ML022200523

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Various Checklists for the Dresden Initial Examination - June 2002
ML022200523
Person / Time
Site: Dresden  Constellation icon.png
Issue date: 06/03/2002
From: Otten M
Exelon Generation Co
To:
Office of Nuclear Reactor Regulation
References
50-237/02-301, 50-249/02-301, ES-403-1 NUREG-1021, Rev 8
Download: ML022200523 (20)
v • d • e


Text

VARIOUS CHECKLISTS FOR THE DRESDEN INITIAL EXAMINATION - JUNE 2002

ES-201 DRESDEN Examination Securit Agreement Form ES-201-3

1. Pre-Examination I acknowledge that I have acquired specialized knowledge about date of my signature. I agree that I will not knowingly divulge any the NRC licensing examinations scheduled for the week(s) of $,2*7 _-yIl// z11- as of the information about these examinations to any persons who have by the NRC chief examiner. I understand that I am not to instruct, not been authorized evaluate, administered these licensing examinations from this date until completion or provide performance feedback to those applicants scheduled to be authorized by the NRC.Furthermore, I am aware of the physical of examination administration, except as specifically noted below and procedures) and understand that violation of the conditions of thissecurity measures and requirements (as documented in the facility licensee's agreement may result in cancellation of the examinations and/or action against me or the facility licensee. I will immediately report an enforcement to facility management or the NRC chief examiner any indications examination security may have been compromised. or suggestions that
2. Post-Examination To the best of my knowledge, I did not divulge to any unauthorized during the week(s) of fa.IU,*, From the date that I entered persons any information concerning the NRC licensing examinations into this security agreement until the completion of examination administered instruct, evaluate, or provide performance feedback to those applicants administration, I did not who were administered these licensing examinations, except as noted below and authorized by the NRC. specifically PRINTED NAME JOB TITLE / RESPONSIBILITY SIGNATURE (1) DATE SIGNATURE (2) DATENOTE
1. - _ __ _ r *_.,, -,_*o 2 7_*IV_,__.:,.__-T
6. ._L4~ L ~ - &=*_**k___**

¶ _ _-*

12.~s~7T 2** --- A --- --------

- --- - ------ Lk 31.

5. -- "W - Lo 7-. ....--- ---------......------- --- -- -L--- -

_ L-_ - - ----- - L-4---z -- -

NOTES:

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

.4

( ES-201DRESDEN Examinatiun Security . greement

1. Pre-Examination Form ES-201-3 I acknowledge that I have acquired specialized knowledge about the date of my signature. I agree NRC licensing examinations scheduled by the NRC chief examiner. I that I will not knowingly divulge any for the week(s) of -* %ýVs of the understand information administered these licensing examinationsthat I am not to instruct, evaluate, orabout these provide examinations performance to any persons who have not been authorized by the NRC.Furthermore, from this date until completion feedback to those applicants scheduledauthorized of examination administration, procedures) and understand that I am aware of the physical security measures except as specifically noted below to be action against me or the facility violation of the conditions of this agreement may result in and requirements (as documented in the facility licensee'sand licensee. I will immediately report cancellation of the examinations to facility management or the NRC and/or an examination security may have chief examiner any indications enforcement been compromised. or suggestions that 2.a To the best of my knowledge, during the week(s) of Z I did not divulge to any unauthoe

., From the date that I entered persons any Information concerning instruct, evaluate, or provide performance Into this security agreement until the NRC licensing examinations feedback to those applicants who he completion of examination administration. administered were administered these licensing I did not noted below and authorized by examinations, except as specifically the NRC.

PRINTED NAME JOB TITLE / RESPONSIBILITY SIGNATURE (1) DATE SIGNATURE (2) DATENOTE 2.

6.  ; ----------------- ------
9. -. - -.- 0 6 .
11. ____f_._ - - . . . .

V-,I.I, --- vav-.e****.

--- .......... .ft4".. . . 1q/-O .-.

/

13 .*

v** - *_ ,

12. 21?C,---*---- - -,-=.. -.- -** -- .-,.----...

-- --- 7

--- X K_.=

NOTES: .

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

( (

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

1. Pre-Examination I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of *' -//zctzasof the date of my signature. I agree that I will not knowingly divulge any information about these examinations to any persons who have not been authorized by the NRC chief examiner. I understand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examinations from this date until completion of examination administration, except as specifically noted below and authorized by the NRC.Furthermore, I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action against me or the facility licensee. I will immediately report to facility management or the NRC chief examiner any indications or suggestions that examination security may have been compromised.
2. Post-Examination To the best of my knowledge, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of &Zy -g,- From the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC.

PRINTED NAME JOB TITLE / RESPONSIBILITY SIGNATURE (1) DATE SIGNATURE (2) DATENOTF

2. ~~~ o -. --- - ........._ -?-,_..
4. -__C- ** .. . -b"#.- .. .. ..-. .oo -L _j

-*, * .- __*_ _- ,>v - ***_

-.--- -------- 't*-: t --- -- - --. :--

, . -,- -T-- .. -,,-. _ - *.. .- . . -- . . . .**Z-- ,, - ------

r*z "'*"*--

7. --------------- --------- -- - - ..

8.

9. --------------------------

i

10. ---------- - - -------------

ZW-------- ------------

11.

12.

13.------ ----------- --- - ---........ -- - - - - - - - ---- ----- -

14.

15.

NOTES:

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

DRESDEN

,--, , ',, ,.,jI, UI It" I'l yI tAeemlenit Form ES-201-3

1. Pre-Examination I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of 7abo as of tthe date of my signature. I agree that I will not knowingly divulge any information about these examinations to any persons who have not been authorized by the NRC chief examiner. I understand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examinations from this date until completion of examination administration, except as specifically noted below and authorized by the NRC.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>,../ @, fl / )P// 6
2. Post-Examination 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 /, From the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC.

PRINTED NAME JOB TITLE / RESPONSIBILITY SIGNATURE (1) DATE SIGNATURE (2) DATENOTE C--------- --------------------------

3. --------------------------- ----- ---
4. -- - - - - - - - - - - - - - - - - - ------------------ -------- - - ----------------
5. --- --- - - - -- - - - -- - - -- - - - -- - - -------- ------ --------------------- ----- ----
6. - - - - - - - - - - - - - - - - - - - - - - - --------- ------ --------------------- ----- ----
7. --- - - - - - - - - - - - - - - - - - - - - - - - - - -------------------- ------ - - - - - - - - - -

8.------- - - - - - - - - - - - - - - -- - - - - - - - - - - - - - -- - -- --

9. - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - -- -- -- -- - ---- - - -
10. - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - -- - -
11. -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - ----- - - - - - - - - - - - - - - - - -
12. - -- - - - - - - - - - - - - - - - - - -- - - - - - - - - - -- - - - - - - ---- - - - - - - - - - - - - - -
13. -- - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - -- ----- - - - - - - - - - - -

14.

15. - - - - - -- - - - - - - -- - - - - ------- - - - - -- ---- - - ---

NOTES:

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

(i (

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

1. Pre-Examination I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of ben as of the date of my signature. I agree that I will not knowingly divulge any information about these examinations to any persons who have not been authorized by the NRC chief examiner. I understand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examinations from this date until completion of examination administration, except as specifically noted below and authorized by the NRC.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. / J5 e -f 2- J //k3/45
  • O//

2.. Post-Examination 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,4,.,,.. From the date that I entered into this security agreement until the completion of examination administration. I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC.

PRINTED NAME JOB TITLE / RESPONSIBILITY SIGNATURE (1) DATE SIGNATURE (21 DATFNCiTr 2.

3. -----------------------------
4. - - - - - - - - - - - - - - - - - - - - - - - - - - - - ----- - - - - - - - - - - - - - - - -- - -- ---- - - -- - ---
5. - --- - - - -- - - - - - - - - - - - - - -- - - - - - -----
6. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- -
7. - - - - - - - - - - - - - - - - - - - - - - - - - - - --- -- - -- - - -- - - - - -
8. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - -- - ----- - - - - - - - - - - - - - - - - - -
9. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- -- - - - ----- - - - - - - - - - - - - - - - -
10. - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - -- -- -- ----- - - - - - - - - - - - - -
11. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- -- -

12.

13.

14. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ----------- - - - - - - - - - - - -
15. - - - - - - - - - - - - - - - - - - - - - - - --- - - - - - - -

NOTES:

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

(, (

DRESDEN ES-201 Examinaiion Security Agreement Form ES-201-3

1. Pre-Examination I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of___ _____ as of the date of my signature. I agree that I will not knowingly divulge any information about these examinations to any persons who have not been authorized by the NRC chief examiner. I understand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examinations from this date until completion of examination administration, except as specifically noted below and authorized by the NRC.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 !s>., ,CWvY -- j9Z /-/~. dvc/

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

PRINTED NAME JOB TITLE / RESPONSIBILITY SIGNATURE (1) DATE SIGNATURE (2) DATENOTE

/W

/d5-77W- C PC /Z.

2.

3.

4. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - ---- - - - - - - - - - - - - - - - - -
5. -- - - - - - - - - - - - - - - - - - - ---- - - - - -- - ------------------
6. - -- - -- -

7.

8. - - - - - - - - - - - - - - - - - - - - - - - - - - - - --- - - -- --------- ----- -- --- - --

9.

10. - - - - - - - - -
11. - - - - - - - - -
12. - - - - -
13. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
14. - - - - - - - - - - -- - - - - - - - - - ----- - - - - - -- - - - - - - - - - - - - -- -
15. --- -- -- --

NOTES:

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

(,

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

1. Pre-Examination I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) ofasot.

date of my signature. I agree that I will not knowingly divulge any information about these examinations to any persons who have not been authorized by the NRC chief examiner. I understand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examinations from this date until completion of examination administration, except as specifically noted below and authorized by the NRC.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 knowled *e, I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of%,./.ý ,z. From the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC.

PRINTED NAME JOB TITLE / RESPONSIBILITY SIGNATU RE (1) DATE SIGNATURE (2) DATENOTE 1 ,___

2.

3. - - - - - - - - - - - - - - - - - - - - - - ------------ ------ ---------------------
4. --- -- ----
5. --------------------------------
6. ------ --------------------- ----- ----
7. ---------------- ------------------- ------ --------------------- ----- ----
8. ------------------- ------------------
9. ----------------------------------- ------ ------------------- ----- ----

10, ------------------------------ ------ --------------------- ----- ----

11. -- - - - - - - - - - - - - - - - - - - ----- -
12. - - - -- - - - --------
13. -- - - - - - - - - - - - - - - - - - - - - - - - -
14. - - - -- - - - ----
15. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -----

NOTES:

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

( (

DRESDEN rxi.xmrnla~i~n Z-,*Pni Ilrlv Mnr~rl~m~n?

1. Pre-Examination I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) ofi./*/z_77'7/- z. as of the date of my signature. I agree that I will not knowingly divulge any information about these examinations to any persons who have not been authorized by the NRC chief examiner. I understand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examinations from this date until completion of examination administration, except as specifically noted below and authorized by the NRC.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. * ,,6* I !s J3/25 0%/7/Z) o/nY
2. Post-Examination To the best of my knowledge I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of-t--. From the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC.

PRINTED NAME JOB TITLE / RESPONSIBILITY SIGNATURE (1) DATE SIGNATURE (2) DATENOTE 2.

 ;--A4 ---------

3. -- - - - - - - - -7 - - - - - - - - - - - - - -- ---- - -- -- - -- --- - -- --- -- -- -- -- --- -- -- --- - - - -- -

4._ -- - - - - - - - - - - - - - - - - - - -- - -- --- -- -- --- - -- -- - - -- -- -- -- --- -- -- -- -- - -- -- - -- --

5._

6._ - - - - - - - - - - - - - - -- - - - - - -------------- ------ --------------------- ----- -----

7._ -- - - - - - - - - - - - - - - - - - - - - ---------- ------ --------------------- ----- -- --

8._ -- - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - ---- - - - - - - - - - - - - - - - - - -

9._ - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- -- -- -- - - - ---- - - - - - - - - --- ----- - -

10. - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- -- - - - - -
11. - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- -- - -- - -
12. - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - -- - -- - - -
13. -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- ----- - - - - - - - - - - - -
14. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- -- - - - -- -- ---- - - - - - - - - - - -
15. - - - - - - - - - - - - - - - - - - - - - - --- - - - --- - - - -- - - - - -- - - - - - - ---

NOTES:

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

(

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

1. Pre-Examination I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of Z//. -asof the date of my signature. I agree that I will not knowingly divulge any information about these examinations to any persons who have not been authorized by the NRC chief examiner. I understand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examinations from this date until completion of examination administration, except as specifically noted below and authorized by the NRC.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 faciility management or the NRC chief examiner any indications or suggestions that examination security may have been compromised. ,'.,c,4,, c'-[
2. Post-Examination .

To the best of my knowllede*j,id not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of . the date that I entered into this security agreement until the completion of examination administration, I did not

.From instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC.

PRINTED NAME JOB TITLE / RESPONSIBILITY SIGNATURE (1) DATE SIGNATURE (2) DATENOTE 1 . .........

4.5---------------------- 3 ---

87. ----

~~------------------------------------ ---------------------------

10.

11.

11------------------------------------------

12.-..

13.

14.

NOTES:

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

( ( (

DRESDEN ES-201 Examination SecurityAgreement Form ES-201-3

1. Pre-Examination I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of / as of the date of my signature. I agree that I will not knowingly divulge any information about these examinations to any persons who have not been authorized by the NRC chief examiner. I understand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examinations from this date until completion of examination administration, except as specifically noted below and authorized by the NRC.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. /<e,/ e o1 //-c/-44,ie ,.-, 43
2. Post-Examination 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 _ . From the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC.

PRINTED NAME JOB TITLE / RESPONSIBILITY SIGNATURE (1) DATE SIGNATURE (2) flATI:nT-*T

1. ýDL- 1-.,,MQ:Zpq.l
2. - - - - ----

- -- - - - -11'- V 3.

4.

5. - ----------- - -------------

6.

7.

8. ----------------------------- ----------------------- ----- -----

9.

10.

11. - -- --
12. --------------------------
13. -- -- - -- - - - - - - -- - - - - -- - - - ---- --- --
14. - - -- - - - - - - - - - - - - -- -

15.

NOTES:

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

( ( (

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

1. Pre-Examination I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) as of the date of my signature. I agree that I will not knowingly divulge any information about these examinations to any persons who have not been authorized by the NRC chief examiner. I understand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examinations from this date until completion of examination administration, except as specifically noted below and authorized by the NRC.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. 12-1/ 1 C j', '.
2. Post-Examination 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 -. From the date that I entered into this security agreement until the completion of examination administration t, did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC.

PRINTED NAME JOB TITLE / RESPONSIBILITY SIGNATURE (1) DATE SIGNATURE (2) DATENOTE

2. - W 3.

7 -

4. - - - - - - - - - - - - - - - - - - - - - -
5. - - --- -
6. ---- -- - -- -- -- - -- -- - -- -- -- - -- ------ ------ --------- -----

7.------------------ --

8. ---------------------------------- -- - -- -
9. -- - - - - - - - - - - - - - - - - - - -- - - - - - ------- -
10. ----
11. ---------------
12. --------------------------------
13. ---------------
14. - - - - - - - - - - - - - - -- - - - - - - - - -
15. -- - - - - - - - - - - - - - - - - - - --- -

NOTES:

~~~~ -- - - - - - - - - - - - - -- - - ---- - --------

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

( (

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

1. Pre-Examination I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of ý -L .as of the date of my signature. I agree that I will not knowingly divulge any information about these examinations to any persons who have not been authorized by the NRC chief examiner. I understand that I am not to instruct, evaluate, or provide performance feedback to those applicants scheduled to be administered these licensing examinations from this date until completion of examination administration, except as specifically noted below and authorized by the NRC.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. /<ui~ of J /. S-,tc'<,7
2. Post-Examination 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 ý. - Z,- From the date that I entered into this security agreement until the completion of examination administration, I did not instruct, evaluate, or provide performance feedback to those applicants who were administered these licensing examinations, except as specifically noted below and authorized by the NRC.

PRINTED NAME JOB TITLE / RESPONSIBILITY SIGNATURE (1) DATE SIGNATURE (2) DATENOTE 2.

- - -4 - - -- ,

3.

4. ----------------------------------------

3 ---- ------ --------- ---------------------------

6.5. - -- ------ -------------- ---------------------------

7.------------------ ----------------------------- -- - - - - - - - - - - ----- ----

8. ----- ----
9. ~~~---
10. 12.------------------ ----------------------------- --------------------------- ------ --- ----------------- ----- ----

13.

14.1 -------------------------------------------

15.

NOTES:

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

ES-301 O;erating Test Quality Checklist Form ES-301-3 tyateof SQ,6-5 Examination--61/ Operating Test Numberv,, 1, Initials

1. GENERAL CRITERIA a b" ce
a. The operating test conforms with the previously approved outline: changes are consistent with sampling requirements (e g. 10 CFR 55 45. operational importance, safety function distribution) , 140 "
b. There this during is noexamination day-to-day repetition between this and other operating 1.40  !:(.1 tests to be administered c The operating test shall not duplicate items from the applicants' audit test(s)(see Section D.1.a). ,.1 "
d. Overlap lim its .,, with the written examination and between operating test categories is within acceptable 0 *
e. It appears that the operating test will differentiate between competent and less-than-competent ,

applicants at the designated license level.

2. WALK-THROUGH (CATEGORY A & B) CRITERIA
a. Each JPM includes the following, as applicable:
  • initial conditions
  • initiating cues
  • references and tools, including associated procedures
  • reasonable and validated time limits (average time allowed for completion) and specific I designation ifdeemed to be time critical by the facility licensee

. specific performance criteria that include: r'A., -' =

- 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. the prescripted questions in Category A are predominantly open reference and meet the criteria in Attachment 1 of ES-301. i4.e
c. Repetition from operating tests used during the previous licensing examination is within acceptable limits (30% for the walk-through) and do not compromise test integrity. ,
d. At least 20 percent of the JPMs on each test are new or significantly modified. A/vY __

a.

3. SIMULATOR (CATEGORY C) CRITERIA The associated simulator operating tests (scenario sets) have been reviewed in accordance with Form ES-301-4 and a copy is attached. 4

[:1*

Printed Name / Signature Date

a. AuthorNAA 0T7UZ aIP5
b. Facility Reviewer(*)
c. NRC Chief Examiner (#) A2iVzi,//(

, /Yk,.

d. NRC Supervisor 6711 __"I NOTE: ' The facility signature is not applicable for NRC-developed tests.
  1. Independent NRC reviewer initial items in Column "c;" chief examiner concurrence required.

23 of 26 NUREG-1021, Revision 8, Supplement I Exam Submittal

ES-301 Transient and Event Checklist Form ES-301-5 OPERATING TEST NO.: ILT 01-1 Applicant Evolution Minimum Scenario Number Type Type Number

______ILT-N-1 ILT-N-2 ILT-N-3 Reactivity 1 1 2 2 Normal 1 2 1" 1 RO Instrument! 4 3*-4/ 4, 5*/ 4*,6/

Component 5, 6* 3, 6* 3, 5*

_ _Major 1 7 7 7 RO in position as ANSO Reactivity 1 1 2 2 Normal 0 2 0 0 As RO Instrument 2 4/ 4/ 6/

Component 5 3 3 Major 1 7 7 7 SRO-I Reactivity 0 1 2 2 Normal 1 2 1 1 As SRO Instrument/ 2 3,4/ 4, 5/ 4,6/

Component 5, 6 3, 6 3, 5 Major 1 7 7 7 Reactivity 0 Normal 1 No SRO-U Candidates SOU Instrument / 2 for IL T01-1 I C o m p on en t 1 F Major 1 Instructions: (1) Enter the operating test number and Form ES-D-1 event numbers for each evolution type.

(2) Reactivity manipulations may be conducted under normal or controlled abnormal conditions (refer to Section D.4.d) but must be significant per Section C.2.a of Appendix D.

(3) Whenever practical, both instrument and component malfunctions should be included; only those that require verifiable actions that provide insight to the applicant' competence count toward the minimum requirement.

Author:

NRC Reviewe r:

NUREG-1021, Revision 8, Supplement 1 Rev 1 Exam Submittal

ES-301 Transient and Event Checklist Form ES-301-5 OPERATING TEST NO.: ILT 01-1 Instructions: (1) Enter the operating test number and Form ES-D-1 event numbers for each evolution type.

(2) Reactivity manipulations may be conducted under normal or controlled abnormal conditions (refer to Section D.4.d) but must be significant per Section C.2.a of Appendix D.

(3) Whenever practical, both instrument and component malfunctions should be included; only those that require verifiable actions that provide insight to the applicant's competence count toward the minimum requirement.

Author:

NRC Reviewe r:

NUREG-1021, Revision 8, Supplement 1 Rev 1 Exam Submittal

ES-301 Competencies Checklist Form ES-301-6 SRO PosiL#

QR6-RO-U 3-I8 o 2, NSO4/S* t #RO-U 27-8plicant kZORO-I/SRO-U # 3 Position SCENARIO ANSO Position Competencies ILT-N-1 SCENARIO ILT-N-2 SCENARIO ILT-N-1 IILT-N-2 ILT-N-1 ILT-N-2 t____ 5, 7, 8 5,

Understand and Interpret 7, Annunciators and Alarms 3-8 3-8 1, 2, 4, 2-4, 7-8 3, 6, 7, 8 1, 5-8 3-8 3-8 8 1, 2, 4, 2-4, 5, 3, 6, 7, 811, Diagnose Events 5-8 and Conditions 5,7,8 7-8 Understand Plant and System Response 1-8 1-8 1-8 2-4, 5, 3-8 1, 5-8 7-8 Comply With and Use Procedures (1) 1-8 1-8 1, 2, 4, 2-4, 7-8 3, 6, 7, 8 1, 5-8 5, 7,8 Operate Control Boards (2) N/A N/A 1, 2, 4, 2-4, 7-8 3, 6, 7, 8 1, 5-8 7,8 Communicate and Interact With the Crew 1-8 1-8 1-8 2-4, 5, 1, 3-8 1, 4-8 7-8 Demonstrate Supervisory Ability (3) 1-8 1-8 N/A N/A N/A N/A Comply With and Use Tech. Specs. (3) 4 4 aInNA NcA NaA NfA Notes:

ification compliance for an RO.

(1) Includes Technical Spec (2) Optional for an SRO-U.

(3) Only applicable to SROs Instructions:

Circle the applicant's license type and enter one or more event numbers that will allow the examiners to evaluate every applicable competency for every applicant.

Author:

NR C R e v ie we r: ,__

_ _ _ _ _ _ _ _ _ _ 1 NUREG-1021, Revision 8, Supplement 1 Rev 1 Exam Submittal

ES-301 Competencies Checklist Form ES-301-6 Instructions:

Circle the applicant's license type and enter one or more event numbers that will allow the examiners to evaluate every applicable competency for every applicant.

Author:

NRC Reviewer: Ar/* // A NUREG-1021, Revision 8, Supplement 1 Rev 1 Exam Submittal

ES-301 Oh Form ES-301-6 Understand and Annunciators andInterpret .

Alarms 1,3-9 5-9 1, 3, 4, 7-9 Diagnose Events and Conditions 3-9 5-9 3, 4, 7-9 Understand Plant and System Response 1-9 2,4-9 1,3,4, 7-9 Comply With and Use Procedures (1) 1-9 2, 5-9 1, 3, 4, 7-9 Operate Control Boards (2) NA 2,n5-9 1,3,4, 7-9 Communicate Interact With theandCrew 1-9 2, 4-9 1, 3, 4, 7-9 Demonstrate Ability (3) Supervisory 1-9 NIAN/

Comply Use Tech.With Specs.

and (3)N/NA l

Notes:

(1) Includes Technical Specification compliance for an RO.

(2) Optional for an SRO-U.

(3) Only applicable to SROs.

Instructions:

Circle the applicant's license type and enter one or more event numbers that will allow the examiners to evaluate every applicable competency for every applicant.

Author:

NRC Reviewer: '"/ A NUREG-1021, Revision 8, Supplement 1 Rev 1 Exam Submittal

ES-403 Written Examination Grading Form ES-403-1 Quality Checklist

[Facility: Dresden U2/U3 Date of Exam: 6/14/2002 Exam Level: RO/SRO Initials Ifi.m fl .pcriptfinn a b c

1. Clean answer sheets copied before grading l,____
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% +/- 2%) reviewed in detail tr7 l"
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 Name / Signature Date
a. Grader 7,'911,
b. Reviewer(*) 7_____,_____-____-___
c. NRC Chief Examiner (*) 6 // - 7/Ž ,'2
d. NRC Supervisor (*) ./"'* / /-"

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

5 of 5 NUREG-1021, Revision 8, Supplement 1

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