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{{#Wiki_filter:ES-201                                   Examination Preparation Checklist                           Form ES-201-1 Facility: kb?t             CUSK                                             Date of Examination: / //2a/Ox 9
{{#Wiki_filter:ES-201 Examination Preparation Checklist Form ES-201-1  
Developed by:
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Target I
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Written - F a c i l i t d R:@
-180
v
-120
                                                            // Operating - Facility c] N R   m 1
-120 Facility: kb? t CUSK Date of Examination: / //2a/Ox Developed by: Written - F a c i l i t d :R@  
Chief Date*                                    Task Description (Reference)                              Examiners Initials
// Operating - Facility c] N R
~        ~  ~~
m 9
    -180        1. Examination administration date confirmed (C.1.a; C.2.a and b)                     59
I v
    -120        2. NRC examiners and facility contact assigned (C.l .d; C.2.e) 59
- 1  
    -120        3. Facility contact briefed on security and other requirements (C.2.c)                 59
~~
    -120         4. Corporate notification letter sent (C.2.d)
: 1.
SD
Examination administration date confirmed (C.1.a; C.2.a and b) 59 5 9 5 9
[-901        [5. Reference material due (C.l .e; C.3.c; Attachment 211                               50
: 2.
(-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
: 3.
(-70)      I (7. Examination outline(s) reviewed by NRC and feedback provided to facility licensee (C.2.h; C.3.e))                                                      I -
NRC examiners and facility contact assigned (C.l.d; C.2.e)
(-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)
Facility contact briefed on security and other requirements (C.2.c)
      -30         9. Preliminary license applications (NRC Form 398s) due (C.1.l; C.2.g; ES-202)                                                                             SO
Target Date*
      -14      1 10. Final license applications due and Form ES-201-4 prepared (C.l.1; C.2.i; ES-202)
-120
      -14         11, Examination approved by NRC supervisor for facility licensee review (C.2.h; C.3.f)                                                                     59
[-901
      -14        12. Examinations reviewed with facility licensee (C.1.j; C.2.f and h; C.3.g)             5 4
(-75)
      -7 I 13. Written examinations and operating tests approved by NRC supervisor (C.2.i; C.3.h)                                                                 I
Task Description (Reference)
      -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
S D 5 0
~
: 4.
      -7         15. Proctoring/written exam administration guidelines reviewed with facility licensee (C.3.k)                                                     39
[5.
      -7        16. Approved scenarios, job performance measures, and questions distributed to NRC examiners (C.3.i)                                               90 ES-201,Page 24 of 27
: 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-ls, ES-401-1/2, ES-401-3, and ES-401-4, as applicable (C.1.e and f; C.3.d) n Chief Examiners 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 398s) due (C.1.l; C.2.g; ES-202)  
-14  
-1 4 59 5 4 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  
-7 3 9 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 Facility: Hope Creek Exam                                                        Date of Examination:    11/28/05 Initials Task Description a I  b'  I  c#
ES-201 Examination Outline Qualitv Checklist Form ES-201-2
: 1.      a. Verify that the outline@)fit@)the appropriate model, in accordance with ES-401.
: 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
: 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.
: 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.
T                                                                                                           Mfi        ,-5 4 1         1  d. Assess whether the justifications for deselected or rejected WA statements are appropriate.     b$iv IJ-9 I
Facility: Hope Creek - Exam Date of Examination:
I:           a. Using Form ES-301-5, verify that the proposed scenario sets cover the required number of normal evolutions, instrument and component failures, technical specifications, and major transients.
11/28/05 S 3
: b. Assess whether there are enough scenario sets (and spares) to test the projected number and mix of applicants in accordance with the expected crew composition and rotation schedule without compromising exam integrity, and ensure that each applicant can be tested       843 using at least one new or significantly modified scenario, that no scenarios are duplicated from the applicants' audit test@),and that scenarios will not be repeated on subsequent days.
%3 53 Mfi 54 Initials a I b' I c#
: c. To the extent possible, assess whether the outline(s) conform(s) with the qualitative and quantitative criteria specified on Form ES-301-4 and described in Appendix D.               m
Task Description
: b. Facility Reviewer   r)
: 1.
w R
I T
T v
,- I IJ-9 11 1 d. Assess whether the justifications for deselected or rejected WA statements are appropriate. b$ 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. 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 (#)
: c. NRC Chief Examiner (#)
: d. NRC Supervisor
: 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:
ES-301 Operating Test Quality Checklist Form ES-301-3
: 1. General Criteria a    b*   c#
: 1. General Criteria a
: 2. Walk-Through Criteria                                            -_    __    --
(1 Facility: Hdi cfi-@k.
~ a.         Each JPM includes the following, as applicable:
Date of Examination: f \\/whjy Operating Test Number:
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:
b*
                    - detailed expected actions with exact criteria and nomenclature
c#  
                    - system response and other examiner cues
~ a.
                    - statements describing important observations to be made by the applicant
Each JPM includes the following, as applicable:
                    - criteria for successful completion of the task
initial conditions initiating cues I
                    - identification of critical steps and their associated performancestandards
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:
                    - restrictions on the sequence of steps, if applicable
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
: 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
: 2. Walk-Through Criteria
y          9 on those forms and Form ES-201-2.
: b.
: 3. Simulator Criteria                                           --    _-    __
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.
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.
: 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.
: a. Author
: a.
: b. Facility Reviewerr)
Author 9
: c. NRC Chief Examiner (#)         >Z&d           psdd/J           I
vy 47%
: d. NRC Supervisor
5,PI I
                                                                                    /I
: b.
                                                                                                                      ) hi /o.j-NOTE:           The facility signature is not applicable for NRC-developed tests.
Facility Reviewerr)
              #    Independent NRC reviewer initial items in Column c; chief examiner concurrence required.
: c.
NRC Chief Examiner (#) >Z&d psdd/J
: d.
NRC Supervisor  
) 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.  


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.:
ES-301 Simulator Scenario Quality Checklist Form ES-301-4 I
I I-
Facility:
: 1.         The initial conditions are realistic, in that some equipment andlor instrumentationmay be out
Hope Creek Date of Exam: 11/28/05 Scenario Numbers: 1 12 / 3 Operating Test No.:
: 11.         All individual operator competencies can be evaluated, as verified using Form ES-301-6 (submit the form along with the simulator scenarios).
I I-QUALITATIVE ATTRIBUTES II I
fng
: 1.
: 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).
The initial conditions are realistic, in that some equipment andlor instrumentation may be out fng
13.         The level of difficulty is appropriate to support licensing decisions for each crew position.
: 11.
Target Quantitative Attributes (Per Scenario; See Section D.5.d)
All individual operator competencies can be evaluated, as verified using Form ES-301-6 (submit the form along with the simulator scenarios).
I Actual Attributes
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.         Total malfunctions (5-8)                                                             6 1 7 1 7      yF&
: 12.
: 2.         Malfunctionsafter EOP entry (1-2)                                                    2 1 1 I 2      *2?
: 13.
: 3.         Abnormal events (2-4)                                                                 2 I 2    I3    7rb
The level of difficulty is appropriate to support licensing decisions for each crew position.
: 4.         Major transients (1-2)                                                               1I 2      I1    %!!
I Target Quantitative Attributes (Per Scenario; See Section D.5.d)
: 5.         EOPs enteredrequiring substantive actions (1-2)                                     2 1 2    I1    P?
: 1.
: 6.          EOP contingencies requiring substantive actions (0-2)                               1I O     IO    2zz
Total malfunctions (5-8)
: 7.        Critical tasks (2-3)                                                                  31 2     13   ?%A
: 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 6 1 7 1 7 yF&
2 1 1 I 2
*2?
1 I 2
I 1 2 1 2 I 1 P ?
1 I O
I O 2zz 2 I 2 I 3 7rb 3 1 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.:
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:
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.
: 1.
: 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.
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. 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.
: 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.
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.
: 2.
: 3.
Author:
Author:
NRC Reviewer:
NRC Reviewer:  


ES-301                                   ComDetencies Checklist                         Form ES-301-6 Facilitv: Hope Creek               Date of Examination: 11/28/05       ODeratina Test No.:
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
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 1 2 3,
                                                                                        -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)
and Interact
: 495, SRO-I RO Demonstrate Supervisory Ability (3)
Comply With and Use Tech. Specs. (3)
Comply With and Use Tech. Specs. (3)
Notes:
Notes:
(1)     Includes Technical Specification compliance for an RO.
(1)
(2)     Optional for an SRO-U.
(2)
(3)     Only applicable to SROs.
Optional for an SRO-U.
Instructions:
(3)
Only applicable to SROs.
Includes Technical Specification compliance for an RO.
SRO-I SCENARIO
-77 Instructions:
Circle the applicants'license type and enter one or more event numbers that will allow the examiners to evaluate every app Author:
Circle the applicants'license type and enter one or more event numbers that will allow the examiners to evaluate every app Author:
NRC Reviewer:
NRC Reviewer:  


2005 N O 7 " L / T C E 1 1 44           Nuclear Training Ctr                 FAX   No. I 856 333 3337                     P. 30,'
2005 N O 7 "L/TCE 1 1 44 Nuclear Training Ctr FAX N o. 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
?z?
: 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.
: 8. Refaacesibandouts provided do not give away mwers or aid in the elimination of distractan.
: b. Facility learning objectives arc &enced as available.                                   md?            $3
ES-401 Written Examination Quality Checklist Form ES-401-6 5 9 I
: 5. Question duplication from the license screeninglauditexam w a controlled as indicated below (check the item that applies) and appears approprim:
Facility: Hope Creek Date of Exam: 11/28/05 Exam Level: RO & SRO Initial Item Description a
                      -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)
b*
I         I               I
cc
: 6. 3aak use meets limits (no more than 75 percent . Bank               Modiljed           New   .
: 1. Questions and ~11st~lera are ~chnically accurate and appEcable to &e facility.
from the bank, at least 10 percent new, andtberestnewormod5ed); entertheactual               26         25             24 98 RO I SRO-only question distriiution(s) at right.
9q4.
: 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%)
59 md?
pp3 selectedK/As support the bigher cognitive levels; enter the actual RO / SRO question dismbution(s) at right.                           -                      ~~~
$3
                                                                                                                          ~
: 2.
: 8. Refaacesibandouts provided do not give away mwers or aid inthe elimination of distractan.                                                    ?z?            59 Note:
: a.
* Tha fxility revicwcfs initials/signaturcarc not applicablc fix NRC-developed examjnatiom.
NRC K/& are refimnced for all questions.
                            # lndepcndent NRC rcviowcr initial ittms in Column "c"; chicf cmmher concurrence required
: b. Facility learning objectives arc &enced as available.
: 5. Question duplication from the license screeninglaudit exam 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. 98 from the bank, at least 10 percent new, andtberestnewormod5ed); 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:
* Tha fxility revicwcfs initials/signaturc arc 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
Written Examination Grading Form ES-403-1 ES-403 Quality Checklist Item Description
: 1.     Clean answer sheets copied before grading
: 1.
: 2.      Answer key changes and question deletions justified and documented
: 2.
: 3.      Applicants scores checked for addition errors (reviewers spot check > 25% of examinations)
: 3.
: 4.      Grading for all borderline cases (80 e%overall and 70 or 80, as applicable, *4% on the SRO-only) reviewed in detail
: 4.
: 5.      All other failing examinations checked to ensure that grades are justified
: 5.
: 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(*)
: 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(*)
NRC Chief Examiner (*)
NRC Chief Examiner (*)
NRC Supervisor (*)
NRC Supervisor (*)
(*)   The facility reviewers signature is not applicable for examinations graded by the NRC; two independent NRC reviews are required.
Initials Date
(*)
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)
N C.TQ-W B.ZZ-O027(Z)
ATTACHMENT 6                                       IC
ATTACHMENT 6 I C NRC EXAMINATION SECURITY AGREEMENT xu-
: 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.
: 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. 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.
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) 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.
: 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-. 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 SIGNATURE (1)
JOB TITLE /
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  


m NC.TQ-WB.ZZ-O027(Z)                     %
ATTACHMENT 6 NRC EXAMINATION SECURITY AGREEMENT I. Pre-Examination m
m ATTACHMENT 6                                                                                                      gg NRC EXAMINATION SECURITY AGREEMENT                                                                                                                    25 I. Pre-Examination                                                                                                                                                                                                        s;@
NC.TQ-WB.ZZ-O027(Z)  
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.
,m g g 25 s;@
I will immediately report to facility management or the NRC chief examiner my indications or suggestions that examination security may have been                                                                             5 Z
cki I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of I I Z
compromised.                                                                                                                                                                                                                 0 7J
h as of the date of my signature. 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. 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.
.2,.. Pmt-Examinatjon. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .     . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - . . . . . .- . . m 5
Furthermore, I am aware of the physical security measures and requirements (as documented in the facility licensees 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.
E To the best of my                         not divulge to any unauthorized persons any informationconcerning the NRC licensing examinations administered                                                                     0 Z
I will immediately report to facility management or the NRC chief examiner my indications or suggestions that examination security may have been compromised.  
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)
.2,.. Pmt-Examinatjon.........................................
                                                                                                                                                                                                                            --I below and authorized by the NRC.                                                                                                                                                                                            9
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.
                                                                                                                                                                                                                            -I c
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
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NC.TQ-WB.ZZ-O027(2)                   E low ATTACHMENT 6                                                                                                      0 -
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0 0 NRC EXAMINATION SECURlTY AGREEMENT                                                                                                 55
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: 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.
: 1.
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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. 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 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.
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. ,
I will immediately report to facility management or the NRC chief examiner my indications or suggestions that examination security may have been compromised.  
    .2;.. Post-Examinatjon. .  . . . _.. . . . . . . . . . . . . . . ._ . . . .......  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - . . . . . . .
.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.
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.  
I Submit this completed attachment with examination records i
. 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}}
Ii II iI  Nuclear Common                                                                   Page 47 of 94                                                                                       Rev. 6}}

Latest revision as of 10:35, 15 January 2025

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

~

~

-180

-120

-120 Facility: kb? t CUSK Date of Examination: / //2a/Ox Developed by: Written - F a c i l i t d :R@

// Operating - Facility c] N R

m 9

I v

- 1

~~

1.

Examination administration date confirmed (C.1.a; C.2.a and b) 59 5 9 5 9

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)

S D 5 0

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-ls, ES-401-1/2, ES-401-3, and ES-401-4, as applicable (C.1.e and f; C.3.d) n Chief Examiners 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 398s) due (C.1.l; C.2.g; ES-202)

-14

-1 4 59 5 4 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

-7 3 9 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.
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.
c. Assess whether the outline over-emphasizes any systems, evolutions, or generic topics.

Facility: Hope Creek - Exam Date of Examination:

11/28/05 S 3

%3 53 Mfi 54 Initials a I b' I c#

Task Description

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. 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. 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: Hdi cfi-@k.

Date of Examination: 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

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.

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.
a.

Author 9

vy 47%

5,PI I

b.

Facility Reviewerr)

c.

NRC Chief Examiner (#) >Z&d psdd/J

d.

NRC Supervisor

) 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.

ES-301 Simulator Scenario Quality Checklist Form ES-301-4 I

Facility:

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).

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).

12.
13.

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

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 6 1 7 1 7 yF&

2 1 1 I 2

  • 2?

1 I 2

I 1 2 1 2 I 1 P ?

1 I O

I O 2zz 2 I 2 I 3 7rb 3 1 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 applicable for 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) 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.

2.
3.

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 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 1 2 3,

and Interact

495, SRO-I RO Demonstrate Supervisory Ability (3)

Comply With and Use Tech. Specs. (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:

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/TCE 1 1 44 Nuclear Training Ctr FAX N o. I 856 333 3337 P. 30,'

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8. Refaacesibandouts provided do not give away mwers or aid in the elimination of distractan.

ES-401 Written Examination Quality Checklist Form ES-401-6 5 9 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.

b. Facility learning objectives arc &enced as available.
5. Question duplication from the license screeninglaudit exam 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. 98 from the bank, at least 10 percent new, andtberestnewormod5ed); 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:

  • Tha fxility revicwcfs initials/signaturc arc not applicablc fix NRC-developed examjnatiom.
  1. 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

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(*)

NRC Chief Examiner (*)

NRC Supervisor (*)

Initials Date

(*)

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

N C.TQ-W B.ZZ-O027(Z)

ATTACHMENT 6 I C 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. 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.

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-. 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.

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Furthermore, I am aware of the physical security measures and requirements (as documented in the facility licensees 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.

.2,.. Pmt-Examinatjon.........................................

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.

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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. 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 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 will immediately report to facility management or the NRC chief examiner my indications or 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 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