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{{#Wiki_filter:ES-201                                 Examination Preparation Checklist                   Form ES-201 -1 Facility:                                                             Date of Examination:             l Examinations Developed by:               Facility / NRC (circle one)
{{#Wiki_filter:ES-201 Examination Preparation Checklist Form ES-201 -1 Facility:
Target                                                                                       Chief Date*                               Task Description I Reference                         Examiner's l _  _    _
Date of Examination:
l Examinations Developed by:
Facility / NRC (circle one)
Target Chief Date*
Task Description I Reference Examiner's l
Initials
Initials
      -180       1. Examination administration date confirmed (C.1.a; C.2.a & b)
-180
      -120       2. NRC examiners and facility contact assigned (C.1 .d; C.2.e)
: 1. Examination administration date confirmed (C.1.a; C.2.a & b)
      -120       3. Facility contact briefed on security & other requirements (C.2.c)
-120
      -120       4. Corporate notification letter sent (C.2.d)
: 2. NRC examiners and facility contact assigned (C.1.d; C.2.e)
[-901       [5. Reference material due (C.1.e; C.3.c)]                                     A7
-120
      -75       6. Integrated examination outline(s) due (C.1.e & f; C.3.d)
: 3. Facility contact briefed on security & other requirements (C.2.c)
      -70       7. Examination outline(s) reviewed by NRC and feedback provided to facility licensee (C.2.h; C.3.e)
-120
      -45       8. Proposed examinations, supporting documentation, and reference materials due (C.1.e, f, g & h; C.3.d)
: 4. Corporate notification letter sent (C.2.d)
      -30       9. Preliminary license applications due (C.1.1; C.2.g; ES-202)
[-901
      -14         10. Final license applications due and assignment sheet prepared (C.1.1; C.2.g; ES-202)
[5. Reference material due (C.1.e; C.3.c)]
      -. 4       11. Examination approved by NRC supervisor for facility licensee review (C.2.h; C.3.f)
A7
    -14         12. Examinations reviewed with facility licensee (C.1.j; C.2f & h; C.3.g)
-75
      -7       13. Written examinations and operating tests approved by NRC supervisor (C.2.i; C.3.h)
: 6. Integrated examination outline(s) due (C.1.e & f; C.3.d)
      -7       14. Final applications reviewed; assignment sheet updated; waiver letters sent (C.2.g, ES-204)
-70
: 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.1.e, f, g & h; C.3.d)
-30
: 9. Preliminary license applications due (C.1.1; C.2.g; ES-202)
-14
: 10. Final license applications due and assignment sheet prepared (C.1.1; C.2.g; ES-202)
-. 4
: 11. Examination approved by NRC supervisor for facility licensee review (C.2.h; C.3.f)
-14
: 12. Examinations reviewed with facility licensee (C.1.j; C.2f & h; C.3.g)
-7
: 13. Written examinations and operating tests approved by NRC supervisor (C.2.i; C.3.h)
-7
: 14. Final applications reviewed; assignment sheet updated; waiver letters sent (C.2.g, ES-204)
: 15. Proctoring/written exam administration guidelines reviewed with
: 15. Proctoring/written exam administration guidelines reviewed with
      -7           facility licensee and authorization granted to give written exams (if applicable) (C.3.k),
-7 facility licensee and authorization granted to give written exams (if applicable) (C.3.k),
      -7         16. Approved scenarios, job performance measures, and questions distributed to NRC examiners (C.3.i)
-7
* Target dates are keyed to the examination date identified in the corporate notification letter.
: 16. Approved scenarios, job performance measures, and questions distributed to NRC examiners (C.3.i)
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.
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.
[ ]
NUREG-1021, Revision 8, Supplement 1                   22 of 24
Applies only to examinations prepared by the NRC.
NUREG-1021, Revision 8, Supplement 1 22 of 24


ES-201                                                     Examination Outline                                       Form ES-201-2 Quality Checklist Facility:                                                                                   Date of Examination:                             l Item                                                         Task Description     .                                        Initials a     nbi       c#
ES-201 Examination Outline Form ES-201-2 Quality Checklist Facility:
la                                                                                               W       c#l I
Date of Examination:
: 1.       a. Verify that the outline(s) fit(s) the appropriate model per ES-401.                                     _Yt IW                                                                                                                                     .
l Initials Item Task Description a
R        b. Assess whether the outline was systematically and randomly prepared in accordance with                                       K I       Section D.1 of ES-401 and whether all K/A categories are appropriately sampled.                               V     -__
nbi c#
T T        c. Assess whether the outline over-emphasizes any systems, evolutions, or generic topics.             A       /             6 N         d. Assess whether the justifications for deselected or rejected K/A statements are appropriate.       _      Z
la W
: 2.       a. Using Form ES-301-5, verify that the proposed scenario sets cover the required number of l normal evolutions, instrument and component failures, and major transients.
c#l
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)',   -l and scenarios will not be repeated over successive days.
: 1.
: 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.                             __            __
: a. Verify that the outline(s) fit(s) the appropriate model per ES-401.
: 3.       a. Verify that:
_Yt IW R
: b. Assess whether the outline was systematically and randomly prepared in accordance with K
I Section D.1 of ES-401 and whether all K/A categories are appropriately sampled.
V T
T
: c. Assess whether the outline over-emphasizes any systems, evolutions, or generic topics.
A  
/
6 N
: d. Assess whether the justifications for deselected or rejected K/A statements are appropriate.
Z
: 2.
: a. Using Form ES-301-5, verify that the proposed scenario sets cover the required number of l normal evolutions, instrument and component failures, and major transients.
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)',  
-l and scenarios will not be repeated over successive 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.,
(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,                                       /or l       (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.
W (2) no more than 30% of the test material is repeated from the last NRC examination,  
/or l
(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:
: b. Verify that:
(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) 40% of the tasks require the applicant to implement an alternate path procedure.
(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) 40% 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       i (5) the in-plant walk-through requires the applicant to enter the RCA.
(4) one in-plant task tests the applicant's response to an emergency or abnormal condition, and i
: c. Verify that the required administrative topics are covered, with emphasis on performance-based activities.                                                                                           A
(5) the in-plant walk-through requires the applicant to enter the RCA.
: d. Determine if there are enough different outlines to test the projected number and mix of A applicants andensure thatno items areduplicated onsuccessive days.
: c. Verify that the required administrative topics are covered, with emphasis on performance-based activities.
: 4.       a. Assess whether plant-specific priorities (including PRA and IPE insights) are covered in the           -ZF -'
A
: d. Determine if there are enough different outlines to test the projected number and mix of A applicants and ensure that no items are duplicated on successive days.
: 4.
: a. Assess whether plant-specific priorities (including PRA and IPE insights) are covered in the  
-ZF -'
appropriate exam section.
appropriate exam section.
E         b. Assesswhetherthe 10 CFR 55.41/43and 55.45 samplingis appropriate.                                       -
E
E       c. Ensure that K/A importanceratings (exceptfor plant-specificpriorities) are atleast 2.5. 3        /
: b. Assess whether the 10 CFR 55.41/43 and 55.45 sampling is appropriate.
R A       d. Check for duplication and overlap among exam sections.
E
L       e. Check the entire exam for balance of coverage.
: c. Ensure that K/A importance ratings (except for plant-specific priorities) are at least 2.5.  
/
3 R
A
: d. Check for duplication and overlap among exam sections.
L
: e. Check the entire exam for balance of coverage.
: f. Assess whether the exam fits the appropriate job level (RO or SRO).
: f. Assess whether the exam fits the appropriate job level (RO or SRO).
lNY   Inature                                           Date
lNY Inature Date
: a. Author                                         VIM2s             ,
: a. Author VIM2s
B
: b. Facility Reviewer (A
: b. Facility Reviewer (A
: c. NRC Chief Examiner(#)           z4L.-             I                                                                                   D
: c. NRC Chief Examiner(#) z4L.-
: d. NRC Supervisor                                                                                                                               I 6'
I D
Note:           Not applicable for NRC-developed examinations.
: d. NRC Supervisor 6'
            # Independent NRC reviewer initial items in Column 'c;" chief examiner concurrence required.                                       I 23 of 24       NUREG-1021, Revision 8, Supplement 1
B Note:
Not applicable for NRC-developed examinations.
# Independent NRC reviewer initial items in Column 'c;" chief examiner concurrence required.
I I
I 23 of 24 NUREG-1021, Revision 8, Supplement 1


ES-301                                               Operating Test Quality Checklist                               Form ES-301-3 Facility:     fgri         iM                                         Date of Examination:   7/2   2 Operating Test Number:
ES-301 Operating Test Quality Checklist Form ES-301-3 Facility:
fgri iM Date of Examination: 7/2 2 Operating Test Number:
Initials
Initials
: 1. GENERAL CRITERIA a       b*       C#
: 1. GENERAL CRITERIA 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*
v      W    .
C#
Al j
: a.
I
The operating test conforms with the previously approved outline; changes are consistent with v
: b.         There is no day-to-day repetition between this and other operating tests to be administered                           /     Ad during this examination.                                                                                                         l
j W
: c.         The operating test shall not duplicate items from the applicants' audit test(s)(see Section D.1 .a).     ciI),       )
sampling requirements (e.g., 10 CFR 55.45, operational importance, safety function distribution).
: d.         Overlap with the written examination and between operating test categories is within acceptable                 f          4x, limits.
I Al
: e.         It appears that the operating test will differentiate between competent and less-than-competent       <        /e applicants at the designated license level.
: b.
: 2. WALK-THROUGH (CATEGORY A & B) CRITERIA                                                                     l
There is no day-to-day repetition between this and other operating tests to be administered  
: a.         Each JPM includes the following, as applicable:
/
Ad during this examination.
l
: c.
The operating test shall not duplicate items from the applicants' audit test(s)(see Section D.1.a).
ciI),  
)
: d.
Overlap with the written examination and between operating test categories is within acceptable 4x, f
limits.
: e.
It appears that the operating test will differentiate between competent and less-than-competent  
/e applicants at the designated license level.
: 2. WALK-THROUGH (CATEGORY A & B) CRITERIA l
: 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:
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
- detailed expected actions with exact criteria and nomenclature
                      - system response and other examiner cues
- system response and other examiner cues
                      - statements describing important observations to be made by the applicant
- statements describing important observations to be made by the applicant
                      - criteria for successful completion of the task
- criteria for successful completion of the task
                      - identification of critical steps and their associated performance standards
- identification of critical steps and their associated performance standards
                      - restrictions on the sequence of steps, if applicable
- restrictions on the sequence of steps, if applicable
: b.         The prescripted questions in Category A are predominantly open reference and meet the criteria         /       ]       .
: b.
in Attachment 1 of ES-301.                                                                                                   Cal
The prescripted questions in Category A are predominantly open reference and meet the criteria  
: c.         Repetition from operating tests used during the previous licensing examination is within                   v acceptable limits (30% for the walk-through) and do not compromise test integrity.                                                 l
/  
: d.         At least 20 percent of the JPMs on each test are new or significantly modified.
]
: 3. SIMULATOR (CATEGORY C) CRITERIA                                             --
in Attachment 1 of ES-301.
: a.         The associated simulator operating tests (scenario sets) have been reviewed in accordance with             _      -    _
Cal
Form ES-301-4 and a copy is attached.                                                                 _
: c.
Printed Name/     gnat   e                                         Date
Repetition from operating tests used during the previous licensing examination is within v
: a. Author                                   Xtij       V,.&tS                                                                                   l
acceptable limits (30% for the walk-through) and do not compromise test integrity.
l
: d.
At least 20 percent of the JPMs on each test are new or significantly modified.
: 3. SIMULATOR (CATEGORY C) CRITERIA
: a.
The associated simulator operating tests (scenario sets) have been reviewed in accordance with Form ES-301-4 and a copy is attached.
Printed Name/
gnat e
Date
: a. Author Xtij V,.&tS l
: b. Facility Reviewer(*)
: b. Facility Reviewer(*)
: c. NRC Chief Examiner(#)                   a     zz                                         /                             6
: c. NRC Chief Examiner(#)
: d. NRC Supervisor               /       ' CM hi/g9/y NOTE:
a zz  
/
6
: d. NRC Supervisor  
/  
' CM hi/g9/y NOTE:
* The facility signature is not applicable for NRC-developed tests.
* The facility signature is not applicable for NRC-developed tests.
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ES-301                                     Simulator Scenario Quality Uhecklist                                   Form ES-301-4 Facility:           Date of Exam:                       Scenario Numbers: 1 / 2 / 3       Operating Test No.:               I QUALITATIVE ATTRIBUTES                                                                 Initials a       b*   c#
ES-301 Simulator Scenario Quality Uhecklist Form ES-301-4 Facility:
: 1.       The initial conditions are realistic, in that some equipment and/or instrumentation may be out of         _        _4   _
Date of Exam:
service, but it does not cue the operators into expected events.
Scenario Numbers: 1 / 2 / 3 Operating Test No.:
: 2.       The scenarios consist mostly of related events.                                                                   Ati
I QUALITATIVE ATTRIBUTES Initials a
: 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 symptoms/cues that will be visible to the crew the expected operator actions (by shift position) the event termination point (if applicable)
b*
: 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.
c#
: 5.       The events are valid with regard to physics and thermodynamics.
: 1.
: 6.       Sequencing and timing of events is reasonable, and allows the examination team to obtain complete evaluation results commensurate with the scenario objectives.
The initial conditions are realistic, in that some equipment and/or instrumentation may be out of
: 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.
_4 service, but it does not cue the operators into expected events.
: 8.       The simulator modeling is not altered.                                                                               _    _
: 2.
: 9.       The scenarios have been validated. Any open simulator performance deficiencies have been                   v   '
The scenarios consist mostly of related events.
evaluated to ensure that functional fidelity is maintained while running the planned scenarios.                         12*
Ati
: 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.4 of ES-301.
: 3.
: 11.       All individual operator competencies can be evaluated, as verified using Form ES-301-6 (submit         ff the form along with the simulator scenarios).
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 symptoms/cues that will be visible to the crew the expected operator actions (by shift position) the event termination point (if applicable)
: 12.       Each applicant will be significantly involved in the minimum number of transients and events                                 A' specified on Form ES-301-5 (submit the form with the simulator scenarios).
: 4.
: 13.       The level of difficulty is appropriate to support licensing decisions for each crew position.
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.
Actual Attributes TARGET QUANTITATIVE ATTRIBUTES (PER SCENARIO; SEE SECTION D.4.D)                           1       2       3
: 5.
: 1.       Total malfunctions (5-8)                                                         4   /   5   /   5       v--'
The events are valid with regard to physics and thermodynamics.
: 2.       Malfunctions after EOP entry (1-2)                                               1   /   1   /   i _____
: 6.
: 3.       Abnormal events (2-4)                                                             3   /   3   /   3   -(--'
Sequencing and timing of events is reasonable, and allows the examination team to obtain complete evaluation results commensurate with the scenario objectives.
: 4.       Major transients (1-2)                                                           1 /     1   /     1             k/o 7
: 7.
: 5.       EOPs entered/requiring substantive actions (1-2)                                 2   /   3   /   2     _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.
: 6.       EOP contingencies requiring substantive actions (0-2)                             0   /   1   /   i1    _      ,4
: 8.
: 7.       Critical tasks (2-3)                                                             3   /   3   /     3   -/         KS NUREG-1021, Revision 8, Supplement 1                           24 of 26
The simulator modeling is not altered.
: 9.
The scenarios have been validated. Any open simulator performance deficiencies have been v '
evaluated to ensure that functional fidelity is maintained while running the planned scenarios.
12*
: 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.4 of ES-301.
: 11.
All individual operator competencies can be evaluated, as verified using Form ES-301-6 (submit ff the form along with the simulator scenarios).
: 12.
Each applicant will be significantly involved in the minimum number of transients and events A'
specified on Form ES-301-5 (submit the form with the simulator scenarios).
: 13.
The level of difficulty is appropriate to support licensing decisions for each crew position.
Actual Attributes TARGET QUANTITATIVE ATTRIBUTES (PER SCENARIO; SEE SECTION D.4.D) 1 2
3
: 1.
Total malfunctions (5-8) 4  
/
5  
/
5 v --'
: 2.
Malfunctions after EOP entry (1-2) 1  
/
1  
/
i
: 3.
Abnormal events (2-4) 3  
/
3  
/
3  
-(--'
: 4.
Major transients (1-2) 1  
/
1  
/
1 k/o 7
: 5.
EOPs entered/requiring substantive actions (1-2) 2  
/
3  
/
2
_7
: 6.
EOP contingencies requiring substantive actions (0-2) 0  
/
1  
/
1
,4 i
: 7.
Critical tasks (2-3) 3  
/
3  
/
3  
-/
K S NUREG-1021, Revision 8, Supplement 1 24 of 26


:rr         i-t   n1 -4 ES- -<nA1                                                      ~                                 _.
_ 1
                                                              %rcnarno   d Quality
:rr
                                            %';iM11lzn~r.
_ns0iA i-t n1 -4 ES- -<nA
%';iM11lzn~r. %rcnarno Quality U[eCtLrL Iu %1 I I I v
w ou I
W11u v
~
c d
8 J
Facility:
Date of Exam:
Scenario Numbers: 4 / 5 /
Operating Test No.:
1 QUALITATIVE ATTRIBUTES Initials a
b*
c#
: 1.
The initial conditions are realistic, in that some equipment and/or instrumentation may be out of v
i service, but it does not cue the operators into expected events.
: 2.
The scenarios consist mostly of related events.
: 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 symptoms/cues that will be visible to the crew the expected operator actions (by shift position) l 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.
_l
: 6.
Sequencing and timing of events is reasonable, and allows the examination team to obtain A/
complete evaluation results commensurate with the scenario objectives.
: 7.
If time compression techniques are used, the scenario summary clearly so indicates. Operators a
have sufficient time to carry out expected activities without undue time constraints. Cues are 6i-"
given.7
: 8.
The simulator modeling is not altered.
t
: 9.
The scenarios have been validated. Any open simulator performance deficiencies have been
.. Z levaluated to ensure that functional fidelity is maintained while running the planned scenarios._
: 10.
Every operator will be evaluated using at least one new or significantiy modified scenario. All other scenarios have been altered in accordance with Section D.4 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).
v
v
_ns0iA c      8      J    U[eCtLrL                          Iu%1 I I I      v  w  . --
: 12.
ou  I                                  W11u Scenario Numbers: 4 / 5 /            Operating Test No.:                      1 Facility:            Date of Exam:
Each applicant will be significantly involved in the minimum number of transients and events  
QUALITATIVE ATTRIBUTES                                                                        Initials a        b*    c#
-it.-
may be out of            v        i
: 1.        The initial conditions are realistic, in that some equipment and/or instrumentation service, but it  does  not cue the  operators  into expected  events.
: 2.        The scenarios consist mostly of related events.
: 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 symptoms/cues that will be visible to the crew the expected operator actions (by shift position) l            the event termination point (if applicable) scenario
: 4.          No more than one non-mechanistic failure (e.g., pipe break) is incorporated into the such  as a seismic  event.                                                                _
without a credible preceding incident
_l
: 5.          The events are valid with regard to physics and thermodynamics.
A/              '
: 6.          Sequencing and timing of events is reasonable, and allows the examination team to obtain complete evaluation results commensurate with the scenario objectives.
Operators        a
: 7.          If time compression techniques are used, the scenario summary clearly so indicates.                                          6i-"
have sufficient time to carry out expected activities without undue time constraints. Cues are given.7
_          t
: 8.          The simulator modeling is not altered.
have been            .. Z
: 9.          The scenarios have been validated. Any open simulator performance deficiencies scenarios._
levaluated        to ensure  that functional fidelity is maintained while    running the  planned Every operator will be evaluated using at least one new or significantiy modified scenario. All 10.
other scenarios have been altered in accordance with Section D.4 of ES-301.
All individual operator competencies can be evaluated, as verified using Form ES-301-6 (submit
: 11.                                                                                                                                                v the form along with the simulator scenarios).
Each applicant will be significantly involved in the minimum number of transients and events
                                                                                                                                -it.-
12.
specified on Form ES-301-5 (submit the form with the simulator scenarios).
specified on Form ES-301-5 (submit the form with the simulator scenarios).
: 13.         The level of difficulty is appropriate to support licensing decisions for each crew position.
: 13.
                                                                                                                                          ,*      /
The level of difficulty is appropriate to support licensing decisions for each crew position.  
Actual Attributes SEE   SECTION     D.4.D)     4         5 TARGET QUANTITATIVE ATTRIBUTES (PER SCENARIO; Total malfunctions (5-8)                                                               4   /   4   /
/
1.
Actual Attributes TARGET QUANTITATIVE ATTRIBUTES (PER SCENARIO; SEE SECTION D.4.D) 4 5
1    /   1 /        _                        )
: 1.
: 2.         Malfunctions after EOP entry (1-2)
Total malfunctions (5-8) 4  
Abnormal events (2-4)                                                                   3   /   2   /f    A/
/
3.
4  
: 4.                 transients (1-2)
/
Major                                                                                1      / 2     /             4/     Pt
: 2.
: 5.           EOPs entered/requiring substantive actions (1-2)                                       3   /   1   /               v4       L 1  /    0  /              _'
Malfunctions after EOP entry (1-2) 1
: 6.           EOP contingencies requiring substantive actions (0-2)
/ 1 /
Critical tasks (2-3)                                                                   3   /   2   /               _
)
7.
: 3.
NUREG-1021, Revision 8, Supplement 1                                 24 of 26
Abnormal events (2-4) 3  
/
2  
/
A/
f
: 4.
Major transients (1-2) 1
/ 2  
/
4/ Pt
: 5.
EOPs entered/requiring substantive actions (1-2) 3  
/
1  
/
v4 L
: 6.
EOP contingencies requiring substantive actions (0-2) 1
/
0
/
: 7.
Critical tasks (2-3) 3  
/
2  
/
NUREG-1021, Revision 8, Supplement 1 24 of 26


Examination Security Agreement                                                                             Form ES-201-3 ES-201
ES-201 Examination Security Agreement Form ES-201-3
: 1.         PreExamination for the week(s) of /7 I                        as of the I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled                                                                       been      authorized persons who have            no date of my signature. I agree that I will not knowingly divulge any information about these examinations to any to instruct, evaluate,     or provide     performance     feedback       to those applicants scheduled to be by the NRC chief examiner. I understand that I am not specifically noted below and administered these licensing examinations from this date until completion of examination administration, except as security  measures        and requirements    (as  documented          in the facility licensee's authorized by the NRC.Furthermore, I am aware of the physical agreement    may      result  in cancellation  of  the   examinations      and/or an enforcement procedures) and understand that violation of the conditions of this facility management          or the NRC  chief  examiner        any  indications    or suggestions that action against me or the facility licensee. I will immediately report to examination security may have been compromised.
: 1.
: 2.         Post-Examination licensing examinations administered To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC during the week(s) of .7.2. k; From the date that I entered               into   this security   agreement       until the completion       of examination administration, I did not except as specifically instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, noted below and authorized by the NRC.
PreExamination I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of /7 I 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 no 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 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.
                                                                                                .. ,.,Aa. . ,  ,4                        fr<ATC~/I)                 {E      f-%A~
Post-Examination To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of.7.2. k; 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.
IATrC'lnTF PRINTED NAME               JOB TITLE / RESPONSIBILITY                           SiIGNATIURE        (1)              UAI tr-                NX            t    vlc~
fr<ATC~/I) f-%A~  
: 1. ke/i         VI/es               S       yi     Dcyc~cr                                     4 2                          ~~~3-1-02              Ad-4>-
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{E IATrC'lnTF PRINTED NAME JOB TITLE / RESPONSIBILITY
: 1. ke/i VI/es S
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: 2. Sc an ff Jo //d
: 2. Sc an ff Jo //d
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: 9.
1 3. z               za               ! //I                                                             .                       ,^0                                                 ____
oA 4a
: 14. p-             V06ls      -   -     i fft-     k~'7 7L..44r
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: 15. hoN2    LEZ ;-k)                -111,01dAL01f,                    -
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UAI t r-NX
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,^0 241of2V/4 24 of 24
-111, 01 dAL01f, NOTES:
NUREG-1021, Revision 8, Supplement 1
 
(
(
ES-201 Examination Security Agreement Form ES-201-3
: 1.
Pre-Examination I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of
-Z i*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 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 _-Ei/-. 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 S GNAT E (1)
DATE SIGNATURE (2) DATENOTE
: 1.
&JJC 1nfll)UA S6U!L!L,
&pqSA t_
: 2. W. '
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13
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-X teEM
: 8.
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: 14.
Ke,-(ve e-<< t<-<>f5t1 38-vl1o a
d 1
: 15. //JV.,T Al
-t t
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NOTES:
NOTES:
241of2V/4 NUREG-1021, Revision 8, Supplement 1                                                 24 of 24
NUREG-1021, Revision 8, Supplement 1 24 of 24


(                                                                              (
ES-301 Transient and Event Checklist OPERATING TEST NO.: 1 Rev. 1 SRO-1 Form ES-301-5 Applicant Evolution Minimum Scenario Number Type Type Number SRO SRO RO 1
Examination Security Agreement                                                        Form ES-201-3 ES-201
2 3
: 1.        Pre-Examination of        i*as -Z of the I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s)                                  been  authorized about  these  examinations    to any  persons  who    have  not date of my signature. I agree that I will not knowingly divulge any information                                                                                to be provide performance  feedback    to those  applicants    scheduled by the NRC chief examiner. I understand that I am not to instruct, evaluate, or                                                                                and administration,  except  as specifically  noted  below administered these licensing examinations from this date until completion of examination in the facility licensee s authorized by the NRC.Furthermore, I am aware of the physical security measures and requirements (as documented of the examinations      and/or an enforcement procedures) and understand that violation of the conditions of this agreement may result in cancellation chief  examiner  any  indications  or suggestions that action against me or the facility licensee. I will immediately report to facility management or the NRC examination security may have been compromised.
4 Reactivity 1
: 2.        Post-Examination examinations administered To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing completion      of examination    administration, I did not during the week(s) of _-Ei/-. From the date that I entered into this security agreement until the licensing  examinations,    except  as specifically instruct, evaluate, or provide performance feedback to those applicants who were administered these noted below and authorized by the NRC.
Normal 1
PRINTED NAME              JOB TITLE / RESPONSIBILITY                    S GNAT      E (1)            DATE          SIGNATURE (2) DATENOTE
RO Instrument /
: 1.                1nfll)UA          S6U!L!L,          &pqSA
4 Component Maior 1
                                                        &JJC                          t_
Reactivity 1
: 2. W. '                                I7X-,
2 Normal 0
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As RO 3,
: 8. 1312t    .L.__
Instrument /
tA 942d                __________          ________
2 5, 8 Component Major 1
T ES:l                I d n Ke,-(ve                38-vl1o e-<<t<-<>f5t1                  a                            d                              1 14.
7 SRO-I Reactivity 0
Al
2 2
: 15. //JV.,T        -t      t          0).oensaE //O/
Normal 1
iai NOTES:
1 1
NUREG-1021, Revision 8, Supplement 1                                            24 of 24
Instrument I 2
 
3, 4, 3, 4, As SRO Component 5, 7 5, 6, Major 1
ES-301                                       Transient and Event Checklist                 Form ES-301-5 OPERATING TEST NO.: 1 Rev. 1 SRO-1 Applicant             Evolution       Minimum             Scenario Number Type                 Type           Number SRO     SRO       RO 1       2     3     4 Reactivity           1 Normal               1 RO Instrument /           4 Component Maior               1 Reactivity           1                           2 Normal               0 As RO                                                                 3, Instrument /           2                         5, 8 Component Major               1                           7 SRO-I Reactivity           0           2       2 Normal               1           1       1 Instrument I           2         3, 4, 3, 4, As SRO             Component                         5, 7   5, 6, Major               1           6       7 Reactivity           0 Normal               1 SRO-U Instrument /           2 Component Major             1 Instructions:  (1) Enter the operating test number and Form ES-D-1 event numbers for each evolution type.
6 7
(2) Reactivity manipulations may be conducted under normal or controlled abnormal conditions (refer to Section D.4.d) but must be significant per Section C.2.a of Appendix D.
Reactivity 0
(3) Whenever practical, both instrument and component malfunctions should be included; only those that require verifi ble actions th t provide insight to the applicant's competence count toward the minimum requi men t Author:
Normal 1
SRO-U Instrument /
2 Component Major 1
(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.4.d) but must be significant per Section C.2.a of Appendix D.
(3)
Whenever practical, both instrument and component malfunctions should be included; only those that require verifi ble actions th t provide insight to the applicant's competence count toward the minimum requi men t Instructions:
Author:
IRC Reviewer:
IRC Reviewer:


ES-301                                       Transient and Event Checklist                   Form ES-301-5 OPERATING TEST NO.: 1 Rev. 1 SRO-2 Applicant             Evolution       Minimum               Scenario Number Type                 Type           Number BOP     RO     SRO 1     2       3       4 Reactivity           1 Normal               1 RO               Instrument!
ES-301 Transient and Event Checklist Form ES-301-5 OPERATING TEST NO.: 1 Rev. 1 SRO-2 Applicant Evolution Minimum Scenario Number Type Type Number BOP RO SRO 1
Component             4 Maior               1 Reactivity           1                   2 Normal             0             1 As RO Instrument             2           4, 7   3, 4 Component Major             1           6       7 SRO-I Reactivity           0       l       l     L   2 Normal             1                           1   _
2 3
Instrument             2                           3, 4, As SRO             Component                                         5, 6, 8
4 Reactivity 1
Major             1                           7 Reactivity           0                   =       =
Normal 1
Normal             1                                 _
RO Instrument!
SRO-U Instrument!           2 Component Major               1 Instructions: IU1) Enter the operating test number and form LE-D-1 event numbers Tor each evolution type.
Component 4
(2)  Reactivity manipulations may be conducted under normal or controlled abnormal conditions (refer to Section D.4.d) but must be significant per Section C.2.a of Appendix D.
Maior 1
(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 requireme Author:
Reactivity 1
2 Normal 0
1 As RO Instrument 2
4, 7 3, 4 Component Major 1
6 7
SRO-I Reactivity 0
l l
L 2 Normal 1
1 Instrument 2
3, 4, As SRO Component 5, 6, 8
Major 1
7 Reactivity 0  
=  
=
Normal 1
SRO-U Instrument!
2 Component Major 1
Instructions:
IU1)
(2)
(3)
Enter the operating test number and form LE-D-1 event numbers Tor each evolution type.
Reactivity manipulations may be conducted under normal or controlled abnormal conditions (refer to Section D.4.d) but must be significant per Section C.2.a of Appendix D.
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 requireme Author:
AqRC Reviewer:
AqRC Reviewer:


ES-301                                       Transient and Event Checklist                 Form ES-3011-5 ES-301                               Transient and Event Checklist                 Form ES-301-5 OPERATING TEST NO.: 1 Rev. 1 SRO-3 Applicant             Evolution         Minimum             Scenario Number Type                 Type           Number       SRO             SRO     RO 1     2       3     4 Reactivity             I Normal               1 Instrument /
ES-301 Transient and Event Checklist Form ES-3011-5 ES-301 Transient and Event Checklist Form ES-301-5 OPERATING TEST NO.: 1 Rev. 1 SRO-3 Applicant Evolution Minimum Scenario Number Type Type Number SRO SRO RO 1
RO             Component               4 Maoor1 Reactivity             1                                 2 Normal               0                                   1 As RO Instrument /             2 Component                                                 3, 4 Major               1       ___                      6, 7 SRO-I Reactivity             0           2             2 1             1 Normal               1 Instrument             2         3, 4,         3, 4, As SRO             Component                         5, 7           5, 6, 8
2 3
Major 1           6             7 Reactivity           0 Normal               1 SRO-U Instrument/             2 Component Major               1 Instructions:   (1) Enter the operating test number and Form ES-D-1 event numbers for each evolution type.
4 Reactivity I
(2) Reactivity manipulations may be conducted under normal or controlled abnormal conditions (refer to Section D.4.d) but must be significant per Section C.2.a of Appendix D.
Normal 1
(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 require ent.
Instrument /
Author:                                  7/t1, "JRC Reviewer:
RO Component 4
Maoor1 Reactivity 1
2 Normal 0
1 As RO Instrument /
2 Component 3, 4 Major 1
6, 7 SRO-I Reactivity 0
2 2
1 1
Normal 1
Instrument 2
3, 4, 3, 4, As SRO Component 5, 7 5, 6, 8
Major 1
6 7
Reactivity 0
Normal 1
SRO-U Instrument/
2 Component Major 1
Instructions:
Author:
(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.4.d) but must be significant per Section C.2.a of Appendix D.
(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 require ent.
7/t1, "JRC Reviewer:


                                              -r,-in+       nnri P:%ipnt C'hprkli.,;t I IOIIOIS1I1L t41-L-Form ES-301-5 ES-301                                                 (',IDAI~t     TI~Tn.       1 Rev. 1 SRO-4                                                                   .
-r,-in+
M- l       _        . c      -r     Iu '    L..               I Applicant           Evolution                 Minimum                 'Scenanio Numbe,         .
nnri P:%ipnt C'hprkli.,;t Form ES-301-5 ES-301 I IOIIOIS1I1L t41-L-(',IDAI~t TI~Tn.
Number Type                Type SRO             RO         SRO 2            3              4 1
1 Rev. 1 SRO-4 M - l  
Reactivity                     1 Normal                       1 RO             Instrument!
-r Iu L..
Component                         4 Maior                        1           _  _ _    _  __
c I
Reactivity                     1             _    _                    2 Normal                       0                                                 __    l_
Applicant Type Evolution Type Minimum Number
As RO Instrument                       2                                       3, 5, Component                           _                                    8 Major                       1                                       7 SRO-I Reactivity                     0                           2                           2 Normal                       1                           1                           1 Instrument                       2                       3, 4,                     3, 4, 5 As SRO             Component                                                 5, 6, Major                         1                           7                         6,7 0                                             l               l Reactivity Normal                       1                   l                         l         l   l SRO-U Instrument/                     2 Component Major                       1                     l           l           l             l evolution type.
'Scenanio Numbe, SRO RO 3
Instructions: (1)    Enter the operating test number and Form ES-D-1 event numbers for each under    normal      or  controlled          abnormal    conditions (refer (2)    Reactivity manipulations may be conducted                                                              D.
SRO 4
to Section D.4.d) but must be significant per Section C.2.a of Appendix be included; only those (3)    Whenever practical, both instrument and component malfunctions should                                              count toward the that require verifiable actions that provide insight to the applicant's                      competence minimum requirernnt. /
1 2
Reactivity 1
Normal 1
RO Instrument!
Component 4
M aior 1
Reactivity 1
2 Normal 0
_ l As RO Instrument 2
3, 5, Component 8
Major 1
7 SRO-I Reactivity 0
2 2
Normal 1
1 1
Instrument 2
3, 4, 3, 4, 5 As SRO Component 5, 6, Major 1
7 6,7 Reactivity 0
l l
Normal 1
l l
l l
SRO-U Instrument/
2 Component Major 1
l l
l l
Instructions:
Author:
Author:
-   NRC Reviewer:
(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.4.d) but must be significant per Section C.2.a of Appendix D.
(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 requirernnt. /
NRC Reviewer:


ES-301l                                     Transient and Event Checklist                   Form ES-301-5 ES-301                             Transient and Event Checklist                 Form ES-301-5 OPERATING TEST NO.: 1 Rev. 1 RO-1 Applicant           Evolution         Minimum             Scenario Number Type                 Type             Number RO     BOP           BOP 1     2       3     4 Reactivity             1           2 Normal               1                   1 RO Instrument             4           3, 5   5, 6,           5 Component                                     8 Maior               1           6     7 =     6 Reactivity             1 Normal               0 As RO Instrument!             2 Component Major               1 SRO-I Reactivity             0 Normal               1 Instrument /           2 As SRO             Component Major               1 Reactivity             0 Normal               1 SRO-U Instrument!             2 Component Major               1 Instructions: (1)  Enter the operating test number and Form ES-D-1 event numbers for each evolution type.
ES-301l Transient and Event Checklist Form ES-301-5 ES-301 Transient and Event Checklist Form ES-301-5 OPERATING TEST NO.: 1 Rev. 1 RO-1 Applicant Evolution Minimum Scenario Number Type Type Number RO BOP BOP 1
(2)  Reactivity manipulations may be conducted under normal or controlled abnormal conditions (refer to Section D.4.d) but must be significant per Section C.2.a of Appendix D.
2 3
(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 requirernqt. ,<
4 Reactivity 1
2 Normal 1
1 RO Instrument 4
3, 5 5, 6, 5
Component 8
Maior 1
6 7 =
6 Reactivity 1
Normal 0
As RO Instrument!
2 Component Major 1
SRO-I Reactivity 0
Normal 1
Instrument /
2 As SRO Component Major 1
Reactivity 0
Normal 1
SRO-U Instrument!
2 Component Major 1
Instructions:
Author:
Author:
(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.4.d) but must be significant per Section C.2.a of Appendix D.
(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 requirernqt.,<
NRC Reviewer:
NRC Reviewer:


Transient and Event Checklist                 Form ES-301-5 ES-301 OPERATING TEST NO.: 1 Rev. 1 RO-2 Evolution           Minimum             Scenario Number Applicant Type               Type             Number P   RO   BOP 2     3       4 1
ES-301 Transient and Event Checklist OPERATING TEST NO.: 1 Rev. 1 RO-2 Applicant Evolution Minimum Type Type Number Form ES-301-5 Scenario Number P
Reactivity               1                   2 Normal               1           I             1 RO Instrument /              4         4,7       3,4   4, 6 Component Maior       I       1           6        7      7 numbers for each evolution type.
RO BOP 2
Instructions: (1)    Enter the operating test number and Form ES-D-1 event or controlled abnormal conditions (refer Reactivity manipulations may be conducted      under  normal (2)                                                            C.2.a of Appendix D.
3 4
to Section D.4.d) but must be significant per Section Whenever practical, both instrument      and component    malfunctions should be included; only those (3)                                                                applicant's competence count toward the that require verifiable actions that provide insight to the minimum requireyXent.            /
1 Reactivity 1
2 RO Normal Instrument /
Component 1
I 1
4 4,7 3,4 6
7 4, 6 Maior I
1 7
Instructions:
Author:
Author:
(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.4.d) but must be significant per Section C.2.a of Appendix D.
(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 requireyXent.
/
NRC Reviewer:
NRC Reviewer:


                                            -r,--;-,+ nnrl Pwant ('hPrk1i--;t                   Form ES-301-5 ES-301                                                             NO.: 1 OPERATING    TEST Rev. 1 RO-3 Applicant           Evolution         Minimum                 Scen ario Number Type                 Type             Number         RO       BOP BOP 1         2       3       4 Reactivity             12 Normal               1                       1       1 Instrument!
-r,--;-,+
Component               4           3, 5     5, 6,   4, 6 RO 8
nnrl Pwant ('hPrk1i--;t Form ES-301-5 ES-301 OPERATING TEST NO.: 1 Rev. 1 RO-3 Applicant Evolution Minimum Scen ario Number Type Type Number RO BOP BOP 1
Major               1               6         7       7 Reactivity           1               _
2 3
Normal             0 As RO Instrument /             2 Component Major               1 SRO-1 Reactivity           0                         _
4 Reactivity 12 Normal 1
Normal               1 InstrumentI             2 As SRO             Component Major Reactivity             0 Normal               1 SRO-U Instrument!             2 Component Major               I for each evolution type.
1 1
Instructions: (1)    Enter the operating test number and Form ES-D-1 event numbers controlled abnormal conditions (refer (2)    Reactivity manipulations may be conducted under normal or Appendix D.
Instrument!
to Section D.4.d) but must be significant per Section C.2.a of should be included; only those (3)    Whenever practical, both instrument and component malfunctions to  the  applicant's  competence count toward the that require verifiable actions that provide insight minimum requjemeny.
RO Component 4
3, 5 5, 6, 4, 6 8
Major 1
6 7
7 Reactivity 1
Normal 0
As RO Instrument /
2 Component Major 1
SRO-1 Reactivity 0
Normal 1
InstrumentI 2
As SRO Component Major Reactivity 0
Normal 1
SRO-U Instrument!
2 Component Major I
Instructions:
Author:
Author:
(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.4.d) but must be significant per Section C.2.a of Appendix D.
(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 requjemeny.
ARC Reviewer:
ARC Reviewer:


Competencies Checklist                                   Form ES-301-6 ES-301 Applicant #1 SRO 1                         Applicant #2 SRO 2 SRO-I                                         SRO-I SCENARIO                                     SCENARIO Competencies                                                                                  SRO SRO       SRO        RO                 BOP           RO 2           3       4           1           2         3         4 1
ES-301 Competencies Checklist Form ES-301-6 Applicant #1 SRO 1 Applicant #2 SRO 2 SRO-I SRO-I Competencies SCENARIO SCENARIO SRO SRO RO BOP RO SRO 1
3,4,5     3,4,5,6   3,5,6               4,6,7         3,4,7     3,4,5,6 7,8                                                     7,8 Understand and Interpret Annunciators and Alarms 3,4,5,6   3,4,5,6   3,5,6               4,6,7         3,4,7     3,4,5,6 7         7,8                                                     7,8 Diagnose Events 7       _-,-,,
2 3
and Conditions 1,2,3,4   1,2,3,4   2,3,5,6             4,6,7         2,3,4,7   1,2,3,4 5,6,7     5,6,7,8   7,8                                           5,6,7,8 Understand Plant and System Response 1,2,3,4   1,2,3,4   2,3,5,7               1,4,6,7     2,3,4,7   1,2,3,4 5,6,7     5,6,7,8   8                                           5,6,7,8 Comply With and Use Procedures (1) 2,3,5,7             1,4,6,7     2,3,4,7 Operate Control                                       8 Boards (2) 1,2,3,4   1,2,3,4   2,3,5,7             1,4,6,7     2,3,4,7   1,2,3,4 5,6,7     5,6,7,8   8                                           5,6,7,8 Communicate and Interact With the Crew 2,3,4,5   2,3,5,6                                                 1,3,4,5 6         7,8                                                     6,7 Demonstrate Supervisory Ability (3) 5         4                                                       4 Comply With and Use Tech. Specs. (3)
4 1
2 3
4 3,4,5 3,4,5,6 3,5,6 4,6,7 3,4,7 3,4,5,6 Understand and Interpret 7,8 7,8 Annunciators and Alarms 3,4,5,6 3,4,5,6 3,5,6 4,6,7 3,4,7 3,4,5,6 Diagnose Events 7
7,8 7,8 and Conditions 7
1,2,3,4 1,2,3,4 2,3,5,6 4,6,7 2,3,4,7 1,2,3,4 Understand Plant 5,6,7 5,6,7,8 7,8 5,6,7,8 and System Response 1,2,3,4 1,2,3,4 2,3,5,7 1,4,6,7 2,3,4,7 1,2,3,4 Comply With and 5,6,7 5,6,7,8 8
5,6,7,8 Use Procedures (1) 2,3,5,7 1,4,6,7 2,3,4,7 Operate Control 8
Boards (2) 1,2,3,4 1,2,3,4 2,3,5,7 1,4,6,7 2,3,4,7 1,2,3,4 Communicate and 5,6,7 5,6,7,8 8
5,6,7,8 Interact With the Crew 2,3,4,5 2,3,5,6 1,3,4,5 Demonstrate Supervisory 6
7,8 6,7 Ability (3) 5 4
4 Comply With and Use Tech. Specs. (3)
Notes:
Notes:
(1) Includes Technical Specification compliance for an RO.
(1) Includes Technical Specification compliance for an RO.
Line 287: Line 699:
(3) Only applicable to SROs.
(3) Only applicable to SROs.
Revision 1 to PNPS submittal Instructions:
Revision 1 to PNPS submittal Instructions:
that will allow the examiners to evaluate Circle the applicant's license type and enter one or more event numbers every applicable competency for every applic nt.
Circle the applicant's license type and enter one or more event numbers that will allow the examiners to evaluate every applicable competency for every applic nt.
Author:
Author:
NRC Reviewer:
NRC Reviewer:


ES-301                                         Competencies Checklist                                 Form ES-301-6 Applicant #3 SRO 3                         Applicant #4 SRO 4 SRO-I                                     SRO-I Competencies                         SCENARIO                                     SCENARIO SRO                   SRO       RO   _    _        SRO       RO         SRO 1         2           3       4       1           2         3         4 3,4,5                 3,4,5,6 3,4,6,7             3,4,5,6   3,5,6     3,4,5,6, 7,8                           7,8                 7 Understand and Interpret Annunciators and Alarms 3,4,5,6               3,4,5,6 3,4,6,7               3,4,5,6   3,5,6     3,4,5,6, Diagnose Events                 7                     7,8                           7,8                 7 and Conditions 1,2,3,4               1,2,3,4 1,2,3,4               1,2,3,4   2,3,5,6   1,2,3,4, 5,6,7                 5,6,7,8 6,7                   5,6,7,8   7,8       5,6,7 Understand Plant and System Response 1,2,3,4               1,2,3,4 1,2,3,4               1,2,3,4   2,3,5,7   1,2,3,4, Comply With and                 5,6,7                 5,6,7,8 6,7                   5,6,7,8   8         5,6,7 Use Procedures (1)                         _
ES-301 Competencies Checklist Form ES-301-6 Applicant #3 SRO 3 Applicant #4 SRO 4 SRO-I SRO-I Competencies SCENARIO SCENARIO SRO SRO RO SRO RO SRO 1
1,2,3,4                         2,3,5,7 6,7                             8 Operate Control Boards (2) 1,2,3,4                 1,2,3,4 1,2,3,4             1,2,3,4   2,3,5,7   1,2,3,4, 5,6,7                   5,6,7,8 6,7                 5,6,7,8   8         5,6,7 Communicate and Interact With the Crew 2,3,4,5                 1,3,4,5                       2,3,5,6             2,4,6,7 Demonstrate Supervisory         6                       6,7                           7,8 Ability (3) 5                       4                             4                     5 Comply With and Use Tech. Specs. (3)                                                     l Notes:
2 3
4 1
2 3
4 3,4,5 3,4,5,6 3,4,6,7 3,4,5,6 3,5,6 3,4,5,6, Understand and Interpret 7,8 7,8 7
Annunciators and Alarms 3,4,5,6 3,4,5,6 3,4,6,7 3,4,5,6 3,5,6 3,4,5,6, Diagnose Events 7
7,8 7,8 7
and Conditions 1,2,3,4 1,2,3,4 1,2,3,4 1,2,3,4 2,3,5,6 1,2,3,4, Understand Plant 5,6,7 5,6,7,8 6,7 5,6,7,8 7,8 5,6,7 and System Response 1,2,3,4 1,2,3,4 1,2,3,4 1,2,3,4 2,3,5,7 1,2,3,4, Comply With and 5,6,7 5,6,7,8 6,7 5,6,7,8 8
5,6,7 Use Procedures (1) 1,2,3,4 2,3,5,7 Operate Control 6,7 8
Boards (2) 1,2,3,4 1,2,3,4 1,2,3,4 1,2,3,4 2,3,5,7 1,2,3,4, Communicate and 5,6,7 5,6,7,8 6,7 5,6,7,8 8
5,6,7 Interact With the Crew 2,3,4,5 1,3,4,5 2,3,5,6 2,4,6,7 Demonstrate Supervisory 6
6,7 7,8 Ability (3) 5 4
4 5
Comply With and Use Tech. Specs. (3) l Notes:
(1) Includes Technical Specification compliance for an RO.
(1) Includes Technical Specification compliance for an RO.
(2) Optional for an SRO-U.
(2) Optional for an SRO-U.
(3) Only applicable to SROs.
(3) Only applicable to SROs.
Revision 1 to PNPS submittal Instructions:
Revision 1 to PNPS submittal Instructions:
low the examiners to evaluate Circle the applicant's license type and enter one or more event numbers that will al every applicable competency for every app cant.
Circle the applicant's license type and enter one or more event numbers that will al every applicable competency for every app cant.
Author:
Author:
NRC Reviewer:               ___                  ,  _,
NRC Reviewer:
low the examiners to evaluate


ES-301                                         Competencies Checklist                               Form ES-301-6 Applicant #5 SRO 5                         Applicant #6 RO 1 SRO-I                                       RO Competencies                           SCENARIO                                 SCENARIO SRO       SRO       905       RO         BOP                 BOP 1         2         3         4         1         2       3           4 3,5,6     5,6,7,8             5,6,7 Understand and Interpret           N/A       N/A       N/A     N/A Annunciators and Alarms 3,5,6     5,6,7,8             5,6,7 Diagnose Events and Conditions 2,3,5,6   1,5,6,7             5,6,7 Understand Plant                                                                     8 and System Response 2,3,5,6   1,5,6,7             5,6,7 Comply With and                                                                       8 Use Procedures (1) 2,3,5,6   1,5,6,7             5,6,7 Operate Control                                                                     8 Boards (2)                                 .                            l 2,3,5,6   1,5,6,7             2,5,6,7 Communicate and                                                                     8 Interact With the Crew Demonstrate Supervisory Ability (3)
ES-301 Competencies Checklist Form ES-301-6 Applicant #5 SRO 5 Applicant #6 RO 1 SRO-I RO Competencies SCENARIO SCENARIO SRO SRO 905 RO BOP BOP 1
2 3
4 1
2 3
4 3,5,6 5,6,7,8 5,6,7 Understand and Interpret N/A N/A N/A N/A Annunciators and Alarms 3,5,6 5,6,7,8 5,6,7 Diagnose Events and Conditions 2,3,5,6 1,5,6,7 5,6,7 Understand Plant 8
and System Response 2,3,5,6 1,5,6,7 5,6,7 Comply With and 8
Use Procedures (1) 2,3,5,6 1,5,6,7 5,6,7 Operate Control 8
Boards (2) l 2,3,5,6 1,5,6,7 2,5,6,7 Communicate and 8
Interact With the Crew Demonstrate Supervisory Ability (3)
Comply With and Use Tech. Specs. (3)
Comply With and Use Tech. Specs. (3)
Notes:
Notes:
Line 311: Line 744:
NRC Reviewer:
NRC Reviewer:


ES-301                                           Competencies Checklist                             Form ES-301-6 Applicant #7 RO 2                         Applicant #8 RO 3 RO                                     RO Competencies                           SCENARIO                                 SCENARIO BOP         RO         BOP         l     RO         BOP       BOP 1         2           3       4       1         2         3           4 4,6,7     3,4,7       4,6,7             3,5,6     5,6,7,8   4,6,7 Understand and Interpretl Annunciators and Alarms                                                 l 4,6,7     3,4,7       4,6,7             3,5,6     5,6,7,8   4,6,7 Diagnose Events and Conditions 4,6,7     2,3,4,7     1,4,6,7           2,3,5,6   1,5,6,7   1,4,6,7 Understand Plant                                                                     8 and System Response 1,4,6,7   2,3,4,7     1,4,6,7           2,3,5,6   1,5,6,7   1,4,6,7 Comply With and                                                                     8 Use Procedures (1) 1,4,6,7   2,3,4,7     1,4,6,7           2,3,5,6   1,5,6,7   1,4,6,7 Operate Control                                                                     8 Boards (2) 1,4,6,7   2,3,4,7     1,4,6,7           2,3,5,6   1,5,6,7   1,4,6,7 Communicate and                                                                     8 Interact With the Crew Demonstrate Supervisory Ability (3)                                                             l Comply With and Use Tech. Specs. (3)                                                   l Notes:
ES-301 Competencies Checklist Form ES-301-6 Applicant #7 RO 2 Applicant #8 RO 3 RO RO Competencies SCENARIO SCENARIO BOP RO BOP l
RO BOP BOP 1
2 3
4 1
2 3
4 4,6,7 3,4,7 4,6,7 3,5,6 5,6,7,8 4,6,7 Understand and Interpretl Annunciators and Alarms l
4,6,7 3,4,7 4,6,7 3,5,6 5,6,7,8 4,6,7 Diagnose Events and Conditions 4,6,7 2,3,4,7 1,4,6,7 2,3,5,6 1,5,6,7 1,4,6,7 Understand Plant 8
and System Response 1,4,6,7 2,3,4,7 1,4,6,7 2,3,5,6 1,5,6,7 1,4,6,7 Comply With and 8
Use Procedures (1) 1,4,6,7 2,3,4,7 1,4,6,7 2,3,5,6 1,5,6,7 1,4,6,7 Operate Control 8
Boards (2) 1,4,6,7 2,3,4,7 1,4,6,7 2,3,5,6 1,5,6,7 1,4,6,7 Communicate and 8
Interact With the Crew Demonstrate Supervisory Ability (3) l Comply With and Use Tech. Specs. (3) l Notes:
(1) Includes Technical Specification compliance for an RO.
(1) Includes Technical Specification compliance for an RO.
(2) Optional for an SRO-U.
(2) Optional for an SRO-U.
(3) Only applicable to SROs.
(3) Only applicable to SROs.
Revision 1 to PNPS submittal Instructions:
Revision 1 to PNPS submittal Instructions:
Circle the applicant's license type and enter one or more event numbers that will allow the examiners to evaluate every applicable competency for every applic nt. ,
Circle the applicant's license type and enter one or more event numbers that will allow the examiners to evaluate every applicable competency for every applic nt.
Author:                                           <              / /
Author:  
NRC Reviewer:                       ,7v             /g       Z
/  
/
NRC Reviewer:  
,7v  
/g Z


ES-401                                               Written Examination                                 Form ES-401-7 Quality Checklist
ES-401 Written Examination Quality Checklist Form ES-401-7 I
                                                        - -  I Facility:       PNPS                                           Date of Exam: 7/26/2002         Exam Level: RO Initial Item Description                                           a     b*c-
Facility:
: 1.       Questions and answers technically accurate and applicable to facility                   _____
PNPS Date of Exam: 7/26/2002 Exam Level: RO Initial Item Description a
: 2.         a. NRC K/As referenced for all questionsto/
b*c-
l   b. Facility learning objectives referenced as availablel
: 1.
: 3.         RO/SRO overlap is no more than 75 percent, and SRO questions are appropriate A per Section D.2.d of ES-401l
Questions and answers technically accurate and applicable to facility
: 4.         Question selection and duplication from the last two NRC licensing exams appears consistent with a systematic sampling process
: 2.
: 5.         Question duplication from the license screening/audit exam was controlled as indicated below (check the item that applies) and appears appropriate:
: a. NRC K/As referenced for all questionsto/
              -the audit exam was systematically and randomly developed; or
l
: b. Facility learning objectives referenced as availablel
: 3.
RO/SRO overlap is no more than 75 percent, and SRO questions are appropriate A per Section D.2.d of ES-401l
: 4.
Question selection and duplication from the last two NRC licensing exams appears consistent with a systematic sampling process
: 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
_ the audit exam was completed before the license exam was started; or
_ the examinations were     developed   independently; or
_ the examinations were developed independently; or
_ the licensee certifies that there is no duplication; or l   other (explain)
_ the licensee certifies that there is no duplication; or l
: 6.         Bank use meets limits (no more than 75                   Bank     Modified     New percent from the bank at least 10 percent new, and the rest modified); enter the actual question       25         11         64             AS       co distribution at right
other (explain)
: 7.         Between 50 and 60 percent of the questions on           Memory                   C/A the exam (including 10 new questions) are written at the comprehension/analysis level;             44                 56                         Ho enter the actual question distribution at rightr
: 6.
: 8.         References/handouts provided do not give away answers                                 _        _
Bank use meets limits (no more than 75 Bank Modified New percent from the bank at least 10 percent new, and the rest modified); enter the actual question 25 11 64 AS co distribution at right
: 9.         Question content conforms with specific K/A statements in the previously                   w approved examination outline and is appropriate for the Tier to which they are assigned; deviations are justified
: 7.
: 10.         Question psychometric quality and format meet ES, Appendix B,guidelines /            f-"
Between 50 and 60 percent of the questions on Memory C/A the exam (including 10 new questions) are written at the comprehension/analysis level; 44 56 Ho enter the actual question distribution at rightr
: 11.       The exam contains 100, one-point, multiple choice items; the total is correct and A/       S agrees with value on cover sheet                                                                       .
: 8.
Printed Nam / Sig ature                               Date
References/handouts provided do not give away answers
: a. Author                         kL / H V)          &/-                                                    7 _    &deg;2   l
: 9.
: b. Facility Reviewer (*)                   G, do jac.          G_
Question content conforms with specific K/A statements in the previously w
: c. NRC Chief Examiner (#)           /WUL-       %/     S   II
approved examination outline and is appropriate for the Tier to which they are assigned; deviations are justified
: d. NRC Regional Supervisor           l                           -,
: 10.
Note:         The facility reviewer's initials/signature are not applicable for NRC-developed examinations.
Question psychometric quality and format meet ES, Appendix B, guidelines f-"  
              # Independent NRC reviewer initial items in Column "c;" chief examiner concurrence required.
/
: 11.
The exam contains 100, one-point, multiple choice items; the total is correct and A/
S agrees with value on cover sheet Printed Nam / Sig ature Date
: a. Author kL / H  
)
V  
&/
7  
&deg;2 l
: b. Facility Reviewer (*)
jac.
do G, G_
: c. NRC Chief Examiner (#)  
/W UL-  
%/
S II
: d. NRC Regional Supervisor l
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.
PNPS Rev. I
PNPS Rev. I


Written Examination                                       Form ES-401-7 ES-401 r3i mlitv C'hecklist E S-40 1                                             Written Examination Date of Exam: 7/26/2002               Exam Level:     SRO Facility:        PNPS Initial Item Description                                                 a       b*       c
ES-401 Written Examination r3i mlitv C'hecklist Form ES-401-7 E S-40 1
: 1.       Questions and answers technically accurate and applicable to facility                               X____
Written Examination Facility:
: 2.             a. K/A r s NRC                    f all questions eferenced    or              lcn         a   w
PNPS Date of Exam: 7/26/2002 Exam Level:
: b. Facility leamina   objectives referenced as availableor
SRO Initial Item Description a
: 3.         RO/SRO overlap is no more th                   an 75 percent,     and SRO questions are appropriate per Section D.2.d of ES-401 Question selection and duplication from the last two NRC licensing exams appears pcnsistent with a               sampling prcess tematic sys                      new as
b*
: 5.         Question duplication from the license screening/audit exam was controlled indicated below (check the item that applies) and appears               appropriate:
c
the a udit was     exam systematically and randomly developed; or writhe audit exam was comp             before thelicense exam was started; or leted e the examinations were developed independently; or 9 the licensee certifies that there is no duplication; or arother (explain)
: 1.
Bank use meets limits (no more than 75                         Bank       Modified       New 6.
Questions and answers technically accurate and applicable to facility X____
p from   the bank at least 1a0 p ercent                                  new ,s erent 25            6          69                AX      e and the rest modified); enter the actual question ldistribution at right Memory                      C/A          4
: 2.
: 7.         Between 50 and 60 percent of the questions on the exam (conting 100 new q             ue are st           ions)           A/
: a.
written at the comprehension/analysis level;                       41               59 enter the actual question distribution at right g,        z-
NRC K/A s
: 8.         References/handouts provided do not give away answers
r eferenced f
: 9.         Question content conforms with specific K/A statements in the previously they are approved examination outline and is appropriate for the Tier to which                                                 /
or all questions lcn a
assigned1; deviaitions are justified
w
: 10.       Question psychometric quality and format meet ES, Appendix B. guidelinesA/
: b. Facility leamina objectives referenced as available or
and<
: 3.
: 11.       The exam contains 100, one-point, multiple choice items; the total is correct agrees with value on cover sheet Printed Vlame Sig at re                                   Date
RO/SRO overlap is no more th an 75 percent, and SRO questions are appropriate per Section D.2.d of ES-401 Question selection and duplication from the last two NRC licensing exams appears pcnsistent with a sys tematic sampling prcess new
: a. Author                   }<-l     i/     12/6&sect;                 4   4     ZG 5z<A                                            Jtf SoS 7
: 5.
Question duplication from the license screening/audit exam was controlled as indicated below (check the item that applies) and appears appropriate:
the a udit exam was systematically and randomly developed; or writhe audit exam was comp leted before the license exam was started; or e the examinations were developed independently; or 9 the licensee certifies that there is no duplication; or arother (explain)
: 6.
Bank use meets limits (no more than 75 Bank Modified New p
ercent from the bank at least 1a0 p erent new  
,s and the rest modified); enter the actual question 25 6
69 AX e
ldistribution at right
: 7.
Between 50 and 60 percent of the questions on Memory C/A 4
the exam (conting 100 new q ue st ions) are A/
written at the comprehension/analysis level; 41 59 enter the actual question distribution at right
: 8.
References/handouts provided do not give away answers g,
z-
: 9.
Question content conforms with specific K/A statements in the previously approved examination outline and is appropriate for the Tier to which they are assigned1; deviaitions are justified  
/
: 10.
Question psychometric quality and format meet ES, Appendix B. guidelinesA/
: 11.
The exam contains 100, one-point, multiple choice items; the total is correct and<
agrees with value on cover sheet Printed Vlame Sig at re Date
: a. Author  
}<-l i/
12/6&sect; 4
4 ZG
: b. Facility Reviewer (*)
: b. Facility Reviewer (*)
                                          >/717t-;&                         ,Z         /fT                                 z/o 0
5z<A Jtf S o S 7
: c. NRC Chief Examiner (#)
: c. NRC Chief Examiner (#)
: d. NRC Regional Supervisor                                                                                                   T examinations.
>/717t-;&  
,Z  
/fT z/o 0
: d. NRC Regional Supervisor T
Note:
Note:
* The facility reviewer's initials/signature are not applicable for NRC-developed NRC   reviewer   initial items in Column   "c;" chief examiner concurrence required.
* The facility reviewer's initials/signature are not applicable for NRC-developed examinations.
              # Independent PNPS Rev. I
# Independent NRC reviewer initial items in Column "c;" chief examiner concurrence required.
PNPS Rev. I


ES-403                               Written Examination Grading                     Form ES-403-1 Quality Checklist Facility:                                       Date of Exam: 7/Z 41z   Exam Level: ROISRO Initials Item Description                               a       b         c
ES-403 Written Examination Grading Form ES-403-1 Quality Checklist Facility:
: 1.       Clean answer sheets copied before grading                         />         w     /       - I
Date of Exam: 7/Z 41z Exam Level: ROISRO Initials Item Description a
: 2.       Answer key changes and question deletions justified and         A-'7W     id/]
b c
documented                                                       4-         A'
: 1.
: 3.       Applicants' scores checked for addition errors                   AJ/4 (reviewers spot check > 25% of examinations)                       K
Clean answer sheets copied before grading  
: 4.       Grading for all borderline cases (80% +1-2%) reviewed in         /LL     k/4 detail__                                                               __              _  _
/>
: 5.       All other failing examinations checked to ensure that grades       '/A               V)4 19, are justified                               B   y
w  
: 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
: 2.
: a. Grader                               1c/ >//-4,,                 _b                 oll
Answer key changes and question deletions justified and A-'7W id/]
: b. Facility Reviewer(*)                                                                     / 6/9
documented 4-A'
: c. NRC Chief Examiner (L)             //                   5               W             (3   L
: 3.
: d. NRC Supervisor                 1*.T       QCtIe
Applicants' scores checked for addition errors AJ/4 (reviewers spot check > 25% of examinations)
()       The facility reviewers signature is not applicable for examinations graded by the NRC; two independent NRC reviews are required.
K
5 of 5 NUREG-1021, Revision 8, Supplement 1}}
: 4.
Grading for all borderline cases (80% +1-2%) reviewed in  
/LL k/4 detail__
: 5.
All other failing examinations checked to ensure that grades  
'/A V)4 19, are justified B
y
: 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
: a. Grader 1c/ >//-4,,
_b oll
: b. Facility Reviewer(*)  
/ 6/9
: c. NRC Chief Examiner (L)  
//
5 W
(3 L
: d. NRC Supervisor 1*.T QCtIe
()
The facility reviewers signature is not applicable for examinations graded by the NRC; two independent NRC reviews are required.
I 5 of 5 NUREG-1021, Revision 8, Supplement 1}}

Latest revision as of 16:04, 16 January 2025

Final Qa/Related Forms
ML022460380
Person / Time
Site: Pilgrim
Issue date: 08/20/2002
From: Santiago M
Entergy Nuclear Generation Co
To: Conte R
NRC/RGN-I/DRS/OSB
Conte R
References
50-293/02301
Download: ML022460380 (20)


Text

ES-201 Examination Preparation Checklist Form ES-201 -1 Facility:

Date of Examination:

l Examinations Developed by:

Facility / NRC (circle one)

Target Chief Date*

Task Description I Reference Examiner's l

Initials

-180

1. Examination administration date confirmed (C.1.a; C.2.a & b)

-120

2. NRC examiners and facility contact assigned (C.1.d; C.2.e)

-120

3. Facility contact briefed on security & other requirements (C.2.c)

-120

4. Corporate notification letter sent (C.2.d)

[-901

[5. Reference material due (C.1.e; C.3.c)]

A7

-75

6. Integrated examination outline(s) due (C.1.e & f; C.3.d)

-70

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.1.e, f, g & h; C.3.d)

-30

9. Preliminary license applications due (C.1.1; C.2.g; ES-202)

-14

10. Final license applications due and assignment sheet prepared (C.1.1; C.2.g; ES-202)

-. 4

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

-14

12. Examinations reviewed with facility licensee (C.1.j; C.2f & h; C.3.g)

-7

13. Written examinations and operating tests approved by NRC supervisor (C.2.i; C.3.h)

-7

14. Final applications reviewed; assignment sheet updated; waiver letters sent (C.2.g, ES-204)
15. Proctoring/written exam administration guidelines reviewed with

-7 facility licensee and authorization granted to give written exams (if applicable) (C.3.k),

-7

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

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.

NUREG-1021, Revision 8, Supplement 1 22 of 24

ES-201 Examination Outline Form ES-201-2 Quality Checklist Facility:

Date of Examination:

l Initials Item Task Description a

nbi c#

la W

c#l

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

_Yt IW R

b. Assess whether the outline was systematically and randomly prepared in accordance with K

I Section D.1 of ES-401 and whether all K/A categories are appropriately sampled.

V T

T

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

A

/

6 N

d. Assess whether the justifications for deselected or rejected K/A statements are appropriate.

Z

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

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)',

-l and scenarios will not be repeated over successive 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,

/or l

(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:

(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) 40% 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 i

(5) the in-plant walk-through requires the applicant to enter the RCA.

c. Verify that the required administrative topics are covered, with emphasis on performance-based activities.

A

d. Determine if there are enough different outlines to test the projected number and mix of A applicants and ensure that no items are duplicated on successive days.
4.
a. Assess whether plant-specific priorities (including PRA and IPE insights) are covered in the

-ZF -'

appropriate exam section.

E

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

E

c. Ensure that K/A importance ratings (except for plant-specific priorities) are at least 2.5.

/

3 R

A

d. Check for duplication and overlap among exam sections.

L

e. Check the entire exam for balance of coverage.
f. Assess whether the exam fits the appropriate job level (RO or SRO).

lNY Inature Date

a. Author VIM2s
b. Facility Reviewer (A
c. NRC Chief Examiner(#) z4L.-

I D

d. NRC Supervisor 6'

B Note:

Not applicable for NRC-developed examinations.

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

I I

I 23 of 24 NUREG-1021, Revision 8, Supplement 1

ES-301 Operating Test Quality Checklist Form ES-301-3 Facility:

fgri iM Date of Examination: 7/2 2 Operating Test Number:

Initials

1. GENERAL CRITERIA a

b*

C#

a.

The operating test conforms with the previously approved outline; changes are consistent with v

j W

sampling requirements (e.g., 10 CFR 55.45, operational importance, safety function distribution).

I Al

b.

There is no day-to-day repetition between this and other operating tests to be administered

/

Ad during this examination.

l

c.

The operating test shall not duplicate items from the applicants' audit test(s)(see Section D.1.a).

ciI),

)

d.

Overlap with the written examination and between operating test categories is within acceptable 4x, f

limits.

e.

It appears that the operating test will differentiate between competent and less-than-competent

/e applicants at the designated license level.

2. WALK-THROUGH (CATEGORY A & B) CRITERIA l
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

b.

The prescripted questions in Category A are predominantly open reference and meet the criteria

/

]

in Attachment 1 of ES-301.

Cal

c.

Repetition from operating tests used during the previous licensing examination is within v

acceptable limits (30% for the walk-through) and do not compromise test integrity.

l

d.

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

3. SIMULATOR (CATEGORY C) CRITERIA
a.

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

Printed Name/

gnat e

Date

a. Author Xtij V,.&tS l
b. Facility Reviewer(*)
c. NRC Chief Examiner(#)

a zz

/

6

d. NRC Supervisor

/

' CM hi/g9/y NOTE:

  • The facility signature is not applicable for NRC-developed tests.

(a goeeA

44. £/( 4 Ft J/

f6zcn 4's 4A;/

v 6z 44"1 b~~il.

4:hS y/

r 4 /-

A-1i' d cz

^ ~ C devel Ace gA-,/

/flW ad Vl

'o4

ES-301 Simulator Scenario Quality Uhecklist Form ES-301-4 Facility:

Date of Exam:

Scenario Numbers: 1 / 2 / 3 Operating Test No.:

I QUALITATIVE ATTRIBUTES Initials a

b*

c#

1.

The initial conditions are realistic, in that some equipment and/or instrumentation may be out of

_4 service, but it does not cue the operators into expected events.

2.

The scenarios consist mostly of related events.

Ati

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 symptoms/cues 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.

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.

8.

The simulator modeling is not altered.

9.

The scenarios have been validated. Any open simulator performance deficiencies have been v '

evaluated to ensure that functional fidelity is maintained while running the planned scenarios.

12*

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.4 of ES-301.

11.

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

12.

Each applicant will be significantly involved in the minimum number of transients and events A'

specified on Form ES-301-5 (submit the form with the simulator scenarios).

13.

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

Actual Attributes TARGET QUANTITATIVE ATTRIBUTES (PER SCENARIO; SEE SECTION D.4.D) 1 2

3

1.

Total malfunctions (5-8) 4

/

5

/

5 v --'

2.

Malfunctions after EOP entry (1-2) 1

/

1

/

i

3.

Abnormal events (2-4) 3

/

3

/

3

-(--'

4.

Major transients (1-2) 1

/

1

/

1 k/o 7

5.

EOPs entered/requiring substantive actions (1-2) 2

/

3

/

2

_7

6.

EOP contingencies requiring substantive actions (0-2) 0

/

1

/

1

,4 i

7.

Critical tasks (2-3) 3

/

3

/

3

-/

K S NUREG-1021, Revision 8, Supplement 1 24 of 26

_ 1

rr

_ns0iA i-t n1 -4 ES- -<nA

%';iM11lzn~r. %rcnarno Quality U[eCtLrL Iu %1 I I I v

w ou I

W11u v

~

c d

8 J

Facility:

Date of Exam:

Scenario Numbers: 4 / 5 /

Operating Test No.:

1 QUALITATIVE ATTRIBUTES Initials a

b*

c#

1.

The initial conditions are realistic, in that some equipment and/or instrumentation may be out of v

i service, but it does not cue the operators into expected events.

2.

The scenarios consist mostly of related events.

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 symptoms/cues that will be visible to the crew the expected operator actions (by shift position) l 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.

_l

6.

Sequencing and timing of events is reasonable, and allows the examination team to obtain A/

complete evaluation results commensurate with the scenario objectives.

7.

If time compression techniques are used, the scenario summary clearly so indicates. Operators a

have sufficient time to carry out expected activities without undue time constraints. Cues are 6i-"

given.7

8.

The simulator modeling is not altered.

t

9.

The scenarios have been validated. Any open simulator performance deficiencies have been

.. Z levaluated to ensure that functional fidelity is maintained while running the planned scenarios._

10.

Every operator will be evaluated using at least one new or significantiy modified scenario. All other scenarios have been altered in accordance with Section D.4 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).

v

12.

Each applicant will be significantly involved in the minimum number of transients and events

-it.-

specified on Form ES-301-5 (submit the form with the simulator scenarios).

13.

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

/

Actual Attributes TARGET QUANTITATIVE ATTRIBUTES (PER SCENARIO; SEE SECTION D.4.D) 4 5

1.

Total malfunctions (5-8) 4

/

4

/

2.

Malfunctions after EOP entry (1-2) 1

/ 1 /

)

3.

Abnormal events (2-4) 3

/

2

/

A/

f

4.

Major transients (1-2) 1

/ 2

/

4/ Pt

5.

EOPs entered/requiring substantive actions (1-2) 3

/

1

/

v4 L

6.

EOP contingencies requiring substantive actions (0-2) 1

/

0

/

7.

Critical tasks (2-3) 3

/

2

/

NUREG-1021, Revision 8, Supplement 1 24 of 26

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

1.

PreExamination I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of /7 I 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 no 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 licensee's procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action against me or the facility licensee. I will immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been compromised.

2.

Post-Examination To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of.7.2. k; 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.

fr<ATC~/I) f-%A~

~

{E IATrC'lnTF PRINTED NAME JOB TITLE / RESPONSIBILITY

1. ke/i VI/es S

yi Dcyc~cr

2. Sc an ff Jo //d
5.

_____1Ant

7. J1t-Ys Coin ag@^4 steer spc/s A'WC *(I 4s-7

,.,A a.

,4

8. f "0 it IR

(,Q}

A:AS~ _

9.

oA 4a

10.

AJC>2 aL /e

.11~.

AL

)v siod/Id

12. fr\\

O 3r1 en 1 3.

z za 1 4. p-V06ls

15.

hoN2 LEZ

-k) e CP AJClL7;~A., 7 P PIA (

! //I A-

<wooz fft-i k~'7 7L..44r SiIGNATIURE (1)

UAI t r-NX

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4 2

~~~3-1-02 Ad-4>-

,^0 241of2V/4 24 of 24

-111, 01 dAL01f, NOTES:

NUREG-1021, Revision 8, Supplement 1

(

(

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

1.

Pre-Examination I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of

-Z i*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 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 _-Ei/-. 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 S GNAT E (1)

DATE SIGNATURE (2) DATENOTE

1.

&JJC 1nfll)UA S6U!L!L,

&pqSA t_

2. W. '

I7X-,

13

.L.__

7.V7 kr\\\\s 6koea C~er~

H e

V-7hi 71wl

-X teEM

8.

12t tA 942d I d n T ES:l

14.

Ke,-(ve e-<< t<-<>f5t1 38-vl1o a

d 1

15. //JV.,T Al

-t t

iai 0).oensaE //O/

NOTES:

NUREG-1021, Revision 8, Supplement 1 24 of 24

ES-301 Transient and Event Checklist OPERATING TEST NO.: 1 Rev. 1 SRO-1 Form ES-301-5 Applicant Evolution Minimum Scenario Number Type Type Number SRO SRO RO 1

2 3

4 Reactivity 1

Normal 1

RO Instrument /

4 Component Maior 1

Reactivity 1

2 Normal 0

As RO 3,

Instrument /

2 5, 8 Component Major 1

7 SRO-I Reactivity 0

2 2

Normal 1

1 1

Instrument I 2

3, 4, 3, 4, As SRO Component 5, 7 5, 6, Major 1

6 7

Reactivity 0

Normal 1

SRO-U Instrument /

2 Component Major 1

(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.4.d) but must be significant per Section C.2.a of Appendix D.

(3)

Whenever practical, both instrument and component malfunctions should be included; only those that require verifi ble actions th t provide insight to the applicant's competence count toward the minimum requi men t Instructions:

Author:

IRC Reviewer:

ES-301 Transient and Event Checklist Form ES-301-5 OPERATING TEST NO.: 1 Rev. 1 SRO-2 Applicant Evolution Minimum Scenario Number Type Type Number BOP RO SRO 1

2 3

4 Reactivity 1

Normal 1

RO Instrument!

Component 4

Maior 1

Reactivity 1

2 Normal 0

1 As RO Instrument 2

4, 7 3, 4 Component Major 1

6 7

SRO-I Reactivity 0

l l

L 2 Normal 1

1 Instrument 2

3, 4, As SRO Component 5, 6, 8

Major 1

7 Reactivity 0

=

=

Normal 1

SRO-U Instrument!

2 Component Major 1

Instructions:

IU1)

(2)

(3)

Enter the operating test number and form LE-D-1 event numbers Tor each evolution type.

Reactivity manipulations may be conducted under normal or controlled abnormal conditions (refer to Section D.4.d) but must be significant per Section C.2.a of Appendix D.

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 requireme Author:

AqRC Reviewer:

ES-301 Transient and Event Checklist Form ES-3011-5 ES-301 Transient and Event Checklist Form ES-301-5 OPERATING TEST NO.: 1 Rev. 1 SRO-3 Applicant Evolution Minimum Scenario Number Type Type Number SRO SRO RO 1

2 3

4 Reactivity I

Normal 1

Instrument /

RO Component 4

Maoor1 Reactivity 1

2 Normal 0

1 As RO Instrument /

2 Component 3, 4 Major 1

6, 7 SRO-I Reactivity 0

2 2

1 1

Normal 1

Instrument 2

3, 4, 3, 4, As SRO Component 5, 7 5, 6, 8

Major 1

6 7

Reactivity 0

Normal 1

SRO-U Instrument/

2 Component Major 1

Instructions:

Author:

(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.4.d) but must be significant per Section C.2.a of Appendix D.

(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 require ent.

7/t1, "JRC Reviewer:

-r,-in+

nnri P:%ipnt C'hprkli.,;t Form ES-301-5 ES-301 I IOIIOIS1I1L t41-L-(',IDAI~t TI~Tn.

1 Rev. 1 SRO-4 M - l

-r Iu L..

c I

Applicant Type Evolution Type Minimum Number

'Scenanio Numbe, SRO RO 3

SRO 4

1 2

Reactivity 1

Normal 1

RO Instrument!

Component 4

M aior 1

Reactivity 1

2 Normal 0

_ l As RO Instrument 2

3, 5, Component 8

Major 1

7 SRO-I Reactivity 0

2 2

Normal 1

1 1

Instrument 2

3, 4, 3, 4, 5 As SRO Component 5, 6, Major 1

7 6,7 Reactivity 0

l l

Normal 1

l l

l l

SRO-U Instrument/

2 Component Major 1

l l

l l

Instructions:

Author:

(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.4.d) but must be significant per Section C.2.a of Appendix D.

(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 requirernnt. /

NRC Reviewer:

ES-301l Transient and Event Checklist Form ES-301-5 ES-301 Transient and Event Checklist Form ES-301-5 OPERATING TEST NO.: 1 Rev. 1 RO-1 Applicant Evolution Minimum Scenario Number Type Type Number RO BOP BOP 1

2 3

4 Reactivity 1

2 Normal 1

1 RO Instrument 4

3, 5 5, 6, 5

Component 8

Maior 1

6 7 =

6 Reactivity 1

Normal 0

As RO Instrument!

2 Component Major 1

SRO-I Reactivity 0

Normal 1

Instrument /

2 As SRO Component Major 1

Reactivity 0

Normal 1

SRO-U Instrument!

2 Component Major 1

Instructions:

Author:

(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.4.d) but must be significant per Section C.2.a of Appendix D.

(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 requirernqt.,<

NRC Reviewer:

ES-301 Transient and Event Checklist OPERATING TEST NO.: 1 Rev. 1 RO-2 Applicant Evolution Minimum Type Type Number Form ES-301-5 Scenario Number P

RO BOP 2

3 4

1 Reactivity 1

2 RO Normal Instrument /

Component 1

I 1

4 4,7 3,4 6

7 4, 6 Maior I

1 7

Instructions:

Author:

(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.4.d) but must be significant per Section C.2.a of Appendix D.

(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 requireyXent.

/

NRC Reviewer:

-r,--;-,+

nnrl Pwant ('hPrk1i--;t Form ES-301-5 ES-301 OPERATING TEST NO.: 1 Rev. 1 RO-3 Applicant Evolution Minimum Scen ario Number Type Type Number RO BOP BOP 1

2 3

4 Reactivity 12 Normal 1

1 1

Instrument!

RO Component 4

3, 5 5, 6, 4, 6 8

Major 1

6 7

7 Reactivity 1

Normal 0

As RO Instrument /

2 Component Major 1

SRO-1 Reactivity 0

Normal 1

InstrumentI 2

As SRO Component Major Reactivity 0

Normal 1

SRO-U Instrument!

2 Component Major I

Instructions:

Author:

(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.4.d) but must be significant per Section C.2.a of Appendix D.

(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 requjemeny.

ARC Reviewer:

ES-301 Competencies Checklist Form ES-301-6 Applicant #1 SRO 1 Applicant #2 SRO 2 SRO-I SRO-I Competencies SCENARIO SCENARIO SRO SRO RO BOP RO SRO 1

2 3

4 1

2 3

4 3,4,5 3,4,5,6 3,5,6 4,6,7 3,4,7 3,4,5,6 Understand and Interpret 7,8 7,8 Annunciators and Alarms 3,4,5,6 3,4,5,6 3,5,6 4,6,7 3,4,7 3,4,5,6 Diagnose Events 7

7,8 7,8 and Conditions 7

1,2,3,4 1,2,3,4 2,3,5,6 4,6,7 2,3,4,7 1,2,3,4 Understand Plant 5,6,7 5,6,7,8 7,8 5,6,7,8 and System Response 1,2,3,4 1,2,3,4 2,3,5,7 1,4,6,7 2,3,4,7 1,2,3,4 Comply With and 5,6,7 5,6,7,8 8

5,6,7,8 Use Procedures (1) 2,3,5,7 1,4,6,7 2,3,4,7 Operate Control 8

Boards (2) 1,2,3,4 1,2,3,4 2,3,5,7 1,4,6,7 2,3,4,7 1,2,3,4 Communicate and 5,6,7 5,6,7,8 8

5,6,7,8 Interact With the Crew 2,3,4,5 2,3,5,6 1,3,4,5 Demonstrate Supervisory 6

7,8 6,7 Ability (3) 5 4

4 Comply With and Use Tech. Specs. (3)

Notes:

(1) Includes Technical Specification compliance for an RO.

(2) Optional for an SRO-U.

(3) Only applicable to SROs.

Revision 1 to PNPS submittal Instructions:

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

Author:

NRC Reviewer:

ES-301 Competencies Checklist Form ES-301-6 Applicant #3 SRO 3 Applicant #4 SRO 4 SRO-I SRO-I Competencies SCENARIO SCENARIO SRO SRO RO SRO RO SRO 1

2 3

4 1

2 3

4 3,4,5 3,4,5,6 3,4,6,7 3,4,5,6 3,5,6 3,4,5,6, Understand and Interpret 7,8 7,8 7

Annunciators and Alarms 3,4,5,6 3,4,5,6 3,4,6,7 3,4,5,6 3,5,6 3,4,5,6, Diagnose Events 7

7,8 7,8 7

and Conditions 1,2,3,4 1,2,3,4 1,2,3,4 1,2,3,4 2,3,5,6 1,2,3,4, Understand Plant 5,6,7 5,6,7,8 6,7 5,6,7,8 7,8 5,6,7 and System Response 1,2,3,4 1,2,3,4 1,2,3,4 1,2,3,4 2,3,5,7 1,2,3,4, Comply With and 5,6,7 5,6,7,8 6,7 5,6,7,8 8

5,6,7 Use Procedures (1) 1,2,3,4 2,3,5,7 Operate Control 6,7 8

Boards (2) 1,2,3,4 1,2,3,4 1,2,3,4 1,2,3,4 2,3,5,7 1,2,3,4, Communicate and 5,6,7 5,6,7,8 6,7 5,6,7,8 8

5,6,7 Interact With the Crew 2,3,4,5 1,3,4,5 2,3,5,6 2,4,6,7 Demonstrate Supervisory 6

6,7 7,8 Ability (3) 5 4

4 5

Comply With and Use Tech. Specs. (3) l Notes:

(1) Includes Technical Specification compliance for an RO.

(2) Optional for an SRO-U.

(3) Only applicable to SROs.

Revision 1 to PNPS submittal Instructions:

Circle the applicant's license type and enter one or more event numbers that will al every applicable competency for every app cant.

Author:

NRC Reviewer:

low the examiners to evaluate

ES-301 Competencies Checklist Form ES-301-6 Applicant #5 SRO 5 Applicant #6 RO 1 SRO-I RO Competencies SCENARIO SCENARIO SRO SRO 905 RO BOP BOP 1

2 3

4 1

2 3

4 3,5,6 5,6,7,8 5,6,7 Understand and Interpret N/A N/A N/A N/A Annunciators and Alarms 3,5,6 5,6,7,8 5,6,7 Diagnose Events and Conditions 2,3,5,6 1,5,6,7 5,6,7 Understand Plant 8

and System Response 2,3,5,6 1,5,6,7 5,6,7 Comply With and 8

Use Procedures (1) 2,3,5,6 1,5,6,7 5,6,7 Operate Control 8

Boards (2) l 2,3,5,6 1,5,6,7 2,5,6,7 Communicate and 8

Interact With the Crew Demonstrate Supervisory Ability (3)

Comply With and Use Tech. Specs. (3)

Notes:

(1) Includes Technical Specification compliance for an RO.

(2) Optional for an SRO-U.

(3) Only applicable to SROs.

Revision 1 to PNPS submittal Instructions:

Circle the applicant's license type and enter one or more event numbers that will allow the examiners to evaluate every applicable competency for every ap ican Author:

NRC Reviewer:

ES-301 Competencies Checklist Form ES-301-6 Applicant #7 RO 2 Applicant #8 RO 3 RO RO Competencies SCENARIO SCENARIO BOP RO BOP l

RO BOP BOP 1

2 3

4 1

2 3

4 4,6,7 3,4,7 4,6,7 3,5,6 5,6,7,8 4,6,7 Understand and Interpretl Annunciators and Alarms l

4,6,7 3,4,7 4,6,7 3,5,6 5,6,7,8 4,6,7 Diagnose Events and Conditions 4,6,7 2,3,4,7 1,4,6,7 2,3,5,6 1,5,6,7 1,4,6,7 Understand Plant 8

and System Response 1,4,6,7 2,3,4,7 1,4,6,7 2,3,5,6 1,5,6,7 1,4,6,7 Comply With and 8

Use Procedures (1) 1,4,6,7 2,3,4,7 1,4,6,7 2,3,5,6 1,5,6,7 1,4,6,7 Operate Control 8

Boards (2) 1,4,6,7 2,3,4,7 1,4,6,7 2,3,5,6 1,5,6,7 1,4,6,7 Communicate and 8

Interact With the Crew Demonstrate Supervisory Ability (3) l Comply With and Use Tech. Specs. (3) l Notes:

(1) Includes Technical Specification compliance for an RO.

(2) Optional for an SRO-U.

(3) Only applicable to SROs.

Revision 1 to PNPS submittal Instructions:

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

Author:

/

/

NRC Reviewer:

,7v

/g Z

ES-401 Written Examination Quality Checklist Form ES-401-7 I

Facility:

PNPS Date of Exam: 7/26/2002 Exam Level: RO Initial Item Description a

b*c-

1.

Questions and answers technically accurate and applicable to facility

2.
a. NRC K/As referenced for all questionsto/

l

b. Facility learning objectives referenced as availablel
3.

RO/SRO overlap is no more than 75 percent, and SRO questions are appropriate A per Section D.2.d of ES-401l

4.

Question selection and duplication from the last two NRC licensing exams appears consistent with a systematic sampling process

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

_ the examinations were developed independently; or

_ the licensee certifies that there is no duplication; or l

other (explain)

6.

Bank use meets limits (no more than 75 Bank Modified New percent from the bank at least 10 percent new, and the rest modified); enter the actual question 25 11 64 AS co distribution at right

7.

Between 50 and 60 percent of the questions on Memory C/A the exam (including 10 new questions) are written at the comprehension/analysis level; 44 56 Ho enter the actual question distribution at rightr

8.

References/handouts provided do not give away answers

9.

Question content conforms with specific K/A statements in the previously w

approved examination outline and is appropriate for the Tier to which they are assigned; deviations are justified

10.

Question psychometric quality and format meet ES, Appendix B, guidelines f-"

/

11.

The exam contains 100, one-point, multiple choice items; the total is correct and A/

S agrees with value on cover sheet Printed Nam / Sig ature Date

a. Author kL / H

)

V

&/

7

°2 l

b. Facility Reviewer (*)

jac.

do G, G_

c. NRC Chief Examiner (#)

/W UL-

%/

S II

d. NRC Regional Supervisor l

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.

PNPS Rev. I

ES-401 Written Examination r3i mlitv C'hecklist Form ES-401-7 E S-40 1

Written Examination Facility:

PNPS Date of Exam: 7/26/2002 Exam Level:

SRO Initial Item Description a

b*

c

1.

Questions and answers technically accurate and applicable to facility X____

2.
a.

NRC K/A s

r eferenced f

or all questions lcn a

w

b. Facility leamina objectives referenced as available or
3.

RO/SRO overlap is no more th an 75 percent, and SRO questions are appropriate per Section D.2.d of ES-401 Question selection and duplication from the last two NRC licensing exams appears pcnsistent with a sys tematic sampling prcess new

5.

Question duplication from the license screening/audit exam was controlled as indicated below (check the item that applies) and appears appropriate:

the a udit exam was systematically and randomly developed; or writhe audit exam was comp leted before the license exam was started; or e the examinations were developed independently; or 9 the licensee certifies that there is no duplication; or arother (explain)

6.

Bank use meets limits (no more than 75 Bank Modified New p

ercent from the bank at least 1a0 p erent new

,s and the rest modified); enter the actual question 25 6

69 AX e

ldistribution at right

7.

Between 50 and 60 percent of the questions on Memory C/A 4

the exam (conting 100 new q ue st ions) are A/

written at the comprehension/analysis level; 41 59 enter the actual question distribution at right

8.

References/handouts provided do not give away answers g,

z-

9.

Question content conforms with specific K/A statements in the previously approved examination outline and is appropriate for the Tier to which they are assigned1; deviaitions are justified

/

10.

Question psychometric quality and format meet ES, Appendix B. guidelinesA/

11.

The exam contains 100, one-point, multiple choice items; the total is correct and<

agrees with value on cover sheet Printed Vlame Sig at re Date

a. Author

}<-l i/

12/6§ 4

4 ZG

b. Facility Reviewer (*)

5z<A Jtf S o S 7

c. NRC Chief Examiner (#)

>/717t-;&

,Z

/fT z/o 0

d. NRC Regional Supervisor T

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.

PNPS Rev. I

ES-403 Written Examination Grading Form ES-403-1 Quality Checklist Facility:

Date of Exam: 7/Z 41z Exam Level: ROISRO Initials Item Description a

b c

1.

Clean answer sheets copied before grading

/>

w

/

2.

Answer key changes and question deletions justified and A-'7W id/]

documented 4-A'

3.

Applicants' scores checked for addition errors AJ/4 (reviewers spot check > 25% of examinations)

K

4.

Grading for all borderline cases (80% +1-2%) reviewed in

/LL k/4 detail__

5.

All other failing examinations checked to ensure that grades

'/A V)4 19, are justified B

y

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

a. Grader 1c/ >//-4,,

_b oll

b. Facility Reviewer(*)

/ 6/9

c. NRC Chief Examiner (L)

//

5 W

(3 L

d. NRC Supervisor 1*.T QCtIe

()

The facility reviewers signature is not applicable for examinations graded by the NRC; two independent NRC reviews are required.

I 5 of 5 NUREG-1021, Revision 8, Supplement 1