ML061000336

Various Checklist for the Palisades Retake Examination - February 2006

ML061000336
Person / Time
Site:	Palisades
Issue date:	02/07/2006
From:	Walton R NRC/RGN-III/DRS/OLB
To:
Shared Package
ML060760460	List: ML060810294 ML061000062 ML061000236 ML061000265 ML061000274 ML061000298 ML061000317 ML061000336
References
50-255/06-301
Download: ML061000336 (9)

Text

VARIOUS CHECKLISTS

-

FOR THE PALISADES RETAKE EXAMINATION FEBRUARY 2006

ES-201 Examination Preparation Checklist Form ES-201-1 Facility: Po;\ L'S Q & Date of Examination: 2 17 0.6 1 Examinations Developed by: NRC (circle one)

Target Chief Date' Task Description / Reference Examiner's Initials

-180 1. Examination administration date confirmed (C.l .a; C.2.a & b) 1 ~

-120 I 3. Facilitqcontact briefed on security &other requirements (C.2.c)

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I lOlll=+-Jd;L, i o / & 1ZQ.F

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

[-go] 15.Reference material due (C.l .e; C.3.c)l ET\&

-75 6. Integrated examination outline(s) due (C.l .e & 1; C.3.d) ,%I 5 I zk

\ 1\121 w05

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

\2 130)Z-C

-45 8. Proposed examinations, supporting documentation. and reference materials due (C.l.e, f, g & h; C.3.d) @d

-30 9. Preliminary license applications due (C.l .I; C.2.g; ES-202) WJ

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-14 10. Final license applications due and assignment sheet prepared (c.1.I; C.2.Q;ES-202) &u I1r I

~~ ~~ ~~

11. Examination approved by NRC supervisor for facility licensee

-1' review (C.2.h; C.3.f)

-14 I 12. Examinations reviewed with f a c i l i licensee (C.l .i; C.2.f 8 h; C.3.9) I 250b\3 I

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~ ~ ~~ ~~

13.Written examinations and operating tests approid by NRC supervisor (C.2.i; C.3.h)

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-7 14. Final applications reviewed; assignment sheet updafed; waiver letters sent (C.2.g, ES-204) &d

15. ProctoringAvritten exam administration guidelines reviewed with \la r)ub

-7 facility licensee and authorization granted to give written exams Dhb

~ ~

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(if amlicable) (C.3.k)

~~

76.pLedscenarios, job performance measure; distributed to NRC examiners (C.3.i)

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and questions f

Target dates 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 coordinatior with the facility licensee.

[ ] Applies only to examinations prepared by the NRC.

NUREG-1021, Revision 8, Supplement 1 22 of 24

I QF-1071-01 Rev. 0 (FP-T-SAT-71)

L N

caOmmm 10 N".=,earE.cd,*"m M ~ Nuclear Management Company MASTER SECURITY AGREEMENT 1 The Master Security Agreement is used for those personnel having both knowledge of Exam Sensitive Material and unrestricted access to Primary and Secondary Containment.

1. Pre-Examination (Review FP-T-SAT-71, Attachment 1 for pre-job briefing requirements)

I acknowledge that I have acquired specialized knowledge about the u\r kc Ihdi (LI examination(s) scheduled for the date(s) of 2 / cf 3 Zl/o/cbas of the date of my signature. Iagree that Iwill not knowingly divulge any information about these examinations to any persons who have not been authorized by an Operations Training Supervisor. I understand that I am not to instruct, evaluate, or provide performance feedback to those individuals scheduled to be administered these examinations from this date until completion of examination administration. Acting as a simulator booth operator or communicator is acceptable if I do not select the training content or provide direct or indirect feedback to an examinee. Furthermore, I am aware of the physical security measures and requirements (as documented in NMC procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations andlor an enforcement action against my facility or me. I will immediately report to the Exam Project Manager any indications or suggestions that examination security may have been compromised.

2. Post-Examination To the best of my knowledge, Idid not divulge to any unauthorized persons any information concerning the examinations administered during the date(s) of I=& 6.*Ob . . From the date that I entered into this security agreement until the completion of examination administration, I did not idstruct, evaluate, or provide performance feedback to those individuals who were administered these examinations.

DATE NOTE 1.

2.

3.

4.

5.

6.

7.

a. L - L Page 1 of 2

i QF-1071-01 Rev. 0 (FP-TSAT-71) c o N d m NuCM.7 E " m

• n o M 1 ~

Nuclear Management Company MASTER SECURITY AGREEMENT The Master Security Agreement is used for those personnel having both knowledge of Exam Sensitive Material and unrestricted access to Primary and Secondary Containment.

PRINTED NAME JOB TITLE I RESPONSIBILITY SIGNATURE (1) DATE SIGNATURE (2) 9.

10.

11.

12.

1.5.

14.

15.

NOTES:

Page 2 of 2

&;h('ISadCS QF-1071-02 Rev. 0 (FP-T-SAT-71) corn- NM?

m N"-rErS.lo- 1 Nuclear Management Company LIMITED SECURITY AGREEMENT The Limited Security Agreement is used for those personnel having limited knowledge of Exam Sensitive Material but do not have unrestricted access to Primary and Secondary Containment.

1. Pre-Examination(Review FP-T-SAT-71, Attachment 1 for pre-job briefing requirements)

I acknowledge that I have acquired specialized knowledge about the fk- examination scheduled for the date@) of 1IL~ZOOb as of the date of my signature. I agree that I will not knowingly divulge any information about this examination to any persons who have not been authorized by an Operations Training Supervisor. I understand that I am not to instruct, evaluate, or provide performance feedback to those individuals scheduled to be administered this examination from this date until completion of this examination administration.

Acting as a simulator booth operator or communicator is acceptable if I do not select the training content or provide direct or indirect feedback to an examinee. Furthermore, I am aware of the physical security measures and requirements (as documented in NMC procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examination andlor an enforcement action against my facility or me. I will immediately report to the Exam Project Manager any indications or suggestions that examination security may have been compromised.

2. Post-Examination To the best of my knowledge, Idid not divulge to any unauthorized persons any information concerning the examination administered during the date@)of a/&/ loO h . From the date that I entered into this security agreement until the completion of this examination administration, I did not instruct, evaluate, or provide performance feedback to those individuals who were administered this examination.

Furthermore, Iagree to NOT discuss any aspects associated with the contents of this examination with ANY examinee until the completion of their examination administration. I further understand that violation of the conditions of this agreement may result in cancellation of the examination andlor enforcement action against the facility licensee or me.

PRINTED NAME JOB TITLE I RESPONSIBILITY SIGNATURE (1) DATE SIGNATURE (2) DATE NOTE

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QF-1071-02 Rev. 0 (FP-T-SAT-71)

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m NvdoDr mce,,e-1 Nuclear Management Company LIMITED SECURITY AGREEMENT The Limited Security Agreement is used for those personnel having limited knowledge of Exam Sensitive Material but do not have unrestricted access to Primary and Secondary Containment.

Page 2 of 2

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, OF-1071-02 Rev, 0 (FP-T-SAT-71) 3 0

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Nuclear Managemen1 Company LIMITED SECURITY AGREEMENT The Lmited Security Agreement is used for those p m n d having limfled knowledge of Exam Sensitive Materkil but do not have unrestricted access to Primary and Secondaly Containment.

DATE L

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QF-1071-02 Rev. 0 (FP-T-SAT-71)

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cMlml.dm N h a r G & n s I Nuclear Management Company LIMITED SECURITY AGREEMENT The Limited Security Agreement is used for those personnel having limited knowledge of Exam Sensitive Material but do not have unrestricted access to Primary and Secondary Containment.

PRINTED NAME JOB TITLE I RESPONSIBILITY DATE NOTE

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11.

12.

13.

14.

15.

NOTES:

Page 2 of 2

i QF-1071-02 Rev. 0 (FP-TSAT-71)

N-I cCm"bwe0 D N " d o . r E X ~ I x 0 Nuclear Management Company LIMITED SECURITY AGREEMENT The Limited Security Agreement is used for those personnel having limited knowledge of Exam Sensitive Material but do not have unrestricted access to Primary and Secondary Containment.

PRINTED NAME JOB TITLE I RESPONSIBILITY SIGNATURE (1) DATE SIGNATURE (2) DATE NOTE 11.

12.

13.

14.

15.

NOTES:

Page 2 of 2