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{{#Wiki_filter:ES-201 Examination Preparation Checklist Form ES-201-1 ~ ~ -180 -120 -120 Facility:
{{#Wiki_filter:ES-201                                   Examination Preparation Checklist                           Form ES-201-1 Facility: kb?t             CUSK                                             Date of Examination: / //2a/Ox 9
kb? t CUSK Date of Examination:  
Developed by:
/ //2a/Ox Developed by: Written - Facilitd :R@ // Operating - Facility c] NRm 9 I v - 1 ~~ 1. Examination administration date confirmed (C.1.a; C.2.a and b) 59 59 59 2. 3. NRC examiners and facility contact assigned (C.l .d; C.2.e) Facility contact briefed on security and other requirements (C.2.c) Target Date* -120 [-901 (-75) Task Description (Reference)
Target I
SD 50 4. [5. 6. Corporate notification letter sent (C.2.d) Reference material due (C.l .e; C.3.c; Attachment 211 Integrated examination outline(s) due, including Forms ES-201-2, ES-201-3, ES-301-1, ES-302-2, ES-301-5, ES-D-l's, ES-401-1/2, ES-401-3, and ES-401-4, as applicable (C.1.e and f; C.3.d) n Chief Examiner's Initials (-45) 8. Proposed examinations (including written, walk-through JPMs, and ES-301-3, ES-301-4, ES-301-5, ES-301-6, and ES-401-6, and any Form ES-201-3 updates), and reference materials due (C.l.e, f, g and h; C.3.d) scenarios, as applicable), supporting documentation (including Forms c -30 (-70) I (7. Examination outline(s) reviewed by NRC and feedback provided to facility licensee (C.2.h; C.3.e)) I- SO 9. Preliminary license applications (NRC Form 398's) due (C.1.l; C.2.g; ES-202) 1 4 59 54 11, Examination approved by NRC supervisor for facility licensee review (C.2.h; C.3.f) 12. Examinations reviewed with facility licensee (C.1.j; C.2.f and h; C.3.g) -14 1 10. Final license applications due and Form ES-201-4 prepared (C.l.1; C.2.i; ES-202) -7 14. Final applications reviewed; 1 or 2 (if >IO) applications audited to confirm qualifications I eligibility; and examination approval and waiver letters sent (C.2.i; Attachment 4; ES-202, C.2.e; ES-204) so I 13. Written examinations and operating tests approved by NRC supervisor I (C.2.i; C.3.h) -7 ~ 7 39 90 1 5. Proctoring/written exam administration guidelines reviewed with facility licensee (C.3.k) 16. Approved scenarios, job performance measures, and questions distributed to NRC examiners (C.3.i) ES-201, Page 24 of 27 ES-201 Examination Outline Qualitv Checklist Form ES-201-2 a. Verify that the outline@) fit@) the appropriate model, in accordance with ES-401.
Written - F a c i l i t d R:@
: b. Assess whether the outline was systematically and randomly prepared in accordance with Section D.l of ES-401 and whether all WA categories are appropriately sampled.
v
                                                            // Operating - Facility c] N
                                                                                              -
R    m 1
Chief Date*                                    Task Description (Reference)                              Examiners Initials
~        ~  ~~
    -180        1. Examination administration date confirmed (C.1.a; C.2.a and b)                     59
    -120        2. NRC examiners and facility contact assigned (C.l .d; C.2.e) 59
    -120        3. Facility contact briefed on security and other requirements (C.2.c)                 59
    -120         4. Corporate notification letter sent (C.2.d)
SD
[-901        [5. Reference material due (C.l .e; C.3.c; Attachment 211                               50
(-75)        6. Integrated examination outline(s) due, including Forms ES-201-2, ES-201-3, ES-301-1, ES-302-2, ES-301-5, ES-D-ls, ES-401-1/2, ES-401-3, and ES-401-4, as applicable (C.1.e and f; C.3.d)                                       n
(-70)      I (7. Examination outline(s) reviewed by NRC and feedback provided to facility licensee (C.2.h; C.3.e))                                                      I -
(-45)       8. Proposed examinations (including written, walk-through JPMs, and scenarios, as applicable), supporting documentation (including Forms                c ES-301-3, ES-301-4, ES-301-5, ES-301-6, and ES-401-6, and any Form ES-201-3 updates), and reference materials due (C.l.e, f, g and h; C.3.d)
      -30         9. Preliminary license applications (NRC Form 398s) due (C.1.l; C.2.g; ES-202)                                                                             SO
      -14      1 10. Final license applications due and Form ES-201-4 prepared (C.l.1; C.2.i; ES-202)
      -14        11, Examination approved by NRC supervisor for facility licensee review (C.2.h; C.3.f)                                                                     59
      -14        12. Examinations reviewed with facility licensee (C.1.j; C.2.f and h; C.3.g)             5 4
      -7 I 13. Written examinations and operating tests approved by NRC supervisor (C.2.i; C.3.h)                                                                 I
      -7         14. Final applications reviewed; 1 or 2 (if >IO) applications audited to confirm qualifications I eligibility; and examination approval and waiver letters sent (C.2.i; Attachment 4; ES-202, C.2.e; ES-204)                                       so
~
      -7         15. Proctoring/written exam administration guidelines reviewed with facility licensee (C.3.k)                                                     39
      -7        16. Approved scenarios, job performance measures, and questions distributed to NRC examiners (C.3.i)                                               90 ES-201,Page 24 of 27
 
ES-201                                 Examination Outline Qualitv Checklist                                   Form ES-201-2
                          -
Facility: Hope Creek Exam                                                        Date of Examination:    11/28/05 Initials Task Description a I  b'  I  c#
: 1.      a. Verify that the outline@)fit@)the appropriate model, in accordance with ES-401.
w                                                                                                                          S3 R        b. Assess whether the outline was systematically and randomly prepared in accordance with I            Section D.l of ES-401 and whether all WA categories are appropriately sampled.                 %3            53 T
: c. Assess whether the outline over-emphasizes any systems, evolutions, or generic topics.
: c. Assess whether the outline over-emphasizes any systems, evolutions, or generic topics.
Facility:
T                                                                                                            Mfi        ,-5 4 1          1  d. Assess whether the justifications for deselected or rejected WA statements are appropriate.      b$iv IJ-9 I
Hope Creek - Exam Date of Examination:
I:           a. Using Form ES-301-5, verify that the proposed scenario sets cover the required number of normal evolutions, instrument and component failures, technical specifications, and major transients.
11/28/05 S3 %3 53 Mfi 54 Initials a I b' I c# Task Description
: b. Assess whether there are enough scenario sets (and spares) to test the projected number and mix of applicants in accordance with the expected crew composition and rotation schedule without compromising exam integrity, and ensure that each applicant can be tested       843 using at least one new or significantly modified scenario, that no scenarios are duplicated from the applicants' audit test@),and that scenarios will not be repeated on subsequent days.
: 1. w R I T T v ,- I IJ-9 11 1 d. Assess whether the justifications for deselected or rejected WA statements are appropriate.
: c. To the extent possible, assess whether the outline(s) conform(s) with the qualitative and quantitative criteria specified on Form ES-301-4 and described in Appendix D.               m
b$ i I: a. Using Form ES-301-5, verify that the proposed scenario sets cover the required number of normal evolutions, instrument and component failures, technical specifications, and major transients.
: b. Facility Reviewer   r)
: b. Assess whether there are enough scenario sets (and spares) to test the projected number and mix of applicants in accordance with the expected crew composition and rotation schedule without compromising exam integrity, and ensure that each applicant can be tested using at least one new or significantly modified scenario, that no scenarios are duplicated from the applicants' audit test@), and that scenarios will not be repeated on subsequent days. c. To the extent possible, assess whether the outline(s) conform(s) with the qualitative and quantitative criteria specified on Form ES-301-4 and described in Appendix D. 43 m 8 b. Facility Reviewer r) c. NRC Chief Examiner (#) d. NRC Supervisor ES-301 Operating Test Quality Checklist Form ES-301-3 1. General Criteria a (1 Facility:
: c. NRC Chief Examiner (#)
Hdi cfi-@k. Date of Examination:
: d. NRC Supervisor
f \/whjy Operating Test Number: b* c# ~ a. Each JPM includes the following, as applicable:
 
initial conditions initiating cues I 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 sequence of steps, if applicable
ES-301                                         Operating Test Quality Checklist                                   Form ES-301-3 (1 Facility: Hdi cfi-@k.                                             Date of Examination: f \/whjyOperating Test Number:
: 2. Walk-Through Criteria -_ __ -- 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.
: 1. General Criteria a    b*   c#
: 3. Simulator Criteria The associated simulator operating tests (scenario sets) have been reviewed in accordance with Form ES-301-4 and a copy is attached.
: 2. Walk-Through Criteria                                            -_    __    --
: a. Author 9 vy -- _- __ 47% 5 ,PI I b. Facility Reviewerr)
~ a.        Each JPM includes the following, as applicable:
: c. NRC Chief Examiner
initial conditions initiating cues I                 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:
(#) >Z&d psdd/J d. NRC Supervisor  
                    - detailed expected actions with exact criteria and nomenclature
') hi /o. j- /I NOTE: # The facility signature is not applicable for NRC-developed tests. Independent NRC reviewer initial items in Column "c"; chief examiner concurrence required. ,
                    - system response and other examiner cues
ES-301 Simulator Scenario Quality Checklist Form ES-301-4 I Facility:
                    - statements describing important observations to be made by the applicant
Hope Creek Date of Exam: 11/28/05 Scenario Numbers: 1 12 / 3 Operating Test No.: I I- QUALITATIVE ATTRIBUTES II I 1. The initial conditions are realistic, in that some equipment andlor instrumentation may be out fng 11. All individual operator competencies can be evaluated, as verified using Form ES-301-6 (submit the form along with the simulator scenarios).
                    - criteria for successful completion of the task
Each applicant will be significantly involved in the minimum number of transients and events specified on Fon ES-301-5 (submit the form with the simulator scenarios).
                    - identification of critical steps and their associated performancestandards
: 12. 13. The level of difficulty is appropriate to support licensing decisions for each crew position.  
                    - restrictions on the sequence of steps, if applicable
"@ I Target Quantitative Attributes (Per Scenario; See Section D.5.d) 1. Total malfunctions (5-8) 2. 3. Abnormal events (2-4) Malfunctions after EOP entry (1-2) 4. Major transients (1-2) 5. 6. 7. Critical tasks (2-3) EOPs enteredrequiring substantive actions (1-2) EOP contingencies requiring substantive actions (0-2) Actual Attributes
: b.         Ensure that any changes from the previously approved systems and administrative walk-through outlines (Forms ES-301-1and 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 v
-- 61717 yF& 21 1 I2 *2? 1 I2 I1 %!! 21 2 I1 P? 1 IO IO 2zz 2 I 2 I3 7rb 31 2 13 ?%A ES-301 Transient and Event Checklist Form ES-301-5 I Facility: Hope Creek Date of Exam: 11/28/05 ODeratinq Test No.: Scenarios Instructions:
y          9 on those forms and Form ES-201-2.
: 1. Circle 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.
: 3. Simulator Criteria                                           --    _-    __
ROs must serve in both the "at-the-controls (ATCY and "balance-of-plant (BOP)" positions; Instant SROs must do one scenario, including at least two instrument or component (VC) malfunctions and one major transient, in the ATC position. Reactivity manipulations may be conducted under normal or controlledabnormal conditions (refer to Section D.5.d) but must be significant per Section C.2.a of Appendix D. Reactivity and normal evolutions may be replaced with additional instrument or component malfunctions on a 1 -for-1 basis. Whenever practical, both instrument and component malfunctions should be included; only those that require verifiable actions that provide insiqhUo the applicant's competence count toward the minimum requirement.
The associated simulator operating tests (scenario sets) have been reviewed in accordance with                 4 7%        5 ,PI Form ES-301-4 and a copy is attached.
: 2. 3. Author: NRC Reviewer:
: a. Author
ES-301 ComDetencies Checklist Form ES-301-6 Facilitv:
: b. Facility Reviewerr)
Hope Creek Date of Examination:
: c. NRC Chief Examiner (#)         >Z&d           psdd/J           I
11/28/05 ODeratina Test No.: I APPLICANTS Competencies SCENARIO 1 Interpret/Diagnose 2,3,4, Events and Conditions 5,6 3,425, 7,8 Comply With and Use Procedures (1) 1,233 34 11 Operate Control Communicate 123, and Interact 495, SRO-I RO Demonstrate Supervisory Ability (3) Comply With and Use Tech. Specs.
: d. NRC Supervisor
(3) Notes: (1) (2) Optional for an SRO-U. (3) Only applicable to SROs. Includes Technical Specification compliance for an RO. SRO-I SCENARIO -77 Instructions:
                                                                                    /I
Circle the applicants'license type and enter one or more event numbers that will allow the examiners to evaluate every app Author: NRC Reviewer:
                                                                                                                      ) hi /o.j-NOTE:           The facility signature is not applicable for NRC-developed tests.
2005 NO7 "L/TCE 11 44 Nuclear Training Ctr FAX No. I 856 333 3337 P. 30,' ?z? 8. Refaacesibandouts provided do not give away mwers or aid in the elimination of distractan.
              #    Independent NRC reviewer initial items in Column c; chief examiner concurrence required.
ES-401 Written Examination Quality Checklist Form ES-401-6 59 I Facility:
                                                ,
Hope Creek Date of Exam: 11/28/05 Exam Level: RO & SRO Initial Item Description a b* cc 1. Questions and ~11st~lera are ~chnically accurate and appEcable to &e facility.
 
9q4. 59 md? $3 2. a. NRC K/& are refimnced for all questions.
ES-301                                     Simulator Scenario Quality Checklist                                   Form ES-301-4 II  Facility:   Hope Creek           Date of Exam: 11/28/05 QUALITATIVE ATTRIBUTES Scenario Numbers: 1 12 / 3     Operating Test No.:
: b. Facility learning objectives arc &enced as available.
I I-
: 5. Question duplication from the license screeninglaudit exam wa controlled as indicated below (check the item that applies) and appears approprim: - the audit exam was systematically and randomly devtlapcd; or the audit exam was completed before the licease exam WBS starttd; or - Tthe e&dm were developed independently; or - l/&e liccnsce certifies that thcrc is no duplication; or odlcr (uplain) I I I 6. 3aak use meets limits (no more than 75 percent . Bank Modiljed New . 98 from the bank, at least 10 percent new, andtberestnewormod5ed);
: 1.         The initial conditions are realistic, in that some equipment andlor instrumentationmay be out
entertheactual 26 25 24 RO I SRO-only question distriiution(s) at right. 7. Between 50 and 60 percent of the questions Memory c/A on the RO exam me writtea at the comptehensiod analysis level; the SRO 33 4 42 exam may exceed 60 petcent if the randomly (56%) (80%) selected K/As support the bigher cognitive levels; enter the actual RO / SRO question dismbution(s) at right. - ~~~ 21 pp3 ~ Note:
: 11.         All individual operator competencies can be evaluated, as verified using Form ES-301-6 (submit the form along with the simulator scenarios).
* Tha fxility revicwcfs initials/signaturc arc not applicablc fix NRC-developed examjnatiom.  
fng
# lndepcndent NRC rcviowcr initial ittms in Column "c"; chicf cmmher concurrence required Written Examination Grading Form ES-403-1 ES-403 Quality Checklist Item Description
: 12.        Each applicant will be significantly involved in the minimum number of transients and events specified on F o n ES-301-5 (submit the form with the simulator scenarios).
: 1. 2. 3. 4. 5. 6. Clean answer sheets copied before grading Answer key changes and question deletions justified and documented Applicants' scores checked for addition errors (reviewers spot check > 25% of examinations) Grading for all borderline cases (80 e% overall and 70 or 80, as applicable, *4% on the SRO-only) reviewed in detail All other failing examinations checked to ensure that grades are justified Performance on missed questions checked for training deficiencies and wording problems; evaluate validity of questions missed by half or more of the applicants Printed NameKignature Grader Facility Reviewer(*)
13.         The level of difficulty is appropriate to support licensing decisions for each crew position.
NRC Chief Examiner (*) NRC Supervisor
Target Quantitative Attributes (Per Scenario; See Section D.5.d)
(*) Initials Date (*) The facility reviewer's signature is not applicable for examinations graded by the NRC; two independent NRC reviews are required.
I Actual Attributes
N C .TQ-W B .ZZ-O027(Z)
                                                                                                                    "@
ATTACHMENT 6 IC NRC EXAMINATION SECURITY AGREEMENT xu- 1. Pre-Examination I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of Ihfh5 as of the date of my signature.
                                                                                                                      --
I agree that I will not knowingly divulge any information abcut these examinations to any persons who have not been authorized by the NRC chief examiner.
: 1.         Total malfunctions (5-8)                                                             6 1 7 1 7      yF&
I understand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examinations from this date until completion of examination administration, except as specifically noted below and authorized by the NRC. Furthermore, I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action against me or the facility licensee.
: 2.         Malfunctionsafter EOP entry (1-2)                                                   2 1 1 I 2      *2?
: 3.        Abnormal events (2-4)                                                                2 I 2    I3    7rb
: 4.         Major transients (1-2)                                                               1I 2      I1    %!!
: 5.         EOPs enteredrequiring substantive actions (1-2)                                     2 1 2    I1    P?
: 6.          EOP contingencies requiring substantive actions (0-2)                               1I O      IO    2zz
: 7.        Critical tasks (2-3)                                                                  31 2     13    ?%A
 
ES-301                                        Transient and Event Checklist                                 Form ES-301-5 I Facility: Hope Creek                               Date of Exam:     11/28/05                     ODeratinq Test No.:
Scenarios Instructions:
: 1.         Circle the applicant level and enter the operating test number and Form ES-D-1 event numbers for each event type; TS are not applicablefor RO applicants. ROs must serve in both the "at-the-controls (ATCY and "balance-of-plant (BOP)" positions; Instant SROs must do one scenario, including at least two instrument or component (VC) malfunctionsand one major transient, in the ATC position.
: 2.        Reactivitymanipulations may be conducted under normal or controlledabnormalconditions (refer to Section D.5.d) but must be significant per Section C.2.a of Appendix D. Reactivity and normal evolutions may be replaced with additional instrument or component malfunctions on a 1-for-1 basis.
: 3.        Whenever practical, both instrument and component malfunctionsshould be included; only those that require verifiable actions that provide insiqhUo the applicant's competence count toward the minimum requirement.
Author:
NRC Reviewer:
 
ES-301                                   ComDetencies Checklist                         Form ES-301-6 Facilitv: Hope Creek               Date of Examination: 11/28/05       ODeratina Test No.:
I                               APPLICANTS Competencies Interpret/Diagnose 1    SCENARIO 2,3,4,     3,425, SRO-I        RO                SRO-I SCENARIO
                                                                                        -77 Events and Conditions            5,6        7,8 Comply With and                 1,233 Use Procedures (1)                 34 1 Operate Control Communicate                     123, and Interact                     495, Demonstrate Supervisory Ability (3)
Comply With and Use Tech. Specs. (3)
Notes:
(1)     Includes Technical Specification compliance for an RO.
(2)     Optional for an SRO-U.
(3)     Only applicable to SROs.
Instructions:
Circle the applicants'license type and enter one or more event numbers that will allow the examiners to evaluate every app Author:
NRC Reviewer:
 
2005 N O 7 " L / T C E 1 1 44           Nuclear Training Ctr                 FAX   No. I 856 333 3337                     P. 30,'
ES-401                                 Written Examination Quality Checklist                         Form ES-401-6 Facility: Hope Creek                   Date of Exam: 11/28/05             Exam Level: RO & SRO Initial Item Description                                         a   b*       cc
: 1. Questions and ~ 1 1 s t ~ l eare r a ~chnicallyaccurate and appEcableto &e facility.             9q4.           59 I                2. a. NRC K/& are refimnced for all questions.
: b. Facility learning objectives arc &enced as available.                                   md?            $3
: 5. Question duplication from the license screeninglauditexam w a controlled as indicated below (check the item that applies) and appears approprim:
                      -the audit exam was systematically and randomly devtlapcd; or the audit exam was completed before the licease exam WBS starttd;or
                      -
T t h e e&dm         were developed independently; or
                      -
l/&e liccnsce certifies that thcrc is no duplication; or odlcr (uplain)
I         I               I
: 6. 3aak use meets limits (no more than 75 percent . Bank               Modiljed           New   .
from the bank, at least 10 percent new, andtberestnewormod5ed); entertheactual               26         25             24 98 RO I SRO-only question distriiution(s) at right.
: 7. Between 50 and 60 percent of the questions                 Memory                 c/A on the RO exam me writtea at the comptehensiod analysis level; the   SRO           33       4     42         21 exam may exceed 60 petcent if the randomly                             (56%)       (80%)
pp3 selectedK/As support the bigher cognitive levels; enter the actual RO / SRO question dismbution(s) at right.                           -                     ~~~
                                                                                                                          ~
: 8. Refaacesibandouts provided do not give away mwers or aid inthe elimination of distractan.                                                    ?z?            59 Note:
* Tha fxility revicwcfs initials/signaturcarc not applicablc fix NRC-developed examjnatiom.
                            # lndepcndent NRC rcviowcr initial ittms in Column "c"; chicf cmmher concurrence required
 
ES-403                            Written Examination Grading                       Form ES-403-1 Quality Checklist Initials Item Description
: 1.     Clean answer sheets copied before grading
: 2.      Answer key changes and question deletions justified and documented
: 3.      Applicants scores checked for addition errors (reviewers spot check > 25% of examinations)
: 4.      Grading for all borderline cases (80 e%overall and 70 or 80, as applicable, *4% on the SRO-only) reviewed in detail
: 5.      All other failing examinations checked to ensure that grades are justified
: 6.      Performance on missed questions checked for training deficiencies and wording problems; evaluate validity of questions missed by half or more of the applicants Printed NameKignature                             Date Grader Facility Reviewer(*)
NRC Chief Examiner (*)
NRC Supervisor (*)
(*)   The facility reviewers signature is not applicable for examinations graded by the NRC; two independent NRC reviews are required.
 
NC .TQ-W B.ZZ-O027(Z)
ATTACHMENT 6                                       IC
: 1. Pre-Examination NRC EXAMINATION SECURITY AGREEMENT                                     xu-I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of             Ihfh5       as of the date of my signature. I agree that I will not knowingly divulge any information abcut 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 performancefeedback to those applicants scheduled to be administered these licensing examinations from this date until completion of examination administration, except as specifically noted below and authorized by the NRC.
Furthermore, I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action against me or the facility licensee.
I will immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been compromised.
I will immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been compromised.
: 2. Post-Examination To the best of my know1 dg , I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) ofI(.~8pS-.
: 2. Post-Examination To the best of my know1 dg , I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) o f I ( . ~ 8 p S - . From the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC.
From the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC. PRINTED NAME
JOB TITLE /
-. SIGNATURE (1) JOB TITLE
-. PRINTED NAME                      RESPONSIBILITY SIGNATURE (1)               DATE             SIGNATURE (2) v Submit this completed attachment with examination records Nuclear Common                                                                                                                                             Rev. 5
/ RESPONSIBILITY DATE SIGNATURE (2) v Submit this completed attachment with examination records Nuclear Common Rev. 5 ATTACHMENT 6 NRC EXAMINATION SECURITY AGREEMENT I. Pre-Examination m NC.TQ-WB.ZZ-O027(Z)  
 
% ,m gg 25 s;@ c"ki I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of I I Zh as of the date of my signature.
m NC.TQ-WB.ZZ-O027(Z)                     %
1 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.
m
I understand that I am not to instruct, evaluate, or Provide Derformance feedback to those aDolicants scheduled to be adrniristered these licensing examinations from this date until completion of examination administration, except as specifically ;toted below and authorized by the NRC. Furthermore, I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examingions and/or an enforcement action against me or the facility licensee.
                                                                                                                                                                                                                          ,
I will immediately report to facility management or the NRC chief examiner my indications or suggestions that examination security may have been compromised.  
ATTACHMENT 6                                                                                                      gg NRC EXAMINATION SECURITY AGREEMENT                                                                                                                    25 I. Pre-Examination                                                                                                                                                                                                        s;@
.2,. . Pmt-Examinatjon.  
cki Iacknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of II Z                                                                h as of the date             I of my signature. 1 agree that Iwill not knowingly divulge any information about these examinations to any persons who have not been authorized by the                                                                       0 7J NRC chief examiner. I understand that Iam not to instruct, evaluate, or Provide Derformance feedback to those aDolicants scheduled to be adrniristered these licensing examinations from this date until completion of examination administration, except as specifically ;toted below and authorized by the NRC.                                                                 m
........................................  
                                                                                                                                                                                                                            <
....................................  
Furthermore, I am aware of the physical security measures and requirements (as documented in the facility licensees procedures) and understand that                                                                       zI violation of the conditions of this agreement may result in cancellation of the examingions and/or an enforcement action against me or the facility licensee.
.......... - ..... .- .. To the best of my not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of instruct, evaluate, below and authorized by the NRC. From the date that I entered into this security agreement until the completion of examination administration, I did not feedback to those applicants who were administered these licensing examinations, except as specifically noted Submit this completed attachment with examination records Nuclear Common Page 47 of 94 Rev. 6 I 0 7J < z 5 m I Z 0 7J m 5 E 0 Z v) --I 9 -I c v, 9 Z U 0 I 9 Z 0 m v)
I will immediately report to facility management or the NRC chief examiner my indications or suggestions that examination security may have been                                                                             5 Z
I i I I i i I I 1. Pre-Examination WC $% +m NC.TQ-WB.ZZ-O027(2)
compromised.                                                                                                                                                                                                                 0 7J
E low 0- 00 55 sz WL m ATTACHMENT 6 NRC EXAMINATION SECURlTY AGREEMENT I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week@) of I\ hi'h r as of the date of my signature.
.2,.. Pmt-Examinatjon. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .     . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - . . . . . .- . . m 5
1 agree that I will not knowingly divulge any information  
E To the best of my                         not divulge to any unauthorized persons any informationconcerning the NRC licensing examinations administered                                                                     0 Z
&out these examinations to any persons who have not been authorized by the NRC chief examiner.
during the week(s) of                   From the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate,                                    feedback to those applicants who were administered these licensingexaminations, except as specifically noted                                                       v)
1 understand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be admiristered these licensing examinations from this date until completion of examination administration, except as specifically noted below and authorized by the NRC. Furthermore, I am aware of the physical security measures and requirements (as documented in the facility Licensee's procedures) md understand that violation of the conditions of this agreement may result in cancellation of the examindions and/or an enforcement action against me or the facility licensee.
                                                                                                                                                                                                                            --I below and authorized by the NRC.                                                                                                                                                                                            9
I will immediately report to facility management or the NRC chief examiner my indications or suggestions that examination security may have been compromised. , . .... ...............  
                                                                                                                                                                                                                            -I c
... ....... .2;. Post-Examinatjon.
v, 9
_. ._ ....................................  
Z U
.......... - ....... 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 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. . From the date that I entered into this security agreement until the completion of examination administration, I did not Submit this completed attachment with examination records Nuclear Common Page 47 of 94 Rev. 6}}
0 I
9 Z
0 m
v)
Submit this completed attachment with examination records Nuclear Common                                                                                        Page 47 of 94                                                                                      Rev. 6
 
W C
                                                                                                                                                                                                      $%
                                                                                                                                                                                                      +m m
NC.TQ-WB.ZZ-O027(2)                   E low ATTACHMENT 6                                                                                                      0 -
0 0 NRC EXAMINATION SECURlTY AGREEMENT                                                                                                 55
: 1. Pre-Examination                                                                                                                                                                            sz W L Iacknowledge that Ihave acquired specialized knowledge about the NRC licensing examinations scheduled for the week@) of I \ hi'h                                       r     as of the date of my signature. 1 agree that I will not knowingly divulge any information &out these examinations to any persons who have not been authorized by the NRC chief examiner. 1 understand that Iam not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be admiristered these licensing examinations from this date until completion of examination administration, except as specifically noted below and authorized by the NRC.
Furthermore, I am aware of the physical security measures and requirements (as documented in the facility Licensee's procedures) md understand that violation of the conditions of this agreement may result in cancellation of the examindions and/or an enforcement action against me or the facility licensee.
I will immediately report to facility management or the NRC chief examiner my indicationsor suggestions that examination security may have been compromised. ,
    .2;.. Post-Examinatjon. .   . . . _.. . . . . . . . . . . . . . . ._ . . . .......   . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - . . . . . . .
To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC licensingexaminations administered during the week(s) of               . From the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC.
I Submit this completed attachment with examination records i
Ii II iI  Nuclear Common                                                                   Page 47 of 94                                                                                       Rev. 6}}

Revision as of 20:45, 23 November 2019

Final Qa/Related Forms (Folder 1)
ML060860139
Person / Time
Site: Hope Creek PSEG icon.png
Issue date: 12/01/2005
From: Michael Brown
Operations Branch I
To: Conte R
Operations Branch I
Conte R
References
Download: ML060860139 (11)


Text

ES-201 Examination Preparation Checklist Form ES-201-1 Facility: kb?t CUSK Date of Examination: / //2a/Ox 9

Developed by:

Target I

Written - F a c i l i t d R:@

v

// Operating - Facility c] N

-

R m 1

Chief Date* Task Description (Reference) Examiners Initials

~ ~ ~~

-180 1. Examination administration date confirmed (C.1.a; C.2.a and b) 59

-120 2. NRC examiners and facility contact assigned (C.l .d; C.2.e) 59

-120 3. Facility contact briefed on security and other requirements (C.2.c) 59

-120 4. Corporate notification letter sent (C.2.d)

SD

[-901 [5. Reference material due (C.l .e; C.3.c; Attachment 211 50

(-75) 6. Integrated examination outline(s) due, including Forms ES-201-2, ES-201-3, ES-301-1, ES-302-2, ES-301-5, ES-D-ls, ES-401-1/2, ES-401-3, and ES-401-4, as applicable (C.1.e and f; C.3.d) n

(-70) I (7. Examination outline(s) reviewed by NRC and feedback provided to facility licensee (C.2.h; C.3.e)) I -

(-45) 8. Proposed examinations (including written, walk-through JPMs, and scenarios, as applicable), supporting documentation (including Forms c ES-301-3, ES-301-4, ES-301-5, ES-301-6, and ES-401-6, and any Form ES-201-3 updates), and reference materials due (C.l.e, f, g and h; C.3.d)

-30 9. Preliminary license applications (NRC Form 398s) due (C.1.l; C.2.g; ES-202) SO

-14 1 10. Final license applications due and Form ES-201-4 prepared (C.l.1; C.2.i; ES-202)

-14 11, Examination approved by NRC supervisor for facility licensee review (C.2.h; C.3.f) 59

-14 12. Examinations reviewed with facility licensee (C.1.j; C.2.f and h; C.3.g) 5 4

-7 I 13. Written examinations and operating tests approved by NRC supervisor (C.2.i; C.3.h) I

-7 14. Final applications reviewed; 1 or 2 (if >IO) applications audited to confirm qualifications I eligibility; and examination approval and waiver letters sent (C.2.i; Attachment 4; ES-202, C.2.e; ES-204) so

~

-7 15. Proctoring/written exam administration guidelines reviewed with facility licensee (C.3.k) 39

-7 16. Approved scenarios, job performance measures, and questions distributed to NRC examiners (C.3.i) 90 ES-201,Page 24 of 27

ES-201 Examination Outline Qualitv Checklist Form ES-201-2

-

Facility: Hope Creek Exam Date of Examination: 11/28/05 Initials Task Description a I b' I c#

1. a. Verify that the outline@)fit@)the appropriate model, in accordance with ES-401.

w S3 R b. Assess whether the outline was systematically and randomly prepared in accordance with I Section D.l of ES-401 and whether all WA categories are appropriately sampled. %3 53 T

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

T Mfi ,-5 4 1 1 d. Assess whether the justifications for deselected or rejected WA statements are appropriate. b$iv IJ-9 I

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

b. Assess whether there are enough scenario sets (and spares) to test the projected number and mix of applicants in accordance with the expected crew composition and rotation schedule without compromising exam integrity, and ensure that each applicant can be tested 843 using at least one new or significantly modified scenario, that no scenarios are duplicated from the applicants' audit test@),and that scenarios will not be repeated on subsequent days.
c. To the extent possible, assess whether the outline(s) conform(s) with the qualitative and quantitative criteria specified on Form ES-301-4 and described in Appendix D. m
b. Facility Reviewer r)
c. NRC Chief Examiner (#)
d. NRC Supervisor

ES-301 Operating Test Quality Checklist Form ES-301-3 (1 Facility: Hdi cfi-@k. Date of Examination: f \/whjyOperating Test Number:

1. General Criteria a b* c#
2. Walk-Through Criteria -_ __ --

~ a. Each JPM includes the following, as applicable:

initial conditions initiating cues I 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 performancestandards

- restrictions on the sequence of steps, if applicable

b. Ensure that any changes from the previously approved systems and administrative walk-through outlines (Forms ES-301-1and 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 v

y 9 on those forms and Form ES-201-2.

3. Simulator Criteria -- _- __

The associated simulator operating tests (scenario sets) have been reviewed in accordance with 4 7% 5 ,PI Form ES-301-4 and a copy is attached.

a. Author
b. Facility Reviewerr)
c. NRC Chief Examiner (#) >Z&d psdd/J I
d. NRC Supervisor

/I

) hi /o.j-NOTE: The facility signature is not applicable for NRC-developed tests.

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

,

ES-301 Simulator Scenario Quality Checklist Form ES-301-4 II Facility: Hope Creek Date of Exam: 11/28/05 QUALITATIVE ATTRIBUTES Scenario Numbers: 1 12 / 3 Operating Test No.:

I I-

1. The initial conditions are realistic, in that some equipment andlor instrumentationmay be out
11. All individual operator competencies can be evaluated, as verified using Form ES-301-6 (submit the form along with the simulator scenarios).

fng

12. Each applicant will be significantly involved in the minimum number of transients and events specified on F o n ES-301-5 (submit the form with the simulator scenarios).

I 13. The level of difficulty is appropriate to support licensing decisions for each crew position.

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

I Actual Attributes

"@

--

1. Total malfunctions (5-8) 6 1 7 1 7 yF&
2. Malfunctionsafter EOP entry (1-2) 2 1 1 I 2 *2?
3. Abnormal events (2-4) 2 I 2 I3 7rb
4. Major transients (1-2) 1I 2 I1  %!!
5. EOPs enteredrequiring substantive actions (1-2) 2 1 2 I1 P?
6. EOP contingencies requiring substantive actions (0-2) 1I O IO 2zz
7. Critical tasks (2-3) 31 2 13  ?%A

ES-301 Transient and Event Checklist Form ES-301-5 I Facility: Hope Creek Date of Exam: 11/28/05 ODeratinq Test No.:

Scenarios Instructions:

1. Circle the applicant level and enter the operating test number and Form ES-D-1 event numbers for each event type; TS are not applicablefor RO applicants. ROs must serve in both the "at-the-controls (ATCY and "balance-of-plant (BOP)" positions; Instant SROs must do one scenario, including at least two instrument or component (VC) malfunctionsand one major transient, in the ATC position.
2. Reactivitymanipulations may be conducted under normal or controlledabnormalconditions (refer to Section D.5.d) but must be significant per Section C.2.a of Appendix D. Reactivity and normal evolutions may be replaced with additional instrument or component malfunctions on a 1-for-1 basis.
3. Whenever practical, both instrument and component malfunctionsshould be included; only those that require verifiable actions that provide insiqhUo the applicant's competence count toward the minimum requirement.

Author:

NRC Reviewer:

ES-301 ComDetencies Checklist Form ES-301-6 Facilitv: Hope Creek Date of Examination: 11/28/05 ODeratina Test No.:

I APPLICANTS Competencies Interpret/Diagnose 1 SCENARIO 2,3,4, 3,425, SRO-I RO SRO-I SCENARIO

-77 Events and Conditions 5,6 7,8 Comply With and 1,233 Use Procedures (1) 34 1 Operate Control Communicate 123, and Interact 495, Demonstrate Supervisory Ability (3)

Comply With and Use Tech. Specs. (3)

Notes:

(1) Includes Technical Specification compliance for an RO.

(2) Optional for an SRO-U.

(3) Only applicable to SROs.

Instructions:

Circle the applicants'license type and enter one or more event numbers that will allow the examiners to evaluate every app Author:

NRC Reviewer:

2005 N O 7 " L / T C E 1 1 44 Nuclear Training Ctr FAX No. I 856 333 3337 P. 30,'

ES-401 Written Examination Quality Checklist Form ES-401-6 Facility: Hope Creek Date of Exam: 11/28/05 Exam Level: RO & SRO Initial Item Description a b* cc

1. Questions and ~ 1 1 s t ~ l eare r a ~chnicallyaccurate and appEcableto &e facility. 9q4. 59 I 2. a. NRC K/& are refimnced for all questions.
b. Facility learning objectives arc &enced as available. md? $3
5. Question duplication from the license screeninglauditexam w a controlled as indicated below (check the item that applies) and appears approprim:

-the audit exam was systematically and randomly devtlapcd; or the audit exam was completed before the licease exam WBS starttd;or

-

T t h e e&dm were developed independently; or

-

l/&e liccnsce certifies that thcrc is no duplication; or odlcr (uplain)

I I I

6. 3aak use meets limits (no more than 75 percent . Bank Modiljed New .

from the bank, at least 10 percent new, andtberestnewormod5ed); entertheactual 26 25 24 98 RO I SRO-only question distriiution(s) at right.

7. Between 50 and 60 percent of the questions Memory c/A on the RO exam me writtea at the comptehensiod analysis level; the SRO 33 4 42 21 exam may exceed 60 petcent if the randomly (56%) (80%)

pp3 selectedK/As support the bigher cognitive levels; enter the actual RO / SRO question dismbution(s) at right. - ~~~

~

8. Refaacesibandouts provided do not give away mwers or aid inthe elimination of distractan. ?z? 59 Note:
  • Tha fxility revicwcfs initials/signaturcarc not applicablc fix NRC-developed examjnatiom.
  1. lndepcndent NRC rcviowcr initial ittms in Column "c"; chicf cmmher concurrence required

ES-403 Written Examination Grading Form ES-403-1 Quality Checklist Initials Item Description

1. Clean answer sheets copied before grading
2. Answer key changes and question deletions justified and documented
3. Applicants scores checked for addition errors (reviewers spot check > 25% of examinations)
4. Grading for all borderline cases (80 e%overall and 70 or 80, as applicable, *4% on the SRO-only) reviewed in detail
5. All other failing examinations checked to ensure that grades are justified
6. Performance on missed questions checked for training deficiencies and wording problems; evaluate validity of questions missed by half or more of the applicants Printed NameKignature Date Grader Facility Reviewer(*)

NRC Chief Examiner (*)

NRC Supervisor (*)

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

NC .TQ-W B.ZZ-O027(Z)

ATTACHMENT 6 IC

1. Pre-Examination NRC EXAMINATION SECURITY AGREEMENT xu-I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of Ihfh5 as of the date of my signature. I agree that I will not knowingly divulge any information abcut 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 performancefeedback to those applicants scheduled to be administered these licensing examinations from this date until completion of examination administration, except as specifically noted below and authorized by the NRC.

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

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

2. Post-Examination To the best of my know1 dg , I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) o f I ( . ~ 8 p S - . From the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC.

JOB TITLE /

-. PRINTED NAME RESPONSIBILITY SIGNATURE (1) DATE SIGNATURE (2) v Submit this completed attachment with examination records Nuclear Common Rev. 5

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ATTACHMENT 6 gg NRC EXAMINATION SECURITY AGREEMENT 25 I. Pre-Examination s;@

cki Iacknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of II Z h as of the date I of my signature. 1 agree that Iwill not knowingly divulge any information about these examinations to any persons who have not been authorized by the 0 7J NRC chief examiner. I understand that Iam not to instruct, evaluate, or Provide Derformance feedback to those aDolicants scheduled to be adrniristered these licensing examinations from this date until completion of examination administration, except as specifically ;toted below and authorized by the NRC. m

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during the week(s) of From the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, feedback to those applicants who were administered these licensingexaminations, except as specifically noted v)

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NC.TQ-WB.ZZ-O027(2) E low ATTACHMENT 6 0 -

0 0 NRC EXAMINATION SECURlTY AGREEMENT 55

1. Pre-Examination sz W L Iacknowledge that Ihave acquired specialized knowledge about the NRC licensing examinations scheduled for the week@) of I \ hi'h r as of the date of my signature. 1 agree that I will not knowingly divulge any information &out these examinations to any persons who have not been authorized by the NRC chief examiner. 1 understand that Iam not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be admiristered these licensing examinations from this date until completion of examination administration, except as specifically noted below and authorized by the NRC.

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

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

.2;.. Post-Examinatjon. . . . . _.. . . . . . . . . . . . . . . ._ . . . ....... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - . . . . . . .

To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC licensingexaminations administered during the week(s) of . From the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC.

I Submit this completed attachment with examination records i

Ii II iI Nuclear Common Page 47 of 94 Rev. 6