ES-201, Rev. 9	Examination Preparation Checklist	Form ES-201-1

Facility:	Date of Examination:

Developed by: Written - Facility NRC // Operating - Facility NRC Target Date*

Task Description (Reference) Chief Examiner's

Initials -180 1.	Examination administration date confirmed (C.1.a; C.2.a and b) -120 2.	NRC examiners and facility contact assigned (C.1.d; C.2.e) -120 3.	Facility contact briefed on security and other requirements (C.2.c) -120 4.	Corporate notification letter sent (C.2.d) [-90] [5.	Reference material due (C.1.e; C.3.c; Attachment 2)] {-75} 6.	Integrated examination outline(s) due, including Forms ES-201-2, ES-201-3, ES-301-1, ES-301-2, ES-301-5, ES-D-1's, ES-401-1/2, ES-401-3, and ES-401-4, as applicable (C.1.e and f; C.3.d) {-70} {7.	Examination outline(s) reviewed by NRC and feedback provided to facility licensee (C.2.h; C.3.e)} {-45} 8.	Proposed examinations (including written, walk-through JPMs, and scenarios, as applicable), supporting documentation (including Forms ES-301-3, ES-301-4, ES-301-5, ES-301-6, and ES-401-6, and any Form ES-201-3 updates), and reference materials due (C.1.e, f, g and h; C.3.d) -30 9.	Preliminary license applications (NRC Form 398's) due (C.1.l; C.2.g; ES-202) -14 10.	Final license applications due and Form ES-201-4 prepared (C.1.l; C.2.i; ES-202) -14 11.	Examination approved by NRC supervisor for facility licensee review (C.2.h; C.3.f) -14 12.	Examinations reviewed with facility licensee (C.1.j; C.2.f and h; C.3.g) -7 13.	Written examinations and operating tests approved by NRC supervisor (C.2.i; C.3.h) -7 14.	Final applications reviewed; 1 or 2 (if >10) applications audited to confirm qualifications / eligibility; and examination approval and waiver letters sent (C.2.i; Attachment 4; ES-202, C.2.e; ES-204) -7 15.	Proctoring/written exam administration guidelines reviewed with facility licensee (C.3.k) -7 16.	Approved scenarios, job performance measures, and questions distributed to NRC examiners (C.3.i) * Target dates are generally based on facility-prepared examinations and are keyed to the examination date identified in the corporate notification letter. They are for planning purposes and may be adjusted on a case-by- case basis in coordination with the facility licensee.

[Applies only] {Does not apply} to examinations prepared by the NRC.

ES-201, Rev. 9	Examination Outline Quality Checklist	Form ES-201-2

Facility:	Date of Examination:

Item

Task Description Initials a b* c# 1.

W

R

I

T

T

E

N a.	Verify that the outline(s) fit(s) the appropriate model, in accordance with ES-401. b.	Assess whether the outline was systematically and randomly prepared in accordance with Section D.1 of ES-401 and whether all K/A categories are appropriately sampled. c.	Assess whether the outline over-emphasizes any systems, evolutions, or generic topics. d.	Assess whether the justifications for deselected or rejected K/A statements are appropriate. 2.

S

I

M

U

L

A

T

O

R a.	Using Form ES-301-5, verify that the proposed scenario sets cover the required number of normal evolutions, instrument and component failures, technical specifications, and major transients. b.	Assess whether there are enough scenario sets (and spares) to test the projected number and mix of applicants in accordance with the expected crew composition and rotation schedule without compromising exam integrity, and ensure that each applicant can be tested using at least one new or significantly modified scenario, that no scenarios are duplicated from the applicants' audit test(s), and that scenarios will not be repeated on subsequent days. c.	To the extent possible, assess whether the outline(s) conform(s) with the qualitative and quantitative criteria specified on Form ES-301-4 and described in Appendix D. 3.

W

/

T a.	Verify that the systems walk-through outline meets the criteria specified on Form ES-301-2:

(1)	the outline(s) contain(s) the required number of control room and in-plant tasks distributed among the safety functions as specified on the form

(2)	task repetition from the last two NRC examinations is within the limits specified on the form

(3)	no tasks are duplicated from the applicants' audit test(s)

(4)	the number of new or modified tasks meets or exceeds the minimums specified on the form

(5)	the number of alternate path, low-power, emergency, and RCA tasks meet the criteria on the form. b.	Verify that the administrative outline meets the criteria specified on Form ES-301-1:

(1)	the tasks are distributed among the topics as specified on the form

(2)	at least one task is new or significantly modified

(3)	no more than one task is repeated from the last two NRC licensing examinations c.	Determine if there are enough different outlines to test the projected number and mix of applicants and ensure that no items are duplicated on subsequent days. 4.

G

E

N

E

R

A

L a.	Assess whether plant-specific priorities (including PRA and IPE insights) are covered in the appropriate exam sections. b.	Assess whether the 10 CFR 55.41/43 and 55.45 sampling is appropriate. c.	Ensure that K/A importance ratings (except for plant-specific priorities) are at least 2.5. d.	Check for duplication and overlap among exam sections. e.	Check the entire exam for balance of coverage. f.	Assess whether the exam fits the appropriate job level (RO or SRO).

Printed Name/Signature	Date

a. Author

b. Facility Reviewer (*)

c. NRC Chief Examiner (#)

d. NRC Supervisor

Note:	# Independent NRC reviewer initial items in Column "c"; chief examiner concurrence required.

ES-201, Rev. 9	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 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 (e.g., acting as a simulator booth operator or communicator is acceptable if the individual does not select the training content or provide direct or indirect feedback). 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 . 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) DATE NOTE

1. _____________________ _____________________________ ___________________________ ______ _____________________ _____ _____

2. _____________________ _____________________________ ___________________________ ______ _____________________ _____ _____

3. _____________________ _____________________________ ___________________________ ______ _____________________ _____ _____

4. _____________________ _____________________________ ___________________________ ______ _____________________ _____ _____

5. _____________________ _____________________________ ___________________________ ______ _____________________ _____ _____

6. _____________________ _____________________________ ___________________________ ______ _____________________ _____ _____

7. _____________________ _____________________________ ___________________________ ______ _____________________ _____ _____

8. _____________________ _____________________________ ___________________________ ______ _____________________ _____ _____

9. _____________________ _____________________________ ___________________________ ______ _____________________ _____ _____

10._____________________ _____________________________ ___________________________ ______ ____________________ _____ _____

11._____________________ _____________________________ ___________________________ ______ ____________________ _____ _____

12._____________________ _____________________________ ___________________________ ______ ____________________ _____ _____

13._____________________ _____________________________ ___________________________ ______ ____________________ _____ _____

14._____________________ _____________________________ ___________________________ ______ ____________________ _____ _____

15._____________________ _____________________________ ___________________________ ______ ____________________ _____ _____

NOTES:

ES-201, Rev. 9	List of Applicants	Form ES-201-4

PRIVACY ACT INFORMATION — FOR OFFICIAL USE ONLY

Facility: Written Examination Date:

Operating Test Dates: Applicant Name Docket No. Exam Level Written Operating Test RO SRO Adm. Sys. Sim. Instructions:	For each approved applicant, enter the exam level (RO, SRO-I, or SRO-U) and an "X" or "W" to indicate whether each portion of the examination is to be administered or waived.

PRIVACY ACT INFORMATION — FOR OFFICIAL USE ONLY

ES-301, Rev. 9	Administrative Topics Outline	Form ES-301-1

Facility: _______________________________	Date of Examination: _____________

Examination Level: RO SRO	Operating Test Number: __________

Administrative Topic (see Note) Type Code*	Describe activity to be performed

Conduct of Operations

Conduct of Operations

Equipment Control

Radiation Control

Emergency Plan

NOTE:	All items (5 total) are required for SROs. RO applicants require only 4 items unless they are retaking only the administrative topics, when all 5 are required.

* Type Codes & Criteria:	(C)ontrol room, (S)imulator, or Class(R)oom

(D)irect from bank (≤ 3 for ROs; ≤ 4 for SROs & RO retakes)

(N)ew or (M)odified from bank (≥ 1)

(P)revious 2 exams (≤ 1; randomly selected)

ES-301, Rev. 9	Control Room/In-Plant Systems Outline	Form ES-301-2

Facility: _____________________________	Date of Examination: ______________

Exam Level: RO SRO-I SRO-U	Operating Test No.: _______________ Control Room Systems@ (8 for RO); (7 for SRO-I); (2 or 3 for SRO-U, including 1 ESF)	System / JPM Title Type Code* Safety

Function a. b. c. d. e. f. g. h. In-Plant Systems@ (3 for RO); (3 for SRO-I); (3 or 2 for SRO-U) i. j. k. @	All control room (and in-plant) systems must be different and serve different safety functions; in-plant systems and functions may overlap those tested in the control room.	* Type Codes	Criteria for RO / SRO-I / SRO-U (A)lternate path

(C)ontrol room

(D)irect from bank

(E)mergency or abnormal in-plant

(L)ow-Power / Shutdown

(N)ew or (M)odified from bank including 1(A)

(P)revious 2 exams

(R)CA

(S)imulator 4-6 / 4-6 / 2-3

≤ 9 / ≤ 8 / ≤ 4

≥ 1 / ≥ 1 / ≥ 1

≥ 1 / ≥ 1 / ≥ 1

≥ 2 / ≥ 2 / ≥ 1

≤ 3 / ≤ 3 / ≤ 2 (randomly selected)

≥ 1 / ≥ 1 / ≥ 1

ES-301, Rev. 9	Operating Test Quality Checklist	Form ES-301-3

Facility:	Date of Examination: Operating Test Number:

1. General Criteria Initials 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 during this examination. c.	The operating test shall not duplicate items from the applicants' audit test(s). (see Section D.1.a.) d.	Overlap with the written examination and between different parts of the operating test is within acceptable limits. e.	It appears that the operating test will differentiate between competent and less-than-competent applicants at the designated license level. 2. Walk-Through 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

operationally important specific performance criteria that include:

detailed expected actions with exact criteria and nomenclature

system response and other examiner cues

statements describing important observations to be made by the applicant

criteria for successful completion of the task

identification of critical steps and their associated performance standards

restrictions on the sequence of steps, if applicable b.	Ensure that any changes from the previously approved systems and administrative walk-through outlines (Forms ES-301-1 and 2) have not caused the test to deviate from any of the acceptance criteria (e.g., item distribution, bank use, repetition from the last 2 NRC examinations) specified on those forms and Form ES-201-2. 3. Simulator Criteria -- -- -- The associated simulator operating tests (scenario sets) have been reviewed in accordance with Form ES-301-4 and a copy is attached.	Printed Name / Signature	Date

a.	Author

b.	Facility Reviewer(*)

c.	NRC Chief Examiner (#)

d.	NRC Supervisor

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, Rev. 9	Simulator Scenario Quality Checklist	Form ES-301-4

Facility:	Date of Exam:	Scenario Numbers: / / Operating Test No.: 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. 2.	The scenarios consist mostly of related events. 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 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 have sufficient time to carry out expected activities without undue time constraints. Cues are given. 8.	The simulator modeling is not altered. 9.	The scenarios have been validated. Pursuant to 10 CFR 55.46(d), any open simulator performance deficiencies or deviations from the referenced plant 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.5 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 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.5.d) Actual Attributes -- -- -- 1.	Total malfunctions (5–8) / / 2.	Malfunctions after EOP entry (1–2) / / 3.	Abnormal events (2–4) / / 4.	Major transients (1–2) / / 5.	EOPs entered/requiring substantive actions (1–2) / / 6.	EOP contingencies requiring substantive actions (0–2) / / 7.	Critical tasks (2–3) / /

ES-301, Rev. 9	Transient and Event Checklist	Form ES-301-5

Facility:	Date of Exam:	Operating Test No.: A

P

P

L

I

C

A

N

T

E

V

E

N

T

T

Y

P

E Scenarios 1 2 3 4 T O T A L M

I

N

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U

M(*) CREW POSITION CREW POSITION CREW POSITION CREW POSITION S

R

O A

T

C B

O

P S

R

O A

T

C B

O

P S

R

O A

T

C B

O

P S

R

O A

T

C B

O

P R I U RO

SRO-I

SRO-U RX 1 1 0 NOR 1 1 1 I/C 4 4 2 MAJ 2 2 1 TS 0 2 2 RO

SRO-I

SRO-U RX 1 1 0 NOR 1 1 1 I/C 4 4 2 MAJ 2 2 1 TS 0 2 2 RO

SRO-I

SRO-U RX 1 1 0 NOR 1 1 1 I/C 4 4 2 MAJ 2 2 1 TS 0 2 2 RO

SRO-I

SRO-U RX 1 1 0 NOR 1 1 1 I/C 4 4 2 MAJ 2 2 1 TS 0 2 2 Instructions:

Check the applicant level and enter the operating test number and Form ES-D-1 event numbers for each event type; TS are not applicable for RO applicants. ROs must serve in both the "at-the-controls (ATC)" and "balance-of-plant (BOP)" positions; Instant SROs must do one scenario, including at least two instrument or component (I/C) malfunctions and one major transient, in the ATC position.

Reactivity manipulations may be conducted under normal or controlled abnormal conditions (refer to Section D.5.d) but must be significant per Section C.2.a of Appendix D. (*) Reactivity and normal evolutions may be replaced with additional instrument or component malfunctions on a 1-for-1 basis.

Whenever practical, both instrument and component malfunctions should be included; only those that require verifiable actions that provide insight to the applicant's competence count toward the minimum requirements specified for the applicant's license level in the right-hand columns.

ES-301, Rev. 9	Competencies Checklist	Form ES-301-6

Facility:	Date of Examination:	Operating Test No.: APPLICANTS RO

SRO-I

SRO-U RO

SRO-I

SRO-U RO

SRO-I

SRO-U RO

SRO-I

SRO-U Competencies SCENARIO SCENARIO SCENARIO SCENARIO 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 Interpret/Diagnose Events and Conditions Comply With and

Use Procedures (1) Operate Control

Boards (2) Communicate

and Interact 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:

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

ES-303, Rev. 9	Individual Examination Report	Form ES-303-1

PRIVACY ACT INFORMATION — FOR OFFICIAL USE ONLY

U.S. Nuclear Regulatory Commission

Individual Examination Report Applicant's Name Docket Number 55- I R Examination Type (Initial or Retake) Facility Name Reactor Operator

Facility

Description Hot Senior Reactor Operator (SRO) Instant Cold SRO Upgrade BWR SRO Limited to Fuel Handling PWR

Written Examination Summary NRC Author/Reviewer RO/SRO/Total Exam Points	___ /___ /___ NRC Grader/Reviewer Applicant Points	___ /___ /___ Date Administered Applicant Grade (%)	___ /___ /___ Operating Test Summary Administered by Date Administered Walk-Through (Overall) Administrative Topics Simulator Operating Test Examiner Recommendations Check Blocks Pass Fail Waive Signature Date Written Examination Operating Test Final Recommendation License Recommendation Issue License Supervisor's Signature Date Deny License PRIVACY ACT INFORMATION — FOR OFFICIAL USE ONLY

ES-303, Rev. 9	2	Form ES-303-1

PRIVACY ACT INFORMATION — FOR OFFICIAL USE ONLY

Applicant Docket Number: 55-	Page of Walk-Through Grading Details Evaluation

(S or U) Comment Page

Number Administrative Topics a. b. c. d. e. Systems — Control Room a. b. c. d. e. f. g. h. Systems — In-Plant i. j. k. PRIVACY ACT INFORMATION — FOR OFFICIAL USE ONLY

ES-303, Rev. 9	3.a	Form ES-303-1

PRIVACY ACT INFORMATION — FOR OFFICIAL USE ONLY

Applicant Docket Number: 55-	Page of Reactor Operator Simulator Operating Test Grading Details Competencies/

Rating Factors (RFs) RF

Weights RF

Scores RF

Grades Comp.

Grades Comment Page No. 1.	Interpretation/Diagnosis

a.	Recognize & Verify Status

b.	Interpret & Diagnose Conditions

c.	Prioritize Response

_____

_____

_____

_____

_____

_____

_____

_____

_____

_____

_____

_____

_____ 2.	Procedures/Tech Specs

a.	Reference

b.	Procedure Compliance

c.	Tech Spec Entry

_____

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_____

_____

_____

_____

_____

_____

_____

_____

_____

_____

_____

3.	Control Board Operations

a.	Locate & Manipulate

b.	Understanding

c.	Manual Control

_____

_____

_____

_____

_____

_____

_____

_____

_____

_____

_____

_____

_____ 4.	Communications

a.	Provide Information

b.	Receive Information

c.	Carry Out Instructions

_____

_____

_____

_____

_____

_____

_____

_____

_____

_____

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_____ [Note:	Enter RF Weights (nominal, adjusted, or "0" if not observed (N/O)), RF Scores (1, 2, 3, or N/O), and RF Grades from Form ES-303-3 and sum to obtain Competency Grades.]

PRIVACY ACT INFORMATION — FOR OFFICIAL USE ONLY

ES-303, Rev. 9	3.b	Form ES-303-1

PRIVACY ACT INFORMATION — FOR OFFICIAL USE ONLY

Applicant Docket Number: 55-	Page of Senior Reactor Operator Simulator Operating Test Grading Details Competencies/

Rating Factors (RFs) RF

Weights RF

Scores RF

Grades Comp.

Grades Comment

Page No. 1.	Interpretation/Diagnosis

a.	Recognize & Attend

b.	Ensure Accuracy

c.	Understanding

d.	Diagnose

_____

_____

_____

_____

_____

_____

_____

_____

_____

_____

_____

_____

____

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_____ 2.	Procedures

a.	Reference

b.	EOP Entry

c.	Correct Use

_____

_____

_____

_____

_____

_____

_____

_____

_____

____

_____

_____

_____ 3.	Control Board Operations

a.	Locate & Manipulate

b.	Understanding

c.	Manual Control

_____

_____

_____

_____

_____

_____

_____

_____

_____

____

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_____

_____ 4.	Communications

a.	Clarity

b.	Crew & Others Informed

c.	Receive Information

_____

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_____

_____

_____

_____

_____

_____

_____

____

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_____	Directing Operations

a.	Timely & Decisive Action

b.	Oversight

c.	Solicit Crew Feedback

d.	Monitor Crew Activities

_____

_____

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_____

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____

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_____	Technical Specifications

a.	Recognize and Locate

b.	Compliance

_____

_____

_____

_____

_____

_____

____

_____

_____ [Note:	Enter RF Weights (nominal, adjusted, or "0" if not observed (N/O)), RF Scores (1, 2, 3, or N/O), and RF Grades from Form ES-303-4 and sum to obtain Competency Grades.]

PRIVACY ACT INFORMATION — FOR OFFICIAL USE ONLY

ES-303, Rev. 9	Operating Test Comments	Form ES-303-2

PRIVACY ACT INFORMATION — FOR OFFICIAL USE ONLY

Applicant Docket Number: 55-	Page of Form ES-303-1

Cross-Reference Comments

PRIVACY ACT INFORMATION — FOR OFFICIAL USE ONLY

ES-303, Rev. 9	RO Competency Grading Worksheet	Form ES-303-3

for the Simulator Operating Test

1.	Interpret/Diagnose Events and Conditions Based on Alarms, Signals, and Readings

Rating Factors Weighting Factors RF Scores RF Grades Comp.

Grade (a)	Did the applicant RECOGNIZE and VERIFY off-normal trends and status? N/O	= 0 3

Nominal	= 0.40 2 (b) or (c) N/O	= 0.57 1 (b)	Did the applicant correctly INTERPRET/DIAGNOSE plant conditions based on control room indications? N/O	= 0 3 Nominal	= 0.30 2 (c) N/O	= 0.43 1 (a) N/O	= 0.50 (c)	Did the applicant ATTEND TO annunciators, alarm signals, and instrument readings in order of importance and severity? N/O	= 0 3 Nominal	= 0.30 2 (b) N/O	= 0.43 1 (a) N/O	= 0.50 2.	Comply with and Use Procedures, References, and Technical Specifications

Rating Factors Weighting Factors RF Scores RF Grades Comp.

Grade (a)	Did the applicant REFER TO the appropriate procedure or reference in a timely manner? N/O	= 0 3

Nominal	= 0.30 2 (c) N/O	= 0.43 1 (b) N/O	= 0.50 (b)	Did the applicant COMPLY WITH procedures (including precautions and limitations) and references in an accurate and timely manner? N/O	= 0 3 Nominal	= 0.40 2 (a) or (c) N/O	= 0.57 1 (c)	Did the applicant RECOGNIZE plant conditions that are addressed in technical specifications? N/O	= 0 3 Nominal	= 0.30 2 (a) N/O	= 0.43 1 (b) N/O	= 0.50

ES-303, Rev. 9	2	Form ES-303-3

3.	Operate the Control Boards

Rating Factors Weighting Factors RF Scores RF Grades Comp.

Grade (a)	Did the applicant LOCATE AND MANIPULATE controls in an accurate and timely manner? N/O	= 0 3

Nominal	= 0.40 2 (b) or (c) N/O	= 0.57 1 (b)	Did the applicant's actions demonstrate UNDERSTANDING OF SYSTEM OPERATION, including set points, interlocks, and automatic actions? N/O	= 0 3 Nominal	= 0.30 2 (c) N/O	= 0.43 1 (a) N/O	= 0.50 (c)	Did the applicant demonstrate the ability to take MANUAL CONTROL of automatic functions? N/O	= 0 3 Nominal	= 0.30 2 (b) N/O	= 0.43 1 (a) N/O	= 0.50 4.	Communicate and Interact with Other Crew Members

Rating Factors Weighting Factors RF Scores RF Grades Comp.

Grade (a)	Did the applicant PROVIDE clear and accurate INFORMATION on system status to others for the performance of their jobs? N/O	= 0 3

Nominal	= 0.34 2 (b) or (c) N/O	= 0.50 1 (b)	Did the applicant effectively RECEIVE INFORMATION from others (including requesting, acknowledging, and attending to information)? N/O	= 0 3 Nominal	= 0.33 2 (a) or (c) N/O	= 0.50 1 (c)	Did the applicant successfully CARRY OUT THE INSTRUCTIONS of the supervisor? N/O	= 0 3 Nominal	= 0.33 2 (a) or (b) N/O	= 0.50 1

ES-303, Rev. 9	SRO Competency Grading Worksheets	Form ES-303-4

for the Simulator Operating Test

1.	Interpret/Diagnose Events and Conditions Based on Alarms, Signals, and Readings Rating Factors Weighting Factors RF Scores RF Grades Comp.

Grade (a)	Did the applicant RECOGNIZE AND ATTEND TO off-normal trends and status in order of their importance and severity?

N/O	= 0 3

Nominal	= 0.20 2 (b) N/O	= 0.25 1 (c) or (d) N/O	= 0.29 (b)	Did the applicant ensure the collection of CORRECT, ACCURATE, and COMPLETE information and reference material on which to base diagnoses? N/O	= 0 3 Nominal	= 0.20 2 (a) N/O	= 0.25 1 (c) or (d) N/O	= 0.28 (c)	Did the applicant's directives and actions demonstrate an UNDERSTANDING of how the PLANT, SYSTEMS, and COMPONENTS OPERATE AND INTERACT (including set points, interlocks, and automatic actions)? N/O	= 0 3 Nominal	= 0.30 2 (a) or (b) N/O	= 0.38 1 (d) N/O	= 0.43 (d)	Did the applicant correctly INTERPRET/DIAGNOSE plant conditions based on control room indications? N/O	= 0 3 Nominal	= 0.30 2 (a) or (b) N/O	= 0.37 1 (c) N/O	= 0.43 2.	Comply with and Use Procedures and References Rating Factors Weighting Factors RF Scores RF Grades Comp.

Grade (a)	Did the applicant REFER to correct procedures, procedural steps, and references when appropriate?

N/O	= 0 3

Nominal	= 0.30 2 (b) N/O	= 0.43 1 (c) N/O	= 0.50 (b)	Did the applicant RECOGNIZE EOP ENTRY CONDITIONS? N/O	= 0 3 Nominal	= 0.30 2 (a) N/O	= 0.43 1 (c) N/O	= 0.50 (c)	Did the applicant USE PROCEDURES CORRECTLY, including following procedural steps in correct sequence, abiding by procedural cautions and limitations, selecting correct paths on decisions blocks, and correctly transitioning between procedures? N/O	= 0 3 Nominal	= 0.40 2 (a) or (b) N/O	= 0.57 1

ES-303, Rev. 9	2	Form ES-303-4

3.	Operate the Control Boards

[NOTE:	This competency is optional for SRO-upgrade applicants; refer to Section D.2.b.]

Rating Factors Weighting Factors RF Scores RF Grades Comp.

Grade (a)	Did the applicant LOCATE AND MANIPULATE CONTROLS in an accurate and timely manner? N/O	= 0 3

Nominal	= 0.34 2 (b) or (c) N/O	= 0.5 1 (b)	Did the applicant's control manipulations demonstrate an UNDERSTANDING OF SYSTEM OPERATION, including set points, interlocks, and automatic actions? N/O	= 0 3 Nominal	= 0.33 2 (a) or (c) N/O	= 0.5 1 (c)	Did the applicant demonstrate the ability to take MANUAL CONTROL of automatic functions? N/O	= 0 3 Nominal	= 0.33 2 (a) or (b) N/O	= 0.5 1 4.	Communicate and Interact with the Crew and Other Personnel

Rating Factors Weighting Factors RF Scores RF Grades Comp.

Grade (a)	Did the applicant communicate in a clear, easily understood manner? N/O	= 0 3

Nominal	= 0.4 2 (c) N/O	= 0.5 1 (b) N/O	= 0.67 (b)	Did the applicant keep crew members and those outside the control room informed of plant status? N/O	= 0 3 Nominal	= 0.4 2 (c) N/O	= 0.5 1 (a) N/O	= 0.67 (c)	Did the applicant ENSURE RECEIPT of clear, easily-understood communications from crew and others? N/O	= 0 3 Nominal	= 0.2 2 (a) or (b) N/O	= 0.33 1

ES-303, Rev. 9	3	Form ES-303-4

5.	Direct Shift Operations

Rating Factors Weighting Factors RF Scores RF Grades Comp.

Grade (a)	Did the applicant take TIMELY AND DECISIVE ACTION that demonstrated appropriate CONCERN for the SAFETY of the plant, staff, and public? N/O	= 0 3

Nominal	= 0.30 2 (c) or (d) N/O	= 0.38 1 (b) N/O	= 0.43 (b)	Did the applicant remain ATTENTIVE to control room indications, stay in a position of OVERSIGHT, and provide an APPROPRIATE AMOUNT of DIRECTION and GUIDANCE that facilitated CREW PERFORMANCE? N/O	= 0 3 Nominal	= 0.30 2 (c) or (d) N/O	= 0.37 1 (a) N/O	= 0.43 (c)	Did the applicant SOLICIT and INCORPORATE FEEDBACK from the crew to foster an effective, team-oriented approach to problem solving and decision making? N/O	= 0 3 Nominal	= 0.20 2 (d) N/O	= 0.25 1 (a) or (b) N/O	= 0.29 (d)	Did the applicant ensure that CORRECT AND TIMELY ACTIVITIES (including diagnosis, procedural implementation, and control board operations) were carried out BY THE CREW? N/O	= 0 3 Nominal	= 0.20 2 (c) N/O	= 0.25 1 (a) or (b) N/O	= 0.28 6.	Comply with and Use Technical Specifications (TS)

Rating Factors Weighting Factors RF Scores RF Grades Comp.

Grade (a)	Did the applicant RECOGNIZE when conditions were covered by the TS and LOCATE the appropriate TS? N/O	= 0 3

Nominal	= 0.4 2 (b) N/O	= 1.0 1 (b)	Did the applicant ensure correct COMPLIANCE with TS and LCO action statements? N/O	= 0 3 Nominal	= 0.6 2 (a) N/O	= 1.0 1

ES-401, Rev. 9	BWR Examination Outline	Form ES-401-1

Facility:	Date of Exam:

Tier

Group RO K/A Category Points SRO-Only Points K 1 K 2 K 3 K 4 K 5 K 6 A 1 A 2 A 3 A 4 G

*

Total A2 G* Total 1.

Emergency & Abnormal Plant Evolutions 1

N/A

N/A 20 7 2 7 3 Tier Totals 27 10

2.

Plant

Systems 1 26 5 2 12 3 Tier Totals 38 8 3. Generic Knowledge and Abilities Categories 1 2 3 4 10 1 2 3 4 7 Note:1.	Ensure that at least two topics from every applicable K/A category are sampled within each tier of the RO and SRO-only outlines (i.e., except for one category in Tier 3 of the SRO-only outline, the "Tier Totals" in each K/A category shall not be less than two).

2.	The point total for each group and tier in the proposed outline must match that specified in the table. The final point total for each group and tier may deviate by ±1 from that specified in the table based on NRC revisions. The final RO exam must total 75 points and the SRO-only exam must total 25 points.

3.	Systems/evolutions within each group are identified on the associated outline; systems or evolutions that do not apply at the facility should be deleted and justified; operationally important, site-specific systems that are not included on the outline should be added. Refer to ES-401, Attachment 2, for guidance regarding the elimination of inappropriate K/A statements.

4.	Select topics from as many systems and evolutions as possible; sample every system or evolution in the group before selecting a second topic for any system or evolution.

Absent a plant-specific priority, only those K/As having an importance rating (IR) of 2.5 or higher shall be selected. Use the RO and SRO ratings for the RO and SRO-only portions, respectively.

6.	Select SRO topics for Tiers 1 and 2 from the shaded systems and K/A categories.

7.*	The generic (G) K/As in Tiers 1 and 2 shall be selected from Section 2 of the K/A Catalog, but the topics must be relevant to the applicable evolution or system.

8.	On the following pages, enter the K/A numbers, a brief description of each topic, the topics' importance ratings (IRs) for the applicable license level, and the point totals (#) for each system and category. Enter the group and tier totals for each category in the table above; if fuel handling equipment is sampled in other than Category A2 or G* on the SRO-only exam, enter it on the left side of Column A2 for Tier 2, Group 2 (Note #1 does not apply). Use duplicate pages for RO and SRO-only exams.

For Tier 3, select topics from Section 2 of the K/A catalog, and enter the K/A numbers, descriptions, IRs, and point totals (#) on Form ES-401-3. Limit SRO selections to K/As that are linked to 10 CFR 55.43.

ES-401, Rev. 9	2	Form ES-401-1

ES-401	BWR Examination Outline	Form ES-401-1

Emergency and Abnormal Plant Evolutions - Tier 1/Group 1 (RO / SRO) E/APE # / Name / Safety Function K 1 K 2 K 3 A 1 A 2 G K/A Topic(s) IR # 295001 Partial or Complete Loss of Forced Core Flow Circulation / 1 & 4 295003 Partial or Complete Loss of AC / 6 295004 Partial or Total Loss of DC Pwr / 6 295005 Main Turbine Generator Trip / 3 295006 SCRAM / 1 295016 Control Room Abandonment / 7 295018 Partial or Total Loss of CCW / 8 295019 Partial or Total Loss of Inst. Air / 8 295021 Loss of Shutdown Cooling / 4 295023 Refueling Acc / 8 295024 High Drywell Pressure / 5 295025 High Reactor Pressure / 3 295026 Suppression Pool High Water Temp. / 5 295027 High Containment Temperature / 5 295028 High Drywell Temperature / 5 295030 Low Suppression Pool Wtr Lvl / 5 295031 Reactor Low Water Level / 2 295037 SCRAM Condition Present and Power Above APRM Downscale or Unknown / 1 295038 High Off-site Release Rate / 9 600000 Plant Fire On Site / 8 K/A Category Totals: Group Point Total: 20/7

ES-401, Rev. 9	3	Form ES-401-1

ES-401	BWR Examination Outline	Form ES-401-1

Emergency and Abnormal Plant Evolutions - Tier 1/Group 2 (RO / SRO) E/APE # / Name / Safety Function K 1 K 2 K 3 A 1 A 2 G K/A Topic(s) IR # 295002 Loss of Main Condenser Vac / 3 295007 High Reactor Pressure / 3 295008 High Reactor Water Level / 2 295009 Low Reactor Water Level / 2 295010 High Drywell Pressure / 5 295011 High Containment Temp / 5 295012 High Drywell Temperature / 5 295013 High Suppression Pool Temp. / 5 295014 Inadvertent Reactivity Addition / 1 295015 Incomplete SCRAM / 1 295017 High Off-site Release Rate / 9 295020 Inadvertent Cont. Isolation / 5 & 7 295022 Loss of CRD Pumps / 1 295029 High Suppression Pool Wtr Lvl / 5 295032 High Secondary Containment Area Temperature / 5 295033 High Secondary Containment Area Radiation Levels / 9 295034 Secondary Containment Ventilation High Radiation / 9 295035 Secondary Containment High Differential Pressure / 5 295036 Secondary Containment High Sump/Area Water Level / 5 500000 High CTMT Hydrogen Conc. / 5 K/A Category Point Totals: Group Point Total: 7/3

ES-401, Rev. 9	4	Form ES-401-1

ES-401	BWR Examination Outline	Form ES-401-1

Plant Systems - Tier 2/Group 1 (RO / SRO) System # / Name K 1 K 2 K 3 K 4 K 5 K 6 A 1 A 2 A 3 A 4 G K/A Topic(s) IR # 203000 RHR/LPCI: Injection Mode 205000 Shutdown Cooling 206000 HPCI 207000 Isolation (Emergency) Condenser 209001 LPCS 209002 HPCS 211000 SLC 212000 RPS 215003 IRM 215004 Source Range Monitor 215005 APRM / LPRM 217000 RCIC 218000 ADS 223002 PCIS/Nuclear Steam Supply Shutoff 239002 SRVs 259002 Reactor Water Level Control 261000 SGTS 262001 AC Electrical Distribution 262002 UPS (AC/DC) 263000 DC Electrical Distribution 264000 EDGs 300000 Instrument Air 400000 Component Cooling Water K/A Category Point Totals: Group Point Total: 26/5

ES-401, Rev. 9	5	Form ES-401-1

ES-401	BWR Examination Outline	Form ES-401-1

Plant Systems - Tier 2/Group 2 (RO / SRO) System # / Name K 1 K 2 K 3 K 4 K 5 K 6 A 1 A 2 A 3 A 4 G K/A Topic(s) IR # 201001 CRD Hydraulic 201002 RMCS 201003 Control Rod and Drive Mechanism 201004 RSCS 201005 RCIS 201006 RWM 202001 Recirculation 202002 Recirculation Flow Control 204000 RWCU 214000 RPIS 215001 Traversing In-core Probe 215002 RBM 216000 Nuclear Boiler Inst. 219000 RHR/LPCI: Torus/Pool Cooling Mode 223001 Primary CTMT and Aux. 226001 RHR/LPCI: CTMT Spray Mode 230000 RHR/LPCI: Torus/Pool Spray Mode 233000 Fuel Pool Cooling/Cleanup 234000 Fuel Handling Equipment 239001 Main and Reheat Steam 239003 MSIV Leakage Control 241000 Reactor/Turbine Pressure Regulator 245000 Main Turbine Gen. / Aux. 256000 Reactor Condensate 259001 Reactor Feedwater 268000 Radwaste 271000 Offgas 272000 Radiation Monitoring 286000 Fire Protection 288000 Plant Ventilation 290001 Secondary CTMT 290003 Control Room HVAC 290002 Reactor Vessel Internals K/A Category Point Totals: Group Point Total: 12/3

ES-401, Rev. 9	PWR Examination Outline	Form ES-401-2

Facility:	Date of Exam:

Tier

Group RO K/A Category Points SRO-Only Points K 1 K 2 K 3 K 4 K 5 K 6 A 1 A 2 A 3 A 4 G

*

Total A2 G* Total 1.

Emergency & Abnormal Plant Evolutions 1

N/A

N/A 18 6 2 9 4 Tier Totals 27 10

2.

Plant

Systems 1 28 5 2 10 3 Tier Totals 38 8 3. Generic Knowledge and Abilities Categories 1 2 3 4 10 1 2 3 4 7 Note:1.	Ensure that at least two topics from every applicable K/A category are sampled within each tier of the RO and SRO-only outlines (i.e., except for one category in Tier 3 of the SRO-only outline, the "Tier Totals" in each K/A category shall not be less than two).

2.	The point total for each group and tier in the proposed outline must match that specified in the table. The final point total for each group and tier may deviate by ±1 from that specified in the table based on NRC revisions. The final RO exam must total 75 points and the SRO-only exam must total 25 points.

3.	Systems/evolutions within each group are identified on the associated outline; systems or evolutions that do not apply at the facility should be deleted and justified; operationally important, site-specific systems that are not included on the outline should be added. Refer to ES-401, Attachment 2, for guidance regarding the elimination of inappropriate K/A statements.

4.	Select topics from as many systems and evolutions as possible; sample every system or evolution in the group before selecting a second topic for any system or evolution.

Absent a plant-specific priority, only those K/As having an importance rating (IR) of 2.5 or higher shall be selected. Use the RO and SRO ratings for the RO and SRO-only portions, respectively.

6.	Select SRO topics for Tiers 1 and 2 from the shaded systems and K/A categories.

7.*	The generic (G) K/As in Tiers 1 and 2 shall be selected from Section 2 of the K/A Catalog, but the topics must be relevant to the applicable evolution or system.

8.	On the following pages, enter the K/A numbers, a brief description of each topic, the topics' importance ratings (IRs) for the applicable license level, and the point totals (#) for each system and category. Enter the group and tier totals for each category in the table above; if fuel handling equipment is sampled in other than Category A2 or G* on the SRO-only exam, enter it on the left side of Column A2 for Tier 2, Group 2 (Note # 1 does not apply). Use duplicate pages for RO and SRO-only exams.

For Tier 3, select topics from Section 2 of the K/A catalog, and enter the K/A numbers, descriptions, IRs, and point totals (#) on Form ES-401-3. Limit SRO selections to K/As that are linked to 10 CFR 55.43.

ES-401, Rev. 9	2	Form ES-401-2

ES-401	PWR Examination Outline	Form ES-401-2

Emergency and Abnormal Plant Evolutions - Tier 1/Group 1 (RO / SRO) E/APE # / Name / Safety Function K 1 K 2 K 3 A 1 A 2 G K/A Topic(s) IR # 000007 (BW/E02&E10; CE/E02) Reactor Trip - Stabilization - Recovery / 1 000008 Pressurizer Vapor Space Accident / 3 000009 Small Break LOCA / 3 000011 Large Break LOCA / 3 000015/17 RCP Malfunctions / 4 000022 Loss of Rx Coolant Makeup / 2 000025 Loss of RHR System / 4 000026 Loss of Component Cooling Water / 8 000027 Pressurizer Pressure Control System Malfunction / 3 000029 ATWS / 1 000038 Steam Gen. Tube Rupture / 3 000040 (BW/E05; CE/E05; W/E12) Steam Line Rupture - Excessive Heat Transfer / 4 000054 (CE/E06) Loss of Main Feedwater / 4 000055 Station Blackout / 6 000056 Loss of Off-site Power / 6 000057 Loss of Vital AC Inst. Bus / 6 000058 Loss of DC Power / 6 000062 Loss of Nuclear Svc Water / 4 000065 Loss of Instrument Air / 8 W/E04 LOCA Outside Containment / 3 W/E11 Loss of Emergency Coolant Recirc. / 4 BW/E04; W/E05 Inadequate Heat Transfer - Loss of Secondary Heat Sink / 4 K/A Category Totals: Group Point Total: 18/6

ES-401, Rev. 9	3	Form ES-401-2

ES-401	PWR Examination Outline	Form ES-401-2

Emergency and Abnormal Plant Evolutions - Tier 1/Group 2 (RO / SRO) E/APE # / Name / Safety Function K 1 K 2 K 3 A 1 A 2 G K/A Topic(s) IR # 000001 Continuous Rod Withdrawal / 1 000003 Dropped Control Rod / 1 000005 Inoperable/Stuck Control Rod / 1 000024 Emergency Boration / 1 000028 Pressurizer Level Malfunction / 2 000032 Loss of Source Range NI / 7 000033 Loss of Intermediate Range NI / 7 000036 (BW/A08) Fuel Handling Accident / 8 000037 Steam Generator Tube Leak / 3 000051 Loss of Condenser Vacuum / 4 000059 Accidental Liquid RadWaste Rel. / 9 000060 Accidental Gaseous Radwaste Rel. / 9 000061 ARM System Alarms / 7 000067 Plant Fire On-site / 8 000068 (BW/A06) Control Room Evac. / 8 000069 (W/E14) Loss of CTMT Integrity / 5 000074 (W/E06&E07) Inad. Core Cooling / 4 000076 High Reactor Coolant Activity / 9 W/EO1 & E02 Rediagnosis & SI Termination / 3 W/E13 Steam Generator Over-pressure / 4 W/E15 Containment Flooding / 5 W/E16 High Containment Radiation / 9 BW/A01 Plant Runback / 1 BW/A02&A03 Loss of NNI-X/Y / 7 BW/A04 Turbine Trip / 4 BW/A05 Emergency Diesel Actuation / 6 BW/A07 Flooding / 8 BW/E03 Inadequate Subcooling Margin / 4 BW/E08; W/E03 LOCA Cooldown - Depress. / 4 BW/E09; CE/A13; W/E09&E10 Natural Circ. / 4 BW/E13&E14 EOP Rules and Enclosures CE/A11; W/E08 RCS Overcooling - PTS / 4 CE/A16 Excess RCS Leakage / 2 CE/E09 Functional Recovery K/A Category Point Totals: Group Point Total: 9/4

ES-401, Rev. 9	4	Form ES-401-2

ES-401	PWR Examination Outline	Form ES-401-2

Plant Systems - Tier 2/Group 1 (RO / SRO) System # / Name K 1 K 2 K 3 K 4 K 5 K 6 A 1 A 2 A 3 A 4 G K/A Topic(s) IR # 003 Reactor Coolant Pump 004 Chemical and Volume Control 005 Residual Heat Removal 006 Emergency Core Cooling 007 Pressurizer Relief/Quench Tank 008 Component Cooling Water 010 Pressurizer Pressure Control 012 Reactor Protection 013 Engineered Safety Features Actuation 022 Containment Cooling 025 Ice Condenser 026 Containment Spray 039 Main and Reheat Steam 059 Main Feedwater 061 Auxiliary/Emergency Feedwater 062 AC Electrical Distribution 063 DC Electrical Distribution 064 Emergency Diesel Generator 073 Process Radiation Monitoring 076 Service Water 078 Instrument Air 103 Containment K/A Category Point Totals: Group Point Total: 28/5

ES-401, Rev. 9	5	Form ES-401-2

ES-401	PWR Examination Outline	Form ES-401-2

Plant Systems - Tier 2/Group 2 (RO / SRO) System # / Name K 1 K 2 K 3 K 4 K 5 K 6 A 1 A 2 A 3 A 4 G K/A Topic(s) IR # 001 Control Rod Drive 002 Reactor Coolant 011 Pressurizer Level Control 014 Rod Position Indication 015 Nuclear Instrumentation 016 Non-nuclear Instrumentation 017 In-core Temperature Monitor 027 Containment Iodine Removal 028 Hydrogen Recombiner and Purge Control 029 Containment Purge 033 Spent Fuel Pool Cooling 034 Fuel Handling Equipment 035 Steam Generator 041 Steam Dump/Turbine Bypass Control 045 Main Turbine Generator 055 Condenser Air Removal 056 Condensate 068 Liquid Radwaste 071 Waste Gas Disposal 072 Area Radiation Monitoring 075 Circulating Water 079 Station Air 086 Fire Protection K/A Category Point Totals: Group Point Total: 10/3

ES-401, Rev. 9	Generic Knowledge and Abilities Outline (Tier 3)	Form ES-401-3

Facility: Date of Exam:	Category K/A # Topic RO SRO-Only IR # IR #

1.

Conduct of Operations 2.1. 2.1. 2.1. 2.1. 2.1. 2.1. Subtotal

2.

Equipment Control 2.2. 2.2. 2.2. 2.2. 2.2. 2.2. Subtotal

3.

Radiation Control 2.3. 2.3. 2.3. 2.3. 2.3. 2.3. Subtotal

4.

Emergency Procedures / Plan 2.4. 2.4. 2.4. 2.4. 2.4. 2.4. Subtotal Tier 3 Point Total 10 7

ES-401, Rev. 9	Record of Rejected K/As	Form ES-401-4

Tier / Group Randomly Selected K/A Reason for Rejection

ES-401, Rev. 9	Sample Written Examination	Form ES-401-5

Question Worksheet

Examination Outline Cross-Reference:	Level	RO	SRO

Tier #	_____	_____

Group #	_____	_____

K/A #	_________________

Importance Rating	_____	_____

Proposed Question:

Proposed Answer:	______

Explanation (Optional):

Technical Reference(s):	_________________________ (Attach if not previously provided)

_________________________

Proposed references to be provided to applicants during examination:	_________________

Learning Objective:	_________________________ (As available)

Question Source:	Bank #	_______

Modified Bank #	_______ (Note changes or attach parent)

New	_______

Question History:	Last NRC Exam	____________

(Optional: Questions validated at the facility since 10/95 will generally undergo less rigorous review by the NRC; failure to provide the information will necessitate a detailed review of every question.)

Question Cognitive Level:	Memory or Fundamental Knowledge	_____

Comprehension or Analysis	_____

10 CFR Part 55 Content:	55.41	_____

55.43	_____

Comments:

ES-401, Rev. 9	Written Examination Quality Checklist	Form ES-401-6

Facility:	Date of Exam:	Exam Level: RO SRO

Item Description Initial a b* c# 1.	Questions and answers are technically accurate and applicable to the facility. 2.	a.	NRC K/As are referenced for all questions.

b.	Facility learning objectives are referenced as available. 3.	SRO questions are appropriate in accordance with Section D.2.d of ES-401	The sampling process was random and systematic (If more than 4 RO or 2 SRO questions were repeated from the last 2 NRC licensing exams, consult the NRR OL program office). 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

__ the 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 percent from the bank, at least 10 percent new, and the rest new or modified); enter the actual RO / SRO-only question distribution(s) at right. Bank Modified New / / / 7.	Between 50 and 60 percent of the questions on the RO exam are written at the comprehension/ analysis level; the SRO exam may exceed 60 percent if the randomly selected K/As support the higher cognitive levels; enter the actual RO / SRO question distribution(s) at right. Memory C/A / / 8.	References/handouts provided do not give away answers or aid in the elimination of distractors. 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 the guidelines in ES Appendix B. 11.	The exam contains the required number of one-point, multiple choice items; the total is correct and agrees with the value on the cover sheet. Printed Name / Signature Date a. Author	____________________________________________________

b. Facility Reviewer (*)	____________________________________________________

c. NRC Chief Examiner (#)	____________________________________________________

d. NRC Regional Supervisor	____________________________________________________ _______

_______

_______

_______

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, Rev. 9	Site-Specific RO Written Examination	Form ES-401-7

Cover Sheet

U.S. Nuclear Regulatory Commission

Site-Specific RO Written Examination

Applicant Information Name: Date: Facility/Unit: Region:	I II III IV Reactor Type: W CE BW GE Start Time: Finish Time:

Instructions

Use the answer sheets provided to document your answers. Staple this cover sheet on top of the answer sheets. To pass the examination, you must achieve a final grade of at least 80.00 percent. Examination papers will be collected 6 hours after the examination begins.

Applicant Certification

All work done on this examination is my own. I have neither given nor received aid.

______________________________________

Applicant's Signature	Results Examination Value	__________ Points

Applicant's Score	__________ Points

Applicant's Grade	__________ Percent

ES-401, Rev. 9	Site-Specific SRO Written Examination	Form ES-401-8

Cover Sheet

U.S. Nuclear Regulatory Commission

Site-Specific SRO Written Examination

Applicant Information Name: Date: Facility/Unit: Region:	I II III IV Reactor Type: W CE BW GE Start Time: Finish Time:

Instructions

Use the answer sheets provided to document your answers. Staple this cover sheet on top of the answer sheets. To pass the examination you must achieve a final grade of at least 80.00 percent overall, with 70.00 percent or better on the SRO-only items if given in conjunction with the RO exam; SRO-only exams given alone require a final grade of 80.00 percent to pass. You have 8 hours to complete the combined examination, and 3 hours if you are only taking the SRO portion.

Applicant Certification

All work done on this examination is my own. I have neither given nor received aid.

______________________________________

Applicant's Signature Results RO/SRO-Only/Total Examination Values	/ / Points

Applicant's Scores	/ / Points

Applicant's Grade	/ / Percent

ES-401, Rev. 9	Written Examination Review Worksheet	Form ES-401-9

Q# 1.

LOK

(F/H) 2.

LOD

(1-5) 3. Psychometric Flaws 4. Job Content Flaws 5. Other 6.

U/E/S 7.

Explanation Stem

Focus Cues T/F Cred.

Dist. Partial Job- Link Minutia #/

units Back- ward Q=

K/A SRO

Only Instructions

[Refer to Section D of ES-401 and Appendix B for additional information regarding each of the following concepts.]

Enter the level of knowledge (LOK) of each question as either (F)undamental or (H)igher cognitive level.

Enter the level of difficulty (LOD) of each question using a 1 – 5 (easy – difficult) rating scale (questions in the 2 – 4 range are acceptable).

Check the appropriate box if a psychometric flaw is identified:

The stem lacks sufficient focus to elicit the correct answer (e.g., unclear intent, more information is needed, or too much needless information).

The stem or distractors contain cues (i.e., clues, specific determiners, phrasing, length, etc).

The answer choices are a collection of unrelated true/false statements.

The distractors are not credible; single implausible distractors should be repaired, more than one is unacceptable.

One or more distractors is (are) partially correct (e.g., if the applicant can make unstated assumptions that are not contradicted by stem).

4.	Check the appropriate box if a job content error is identified:

The question is not linked to the job requirements (i.e., the question has a valid K/A but, as written, is not operational in content).

The question requires the recall of knowledge that is too specific for the closed reference test mode (i.e., it is not required to be known from memory).

The question contains data with an unrealistic level of accuracy or inconsistent units (e.g., panel meter in percent with question in gallons).

The question requires reverse logic or application compared to the job requirements.

5.	Check questions that are sampled for conformance with the approved K/A and those that are designated SRO-only (K/A and license level mismatches are unacceptable).

6.	Based on the reviewer's judgment, is the question as written (U)nsatisfactory (requiring repair or replacement), in need of (E)ditorial enhancement, or (S)atisfactory?

7.	At a minimum, explain any "U" ratings (e.g., how the Appendix B psychometric attributes are not being met).

ES-401, Rev. 9	2	Form ES-401-9

Q# 1.

LOK

(F/H) 2.

LOD

(1-5) 3. Psychometric Flaws 4. Job Content Flaws 5. Other 6.

U/E/S 7.

Explanation Stem

Focus Cues T/F Cred.

Dist. Partial Job- Link Minutia #/

units Back- ward Q=

K/A SRO

Only

ES-403, Rev. 9	Written Examination Grading	Form ES-403-1

Quality Checklist

Facility: Date of Exam:	Exam Level: RO SRO

Item Description Initials a b c	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% overall and 70 or 80, as applicable, ±4% on the SRO-only) reviewed in detail 5.	All other failing examinations checked to ensure that grades are justified 6.	Performance on missed questions checked for training deficiencies and wording problems; evaluate validity of questions missed by half or more of the applicants Printed Name/Signature Date

a. Grader	_________________________________

b. Facility Reviewer(*)	_________________________________

c. NRC Chief Examiner (*)	_________________________________

d. NRC Supervisor (*)	_________________________________

_________

_________

_________

_________

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

ES-501, Rev. 9	Post-Examination Check Sheet	Form ES-501-1

Post-Examination Check Sheet Facility:	Date of Examination: Task Description Date Complete 1.	Facility written exam comments or graded exams received and verified complete 2.	Facility written exam comments reviewed and incorporated and NRC grading completed, if necessary 3.	Operating tests graded by NRC examiners 4.	NRC chief examiner review of operating test and written exam grading completed 5.	Responsible supervisor review completed 6.	Management (licensing official) review completed 7.	License and denial letters mailed 8.	Facility notified of results 9.	Examination report issued (refer to NRC MC 0612) 10. Reference material returned after final resolution of any appeals

ES-501, Rev. 9	Power Plant Examination Results Summary	Form ES-501-2

PRIVACY ACT INFORMATION — FOR OFFICIAL USE ONLY

Power Plant Examination Results Summary Facility: Plant Status: Hot Cold Written Examination Date:

Prepared by: Facility NRC Operating Test Date(s):

Prepared by: Facility NRC NRC Examiners: Overall Results Applicants: Total # # Passed % Passed # Failed % Failed RO SRO Individual Results Name Docket #

55-( ) Type (1) Written Grade

RO / SRO / TOT Operating Test(2) W-T ADM SIM / / / / / / / / / / / / / / / / / / / / / / NOTES:

(1)	1=RO; 2=SRO-I; 3=SRO-U; 4=RO-Retake; 5=SRO-I-Retake; 6=SRO-U-Retake; 7=SRO-Fuel

(2)	P=Passed; F=Failed; W=Waived

PRIVACY ACT INFORMATION — FOR OFFICIAL USE ONLY

ES-501, Rev. 9	2	Form ES-501-2

PRIVACY ACT INFORMATION — FOR OFFICIAL USE ONLY

Power Plant Examination Results Summary

(Continuation Sheet) Facility: Examination Date(s): Individual Results Name Docket #

55-( ) Type

(1) Written Grade

RO / SRO / TOT Operating Test(2) W-T ADM SIM / / / / / / / / / / / / / / / / / / / / / / / / NOTES:

(1)	1=RO; 2=SRO-I; 3=SRO-U; 4=RO-Retake; 5=SRO-I-Retake; 6=SRO-U-Retake; 7=SRO-Fuel

(2)	P=Passed; F=Failed; W=Waived

PRIVACY ACT INFORMATION — FOR OFFICIAL USE ONLY

ES-701, Rev. 9	LSRO BWR Written Examination Outline	Form ES-701-1

Facility:	Date of Exam:

Tier K/A Category Points K1 K2 K3 K4 K5 K6 A1 A2 A3 A4 G

* Total 1.

Emergency & Abnormal Plant Evolutions

10 2.

Plant

Systems

20 3. Generic Knowledge and Abilities Categories 1 2 3 4 GFE

10 Note:

1.	Ensure that at least one topic from every K/A category is sampled within each tier.

2.	The point total for each tier in the proposed outline must match that specified in the table. The final point total for each tier may deviate by ±1 from that specified in the table based on NRC revisions. The final exam must total 40 points.

3.	Select topics from many systems and evolutions; avoid selecting more than two K/A topics from a given system (except fuel handling equipment) or evolution (except refueling accident).

4.	The shaded areas are not applicable to the category/tier.

5.*	The generic (G) K/As in Tiers 1 and 2 shall be selected from Section 2 of the K/A Catalog, but the topics must be relevant to the applicable evolution or system.

If the applicants have not previously taken the GFE, Tier 3 shall include basic reactor theory, component, and thermodynamic topics that apply to fuel handling operations.

Systems/evolutions within each tier are identified on the associated outline. Enter the K/A numbers, a brief description of each topic, the topics' importance ratings (IR) for the SRO license level, and the point totals (#) for each system and category. Enter the tier totals for each category in the table above.

For Tier 3, select topics from Section 2 of the K/A catalog, and enter the K/A numbers, descriptions, importance ratings, and point totals (#) on Form ES-701-3.

Refer to ES-401, Attachment 2, for guidance regarding the elimination of inappropriate K/A statements. The facility licensee's JTA for fuel handlers should be used as the basis for eliminating or adding testable topics.

ES-701, Rev. 9	LSRO BWR Written Examination Outline	Form ES-701-1

Emergency and Abnormal Plant Evolutions - Tier 1

K 1 K 2 K 3 A 1 A 2 G K/A Topic(s) IR # 295003 Partial or Complete Loss of AC 295004 Partial or Total Loss of DC 295014 Inadvertent Reactivity Addition 295018 Partial or Total Loss of CCW 295021 Loss of Shutdown Cooling 295023 Refueling Accidents 295033 High Secondary Containment Area Radiation Levels 295034 Secondary Containment Ventilation High Radiation 295006 SCRAM 295008 High Reactor Water Level 295009 / 295031 Reactor Low Water Level 295017 / 295038 High Offsite Release Rate 295019 Partial or Total Loss of Inst. Air 295020 Inadvertent Cont. Isolation 295030 Low Suppression Pool Wtr Lvl 295035 Secondary Containment High Differential Pressure 600000 Plant Fire On Site K/A Category Totals: Tier Point Total: 10

ES-701, Rev. 9	LSRO BWR Examination Outline	Form ES-701-1

Plant Systems - Tier 2

K 1 K 2 K 3 K 4 K 5 K 6 A 1 A 2 A 3 A 4 G K/A Topic(s) IR # 205000 Shutdown Cooling 215004 Source Range Monitor 233000 Fuel Pool Cooling/Cleanup 234000 Fuel Handling Equipment 262001 AC Electrical Dist. 263000 DC Electrical Dist. 290002 Reactor Vessel Internals 201002 RMCS 201003 Control Rod and Drive Mechanism 203000 RHR/LPCI: Injection Mode 204000 RWCU 211000 SLC 212000 RPS 214000 RPIS 215001 Traversing In-Core Probe 215003 IRM 215005 APRM / LPRM 223001 Primary CTMT and Aux. 223002 PCIS/Nuclear Steam Supply Shutoff 261000 SGTS 264000 EDGs 272000 Radiation Monitoring 286000 Fire Protection 288000 Plant Ventilation 290001 Secondary CTMT 300000 Instrument Air 400000 Component Cooling Water K/A Category Totals: Tier Point Total: 20

ES-701, Rev. 9	LSRO PWR Written Examination Outline	Form ES-701-2

Facility:	Date of Exam:

Tier K/A Category Points K1 K2 K3 K4 K5 K6 A1 A2 A3 A4 G

* Total 1.

Emergency & Abnormal Plant Evolutions

10 2.

Plant

Systems

20 3. Generic Knowledge and Abilities Categories 1 2 3 4 GFE

10 Note:

1.	Ensure that at least one topic from every K/A category is sampled within each tier.

2.	The point total for each tier in the proposed outline must match that specified in the table. The final point total for each tier may deviate by ±1 from that specified in the table based on NRC revisions. The final exam must total 40 points.

3.	Select topics from many systems and evolutions; avoid selecting more than two K/A topics from a given system (except fuel handling equipment) or evolution (except refueling accident).

4.	The shaded areas are not applicable to the category/tier.

5.*	The generic (G) K/As in Tiers 1 and 2 shall be selected from Section 2 of the K/A Catalog, but the topics must be relevant to the applicable evolution or system.

If the applicants have not previously taken the GFE, Tier 3 shall include basic reactor theory, component, and thermodynamic topics that apply to fuel handling operations.

Systems/evolutions within each tier are identified on the associated outline. Enter the K/A numbers, a brief description of each topic, the topics' importance ratings (IR) for the SRO license level, and the point totals (#) for each system and category. Enter the tier totals for each category in the table above.

For Tier 3, select topics from Section 2 of the K/A catalog, and enter the K/A numbers, descriptions, importance ratings, and point totals (#) on Form ES-701-3.

Refer to ES-401, Attachment 2, for guidance regarding the elimination of inappropriate K/A statements. The facility licensee's JTA for fuel handlers should be used as the basis for eliminating or adding testable topics.

ES-701, Rev. 9	LSRO PWR Written Examination Outline	Form ES-701-2

Emergency and Abnormal Plant Evolutions - Tier 1	K 1 K 2 K 3 A 1 A 2 G K/A Topic(s) IR # 000025 Loss of RHR System 000026 Loss of Component Cooling Water 000032 Loss of Source Range NI 000036 (BW/A08) Fuel Handling Accident 000061 ARM System Alarms 000033 Loss of Intermediate Range NI 000055 Station Blackout 000056 Loss of Offsite Power 000057 Loss of Vital AC Inst. Bus 000058 Loss of DC Power 000062 Loss of Nuclear Svc Water 000065 Loss of Instrument Air 000067 Plant Fire On Site 000069 (W/E14) Loss of CTMT Integrity W/E16 High Containment Radiation K/A Category Totals: Tier Point Total: 10

ES-701, Rev. 9	LSRO PWR Written Examination Outline	Form ES-701-2

Plant Systems - Tier 2 K 1 K 2 K 3 K 4 K 5 K 6 A 1 A 2 A 3 A 4 G K/A Topic(s) IR # 005 Residual Heat Removal 015 Nuclear Instrumentation 033 Spent Fuel Pool Cooling 034 Fuel Handling Equipment 103 Containment 062 AC Electrical Distribution 063 DC Electrical Distribution 002 Reactor Coolant 004 Chemical and Volume Control 008 Component Cooling Water 013 Engineered Safety Features Actuation 064 Emergency Diesel Generator 072 Area Radiation Monitoring 076 Service Water 078 Instrument Air 079 Station Air 086 Fire Protection K/A Category Totals: Tier Point Total: 20

ES-701, Rev. 9	LSRO Generic Knowledge and Abilities Outline (Tier 3)	Form ES-701-3 Facility:	Date of Exam: Category	K/A #	Topic	IR	#

1.

Conduct of Operations 2.1. 2.1. 2.1. 2.1. Subtotal

2.

Equipment Control 2.2. 2.2. 2.2. 2.2. Subtotal

3.

Radiation Control 2.3. 2.3. 2.3. 2.3. Subtotal

4.

Emergency Procedures / Plan 2.4. 2.4. 2.4. 2.4. Subtotal

5.

Generic Fundamentals

Subtotal Tier 3 Point Total 10

ES-701, Rev. 9	LSRO Operating Test Outline	Form ES-701-4

Applicant Docket Number: 55-	Page 2 of

Facility:	Date of Examination: Title / Description of Tasks (JPMs) Type

Codes* Evaluation

(S or U) Comment Page

Number Administrative 1. 2. 3. Systems 1. 2. 3. 4. Emergency/Abnormal Plant Evolutions 1. 2. 3. Type Codes & Criteria:	(A)lternative path (2 systems; 1 E/APE))

(C)ontrol room

(D)irect from bank (≤ 7)

(I)n-plant

(N)ew or (M)odified from bank including 1(A) (≥ 1 / section)

(P)revious two exams (≤ 1 / section)

(R)efueling accident (1)

(T)echnical specification (≥ 2)

ES-701, Rev. 9	LSRO Examination Outline Quality Checklist	Form ES-701-5

Facility:	Date of Examination:

Item

Task Description Initials a b* c# 1.

W

R

I

T

T

E

N	Verify that the outline fits the model in accordance with ES-701.	Assess whether the outline was systematically and randomly prepared in accordance with Section D.1 of ES-401 and whether all K/A categories are sampled at least once.	Assess whether the outline over-emphasizes any systems, evolutions, or generic topics.	Assess whether the justifications for deselected or rejected K/A statements are appropriate. 2.

O

P

E

R

A

T

I

N

G a.	Verify that the overall operating test:

includes at least two tasks that require the use of technical specifications

does not duplicate any tasks from the applicants' audit test(s) b.	Verify that the administrative tasks:

are distributed among the four administrative topics described in ES-301

include no more than one repeat from the last two NRC licensing examinations

include at least one task that is new or significantly modified	Verify that the systems walk-through includes:

two tasks requiring the manipulation of fuel handling equipment

two additional tasks related to Tier 2 systems other than fuel handling equipment

two tasks requiring implementation of alternative path procedures

no more than one repeat from the last two NRC licensing examinations

at least one task that is new or significantly modified	Verify that the E/APE walk-through includes:

three JPMs based on the Tier 1evolutions, including a refueling accident

one task requiring implementation of an alternative path procedure

no more than one repeat from the last two NRC licensing examinations

at least one task that is new or significantly modified	Determine whether there are enough different outlines to test the projected number of applicants and ensure that no items are duplicated on subsequent days. 3.

G

E

N

E

R

A

L	Assess whether plant-specific priorities (including PRA and IPE insights) are covered inthe appropriate exam section.	Assess whether the 10 CFR 55.41/43 and 55.45 sampling is appropriate.	Assess whether the sampling process adequately considered plant-specific refueling components, systems, and procedures that are not included in the generic models.	Ensure that K/A importance ratings (except for plant-specific priorities) are at least 2.5.	Check for duplication and overlap among exam sections.	Check the entire exam for balance of coverage.	Assess whether the proposed sample is consistent with the LSRO's job responsibilities.	Printed Name / Signature	Date

Author

Facility Reviewer (*)

NRC Chief Examiner (#)

NRC Supervisor

Note:	# Independent NRC reviewer initial items in Column "c"; chief examiner concurrence required.

ES-701, Rev. 9	LSRO Written Examination	Form ES-701-6

Quality Checklist

Facility:	Date of Exam:

Item Description Initial a b* c# 1.	Questions and answers are technically accurate and applicable to the facility. 2.	a.	NRC K/As are referenced for all questions (as applicable).

Facility learning objectives are referenced as available. 3.	Questions are appropriate for LSRO applicants.	The sampling process was random and systematic (If more than 3 questions were repeated from the last 2 NRC licensing exams, consult the NRR OL program office). 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

__ the examinations were developed independently, or

__ the licensee certifies that there is no duplication, or

__ other (explain)

6.	Bank use meets limits (no more than 30 questions from the bank, at least 4 new, and the rest modified); enter the actual question distribution at right.	Bank Modified New 7.	Between 50 and 60 percent (20 and 24) of the questions on the exam are written at the comprehension/analysis level; enter the actual question distribution at right.	Memory	C/A 8.	References/handouts provided do not give away answers or aid in eliminating distractors. 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 guidelines in ES Appendix B. 11.	The exam contains 40 one-point, multiple choice items; the total is correct and agrees with value on cover sheet. Printed Name / Signature Date a. Author	____________________________________________________

b. Facility Reviewer (*)	____________________________________________________

c. NRC Chief Examiner (#)	____________________________________________________

d. NRC Regional Supervisor	____________________________________________________ _______

_______

_______

_______

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-701, Rev. 9	LSRO Operating Test Quality Checklist	Form ES-701-7

Facility:	Date of Examination: Operating Test Number:

Item Description Initials a b* c# 1.	The operating test conforms with the LSRO's job responsibilities and the previously approved outline (Form ES-701-4). 2.	Any changes from the previously approved outline have not caused the test to deviate from any of the acceptance criteria (e.g., item distribution, bank use, repetition from the last two NRC examinations) specified on the outline. 3.	There is no day-to-day repetition between this and other operating tests to be administered during this examination. 4.	The operating test does not duplicate items from the applicants' audit test(s). (See Section D.1.a of ES-301). 5.	Overlap between the written examination and the operating test is within acceptable limits. 6.	It appears that the operating test will differentiate between competent and less-than-competent applicants. 7.	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

Printed Name / Signature	Date

a. Author

b. Facility Reviewer(*)

c. NRC Chief Examiner (#)

d. NRC Supervisor

NOTE:	* The facility signature is not applicable for NRC-developed tests.

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

ES-701, Rev. 9	LSRO Written Examination	Form ES-701-8

Cover Sheet

U.S. Nuclear Regulatory Commission

LSRO Written Examination

Applicant Information Name: Date: Region:	I II III IV Facility/Unit: Reactor Type: W CE BW GE Start Time: Stop Time: Instructions

Use the answer sheets provided to document your answers. Staple this cover sheet on top of the answer sheets. The passing grade requires a final grade of at least 80.00 percent. Examination papers will be picked up 4 hours after the examination begins.

Applicant Certification

All work done on this examination is my own. I have neither given nor received aid.

______________________________________

Operator's Signature

Results Test Value	__________ Points

Applicant's Score	__________ Points

Applicant's Grade	__________ Percent

Appendix C, Rev. 9	Job Performance Measure	Form ES-C-1

Worksheet

Facility:	Task No:

Task Title:	Job Performance Measure No:

K/A Reference:

Examinee:	NRC Examiner:

Facility Evaluator:	Date:

Method of testing:

Simulated Performance _______________	Actual Performance ________________

Classroom ______________	Simulator ______________	Plant __________

Read to the examinee:

I will explain the initial conditions, which steps to simulate or discuss, and provide initiating cues. When you complete the task successfully, the objective for this job performance measure will be satisfied.

Initial Conditions:

Task Standard:

Required Materials:

General References:

Initiating Cue:

Time Critical Task: Yes/No

Validation Time:

Appendix C, Rev. 9	2	Form ES-C-1

Performance Information

Denote critical steps with a check mark

_________________________________________________________________________

______	Performance step:

Standard:

Comment:

_________________________________________________________________________

______	Performance step:

Standard:

Comment:

_________________________________________________________________________

______	Performance step:

Standard:

Comment:

_________________________________________________________________________

Terminating cue:

Appendix C, Rev. 9	3	Form ES-C-1

Verification of Completion

Job Performance Measure No. _______________

Examinee's Name:

Examiner's Name:

Date Performed:

Facility Evaluator:

Number of Attempts:

Time to Complete:

Question Documentation:

Question:__________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

Response:_________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

Result: Satisfactory/Unsatisfactory

Examiner's signature and date: _______________________________	________

Appendix C, Rev. 9	Job Performance Measure	Form ES-C-2

Quality Checklist

Every JPM should:

1.	_____	be supported by the facility licensee's job task analysis.

2.	_____	be operationally important (meet the NRC's K/A Catalog threshold criterion of 2.5 (3 for requalification exams) or as determined by the facility and agreed to by the NRC).

3.	_____	be designed as either SRO only, RO/SRO or AO/RO/SRO.

4.	include the following, as applicable:

a. _____	initial conditions

b. _____	initiating cues

c. _____	references and tools, including associated procedures

d. _____	validated time limits (average time allowed for completion) and specific designation of those JPMs that are deemed to be time-critical by the facility operations department

e. _____	operationally important specific performance criteria that include:

(1) _____	expected actions with exact control and indication nomenclature and criteria (switch position, meter reading), even if these criteria are not specified in the procedural step

(2) _____	system response and other cues that are complete and correct so that the examiner can properly cue the examinee, if asked

(3) _____	statements describing important observations that the examinee should make

(4) _____	criteria for successful completion of the task

(5) _____	identification of those steps that are considered critical

(6) _____	restrictions on the sequence of steps

Appendix D, Rev. 9	Scenario Outline	Form ES-D-1

Facility: __________________ Scenario No.: ________	Op-Test No.: _______

Examiners: ____________________________ Operators:	_____________________________

____________________________	_____________________________

____________________________	_____________________________

Initial Conditions: __________________________________________________________________

________________________________________	__________________________________________________________________

___________________________________	__________________________________________________________________

Turnover: ________________________________________________________________________________

________________________________________	__________________________________________________________________

___________________________________	__________________________________________________________________

Event No. Malf. No. Event Type* Event

Description *	(N)ormal, (R)eactivity, (I)nstrument, (C)omponent, (M)ajor

Appendix D, Rev. 9	Required Operator Actions	Form ES-D-2

Op-Test No.: _____ Scenario No.: _____ Event No.: _____	Page ___ of ___

Event Description: ______________________________________________	___________________________________________

______________________________________________	_____________________________________

__________________________________________________________________	_____________________

Time Position Applicant's Actions or Behavior