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APPENDIX I Operations Branch Assignment Check Sheet: (Includes ES-201-1 & ES-501-1 Rev. 8 information) S:\DRS\OB\Exam Good Practices\goodprac-app-i-rev3.wpd as of: 12/19/00 Chief: H BUNDY Facility/Task: ST IN Task Start Date: 9/17/01 ITEM DESCRIPTION DUE DATE INIT DATE 0 Exam/Inspection Schedule Agreement Mar 21, 2001 JLP 12/19/2000 1 NRC Staff & Fac. Contact Assigned Mar 21, 2001 JLP 12/19/2000 2 Facility contact briefed on security & other issues Mar 21, 2001 JLP 12/19/2000 3 Corp. Notification Letter Sent Mar 21, 2001 3a Inspection Announcement Letter Sent (PIR & LORT if req'd) Aug 3, 2001 4 Task Expectations, Issues, & Standards Discussed w/ BC Jun 19, 2001 / / a 5 [Reference Material Due] 2001 6 Integrated Exam Outlines Due May 20, 2001 7 Outlines reviewed by NRC & Feedback Sent Jun 3, 2001 044 8 Preliminary Applications Due Aug 18, 2001 9 Draft Exams w/ Doc./Ref. Due Jul 19, 2001 10* Independent Reviewer Initials As Reviewed All Parts Jul 29, 2001 7.l/,PO V NRC Supervisor. Initials Approving for Fac. Rev. Jul 29, 2001 .. /[•[L Exams Reviewed w/ Fac. Jul 29, 2001 13 Final Appl. Due & Assign. Sheet Prepared Sep 3, 2001 14" NRC Supervisor Approved Final Exams Sep 10, 2001 15 Final Appl. Rec'd & Waivers Sent Sep 10, 2001 6/3 ,/ 16 Proctor Rules Reviewed w/ Fac. & Written Authorized Sep 10, 2001 17 Exam/Insp Material to Team Sep 10, 2001 18 Fac. graded exam & Comments Rec'd Sep 29, 2001 19 NRC Written Grading Completed Oct 2, 2001 20 Examiners Finished Grading Op. Tests Oct 2, 2001 21 NRC Ch. Ex. Review Completed Oct 12, 2001 22 NRC BC Review Completed Oct 13, 2001_, 23 RPS/IP Examinees Updated Before Report Issued Oct 18, 2001 ,"7 24 License/Denials Signed & Report Issued Oct 18, 2001 /o Z"- ELO/ 25 Package Closed Out Nov 8, 2001 Final Inspection Report Issued, Exam Package to OLA, Facility. Contact Notified of Results 0? 010Trs-6 c2Ir C ~l Note Supervisor or Independent Reviewer initials required in for lines 10, 11, 14, & 22. [] Required NRC-auth. exams only for line 5.
Transcript

APPENDIX I Operations Branch Assignment Check Sheet: (Includes ES-201-1 & ES-501-1 Rev. 8 information)

S:\DRS\OB\Exam Good Practices\goodprac-app-i-rev3.wpd

as of: 12/19/00

Chief: H BUNDY

Facility/Task: ST IN

Task Start Date: 9/17/01

ITEM DESCRIPTION DUE DATE INIT DATE

0 Exam/Inspection Schedule Agreement Mar 21, 2001 JLP 12/19/2000

1 NRC Staff & Fac. Contact Assigned Mar 21, 2001 JLP 12/19/2000

2 Facility contact briefed on security & other issues Mar 21, 2001 JLP 12/19/2000

3 Corp. Notification Letter Sent Mar 21, 2001

3a Inspection Announcement Letter Sent (PIR & LORT if req'd) Aug 3, 2001

4 Task Expectations, Issues, & Standards Discussed w/ BC Jun 19, 2001 / / a

5 [Reference Material Due] 2001

6 Integrated Exam Outlines Due May 20, 2001

7 Outlines reviewed by NRC & Feedback Sent Jun 3, 2001 044

8 Preliminary Applications Due Aug 18, 2001

9 Draft Exams w/ Doc./Ref. Due Jul 19, 2001

10* Independent Reviewer Initials As Reviewed All Parts Jul 29, 2001 7.l/,PO

V NRC Supervisor. Initials Approving for Fac. Rev. Jul 29, 2001 .. /[•[L

Exams Reviewed w/ Fac. Jul 29, 2001

13 Final Appl. Due & Assign. Sheet Prepared Sep 3, 2001

14" NRC Supervisor Approved Final Exams Sep 10, 2001

15 Final Appl. Rec'd & Waivers Sent Sep 10, 2001 6/3 ,/

16 Proctor Rules Reviewed w/ Fac. & Written Authorized Sep 10, 2001

17 Exam/Insp Material to Team Sep 10, 2001

18 Fac. graded exam & Comments Rec'd Sep 29, 2001

19 NRC Written Grading Completed Oct 2, 2001

20 Examiners Finished Grading Op. Tests Oct 2, 2001

21 NRC Ch. Ex. Review Completed Oct 12, 2001

22 NRC BC Review Completed Oct 13, 2001_,

23 RPS/IP Examinees Updated Before Report Issued Oct 18, 2001 ,"7

24 License/Denials Signed & Report Issued Oct 18, 2001 /o Z"- ELO/

25 Package Closed Out Nov 8, 2001

Final Inspection Report Issued, Exam Package to OLA, Facility. Contact Notified of Results

0? 010Trs-6 c2Ir

C

~l

Note Supervisor or Independent Reviewer initials required in for lines 10, 11, 14, & 22. [] Required NRC-auth. exams only for line 5.

Examination Outline Qualitv Checklist

Form ES-201-2 (R8,S1)

Facility: South Texas Project Date(s) of Examination: Weeks of 09/10/01 and 09/17/01

Initials Item Task Description

a b* c#

1. a. Verify that the outline(s) fit(s) the appropriate model per ES-401. W , k I R b. Assess whether the outline was systematically and randomly prepared in accordance with I Section D.1 of ES-401 and whether all K/A categories are appropriately sampled. T T c. Assess whether the outline over-emphasizes any systems, evolutions, or generic topics. E

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

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

S I b. Assess whether there are enough scenario sets (and spares) to test the projected number and

M mix of applicants in accordance with the expected crew composition and rotation schedule without compromising exam integrity; ensure each applicant can be tested using at least one new or significantly modified scenario, that no scenarios are duplicated from the applicants' audit test(s)*, and scenarios will not be repeated over successive 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.

3. a. Verify that: (1) the outline(s) contain(s) the required number of control room and in-plant tasks,

W (2) no more than 30% of the test material is repeated from the last NRC examination, / (3)* no tasks are duplicated from the applicants' audit test(s), and T (4) no more than 80% of any operating test is taken directly from the licensee's exam banks.

b. Verify that: (1) the tasks are distributed among the safety function groupings as specified in ES-301, (2) one task is conducted in a low-power or shutdown condition, (3) 40% of the tasks require the applicant to implement an alternate path procedure, (4) one in-plant task tests the applicant's response to an emergency or abnormal condition, and (5) the in-plant walk-through requires the applicant to enter the RCA.

c. Verify that the required administrative topics are covered, with emphasis on performancebased activities.

d. Determine if there are enough different outlines to test the projected number and mix of applicants and ensure that no items are duplicated on successive days.

4. a. Assess whether plant-specific priorities (including PRA and IPE insights) are covered in the appropriate exam section.

G E b. Assess whether the 10 CFR 55.41/43 and 55.45 sampling is appropriate. N E c. Ensure that K/A importance ratings (except for plant-specific priorities) are at least 2.5. R A d. Check for duplication and overlap among exam sections.

L e. Check the entire exam for balance of coverage.

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

Prin LNrlfrign•ur - - . D uate. e

a. Author Alfred A. Sanchez, Jr./ -',..oi

b. Facility Reviewer (*) MIA c. NRC Chief Examiner (#) ' ' t u"

d. NRC Supervisor

Note: * Not applicable for NRC-developed examinations. # Independent NRC reviewer initial items in Column "c;" chief examiner concurrence required.

(2)1b Lx1Euze-tLe. oM A czeWQG-T:ýa ek -SZoj-

ES-201

I

I

I

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

Facility: South Texas Project Date of Examination: 9/17/01

Item Task Description Initials

a b* c#

1 a. Verify that the outline(s) fit(s) the appropriate model per ES-401. I/4. W'A. R b. Assess whether the outline was systematically and randomly prepared in accordance with

I Section D.1 of ES-401 and whether all K/A categories are appropriately sampled. 'It ____

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

N d. Assess whether the justifications for deselected or rejected K/A statements are appropriate. 1 4/A

2. a. Using Form ES-301-5, verify that the proposed scenario sets cover the required number of normal evolutions, instrument and component failures, and major transients. A __ S

I b. Assess whether there are enough scenario sets (and spares) to test the projected number and M mix of applicants in accordance with the expected crew composition and rotation schedule without

compromising exam integrity; ensure each applicant can be tested using at least one new or significantly modified scenario, that no scenarios are duplicated from the applicants' audit test(s)*, and scenarios will not be repeated over successive 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. __

3. a. Verify that: (1) the outline(s) contain(s) the required number of control room and in-plant tasks,

W (2) no more than 30% of the test material is repeated from the last NRC examination, / (3)* no tasks are duplicated from the applicants' audit test(s), and T (4) no more than 80% of any operating test is taken directly from the licensee's exam banks.

b. Verify that: (1) the tasks are distributed among the safety function groupings as specified in ES-301, (2) one task is conducted in a low-power or shutdown condition, (3) 40% of the tasks require the applicant to implement an alternate path procedure, (4) one in-plant task tests the applicant's response to an emergency or abnormal condition, and (5) the in-plant walk-through requires the applicant to enter the RCA.

c. Verify that the required administrative topics are covered, with emphasis on performance-based activities.

d. Determine if there are enough different outlines to test the projected number and mix of applicants and ensure that no items are duplicated on successive days.

4. a. Assess whether plant-specific priorities (including PRA and IPE insights) are covered in the appropriate exam section.

G E b. Assess whether the 10 CFR 55.41/43 and 55.45 sampling is appropriate. N E c. Ensure that K/A importance ratings (except for plant-specific priorities) are at least 2.5. R A d. Check for duplication and overlap among exam sections. L e. Check the entire exam for balance of coverage.

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

a. Author PrN O"vI" c /ý ý e / Signature gate/

b. Facility Reviewer(*) W c-Q .. c. Chief Examiner(#) ,(• -.- ,d,7 z d. NRC Supervisor "- . st*'k .

(*) Not applicable for NRC-developed examinations. # Independent NRC reviewer initial items in Column "c;" chief examiner concurrence required.

ES-401 Written Examination Form ES-401-7 (R8, Si) Quality Checklist

Facility: .ý -1,f-'A- Date of Exam: C) - Exam Level RORO

Initial

Item Description

1. Questions and answers technically accurate and applicable to facility

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

b. Facility learnin~g objectives referenced as available Z 3. RO/SRO overlap is no more than 75 percent, and SRO questions are appropriate 7

per Section D.2.d of ES-401 P 1 4. Question selection and duplication from the last two NRC licensing exams

appears consistent with a systematic sampling process

5. Question duplication from the license screening/audit exam was controlled as indicated below (check the item that applies) and appears appropriate: __ the audit exam was systematically and randomly developed; or PA

the audit exam was completed before the license exam was started; or 1 examinations were developed independently; or _ the licensee certifies that there is no duplication; or - other (explain)

6. Bank use meets limits (no more than 75 Bank Modified New percent from the bank at least 10 percent new, and the rest modified); enter the actual question 5r-distribution at right 5I

7. Between 50 and 60 percent of the questions on Memory C/A the exam (including 10 new questions) are written at the comprehension/analysis level; enter the actual question distribution at right

8. References/handouts provided do not give away answers

9. Question content conforms with specific K/A statements in the previously _.<4 approved examination outline and is appropriate for the Tier to which they are assigned; deviations are justified I

10. Question psychometric quality and format meet ES, Appendix B, guidelines __

11. The exam contains 100, one-point, multiple choice items; the total is correct and agrees with value on cover sheet _ [

Printed Name / Sinature Date

a. Author ____z, A. %310b. Facility Reviewer (*) I c. NRC Chief Examiner (#) V d. NRC Regional Supervisor 7-, Q. k e

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

ES-401 Written Examination Form ES-401-7 (R8, Si) Quality Checklist

Facility: £OU lsr Tt• AS PŽ2ený Date of Exam: CI 601 Exam Level: R SRO

Initial

Item Description a b C

1. Questions and answers technically accurate and applicable to facility A 2. a. NRC K/As referenced for all questionsA

b. Facility learning objectives referenced as available 3. peRO/SRO overlap is no more than 75 percent, and SRO questions are appropriateseto .. fE-0 •

4. Question selection and duplication from the last two NAqC licensing exams

appears consistent with a systematic sampling process

5. Question duplication from the license screening/audit exam was controlled as indicated below (check the item that applies) and appears appropriate: __ the audit exam was systematically and randomly developed; or _ the audit exam was completed before the license exam was started; or 'A _%.ie examinations were developed independently; or4 __ the licensee certifies that there is no duplication; or - other (explain)

6. Bank use meets limits (no more than 75 Bank Modified New percent from the bank at least 10 percent new, and the rest modified); enter the actual question A 6 distribution at right 15 3

7. Between 50 and 60 percent of the questions on Memory C/A the exam (including 10 new questions) are written at the comprehension/analysis level; enter the actual question distribution at right S5

8. References/handouts provided do not give away answers

9. Question content conforms with specific K/A statements in the previously approved examination outline and is appropriate for the Tier to which they are assigned; deviations are justified

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

11. The exam contains 100, one-point, multiple choice items; the total is correct and agrees with value on cover sheet

Printed Name/ Sig e4/

a. Author ,sfterc3Q M e:q:l -3 .6_ b. Facility Reviewer (*) ,uo_ "

c. NRC Chief Examiner (#) d. NRC Regional Supervisor , 6),

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

ES-301 Operating Test Quality Checklist Form ES-301-3

Facility: South Texas Project Date of Examination: 9/17/01 Operating Test Number: 1

Initials 1. GENERAL CRITERIA

a b* c#

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).

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

during this examination.

c. The operating test shall not duplicate items from the applicants' audit test(s)(see Section D.11.a). I A1141

d. Overlap with the written examination and between operating test categories is within acceptable CD 6 limits. I#N /

e. It appears that the operating test will differentiate between competent and less-than-competentatl

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 designation if deemed to be time critical by the facility licensee 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

b. The prescripted questions in Category A are predominantly open reference and meet the t#A t criteria in Attachment 1 of ES-301.

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. -.

3. SIMULATOR (CATEGORY C) CRITERIA -- --.

a. The associated simulator operating tests (scenario sets) have been reviewed in accordance with

Form ES-301-4 and a copy is2attced.

Printed Nne / Signature Date

a. Author 4(6\ 9tA lk /___

b. Facility Reviewer(*) __________ a_ __ e to__t•" _______,.._,__ 442-/o7 i c. NRC Chief Examiner(#) /

d. NRC Supervisor 4;L 5-

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 Sc/enario Quality Checklist Form ES-301-4

Facility: South Texas Project Date of Exam: 9/17/01 Scenario Numbers: 1 / 2 / 3 Operating Test No.: 1

QUALITATIVE ATTRIBUTES Initials

a b* c#

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

service, but it does not cue the operators into expected events. qg 2. The scenarios consist mostly of related events. _.tP

3. Each event description consists of the point in the scenario when it is to be initiated the malfunction(s) that are entered to initiate the event '

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

4. No more than one non-mechanistic failure (e.g., pipe break) is incorporated into the scenario A without a credible preceding incident such as a seismic event.

5. The events are valid with regard to physics and thermodynamics.

6. Sequencing and timing of events is reasonable, and allows the examination team to obtain complete evaluation results commensurate with the scenario objectives.

7. If time compression techniques are used, the scenario summary clearly so indicates. Operators J K/I/ have sufficient time to carry out expected activities without undue time constraints. Cues are given.

8. The simulator modeling is not altered. Or_

9. The scenarios have been validated. Any open simulator performance deficiencies have been evaluated to ensure that functional fidelity is maintained while running the planned scenarios.

10. Every operator will be evaluated using at least one new or significantly modified scenario. All other scenarios have been altered in accordance with Section D.4 of ES-301.

11. All individual operator competencies can be evaluated, as verified using Form ES-301-6 (submit the form along with the simulator scenarios).

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

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

TARGET QUANTITATIVE ATTRIBUTES (PER SCENARIO; SEE SECTION D.4.D) Actual Attributes - .

1. Total malfunctions (5-8) 8/6/6

2. Malfunctions after EOP entry (1-2) 2 / c/

3. Abnormal events (2-4) 3 / 3/ 4. Major transients (1-2)

5. EOPs entered/requiring substantive actions (1-2) 1 / oL/ 9. k2. 6. EOP contingencies requiring substantive actions (0-2) / / / C/

7. Critical tasks (2-3) -/)-/2..

ES-301 Transient and Event Checklist Form ES-301-5

South Texas Project 9/01 Exam

APPLICANT: I1 OPERATING TEST NO.:1

Applicant Evolution Minimum Scenario Number Type Type Number 1 2 3 4

Reactivity 1

RO Normal 1

Instrument/ 4 Component

Major 1

Reactivity 1 4

As RO Normal 0

Instrument/ 2 3, 7 Component

Major 1 5 SRO-I

Reactivity 0

As SRO Normal 1 1

Instrument/ 2 3, 4, Component 5, 7

Major 1 6

Reactivity 0

SRO-U Normal 1

Instrument/ 2 Component

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 th nicant' competence count toward the minimum requirement.

Author:

NRC Reviewer:

ES-301 Transient and Event Checklist Form ES-301-5

APPLICANT: 12

South Texas Project 9/01 Exam

OPERATING TEST NO.:1

Applicant Evolution Minimum Scenario Number Type Type Number 1 2 3 4

Reactivity 1

RO Normal 1

Instrument/ 4 Component

Major 1

Reactivity 1 2

As RO Normal 0

Instrument/ 2 4, 7 Component

Major 1 6

SRO-I

Reactivity 0

As SRO Normal 1 1

Instrument/ 2 2, 3, 2, 3, Component 4, 6, 7 4, 6

Major 1 5 5

Reactivity 0

SRO-U Normal 1

Instrument/ 2 Component

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 thýapplicant's competence count toward the minimum requirement.

Author:

NRC Reviewer:

ES-301 Transient and Event Checklist Form ES-301-5

South Texas Project 9/01 Exam

APPLICANT: 13 OPERATING TEST NO.:1

Applicant Evolution Minimum Scenario Number Type Type Number 1 2 3 4

Reactivity 1

RO Normal 1

Instrument/ 4 Component I

Major 1

Reactivity 1 4

As RO Normal 0

Instrument/ 2 3, 7 3, 4 Component

Major 1 5 5

SRO-I

Reactivity 0

As SRO Normal 1 1

Instrument/ 2 3, 4, Component 1 5, 7 1_ 1 1

Major 1 6

Reactivity 0

SRO-U Normal 1

Instrument/ 2 Component

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 theppplicant's competence count toward the minimum requirement.

Author:

NRC Reviewer:

ES-301 Transient and Event Checklist Form ES-301-5

South Texas Project 9/01 Exam

APPLICANT: U1 OPERATING TEST NO.:1

Applicant Evolution Minimum Scenario Number Type Type Number 1 2 3 4

Reactivity 1

RO Normal 1I

Instrument/ 4 Component

Major 1

Reactivity 1

As RO Normal 0

Instrument/ 2 Component

Major 1 SRO-I

Reactivity 0

As SRO Normal 1

Instrument/ 2 Component

Major 1

Reactivity 0

SRO-U Normal 1 1 1

Instrument/ 2 2, 3, 3, 4, Component 4, 6, 7 5, 7

Major 1 5 6

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 toIs competence count toward the minimum requirement.

Author:

NRC Reviewer:

I1

ES-301 Transient and Event Checklist Form ES-301-5

South Texas Project 9/01 Exam

APPLICANT: U2 OPERATING TEST NO.:1

Applicant Evolution Minimum Scenario Number Type Type Number 1 2 3 4

Reactivity 1

RO Normal 1 _

Instrument/ 4 Component

Major 1

Reactivity 1

As RO Normal 0

Instrument/ 2 Component

Major 1 SRO-I

Reactivity 0

As SRO Normal 1

Instrument/ 2 Component

Major 1

Reactivity 0

SRO-U Normal 1 1 1

Instrument/ 2 2,3, 3,4, Component 4, 6, 7 5, 7

Major 1 5 6

Instructions: (1) Enter the operating test number and Form each evolution type.

ES-D-1 event numbers for

(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 toatcompetence count toward the minimum requirement.

Author:

NRC Reviewer:

South Texas Project 9/01 Exam

APPLICANT: U3 REV 1 OPERATING TEST NO.:1

Applicant Evolution Minimum Scenario Number Type Type Number 1 2 3 4

Reactivity 1

RO Normal 1

Instrument/ 4 Component

Major 1

Reactivity 1

As RO Normal 0

Instrument/ 2 Component

Major 1

SRO-I

Reactivity 0

As SRO Normal 1

Instrument/ 2 Component

Major 1

Reactivity 0

SRO-U Normal 1 1

Instrument/ 2 2, 3, Component 4, 6, 7

Major 1 5 1 1 1 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 aplicant'scompetence count toward the minimum requirement.

Author:

NRC Reviewer: ,�d�-�QQREV 1: Removed information for U3 from scenario #2 (Surrogate RO)

ES-301 Transient and Event Checklist Form ES-301-5

ES-301 Transient and Event Checklist Form ES-301-5

South Texas Project 9/01 Exam

APPLICANT: R1 OPERATING TEST NO.:1

Applicant Evolution Minimum Scenario Number Type Type Number 1 2 3 4

Reactivity 1 4

RO Normal 1 1

Instrument/ 4 3, 7 3, 5 Component

Major 1 5 6

Reactivity 1

As RO Normal 0

Instrument/ 2 Component

Major 1

SRO-I

Reactivity 0

As SRO Normal 1

Instrument/ 2 Component

Major 1

Reactivity 0

SRO-U Normal 1

Instrument/ 2 Component

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[,pplicant's competence count toward the minimum requirement.

Author:

NRC Reviewer:

ES-301 Transient and Event Checklist Form ES-301-5

South Texas Project 9/01 Exam

APPLICANT: R2 OPERATING TEST NO.:1

Applicant Evolution Minimum Scenario Number Type Type Number 1 2 3 4

Reactivity 1 4

RO Normal 1 1

Instrument/ 4 3, 7 3, 5 Component

Major 1 5 6

Reactivity 1

As RO Normal 0

Instrument/ 2 Component

Major 1 SRO-I

Reactivity 0

As SRO Normal 1

Instrument/ 2 Component

Major 1

Reactivity 0

SRO-U Normal 1

Instrument/ 2 Component

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 thapp!icant's competence count toward the minimum requirement.

Author:

NRC Reviewer:

ES-301 Transient and Event Checklist Form ES-301-5

South Texas Project 9/01 Exam

APPLICANT: R3 OPERATING TEST NO.:1

Applicant Evolution Minimum Scenario Number Type Type Number 1 2 3 4

Reactivity 1 2

RO Normal 1 1

Instrument/ 4 2,4,6 4,7 Component

Major 1 5 6

Reactivity 1

As RO Normal 0

Instrument/ 2 Component

Major 1 SRO-I

Reactivity 0

As SRO Normal 1

Instrument/ 2 Component

Major 1

Reactivity 0

SRO-U Normal 1

Instrument/ 2 Component

Major 1

Instructions: (1) Enter the operating test number and Form ES-D-1 event numbers foreach 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 mpetence count toward the minimum requirement.

Author:

NRC Reviewer:,w B" W

ES-301 Transient and Event Checklist Form ES-301-5

South Texas Project 9/01 Exam

APPLICANT: R4 OPERATING TEST NO.:1

Applicant Evolution Minimum Scenario Number Type Type Number 1 2 3 4

Reactivity 1 2

RO Normal 1 1

Instrument/ 4 2, 4, 6 4, 7 Component

Major 1 5 6 1

Reactivity 1

As RO Normal 0

Instrument/ 2 Component

Major 1

SRO-I

Reactivity 0

As SRO Normal 1

Instrument/ 2 Component

Major

Reactivity 0

SRO-U Normal 1

Instrument/ 2 Component

Major 1

Instructions: (1) Enter the operating test number and Form ES-D-1 each evolution type.

event numbers for

(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 petence count toward the minimum requirement.

Author:

NRC Reviewer:

ES-301 Transient and Event Checklist Form ES-301-5

ES-301 Transient and Event Checklist Form ES-301-5

South Texas Project 9/01 Exam

APPLICANT: R5 OPERATING TEST NO.:1

Applicant Evolution Minimum Scenario Number Type Type Number 1 2 3 4

Reactivity 1 2

RO Normal 1 1

Instrument/ 4 2, 4, 6 4, 7 Component

Major 1 5 6

Reactivity 1

As RO Normal 0

Instrument/ 2 Component

Major I SRO-I

Reactivity 0

As SRO Normal 1I

Instrument/ 2 Component

Major

Reactivity 0

SRO-U Normal 1

Instrument/ 2 Component

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 tympetence count toward the minimum requirement.

Author:

NRC Reviewer:

South Texas Project 9/01 Exam

APPLICANT: R6 OPERATING TEST NO.: 1

Applicant Evolution Minimum Scenario Number Type Type Number 1 2 3 4

Reactivity 1 1

RO Normal 1 1 1

Instrument/ 4 2,4,6 3, 5 2,4, Component 6

Major 1 5 6 5

Reactivity 1

As RO Normal 0

Instrument/ 2 Component

Major 1

SRO-I

Reactivity 0

As SRO Normal 1

Instrument/ 2 Component

Major 1

Reactivity 0

SRO-U Normal 1

Instrument/ 2 Component

Major 1

Instructions: (1) Enter the operating test number and each evolution type.

Form ES-D-1 event numbers for

(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 thapplicant's competence count toward the minimum requirement.

Author:

NRC Reviewer:

A-

ES-301 Transient and Event Checklist Form ES-301-5

ES-301 Competencies Checklist Form ES-301-6

South Texas Project 9/01 Exam Operating Test No.: 1

Applicant I1 Applicant 12 Applicant 13 SRO-I SRO-I SRO-I

Competencies SCENARIO SCENARIO SCENARIO

1 2 3 434 1 2 3 4 1 2 34

Understand and Interpret 3 4 2 4 2 3 4 3 Annunciators and Alarms

Diagnose Events 3 4 5 4 5 3 4 3 and Conditions

Understand Plant 3 6 3 6 2 3 6 5 and System Response

Comply With and 4 4 3 2 2 4 4 3 Use Procedures (1)

Operate Control 4 2 4 5 Boards (2)

Communicate and 5 6 5 6 5 5 6 5 Interact With the Crew

Demonstrate Supervisory 6 5 5 6 Ability (3)

Comply With and 3 2 2 3 Use Tech. Specs. (3)

Notes:

(1) Includes Technical Specification compliance for an RO. (2) Optional for an SRO-U. (3) Only applicable to SROs.

Instructions:

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

Author:

NRC Reviewer:

ES-301 Competencies Checklist Form ES-301-6

South Texas Project 9/01 Exam Operating Test No.: 1

Applicant R1 Applicant R2 Applicant R3 RO RO IRO

Competencies SCENARIO SCENARIO SCENARIO

1 2 3 4 1 2 3 4 1 2 3 4

Understand and Interpret 3 3 3 3 2 4 Annunciators and Alarms

Diagnose Events 3 3 3 3 2 4 and Conditions

Understand Plant 3 5 3 5 4 6 and System Response

Comply With and 4 5 4 5 1 2 Use Procedures (1)

Operate Control 4 5 4 5 1 2 Boards (2)

Communicate and 5 6 5 6 5 6 Interact With the Crew

Demonstrate Supervisory Ability (3)

Comply With and Use Tech. Specs. (3)

Notes:

(1) Includes Technical Specification compliance for an RO. (2) Optional for an SRO-U. (3) Only applicable to SROs.

Instructions:

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

Author: /

NRC Reviewer:

ES-301 Competencies Checklist Form ES-301-6

South Texas Project 9/01 Exam Operating Test No.: 1

Applicant R4 Applicant R5 Applicant R6 RO RO RO

Competencies SCENARIO SCENARIO SCENARIO

1_2 3 4 1 2 3 4 1 2 3 4

Understand and Interpret 2 4 2 4 2 3 2 Annunciators and Alarms

Diagnose Events 2 4 2 4 2 3 4 and Conditions

Understand Plant 4 6 4 6 4 5 2 and System Response

Comply With and 1 2 1 2 1 5 1 Use Procedures (1)

Operate Control 1 2 1 2 1 5 2 Boards (2)

Communicate and 5 6 5 6 5 6 5 Interact With the Crew

Demonstrate Supervisory Ability (3)

Comply With and Use Tech. Specs. (3)

Notes:

(1) Includes Technical Specification compliance for an RO. (2) Optional for an SRO-U. (3) Only applicable to SROs.

Instructions:

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

Author: ______

NRC Reviewer:

ES-301 Competencies Checklist Form ES-301-6

South Texas Project 9/01 Exam Operating Test No.: 1

REV 1

Applicant UI Applicant U2 Applicant U3 SRO-U SRO-U SRO-U

Competencies SCENARIO SCENARIO SCENARIO

1 2 3 4 1 2 3 4 1 2 3 4

Understand and Interpret 2 4 2 4 2 Annunciators and Alarms

Diagnose Events 5 4 5 4 5 and Conditions

Understand Plant 3 6 3 6 3 and System Response

Comply With and 3 4 3 4 3 Use Procedures (1)

Operate Control Boards (2)

Communicate and 5 6 5 6 5 Interact With the Crew

Demonstrate Supervisory 5 6 5 6 5 Ability (3)

Comply With and 2 3 2 3 2 Use Tech. Specs. (3)

Notes:

(1) Includes Technical Specification compliance for an RO. (2) Optional for an SRO-U. (3) Only applicable to SROs.

Instructions:

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

Author:

NRC Reviewer:

Rev 1: Removed scenario #2 information for U3 (surrogate RO)

Written Examination Grading Quality Checklist

Form ES-403-1

Facility: South Texas Project Date of Exam: 09/14/01 Exam Level: RO0

Initials

Item Description a b c

1. Clean answer sheets copied before grading _ ,_-

2. Answer key changes and question deletions justified and AY documented

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

4. Grading for all borderline cases (80% +/- 2%) reviewed in detailq I/

5. All other failing examinations checked to ensure that grades 1A 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 ,. (i.f/o I

b. Facility Reviewer(*) ___-----

c. NRC CIA miner (*)

d. NRC Supervisor (*) 6 4 /

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

I

ES-403

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

Facility: South Texas Project Date of Exam: 09/14/01 Exam Level: SRO

Initials

Item Description a b c

1. Clean answer sheets copied before grading

2. Answer key changes and question deletions justified and documented ) /

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

4. Grading for all borderline cases (80% +/- 2%) reviewed in detail ______

5. All other failing examinations checked to ensure that grades are justified _______

6. Performance on missed questions checked for training deficiencies and wording problems; evaluate validity of questions missed by half or more of the applicants

Printed Name / Signature Date

a. Grader J I "

b. Facility Reviewer(*) __-______

c. NRC Chief Examiner (*)z! 4

d. NRC Supervisor (*) I __ /

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

I

14:20:46Operator Licensing Exam Schedule

From 09/01/2001 To 10/31/2001

Page 1 of 4

10/09/2001

Report 21

Region: 4

I Exam Week IJ Site/Docket No.Inso Rot # h �v�m a.mthn..hI rIIMCandidatei I I flC lll

09/04/2001 South Texas Project / 05000498 / 2001301

09/10/2001 South Texas Project / 05000498 / 2001301

09/17/2001 South Texas Project / 05000498 / 2001301

09/17/2001 South Texas Project / 05000499 / 2001301

Prep BUNDY, HOWARD F.

Prep

RO - 6 SROU - 3

SROI - 3 Admin

Admin

NNF

NNF

BUNDY, HOWARD F.

BUNDY, HOWARD F.

BUNDY, HOWARD F.

BUNDY, HOWARD F.

BUNDY, HOWARD F. MCCRORY, STEPHEN L. SANCHEZ, ALFRED WERNER, G E.

BUNDY, HOWARD F. MCCRORY, STEPHEN L. SANCHEZ, ALFRED WERNER, G E.

BUNDY, HOWARD F. MCCRORY, STEPHEN L. SANCHEZ, ALFRED WERNER, G E.

Sites: STP Orgs: 4620 Exam Author:ALL

Phase Code: 5 Operational

h

Operator Licensing Exam Schedule From 09/01/2001 To 10/31/2001

Page 2 of 4

10/09/2001

Report 21

Region: 4

Summary By Date

09/2001 STP - South Texas Project RO-6 SROI - 3 SROU - 3 LSRO - 0 Total for South Texas Project: 12

Sites: STP Orgs: 4620 Exam Author:ALL

Phase Code: 5 Operational

14:20:46

Operator Licensing Exam Schedule From 09/01/2001 To 10/31/2001

Page 3 of 4

10/09/2001

Report 21

Region: 4

Sum-mary By Site ISTP - South Texas Project

RO - 6 SROI - 3 SROU - 3 LSRO - 0 Total for South Texas Project: 12

Sites: STP Orgs: 4620 Exam Author:ALL

Phase Code: 5 Operational

14:20:46

Operator Licensing Exam Schedule From 09/01/2001 To 10/31/2001

Page 4 of 4

10/09/2001

Report 21

Region: 4

[Su~m:mary By Regionj

SROI - 3 SROU - 3 Total for Region 4:12

Sites: STP Orgs: 4620 Exam Author:ALL

Phase Code: 5 Operational

14:20:46

Region 4 RO - 6 LSRO - 0

Nuclear Operating Company

South Texas Pro/ect Electrk Generating Station PO. Box 289 Wadsworth, Texas 77483

October 3, 2001 NOC-AE- 01001198 File No.: G30 NUREG 1021 STI: 31350867

Mr. Howard Bundy Chief Examiner U. S. Nuclear Regulatory Commission 611 Ryan Plaza Drive Suite 400 Arlington, TX 76011-8064

South Texas Project Units 1 and 2

Docket Nos. STN 50-498, STN 50-499 Security Agreement

Enclosed is the Examination Security Agreement (Form ES-201-3) for the Examination that was given at the South Texas Project Electric Generating Station from September 14, 2001 to September 21, 2001.

Please contact me at (361) 972-7435 or Ken Struble at (361) 972-8611 x-6914 if you have any questions.

Sincerely,

)James H. Calvert Manager, Operations Training

Attachment: Examination Security Agreement (Form ES-201-3)

C CES-201

1. Pre-Examination

CExamination Security Agreement

'div F-e\ £CA VLýA

�)A1 I �JI III I

I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of '/7/01 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

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 9-t') -31t . 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

~ ~L~-----------------

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

8.L ----------

7. ---------

9 . - - - -

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

SIGNATURE (1)

N -- ---

DATE SIGNATURE (2) DATENOTE

16611 -j/,

- --

NOTES:

NUREG-1021, Revision 8, Supplement 1

---------

------------

------------

---------

---------

------------------

24 of 24

1. Pre-Examination t( .,ýe-,

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

I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of 1-//- '0 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

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) of9-14"" . 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

i.4dt'e 4JfA 2. __eriie F,,w___ _ 3. t1L~~A 4. 5. 6. 7. -8. -9. -10. 11. 12. 13. 14. 15.

JOB TITLE / RESPONSIBILITY

IS +<" S .rC

SIGNATURE (1) DATE SIGNATURE (2)

NOTES:

NUREG-1021, Revision 8, Supplement 1

I

DATENOTE

5/

- -- - -- - - -- -- -- - - -- - ---

- - -- -- - - -- -- - - - - - -- -- - ---

- - -- - -- -- - -- -- -- -- - -- - -- -- -

--- - --- -- -- - -- -- - -- --

-- - -- - -- -- - - - --- -- --- -- -- - - --

--- - -- - - -- -- -- --- -- - --- -

- -- -- - - -- -- --- -- -- - -- -- - --- -

- -- -- -- - --- --- -- -- -- - - - -

- - -- -- - - --- - - --- -- - -- - - -

- ------ -------- ---------- ---- ----

- ------ ------------------- ----- ----

- - -- -- - -- - - -- -- -- -- - -- -- - --- -

------------

-- - -- -- --

----------

-----------

- - -- - -- -- -- - - -- -- --- - - -- --- -- -

--- -- -- -- --- -- - -- - --- -- -- -

---------- --------

- -- --- - --

-- --------

----------- ----------

- -- - --- --

-----------

24 of 24

p

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

1. Pre-Examination ccX.,w'4, b e v Ot o i' ly•e•"

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

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 41-0-04 . 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 SIGNA (1) DATE TU (2) DATE NOTE

3. ."V,--,W c "! ') 64"/

5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15.

NOTES:

NUREG-1021, Revision 8 Page _of

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

1. Pre-Examination &...4t 04-f .

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

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 I -;I-al . 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 (Q DATENOTE

2 . -----3. 4. _ - - - - - - - - - - - - - - - - - - - - ---- - - - ---- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

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

7. _ 86 -_---------------- ------------------------- ------------------------ ----- ----

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

10. 1-------------------------------------------------------

-------------------- ----- . 11.

12.

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

15.

N :--------------------------------- - --------------NOTES:

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

0,Examination Security Anri.mm•_ntE.xam n ai. Sncuniwv I.I •.--.J E--,J

1. Pre-Examination 'S 0 9 porI acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of 7-' 0-0/ 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

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 Of-0-,1 . 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

~~ A k3rccb/(l 2. frk ,3. ~r x~~A~ 4. Rca f1_Q. 5.6. 7. 8. 9.

JOB TITLE / RESPONSIBILITY SIGNATURE (1) DATE SIGNATURE (2) DATE NOTE

10.11. 12. 13. 14. 15.

NOTES:

NUREG-1021, Revision 8

CES-201

ka I 77 0Q ý& ai

Page _of

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

1. Pre-Examination oN�c �I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of ?,/7-0 1 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

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 11)-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

3. 5 1. •_V L_•W -_ _=_ _'_ _

5. A...., 9. Y•-•ii2'_•L" .... 6._

9. 10.-,,• C •,,•• 11.

12. 13. 14. 15.

JOB TITLE / RESPONSIBILITY

T N 5;sR k c-TD RL

SIGNATURE (1)Y

�XAJ 7� � LLLL Id

P V

A'

DATE SIGNATURE (2) DATENIOTE,

fch------iY E 7 -i T Z11!

NOTES:0

NUREG-1021, Revision 8, Supplement 1

-------------------- - - --------- -- - -----

---------- ---------- --------

----- ---------- ----------

S/A

----- ----- ---------- -17 --- ---------------- -------------------- - - - - - - - - - - - - - - - - - -

24 of 24

CF�aminatinn �ci irihi Anr�mc�nt

CEx m n to lu Ill lnlml l l Iom pIIrt C I: I C:-Q n l

1. Pre-Examination

I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of %-t' 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

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 11 1-al . 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

4. A/ ./ 2."-'. A, tn. a l: ,

5. 7. Alt cq-a.•L ,- I•s~rgp' 8. "9, %•B,•

10. 11. 12. 13. 14.

15.

NOTES:

JOB TITLE / RESPONSIBILITY

R 6 9 1

C-oL oP"//X *.

REAC-ibR >WAl0

SIGNATURE (1) DATE SIGNATURE (2) DATE NOTE

-~ .,9ýO

NUREG-1021, Revision 8

CES-201

W

Page _of


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