ML111580037

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Final Qa/Related Forms (Folder 1)
ML111580037
Person / Time
Site: Peach Bottom  Constellation icon.png
Issue date: 02/28/2011
From:
NRC Region 1
To:
Hansell S
Shared Package
ML102220201 List:
References
TAC U01769
Download: ML111580037 (16)


Text

-fiDal-foPTIs-ills doc Form ES-201-1 Facility:

Peach Date of Examination:

1/31 -2/4 2011 Developed Written -Facility X NRCD /I Operating

-Facility X NRCD Target Chief Date* Task Description (Reference)

Examiner's Initials -180 Examination administration date confirmed (C.1.a; C.2.a and b) -120 NRC examiners and facility contact assigned (C.1.d; C.2.e) -120 Facility contact briefed on security and other requirements (C.2.c) -120 Corporate notification letter sent (C.2.d) [-90] Reference material due (C.1.e; C.3.c; Attachment 3)] , {-75} Integrated examination outline(s) due, including Forms ES-201-2, ES-301-1, ES-301-2, ES-301-5, ES-D-1's, ES-401-1/2, ES-401-3, ES-401-4, as applicable (C.1.e and f; a &/ {-70} Examination outline(s) reviewed by NRC and feedback provided to licensee (C.2.h; d '?/{-45} Proposed examinations (including written, walk-through JPMs, scenarios, as applicable), supporting documentation (including ES-301-3, ES-301-4, ES-301-5, ES-301-Ei, and ES-401-6, and any ES-201-3 updates), and reference materials due (C.1.e, f, g and h; 4-30 Preliminary license applications (NRC Form 398's) due (C.1.1; .b -14 Final license applications due and Form ES-201-4 prepared (C.1.1; -14 Examination approved by NRC supervisor for facility licensee review (C.2.h; C.3.f) -14 Examinations reviewed with facility licensee (C.1.j; C.2.f and h; C.3.g) ..., -7 Written examinations and operating tests approved by NRC supervisor (C.2.i; C.3.h) #} v -7 Final applications reviewed; 1 or 2 (if >10) applications audited to qualifications

/ eligibility; and examination approval and waiver letters (C.2.i; Attachment 5; ES-202, C.2.e; & v Proctoring/written exam administration guidelines with facility licensee -7 Approved scenarios, job performance measures, and distributed to NRC examiners 4 Examination Outline Checklist Form ES-201-2 Facility:

Peach Date of Examination:

1/31/2011 Initials Item Task Description a b* c# 1. a. Verify that the outline(s) fit(s) the appropriate model, in accordance with R b. Assess whether the outline was systematically and randomly prepared in accordance I Section D.1 of ES-401 and whether all KIA categories are appropriately T Assess whether the outline over-emphasizes any systems, evolutions, or generic topiCS. N d. Assess whether the justifications for deselected or rejected KIA statements are T Using Form ES-301-5, verify that the proposed scenario SEltS cover the required number 2. of normal evolutions, instrument and component failures, technical and major S I Assess whether there are enough scenario sets (and to test the projected number M and mix of applicants in accordance with the expected crew composition and rotation schedule U without compromising exam integrity, and ensure that each applicant can be tested using L at least one new or significantly modified scenario, that no scenarios are duplicated A from the applicants' audit testes), and scenarios will not be repeated on subsequent days. T o To the extent possible, assess whether the outline(s) conform(s) with the qualitative R and quantitative criteria specified on Form ES-301-4 and described in Appendix D. Verify that the systems walk-through outline meets the critE!ria specified on Form ES-301-2:

3. the outline(s) contain(s) the required number of control room and in-plant distributed among the safety functions as specified on the W task repetition from the last two NRC examinations is within the limits specified on the form 1 no tasks are duplicated from the applicants' audit le51{s)T the number of new or modified tasks meets or exceeds the minimums specified on the form Ihe number of alternate path, low-power, emergency, and RCA tasks meet the criteria on the form Verify that the administrative outline meets the criteria specified on Form ES-301-1: the tasks are distributed among the topics as specified on the form at least one task is new or significantly modified no more than one task is repeated from the last two NRC licensinq examinations Determine if there are enough different outlines to test the projected number and of applicants and ensure that no items are duplicated on subsequent a. Assess whether plant-specific priorities (including PRA and IPE insights) are in the appropriate exam G Assess whether the 10 CFR 55.41/43 and 55.45 sampling is appropriate.

E N Ensure that KIA importance ratings (except for plant-specific priorities) are at least 2.5. E Check for duplication and overlap among exam sections. Check the entire exam for balance of coverage.

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

1 01 Date! a. Author Fred J. Bruns I -11'(FhA-",130ft/)

b. Facility Reviewer (*) Phil P. Breidenbauch .f'V\...t.. 011110 c. NRC Chief Examiner (#) J.

I 1'11/ d. NRC Supervisor rk1... /-->7 '72 ., I Z.;J/zol/ I

  • NOTE: # Independent NRC Reviewer initial items in Column "e"; chief examiner concurrence required.
  • Not applicable for NRC-prepared examination outiim!s.

ES-201, Page 25 of 27 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 as of the date of my signature.

I agree that I will not knowingly divulge any information about these examinations to any persons who have not been authorized by the NRC chief examiner.

I understand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examinations from this date until completion of examination administration, except as specifically noted below and authorized by the NRC (e.g., acting as a simulator booth operator or communicator is acceptable if the individual does not select the training content or provide direct or indirect feedback).

Furthermore, I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action against me or the facility licensee.

I will immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been compromised.

2. Post-Examination To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of i-31 to ;.-(1 Fr61-n the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC. PRINTED NAME JOB TITLE / RESPONSIBILITY SIGNATURE (1) DATE SIGNATURE (2) DATE NOTE 1. UUi.,,> 2. kO'f14A""Lo 7P£H r2ftJ 1 wfl ?f'., TtY'7f(v/}-tJ,. edt.J\..""\

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frw--ifr'-ES-201, Page 27 of 28 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 Ibl-;;Jih, as of the date of my signature.

I agree that I will not knowingly divulge any information about these examinations to any persons who have not been authorized by the NRC chief examiner.

I understand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examinations from this date until completion of examination administration, except as specifically noted below and authorized by the NRC (e.g., acting as a simulator booth operator or communicator is acceptable if the individual does not select the training content or provide direct or indirect feedback).

Furthermore, I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action against me or the facility licensee.

I will immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been compromised.

2. Post-Examination To the best of my knowledge, I did n9t divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of t-31 til From the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC. PRINTED NAME JOB TITLE / RESPONSIBILITY SIGNATURE SIGNATURE (2) DATE NOTE 1. Rtc-tLlrtI 2. 0 es. TFGH 12*.iJ'wt1l!i-!t (3. 71'. kf"l'7il v --11__ 4.1'\11 .

___________

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NOTES: ES-201, Page 27 of 28 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 1--31-;.the date of my signature.

I agree that I will not knowingly divulge any information about these examinations to any persons who have not been authorized by the NRC chief examiner.

I understand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examinations from this date until completion of examination administration, except as specifically noted below and authorized by the NRC (e.g., acting as a simulator booth operator or communicator is acceptable if the individual does not select the training content or provide direct or indirect feedback).

Furthermore, I am aware of the phYSical security measures and requirements (as documented in the facility licensee's procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action against me or the facility licensee.

I will immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been compromised.

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

the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC. PRINTED NAME JOB TITLE / RESPONSIBILITY SIGNATURE (1) DATE SIGNATURE (2) DATE NOTE 1. il/IO/tO 2. y)ecMrJ kes ...

r!: :::,:/('/ C,(

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_ NOTES: --------1 *a-+UuP. fr ES-201, Page 27 of 28 ES-201 Examination Security Agreement Form ES-201-l 1. Pre-Examination

/"-3 -).-/(-11 I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of* 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 (e.g., acting as a simulator booth operator or communicator is acceptable if the individual does not select the training content or provide direct or indirect feedback).

Furthermore, I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action against me or the facility licensee.

I will immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been compromised.

2. Post-Examination To the best of my knowledge, I did 9pt divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of f.;. -II t=rom 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 I RESPONSIBILITY DATE DATE NOTE >siSo / e,se, ./ SIGNATURE (1) 1. A. Ii IrCl(.<Jcl<
2. at'it41 \.,j Jl)cda rd 6 4.3. " ..",,,-Co . sRQ,/Ie, ces / ."-t:;-: ---..dd'ii ,..-';'JE
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1-"-1/ _1'9 13 14: wd., -L.c.z...fv ." '1'0/" . 15.

NOTES:

Page 27 of 28 Operating Test Quality Checklist Form ES-301-3 Facility:

Peach Date of Examination:

1131/2011 Operating Test Number: ____ 1. GENERAL CRITERIA The operating test conforms with the previously approved ()utline; changes are consistent with sampling requirements (e.g., 10 CFR 55.45, operational importance, safety function distribution). There is no day-Io-day repetition between this and other operating tests to be administered during this examination. The operating test shall not duplicate items from the applicants' audit test(s)(see Section D.1.a). Overlap with the written examination and between different parts of the operating test is within acceptable limits. It appears that the operating test will differentiate between competent and less-than-competent applicants at the designated license level. 2. WALK-THROUGH CRITERIA Each JPM includes the following, as applicable: initial conditions initiating cues references and tools, including associated procedures reasonable and validated time limits (average time allowed for completion) and specific deSignation if deemed to be time critical by the facility licensee

  • operationally important specific performance criteria that detailed expected actions with exact criteria and system response and other examiner -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 Ensure that any changes from the previously approved systems and administrative walk-through outlines (Forms ES-301-1 and 2) have not caused the test to deviate from any of the acceptance criteria (e.g., item distribution, bank use, repetition from the last 2 NRC examinations) specified on those forms and Form ES-201-2.

3. SIMULATOR CRITERIA The associated simulator operating tests (scenario sets) have been r,eviewed in accordance with Form ES-301-4 and a copy is attached.
a. Author b. Facility Reviewer (*) c. NRC Chief Examiner (#) d. NRC Supervisor 1\

1 Signature Fred J. Bruns 011 .-.... __ / NOTE:

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

ES-301, Page 24 of 27 a b*

Simulator Scenario Quality Checklist Form ES-301-4 : Peach Bottom Date of Exam: 1/31/2011 Scenario Numbers: 1 12/3 Operating Test Number: QUALITATIVE ATTRIBUTES a The initial conditions are realistic, in that some equipment and/or instrumentation may be out of service, but it does not cue the operators into expected events. The scenarios consist mostly of related events. 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) 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 The events are valid with regard to physics and thermodynamics. Sequencing and timing of events is reasonable, and allows; the examination team to obtain complete evaluation results commensurate with the scenario objectives. 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. The simulator modeling is not altered. The scenarios have been validated.

Pursuant to 10CFR55.46(d), any open simulator performance deficiencies or deviations from the referenced plant have been evaluated to ensure that functional fidelity is maintained while running the planned scenarios. Every operator will be evaluated using at least one new or significantly modified scenario.

All other scenarios have been altered in accordance with Section 0.5 of ES-301. All individual operator competenCies can be evaluated, as verified using Form ES-301-6 (submit the form along with the simulator scenarios). Each applicant will be significantly involved in the minimum number of transients and events specified on Form ES-301-5 (submit the form with the simulator scenarios). The level of difficulty is appropriate to support licensing decisions for each crew position.

Target Quantitative Attributes (Per Scenario; See Section D.S.d) ual Attributes Total malfunctions (5-8) 6 I 7 I 6 Malfunctions after EOP entry (1-2) 2/2/2 Abnormal events (2-4) 3/3/2 Major transients (1-2) 1 / 1 / 1 EOPs entered/requiring substantive actions (1-2) 2 I 2 I 2 EOP contingencies requiring substantive actions (0-2) 1 1 1 1 1 Critical tasks (2-3) 3 1 2 1 2 ES-301, Page 25 of 27 Simulator Form ..."",-.nl -4 Date of Exam: 1131/2011 Scenario Numbers: 4 I 5 I Operating Test Number: Initials QUALITATIVE ATTRIBUTES 1, The initial conditions are realistic, in that some equipment and/or instrumentation may be out of service, but it does not cue the operators into expected events, 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 eve,nt
  • the symptomslcues that will be visible to the crew
  • the expected operator actions (by shift position)
  • the event termination point (if applicable) 4, No more than one non-mechanistic failure (e.g., pipe break) is incorporated into the scenario without a credible preceding incident such as a seismic event. 5, The events are valid with regard to physics and thenmodynamics. Sequencing and timing of events is reasonable, and allows the examination team to obtain complete evaluation results commensurate with the scenario objectives. 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, The Simulator modeling is not altered. The scenarios have been validated, Pursuant to 10CFR55,46(d), any open simulator performance deficiencies or deviations from the referenced plant have been evaluated to ensure that functional fidelity is maintained while running the planned scenarios. Every operator will be evaluated using at least one new or significantly modified scenario, All other scenarios have been altered in accordance with Section D,5 of ES-301, All individual operator competencies can be evaluated, as verified using Form ES-301-6 (submit the form along with the simulator scenarios), Each applicant will be significantly involved in the minimum number of tranSients and events specified on Fonm ES-301-5 (submit the form with the simulator scenarios), The level of difficulty is appropriate to support licensing decisions for each crew position.

Target Quantitative Attributes (Per Scenario; See Section D.S.d) Actual Attributes Total malfunctions (5-8) 6 1 7 / Malfunctions after EOP entry (1-2) 2 121 Abnormal events (2-4) 3 / 2 / 4, Major transients (1-2) 1 I 1 / 5, EOPs entered/requiring substantive actions (1-2) 212 I 6, EOP contingencies requiring substantive actions (0-2) 012 I 7, Critical tasks (2-3) 2/3 1 ES-301, Page 25 of 27 II ES-301 Transient and Event Checklist Form ES-301-5 Facility:

Peach Date of Exam: 1/31/2011 Operating Test Number: A E Scenarios P V P E T IVI 1 3 4 L 0 I T T NCREW CREW CREW CREW A I A T POSITION POSITION POSITION POSITION L M N Y A B S A B S A B S A B UT P R T 0 R T 0 R T 0 R T 0 M(*)0 C P 0 C P 0 C P 0 C P R I U RO 1 RX 1 1 1 0[8J NOR 1 1 1 1 SRO-I D IIC 2,7 4 4 4 2 SRO-U MAJ D 5 5 2 2 2 1 TS --0 2 2 R02 RX 1 1 1 0 [8J NOR 1 1 1 1 SRO-I D IIC 4,6 4 4 4 2 SRO-U MAJ D 5 5 2 2 2 1 TS --0 2 2 R03 RX 1 1 1 0 [8J NOR 1 1 1 1 SRO-I D IIC 3,6 4 4 4 2 SRO-U MAJ D 5 7 2 2 2 1 TS --0 2 2 R04 2 1 1 1 0 [8J NOR 1 1 1 11 D IIC 4,5,8 5 4 4 2 SRO-U D MAJ 5 7 2 2 2 1 TS --0 2 2 Instructions: Check the afglicant level and enter the operating test number and Form ES-D-1 event numbers for event are not for RO applicants.

ROs must serve in both the "at-the-controls and "ba ance-of-plant (B P)" positions' Instant SROs must do one scenario, including at two instrument or component (IIC) malfunctions and one major transient, in the ATC manipulations may be conducted under normal or controlled abnormal conditions (refer Section .5.d) but must be significant per Section C.2.a of Appendix D. P Reactivity and evolutions may be replaced with additional instrument or component mal unctions on a 1-for-1 Whenever practical, both instrument and component malfunctions should be included; only that require verifiable actions that provide insight to the applicant's competence count the minimum requirements specified for the applicanfs license level in the right-hand ES-301, Page .26 of 27 ES-301 Transient and Event Checklist Form ES-301-5 IFacility:

Peach Date of Exam: 1/31/2011 Operating Test Number: A E ScenariosP V P E T M 1 3 4 L N 0 I T T NCREW CREW CREW CREW A I A T POSITION POSITION POSITION POSITION L M N Y S A 8 S A 8 S A 8 S A 8 UT P R T 0 R T 0 R T 0 R T 0 M(*)E 0 C P 0 C P 0 C P 0 C P R I U R05 RX 1 1 1 0 I:8l NOR 1 1 1 1 SRO-I D IIC 3,6 4 4 4 2 SRO-U MAJ D 5 7 2 2 2 1 TS --0 2 2 ROS RX 1 1 1 0 I:8l NOR 1 1 1 1 SRO-I D IIC 3,7 5 4 4 2 SRO-U MAJ D 5 7 2 2 2 1 TS --0 2 2 RO RX --1 1 0 D NOR SRO-I --1 1 1 D IIC --4 4 2 SRO-U D MAJ --2 2 1 TS --0 2 2 RO RX --1 1 0 D NOR--1 1 1 D --4 4 2 SRO-U D MAJ --2 2 1 TS --0 2 2 Instructions: Check the a-fElicant level and enter the operating test number and Form ES-D-1 event numbers for event tYFae; are not for RO applicants.

ROs must serve in both the "at-the-controls and "ba ance-of-plant (8 P)" positions' Instant SROs must do one scenario, including at two instrument or component (IIC) malfunctions and one major transient, in the ATC manipulations may be conducted under normal or controlled abnormal conditions (refer Section .5.d) but must be significant per Section C.2.a of Appendix D. P Reactivity and evolutions may be replaced with additional instrument or component mal unctions on a 1-for-1 Whenever practical, both instrument and component malfunctions should be included; only that require verifiable actions that provide insight to the applicant's competence count the mimmum requirements specified for the applicant's license level in the right-hand ES-301, Page .26 of 27 ES-301 Transient and Event Checklist Form ES-301-5 h Date of Exam: 1/31/2011 Operating Test Nu A E Scenarios P 4 M P *61 1 3 I T NCREW CREW CREW L I mm I A T POSITION POSITION POSITION t

  • I M Instructions:

N T Y P E S R 0 A T C B 0 P S R 0 A T C I B 0 P I S R 0 A T C B 0 P S R 0 . A T C B, 0 P U M(*) R . I U I RO iD SRO-I RX NOR 3 1 4 2 1 1 1 1 1 I 0 1 1,4 r8J SRO-U 0 IIC ,MAJ TS 2,4 6,7 5 2,4 I I i 2,6 5 ! 6 2 2 4 I 2 o I 4 2 2 2 1 2 RO 0 SRO-I 2,5 [gJ SRO-U 0 RX NOR IIC 'MAJ C=c:;: TS 3 2,7 5 I 2 1

  • 3,4 6,-_.. 7 3,5,6 I I I 2 1 7 2 3 1 1 4 I 2 0 1 1 4 2 2 ! 0 1 2 1 2 ._.... RO 0 SRO-I RX NOR , I 4 1 2 I 2 1 1 1 1 1 0 1 3,6 [gJ SRO-U 0 IIC MAJ TS 2,3 6,7 5 3,4 4,5,8 7 I I 7 2 2 4 I 2 i 0 4 2 2 2 1 I RO 0 SRO-I 7 I:8J SRO-U RX INOR IIC MAJ I I I* I 2 1 3,4,5 6, E, 7 I I 1 4,5 6 1 7 ......1 1 4 I 2 1 0 1 1 4-T2 2 l 1 TS 3, i 3 0 I 2 2
  • Check the afg'icant level and enter the operating test number and Form ES-D-1 event numbers for each event tYFae; are not for RO applicants.

ROs must serve in both the "at-the-controls (ATC)" and "ba ance-of-plant (B P)" positionSj Instant SROs must do one scenario, including at least two instrument or component (I/G) mal unctions and one major transient, in the ATC position.

manipulations may be conducted under normal or controlled abnormal conditions (refer to Section .5.d) but must be significant per Section C2.a of Appendix D. P Reactivity and normal evolutions may be replaced with additional instrument or component mal unctions on a 1-for-1 basis. 3. Whenever practical.

both instrument and component malfunctions should be included; only those ,I that require verifiable actions that provide insight to the applicant's competence count toward I the minimum requirements specified for the applicant's license level in the right-hand columns. II ES-301, Page 26 of 27 ES-301 Transient and Event Checklist Form ES-301-5 IFacility:

Peach Date of Exam: 1/31/2011 Operating Test Number: A P P L I C A N T E V E N T T Y P E CREW POSITION S A R T o C B o P Scenarios

...-,..........

  • .-----.--------r=-.,----:-:-----il 2 3 4 T M o I t Z CREW POSITION S A B R T 0 o C P S A B R T 0 o C P S R o A B T 0 C P u M(*) R I U RO D SRO-I RX NOR 3 4 2 2 1 1 1 1 I 0 1 D SRO*U 2,3 6,7 8 4 4 2 1 5 2 2 2 1 3,4 4 0 2 2 IjO RX' 3 2 2110 SRO-I NOR 1 1 2 1 1 1 __l--_..__

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5-+ ___ ..._..+ __ -+__

2 MAJ 5 7 2221 2, 3. 5. 6 5 0 2 RO RX 1 2110 D NOR 2 2 1 1 1 SRO*I D IIC 2, 3, 4 8 4 4 2 5,7 SRO-U 3 MAJ 5 6 222 TS 3,4 4 0 2 2

..* RO .-1 1 0 D

....11-= ._+--I --0 2 2Instructions: Check the applicant level and enter the operating test number and Form ES-D-1 event numbers for each event type; TS are not aRplicable for RO applicants.

ROs must serve in both the "at-the-controls (ATC)" and "barance-of-plant (BOP)" positions' Instant SROs must do one scenario, including at least two instrument or component (IIC) malfunctions and one major transient, in the ATC position. Reactivity manipulations may be conducted under normal or controlled abnormal conditions (refer to Section D.5.d) but must be SIgnificant per Section C.2.a of Appendix D. (*) Reactivity and normal evolutions may be replaced wIth additional instrument or component malfunctions on a 1-for-1 basis. Whenever practical, both instrument and component malfunctions should be included; only those that require verifiable actions that provide insight to the applicant's competence count toward the minimum requirements specified for the applicant's license level in the right-hand columns. ES-301, Page 26 of 27 ES-301 Competencies Checklist Form ES-301-6 Date of Examination:

1/31/2011 Operating Test No.: APPLICANTS RO RO 0 RO 0 RO SRO-I SRO-I [g] SRO-I 0 SRO-I Competencies SRO-U 0 SRO-U D SRO-U [g] SRO-U D SCENARIO SCENARIO 'I=I\IARIO SCEN,...., "\.,'-' 1 2 3 4 1 2 3 4 1 2 3 4 1 Interpret!

Diagnose 1-8 1-7 1-9 1-8 1-8 1-7 1-9 1-8 1-8 1-7 1-9 1-8 Events and Conditions I Comply With and Use 1-6 1-7 1-9 1-8 1*8 1-7 1-9 1-8 1-8 1-7 1-9 1-8 Procedures (1) Operate Control 1-9 1-8 1-8 1-7 1-9 1-8 Boards (2) Communicate 1-8 1-7 1-9 1-8 1-8 1-7 1-9 0 1-9 1-8 and Interact ...Demonstrate

I" 1-8 1-7 1-9 1-8 1-9 1-8 Supervisory Ability (3) Comply With and 2,4 3.4 3,5, I'> 34 2,4 3,4 3.5,6 3.4 Use Tech Specs. (3) Notes: (1) Includes Technical Specification compliance for an RO. (2) Optional for an SRO-U. (3) Only applicable to SROs. Instructions:

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

ES-301, Page 27 of 27 I Written Examination Quality Checklist Form ES-401-6 F acUity: Peach Bottom Date of Exam; 1/3112011 Exam Level: RO IZI SRO IZI Initial Item a b" r! Queslions and answers are technically accurate and applicable to the facility.

fftJ-00 /J-, a. NRC KlAs are referenced for all questions.

b. Facility learning objectives are referenced as (#J f\){h SRO questions are appropriate in accordance with Section D.2.d of ES-401 fir fYIh The sampling process was random and systematic (If more than 4 RO or 2 SRO questions r"JI'" were repealed from the last 2 NRC licensing exam, consult the NRR OL program offICe), Question duplication from the license screening/audit exam was as indicated below (check the item that applies) and appears

_ the audit exam was systematically and randomly developed; _ the audit exam was completed before the license exam was started; 2L the examinations were developed independently; 2L the licensee certifIeS that there is no duplication; 2L other (explain) the "original" CERT exam was verified to have no overlap with the exam. Since two individuals failed the SRO section on the first CERT exam, a second SRO* only CERT exam was developed independently from the NRC exam process. This

&0 t1' AFTER NRC exam submittal.

The individuals who developed the NRC exam have knowledge of the contents of the second CERT exam, and the individuals that developed second CERT exam have no knowledge of the contents of the NRC Modified NewBank use meets limits (no more than 75 from the bank. at least 10 percent new. and the ('j{7 IY new or modified);

enter the actual RO I SRQ.only 30/4 2518 question distribution(s) at Memory CIABetween 50 and 60 percent of the questions on the exam are written at the comprehension lanalysis the SRO exam may exceed 60 percent If the r! 35/5 40/20 selected KAs support the higher cognitive levels; the actual RO I SRO question distribution(s) at Referenceslhandouts provided do not give away answers tY" or aid in the elimination of distractors.

fir CIf' Question content conforms with specific KIA statements in the previously approved examination outline and is appropriate for the Tier to which they are assigned; tYCfrJ deviations are Justified Question psychometric quality and format meet the guidelines in ES Appendix B, CAl' 'Y The exam contains the required number of one-point, mulliple choice the total is correct and agrees with value on cover sheet fir CJf' ! Date I Signature

a. Fred J. Bruns I -..b. Facility Reviewer (") PhilP. .."I. I c. NRC Chief Examiner (#) :1 -ytt",[<1"/L7 I l'" t d. NRC Regional Supervisor 2Y-d...C/J/;' .. The facility reviewers initials/signature are not applicable for NRC-developed
  1. Independent NRC reviewer initial items in Column *c"; chief examiner concurrence ES-401, Page 29 of 33 c Written Examination Grading Form ES-403-1 Checklist Facility:

Peach Bottom Date of Exam: 1/31/2011 Exam Level: RO [g] SRO Initials Item Description a b Clean answer sheets copied before grading fflf 7" Answer key changes and question deletions justified rJlA til/(and documented Applicants' scores checked for addition errors (reviewers spot check >25% of examinations) ff.y 0/i-; Grading for all borderline cases (80% +/- 2% overall and 70 or 80, as applicable, +/-4% on the SRO-only) reviewed in detail N(A tJlA .toIkr All other failing examinations checked to ensure that grades are justified tJ/A !JIlt "..IllY Performance on missed questions checked for training deficiencies and wording problems; evaluate validity ffo CjJ I/r of questions missed by half or more of the applicants Printed Name I Signature Date a. Fred J. Bruns I d-/'ltJ III b. Facility Reviewer(*)

Phil P. BreidenbauQh Wi Il/\ L --) zLn iu. J.

(/fr,YW c. NRC Chief Examiner(*) d. NRC Supervisor(*)

SO-W\.

f/zIz.s/t, The facility reviewer's signature is not applicable for examinations graded by the two independent NRC reviews are ES-403, Page 5 of 5