ML102380098

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CG-2009-10-Public Forms, Initial Operator Licensing Examination Assignment
ML102380098
Person / Time
Site: Columbia 
Issue date: 04/09/2009
From: Lantz R E
NRC/RGN-IV/DRP/RPB-D
To: Garchow S M
Operations Branch IV
References
Download: ML102380098 (19)
v • d • e


Text

April 9, 2009 Ryan Chief, Operations Bra ty Division of Reactor Steve Chief Examiner, Operations INITIAL OPERATOR LICENSING EXAMINATION ASSIGNMENT You have been assigned as Chief Examiner of the Columbia Generating Station, Unit 2, initial licensing examination.

The operating test has been scheduled to be completed by October 9, 2009. Thank you for contacting the Columbia facility to finalize the details of the examination.

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

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

S:\DRS\OB\OB-ONL Y\ADMIN\ASSIGNMENT SHEETS\CY'09\JAN09_CGS_ASSIGNMENT MEMO_SG.DOC t* .*,.... "

0801202 -INITIAL OPERATOR LICENSING PROCESS EXAM ASSIGNMENT TICKLER

Start of Op End of Op Operating Test Developed By: NRC I Facility Written Exam Developed By: NRC I Facility Date Complete Initials Notes Description Due Date Written Exam & Op Test Dates Confirmed 4/3/2009 NRC Examiners

& Facility Contact Assigned 5/29/2009 Facility Contact Briefed on Security & Other Req's 5/29/2009 Corporate Notification Letter sent 5/29/2009 "/ I of (), 8m b f!=S-201 Att-4 produced by CE Reference material due (if NRC authored)

N Pt 1J>>r Ir ES-201 Att-3 7/312009 Integrated exam outlines due 7/17/2009 Outlines reviewed by CE; feedback approved by BC ,/3 0 /uofj ES-201-2 signed by CE & BC 7/24/2009 Feedback on integrated outlines provided to facility 7/24/2009 DRAFT exam I docs I support reference material due 8/14/2009 Peer review of written exam complete ,-!Jf (lJA lihIf:r Document review on ES-401-9 8/28/2009 Preliminary license applications due i 77--1 tif '8h1:r NRC Forms 3981396 8/28/2009 Preliminary license applications and waivers reviewed 9/4/2009 g!27!O ., DRAFT exam reviewed by CE; feedback approved by BC 9/4/2009 Feedback on DRAFT exam provided to facility 9/4/2009 On-site validation

& 10% audit of license applications 12115/2008 Final applications due & List of Applicants prepared oq ?f;rrfr ES-201-4 prepared by LA 9/1812009 Final applications approved & waiver letters sent 9/25/2009 LA produces I BC signs Exam Branch Chief approves FINAL exam (Written & Op Test)9/25/2009 Approval Letter (ES-201 Att-5) Proctoringlwritten exam admin guidelines reviewed wI facility 9/25/2009 Exam material to exam team 9/28/2009 Administer Operating Test 10/5/2009 Facility post-exam documentation due 10/16/2009 NRC written exam grading completed 10/16/2009

/0/N/07' 1r ES-403-1 to BC Examiner's document op test results on ES 303's 10/16/2009 Chief Examiner review of written exam & op test completed 10/23/2009 I b /1 b /0 'I Signed ES 303's to BC Branch Chief review of exam results completed 10/30/2009 Waiversldeferrals reviewed for impact on licensing decision 11/612009 License/Denialletters mailed; Facility notified of results 11/6/2009 RPS/IP number of examinees updated 11/6/2009 1/7 l'6q ffl>>/r print Report-21 lo/S;/ocr Examination Report Issued 11/20/2009 II / tJ Dtr produced by CE SUNSI checklist complete and exam docs to ADAMS 11/27/2009 3{ZCJ J I 0 SUNSI checklist to LA Ref Mat'l Returned after Final Resolution of Appeals 12/412009 Replaces NUREG-1021.

Revision 9, Supp 1, Forms ES-201-1 and ES-501-1 Examination Outline Quality Checklist Form ES-201-2 a b* r;# Facility:

Date of Examination:

October, 2009 Initials Item Task Description Verify that the outline(s) fit(s) the appropriate model, in accordance with ES-401. 1. b. Assess whether the outline was systematically and randomly prepared in accordance Section D.1 of ES-401 and whether all KIA categories are appropriately c. Assess whether the outline over-emphasizes any systems, evolutions, or generic 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 and major I 2. Assess whether there are enough scenario sets (and spares) to test the projected number M and mix of applicants in accordance with the expected crew composition and rotation schedule without compromising exam integrity, and ensure that each applicant can be tested at least one new or significantly modified scenario, that no scenarios are from the applicants' audit test(s), and that scenarios will not be repeated on subsequent days. T To the extent possible, assess whether the outline(s) conform(s) with the and quantitative criteria specified on Form ES-301-4 and described in Appendix 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 (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: 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 covered 4. R A L S A o R W R T W in the appropriate exam Assess whether the 10 CFR 55.41/43 and 55.45 sampling is appropriate. 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. Assess whether the exam fits the appropriate job level (RO or SRO). a. Author b. Facility Reviewer (*) c. NRC Chief Examiner (#) NRC Supervisor

\ .,.. Note: # Independent NRC reviewer initial items in Column "c"; chief examiner concurrence required.

  • Not applicable for NRC-prepared examination outlines Operating Test Quality Checklist Form ES*301*3 Facili :

Date of Examination:

October, 2009 o eratin Test Number: 1 Initials 1. General Criteria a b* c# a. b. c. d. e. There is no day-to-day repetition between this and other operating tests to be administered durin this examination.

The 0 erating test shall not du Iicate 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 a licants at the desi nated license level. 2. Walk-Through Criteria Each JPM includes the following, as initial initiating references and tools, including associated reasonable and validated time limits (average time allowed for completion) and designation if deemed to be time-critical by the facility operationally important specific performance criteria that 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 se uence of ste s, if ap Iicable Ensure that any changes from the previously approved systems and administrative outlines (Forms ES-301-1 and 2) have not caused the test to deviate from any of the criteria (e.g., item distribution, bank use, repetition from the last 2 NRC examinations) on those forms and Form

3. Simulator Criteria The associated simulator operating tests (scenario sets) have been reviewed in accordance with Form ES-301-4 and a co is attached.
a. Author b. Facility Reviewer(*)
c. NRC Chief Examiner (#) d. NRC Supervisor NOTE:
  • The facility signature is not applicable for NRC-developed # Independent NRC reviewer initial items in Column "c"; chief examiner concurrence Simulator Scenario Quality Checklist Form ES*301*4 .... Columbia Date of Exam: October, 2009 Scenario Numbers: 1 / 2 / 3 Operating Test No.: 1 QUALITATIVE A TIRIBUTES Initials a b* c# 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 event. 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 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. 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.5.d) Actual Attributes Total malfunctions (5-8) 8/5/7 Malfunctions after EOP entry (1-2) 1/2/3 Abnormal events (2-4) 2/2/2 Major transients (1-2) 1 /1 /1 EOPs entered/requiring substantive actions (1-2) 2/1/2 EOP contingencies requiring substantive actions (0-2) 1 /1 /1 Critical tasks (2-3) 2/2/2 Transient and Event Checklist Form ES-301-5 Facility:

Columbia Generating Station Date of Exam: October 2009 Operating Test No.: 1 A E Scenarios P P L I C A N T V E N T T Y P 1 CREW POSITION S A B R T 0 0 C P 2 CREW POSITION S A B R T 0 0 C P 3 CREW POSITION S A B R T 0 0 C P 4 CREW POSITION S A B R T 0 0 C p T 0 T A L R M I N I M U M(*) I U E SR -RX NOR 1 1 1 1 2 1 1 1 1 0 1 D SRO-U I/C 3 1 2 6 4 4 2 D MAJ 1 1 1 3 2 2 1 TS 0 0 2 2 RO RX 1 1 1 1 0 D NOR 1 1 1 1 1 SR@

I/C 2 2 4 4 4 2 SRO-U D MAJ TS 1 1 2 1 2 3 4 2 0 2 2 1 2 RX 1 1 1 1 0 RO D NOR 1 1 1 1 1 ;( for] I/C 2 2 1 5 4 4 2 SRO-U MAJ 1 1 1 3 2 2 1 D TS 3 3 0 2 2 RX 1 1 0 RO D NOR 1 1 1 SRO-I D I/C 4 4 2 SRO-U MAJ 2 2 1 D TS 0 2 2 Instructions: Check the applicant level and enter the operating test number and Form ES-D-1 event numbers for each event type; TS are not applicable for RO applicants.

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

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

Transient and Event Checklist Form ES-301-5 Facility: Columbia Generating Station Date of Exam: October 2009 Operating Test No.: 1 A E Scenarios P P L I C A N T V E N T T Y P 1 CREW POSITION S A B R T 0 0 C p 2 CREW POSITION S A B R T 0 0 C p 3 CREW POSITION S A B R T 0 0 C p I 4 CREW POSITION S A B R T 0 0 C p T 0 T A L R M I N I M U M(*) I U E RX 1 1 1 1 0 RO 0 NOR 1 1 2 1 1 1 [g(b SRO-U I/C MAJ 2 1 1 2 1 4 3 4 2 4 2 2 1 0 TS 2 2 0 2 2 RX 1 1 1 1 0 RO 0 NOR 1 1 1 1 1 SR(t>0z. I/C 3 1 2 6 4 4 2 SRO-U MAJ 1 1 1 3 2 2 1 0 TS 2 2 0 2 2 RO RX 1 1 1 1 0 0 NOR 1 1 1 1 1 OOJ A 3 I/C 2 2 1 5 4 4 2 SRO-U 0 MAJ 1 1 1 3 2 2 1 TS 3 3 0 2 2 RX 1 1 0 RO 0 NOR 1 1 1 SRO-I 0 I/C 4 4 2 SRO-U MAJ 2 2 1 0 TS 0 2 2 Instructions: Check the applicant level and enter the operating test number and Form ES-D-1 event numbers for each event type; TS are not applicable for RO applicants.

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

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

Transient and Event Checklist Form ES-301-5 FOR NRC SCENARIO Facility:

Columbia Generating Station Date of Exam: October 2009 Operating Test Number: 1 ScenarioA v 3 E P L N Crew Position I T S A B N Y R T 0T C 0 P RX Raise Power with Withdraw/lnsert Control Start CW-P-IC IIC CWRupture Uncoupled Control Rod SOT-B Controller RHR-A and B Failures to Spray CWRupture MAJOR Loss Offsite Power, LOCA Loss Offsite Power, LOCA Loss Offsite Power, LOCA TS Uncoupled Control SOT-B Circle the applicant level and enter the operation test number and Form ES-D-l event numbers for each event type; TS are not applicable for RO applicants.

ROs must serve in both the "at the controls (ATe)" and "balance of plant (BOP)" positions; Instant SROs must do one scenario, including at least two instrument or component (lie) 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 requirement.

Page rev 91212009 Transient and Event Checklist Form ES-301-S FOR NRC SCENARIO Facility:

Columbia Generating Station Date of Exam: October 2009 Operating Test Number: 1 ScenarioA v 2 E P N L Crew Position I T A S B Y N T R 0 P T E C P 0 RX Raise Power with Start ASD Channel IAI Swap RCC Pumps IIC B Flow Unit RCIC Coupling Failure FPC-P-lB Failure MAJOR Hydraulic ATWS Hydraulic ATWS TS Hydraulic ATWS RCIC Coupling Failure B Flow Unit Instructions: Circle the applicant level and enter the operation test number and Form ES-D-l event numbers for each event type; TS are not applicable for RO applicants.

ROs must serve in both the "at the controls (ATC)" and "balance of plant (BOP)" positions; Instant SROs must do one scenario, including at least two instrument or component (IIC) malfunctions and one major transient, in the A TC 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 requirement.

Page rev 912/2009 Transient and Event Checklist Form ES*301*5 FOR NRC SCENARIO Facility:

Columbia Generating Station Date of Exam: October 2009 Operating Test Number: 1 ScenarioA v 1 E P L N Crew Position I T A S B Y N T R 0 P E T C 0 P RX Power Reduction with Flow on Scrammed Control Rod Control Rod Swap CRD Pumps IIC Loss of RPS B (Control Rod Loss ofRPS B Scram) Loss ofRPS B FDR-V-4 Fails open RFW-P-IB AOPFailure RCIC Steam Leak RCIC Steam Leak RCIC-V-8 & 63 Fail to Auto Isolate MAJOR LOCA LOCA Scrammed Rod FDR-V-4 RCIC Instructions: Circle the applicant level and enter the operation test number and Form ES-D-l event numbers for each event type; TS are not applicable for RO applicants.

ROs must serve in both the "at the controls (ATC)" and "balance of plant (BOP)" positions; Instant SROs must 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.S.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 requirement.

Page rev 91212009 ES-301 Competencies Checklist Form ES-301-6 Facility:

Columbia Date of Examination:

October, 2009 Operating Test No.: APPLICANTS RO D RO D RO D SRO-I #1 rg SRO-I #31Z1 SRO-U D SRO-U D SRO-U D SCENARIO SCENARIO SCENARIO Competencies 2,4 4,5 4,5 2,5 3,5 5,8 2,5 4,6 3,6 Interpret/Diagnose Events and Conditions 6,7 7,8 6,7 6,7 6,7 7,9 7,8 8,9 8,9 8,9 9,11 1,2 4,5 1,4 2,7 1,8 3,5 2,3 2,4 2,3 Comply With and Use Procedures (1) 3,7 8,11 7,9 6,7 5,6 6,10 6,9 7,10 5,7 1,3 2,6 2,3 1,2 1,4 Operate Control Boards (2) 10,11 5,8 8,10 5,6 5,7 3,4 7,9 ,9 2,5 5,8 3,5 2,3 4,6 2,3 4,5 4,5 2,3 Communicate and Interact 4,7 7,8 6,7 7,9 9,11 6,7 5,6 5,6 7,10 10,11 8,9 8,9 4,7 3,5 3,5 7,10 Demonstrate Supervisory Ability (3) 7,8 8,11 6,10 4,5 3,4 2,3 Comply With and Use Tech. Specs. (3) Notes: (1 ) Includes Technical Specification compliance for an Optional for an I Only applicable to 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-301 Competencies Checklist Form ES-301-6 Facility:

Columbia Date of Examination:

October, 2009 Operating Test No.: APPLICANTS RO#1,2 RO 0 RO 0 SRO-I 0 SRO-I#4,6 SRO-U 0 SRO-U 0 SRO-U 0 SCENARIO SCENARIO SCENARIO Competencies 2,4 2,5 5,8 4,5 4,5 3,5 2,5 4,6 3,6 I Interpret/Diagnose Events and Conditions 6,77,9 7,8 6,7 6,7 6,7 7,8 9,11 8,9 8,9 8,9 4,5 3,5 2,3 2,4 1,8 1,4 1,2 2,3 2,7 Comply With and Use Procedures (1) 5,6 7,9 3,7 8,11 6,7 6,10 6,97,101,3 1,4 1,2 2,6 2,3 Operate Control 5,7 Boards (2) 3,4 10,11 5,8 5,7 8,10 5,6 ,9 7,9 2,3 5,8 4,5 4,5 3,5 2,3 4,6 2,3 2,5 Communicate and Interact 6,7 7,9 9,11 6,7 4,7 7,8 5,6 5,6 10,11 8,9 8,9 7,104,7 3,5 3,5 7,10 Demonstrate Supervisory Ability (3) 8,11 7,8 6,10 4,5 3,4 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) On Iv 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 5 Written Examination Quality Checklist Form ES*401*6 Facility:

Date of Exam: March 2009 Exam Level: RO 00 Initial c#Item Description a b* Questions and answers are technically accurate and apolicable to the facility.

II!JI P a. NRC KlAs are referenced for all questions. 1/b. Facilitv leamina obiectives are referenced as available.

ikfJI ;,fJ#fr IlfSRO questions are appropriate in accordance with Section D.2.d of ES-401 tJ/.I The sampling process was random and systematic (If more than 4 RO or 2 SRO questions were .IJ)J.repeated from the last 2 NRC licensing exams, consult the NRR OL program office). d Question duplication from the license screening/audit exam was controlled 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; X the examinations were developed independently; _ the licensee certifies that there is no duplication; _ other

/I.id-I Bank use meets limits (no more than 75 percent from the bank, Bank Modified at least 10 percent new, and the rest new or modified); Pf 14/2 c}nb'61/23 1£u{JJ the actual RO / SRO-only question distribution(s) at right. 0/0 Between 50 and 60 percent of the questions on the RO exam are Memory written at the comprehension/

analysis level; the SRO exam exceed 60 percent if the randomly selected KlAs 48/24 52/76 the higher cognitive levels; enter the actual RO / SRO distribution(s) at fJlj lwtb {IfReferences/handouts provided do not aive awav answers or aid in the elimination of distractors.

t0JI Question content conforms with specific KIA statements in the previously approved examination outline and is appropriate for the tier to which thev are assianed; deviations are justified. IdJ III Question psychometric quality and format meet the auidelines in ES Appendix B. IdJ.J The exam contains the required number of one-point, multiple choice items; the total is correct and agrees with the value on the cover sheet. ?JJ1Ib J!I4J 7'znUL 9 /a. Author b. Facility Reviewer £..UJJ!k.1 1J, i!.,Je7l 1 I?//2 ,,-0-c;l;.k ti cr 11'Ilffl c. NRC Chief Examiner (#) d. NRC Regional Supervisor r fA-t..Irt\'JTP/ ) ) "'--.-J I

  • 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.

ES*403 Written Examination Grading Form Quality Exam Level: SRoD Initials 1. Clean answer sheets copied before 3. Applicants' scores checked for addition errors reviewers s ot check> 25% of examinations

5. All other failing examinations checked to ensure that grades are 'ustified c rJA b a Item Descri tion Answer key changes and question deletions justified and documented
2. 4. Grading for all borderline cases (80 +/-2% overall and 70 or 80, as ap licable, +/-4% on the SRO-onl reviewed in detail 6. Performance on missed questions checked for training deficiencies and wording problems; evaluate validity of questions missed b half or more of the ap Iicants a. Grader b. Facility Reviewer(*)
c. NRC Chief Examiner (*) d. NRC Supervisor

(*) Date IdM7' i 1°,"'7/09 (*) The facility reviewer's signature is not applicable for examinations graded by the NRC; two independent NRC reviews are required.

ES-403 Written Examination Grading Form Quality Date of Exam: /0!i. '()Facili Item Descri tion 1. Answer key changes and question deletions and Applicants' scores checked for addition (reviewers s ot check> 25% of Grading for all borderline cases (80 +/-2% overall and 70 or 80, as a Iicable, +/-4% on the SRO-onl reviewed in detail All other failing examinations checked to ensure that grades are 'ustified Initials Exam Level: RO D Performance on missed questions checked for of uestions missed a. Grader b. Facility Reviewer(*)

c. NRC Chief Examiner (*) d. NRC Supervisor

(*) deficiencies and wording problems; evaluate validity half or more of the a Iicants Date /¢*9 /jfs-jrlf

(*) The facility reviewer's signature is not applicable for examinations graded by the NRC; two inde endent NRC reviews are re uired.

Page 1 of4 Operator Licensing Exam Schedule 10/30/2009 08:00:21 From 08/01/2009 To 11/30/2010 Report 21 Region: 4 Phase Code: 5

11 08/24/2009 Columbia Generating Station 1 05000397 1 Prep FFF GARCHOW, STEPHEN M. DEVERCELL Y, TAC #: X02405 GARCHOW, STEPHEN 10/05/2009 Columbia Generating Station 1 05000397 1 RO -2 SROI -6 Admin FFF GARCHOW, STEPHEN M. DEVERCELL Y, TAC #: X02405 GARCHOW, STEPHEN HEDGER, SEAN 10/12/2009 Columbia Generating Station 1 05000397 1 Doc FFF GARCHOW, STEPHEN M. GARCHOW, STEPHEN TAC #: X02405 HEDGER, SEAN 11/29/2010 Columbia Generating Station 1 050003971 GARCHOW, STEPHEN M. GARCHOW, STEPHEN Procedure

  1. 7111111 Sites: WNP Orgs: 4620 Exam Author: ALL

I 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 1'1>h9 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 I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of fobJ'l . From the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC. PRINTED NAME JOB TITLE / RESPONSIBILITY SIGNATURE (1) DATE

'/'< -  ?== l.w:... Sv...P4 ie,,, 712C lILt. 10 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 /o/f'!cq 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 1 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 conceming the NRC licensing examinations administered during the weekes) of 'DAZe., . 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. JOB TITLE :E:l:ONSIBllITY Md I/P tp£ 6. '/llH'1/tp1w) ,RPr{f,...OtPAd1'6-Iz,glt=o{..f'4L

/ b'W{dL. 'L __ 7.:..JIM /iI;;t)J/j"r:--Sim

'lIePfP;: -

8. 9. . 10. _ 11. _ 12. _ 13. _ 14. _ 15. _ NOTES: ES-201, Page 27 of 28 ES-601 Examination Security Agreement Form ES-601-1 1. Pre-Examination I acknowledge that I have acquired specialized knowledge about the NRC requalification examinations scheduled for the week(s) of ()c.,-fas of the date of my signature.

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

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

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

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

2. Post.,Examination To the best of my knowledge, I did not dfJ'ge to any unauthorized persons any information concerning the NRC requalification administered during the week(s) of Oct 89 From the date that I entered into this security agreement until the completion of administration, I did not instruct, evaluate, or provide performance feedback to those operators who were administered these except as specifically noted below and authorized by the PRINTED NAME

/ RESPONSIBILITY DATE l), 1.

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