ML16229A510: Difference between revisions

From kanterella
Jump to navigation Jump to search
(Created page by program invented by StriderTol)
(StriderTol Bot change)
 
(2 intermediate revisions by the same user not shown)
Line 17: Line 17:


=Text=
=Text=
{{#Wiki_filter:ES-201                                   Examination Preparation Checklist                                     Form ES-201-1 Facility:     {;,Ive.,.:+-   CL:ffi                                                     Date of Examination:   (:;,/J..3} /L.
{{#Wiki_filter:ES-201 Examination Preparation Checklist Form ES-201-1 Facility:
Developed by:     Written:     Facility   ~NRC D                   II   Operating     Facility       la"' NRC     o Chief Target                                         Task Description (Reference)                                       Examiner's Date*
{;,Ive.,.:+- CL:ffi Date of Examination: (:;,/J..3} / L.
Initials
Developed by: Written:
      -180       1. Examination administration date confirmed (C.1.a; C.2.a and b) b4--
Facility ~NRC D II Operating Facility la"' NRC o Target Task Description (Reference)
      -150       2. NRC examiners and facility contact assigned (C.1.d; C.2.e)                                   VJ&--
Chief Examiner's Date*
      -150       3. Facility contact briefed on security and other requirements (C.2.c)                         VJ;J-
Initials  
      -150       4. Corporate notification letter sent (C.2.d)                                               ~
-180
[-120]       5. Reference material due (C.1.e; C.3.c; Attachment 3)
: 1.
                                                                                                                      ~
Examination administration date confirmed (C.1.a; C.2.a and b) b4--
{-90}       6. Integrated examination outline(s) due, induding Forms ES-201-2, ES-201-3, ES-301-1, ES-301-2, ES-301-5, ES-D-1, ES-401-1/2, ES-401N-1/2, ES-401-3, ES-401N-3, ES-401-4, and ES-401 N-4, as applicable (C.1.e and f; C.3.d)
-150
J;:;-
: 2.
                                                                /
NRC examiners and facility contact assigned (C.1.d; C.2.e)
{-85}       7. Examination outline(s) reviewed by NRC and feedback provided to facility licensee (C.2.h; C.3.e)                                                                               ~
VJ&--
{-60}       8. Proposed examinations (including written, walk-through JPMs, and scenarios, as applicable), supporting documentation (including Forms ES-301-3, ES-301-4, ES-301-5, ES-301-6, and ES-401-6, ES-401 N-6, and any Form ES-201-2, ES-201-3, ES-301-1, or ES-301-2 updates), and reference materials due (C.1.e, f, g and h;
-150
                                                                                                                  'Ml C.3.d)
: 3.
      -45       9. Written exam and operating test reviews completed. (C.3.f)                                 ~
Facility contact briefed on security and other requirements (C.2.c)
      -30         10. Preliminary license applications (NRC Form 398's) due (C.1.1; C.2.g; ES-202)             4L-
VJ;J-
      -21         11. Examination approved by NRC supervisor for facility licensee review (C.2.h; C.3.f)           -
-150
      -21         12. Examinations reviewed with facility licensee (C.1.j; C.2.f and h; C.3.g)                     -
: 4.
                                                                                                                  . r[8-
Corporate notification letter sent (C.2.d)  
      -14         13. Final license applications due and Form ES-201-4 prepared (C.1.1; C.2.i; ES-202)
~
      -14         14. Written examinations and operating tests approved by NRC supervisor (C.2.i; C.3.h)         01--
[-120]
        -7         15. Facility licensee management queried regarding the licensee's views on the examination. (C.2 j)
: 5.
                                                                                                                  ~
Reference material due (C.1.e; C.3.c; Attachment 3)  
        -7         16. Final applications reviewed; 1 or 2 (if >10) applications audited to confirm qualifications I eligibility; and examination approval and waiver letters sent (C.2.i; Attachment 5; ES-202, C.2.e; ES-204)
~
        -7         17. Proctoring/written exam administration guidelines reviewed with facility licensee (C.3.k)                                                                                   ~
{-90}
                                                                                                                  ~
: 6.
        -7         18. Approved scenarios, job performance measures, and questions distributed to NRC examiners (C.3.i)
Integrated examination outline(s) due, induding Forms ES-201-2, ES-201-3, ES-301-1, J;:;-
*Target dates are generally based on facility-prepared examinations and are keyed to the examination date identified in the corporate notification letter. They are for planning purposes and may be adjusted on a case-by-case basis in coordination with the facility licensee.
ES-301-2, ES-301-5, ES-D-1, ES-401-1/2, ES-401N-1/2, ES-401-3, ES-401N-3, ES-401-4, and ES-401 N-4, as applicable (C.1.e and f; C.3.d)  
/
~
{-85}
: 7.
Examination outline(s) reviewed by NRC and feedback provided to facility licensee (C.2.h; C.3.e)
{-60}
: 8.
Proposed examinations (including written, walk-through JPMs, and scenarios, as 'Ml applicable), supporting documentation (including Forms ES-301-3, ES-301-4, ES-301-5, ES-301-6, and ES-401-6, ES-401 N-6, and any Form ES-201-2, ES-201-3, ES-301-1, or ES-301-2 updates), and reference materials due (C.1.e, f, g and h; C.3.d)  
-45
: 9.
Written exam and operating test reviews completed. (C.3.f)  
~  
-30
: 10.
Preliminary license applications (NRC Form 398's) due (C.1.1; C.2.g; ES-202) 4L-
-21
: 11.
Examination approved by NRC supervisor for facility licensee review (C.2.h; C.3.f)  
-21
: 12.
Examinations reviewed with facility licensee (C.1.j; C.2.f and h; C.3.g)  
-14
: 13.
Final license applications due and Form ES-201-4 prepared (C.1.1; C.2.i; ES-202)  
. r[8-
-14
: 14.
Written examinations and operating tests approved by NRC supervisor (C.2.i; C.3.h) 01--
-7
: 15.
Facility licensee management queried regarding the licensee's views on the examination. (C.2 j)  
-7
: 16.
Final applications reviewed; 1 or 2 (if >10) applications audited to confirm  
~
qualifications I eligibility; and examination approval and waiver letters sent (C.2.i; ; ES-202, C.2.e; ES-204)  
-7
: 17.
Proctoring/written exam administration guidelines reviewed with facility licensee  
~
(C.3.k)  
-7
: 18.
Approved scenarios, job performance measures, and questions distributed to NRC ~
examiners (C.3.i)  
*Target dates are generally based on facility-prepared examinations and are keyed to the examination date identified in the corporate notification letter. They are for planning purposes and may be adjusted on a case-by-case basis in coordination with the facility licensee.
[Applies only] {Does not apply} to examinations prepared by the NRC.
[Applies only] {Does not apply} to examinations prepared by the NRC.
ES-201, Page 25 of 28
ES-201, Page 25 of 28  


ES-201                                     Examination Outline Quality Checklist                                           Form ES-201-2 Facility: Calvert Cliffs Nuclear Power Plant                               I                         Date of Examination: June 13 1h, 2016 Initials Item                                                 Task Description a       b*         c#
ES-201 Examination Outline Quality Checklist Form ES-201-2 Facility: Calvert Cliffs Nuclear Power Plant I
w I.     a. Verify that the outline(s) fit(s) the appropriate model. in accordance \1ith ES-401 or ES-401N.
Date of Examination: June 131h, 2016 Initials Item Task Description a
                                                                                                                        ~     MvV         ~
b*
                                                                                                                          "
c#
                                                                                                                        ~
I.
R       b. Assess whether the outline was systematically and randomly prepared in accordance with I         Section D. l of ES-401 or ES-401 N and whether all K/ A categories are appropriately sampled.                 Mr1'        tt-T T
: a.
: c. Assess whether the outline over-emphasizes any systems. evolutions. or generic topics.
Verify that the outline(s) fit(s) the appropriate model. in accordance \\1ith ES-401 or ES-401N.  
tfr   Mtu         Ui E
~ MvV  
N 2.
~
d.
w R
a.
: b.
Assess whether the outline was systematically and randomly prepared in accordance with  
~ Mr1' tt-I Section D. l of ES-401 or ES-401 N and whether all K/ A categories are appropriately sampled.
T Assess whether the outline over-emphasizes any systems. evolutions. or generic topics.
tfr Mtu Ui
: c.
T E
: d.
Assess whether the justifications for deselected or rejected K/ A statements are appropriate.
Assess whether the justifications for deselected or rejected K/ A statements are appropriate.
Using Form ES-301-5, verify that the proposed scenario sets cover the required number or      MIU rxU-s of normal evolutions, instrument and component failures. technical specifications.
or MIU rxU-N
and major transients.
: 2.
40      MfJ        lj)j_
: a.
l      b. Assess whether there are enough scenario sets (and spares) to test the projected number M
Using Form ES-301-5, verify that the proposed scenario sets cover the required number 40 MfJ lj)j_
u L
of normal evolutions, instrument and component failures. technical specifications.
and mix of applicants in accordance with the expected crew composition and rotation schedule without compromising exam integrity. and ensure that each applicant can he tested using at least one new or significantly modified scenario. that no scenarios are duplicated from the applicants' audit test(s). and that scenarios will not he repeated on subsequent days.
s and major transients.
rr    MtJ l!L A
l
T      c. To the extent possible, assess whether the outline(s) conform(s) with the qualitative 0
: b.
R and quantitative criteria specified on Form ES-301-4 and described in Appendix D.
Assess whether there are enough scenario sets (and spares) to test the projected number M
fO     'Mt'V      vi
and mix of applicants in accordance with the expected crew composition and rotation schedule rr MtJ l!L u
: a. Verify that the systems walk-through outline meets the criteria specified on Form ES-301-2:
without compromising exam integrity. and ensure that each applicant can he tested using L
(I) the outline(s) contain(s) the required number of control room and in-plant tasks distributed among the safety functions as specified on the flmn if Ml'V ~
at least one new or significantly modified scenario. that no scenarios are duplicated A
3.
from the applicants' audit test(s). and that scenarios will not he repeated on subsequent days.
(2) task repetition from the last two NRC examinations is within the limits specified on the fonn (3) no tasks are duplicated from the applicants* audit test(s) w (4) the number of new or modified tasks meets or exceeds the minimums specified on the fonn A
T
(5) the number of alternate path. low-power. emergency. and RCA tasks meet the criteria I.
: c.
on the form.
To the extent possible, assess whether the outline(s) conform(s) with the qualitative  
K T       h. Verify that the administrative outline meets the criteria specified on Form LS-301-1:
'Mt'V vi 0
H R
and quantitative criteria specified on Form ES-301-4 and described in Appendix D.
(I)
fO R
(2) the tasks are distributed among the topics as specified on the form at least one task is new or significantly modified                                                 tr Mrv fjJ-u           (3)   no more than one task is repeated from the last two NRC licensing examinations C. Determine if there arc enough different outlines to test the projected number and mix of applicants and ensure that no items are duplicated on subsequent davs.
: a.
K(    M(v wi 4.
Verify that the systems walk-through outline meets the criteria specified on Form ES-301-2:
: a. Assess whether plant-specific priorities (including PRA and IPL insights) are covered in the appropriate exam sections.                                                                        d(     i\411.;   ~-
(I) the outline(s) contain(s) the required number of control room and in-plant tasks
: 3.
distributed among the safety functions as specified on the flmn Ml'V (2) task repetition from the last two NRC examinations is within the limits specified on the fonn if
~
w (3) no tasks are duplicated from the applicants* audit test(s)
A (4) the number of new or modified tasks meets or exceeds the minimums specified on the fonn I.
(5) the number of alternate path. low-power. emergency. and RCA tasks meet the criteria on the form.
K T
: h.
Verify that the administrative outline meets the criteria specified on Form LS-301-1:
H (I) the tasks are distributed among the topics as specified on the form tr Mrv fjJ-R (2) at least one task is new or significantly modified u
(3) no more than one task is repeated from the last two NRC licensing examinations C.
Determine if there arc enough different outlines to test the projected number and mix K(
M(v wi of applicants and ensure that no items are duplicated on subsequent davs.
: a.
Assess whether plant-specific priorities (including PRA and IPL insights) are covered d(
i\\411.;  
~-
: 4.
in the appropriate exam sections.
G
G
: h. Assess whether the 10 CTR 55.41/43 and 55.45 sampling is appropriate.                                     K(     l\itV     ~
: h.
                                                                                                                                            ~
Assess whether the 10 CTR 55.41/43 and 55.45 sampling is appropriate.
E N
K(
: c. Ensure that KIA importance ratings (except for plant-spccillc priorities) arc at least 2.5.             0(     M11.J E
l\\itV ~
R
E Ensure that KIA importance ratings (except for plant-spccillc priorities) arc at least 2.5.
: d. Check for duplication and overlap among exam sections.
0(
II     M*V         ~
M11.J  
A       e. Check the entire exam for balance or coverage.
~
r<      l'v\(v    JA-.
: c.
I.
N E
r   Assess whether the exam fits the appropriate job level (RO or SRO).
: d.
                                                                                                                        ~        f..41v ~
Check for duplication and overlap among exam sections.
r'\...l'ri1~~11e/Signature                                                 Date
II M*V  
: a. Author                       ::lf'-J~6f\                 ()VJ(~                                                             ~f ti/J&?
~
R r<
l'v\\(v JA-.
A
: e.
Check the entire exam for balance or coverage.
I.  
~
f..41v ~
r Assess whether the exam fits the appropriate job level (RO or SRO).
r'\\...l'ri1~~11e/Signature Date
: a. Author
::lf'-J~6f\\
()VJ(~  
~f ti/J&?
: h. Facility Reviewer(*)
: h. Facility Reviewer(*)
N\f6~           R\STIV ~\__ !?~                                                             *3)1~~\{o
N\\f6~ R\\STIV ~\\
: c. NRC Chief Examiner(#)         Jkv\J S://(                       ;:-1 ~ ....... 'A I. ~                                     t 3 rr.L rt.
__ !?~  
: d. NRC Supervisor               n,1\4'1,w J . . _v~C): ./M ~ [}j ~ ,)                                                         3/z:s[lb f- /
*3)1~~\\{o
Note:                   # Independent NRC reviewer initial items in Column .. c .. : ch ref e."1miner concurrence required.
: c. NRC Chief Examiner(#) Jkv\\J S://(  
* Not applicable Jllr NRC-preparcd examination outlines
;:-1  
~....... 'A I. ~
3 t rr.L rt.
: d. NRC Supervisor n,1\\4'1,w J.... _v~C): /M ~ [}j ~,)
3/z:s[lb f /
Note:  
# Independent NRC reviewer initial items in Column.. c.. : ch ref e."1miner concurrence required.
* Not applicable Jllr NRC-preparcd examination outlines  


ES-201                                                                     Examination Security Agreement                                   Form ES-201-3
ES-201 Examination Security Agreement Form ES-201-3
: 1.           Pre-Examination                                                                                                             l(,           ~
: 1.
I acknowledge that I have acquired specialized knowledge about the NRG licensing exam ;nations scheduled for the week(s) of     tf{ ~ \lfif {Q{':b/I{(s~f     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 NRG 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 NRG (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 NRG chief examiner any indications or suggestions that examination security may have been compromised.
Pre-Examination l(,  
: 2.           Post-Examination ill To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during N   the week(s) of ""3-f t;llo}U..   . From the date that l entered into this security agreement until the completion of examination administration, I did not S'. instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted
~
I acknowledge that I have acquired specialized knowledge about the NRG licensing exam ;nations scheduled for the week(s) of tf{ ~ \\ lfif {Q{':b/I {(s~f 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 NRG 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 NRG (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 NRG chief examiner any indications or suggestions that examination security may have been compromised.
: 2.
Post-Examination ill To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during N the week(s) of ""3-f t;llo}U..  
. From the date that l entered into this security agreement until the completion of examination administration, I did not S'. instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted  
~ below and authorized by the NRG.
~ below and authorized by the NRG.
Q)
Q)  
<O CD             PRINTED NAME           JOB TITLE I RESPONSIBILITY                                                DATE      SIGNATURE (2)          DATE      NOTE
<O CD N
* N
"" a N
                                                                                          ~~~~;-:---'ii
00 PRINTED NAME 9.,,tq,,.,r'~ 7: 6i 6 f,<
                                      ~~
~ ~1;ec:e;{h&#xa3;:;~Y~
a""
: 12.
N 00
it-I" I Lq.J
                                      ~IJ\1.tt IV\
: 13. TAoi Cov&4~'Y
ExAM A1.J11.j(Jl!,
: 14. ~.,,e.\\ ~vl 1s~w.ii:f'(
                                          ~*           INffti1't.:
NOTES:
                                      ~{i4rrf8 @IJJlfJNotl                               ~-.#,11,~~:::-:--'1- 1-s-1~
~ S~r"~J JOB TITLE I RESPONSIBILITY
fl,. f          .
~~
f
~IJ\\1.tt IV\\
                                                                                                                                            ~ 1~--
ExAM A1.J11.j(Jl!,  
                                                                                                                                                    '1t  -&#xa5;-
~*
0         _.::;
INffti1't.:  
I '"2!Aft,        :2::              v;:;/fJ; -
~{i4rrf8 @IJJlfJNotl 0
f:y. ,,;:.         ri..., j' ti 0 A.                                   ~ .ll, if. 2 ?{/;;rs.            ~ --
f:y.,,;:.
ji;,1~*                            ~ 4-EACt-u N ILfr 9., ,tq,,.,r'~ 7: 6i 6            7.;i, 'f;"-'!;:;;/ .& .V/ ,,;,;&#xa3;'<!!!. d                                         2'*;4?-S
ri..., j' ti 0 A.
                                                                                                                  ~!i              ~ ~-
EACt-u N ILfr 7.;i, 'f ;"-'!;:;; /.&.V/,,;,;&#xa3;'<!!!. d  
f,<
.:s;"J,ft'jJ_;taf<"~.0/?" - _f.,-c.  
                                        .:s;"J ,ft'jJ_;taf<"~.0/?" - _f.,-c.
-s;m.l~s;t t ""'""A...  
      ~ ~1;ec:e;{h&#xa3;:;~Y~
.'>Uf""""-*c> l/A&.rl#ill"l'.L v ti l IL~... i.:-
1jf!JJ;. ~~ ~-
\\le.( 1.,\\.... kc-
                                      -s;m.l~s;t t ""'""A...
\\Jii lfd4.-h>r o..-,
: 12. it-I" I        Lq.J          .'>Uf""""-*c> l/A&.rl#ill"l'.L
)..1 f,_,".,,It DATE SIGNATURE (2)
: 13. TAoi
DATE NOTE
: 14. ~.,,e.\ ~vl 1s~w.ii:f'(
~~~~;-:---'ii
NOTES:
* f 1'1t fl,. f
Cov&4~'Y        v l IL~ i.:-
~ ~--
ti
~-.#,11,~~:::-:--'1-1-s-1~
                                        \Jii lfd4.-h>r
-&#xa5;-
                                                      ...
I '"2!Aft,
                                              \le.( 1.,\ ....kc-                           ~ll::P
:2::
                                                                                        ~::~                     ;c: 3i'-!:&sect; ~z:zi!-::=
v;:;/fJ; -
                        ~ S~r"~J                o..-,        )..1 f ,_,".,,It 0
~.ll, if. 2 ?{/;;rs.  
~
ji;,1~* 2'*;4?-S ~
4-
~!i ~
~-
1jf!JJ;. ~~  
~-
;c: 3i'-!:&sect; ~z:zi!-::=  
~ll::P
~::~
0  


ES-201                                                           Examination Security Agreement                                           Form ES-201*3
ES-201 Examination Security Agreement Form ES-201*3
: 1.         Pre-Examination                                                                                                               L<,           ~
: 1.
I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of     ft(~' lfif {Q{i:b/I~~f       the date of my signature. I agree that I wlll not knowingly divul9e 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 untll 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 faclilty licensee. I will Immediately report to facility management or the NRC chief examiner any indications or sL1ggestions that examination security may have been compromised.
Pre-Examination L<,  
: 2.         Post*Examlnat!on
~
~ To the best of my knowledge, I did not divulge to any unauthorized persons any Information concerning the NRC licensing examinations administered during
I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of ft(~' lfif {Q{i:b/I ~~f the date of my signature. I agree that I wlll not knowingly divul9e 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 untll 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 faclilty licensee. I will Immediately report to facility management or the NRC chief examiner any indications or sL1ggestions that examination security may have been compromised.
!\> the week(s) of ~ -t (jf?'qJU.,     . From the date that I entered Into this security agreement until the completion of examination administration, I did not
: 2.
~ instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted
Post*Examlnat!on  
~ 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 ~  
-t (jf?'qJU.,  
. 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.
:,, below and authorized by the NRC.
Q)
Q)
(Q PRINTED NAME
(Q
                              ..        JOB TITLE I RESPONSIBILITY                                              DATE      SIGNATURE (2)            DATE      NOTE
(!)  
                                                                                                      -
~
(!)
a N
  ~
o:>
aN o:>
PRINTED NAME..
                                                                                      ~*--f 'i~~~              IZ. I
                                                                                                                /*$*1"1 .
ztt==
                                                                                                                '~-----....,..,~~~
ft
                                        ~~1\!J,.S>a~ 1t ...........
                                        <'ei~1r:1 VA&.-fM1'tl!L
                                          ~L/tld.]:...-
                                              \le,.( *"1.....1-or
                                                                        ,/~-~""'
                                        .s;,.1 /t'u.;tf,i,l,IJL"._ =+/-r-t.
                                                                                                                  -~A".''"'~ '~~                    I Vithaafd'                                                                                                    <Plz.ilir.==
NOTES:
NOTES:
(f)
JOB TITLE I RESPONSIBILITY
,/~-~""'
.s;,.1 /t'u.;tf,i,l,IJL"._ =+/-r-t.
~~1\\!J,.S>a~ 1t...........
<'ei~1r:1 VA&.-fM1'tl!L
~L/tld.]:...-
\\le,.( *"1.....1-or Vithaafd' DATE SIGNATURE (2)
DATE NOTE
~*--f - 'i~~~
IZ. I
/*$*1"1.
ztt==
'~-----....,..,~~~ ft
-~A".''"'~ '~~ I
<Plz.ilir.==
(f)  


ES*201                                                                     E~mlnatlon_Sf!CUrlty Agreement                                 _f'orm E;S-201*3
ES*201 E~mlnatlon_Sf!CUrlty Agreement
: 1.         Pm-Extmlnat!on                                                   *                    **                                      l (,         ~
_f'orm E;S-201*3
I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s)         ottil~\ 'Jif {Q(':b/l~f     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 specifJCally noted below and authorized by the NRC (e.g., acting 11 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 thls agreement may result In cancellation of the examinations and/or an enforcement action against me or the facility licensee. I will lmmedlately report to facility management or the NRC chief examiner any Indications or suggestions that examination security may have been compromised.
: 1.
: 2.         Po1t-Examlnat!on
Pm-Extmlnat!on l (,  
~ To the beat of myknowledge, I did not divulge to any unauthorized persons any Information concerning the NRC licensing examinations administered during
~
~ the week(s) of ~-f Gftq/U,,         . From the date that I entered Into this security agreement untll the completion of examination administration, I did not
I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) ottil~\\ 'Jif {Q(':b/l~f 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 specifJCally noted below and authorized by the NRC (e.g., acting 11 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 thls agreement may result In cancellation of the examinations and/or an enforcement action against me or the facility licensee. I will lmmedlately report to facility management or the NRC chief examiner any Indications or suggestions that examination security may have been compromised.
... Instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as speclfically noted
: 2.
* below and authorized by the NRC.
Po1t-Examlnat!on  
lt:l                   NAM~                                                                ~~
~ To the beat of myknowledge, I did not divulge to any unauthorized persons any Information concerning the NRC licensing examinations administered during  
II. ~q; PRINTED                    JOB TITLE I RESPONSIBILITY                                               DATE
~ the week(s) of ~-f Gftq/U,,  
: a.                                                                                          ".'161if<<<<1' -
. From the date that I entered Into this security agreement untll 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 speclfically noted below and authorized by the NRC.
IJ.. I    .
l PRINTED NAM~
l*!f-&                              -        --
JOB TITLE I RESPONSIBILITY  
                                          'i;t""'
~~ DATE  
__ r~uN
".'161if<<<<1' - II. ~q; t:l a.
__...
~
d~,i"d~A ct_~
NOTES:
                                                          --,--~-,7--
'i;t""'
1'&#xa3;W(,
d~,i"d~A
                                                                                                                ~;lit ~R~(~
__ r~uN ct_~  
                                                                                                                "I~*
--,--~-,7--
Bf!==
l A'!*.,fA'< ''a I cf;,: a,,.,,,_,,./.g..9';  
                                                                                                                                                    ~-
&sect;i;f  
                                                                                                                                                              -
!JIC.;tPfr - T-r-c.
i11li ==
r s9c)..,.,..._  
l A'!* .,fA'< ''a I   cf;,: a,,.,,,_,,./.g..9';
<-urwj5~""1'&#xa5;=  
                                        &sect;i;f!JIC.;tPfr                                                           .!J ~ "
\\LA.l  
                                                                                                                                        ?---
~L*~~~  
r s c) ..,.,..._
~
                                                                    -
IJ.. I l*!f-&
                                                                                                                      . ,--Qik1-----n-tt,-+./Ps2-~-
1'&#xa3;W(,
T-r-c.
~;lit ~R~(~ Bf!==
9                                                  .>
"I~*
                                        <-urwj5~""1'&#xa5;=
?---
                                          \LA.l
~-
                                              ~L*~~~
.!J ~ "
                                                          .-                                                                                         '~t3---
.,--Qik1-----n-tt,-+./Ps2-~- i11li==
                                      ~                                                                                                            Nii/if.==
'~t3---
NOTES:
Nii/if.==
(f)
(f)  


ES-201                                                                           Examination Security Agreement                                         Form ES*201 *3
ES-201 Examination Security Agreement Form ES*201 *3
: 1.             Pre-Examination                                                                                                                         tv             ~
: 1.
I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s)                     ot4'f t?\ f!i't {Rf';/I'E:.~t 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 speclflcally 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 flcensee's procedures) and understand that violation of the conditions Qf 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.
Pre-Examination tv  
: 2.             Post-Examination
~
~ To the best of ~nowledge, I did not divulge to any unauthorized persons any Information concerning the NRC licensing examinations administered during l\.J the week(s) of                     ..f rJlo/I '- . From the date that I entered Into this security agreement until the completion of examination administration, I did not
I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) ot4'f t?\\ f!i't {Rf';/I 'E:.~t 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 speclflcally 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 flcensee's procedures) and understand that violation of the conditions Qf 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.
~ Instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as speclflcally noted
: 2.
Post-Examination  
~ To the best of ~nowledge, I did not divulge to any unauthorized persons any Information concerning the NRC licensing examinations administered during l\\.J the week(s) of  
..f rJlo/I '-
. 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 speclflcally noted  
~ below and authorized by the NRC.
~ below and authorized by the NRC.
Q)
Q)  
~               PRINTED NAME                           JOB TITLE I RESPONSIBILITY                                              DATE      SIGNATURE (2)          DATE      NOTE
~
~.i:-:!                                                                                               ~1~v- 111~
PRINTED NAME  
                                                      ~.~
~.i:-:!  
      ~: fA;
~:
: 7.   ;rii1 40' ......
fA;
8* t*>"''
: 7. ;rii1 40'......
V\   t,,,J>:-"-1 ~L~u
8 t*>"''  
                                \\,._ ' ,---,
~L~u V\\
Jf:'d w1
t,,,J>:-"-1  
:sh' Iv\~--*--
\\\\,._ '
9.._.-91w,::S"' 7: M y4,.:<
101=&f{t~
1~~t
: 11.
j\\'\\ =.\\.11...
: 12.
;t.ft.
: 13. TAoi Covl!llV
: 14. ~
... e_\\ s:..... \\
15:j
: w. 14"(
NOTES:
JOB TITLE I RESPONSIBILITY
~.~
Jf:'d w1 Iv\\~--*--
EXAM /JJ.ii1Jjjl[
EXAM /JJ.ii1Jjjl[
ei"~~T\tO(t..
ei"~~T\\tO(t..
                                                                --c-c!~~ @jjiiil~
:sh' --c-c!~~  
                                                        )1. 1.- dv idOA I ,l'\t1 LIN KLf-'                         ~i ;.-~ti,~ J7;-~?=:.
@jjiiil~  
1'- I 1~s-11p
)1. 1.-
                                                                                                                              ;t:&sect; jt.'
dv idOA I,l'\\t1 LIN KLf-'
                                                                                                                                        .
Mh'tt"*,,-1+/.:t(...z.. ;,.va...:::..
                                                                                                                                                                  *-        -
_s;.,'7 H..iff~..O/?" - ;..,....<.
9 .._.-91w,::S"' 7: M y4 ,.:<                    Mh'tt"*,,-1+/ .:t(...z . ;,.va...:::..                                 ?/1,l~              .      -                -
s~m~\\t.J,..r-.$o~l...... 4..
_s;.,'7 H..iff~..O/?"
<uw.5.''ti.!Mf%
11.101=&f{t~        j\'\  =.\.11    1~~t... s~m~\t.J,..r-.$o~l
V11.1,........-
                                                                            - ;..,....<.
Ve.< *~-kc-
                                                                              ...... 4..
\\JaT'u:ftt4aY DATE SIGNATURE (2)
                                                                                                  ;./_:;,__2;.;_&#xa5;~#~*
DATE NOTE
                                                                                                ~;f-                  __ _    3:21<'/t.
~1~v-111~
                                                                                                                              >.          ~lts?:                 ~==
1'- I 1~s-11p
                                                                                                                                                                            -
;t:&sect; jt.'
5.''ti.!Mf%
?/1,l~
12.
3:21<'/t.  
                                                                                                                                    ,,~                           ~
~lts?: ~==  
                ;t.ft.          .....,
,,~ ~  
                                                      <uw.
~71.iii~-
                                                                                                                                ~71.iii~-
~
: 13. TAoi Covl!llV                                V11.1,.... ....-                           ~~~~.
<'I*'
: 14. ~ ...e_\ s:.. ... \                                Ve.< *~-kc-                          .. ;Q;~:J!~
~'-
15:j                  w. 14"(                  \JaT'u:ftt4aY                            &#xa3;:-~~                           ~            ..      <'I*'        ~'-
~i ;.-~ti,~ J7;-~?=:.  
NOTES:
;./_:;,__2;.;_&#xa5;~#~*
CJ)
~;f-__ _
~~~~.  
.. ;Q;~:J!~  
&#xa3;:-~~
CJ)  


ES-201                                                       Examination Security ~greement                                                 Form ES-201-3
ES-201 Examination Security ~greement 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 r,//~ 4 f.,/11>/lr,,         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.
: 1.
: 2.         Post-Examination 8j To the best of my kno~e, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during
Pre-Examination I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of r,//~ 4 f.,/11>/lr,,
~ the week(s) of (,/(3/(,,/21) 'lb . From the date that I entered into this security agreement until the completion of examination administration, I did not
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.
::? instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted
: 2.
~   below and authorized by the NRC.
Post-Examination 8j To the best of my kno~e, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during  
Q) co CD         PRINTED NAME               JOB TITLE I RESPONSIBILITY                  SIGNATURE (1)            DATE        SIGNATURE_ (2) r-    /J  DATE      NOTE bu-At fhi.I'
~ the week(s) of (,/(3/(,,/21) 'lb  
                                                                                                            *                                      ~~Ii*,==
. From the date that I entered into this security agreement until the completion of examination administration, I did not
N
::? instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted  
~   1. AtJtW MC!Jt..\L                 vA-i~d.
~ below and authorized by the NRC.
f l,,,J..!/
Q) co CD N
eotJ l?AvlL                                                             ~~                                                                ~~'-
PRINTED NAME  
N    2.                              J.AL-l~'"'ln.._
~ 1. AtJtW MC!Jt..\\L N
OJ  3. DA\IE Tuf'l)Jetl.
: 2. eotJ l?AvlL OJ
: 4. _ _ _ _ _ __
: 3. DA\\IE Tuf'l)Jetl.
                                        ~a..                                        ~                        sim&          14TL
: 4. ______ _
: 5. _ _ _ _ _ __
: 5. ______
: 6. _ _ _ _ _ __
: 6. ______
: 7. _ _ _ _ _ __
: 7. ______
: 8. _ _ _ _ _ __
: 8. ______
: 9. _ _ _ _ _ __
: 9. ______
: 10. _ _ _ _ __
: 10. _____
: 11. _ _ _ _ __
: 11. _____
12 . _ _ _ _ __
12.. _____
13._ _ _ _ __
: 13. _____
: 14. _ _ _ _ __
: 14. _____ _
: 15. _ _ _ _ __
: 15. _____
NOTES:
NOTES:
(I)
JOB TITLE I RESPONSIBILITY vA-i~d.
J.AL-l~'"'ln.._
~a..
SIGNATURE (1)
At fhi.I'
~~
~
DATE SIGNATURE_ (2) r- /J DATE NOTE bu-fl,,,J..!/
~~Ii*,==
14TL
~~'-
sim&
(I)  


ES-201                                                           Examination Security Agreement                                             Form ES-201-3
ES-201 Examination Security Agreement Form ES-201-3
: 1.         Pre-Examination                                                                                                       {
: 1.
I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of l,g lj     IlJ.o
Pre-Examination
* z.o/
{
(.p /      11p 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.
I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of l,g lj I lJ.o * (.p / z.o/ 11p 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 ill   To the best of my knowled"e, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during
: 2.
,!.,, the week(s) of 4/13-t,/NJr,,     . From the date that I entered into this security agreement until the completion of examination administration, I did not
Post-Examination ill To the best of my knowled"e, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during  
~ instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted
,!.,, the week(s) of 4/13-t,/NJr,,  
. 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 NRG.
~ below and authorized by the NRG.
Q)
Q)
(0
(0
('[)         PRINTED NAME              JOB TITLE I RESPONSIBILITY                                              DATE                                  DATE        NOTE N
('[)
fL_!J,~l                                  ~==
N  
-...J 8,                                        fALJOA 111/<-
-...J 8,
N                                        C7'\l.J:LG.~
N co PRINTED NAME
co                                        VC..f..1.1-.h..,..-                                                    t::f:.&: .                            ~          -
: 10. C*n~:;, 9-*~\\~
                                            &deg;l.:i.\--~.-*
11.C. *..,,,,.,A/-o 12.AA.t.<i< ~4Mb0 13.&#xa5; tUf1/(
ll~l~
: 14.
                                                \./11 i1J qttJr vA'\.-1*2411)11--
-err-lo~fJ
j;'                                    ~'---
: 15. (11/t(.5 nliCR~IV NOTES:
JOB TITLE I RESPONSIBILITY fALJOA 111/<-
C7'\\l.J:LG.~
VC..f..1.1-.h..,..-
&deg;l.:i.\\--~.-*
ll~l~  
\\./11 i1J qttJr v A'\\.-1*2411)11--
LMbJ,...~
LMbJ,...~
vcZFOfilhv
vcZFOfilhv  
                                                                                                                  +/-!ld/t:.-JI."~~~-
\\{o,.\\ *.\\o..\\-ar V*/;d,.,.y.,,,.
: 10. C*n~:;, 9-*~\~
V,._J;h.h-r tJJ:PffJ  
11.C. * ..,,,,.,A/-o 12.AA.t.<i< ~4Mb0 13.&#xa5;-err-    tUf1/(
~E?.ona.
                                              \{o,.\ * .\o..\-ar V*/;d, V,._J;h.h-r tJJ:PffJ
V4 l/rJ~/,,r DATE DATE NOTE fL_!J,~l
                                                              .,.y.,,,.
~==
                                                                                                                  ~ ---
t::f:.&:.  
                                                                                                                  ~
~
                                                                                                                  ~
j;'
                                                                                                                    ,,;/,._/,1, S/l'-/1"" I".
~'---
                                                                                                                                                          ~
+/-!ld/t:.-JI." ~~~-
Gf..dtc
~  
                                                                                                                                                          /4&#xa5;16     ==
~  
                                                                                                                                                          -Lll...J/, _ _
,,;/,._/,1, Gf..dtc S/l'-/1"" I".  
                                                                                                                                                          ,:;-Z? "'~
/4&#xa5;16==  
lo~fJ                    ~E?.ona.
~
                                                                                                                ~                                      'b~l-14.
-Lll...J/, __
: 15. (11/t( .5 nliCR~IV                    V4 l/rJ~/,,r NOTES:
~
G)
,:;-Z? "'~  
~  
'b~l-G)  


ES-201                                                       Examination Security Agreement                                                 Form ES-201-3
ES-201 Examination Security Agreement Form ES-201-3
: 1.         Pre-Examination (r
: 1.
I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of f.D 1,. - (,,     {igf 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, l 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.
Pre-Examination I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of f.D (r 1,. - (,, {igf I<-
: 2.         Post-Examination rn   To the best of my kn wledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during
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, l 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.
"-' the week(s) of b           *l . /(, . From the date that I entered into this security agreement until the completion of examination administration, I did not
: 2.
~ instruct, evaluate,       provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted
Post-Examination rn To the best of my kn wledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during  
"-' the week(s) of b  
*l. /(,. From the date that I entered into this security agreement until the completion of examination administration, I did not  
~ instruct, evaluate, provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted  
~ below and authorized by the NRC.
~ below and authorized by the NRC.
DJ
DJ  
<O CD           PRINTED NAME                 JOB TITLE I RESPONSIBILITY                  SIGNATURE (1)                                                DATE      NOTE 1&,u~~~
<O CD PRINTED NAME N  
N zz~~~~~~ 1~(
"".J  
"".J
~ ~f'l~~!1!t 3.i..... ~~+-1 4.. ______
~ ~f'l~~!1!t V 0-l 1 d.. r-+ar
5.. ______ _
                                                                                                                          *-~;..._"'-'"'-"'--~t>J~
6.. ______ _  
                                            ...-""l.c;-.114                        ~
?. ______ _
3.i.....~~+-1 4 . _ _ _ _ _ __
: 8. ______ _
                                          ~~we-                                  ~***~
: 9. ______ _
5 . _ _ _ _ _ __
: 10. ______ _
6 . _ _ _ _ _ __
: 11. ______ _
        ?. _ _ _ _ _ __
: 12. ______ _
8._ _ _ _ _ __
: 13. ______ _
: 9. _ _ _ _ _ __
: 14. ______ _
: 10. _ _ _ _ _ __
15.. ______
11._ _ _ _ _ __
12._ _ _ _ _ __
13._ _ _ _ _ __
14._ _ _ _ _ __
15 . _ _ _ _ _ __
NOTES:
NOTES:
                                                                                                                                                                      <9
JOB TITLE I RESPONSIBILITY V 0-l 1 d.. r-+ar
...-""l.c;-.114
~~we-SIGNATURE (1) 1&,u~~~
~
~***~
DATE NOTE zz~~~~~~ 1~(
*-~;..._"'-'"'-"'--~t>J~
<9  


( ES-301                                           Operating Test Quality Checklist                                   Form ES-301-3 Facilit                                                     Date of Examination:                   0 eratin Test Number:
(  
Initials
" i
(
ES-301 Operating Test Quality Checklist Form ES-301-3 Facilit Date of Examination:
0 eratin Test Number:
: 1. General Criteria
: 1. General Criteria
: a.         The operating test conforms with the previously approved outline; changes are consistent with sam lin re uirements e... 10 CFR 55.45, o erational im ortance, safe function distribution.
: a.
: b.         There is no day-to-day repetition between this and other operating tests to be administered during this examination.
The operating test conforms with the previously approved outline; changes are consistent with sam lin re uirements e... 10 CFR 55.45, o erational im ortance, safe function distribution.
: c.         The operating test shall not duplicate items from the applicants' audit test(s). (see Section D.1.a.)
: b.
: d.         Overlap with the written examination and between different parts of the operating test is within acceptable limits.
There is no day-to-day repetition between this and other operating tests to be administered during this examination.
: e.         It appears that the operating test will differentiate between competent and less-than-competent a licants at the desi nated license level.
: c.
The operating test shall not duplicate items from the applicants' audit test(s). (see Section D.1.a.)
: d.
Overlap with the written examination and between different parts of the operating test is within acceptable limits.
: e.
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
: 2. Walk-Through Criteria
: a.         Each JPM includes the following, as applicable:
: a.
Each JPM includes the following, as applicable:
: b.
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 include:
initial conditions initiating cues references and tools, including associated procedures reasonable and validated time limits (average time allowed for completion) and specific designation if deemed to be time-critical by the facility licensee operationally important specific performance criteria that include:
i"                            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 a Ii cable
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 a Ii cable 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.
: b.          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.
: 3. Simulator Criteria The associated simulator operating tests (scenario sets) have been reviewed in accordance with Form ES-301-4 and a cop is attached.
Simulator Criteria The associated simulator operating tests (scenario sets) have been reviewed in accordance with Form ES-301-4 and a cop is attached.
Date 4-,..1~-1 ~
: a.
: a. Author b.
Author
c.
: b.
Facility Reviewer(*)
Facility Reviewer(*)
: c.
NRC Chief Examiner (#)
NRC Chief Examiner (#)
                                                                                                                          ~/;~l*
: d.
: d. NRC Supervisor                                                                                                 Sf5&#xa3;t6_
NRC Supervisor NOTE:
NOTE:
* The facility signature is not applicable for NRG-developed tests.  
* The facility signature is not applicable for NRG-developed tests.
# Independent NRC reviewer initial items in Column "c"; chief examiner concurrence required.
            # Independent NRC reviewer initial items in Column "c"; chief examiner concurrence required.
ES-301, Page 24 of 27 Initials Date 4-,..1~-1 ~
(
~/;~l*
ES-301, Page 24 of 27
Sf5&#xa3;t6_


ES-301                                               Competencies Checklist                               Form ES-301-4 Facility: CCNPP               Date of Exam: 6/13/2016           Scenario Numbers: 1 I 2 I 3 I 4   Operating Test#: 2016 Initials QUALITATIVE ATTRIBUTES a        b*     c#
ES-301 Competencies Checklist Form ES-301-4 Facility: CCNPP Date of Exam: 6/13/2016 Scenario Numbers: 1 I 2 I 3 I 4 Operating Test#: 2016 Initials QUALITATIVE ATTRIBUTES b*
                                                                                                                          ~
c#
                                                                                                        ~ w. . .
a I.
I. 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 initial conditions are realistic, in that some equipment and/or instrumentation may be out  
: 2. The scenarios consist mostly of related events.                                                     H M'v ~
~ w
: 3. Each event description consists of
...... ~
* the point in the scenario when it is to be initiated
of service, but it does not cue the operators into expected events.
* the malfunction(s) or conditions that are entered to initiate the event
: 2.
* the symptoms/cues that will be visible to the crew                                               ~        tJl1u
The scenarios consist mostly of related events.
                                                                                                                        &-
H M'v ~
* the expected operator actions (by shift position)
: 3.
* the event termination point (if applicable)
Each event description consists of the point in the scenario when it is to be initiated  
: 4. The events are valid with regard to physics and thermodynamics.                                   i(
~
                                                                                                        ...,
the malfunction(s) or conditions that are entered to initiate the event tJl1u &-
WJ      m Sequencing and timing of events is reasonable, and allows the examination team to obtain 5.
the symptoms/cues that will be visible to the crew the expected operator actions (by shift position) the event termination point (if applicable)
complete evaluation results commensurate with the scenario objectives.                             ~        fVl'..t JJ_.
: 4.
: 6. If time compression techniques are used, the scenario summary clearly so indicates.
The events are valid with regard to physics and thermodynamics.
i( WJ m
: 5.
Sequencing and timing of events is reasonable, and allows the examination team to obtain  
~
JJ_.
complete evaluation results commensurate with the scenario objectives.
fVl'..t
: 6.
If time compression techniques are used, the scenario summary clearly so indicates.
Operators have su~cient time to carry out expected activities without undue time constraints.
Operators have su~cient time to carry out expected activities without undue time constraints.
Cues are given. tJ         fl:' R.. ~ ~ ~*(),S                                                     ~         ~v
Cues are given. tJ fl:' R.. ~ ~  
                                                                                                                          /JL
~*(),S  
: 7. The simulator modeling is not altered.                                                             ~ ~             IJl-
~ ~v /JL
                                                                                                        *-
: 7.
: 8. 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.
The simulator modeling is not altered.  
f(      tJtv ~
~ ~
: 9. Every operator will be evaluated using at least one new or significantly modified scenario.
IJl-
All other scenarios have been altered in accordance with Section D.5 ofES-301.                     (          tJl'J  M-
: 8.
                                                                                                                  &#xb5;ill ~
The scenarios have been validated. Pursuant to 10 CFR 55.46(d), any open simulator f( tJtv performance deficiencies or deviations from the referenced plant have been evaluated to  
IO. All individual operator competencies can be evaluated, as verified using Form ES-301-6 (submit the form along with the simulator scenarios)                                               \(
~
                                                                                                        ~ tJrtJ ~
ensure that functional fidelity is maintained while running the planned scenarios.
l I. The scenario set provides the opportunity for each applicant to be evaluated in each of the applicable rating factors. (Competency Rating factors as described on forms ES-303-1 and ES-303-3.)
: 9.
                                                                                                        ~                ~
Every operator will be evaluated using at least one new or significantly modified scenario.
: 12. Each applicant will be significantly involved in the minimum number of transients and events specified on form ES-301-5 (submit the form with the simulator scenarios).                                   Mi1;
(
: 13. The level of difficulty is appropriate to support licensing decisions for each crew position.       Kl       tJAJ   #
tJl'J M-All other scenarios have been altered in accordance with Section D.5 ofES-301.
Target Quantitative Attributes (Per Scenario; See Section D.5.d)                 Actual Attributes I. Malfunctions after EOP entry ( 1-2)                                             2121213
IO. All individual operator competencies can be evaluated, as verified using Form ES-301-6  
                                                                                                        ~         ~       ~
\\( &#xb5;ill ~
2.
(submit the form along with the simulator scenarios) l I. The scenario set provides the opportunity for each applicant to be evaluated in each of the  
3.
~
Abnormal events (2--4)
~
Major transients (1-2) 2121212 I I I I 1I I r        MA.- *~
applicable rating factors. (Competency Rating factors as described on forms ES-303-1 and tJrtJ ES-303-3.)
                                                                                                        ,-,,... M'V VJ!
: 12. Each applicant will be significantly involved in the minimum number of transients and events ~ Mi1; ~
: 4. EOPs entered/requiring substantive actions ( 1-2)                               1I 1I 1I 1           r
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.
                                                                                                                          &#xb5;
Kl tJAJ #
: 5. EOP contingencies requiring substantive actions (0-2)                           11010/0 I/     tvJlJ j))
Target Quantitative Attributes (Per Scenario; See Section D.5.d)
: 6. EOP based Critical tasks (2-3)                                                   2121312           (~       ~     1w NOTE:
Actual Attributes I.
* The facility signature is not applicable for NRC-developed tests
Malfunctions after EOP entry ( 1-2) 2121213  
            # Independent NRC reviewer initial items in Column "c": chief examiner occurrence required.
~ ~ ~
: 2.
Abnormal events (2--4) 2121212 r MA.-
*~
: 3.
Major transients (1-2)
I I I I 1 I I M'V VJ!
: 4.
EOPs entered/requiring substantive actions ( 1-2) 1 I 1 I 1 I 1 r  
~ &#xb5;
: 5.
EOP contingencies requiring substantive actions (0-2) 11010/0 I/
tvJlJ j))
: 6.
EOP based Critical tasks (2-3) 2121312
(~  
~ 1w NOTE:
* The facility signature is not applicable for NRC-developed tests  
# Independent NRC reviewer initial items in Column "c": chief examiner occurrence required.  


ES-301                             Competencies Checklist                           Form ES-301-5 IFacility: CCNPP                       Date of Exam: 6/13/2016                   Operating Test#: 2016 j A         E                                       Scenarios p         v p         E       I                 2               3             4 N                                                                       MINIMUM L                                                                              T T                                                                            (*)
ES-301 Competencies Checklist Form ES-301-5 I Facility: CCNPP Date of Exam: 6/13/2016 Operating Test#: 2016 j A
I            Crew Position  Crew Position     Crew Position Crew Position   0 c         T                                                                   T A         y                                                                   A N          p s A     B   s     A     B   s     A     B   s   A     B L
E Scenarios p
T          E R   T     0   R     T     0   R     T     0 R   T     0       R   I   u 0   c     p   0     c     p   0     c     p 0   c     p RX     5                 4               2             1,5               I   I   0 NOR                                                 I         I           I   I   I 2,3                             1,2 Scenario                1,4   2,3 1,4   1,3 2,4             1,3     2,4   3,5 I/C 4,5                             3,4   5,6 4
v p
2,5 6    6 4   4   2 6     5   5     5     5,6 Roll up              6                                5,6 MAJ 7   7     7   7     7     7   7     7   7   7   7     7         2   2   I 2,3 TS                  1,2             3,5           2,3                   0   2   2 4
E I
RX     5                                                             I   I   I   0
2 3
~RO NOR                                                                   0   I   I   I Scenario I-1,4                   2,4 ATC              l/C    6                       5,6 7  4    4  2 Scenario 2-     MAJ     7                       7                                     2   2   2   I BOP TS                                                                   0   0   2   2 RX                       4                                           I   I   I   0
4 L
~RO NOR                                                                   0   I   I   I Scenario I-2,3       1,3 BOP              l/C            5          5 6   4   4   2 Scenario 2-     MAJ             7         7                                           2   2   2   I ATC             TS                                                                   0   0   2   2 RX     5                                                             I   I   I   0
N T
~RO NOR                                                                   0   1   I   1 Scenario I-1.4                                   1,3 ATC              l/C    6                                       4 6   4    4   2 Scenario 3-     MAJ     7                                       7                     2   2   2   I BOP TS                                                                   0   0   2   2 RX                                         2                         1   I   I   0
MINIMUM I
~RO NOR                                                                   0   I   I   I Scenario I-2,3                                                        4    4  2 BOP             l/C                                       5,6                       5 5
T Crew Position 0
Scenario 3-     MAJ             7                           7                         2   2   2   I ATC TS                                                                   0   0   2   2
(*)
Crew Position Crew Position Crew Position c
T T
A y
s A
B s
A B
s A
B s
A B
A N
p R
T 0
R T
0 R
T 0
R T
0 L
R I u T
E 0
c p
0 c
p 0
c p
0 c
p RX 5
4 2
1,5 I
I 0
NOR I
I I
I I
Scenario 2,3 1,4 2,3 1,4 1,3 2,4 1,2 1,3 2,4 3,5 I/C 4,5 3,4 5,6 2,5 4
4 2
Roll up 6
6 5
5 5
5,6 5,6 4
6 6
MAJ 7
7 7
7 7
7 7
7 7
7 7
7 2
2 I
TS 2,3 1,2 3,5 2,3 0
2 2
4  
~RO RX 5
I I
I 0
Scenario I-NOR 0
I I
I ATC l/C 1,4 2,4 7
4 4
2 6
5,6 Scenario 2-MAJ 7
7 2
2 2
I BOP TS 0
0 2
2  
~RO RX 4
I I
I 0
Scenario I-NOR 0
I I
I BOP l/C 2,3 1,3 6
4 4
2 5
5 Scenario 2-MAJ 7
7 2
2 2
I ATC TS 0
0 2
2  
~RO RX 5
I I
I 0
Scenario I-NOR 0
1 I
1 ATC l/C 1.4 1,3 6
4 4
2 6
4 Scenario 3-MAJ 7
7 2
2 2
I BOP TS 0
0 2
2  
~RO RX 2
1 I
I 0
Scenario I-NOR 0
I I
I BOP l/C 2,3 5,6 5
5 4
4 2
Scenario 3-MAJ 7
7 2
2 2
I ATC TS 0
0 2
2  


ES-301                           Competencies Checklist                         Form ES-301-5 A       E                                     Scenarios p       v p       E       I               2               3             4 N                                                                     MINIMUM L                                                                        T T                                                                       (*)
ES-301 Competencies Checklist Form ES-301-5 A
I         Crew Position   Crew Position   Crew Position Crew Position 0 c       T                                                                 T A       y                                                                 A N      p s   A     B   s   A     B   s     A     B   s   A     B L
E Scenarios p
T      E R   T     0   R   T     0   R     T     0 R   T     0     R   I u 0   c     p   0   c     p   0     c     p 0   c     p RX       5               4               2             1,5           I   I 0 NOR                                                 I         I       I   I I 2,3                             1,2 Scenario    l/C 4,5 1,4   2,1,1,3   2,4 3,4   5,6 1,3 2,5 2.4   3,5 4  4 2 6     5   5   5     5,6           4       6     6 Roll up          6                                5,6 MAJ 7   7     7   7   7     7   7     7   7   7   7     7       2   2 I 2,3 TS  4 1,2             3,5           2,3                 0   2 2 RX       5                                                         1   I   I 0
v p
~RO Scenario 1-NOR                                                             I   1   l   I I 1,4                                                   3,5 ATC          l/C      6                                                     6    6  4   4 2 Scenario 4- MAJ       7                                                     7   2   2   2 I BOP TS                                                                 0   0   2 2 RX                                                       L5         2   I   I 0
E I
~RO Scenario 1-NOR                                                                 0   l   1 1 2,3                                     2.4 BOP          l/C            5                                        6         6  4   4 2 Scenario 4- MAJ             7                                       7         2   2   2 I ATC TS                                                                 0   0   2 2 RX                       4                                         I   I   1 0
2 3
~SRO-I     NOR                                                                 0   I   I I Scenario 1-     2,3 1,3 SRO         l/C 4,5 5                                        8   4   4 2 6
4 L
Scenario 2-MAJ 7                     7                                         2   2   2 I ATC             2,3 TS 4                                                               3   0   2 2 RX       5                                                         I   1   1 0
N T
~SRO-I NOR                                                                 0   I   I I Scenario 1-1,4         1,4 ATC          l/C                                                                6   4   4 2 6           5 Scenario 2- MAJ       7           7                                             2   2   2 I SRO TS                   1,2                                           2   0   2 2
MINIMUM I
T Crew Position Crew Position Crew Position Crew Position 0
(*)
c T
T A
y s
A B
s A
B s
A B
s A
B A
N p
R T
0 R
T 0
R T
0 R
T 0
L R
I u
T E
0 c
p 0
c p
0 c
p 0
c p
RX 5
4 2
1,5 I
I 0
NOR I
I I
I I
Scenario 2,3 1,4 2,3 1,4 1,3 2,4 1,2 1,3 2.4 3,5 l/C 4,5 3,4 5,6 2,5 4
4 2
Roll up 6
6 5
5 5
5,6 5,6 4
6 6
MAJ 7
7 7
7 7
7 7
7 7
7 7
7 2
2 I
TS 2,3 1,2 3,5 2,3 0
2 2
4
~RO RX 5
1 I
I 0
Scenario 1-NOR I
1 l
I I
ATC l/C 1,4 3,5 6
4 4
2 6
6 Scenario 4-MAJ 7
7 2
2 2
I BOP TS 0
0 2
2  
~RO RX L5 2
I I
0 Scenario 1-NOR 0
l 1
1 BOP l/C 2,3 2.4 6
4 4
2 5
6 Scenario 4-MAJ 7
7 2
2 2
I ATC TS 0
0 2
2 RX 4
I I
1 0  
~SRO-I NOR 0
I I
I Scenario 1-2,3 SRO l/C 4,5 1,3 8
4 4
2 6
5 Scenario 2-MAJ 7
7 2
2 2
I ATC 2,3 TS 4
3 0
2 2  
~SRO-I RX 5
I 1
1 0
Scenario 1-NOR 0
I I
I ATC l/C 1,4 1,4 6
4 4
2 6
5 Scenario 2-MAJ 7
7 2
2 2
I SRO TS 1,2 2
0 2
2  


ES-301                           Competencies Checklist                         Form ES-301-5 A       E                                     Scenarios p       v p       E       I               2               3             4 L     N                                                                 T   MINIMUM T                                                                       (*)
ES-301 Competencies Checklist Form ES-301-5 A
I          Crew Position   Crew Position   Crew Position Crew Position 0 c       T                                                                 T A       y                                                                 A N        p s   A     B   s   A     B   s     A     B   s   A     B L
E Scenarios p
T R   T     0   R   T     0   R     T     0 R   T     0     R   I   u E
v p
0   c     p   0   c     p   0     c     p 0   c     p RX       5               4               2             1,5           I   1   0 NOR                                                 I         I       I   I   1 2,3                             1,2 Scenario    l/C 4,5 1,4   2,1,1,3   2,4 3,4   5,6 1,3 2,5 2,4  3,5 4   4   2 6     5   5   5     5,6           4       6     6 Roll up          6                                5,6 MAJ 7   7     7   7   7     7   7     7   7   7   7     7       2   2   I 2,3 TS  4 1,2             3,5           2,3                 0   2   2 RX                                         2                       1   1   r.. 0
E I
~SRO-I     NOR                                                                 0   I   I   I Scenario 1-     2,3                                                                       '
2 3
SRO         l/C 4,5                                   5,6                     7   4   4   2 6
4 L
Scenario 3- MAJ 7                                     7                       2   2   2   I ATC             2,3 TS 4                                                               3   0   2   2 RX       5                                                         1   1   r   0
N T
~SRO-I NOR                                                                 0   1   1   1 Scenario 1-                                       1,2 1,4 ATC         l/C     6 3,4                           9   4   4   2 5,6 Scenario 3-MAJ       7                           7                             2   2   2   I SRO TS                                   3,5                           2   0   2   2 RX                                                       1,5       2   I   1   0
MINIMUM I
~SRO-I     NOR                                                                 0   I   l   I Scenario 1-     2,3 2A SRO         l/C 4,5 6          8   4   4   2 6
T Crew Position Crew Position Crew Position Crew Position 0
Scenario 4- MAJ                                                                               I 7                                                   7         2   2   2 ATC             2,3 TS 4                                                               3   0   2   2 RX       5                                                         1   I   I   0
(*)
~SRO-I NOR                                                 I               I   I   1   I Scenario 1-l/C     1,4 ATC                  6 2.5             5   4   4   2 Scenario 4- MAJ       7                                         7               2   2   2   I SRO TS                                                 2.3             2   0   2   2
c T
T A
y s
A B
s A
B s
A B
s A
B A
N p
R T
0 R
T 0
R T
0 R
T 0
L R
I u
T E
0 c
p 0
c p
0 c
p 0
c p
RX 5
4 2
1,5 I
1 0
NOR I
I I
I 1
Scenario 2,3 1,4 2,3 1,4 1,3 2,4 1,2 1,3 2,4 3,5 l/C 4,5 3,4 5,6 2,5 4
4 2
Roll up 6
6 5
5 5
5,6 5,6 4
6 6
MAJ 7
7 7
7 7
7 7
7 7
7 7
7 2
2 I
TS 2,3 1,2 3,5 2,3 0
2 2
4 RX 2
1 1 r.. 0  
~SRO-I NOR 0
I I
I Scenario 1-2,3 SRO l/C 4,5 5,6 7
4 4
2 6
Scenario 3-MAJ 7
7 2
2 2
I ATC 2,3 TS 4
3 0
2 2
RX 5
1 1 r 0  
~SRO-I NOR 0
1 1
1 Scenario 1-1,2 ATC l/C 1,4 3,4 9
4 4
2 6
5,6 Scenario 3-MAJ 7
7 2
2 2
I SRO TS 3,5 2
0 2
2 RX 1,5 2
I 1
0  
~SRO-I NOR 0
I l
I Scenario 1-2,3 SRO l/C 4,5 2A 8
4 4
2 6
6 Scenario 4-MAJ 7
7 2
2 2
I ATC 2,3 TS 4
3 0
2 2  
~SRO-I RX 5
1 I
I 0
Scenario 1-NOR I
I I
1 I
ATC l/C 1,4 2.5 5
4 4
2 6
Scenario 4-MAJ 7
7 2
2 2
I SRO TS 2.3 2
0 2
2  


ES-301                           Competencies Checklist                         Form ES-301-5 A       E                                     Scenarios p       v p     E         1               2               3             4 N                                                                     MINIMUM L
ES-301 Competencies Checklist Form ES-301-5 A
E Scenarios p
v p
E 1
2 3
4 L
N T
MINIMUM I
T Crew Position 0
(*)
Crew Position Crew Position Crew Position c
T T
T T
I          Crew Position    Crew Position  Crew Position  Crew Position  0      (*)
A y
c      T                                                                T A       y                                                                 A N        p s   A     B     s   A     B   s     A     B   s   A     B L
s A
T      E R   T     0   R   T     0   R     T     0 R   T     0     R   I   u 0   c       p   0   c     p   0     c     p 0   c     p RX       5               4               2             1,5           1   1   0 NOR                                                 1         I       I   I   I 2,3                             1,2 Scenario    IIC 4,5 1,4   2,1,1,3   2,4 3,4   5,6 1,3 2,5 2,4  3,5 4   4   2 6     5   5   5     5,6           4       6     6 Roll up          6                                5,6 MAJ 7   7     7   7   7     7   7     7   7   7   7     7       2   2   1 2,3 TS  4 1,2             3,5           2,3                 0   2   2 RX                                                                   0 1   I   0
B s
~ SRO-U     NOR                                                                     I   I   {
A B
0 Scenario 1-     2,3 1,4 SRO         l/C 4,5 5                                              8   4   4   1 6
s A
Scenario 2- MAJ 7               7                                             2   2   2 ')1 SRO             2,3 TS 4 1,2                                             5 0   2 >2 RX                                                                   0 I   I   0
B s
~ SRO-U     NOR                                                                     I   1   I 0
A B
Scenario 1-     2,3                             1,2 SRO         l/C 4,5                             3,4                           11 4   4   2 6                               5,6 Scenario 3- MAJ 7                               7                             2   2   2   l SRO             2,3 TS 4 3,5                           5   0   2   2 RX                                                                 0   I   1   0
A N
~ SRO-U     NOR                                                 I                   I   I   I 1
p R
Scenario 1-     2,3 SRO         l/C 4,5                                             2.5             7   4   4   2 6
T 0
Scenario 4- MAJ 7                                               7               2   2   2   l SRO             2,3 TS 4 2.3             5   0   2   2
R T
0 R
T 0
R T
0 L
R I
u T
E 0
c p
0 c
p 0
c p
0 c
p RX 5
4 2
1,5 1
1 0
NOR 1
I I
I I
Scenario 2,3 1,4 2,3 1,4 1,3 2,4 1,2 1,3 2,4 3,5 IIC 4,5 3,4 5,6 2,5 4
4 2
Roll up 6
6 5
5 5
5,6 5,6 4
6 6
MAJ 7
7 7
7 7
7 7
7 7
7 7
7 2
2 1
TS 2,3 1,2 3,5 2,3 0
2 2
4 RX 0
1 I
0  
~ SRO-U NOR 0
I I
{
Scenario 1-2,3 SRO l/C 4,5 1,4 8
4 4
1 6
5 Scenario 2-MAJ 7
7 2
2 2 ')1 SRO 2,3 TS 4
1,2 5
0 2 >2 RX 0
I I
0  
~ SRO-U NOR 0
I 1
I Scenario 1-2,3 1,2 SRO l/C 4,5 3,4 11 4
4 2
6 5,6 Scenario 3-MAJ 7
7 2
2 2
l SRO 2,3 TS 4
3,5 5
0 2
2 RX 0
I 1
0  
~ SRO-U NOR I
1 I
I I
Scenario 1-2,3 SRO l/C 4,5 2.5 7
4 4
2 6
Scenario 4-MAJ 7
7 2
2 2
l SRO 2,3 TS 4
2.3 5
0 2
2  


ES-301                                         Competencies Checklist                               Form ES-301-5 Instructions:
ES-301 Competencies Checklist Form ES-301-5 Instructions:
I. 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 (A TC)" and "balance-of-plant (BOP)" positions; Instant SROs (SRO-I) must serve in both the SRO and the A TC positions, including at least two instrument or component (l/C) malfunctions and one major transient, in the ATC position. If an SRO-I additionally serves in the BOP position, one l/C malfunction can be credited toward the two l/C malfunctions required for the ATC position.
I.
: 2. 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 I-for- I basis.
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 (A TC)" and "balance-of-plant (BOP)" positions; Instant SROs (SRO-I) must serve in both the SRO and the A TC positions, including at least two instrument or component (l/C) malfunctions and one major transient, in the ATC position. If an SRO-I additionally serves in the BOP position, one l/C malfunction can be credited toward the two l/C malfunctions required for the ATC position.
: 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.
: 2.
: 4. For licensees that use the ATC operator primarily for monitoring plant parameters, the chief examiner may place SRO-I applicants in either the ATC or BOP position to best evaluate the SRO-I in manipulating plant controls.
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 I-for-I 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.
: 4.
For licensees that use the ATC operator primarily for monitoring plant parameters, the chief examiner may place SRO-I applicants in either the A TC or BOP position to best evaluate the SRO-I in manipulating plant controls.  


ES-301                                     Competencies Checklist                           Form ES-301-6 Facility: CCNPP                     Date of Exam: 6/13/2016                         Operating Test#: 20161 APPLICANTS
ES-301 Competencies Checklist Form ES-301-6 Facility: CCNPP Date of Exam: 6/13/2016 Operating Test#: 20161 APPLICANTS  
                        ~RO                   ORO                   ORO               ORO 0CRO                 ~CRO                 0CRO               0CRO 0   SRO-I           0   SRO-I           ~SRO-I             0   SRO-I 0   SRO-U           0   SRO-U           0   SRO-U         ~ SRO-U SCENARIO             SCENARIO             SCENARIO           SCENARIO Competencies       I     2   3   4     I     2   3     4   I     2   3   4     1     2   3   4 1,3,         3,   I,   2,     2,       L Interpret/Diagnose            1,3, 4,6       4,5, 3,4 3,5, 1-9   1-8 1-9 1-8   1-9   1-8 1-9 1-8 4,5,        5,6,      3,5, Events and Conditions         5,8                      7,8 7,8         7,9 7,8   7,9   6,7       6,7 I,
~RO ORO ORO ORO 0CRO  
I,     I,   2,       2,     2,  I, 1,2, Comply With and Use                     2,4, 3,4   3,5, 1-9   1-8 1-9 1-8   1-9   1-8 1-9 1-8 4,5,  3,4,  5,6,      3,5,  4,5, Procedures (I)         7,8   5,8 7,9 5,6, 7,9   6,7 7,8   6.7 7,8 I,
~CRO 0CRO 0CRO 0 SRO-I 0 SRO-I  
I,     I,   2,       2,    2,   I, L2.
~SRO-I 0 SRO-I 0 SRO-U 0 SRO-U 0 SRO-U  
Operate Control Boards                   2,4, 3,5,  4,5, 3,4   3.5, -    -  -  -    -    -    -    -
~ SRO-U SCENARIO SCENARIO SCENARIO SCENARIO Competencies I
4,5, 3,45,6, (2)                     7,8   5,8 7,9 5,6, 7,9   6,7 7,8   6,7 7,8 I,
2 3
I,     I,   2,       2,    2,   I, J,2, Communicate and                         2,4, 4,5, 3,4   3,5, 1-9   1-8 1-9 1-8   1-9   1-8 1-9 1-8 4,5,  3,4,  5,6,      3,5, Interact               7,8   5,8 7,9 5,6, 7,9   6,7 7,8   6,7 7,8 Demonstrate Supervisory Ability (3)
4 I
                          -    -    -    -    -    -    -    -  1-9   1-8 1-9 1-8   1-9   1-8 1-9 1-8 Comply With and Use Tech Specs (3)
2 3
                          -    -    -    -    -      -  -    -  2.3   1.2 3.5 1,3   2,3   1,2 3,5   1,3 Notes:
4 I
2 3
4 1
2 3
4 Interpret/Diagnose 1,3, 1,3, 3,
I, 2,
2, 3,4 L
4,5, 5,6, 4,6 3,5, 4,5, 3,5, 1-9 1-8 1-9 1-8 1-9 1-8 1-9 1-8 Events and Conditions 7,8 5,8 7,9 7,8 7,9 6,7 7,8 6,7 I,
I, 2,
I, 2,
2, I,
1,2, Comply With and Use 4,5, 3,4, 5,6, 2,4, 3,5, 4,5, 3,4 3,5, 1-9 1-8 1-9 1-8 1-9 1-8 1-9 1-8 Procedures (I) 7,8 5,8 7,9 5,6, 7,9 6,7 7,8 6.7 7,8 I,
I, 2,
I, 2,
2, I,
L2.
Operate Control Boards 4,5, 3,4, 5,6, 2,4, 3,5, 4,5, 3,4 3.5, (2) 7,8 5,8 7,9 5,6, 7,9 6,7 7,8 6,7 7,8 I,
I, 2,
I, 2,
2, I,
J,2, Communicate and 4,5, 3,4, 5,6, 2,4, 3,5, 4,5, 3,4 3,5, 1-9 1-8 1-9 1-8 1-9 1-8 1-9 1-8 Interact 7,8 5,8 7,9 5,6, 7,9 6,7 7,8 6,7 7,8 Demonstrate 1-9 1-8 1-9 1-8 1-9 1-8 1-9 1-8 Supervisory Ability (3)
Comply With and Use 2.3 1.2 3.5 1,3 2,3 1,2 3,5 1,3 Tech Specs (3)
Notes:
(I) Includes Technical Specification compliance for an RO.
(I) Includes Technical Specification compliance for an RO.
(2) Optional for an SRO-U.
(2) Optional for an SRO-U.
(3) Only applicable to SROs.
(3) Only applicable to SROs.
Instructions:
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. (This includes all rating factors for each competency.) Competency Ratingfactors are described on forms ES-303-1 and ES303-3.)
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. (This includes all rating factors for each competency.) Competency Ratingfactors are described on forms ES-303-1 and ES303-3.)  


ES-401                               Written Examination Quality Checklist Form                         Form ES-401-6 Facility: CCNPP                     Date of Exam: June 13, 2016                       Exam Level: RO ~       SRO~
ES-401 Written Examination Quality Checklist Form Form ES-401-6 Facility: CCNPP Date of Exam: June 13, 2016 Exam Level: RO ~ SRO~
Initial Item Description a       b*     c#
Initial Item Description a
: 1. Questions and answers are technically accurate and applicable to the facility.                     f( Mt'tr ~
b*
c#
: 1. Questions and answers are technically accurate and applicable to the facility.
f( Mt'tr ~
: 2. a. NRC K/As are referenced for all questions.
: 2. a. NRC K/As are referenced for all questions.
: b. Facility learning objectives are referenced as available.                                     l{ fJf.., vE-
l{
: 3. SRO questions are appropriate in accordance with Section D.2.d of ES-401
vE-
                                                                                                      ~ fV{v ~
: b. Facility learning objectives are referenced as available.
: 4. The sampling process was random and systematic (If more than 4 RO or 2 SRO questions were repeated from the last 2 NRC licensing exams, consult the NRR OL program office).           G( tJ/'v rJJ>
fJf..,
: 3. SRO questions are appropriate in accordance with Section D.2.d of ES-401  
~ fV{v ~
: 4. The sampling process was random and systematic (If more than 4 RO or 2 SRO questions G( tJ/'v rJJ>
were repeated from the last 2 NRC licensing exams, consult the NRR OL program office).
: 5. Question duplication from the license screening/audit exam was controlled as indicated below (check the item that applies) and appears appropriate:
: 5. Question duplication from the license screening/audit exam was controlled as indicated below (check the item that applies) and appears appropriate:
D the audit exam was systematically and randomly developed; or D the audit exam was completed before the license exam was started; or                           0( W1..- VL
D the audit exam was systematically and randomly developed; or 0( W1..-
    ~ examinations were developed independently; or the licensee certifies that there is no duplication; or D   other (explain)
D the audit exam was completed before the license exam was started; or VL  
: 6. Bank use meets limits (no more than 75 percent                   Bank       Modified       New from the bank, at least 10 percent new, and the rest new or modified); enter the actual RO I SRO-only 14/6       5/1         56/18
~
                                                                                                      ~      fW1v 0i question distribution(s) at right.
examinations were developed independently; or the licensee certifies that there is no duplication; or D other (explain)
: 7. 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 selected K/As support the higher cognitive levels; enter             32/7             43/18
: 6. Bank use meets limits (no more than 75 percent Bank Modified New  
                                                                                                      \f fv'fv ~
~
the actual RO I SRO question distribution(s) at right.
from the bank, at least 10 percent new, and the rest fW1v 0i new or modified); enter the actual RO I SRO-only 14/6 5/1 56/18 question distribution(s) at right.
                                                                                                      ~ fllfv J1
: 7. 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  
: 8. References/handouts provided do not give away answers or aid in the elimination of distractors.
\\f fv'f v ~
: 9. Question content conforms with specific KIA statements in the previously approved r[ ~
selected K/As support the higher cognitive levels; enter 32/7 43/18 the actual RO I SRO question distribution(s) at right.
examination outline and is appropriate for the tier to which they are assigned; deviations are justified.                                                                                       ~
: 8. References/handouts provided do not give away answers  
: 10. Question psychometric quality and format meet the guidelines in ES Appendix B.
~
                                                                                                      ~       fVPv   tl
fllfv J1 or aid in the elimination of distractors.
                                                                                                      '      Wv .JJ_.-
: 9. Question content conforms with specific KIA statements in the previously approved r[
: 11. 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.
examination outline and is appropriate for the tier to which they are assigned;  
Print~~~gnature                                     Date
~
: a. Author                               0-fJ~ 11~--r ~                                                 4-~I) *I~
~
: b. Facility Reviewer(*)                 M. t'Lll\ri       ~~v                                         4115\1~
deviations are justified.
C. NRC Chief Examiner (#)               f1tv1-J s.*1 k /~M<-; ~ 0.)                   /"'\           tlf7d_f L
: 10. Question psychometric quality and format meet the guidelines in ES Appendix B.  
: d. NRC Regional Supervisor             cx.l\u.tci t:.JW\~ I(\,~~ *1 ~f' {(/                 _./
~ fVPv tl
: 11. The exam contains the required number of one-point, multiple choice items; Wv.JJ_.-
the total is correct and agrees with the value on the cover sheet.
Print~~~gnature Date
: a. Author 0-fJ~ 11~--r ~ 4-~I) *I~
: b. Facility Reviewer(*)
M. t'Lll\\ri  
~~v 4115\\1~
C.
NRC Chief Examiner (#)
f1tv1-J s.*1 k  
/~M<-;  
~ 0.)  
/"'\\
tlf7d_f L
: d. NRC Regional Supervisor cx.l\\u.tci t:.JW\\~ I(\\,~~ *1 ~f' {(/ _./
6-Lz.-Ltb
6-Lz.-Ltb
(" /
(" /
Note:     *The facility reviewer's initials/signature are not applicable for NRG-developed examinations.
Note:  
            # Independent NRC reviewer initial items in Column "c"; chief examiner concurrence required.
*The facility reviewer's initials/signature are not applicable for NRG-developed examinations.  
# Independent NRC reviewer initial items in Column "c"; chief examiner concurrence required.  


ES-403                               Written Examination Grading                         Form ES-403-1 Quality Checklist Facility: Calvert Cliffs         Date of Exam: 6/24/16             Exam Level:       RO ~     SRO ~
ES-403 Written Examination Grading Quality Checklist Form ES-403-1 Facility: Calvert Cliffs Date of Exam: 6/24/16 Exam Level:
Initials Item Description a       b           c
RO ~ SRO ~
: 1. Clean answer sheets copied before grading                                     D:fL   J'R'B 6~-
Initials Item Description a
: 2. Answer key changes and question deletions justified and documented                                                                 D:fL   ]'R'B
b c
                                                                                                  ~j_
: 1. Clean answer sheets copied before grading D:fL J'R'B 6~-
: 3. Applicants' scores checked for addition errors (reviewers D:fL   ]'R'B spot check> 25% of examinations)
: 2. Answer key changes and question deletions justified and  
                                                                                                    ~1-
~j_
: 4. Grading for all borderline cases (80 +/-2% overall and 70 or 80, as applicable, +/-4% on the SRO-only) reviewed in detail                 D:fL   J'R'B     l}J_
documented D:fL  
: 5. All other failing examinations checked to ensure that grades are justified                                                       D:fL   ]'R'B     13Y~
]'R'B
: 6. Performance on missed questions checked for training deficiencies and wording problems; evaluate validity of questions missed by half or more of the applicants D:fL    ]'R'B    1Jtj-Printed Na~e/Sign~ture             ~         Date
: 3. Applicants' scores checked for addition errors (reviewers spot check> 25% of examinations)
: a. Grader:                           Domenic F. Lavato     ~~                             6/30/16
D:fL  
: b. Facility Reviewer (1 ):           James R Barton         a 12 'll...A                   6/30/16
]'R'B  
: c. Facility Management (2):           AlfonzaJ. Kel~                                     6/30/16
~1-
: d. NRC Chief Examiner (1):             j)q J, J S. I k   /   fl'A~- ) lJL,                 7l_>/_tc 7ff!JI<r/T'
: 4. Grading for all borderline cases (80 +/-2% overall and 70 or 80, as applicable, +/-4% on the SRO-only) reviewed in detail D:fL J'R'B l}J_
                                                                                /1 i JI! 9q~                            7/t /lliP
: 5. All other failing examinations checked to ensure that 13Y~
: e. NRC Supervisor (1 ):               J},klA-LO   ~~o"-1/                 ...(             7/t, /!(.
grades are justified D:fL  
                                                                      \..../'
]'R'B
: 6. Performance on missed questions checked for training deficiencies and wording problems; evaluate validity D:fL
]'R'B 1Jtj-of questions missed by half or more of the applicants Printed Na~e/Sign~ture  
~ Date
: a. Grader:
Domenic F. Lavato ~  
~
6/30/16
: b. Facility Reviewer (1 ):
James R Barton a 12 'll...A 6/30/16
: c. Facility Management (2):
AlfonzaJ. Kel~
6/30/16
: d. NRC Chief Examiner (1):
j)q J, J S. I k  
/
fl'A~- ) lJL, /1 7l_>/_tc i JI! 9q~ 7ff!J I< r/T' 7/t /lliP
: e. NRC Supervisor (1 ):
J},klA-LO ~~o"-1/  
... (
7/t, /!(.  
\\..../'
( 1) The facility reviewer's signature is not applicable for examinations graded by the NRC; two independent NRC reviews are required.
( 1) The facility reviewer's signature is not applicable for examinations graded by the NRC; two independent NRC reviews are required.
(2) Per ES-501: "If the facility licensee graded the written examinations, a supervisor or manager shall confirm the quality of the grading and sign the bottom of Form ES-403-1 before sending the examinations to the NRC's regional office".}}
(2) Per ES-501: "If the facility licensee graded the written examinations, a supervisor or manager shall confirm the quality of the grading and sign the bottom of Form ES-403-1 before sending the examinations to the NRC's regional office".}}

Latest revision as of 20:57, 9 January 2025

Final Qa/Related Forms (Folder 1)
ML16229A510
Person / Time
Site: Calvert Cliffs  Constellation icon.png
Issue date: 07/06/2016
From:
Exelon Generation Co
To: David Silk
Operations Branch I
Shared Package
ML15308A607 List:
References
U01923
Download: ML16229A510 (19)


Text

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

{;,Ive.,.:+- CL:ffi Date of Examination: (:;,/J..3} / L.

Developed by: Written:

Facility ~NRC D II Operating Facility la"' NRC o Target Task Description (Reference)

Chief Examiner's Date*

Initials

-180

1.

Examination administration date confirmed (C.1.a; C.2.a and b) b4--

-150

2.

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

VJ&--

-150

3.

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

VJ;J-

-150

4.

Corporate notification letter sent (C.2.d)

~

[-120]

5.

Reference material due (C.1.e; C.3.c; Attachment 3)

~

{-90}

6.

Integrated examination outline(s) due, induding Forms ES-201-2, ES-201-3, ES-301-1, J;:;-

ES-301-2, ES-301-5, ES-D-1, ES-401-1/2, ES-401N-1/2, ES-401-3, ES-401N-3, ES-401-4, and ES-401 N-4, as applicable (C.1.e and f; C.3.d)

/

~

{-85}

7.

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

{-60}

8.

Proposed examinations (including written, walk-through JPMs, and scenarios, as 'Ml applicable), supporting documentation (including Forms ES-301-3, ES-301-4, ES-301-5, ES-301-6, and ES-401-6, ES-401 N-6, and any Form ES-201-2, ES-201-3, ES-301-1, or ES-301-2 updates), and reference materials due (C.1.e, f, g and h; C.3.d)

-45

9.

Written exam and operating test reviews completed. (C.3.f)

~

-30

10.

Preliminary license applications (NRC Form 398's) due (C.1.1; C.2.g; ES-202) 4L-

-21

11.

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

-21

12.

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

-14

13.

Final license applications due and Form ES-201-4 prepared (C.1.1; C.2.i; ES-202)

. r[8-

-14

14.

Written examinations and operating tests approved by NRC supervisor (C.2.i; C.3.h) 01--

-7

15.

Facility licensee management queried regarding the licensee's views on the examination. (C.2 j)

-7

16.

Final applications reviewed; 1 or 2 (if >10) applications audited to confirm

~

qualifications I eligibility; and examination approval and waiver letters sent (C.2.i; ; ES-202, C.2.e; ES-204)

-7

17.

Proctoring/written exam administration guidelines reviewed with facility licensee

~

(C.3.k)

-7

18.

Approved scenarios, job performance measures, and questions distributed to NRC ~

examiners (C.3.i)

  • Target dates are generally based on facility-prepared examinations and are keyed to the examination date identified in the corporate notification letter. They are for planning purposes and may be adjusted on a case-by-case basis in coordination with the facility licensee.

[Applies only] {Does not apply} to examinations prepared by the NRC.

ES-201, Page 25 of 28

ES-201 Examination Outline Quality Checklist Form ES-201-2 Facility: Calvert Cliffs Nuclear Power Plant I

Date of Examination: June 131h, 2016 Initials Item Task Description a

b*

c#

I.

a.

Verify that the outline(s) fit(s) the appropriate model. in accordance \\1ith ES-401 or ES-401N.

~ MvV

~

w R

b.

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

~ Mr1' tt-I Section D. l of ES-401 or ES-401 N and whether all K/ A categories are appropriately sampled.

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

tfr Mtu Ui

c.

T E

d.

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

or MIU rxU-N

2.
a.

Using Form ES-301-5, verify that the proposed scenario sets cover the required number 40 MfJ lj)j_

of normal evolutions, instrument and component failures. technical specifications.

s and major transients.

l

b.

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 rr MtJ l!L u

without compromising exam integrity. and ensure that each applicant can he tested using L

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 he repeated on subsequent days.

T

c.

To the extent possible, assess whether the outline(s) conform(s) with the qualitative

'Mt'V vi 0

and quantitative criteria specified on Form ES-301-4 and described in Appendix D.

fO R

a.

Verify that the systems walk-through outline meets the criteria specified on Form ES-301-2:

(I) the outline(s) contain(s) the required number of control room and in-plant tasks

3.

distributed among the safety functions as specified on the flmn Ml'V (2) task repetition from the last two NRC examinations is within the limits specified on the fonn if

~

w (3) no tasks are duplicated from the applicants* audit test(s)

A (4) the number of new or modified tasks meets or exceeds the minimums specified on the fonn I.

(5) the number of alternate path. low-power. emergency. and RCA tasks meet the criteria on the form.

K T

h.

Verify that the administrative outline meets the criteria specified on Form LS-301-1:

H (I) the tasks are distributed among the topics as specified on the form tr Mrv fjJ-R (2) at least one task is new or significantly modified u

(3) no more than one task is repeated from the last two NRC licensing examinations C.

Determine if there arc enough different outlines to test the projected number and mix K(

M(v wi of applicants and ensure that no items are duplicated on subsequent davs.

a.

Assess whether plant-specific priorities (including PRA and IPL insights) are covered d(

i\\411.;

~-

4.

in the appropriate exam sections.

G

h.

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

K(

l\\itV ~

E Ensure that KIA importance ratings (except for plant-spccillc priorities) arc at least 2.5.

0(

M11.J

~

c.

N E

d.

Check for duplication and overlap among exam sections.

II M*V

~

R r<

l'v\\(v JA-.

A

e.

Check the entire exam for balance or coverage.

I.

~

f..41v ~

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

r'\\...l'ri1~~11e/Signature Date

a. Author
lf'-J~6f\\

()VJ(~

~f ti/J&?

h. Facility Reviewer(*)

N\\f6~ R\\STIV ~\\

__ !?~

  • 3)1~~\\{o
c. NRC Chief Examiner(#) Jkv\\J S://(
-1

~....... 'A I. ~

3 t rr.L rt.

d. NRC Supervisor n,1\\4'1,w J.... _v~C): /M ~ [}j ~,)

3/z:s[lb f /

Note:

  1. Independent NRC reviewer initial items in Column.. c.. : ch ref e."1miner concurrence required.
  • Not applicable Jllr NRC-preparcd examination outlines

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

1.

Pre-Examination l(,

~

I acknowledge that I have acquired specialized knowledge about the NRG licensing exam ;nations scheduled for the week(s) of tf{ ~ \\ lfif {Q{':b/I {(s~f 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 NRG 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 NRG (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 NRG chief examiner any indications or suggestions that examination security may have been compromised.

2.

Post-Examination ill To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during N the week(s) of ""3-f t;llo}U..

. From the date that l entered into this security agreement until the completion of examination administration, I did not S'. instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted

~ below and authorized by the NRG.

Q)

<O CD N

"" a N

00 PRINTED NAME 9.,,tq,,.,r'~ 7: 6i 6 f,<

~ ~1;ec:e;{h£:;~Y~

12.

it-I" I Lq.J

13. TAoi Cov&4~'Y
14. ~.,,e.\\ ~vl 1s~w.ii:f'(

NOTES:

~ S~r"~J JOB TITLE I RESPONSIBILITY

~~

~IJ\\1.tt IV\\

ExAM A1.J11.j(Jl!,

~*

INffti1't.:

~{i4rrf8 @IJJlfJNotl 0

f:y.,,;:.

ri..., j' ti 0 A.

EACt-u N ILfr 7.;i, 'f ;"-'!;:;; /.&.V/,,;,;£'<!!!. d

.:s;"J,ft'jJ_;taf<"~.0/?" - _f.,-c.

-s;m.l~s;t t ""'""A...

.'>Uf""""-*c> l/A&.rl#ill"l'.L v ti l IL~... i.:-

\\le.( 1.,\\.... kc-

\\Jii lfd4.-h>r o..-,

)..1 f,_,".,,It DATE SIGNATURE (2)

DATE NOTE

~~~~;-:---'ii

  • f 1'1t fl,. f

~ ~--

~-.#,11,~~:::-:--'1-1-s-1~

-¥-

I '"2!Aft,

2::

v;:;/fJ; -

~.ll, if. 2 ?{/;;rs.

~

ji;,1~* 2'*;4?-S ~

4-

~!i ~

~-

1jf!JJ;. ~~

~-

c
3i'-!:§ ~z:zi!-::=

~ll::P

~::~

0

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

1.

Pre-Examination L<,

~

I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of ft(~' lfif {Q{i:b/I ~~f the date of my signature. I agree that I wlll not knowingly divul9e 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 untll 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 faclilty licensee. I will Immediately report to facility management or the NRC chief examiner any indications or sL1ggestions that examination security may have been compromised.

2.

Post*Examlnat!on

~ 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 ~

-t (jf?'qJU.,

. 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.

Q)

(Q

(!)

~

a N

o:>

PRINTED NAME..

NOTES:

JOB TITLE I RESPONSIBILITY

,/~-~""'

.s;,.1 /t'u.;tf,i,l,IJL"._ =+/-r-t.

~~1\\!J,.S>a~ 1t...........

<'ei~1r:1 VA&.-fM1'tl!L

~L/tld.]:...-

\\le,.( *"1.....1-or Vithaafd' DATE SIGNATURE (2)

DATE NOTE

~*--f - 'i~~~

IZ. I

/*$*1"1.

ztt==

'~-----....,..,~~~ ft

-~A"."'~ '~~ I

<Plz.ilir.==

(f)

ES*201 E~mlnatlon_Sf!CUrlty Agreement

_f'orm E;S-201*3

1.

Pm-Extmlnat!on l (,

~

I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) ottil~\\ 'Jif {Q(':b/l~f 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 specifJCally noted below and authorized by the NRC (e.g., acting 11 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 thls agreement may result In cancellation of the examinations and/or an enforcement action against me or the facility licensee. I will lmmedlately report to facility management or the NRC chief examiner any Indications or suggestions that examination security may have been compromised.

2.

Po1t-Examlnat!on

~ To the beat of myknowledge, I did not divulge to any unauthorized persons any Information concerning the NRC licensing examinations administered during

~ the week(s) of ~-f Gftq/U,,

. From the date that I entered Into this security agreement untll 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 speclfically noted below and authorized by the NRC.

l PRINTED NAM~

JOB TITLE I RESPONSIBILITY

~~ DATE

".'161if<<<<1' - II. ~q; t:l a.

~

NOTES:

'i;t""'

d~,i"d~A

__ r~uN ct_~

--,--~-,7--

l A'!*.,fA'< a I cf;,: a,,.,,,_,,./.g..9';

§i;f

!JIC.;tPfr - T-r-c.

r s9c)..,.,..._

<-urwj5~""1'¥=

\\LA.l

~L*~~~

~

IJ.. I l*!f-&

1'£W(,

~;lit ~R~(~ Bf!==

"I~*

?---

~-

.!J ~ "

.,--Qik1-----n-tt,-+./Ps2-~- i11li==

'~t3---

Nii/if.==

(f)

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

1.

Pre-Examination tv

~

I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) ot4'f t?\\ f!i't {Rf';/I 'E:.~t 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 speclflcally 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 flcensee's procedures) and understand that violation of the conditions Qf 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 ~nowledge, I did not divulge to any unauthorized persons any Information concerning the NRC licensing examinations administered during l\\.J the week(s) of

..f rJlo/I '-

. 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 speclflcally noted

~ below and authorized by the NRC.

Q)

~

PRINTED NAME

~.i:-:!

~:

fA;

7. ;rii1 40'......

8 t*>"

~L~u V\\

t,,,J>:-"-1

\\\\,._ '

9.._.-91w,::S"' 7: M y4,.:<

101=&f{t~

1~~t

11.

j\\'\\ =.\\.11...

12.
t.ft.
13. TAoi Covl!llV
14. ~

... e_\\ s:..... \\

15:j

w. 14"(

NOTES:

JOB TITLE I RESPONSIBILITY

~.~

Jf:'d w1 Iv\\~--*--

EXAM /JJ.ii1Jjjl[

ei"~~T\\tO(t..

sh' --c-c!~~

@jjiiil~

)1. 1.-

dv idOA I,l'\\t1 LIN KLf-'

Mh'tt"*,,-1+/.:t(...z.. ;,.va...:::..

_s;.,'7 H..iff~..O/?" - ;..,....<.

s~m~\\t.J,..r-.$o~l...... 4..

<uw.5.ti.!Mf%

V11.1,........-

Ve.< *~-kc-

\\JaT'u:ftt4aY DATE SIGNATURE (2)

DATE NOTE

~1~v-111~

1'- I 1~s-11p

t
§ jt.'

?/1,l~

3:21<'/t.

~lts?: ~==

,,~ ~

~71.iii~-

~

<'I*'

~'-

~i ;.-~ti,~ J7;-~?=:.

./_
;,__2;.;_¥~#~*

~;f-__ _

~~~~.

.. ;Q;~:J!~

£:-~~

CJ)

ES-201 Examination Security ~greement 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 r,//~ 4 f.,/11>/lr,,

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 8j To the best of my kno~e, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during

~ the week(s) of (,/(3/(,,/21) 'lb

. 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.

Q) co CD N

PRINTED NAME

~ 1. AtJtW MC!Jt..\\L N

2. eotJ l?AvlL OJ
3. DA\\IE Tuf'l)Jetl.
4. ______ _
5. ______
6. ______
7. ______
8. ______
9. ______
10. _____
11. _____

12.. _____

13. _____
14. _____ _
15. _____

NOTES:

JOB TITLE I RESPONSIBILITY vA-i~d.

J.AL-l~'"'ln.._

~a..

SIGNATURE (1)

At fhi.I'

~~

~

DATE SIGNATURE_ (2) r- /J DATE NOTE bu-fl,,,J..!/

~~Ii*,==

14TL

~~'-

sim&

(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 l,g lj I lJ.o * (.p / z.o/ 11p 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 ill To the best of my knowled"e, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during

,!.,, the week(s) of 4/13-t,/NJr,,

. 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 NRG.

Q)

(0

('[)

N

-...J 8,

N co PRINTED NAME

10. C*n~:;, 9-*~\\~

11.C. *..,,,,.,A/-o 12.AA.t.<i< ~4Mb0 13.¥ tUf1/(

14.

-err-lo~fJ

15. (11/t(.5 nliCR~IV NOTES:

JOB TITLE I RESPONSIBILITY fALJOA 111/<-

C7'\\l.J:LG.~

VC..f..1.1-.h..,..-

°l.:i.\\--~.-*

ll~l~

\\./11 i1J qttJr v A'\\.-1*2411)11--

LMbJ,...~

vcZFOfilhv

\\{o,.\\ *.\\o..\\-ar V*/;d,.,.y.,,,.

V,._J;h.h-r tJJ:PffJ

~E?.ona.

V4 l/rJ~/,,r DATE DATE NOTE fL_!J,~l

~==

t::f:.&:.

~

j;'

~'---

+/-!ld/t:.-JI." ~~~-

~

~

,,;/,._/,1, Gf..dtc S/l'-/1"" I".

/4¥16==

~

-Lll...J/, __

~

,:;-Z? "'~

~

'b~l-G)

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 f.D (r 1,. - (,, {igf 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, l 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 rn To the best of my kn wledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during

"-' the week(s) of b

  • l. /(,. From the date that I entered into this security agreement until the completion of examination administration, I did not

~ instruct, evaluate, provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted

~ below and authorized by the NRC.

DJ

<O CD PRINTED NAME N

"".J

~ ~f'l~~!1!t 3.i..... ~~+-1 4.. ______

5.. ______ _

6.. ______ _

?. ______ _

8. ______ _
9. ______ _
10. ______ _
11. ______ _
12. ______ _
13. ______ _
14. ______ _

15.. ______

NOTES:

JOB TITLE I RESPONSIBILITY V 0-l 1 d.. r-+ar

...-""l.c;-.114

~~we-SIGNATURE (1) 1&,u~~~

~

~***~

DATE NOTE zz~~~~~~ 1~(

  • -~;..._"'-'"'-"'--~t>J~

<9

(

" i

(

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

0 eratin Test Number:

1. General Criteria
a.

The operating test conforms with the previously approved outline; changes are consistent with sam lin re uirements e... 10 CFR 55.45, o erational im ortance, safe function distribution.

b.

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

c.

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

d.

Overlap with the written examination and between different parts of the operating test is within acceptable limits.

e.

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
a.

Each JPM includes the following, as applicable:

b.

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 include:

detailed expected actions with exact criteria and nomenclature system response and other examiner cues statements describing important observations to be made by the applicant criteria for successful completion of the task identification of critical steps and their associated performance standards restrictions on the se uence of ste s, if a Ii cable 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 reviewed in accordance with Form ES-301-4 and a cop is attached.

a.

Author

b.

Facility Reviewer(*)

c.

NRC Chief Examiner (#)

d.

NRC Supervisor NOTE:

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

ES-301, Page 24 of 27 Initials Date 4-,..1~-1 ~

~/;~l*

Sf5£t6_

ES-301 Competencies Checklist Form ES-301-4 Facility: CCNPP Date of Exam: 6/13/2016 Scenario Numbers: 1 I 2 I 3 I 4 Operating Test#: 2016 Initials QUALITATIVE ATTRIBUTES b*

c#

a I.

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

~ w

...... ~

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

2.

The scenarios consist mostly of related events.

H M'v ~

3.

Each event description consists of the point in the scenario when it is to be initiated

~

the malfunction(s) or conditions that are entered to initiate the event tJl1u &-

the symptoms/cues that will be visible to the crew the expected operator actions (by shift position) the event termination point (if applicable)

4.

The events are valid with regard to physics and thermodynamics.

i( WJ m

5.

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

~

JJ_.

complete evaluation results commensurate with the scenario objectives.

fVl'..t

6.

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

Operators have su~cient time to carry out expected activities without undue time constraints.

Cues are given. tJ fl:' R.. ~ ~

~*(),S

~ ~v /JL

7.

The simulator modeling is not altered.

~ ~

IJl-

8.

The scenarios have been validated. Pursuant to 10 CFR 55.46(d), any open simulator f( tJtv performance deficiencies or deviations from the referenced plant have been evaluated to

~

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

9.

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

(

tJl'J M-All other scenarios have been altered in accordance with Section D.5 ofES-301.

IO. All individual operator competencies can be evaluated, as verified using Form ES-301-6

\\( µill ~

(submit the form along with the simulator scenarios) l I. The scenario set provides the opportunity for each applicant to be evaluated in each of the

~

~

applicable rating factors. (Competency Rating factors as described on forms ES-303-1 and tJrtJ ES-303-3.)

12. Each applicant will be significantly involved in the minimum number of transients and events ~ Mi1; ~

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.

Kl tJAJ #

Target Quantitative Attributes (Per Scenario; See Section D.5.d)

Actual Attributes I.

Malfunctions after EOP entry ( 1-2) 2121213

~ ~ ~

2.

Abnormal events (2--4) 2121212 r MA.-

  • ~
3.

Major transients (1-2)

I I I I 1 I I M'V VJ!

4.

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

~ µ

5.

EOP contingencies requiring substantive actions (0-2) 11010/0 I/

tvJlJ j))

6.

EOP based Critical tasks (2-3) 2121312

(~

~ 1w NOTE:

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

ES-301 Competencies Checklist Form ES-301-5 I Facility: CCNPP Date of Exam: 6/13/2016 Operating Test#: 2016 j A

E Scenarios p

v p

E I

2 3

4 L

N T

MINIMUM I

T Crew Position 0

(*)

Crew Position Crew Position Crew Position c

T T

A y

s A

B s

A B

s A

B s

A B

A N

p R

T 0

R T

0 R

T 0

R T

0 L

R I u T

E 0

c p

0 c

p 0

c p

0 c

p RX 5

4 2

1,5 I

I 0

NOR I

I I

I I

Scenario 2,3 1,4 2,3 1,4 1,3 2,4 1,2 1,3 2,4 3,5 I/C 4,5 3,4 5,6 2,5 4

4 2

Roll up 6

6 5

5 5

5,6 5,6 4

6 6

MAJ 7

7 7

7 7

7 7

7 7

7 7

7 2

2 I

TS 2,3 1,2 3,5 2,3 0

2 2

4

~RO RX 5

I I

I 0

Scenario I-NOR 0

I I

I ATC l/C 1,4 2,4 7

4 4

2 6

5,6 Scenario 2-MAJ 7

7 2

2 2

I BOP TS 0

0 2

2

~RO RX 4

I I

I 0

Scenario I-NOR 0

I I

I BOP l/C 2,3 1,3 6

4 4

2 5

5 Scenario 2-MAJ 7

7 2

2 2

I ATC TS 0

0 2

2

~RO RX 5

I I

I 0

Scenario I-NOR 0

1 I

1 ATC l/C 1.4 1,3 6

4 4

2 6

4 Scenario 3-MAJ 7

7 2

2 2

I BOP TS 0

0 2

2

~RO RX 2

1 I

I 0

Scenario I-NOR 0

I I

I BOP l/C 2,3 5,6 5

5 4

4 2

Scenario 3-MAJ 7

7 2

2 2

I ATC TS 0

0 2

2

ES-301 Competencies Checklist Form ES-301-5 A

E Scenarios p

v p

E I

2 3

4 L

N T

MINIMUM I

T Crew Position Crew Position Crew Position Crew Position 0

(*)

c T

T A

y s

A B

s A

B s

A B

s A

B A

N p

R T

0 R

T 0

R T

0 R

T 0

L R

I u

T E

0 c

p 0

c p

0 c

p 0

c p

RX 5

4 2

1,5 I

I 0

NOR I

I I

I I

Scenario 2,3 1,4 2,3 1,4 1,3 2,4 1,2 1,3 2.4 3,5 l/C 4,5 3,4 5,6 2,5 4

4 2

Roll up 6

6 5

5 5

5,6 5,6 4

6 6

MAJ 7

7 7

7 7

7 7

7 7

7 7

7 2

2 I

TS 2,3 1,2 3,5 2,3 0

2 2

4

~RO RX 5

1 I

I 0

Scenario 1-NOR I

1 l

I I

ATC l/C 1,4 3,5 6

4 4

2 6

6 Scenario 4-MAJ 7

7 2

2 2

I BOP TS 0

0 2

2

~RO RX L5 2

I I

0 Scenario 1-NOR 0

l 1

1 BOP l/C 2,3 2.4 6

4 4

2 5

6 Scenario 4-MAJ 7

7 2

2 2

I ATC TS 0

0 2

2 RX 4

I I

1 0

~SRO-I NOR 0

I I

I Scenario 1-2,3 SRO l/C 4,5 1,3 8

4 4

2 6

5 Scenario 2-MAJ 7

7 2

2 2

I ATC 2,3 TS 4

3 0

2 2

~SRO-I RX 5

I 1

1 0

Scenario 1-NOR 0

I I

I ATC l/C 1,4 1,4 6

4 4

2 6

5 Scenario 2-MAJ 7

7 2

2 2

I SRO TS 1,2 2

0 2

2

ES-301 Competencies Checklist Form ES-301-5 A

E Scenarios p

v p

E I

2 3

4 L

N T

MINIMUM I

T Crew Position Crew Position Crew Position Crew Position 0

(*)

c T

T A

y s

A B

s A

B s

A B

s A

B A

N p

R T

0 R

T 0

R T

0 R

T 0

L R

I u

T E

0 c

p 0

c p

0 c

p 0

c p

RX 5

4 2

1,5 I

1 0

NOR I

I I

I 1

Scenario 2,3 1,4 2,3 1,4 1,3 2,4 1,2 1,3 2,4 3,5 l/C 4,5 3,4 5,6 2,5 4

4 2

Roll up 6

6 5

5 5

5,6 5,6 4

6 6

MAJ 7

7 7

7 7

7 7

7 7

7 7

7 2

2 I

TS 2,3 1,2 3,5 2,3 0

2 2

4 RX 2

1 1 r.. 0

~SRO-I NOR 0

I I

I Scenario 1-2,3 SRO l/C 4,5 5,6 7

4 4

2 6

Scenario 3-MAJ 7

7 2

2 2

I ATC 2,3 TS 4

3 0

2 2

RX 5

1 1 r 0

~SRO-I NOR 0

1 1

1 Scenario 1-1,2 ATC l/C 1,4 3,4 9

4 4

2 6

5,6 Scenario 3-MAJ 7

7 2

2 2

I SRO TS 3,5 2

0 2

2 RX 1,5 2

I 1

0

~SRO-I NOR 0

I l

I Scenario 1-2,3 SRO l/C 4,5 2A 8

4 4

2 6

6 Scenario 4-MAJ 7

7 2

2 2

I ATC 2,3 TS 4

3 0

2 2

~SRO-I RX 5

1 I

I 0

Scenario 1-NOR I

I I

1 I

ATC l/C 1,4 2.5 5

4 4

2 6

Scenario 4-MAJ 7

7 2

2 2

I SRO TS 2.3 2

0 2

2

ES-301 Competencies Checklist Form ES-301-5 A

E Scenarios p

v p

E 1

2 3

4 L

N T

MINIMUM I

T Crew Position 0

(*)

Crew Position Crew Position Crew Position c

T T

A y

s A

B s

A B

s A

B s

A B

A N

p R

T 0

R T

0 R

T 0

R T

0 L

R I

u T

E 0

c p

0 c

p 0

c p

0 c

p RX 5

4 2

1,5 1

1 0

NOR 1

I I

I I

Scenario 2,3 1,4 2,3 1,4 1,3 2,4 1,2 1,3 2,4 3,5 IIC 4,5 3,4 5,6 2,5 4

4 2

Roll up 6

6 5

5 5

5,6 5,6 4

6 6

MAJ 7

7 7

7 7

7 7

7 7

7 7

7 2

2 1

TS 2,3 1,2 3,5 2,3 0

2 2

4 RX 0

1 I

0

~ SRO-U NOR 0

I I

{

Scenario 1-2,3 SRO l/C 4,5 1,4 8

4 4

1 6

5 Scenario 2-MAJ 7

7 2

2 2 ')1 SRO 2,3 TS 4

1,2 5

0 2 >2 RX 0

I I

0

~ SRO-U NOR 0

I 1

I Scenario 1-2,3 1,2 SRO l/C 4,5 3,4 11 4

4 2

6 5,6 Scenario 3-MAJ 7

7 2

2 2

l SRO 2,3 TS 4

3,5 5

0 2

2 RX 0

I 1

0

~ SRO-U NOR I

1 I

I I

Scenario 1-2,3 SRO l/C 4,5 2.5 7

4 4

2 6

Scenario 4-MAJ 7

7 2

2 2

l SRO 2,3 TS 4

2.3 5

0 2

2

ES-301 Competencies Checklist Form ES-301-5 Instructions:

I.

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

2.

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 I-for-I 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.

4.

For licensees that use the ATC operator primarily for monitoring plant parameters, the chief examiner may place SRO-I applicants in either the A TC or BOP position to best evaluate the SRO-I in manipulating plant controls.

ES-301 Competencies Checklist Form ES-301-6 Facility: CCNPP Date of Exam: 6/13/2016 Operating Test#: 20161 APPLICANTS

~RO ORO ORO ORO 0CRO

~CRO 0CRO 0CRO 0 SRO-I 0 SRO-I

~SRO-I 0 SRO-I 0 SRO-U 0 SRO-U 0 SRO-U

~ SRO-U SCENARIO SCENARIO SCENARIO SCENARIO Competencies I

2 3

4 I

2 3

4 I

2 3

4 1

2 3

4 Interpret/Diagnose 1,3, 1,3, 3,

I, 2,

2, 3,4 L

4,5, 5,6, 4,6 3,5, 4,5, 3,5, 1-9 1-8 1-9 1-8 1-9 1-8 1-9 1-8 Events and Conditions 7,8 5,8 7,9 7,8 7,9 6,7 7,8 6,7 I,

I, 2,

I, 2,

2, I,

1,2, Comply With and Use 4,5, 3,4, 5,6, 2,4, 3,5, 4,5, 3,4 3,5, 1-9 1-8 1-9 1-8 1-9 1-8 1-9 1-8 Procedures (I) 7,8 5,8 7,9 5,6, 7,9 6,7 7,8 6.7 7,8 I,

I, 2,

I, 2,

2, I,

L2.

Operate Control Boards 4,5, 3,4, 5,6, 2,4, 3,5, 4,5, 3,4 3.5, (2) 7,8 5,8 7,9 5,6, 7,9 6,7 7,8 6,7 7,8 I,

I, 2,

I, 2,

2, I,

J,2, Communicate and 4,5, 3,4, 5,6, 2,4, 3,5, 4,5, 3,4 3,5, 1-9 1-8 1-9 1-8 1-9 1-8 1-9 1-8 Interact 7,8 5,8 7,9 5,6, 7,9 6,7 7,8 6,7 7,8 Demonstrate 1-9 1-8 1-9 1-8 1-9 1-8 1-9 1-8 Supervisory Ability (3)

Comply With and Use 2.3 1.2 3.5 1,3 2,3 1,2 3,5 1,3 Tech Specs (3)

Notes:

(I) 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. (This includes all rating factors for each competency.) Competency Ratingfactors are described on forms ES-303-1 and ES303-3.)

ES-401 Written Examination Quality Checklist Form Form ES-401-6 Facility: CCNPP Date of Exam: June 13, 2016 Exam Level: RO ~ SRO~

Initial Item Description a

b*

c#

1. Questions and answers are technically accurate and applicable to the facility.

f( Mt'tr ~

2. a. NRC K/As are referenced for all questions.

l{

vE-

b. Facility learning objectives are referenced as available.

fJf..,

3. SRO questions are appropriate in accordance with Section D.2.d of ES-401

~ fV{v ~

4. The sampling process was random and systematic (If more than 4 RO or 2 SRO questions G( tJ/'v rJJ>

were repeated from the last 2 NRC licensing exams, consult the NRR OL program office).

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

D the audit exam was systematically and randomly developed; or 0( W1..-

D the audit exam was completed before the license exam was started; or VL

~

examinations were developed independently; or the licensee certifies that there is no duplication; or D other (explain)

6. Bank use meets limits (no more than 75 percent Bank Modified New

~

from the bank, at least 10 percent new, and the rest fW1v 0i new or modified); enter the actual RO I SRO-only 14/6 5/1 56/18 question distribution(s) at right.

7. 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

\\f fv'f v ~

selected K/As support the higher cognitive levels; enter 32/7 43/18 the actual RO I SRO question distribution(s) at right.

8. References/handouts provided do not give away answers

~

fllfv J1 or aid in the elimination of distractors.

9. Question content conforms with specific KIA statements in the previously approved r[

examination outline and is appropriate for the tier to which they are assigned;

~

~

deviations are justified.

10. Question psychometric quality and format meet the guidelines in ES Appendix B.

~ fVPv tl

11. The exam contains the required number of one-point, multiple choice items; Wv.JJ_.-

the total is correct and agrees with the value on the cover sheet.

Print~~~gnature Date

a. Author 0-fJ~ 11~--r ~ 4-~I) *I~
b. Facility Reviewer(*)

M. t'Lll\\ri

~~v 4115\\1~

C.

NRC Chief Examiner (#)

f1tv1-J s.*1 k

/~M<-;

~ 0.)

/"'\\

tlf7d_f L

d. NRC Regional Supervisor cx.l\\u.tci t:.JW\\~ I(\\,~~ *1 ~f' {(/ _./

6-Lz.-Ltb

(" /

Note:

  • The facility reviewer's initials/signature are not applicable for NRG-developed examinations.
  1. Independent NRC reviewer initial items in Column "c"; chief examiner concurrence required.

ES-403 Written Examination Grading Quality Checklist Form ES-403-1 Facility: Calvert Cliffs Date of Exam: 6/24/16 Exam Level:

RO ~ SRO ~

Initials Item Description a

b c

1. Clean answer sheets copied before grading D:fL J'R'B 6~-
2. Answer key changes and question deletions justified and

~j_

documented D:fL

]'R'B

3. Applicants' scores checked for addition errors (reviewers spot check> 25% of examinations)

D:fL

]'R'B

~1-

4. Grading for all borderline cases (80 +/-2% overall and 70 or 80, as applicable, +/-4% on the SRO-only) reviewed in detail D:fL J'R'B l}J_
5. All other failing examinations checked to ensure that 13Y~

grades are justified D:fL

]'R'B

6. Performance on missed questions checked for training deficiencies and wording problems; evaluate validity D:fL

]'R'B 1Jtj-of questions missed by half or more of the applicants Printed Na~e/Sign~ture

~ Date

a. Grader:

Domenic F. Lavato ~

~

6/30/16

b. Facility Reviewer (1 ):

James R Barton a 12 'll...A 6/30/16

c. Facility Management (2):

AlfonzaJ. Kel~

6/30/16

d. NRC Chief Examiner (1):

j)q J, J S. I k

/

fl'A~- ) lJL, /1 7l_>/_tc i JI! 9q~ 7ff!J I< r/T' 7/t /lliP

e. NRC Supervisor (1 ):

J},klA-LO ~~o"-1/

... (

7/t, /!(.

\\..../'

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

(2) Per ES-501: "If the facility licensee graded the written examinations, a supervisor or manager shall confirm the quality of the grading and sign the bottom of Form ES-403-1 before sending the examinations to the NRC's regional office".