ML102380106

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PV-2009-11-Public Forms
ML102380106
Person / Time
Site: Palo Verde  Arizona Public Service icon.png
Issue date: 01/08/2009
From: Lantz R E
NRC/RGN-IV/DRP/RPB-D
To: Garchow S M
Operations Branch IV
References
Download: ML102380106 (18)
v • d • e


Text

January 8, 2009 Ryan Lantz Chief, Operations Branch Division of Reactor Safety Steve Garchow Chief Examiner, Operations Branch INITIAL OPERATOR LICENSING EXAMINATION ASSIGNMENT You have been assigned as Chief Examiner of the Palo Verde, Units 1, 2, and 3, initial licensing examination.

The operating test has been scheduled to be completed by November 20, 2009. Thank you for contacting the Palo Verde facility to finalize the details of the examination.

You are reminded that the RPS/IP system must be maintained to ensure the examiners and numbers of candidates are accurate.

In addition, you are reminded that only qualified examiners are permitted to conduct any part of the examination.

ADAMS ACCESSION NO. TEMPLATE NO. S:\DRS\OB\OB-ONL Y\ADMIN\ASSIGNMENT SHEETS\CY'08\DEC08_RBS_ASSIGNMENT MEMO_MH.DOC GP5-APP-A

-ASSIGNMENT TICKLER ASSIGNMENT TICKLER .

Facility: First Date of Chief: I, ',':;; *.... Written Exam Developed By: NRC ! Facility Operating Test Developed By: NRC ! Facility Due Date Description Date Complete Initials Notes 5/10/2009 Exam Administration Date Confirmed (C.1.a; C.2.a & b) '/7 ott 7/9/2009 NRC Staff & Facility Contact Assigned (C.1.d: C.2.e) '/"1 I fJ 'I I 7/9/2009 Facility Contact Briefed on Security & Other Req's (C.2.c) 1('1 01 (j}1Ifr 7/9/2009 Corporate Notification letter (ES-201 Att-3) Sent (C.2.d)

J produced by Chief Examiner 8/8/2009 Reference Material Due (if NRC authored) (C.1.e; C.3.c) NPr 13mrr 8/23/2009 Integrated Exam Outlines Due (C.1.e & f; C.3.d) 7 23 DC( 8m{r 8/28/2009 Outlines Reviewed & Feedback Provided (c.2.h; C.3.e) ..., !2)//oc; Id 9/22/2009 Draft Exams wlReferences Due (C.1.e,f,g,h; C.3.d) 'l/2. 0'1 Iii'rJllf 10/7/2009

'Peer Reviewer Completes Review of Exam on ES-401-9 If) /S'dT IY: lOnJ2009 'NRC BC Approves Feedback to Facility (C.2.h; C.3.f) lD /5 olif 1'2 101712009

'Exams Reviewed wI Fac. (C.1.h;C.2.f

& h; C.3.g) /0 ZOlo'J rJ.... " w.VItro 10/7/2009 Preliminary Applications Due (C.1.1;C.2.g; ES-202) /rJ I 1l1hJ tr I 10/12/2009 Preliminary Applications Reviewed (C.1.1:C.2.g)

/r) /' OCf 10/23/2009 Final Applications Due (C.1.I:C.2.i:ES-202) j 10/23/2009 On-Site Preparatory Week to Validate Operating Exam //)/2/0Q '-II A, fA "n 10/23/2009 On-Site Audit (10%) of License App's (ES-202 C.2.e) //)/z/t>9 r)'t V 10/30/2009 Final AppJ. OK'ed & Waiver letters Sent (ES-204; C.2.e) /0 fjnt' NRC Supervisor Approved Final Exams (C.2.i:C.3.h)

II A /L 10/30/2009 7/1'10 10/30/2009 Exam Approval letter (ES-201 Att-4) and List of Applicants produced by OlA (ES-201-4)

Prepared (C.2.i) 10/30/2009 Proctor Rules Review w/Fac. & Written Authorized (C.3.k) "Ii I Or JJrtr 10/30/2009 Exam Material to Exam Team (C.3.i) " 2-ocr .J.A 11/6/2009 Administer Operating Exam On-Site "/1'3/0,,/ 11118/2009 Facility Graded Exam & Comments Received H It> 09 11/21/2009 NRC Written Exam Grading Completed "13 0 oct r;, A. tJrrfJ 11/21/2009 Examiners Document Exam Grades on ES Forms r2./l I t:>4 8Jrtr 12/112009 NRC Chief Examiner Grading Review Completed II (30{ bCf ,?trlr 12/2/2009 NRC BC Review Completed 12/2,- 12/6/2009 LicenselDenials Mailed; Facility Notified of Results z.. d1 .1 V., T 12/6/2009 RPS/IP Number of Examinees Updated 'fJ 1'f; print Report-21 r Examination Report Issued (zitS! 6'1 A produced by Chief Examiner 12/21/2009 TO 12/28/2009 Package Closed Out J.{ 'I t>'t 11r' Chief QA of ADAMS and SISP review complete 'I 04 12/28/2009 I 7J1Y1 rJ 1/5/2010 Ref Mat'I Returned after Final Res of Appeals N!+ I"""'IAJ U*U Examination Outline Quality Checklist Form ES-201-2 Date of Examination: Task Description a b* c# 1. Verify that the outline(s) fit(s) the appropriate model, in accordance with ES-401. W R b. Assess whether the outline was systematically and randomly prepared in accordance Section D.1 of ES-401 and whether all KIA cateaories are appropriately Assess whether the outline over-emphasizes any systems, evolutions, or generic topics. T E d. Assess whether the justifications for deselected or rejected KIA statements are appropriate.

N Using Form ES-301-5, verify that the proposed scenario sets cover the required of normal evolutions, instrument and component failures, technical

2. and major S b. Assess whether there are enough scenario sets (and spares) to test the projected and mix of applicants in accordance with the expected crew composition and rotation without compromising exam integrity, and ensure that each applicant can be tested using at least one new or significantly modified scenario, that no scenarios are duplicated A from the applicants' audit test(s), and that 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 criteria specified on Form ES-301-2:
3. the outline(s) contain(s) the required number of control room and in-plant tasks distributed among the safety functions as specified on the form W (2) task repetition from the last two NRC examinations is within the limits specified on the / no tasks are duplicated from the applicants' audit test(s) the number of new or modified tasks meets or exceeds the minimums specified on the form the 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: 'I 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 licensing 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 Assess whether plant-specific priorities (including PRA and IPE insights) are in the appropriate exam
4. G b. Assess whether the 10 CFR 55.41/43 and 55.45 sampling is appropriate.

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

R A e. Check the entire exam for balance of Assess whether the exam fits the appropriate job level (RO or SRO). 7 Date ......o a. Author b. Facility Reviewer (*) '1>'1 c. NRC Chief Examiner (#)

JlJq C. M.

11M '" 1).1{ all d. NRC Supervisor C.\n..-h-.

1'oUIL I ()tl Note: # Independent NRC reviewer initial items in Column "c"; chief examiner concurrence required.

  • Not applicable for NRC-prepared examination outlines ES-201, Page 26 of 28 Written Examination Quality Checklist Form ES-401-6 PALO VERDE Date 'of Exam: Nov 6, 2009 Exam Level: RO eli) SRO c.. Initial Item Description b" c' f' IttY ,( l\1V, ,1 W The sampling process was random and systematic (If more than 4 RO or 2 SRO questions r were repeated from the last 2 NRC licensing exams, consult the NRR OL orogram office). iWrf:' ?irt 3. SRO Questions are appropriate in accordance with Section O.2.d of ES-401 1. Questions and answers are technicallY accurate and applicable to the facility.

2 a. b. NRC KlAs are referenced for all questions.

Facility learning objectives are referenced as I 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 develpped; =the audit exam was completed before the license exam was started; .,F the examinations were developed independently; or A. the licensee certifies that there is no duplication; or I_ other (explain) f Bank use meets limits (no more than 75 percent Bank Modified New *f. (, new or modified);

enter the actual RO ; SRO-only from the bank, at least 10 percent new, and the rest 14/ 19 11/ 15%-SO/ 66 question distribution(s) at riqht. ;Between 50 and 60 percent of the questions on the RO Memory exam are written at the comprehension/

analysis level; the SRO exam may exceed 60 percent if the 32 /43% 43 selected KlAs support the higher cognitive levels; enter / 57% r.M the actual RO / SRO Question distributionfs) at richt. ( References/handouts provided do not give away answers "'J' or aid in the elimination of Question content conforms with specific KIA statements in the previously approved J '\ examination outline and is appropriate for the tier to which they are deviations are justified. ( tl lA\ Question psvchometric Quality and format meet the Quidellnes in ES Appendix B. \ 1\The exam contains the required number of one-point.

multiple choice items; oJ . II' the total is correct and 3Qrees with the value on the cover sheet. t'-

.hIif Date a. 10/2/09 b. Facility Reviewer 10(2(2009

c. NRC Chief Examiner (#) 3-, d. NRC Regional Supervisor U 1\ 'I Note: The facility reviewer's initials/signature are not applicable for NRC-developed
  1. Independent NRC reviewer initial items in Column "CO; dlief examiner concurrence ES-401, Page 29 of 33 Written Examination Quality Checklist Form ES-401-6 VERDE Facility: Date of Exam: Nov 6, 2009 Exam Level: RO Lc SRO Initial b+ c'Item Description I \*,.M'\ ,\Questions and answers are technically accurate and applicable to the facility.

d a. NRC KlAs are referenced for all questions. Facility learning objectives are referenced as available. ,. SRO questions are appropriate in accordance with Section D.2.d of ES-401 The sampling process was random and systematic (If mOle than 4 RO or 2 SRO were reoeated from the last 2 NRC licensina exams, cons!.!lt the NRR OL program 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; _ the examinations were developed independently; i-the licensee certifies that there is no duplication; _ other (explain)

\' ,',1'( Jt,r ModifiedBank use meets limits (no more than 75 percent Bank New from the bank, at least 10 percent new, and the rest new or modified);

enter the actual RO I SRO-only 6 15/60':, 4 /16 / 24%

question distribution(s) at right. 1 Between 50 and 60 percent of the questions on the RO Memory CIA \ exam are written at the comprehension/

analysis level; , the SRO exam may exceed 60 percent if the randomly 16/9 64%I 36%selected KlAs support the higher cognitive levels; enter the actual RO I SRO question distribution(s) at riqht. References/handouts provided do not give away answers " i',\V, (jn1f or aid in the elimination of distractors.

C Question content conforms with specific KIA statements in the previously examination outline and is appropriate for the tier to which they are ( deviations are justified. M IA i\\I\'\Question psychometric Quality and format meet the guidelines in ES Appendix B. The exam contains the required number of one-point.

multiple choice items; ,...

Ithe total is correct and aarees with the value on the cover:sheet. Date Printed Larry Burton 10/2/09Warren :0/2/09 b. Facility Reviewer !"r

.' . -c. NRC Chief Examiner (#) W 71hI ..a )-iBNRC Regional Supervisor Ktil\J Clo.\I{oi\

  • 1IlIlIJD, I I7)b.....

let \ \+ The facility reviewer's 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

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

fh\o Date of Examination: \ \ "0 I oq Operating Test Number: Initials 1. General Criteria il b* elf. The operating test conforms with the previously approved outline; changes are consistent with f 1/sampling requirements (e.(I., 10 CFR 55.45, operational importance, safety function distribution). IShlr JThere is no day-to-day repetition between this and other operating tests to be administered during this examination.

uNJ YJr6' The operatinQ test shall not duplicate items from the applicants' audit test(s). (see Section D.1.a.) wAf 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. WJJ 2. Walk-Throuah Criteria -Each JPM includes the following, as applicable:

  • initial initiating
  • 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 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

-criteria for successful completion of the -identification of critical steps and their associated performance

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. t#l -.3. Simulator Criteria The associated simulator operating tests (scenario sets) have been reviewed in accordance with I Form ES-301-4 and a COpy is attached. Printed Na 1\Date ---. Author Larry Burton -,\.. 09/02/09 AAWarren Potter 09/02/09Facility Reviewer(*) NRC Chief Examiner (#)

t; ,." .....--0 I() /2If /0'1 1 NRC Supervisor

'\1). "]";h, 101 J.l\lqq l\ TJ A

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

ES-301, Page 24 of 27 Facilitv:

Palo Verde Date 0 fE xam: 11/10/09 S cenano. N um b ers: 1/3/40 Jperatlng T es t N 0.: QUALITATIVE ATIRIBUTES Initials b* elf. ) i&'\\t .k 1. The initial conditions are realistic, in that some equipment and/or instrumentation may be out C of service. but it does not cue the operators into expected events. 2. The scenarios consist mostlv of related events. (, ,J W 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 rill
  • the expected operator actions (by shift position)
  • the event termination ooint (if aoolicable)
4. No more than one non-mechanistic failure (e.g., pipe break) is incorporated into the scenario without a credible precedillQ 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 evaluati.on results commensurate with the scenario obiectives.
7. If time compression techniques are used. the scenario summary clearly so indicates.

wAf" Operators have sufficient time to carry out expected activities without undue time constraints.

Cues are given. C' 8. The simulator modelinQ is not altered. A !lAW 9. The scenarios have been validated.

Pursuant to 10 CFR 55.46(d), any open simulator J performance deficiencies or deviations from the referenced plant have been evaluated 0 )J((to ensure that functional fidelity is maintained while running the planned scenarios.

10. Every operator will be evaluated using at least one new or significantly modified scenario. , All other scenarios have been altered in accordance with Section 0.5 of ES-301. a i ! ti 11. All individual operator competencies can be evaluated, as verified using Form ES-301-6 (submit the form along with the simulator scenarios). ( 12. Each applicant will be significantly involved in the minimum number of transients and events 0'1 iNtI 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.

I W Taraet Quantitative Attributes (Per Scenario; See Section D.S.d) Actual Attributes

---1. Total malfunctions (5-8) 7 / 8 / 7 llAA W Malfunctions after EOP entry (1-2) 2 / 3 / 2 Ii.W. tf l V 2. 3. Abnormal events (2-4) 4 /5/ 4 4. Major transients (1-2) 2 / 2 / 2 11JA1? 5. EOPs entered/requiring substantive actions (1-2) 1 / 2 / 1 1h"MP .lJ,t 6. EOP continoencies requiring substantive actions (0-2) 0 / 1 / 1 7 C':ritical tasks 12-3\ 2 / 2 I 1 t In-P

,;;)IIIIUlcILUI

,;;)1,;\::lIcUIU

\olUClIILY ull\::I,;I\IISL rorm r::"-,)U'I-4 Facilitv:

Palo Verde Date of Exam: 11/10/09 Scenario Numbers: 2 / / OperatinQ Test No.: QUAlITATIVE ATTRIBUTES Initials a b* r:;# 1. The initial conditions are realistic, in that some equipment and/or instrumentation may be out ,!IM1 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 event
  • the symptoms/cues that will be visible to the crew the expected operator actions (by shift position)
  • the ellent termination point (if applicable)

No more than one non-mechanistic failure (e.g., pipe break) is incorporated into the scenario VMf 4. without a credible precedinQ incident such as a seismic event. 5. The events are valid with reQard to physics and thermodynamics. 6. Sequencing and timing of events is reasonable, and allows the examination team to obtain lwi complete evaluation results commensurate with the scenario objectives.

7. If time compression techniques are used, the scenario summary clearly so indicates. " >rrf.r Operators have sufficient time to carry out expected activities without undue time constraints.

(Cues are given. 8. The simulator modelinQ is not altered. /.lW 9. The scenarios have been validated.

Pursuant to 10 CFR 55.46(d), any open simulator performance deficiencies or deviations from the referenced plant have been evaluated to ensure that functional fidelity is maintained while running the planned scenarios.

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

IltAt fJrtr AU other scenarios have been altered in accordance with Section D.5 of ES-301. C 11. All individual operator competencies can be evaluated, as verified using Form ES-301-6 l1AM'r (submit the form alona with the simulator scenarios). ( 12. Each applicant will be significantly involved in the minimum number oftransients and events 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.

r Target Quantitative Attributes IPer Scenario; See Section D.5.d) Actual Attributes

-1. Total malfunctions (5-81 7 / / 2. Malfunctions after EOP entry (1-2) 3 / / , l\m

3. Abnormal events (2-4) 4 / / II'J\ i.lr 4. Maior transients (1-2) 1 / / IJltl f!m 5. EOPs entered/requiring substantive actions (1-2) 1 / / bfl.iP 6. EOP contingencies requirinQ substantive actions (0-2) 0 / / 11k Wllr 7. Critical tasks 12-3\ 2 I I 1 \lAP 1Jtn&

ES-301 Transient and Event Checklist Form ES-301-5 Facility:

Palo Verde Date of Exam: 11/10109 Operating Test Number: 2009 A E Scenarios P V P E #1 #3 #4 T M L N 0 I I T CREW CREW CREW CREW T 1\1 C POSITION POSITION POSITION POSITION A I A T L M N y S A B S A B S A B S A B U T 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 RO RX 0 1 1 0 0 NOR 1 1 2 1 1 1 SRO-I I/C 2,3,4,6,5, 2,3,4,5,7, 0 7 8,9 13 4 4 2 SRO-U MAJ 6,8 6,8 4 2 2 1[gJ Ul U3 TS 4,5 2,5 4 0 2 2 RO RX 0 1 1 0 0 NOR SRO-I 1 1 2 1 1 1 [gJ SRO-U I/C 2,3,4,5,6, 2,3,4,5,7, 2,4,6 16 4 4 2 0 7 8,9 II MAJ I2 6,8 6,8 5,8 6 2 2 1 I4 IS TS 0 2 2 4,5 2,5 4 I RO RX 4 1 1 1 0 0 NOR SRO-I 1 1 2 1 1 1 [gJ I/C 2,6 2,3,4,5,7, 2,3,4,6,7 14 4 4 2 SRO-U 8,9 0 MAJ 6,8 6,8 5,8 6 2 2 1 I3 TS 4 0 2 2 2,5 2,3 RO RX 0 1 1 0 0 NOR SRO-I 1 1 1 1 1 0 I/C 2,3,4,5,6, 3,5,8,9 10 4 4 2 SRO-U 7 [gJ MAJ 6,8 6,8 4 2 2 1 U-2 TS 4,5 2 0 2 2 Instructions:

1. Check the afElicant level and enter the operating test number and Form ES-D-1 event numbers for each event type; are not applicable for RO applicants.

ROs must serve in both the "at-the-controls (ATC)" and "balance-of-plant (BOP)" positions; Instant SROs must serve in both the SRO and the ATC positions, including at least two instrument or component (I/C) malfunctions and one major transient, in the ATC position.

If an Instant SRP additionally serves in the BOP position, one I/C Malfunction can be credited toward the two I/C malfunctions required for the ATC position.

2.

manipulations may be conducted under normal or controlled abnormal conditions (refer to Section .5.d) but must be significant per Section C.2.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 that require verifiable actions that provide insight to the applicant's competence count toward the minimum requirements specified for the applicant's license level in the right-hand columns.

ES-301 Transient and Event Checklist Form ES-301-5 Facility:

Palo Verde Date of Exam: 11/10108 Operating Test Number: 2008 Scenarios E A P P L I C A N T V E N T T Y P E S R 0 #1 CREW POSITION A T C B 0 P S R 0 #3 CREW POSITION A T C B 0 P S R 0 #4 CREW POSITION A T C B 0 P S R 0 CREW POSITION A T C B 0 P T 0 T A L R M I N I M U M(*) I U RO RX 4 1 1 1 0 SRO-I NOR 1 1 1 1 1 D I/C 3,4,5,7 3,5,8,9 8 4 4 2 SRO-U D Rl R2 MAJ 6,8 6,8 4 2 2 1 R3 R7 R9 TS 0 0 2 2 RO RX 4 1 1 1 0 SRO-I D NOR 1 1 1 1 1 SRO-U D R4 RB I/C 2,6 2,4,7 5 4 4 2 RlO Rl2 Rl3 MAJ 6,8 6,8 4 2 2 1 Rl5 TS 0 0 2 2 RO RX 4 1 1 1 0 SRO-I D NOR 1 1 2 1 1 1 SRO-U D I/C 3,4,5,7 3,5,8,9 3,4,7 11 4 4 2 R5 Rll MAJ Rl4 6,8 6,8 5,8 6 2 2 1 TS 0 0 2 2 Instructions: Check the afElicant level and enter the operating test number and Form ES-D-1 event numbers for each event type; are not applicable for RO applicants.

ROs must serve in both the "at-the-controls (ATC)" and "balance-of-plant (BOP)" positions; Instant SROs must serve in both the SRO and the ATC positions, including at least two instrument or component (I/C) malfunctions and one major transient, in the ATC position.

If an Instant SRO additionally serves in the BOP position, one I/C Malfunction can be credited toward the two I/C malfunctions required for the ATC position.

manipulations may be conducted under normal or controlled abnormal conditions (refer to Section .S.d) but must be significant per Section C.2.a of Appendix D. hl Reactivity and normal evolutions may be replaced with additional instrument or component mal nctions 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 count toward the minimum requirements specified for the applicant's license level in t e right-hand columns.

ES*301 Transient and Event Checklist Form ES*301*5 ES-301, Page 26 of 27 ES*301 Transient and Event Checklist Form ES*301*5 Facility:

Palo Date of Exam: 11/10108 Operating Test Number: 2008 A E Scenarios P T M E #3 #4 #2 (Spare)#1 I I L N 0 T I\l T CREW CREW CREW CREW C A I POSITION POSITION POSITION POSITION T A L M Y N S S A B A B A B A B S S U T P R T 0 R T 0 R T 0 R T 0 M(*)E P 0 C P 0 C P 0 C P 0 C R I U RO RX 1 1 1 4 0 NOR 1 1 1 1 1 2 SRO-I D I/C 2,4,7 3,4,7 4 4 2,6 2 8 SRO-U MAJ 6,8 5,8 1 6,8 2 2 6 D R6 TS 2 2 0 RO RX 1 1 0 D NOR 1 1 1 1 1 SRO-I D 2,3,4,5,7, I/C 2,7 4 3,4,5,8 4 2 8 SRO-U MAJ 6 6 2 2 6 1 D TS 2,3 2 2 0 RO RX 1 1 0 D NOR 1 1 1 SRO-I IIC D 4 4 2 SRO-U MAJ 2 2 1 D TS 0 2 2 Instructions: Check the afglicant level and enter the operating test number and Form ES-D-1 event numbers for each event type; are not applicable for RO applicants.

ROs must serve in both the "at-the-controls (ATC)" and "balance-of-plant (BOP)" positions; Instant SROs must serve in both the SRO and the ATC positions, including at least two instrument or component (I/C) malfunctions and one major transient, in the ATC position, If an Instant SRO additionally serves in the BOP position, one I/C Malfunction can be credited toward the two I/C malfunctions required for the ATC position.

manipulations may be conducted under normal or controlled abnormal conditions (refer to Section .5.d) but must be significant per Section C.2.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, Whenever practical, both instrument and component malfunctions should be included; only that require verifiable actions that provide insight to the applicant's count the minimum requirements specified for the applicant's license level in t e right-hand ES-301, Page 26 of 27 ES-301 Competencies Checklist Form ES-301-6 Facility:

Palo Verde Date of Examination:

Nov 9, 2009 Operating Test No.: APPLICANTS RO 0 RO D RO D SRO-I D RO X SRO-I D SRO-I D SRO-U D SRO-I X SRO-U X SRO-U D SRO-U D SCENARIO SCENARIO SCENARIO SCENARIO Competencies 3 2 3 1 2 1 2 4 1 4 3 4 1 2 3 2,3, 4,6 4,5, 2,4, 4,6 4,5, 2,3, 2,3, 2,3, 2,3, 2,3, 4,5, I nterpretlDiag nose 4,5, 4,5, 4,5, 4,5, 6,8, 5,6, 4,5, 6,8, 6,8 4,5, Events and Conditions 8 6,7, 6,7, 6,7, 6,7, 6,8 9 6,8 9 8 8 8,9 3,4, 3,4, 1,2, 3,4, 3,4, 2,4, 3,4, 3,4, 2,4, 1,2, 1,2, Comply With and 3,4. 5,6, 5,6 5,6, 5,6, 5,6 3,5, 3,4. 3,5, 5,6, 5,6, 5,6, Use Procedures (1 ) 7,8 5,6, 8 8,9 8 8 8,9 8 7,8 5,6, 6,7, 8,9 1,3, 1,2, 2,4, 2,6, 1,2, Operate Control 3,4, 3,4, 4,5, 3,4, 6,7 8 Boards (2) 5,6, 6,7, 5,6, 7,8 8,9 1,2, 2,3, 2,3, 1,2, 2,3, 2,3, 2,3, 1,2, 2,3, 2,3, 2,3, Communicate 3,4, 4,5, 3,4, 4,5, 3,4, 5,6, 4,5, 4,5, 6,8 4,5, 3,4, 4,5, and Interact 7,8 6,8 6,7, 5,6, 6,8 6,7, 5,6, 5,6, 6,7, 5,6, 6,8 8 7,8 8 8,9 8 8,9 1,2, 8 1,2, 1,2, 1,2, 1,2, 1,2, 1,2, 1,2, Demonstrate 3,4, 3,4, 3,4, 3,4, 3,4, 3,4, 3,4, 3,4, Supervisory Ability (3) 5,6, 6,7 5,6, 5,6, 5,6, 6,7 5,6, 5,6, 8 8,9 78 8 8,9 78 2,3 4,5 2,3 2,5 4,5 2,3 2,5 2,3 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. Instructions:

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

4 ES-403 Written Examination Grading Form Quality

2. Answer key changes and question deletions justified and documented Date /Ito,kc; II!ttJlo ? I 11/30/0 1 lelz./cJ'f Date of Exam: 11/' tJ Exam Level: RO Item Descri tion 3. Applicants' scores checked for addition errors reviewers s ot check> 25% of examinations
a. Grader 4. Grading for all borderline cases (80 +/-2% overall and 70 or 80, as a licable, +/-4% on the SRO-onl reviewed in detail Facili : 'Palo \lev-de..
b. Facility Reviewer(*)
6. Performance on missed questions checked for training deficiencies and wording problems; evaluate validity of uestions missed b half or more of the a Iicants 5. All other failing examinations checked to ensure that grades are 'ustified
c. NRC Chief Examiner (*) 1. d. NRC Supervisor

(*) (*) The facility reviewer's signature is not applicable for examinations graded by the NRC; two inde en dent NRC reviews are re uired. ES-403, Page 6 of 6 ES-201 Examination Security Agreement Form ES-201-3 1. Pre-Examination zooct 1:r-J1:Tr4c. .1. 1. I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of 11(, -ITof 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 not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) From the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC. PRINTED NAME JOB TITLE / RESPONSIBILITY DATE "., 1/

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\1)[-cVY\.f"Jl 112 w __ ( .....r,J -v .... -zoo, 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 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 knoA1tdge,1 did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of <C-\4-. 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
1.

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\1 -Zoa1 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 for the week(s) of n-1.6 -\4 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 did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of . ..-. . From the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or pr vide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC. PRINTED NAME JOB TITLE / RESPONSIBILITY DATE DATE NOTE 1.

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s;r==_2W1 ES-201, Page 27 of 28 ES*201 Examination Security Agreement Form ES*201*3 1. Pre-Examination CK"A4 . 1v0 I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the 1'/;4as 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 aJthorized 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 not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of" -. From the date that I el')tered 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. JOB TITLE / RESPONSIBILITY SIGNATURE (1) DATE SIGNATURE (2) DATE NOTE IJ..O C. 1t1 Ro U) Li'l.. 5" (l.o 1-0 rzo crts RD eJ,Ls -mJ\-HJlAJtr----r Jv'} '[

1Z.0 AU lites Page 1 of 5 Operator Licensing Exam Schedule 04/01/2010 13:10:40 From 10/01/2009 To 01/01/2010 Report 21 Region: 4 Phase Code: 5

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Ji 09/01/2009 Palo Verde /

Prep GARCHOW, STEPHEN M. DRAKE, JAMES F. TAC#: GARCHOW, STEPHEN M. OSTERHOL TZ, CLYDE C. PRESBY, PETER A. lOlA, CHARLES D. 09/01/2009 Palo Verde /05000530

/ 2009301 Prep GARCHOW, STEPHEN M. DRAKE, JAMES F. TAC #: X02415 GARCHOW, STEPHEN M. OSTERHOL Tl, CLYDE C. PRESBY, PETER A. lOlA, CHARLES D. 09/28/2009 Palo Verde / 05000528 / 2009301 Prep FFF GARCHOW, STEPHEN M. GARCHOW, STEPHEN M. TAC #: X02413 OSTERHOL Tl, CLYDE C. PRESBY, PETER A. lOlA, CHARLES D. 11/09/2009 Palo Verde /05000528

/ 2009301 RO-5 SROI -1 Admin FFF GARCHOW, STEPHEN M. CLAYTON, KELLY D. TAC #: X02413 SROU -1 DRAKE, JAMES F. GARCHOW, STEPHEN M. OSTERHOL TZ, CLYDE C. PRESBY, PETER A. lOlA, CHARLES D. 11/09/2009 Palo Verde / 05000529 / 2009301 RO-5 SROI-'yZ.

Admin FFF GARCHOW, STEPHEN M. DRAKE, JAMES F. TAC #: X02414 SROU-1 GARCHOW, STEPHEN M. OSTERHOL Tl, CLYDE C. PRESBY, PETER A. lOlA, CHARLES D. 11/09/2009 Palo Verde / 05000530 / 2009301 RO-JfG SROI-2 Admin FFF GARCHOW, STEPHEN M. DRAKE, JAMES F. TAC #: X02415 SROU-;/, GARCHOW, STEPHEN M. OSTERHOL Tl, CLYDE C. PRESBY, PETER A. lOlA, CHARLES D. 11/16/2009 Palo Verde / 05000528 / 2009301 Doc GARCHOW, STEPHEN M. DRAKE, JAMES F. TAC #: X02413 GARCHOW, STEPHEN M. OSTERHOL TZ, CLYDE C. PRESBY, PETER A. lOlA, CHARLES D. 11/16/2009 Palo Verde / 05000529 / 2009301 Doc GARCHOW, STEPHEN M. DRAKE, JAMES F. T AC #: X02414 GARCHOW, STEPHEN M. OSTERHOL Tl, CLYDE C. PRESBY, PETER A. lOlA, CHARLES D. Sites: PALO Orgs: 4620 Exam Author: ALL

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