest modified); enter the actual RO / SRO-only question distribution(s) at right
: 7.        Between 50 and 60 percent of the questions on the RO exam                              . are written at the comprehensionlanalysis level; the SRO exam may exceed 60 percent if the randomly selected WAS support the higher cognitive levels; enter the actual RO / SRO question distribution(s) at right
: 8.        Referenceslhandouts provided do not give away answers I
: 9.        Question content conforms with specific WA statements in the previously approved examination outline and is appropriate for the Tier to which they are assigned; deviations are justified IO.        Question psychometric quality and format meet ES, Appendix B, guidelines
: 11.        The exam contains %the        required number of one-point, multiple choice items; the total is correct and agrees with value on cover sheet Y
Date
: a. Author
: b. Facility Reviewer (*)
: c. NRC Chief Examiner (#)
                                    ~
: d. NRC Regional Supervisor Note:
* The facility reviewers initials/signature are not applicable for NRC-developed examinations.
          # Independent NRC reviewer initial items in Column c; chief examiner concurrence required.
NUREG-1021, Draft Revision 9                              30 of 34
 
ES-403                            Written Examination Grading                    Form ES-403-1 Quality Checklist initials Item Description                                a      , b      C
: 1. Clean answer sheets copied before grading                          PA        U TQ,
: 2. Answer key changes and question deletions justified and documented                                                        M%              Tf,
: 3. Applicants' scores checked for addition errors (reviewers spot check > 25% of examinations)                        w        q -Tf&
: 4. Grading for all borderline cases (80 +/- 2% overall and 70 +/-
4% on the SRO-only) reviewed in detail                            w                Tf, I f
: 5. All other failing examinations checked to ensure that grades are justified                                                      w                TF4 I
: 6. Performance on missed questions checked for training deficiencies and wording problems; evaluate validity of f                                                i I                                      Printed Name / Signature                        Date 1 a. Grader v
(*)  The facility reviewer's signature is not applicable for examinations graded by the NRC; two independent NRC reviews are required.
5 of 5              NUREG-1021, Draft Revision 9}}

Latest revision as of 05:27, 24 March 2020

Final QA, Exam Preparation/Related Forms (Folder 1)
ML050350313
Person / Time
Site: Indian Point Entergy icon.png
Issue date: 10/22/2004
From: Christman R
Entergy Nuclear Northeast
To: Conte R
NRC/RGN-I/DRS/OSB
Conte R
Shared Package
ML041450472 List:
References
ES-201, NUREG-1021, Draft Rev 9
Download: ML050350313 (13)


Text

I Facility: xp$- Date of Examivation:

0 Qers.;nB : i O//& -ao/ou Examinations Developed by:

I

/ NRC (circle one) tur;+b5 io /$&/@+

Target Chief Date* Task Description / Reference Examiner's Initials 1 -180 I 1. Examination administration date confirmed (C.l .a; C.2.a & b) I TF 1 -120 I 2. NRC examiners and facility contact assigned (C.1.d; C.2.e) 7c

-70 I 7. Examination outline(s) reviewed by NRC and feedback provided to facility licensee (C.2.h; C.3.e)

-45 8. Proposed examinations, supporting documentation, and reference materials due (C.l.e, f, g & h; C.3.d) 7T-

-30 9. Preliminary license applications due (C. 1.I; C.2.g; ES-202)

-I4 I 10. Final license applications due and assignment sheet prepared (C.1.l; C.2.g; ES-202) I w-

-I4 I 11. Examination approved by NRC supervisor for facility licensee I review (C.2.h; C.3.f)

  • Target dates are keyed to the examination date identified in the corporate notification letter.

They are for planning purposes and may be adjusted on a case-by-case basis in coordination with the facility licensee.

[ ] . Applies only to examinations prepared by the NRC.

25 of 25 NUREG-1021, Draft Revision 9

ES-201 Examination Outline Form ES-201-2 Quality Checklist Initials Item Task Description I 1.

w

a. Veriij that the outline@) fit(s) the appropriate modei per ES-401.

l@pqfl R

I T

T E

- N 2.

S RC examination, ent an alternate path procedure.

ss whether plant-@c priorities (including P

1. Author
3. Facility Re-)
. Chief Examiner
j. NRCSupervisor NUREG-1021, Draft Revision 9 24 of 25

ES-201 Examination Outline Quality Checklist Form ES-201-2 Initials Item Task Description a b* c#

1. a. Verify that the outline(s) fit(s) the appropriate model per ES-401.

W I I I

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

r(A ,qfi Mb T

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

F I I dal d8 I w b L

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

~ ~~

2. a. Using Form ES-301-5, verify that the proposed scenario sets cover the required number of normal evolutions, instrument and component failures, and major transients. rn c

13 I b. Assess whether there are enough scenario sets (and spares) to test the projected number and M mix of applicants in accordance with the expected crew composition and rotation schedule without compromising exam integrity; ensure each applicant can be tested using at least one new or significantly modified scenario, that no scenarios are duplicated from the applicants' audit test(s)',

and scenarios will not be repeated on subsequent days.

c. To the extent possible, assess whether the outline(s) conform(s) with the qualitative and quantitative criteria specified on Form ES-301-4 and described in Appendix D.
3. a. Verify that:

(1) the outline(s) contain(s) the required number of control room and in-plant tasks, W (2) no more than 30% of the test material is repeated from the last NRC examination, I (3)' no tasks are duplicated from the applicants' audit test(s), and T (4) no more than 80% of any operating test is taken directly from the licensee's exam banks.

b. Verify that:
c. (1) the tasks are distributed among the safety function groupings as specified in ES-301, (2) one task is conducted in a low-power or shutdown condition, (3) 4 - 6 (2 - 3 for SRO-U) of the tasks require the applicant to implement an alternate path procedure, (4) one in-plant task tests the applicant's response to an emergency or abnormal condition, and (5) the in-plant walk-through requires the applicant to enter the RCA.
c. Verify that the required administrative topics are covered w

number and mix of Date

a. Author G;)+c'tmn s. A 7-LC g L (
b. Facility Reviewer (*)
c. NRC Chief Examiner (#)
d. NRC Supervisor r - .

I Note: Not applicable for NRC-developed examinations.

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

,is Q 4 LLQ,J&& :s fbr Op "Le+- ~6* oi;kG= p r ~ ' h d y5 d b NIUREG-1021, Draft Revision 9 . 24of25 d W ; d by L-E-On 'I(iq

ES-201 Examination Security Agreement Form ES-201-3 f 1 I4

1. Pre-Examination I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of 10/11-22/04 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. Furthermore, I am aware of the physical security measures and requirements (as documented in the facility licensees 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 managementor the NRC chief examiner any indicationsor 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 performancefeedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC.

25 of 25 NUREG-1021, Draft Revision 9

42-14

'1.

I aekrrwrledge h t Ik u s acquired rapeejalized knlaur1-e a b w t the NRC liceneing examinations rackdulled fm the Imeekls) td IO!l 1-22rQ4a a af the date of my signature. I q r s e that Iwill rat kncwuiqly dwulge any infwmsrtiw, a b u t thetie exerninations b m y pernunswvha hare not been authmizsd by the WRG did examiner. I underletardthal I am rWt tct inetrud, evaluate, or pmpidle perbrmance feedbadr bz~t b e e appIiart& echledulled In km adrninisZwed m i licensi examinlatbne firm this elate until m p l e t i m o f mamination adniristratim, except as Bpiecifimlly noted below and authcrized by the WRC. Furthemxrrre, Iam aware of the phyical security meaaums and r q u i m l e n t a (as d o c u m h d in the hciliiy licensee"s pmadures] and u r d e m n d that lridation of ths conditions of this agreement may result in canrrrilattirsn d the examinations a n d h an lerrfaroement aetbn again& me arthe fadlity licensee. Iwill immediately report ~IZI facility management or the NRC chief examiner any irrdiications ar suggrediitionti that mamindtion ~ u r i t may y haw been compromised.

To the beet d my k n m l ~ ~ @I e did ~ einfnrmtion conmri ng tlm M RC liceming ~vxmhatimlgadminiated

, nat dirulge ba any unautbrired p ~ r ~ 3arrry durilpg the week@) of . Fromthe d a b hat Ierstrated into this murity ageanent until the mplrrtion arf examination adm ristmlim, Idid not inertrud. pvaluaw, or p i d e pwficlrmance fsedbacktn t h a e applieanb whEl wem adrninistrard thsae libeming exam mtians. ex~eptaa spsrjficslly rsdtsd b e h end authorired by the NRC.

PRINTED M M E JOETlTLE f RESPONSIBILKY DATE NOTE 25 0125

ES2U 1 Wa mlnakn Security Agwrnsnt F#lm ES-2l 1-5 1.

I I sdimrvledge that I h v e acquired spedalirod knclnlledge &cut the NRC licensing examinatiors e W u l e d fcc tha waek(6) d 10111-22'04 as cd the date af my sgnslurrt. I qrse that Iwill ml knaviqtyddir'ulge any infmsrim abut lhaoe cxaminatbns lo any persons \ a b have nct been aulhctizd by h e NRC chief examiner. I unjerst& that I am mt Ioinbtrud, maluate, or prolrae performsnae feedback bo t h e applicants scheduled IOte i 3dmini6Lwed f h s e licendrgemrninatbnr irmthis dale until mplelionof examinationadmd6ltalim, except 88 speufimlly ncted bdw o d sulhaizd by the NRC. Furhemre. I am a w e of rhe W&cd eecurity mawre6 and requirements (35dmm-mled In lhs faailily licenw-6 procedures) and understand \hat ddalion of Ihe condition5 of Ihia agreemenl msy nsull In cenor?lltitbnd the examinations andm 3n enforwnent adbn again81me or the iadlity licensee. I will immediately reprt Io facilib managemnlor h a NRC dief exsmlnH any irdics!ions, or auggealions hi examindim wurity may have been compomised.

2. Fast-Examination To he best cf my knclrvlrdge, Idi ncl divu$e b any unautbriied persow 3ny informlion conowchg lk NRC licnnsing errarrimlicm adminktersd

- durinej the .;.reek(@)of . From tha dak llut Ientered into lhis murip$ s g m s n t until dw mpletion of emminPcm adrrMtilralim, I did ml instruct, waluale, or FroJide prlbmrne feedback lo I h e spplicsnts r v b were adminibtered these liwnsing mxm-imiianti,except a8 epeafically i mted beksr and autbfired bg Ae NRC.

PRINTED N4ME DATE SIGNEITURE (25 CATE NOTE NOTES:

25 of 25 NUREGV321. Drat Reviston 9

m v) co M

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2. Rait-EM&Hilhetian 9

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d m NQTES:

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25 0125 NUREG-1021. Dmt FlWlsKJn 9 0

ES-301 Operating Test Quality Checklist Form ES-301-3 Facility: Date of Examination: Operating Test Number:

I. GENERAL CRITERIA I

L a

a. The operating test conforms with the previously approved outline: changes are consistent with sampling requirements (e.g., 10 CFR 55.45, operational importance, safety function distribution).
b. There is no day-to-day repetition between this and other operating tests to be administered during this examination. fA C. The operating test shall not duplicate items from the applicants audit test(s)(see Section D.l .a). bb I d e.

Overlap with the written examination and between different parts of the operating test e a t e g e k is within acceptable limits.

It appears that the operating test will differentiate between competent and less-than-competent kAr applicants at the designated license level.

2. WALK-THROUGH- CRITERIA -

t

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

. specific performance criteria that include:

- detailed expected actions with exact criteria and nomenclature

- system response and other examiner cues

- statements describing important observations to be made by the applicant

- criteria for successful completion of the task

- identification of critical steps and their associated performance standards

- restrictions on the sequence of steps, if applicable

. eb.

6c.

Repetition from operating tests used during the previous licensing examination is within acceptable limits (30% for the walk-through) and do not compromise test integrity.

At least 20 percent of the JPMs on each test are new or significantly modified. e L A

3. S I M U L A T O R W CRITERIA -
a. The associated simulator operating tests (scenario sets) have been reviewed in accordance with &

Form ES-301-4 and a copy is attached.

Date

a. Author f -3 0 -oL(
b. Facility Reviewer(*) lo 1 I !OY
c. NRC Chief Examiner (#)
d. NRC Supervisor 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-1021, Draft Revision 9 24 of 27

ES-301 Simulator Scenario Quality Checklist Form ES-30 1-4 Facility: Indian Point 2 Date of Exam: 10-11-2004 Scenario Numbers: 1 I 2 I 3 14 Operating Test No QUALITATIVE ATTRIBUTES Initi:

I I a I b '

1. The initial conditions are realistic, in that some equipment andlor instrumentation may be out of service, but it does not cue the operators into expected events.
2. The scenarios consist mostly of related events.

I U

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 the symptomslcues that will be visible to the crew the expected operator actions (by shift position) the event termination point (if applicable)
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.
5. The events are valid with regard to physics and thermodynamics.
6. Sequencing and timing of events is reasonable, and allows the examination team to obtain complete evaluation results commensurate with the scenario objectives. M#
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
8. The simulator modeling is not altered.
9. The scenarios have been validated. Pursuant to 10 CFR 55.46(d), any open simulator performance deficiencies have been evaluated to ensure that functional fidelity is maintained while running the planned scenarios.

IO. 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.

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

1I 13. The level of difficulty is appropriate to support licensing decisions for each crew position.

I TARGET QUANTITATIVE ATTRIBUTES (PER SCENARIO; SEE SECTION Actual Attributes - l -

D.5.d)

1. Total malfunctions (5-8) 6 1 6 I 6 15
2. Malfunctions after EOP entry (1-2) 2121212 &A
3. Abnormal events (2-4) 3131312 .lu*7
4. Major transients (1-2) 1 I 1 I1 I1
5. EOPs enteredlrequiring substantive actions (1-2) 2111212
6. EOP contingencies requiring substantive actions (0-2) 0111011 *
7. Critical tasks (2-3) 3121213 25 of 27 NUREG-1021, Draft Revision 9

ES-301 Transient and Event Checklist Form ES-301-5 OPERATING TEST NO.: 1 Reactivity 1* 1 1 1 3 As RO Normal 0 1 Instrument / 2* 2 3 2,3 233, 295, Component 4 6,7 6 I Major 1 5 4 5 4 Reactivity 0 Normal 1* 1 1 1 1 AS SRO Instrument / 2* 2,3,4,6 2,3,5 2,3,4,7 2,356 Component Major 1 5 4 5 4 Instructions: (1) Enter the operating test number and Form ES-D-1 event numbers for each evolution type.

(2) Reactivity manipulations may be conducted under normal or controlled abnormal conditions (refer to Section D.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 one-for-one basis.

(3) Whenever practical, both instrument and component malfunctions should be included; only those that require verifiable actions that provide insight ce count toward the minimum requirement.

Author:

NRC Reviewer:

NUREG-1021, Draft Revision 9

~~~~

ES-301 Competencies Checklist Form ES-301-6 SRO BOP Competencies SCEl 4RIO I

3 I

Interpret / Diagnose 293, 274, 23, Events and 4,5 597 4 Conditions I

Comply With and Use Procedures (1)

T 374, 394, Operate Control Boards (2)

T 12, 3,4,

-r 5

Communicate and 12, 172, Interact 3947 374, 3,4, 374, 5,6 5

%f:

-t Demonstrate Supervisory Ability 394, 3,4, (3)

Comply With and 1 Use Tech. 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 applicant's license type and enter one or more event numbers that will allow the examiners to evaluate e Author:

NRC Reviewer:

NUREG-1021, Draft Revision 9

ES-401 Written Examination Form ES-401-76 Quality Checklist Facility: segc ON 1-r I Date of Exam: 1Q/%LldL) Exam Level: ROlSRC I

Item Description I a

, Initial b:

1. Questions and answers technically accurate and applicable to facility
2. a. NRC WAS referenced for all questions
b. Facility learning objectives referenced as available
5. Question duplication from the license screening/audit exam was controlled as indicated below (check the item that applies) and appears appropriate:

& the audit exam was systematically and randomly developed; or

__ the audit exam was completed before the license exam was started; or X 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 from the bank at least 10 percent new, and the rest modified); enter the actual RO / SRO-only question distribution(s) at right
7. Between 50 and 60 percent of the questions on the RO exam . are written at the comprehensionlanalysis level; the SRO exam may exceed 60 percent if the randomly selected WAS support the higher cognitive levels; enter the actual RO / SRO question distribution(s) at right
8. Referenceslhandouts provided do not give away answers I
9. Question content conforms with specific WA statements in the previously approved examination outline and is appropriate for the Tier to which they are assigned; deviations are justified IO. Question psychometric quality and format meet ES, Appendix B, guidelines
11. The exam contains %the required number of one-point, multiple choice items; the total is correct and agrees with value on cover sheet Y

Date

a. Author
b. Facility Reviewer (*)
c. NRC Chief Examiner (#)

~

d. NRC Regional Supervisor Note:
  • The facility reviewers initials/signature are not applicable for NRC-developed examinations.
  1. Independent NRC reviewer initial items in Column c; chief examiner concurrence required.

NUREG-1021, Draft Revision 9 30 of 34

ES-403 Written Examination Grading Form ES-403-1 Quality Checklist initials Item Description a , b C

1. Clean answer sheets copied before grading PA U TQ,
2. Answer key changes and question deletions justified and documented M% Tf,
3. Applicants' scores checked for addition errors (reviewers spot check > 25% of examinations) w q -Tf&
4. Grading for all borderline cases (80 +/- 2% overall and 70 +/-

4% on the SRO-only) reviewed in detail w Tf, I f

5. All other failing examinations checked to ensure that grades are justified w TF4 I
6. Performance on missed questions checked for training deficiencies and wording problems; evaluate validity of f i I Printed Name / Signature Date 1 a. Grader v

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

5 of 5 NUREG-1021, Draft Revision 9