Initials iF IF TF · Furthermore, I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures) and understand that violation

ES-201 Examination Preparation Checklist ____-FormES-201-1

Facility OC- Date of Examination 7t1-1 JOf 7a)ef

Developed by Written - Facility ~~c 0 Operating - Facility ~~RC 0 Target Chief Date Task Description (Reference) Examiners

Initials

-180 1 Examination administration date confirmed (C1a C2a and b) iF -120 2 NRC examiners and facility contact assigned (C1d C2e) IF -120 3 Facility contact briefed on security and other requirements (C2c) TF -120 4 Corporate notification letter sent (C2d) TF [-90) [5 Reference material due (C1e C3c Attachment 2)] Nit -7S 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-1s ES-401-1f2 E8-4o1-3 and ES-401-4 as applicable (C1e and f C3d) f

-70 7 Examination outline(s) reviewed by NRC and feedback provided to facility licensee (C2h C3e) i

A5 8 Proposed examinations (including written walk-through JPMs and scenarios as applicable) supporting documentation (including Forms ES-30i-3 ES-301-4 ES-301-5 ES-301-6 and ES-401-6 and any Form (FshyE8-201-3 updates) and reference materials due (C1e t 9 and h C3d)

-30 9 Preliminary license applications (NRC Form 398s) due (C11 C2g ES-202) TP

-14 10 Final license applications due and Form ES-201-4 prepared (C1I C2i ES-202) K

-14 11 Examination approved by NRC supervisor for facility licensee review (C2h C3f) rF

-14 12 Examinations reviewed with facility licensee (C1j C2f and h C3g) TF -7 13 Written examinations and operating tests approved by NRC supervisor

(C2i C3h) IF -7 14 Final applications reviewed 1 or 2 (if gt10) applications audited to confirm

qualifications I eligibility and examination approval and waiver letters sent (Co2i Attachment 4 ES-202 Co2e ES-204) TF

-7 15 Proctoringwritten exam administration guidelines reviewEld with facility licensee (C3k) TF

-7 16 Approved scenarios job performance measures and questions distributed to NRC examiners (G3i) -rr

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-byshycase basis in coordination with the facility licensee [Applies only] Does not apply to examinations prepared by the NRC

ES-201 Page 24 of 27

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

Facility Oyster Creek Date of Examination 71111

Initials Item Task Description

a b c

1 a Verify that the outline(s) fit(s) the appropriate model in accordance with ES-401 lit W R b Assess whether the outline was systematically and randomly prepared in accordance with III Section 01 of ES-401 and whether all KIA categories are appropriately sampled IiT T c Assess whether the outline over-emphasizes any systems evolutions or generic topics fJ ~ (E N d Assess whether the justifications for deselected or rejected KIA statements are appropriate Ii At -(f

a Using Form ES-301-5 verify that the proposed scenario sets cover the required number 2

~ l~of normal evolutions instrument and component failures technical specifications u and major transientsS

I b Assess whether there are enough scenario sets (and spares) to test the projected number M 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 U L f~ J- fat least one new or significantly modified scenario that no scenarios are cluplicated A from the applicants audit test(s and scenarios will not be repeated on subsequent days T o c To the extent possible assess whetherthe outline(s conform(s) with the qualitative R and quantitative criteria specified on Form ES-301-4 and described in Appendix D fA r 1f

a Verify that the systems walk-through outline meets the criteria specified on Form ES-301-2 3 (1) the oulline(s) contain(s) the required number of control room and in-plant tasks

distributed among the safety functions as specified on the form W (2) task repetition from the last two NRC examinations is within the limits specified on the form 1 II((3) no tasks are duplicated from the applicants audit test(s) T (4) the number of new or modified tasks meets or exceeds the minimums specified on the form (5) the number of altemate 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 Ilr1(2) at least one task is new or significantly modified If Alrshyi3i no more than one task is repeated from the last two NRC licensing examinations r

c Determine if there are enough different outlines to test the projected number and mix Ill fI ~ of applicants and ensure that no items are duplicated on subsequent days U- r

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

G b Assess whether the 10 CFR 554143 and 5545 sampling is appropr_ia_te__________-I-_~__+I-~t-__lf_-rt-_lMIE N c Ensure that KIA importance ratings (except for plant-specific priorities) are at least 25 ty ~ E

d Check for duplication and overlap among exam sections It ~J1LR A e Check the entire exam for balance of coverage YlW L

f Assess whether the exam fits the appropriate job level (RO or SRO) it 4- I(r-----------------~~~~~~__ll

Printed Name 1Sign~~9 a Author Jeffrev Ridosh

~---b Facility Reviewer () Andrew Zuchowski ~ -~

c NRC Chief Examiner ()

d NRC Supervisor

NOTE It Independent NRC Reviewer initial items in Column c chief examiner concurrence required Not applicable for NRC-prepared examination outlines


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

1 Pre-Examination

I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of 71f11l7hJlI 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 (eg 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 licensees procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations andor 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 weekes) opllw1)ICI 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) SIGNATURE (2) DATE NOTE

1 nffU y CIIJDS )J Lo ~UM~I eJItM t~ M1 __ fnCI-TI 2ef - 7-tlllI~~~lW r1P5311 7hdll - shy

4 v ~~ UfP1f1 J 1holII == I

I W L O(gt( I YiCL ru 1_-- Ld -- bull - - shy5 - a hi b 11IU~ LO426 ~clkEk ~=ss L(I

i~~10 11lfok ofi 11 jeW tQcrLlI 12 id 15euroiku)t 13 (j-VlO 6t1J11(1M6 ~14 A-J -Ittyen WltfI-ze

15 6tt i7iW~ NOTES



1 Pre-Examination

I acknowledge that I have acquired specialized knowledge about the NRC licensing examinations scheduled for the week(s) of hhr-7has ofthe 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 (eg 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 licensees procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations andor 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 kno e ge I did not divulge to any unauthorized persons any information concerning the NRC licensing examinations administered during the week(s) of 1 I -7-rJI 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

S (to sllo1 M eD ~ 7tultl -shy

~O ~ ViA ~() 7ln III 4 M~t~ sJ~O slIl1 VIA -lt( 7zIIJI __ 5 r ir) he cr rrc -lt (gt Lo r fL r ~1j1 WA- 1pound-pound t~ i7lh 6 tR 7i111 50 6 (IL VA FS-vcvl -----shy7 LViJ CH-EJJOz 8 Siuoy)tygt9 imW)Un 9 SoQy $ ~ 10U1ampJ~ hi A~ ~ ~ II~~~ - bullbullbullbull shy11 )UC-y t~n t 0 ~V6 1401

121 laquoVgt-- I-I1-amp-~ 13 rMtt icLV-1I1 14 KOAIil J~ lOee I( 15 Aoere gt Mik NOTES


___ _


1 Pre-Examination

I acknowledge that I have acquired specialized knowledge about the NRC licenSing examinations scheduled for the week(s) of 711 11 - 7rgtas 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 (eg 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 licensees procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations andor 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 knOwl~d9-1J did not divulge to any unauthorized persons any information concerning the NRC licenSing examinations administered during the week(s) of71u1Iu 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

JOB TITLE I RESPONSIBILITY DATE SIGNATURE (2) DATE NOTE

7J IIf plJft 7h~h1 k T~ fUrlt -- -- J [ LJampeOtetlt ~ VIA- e-1~L 7-1== ]9 ctJ6- ZeJ S~rvlJ atfFlt ~I 2 A rE-lt-iu4II 71 __

pc __5________ ____ 6 ____ 7 ____ 8 ____ 9 ________________________________________ 10 ____ 11 ____ 12 ____ 13 ____ 14 ____

NOTES

ES-201 Page 27 af 28

1

I

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

~ 1(Date of Examination1111_1 _ Operating Test Number ILT

Initials 1 GENERAL CRITERIA

a b c

a The operating test conforms with the previously approved outline ch~tnges are consistent with sampling requirements (eg 10 CFR 5545 operational importancesafetyfunction distribution) I IA Tfi

b There is no day-to-day repetition between this and other operating tests to be administered during this examination ~ f

c The operating test shall not duplicate items from the applicants audit test()see Section D1a) ( ~ (f I d Overlap with the written examination and between different parts of the operating test is within

acceptable limits II Ir ~ e It appears that the operating test will differentiate between competent and less-than-competent

applicants at the designated license level II 16 ~ 2 WALKmiddotTHROUGH CRITERIA -- -

a Each JPM includes the following as applicable bull initial conditions bull initiating cues bull references and tools including associated procedures bull reasonable and validated time limits (average time allowed for compl~tion) and specific

designation if deemed to be time critical by the facility licensee I ashybull operationally important specific performance criteria that include

detailed expected actions with exact criteria and nomenclature I~ 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 trom any of the acceptance I Iishycriteria (eg item distribution bank use repetition from the last 2 NRC examinations) specified ffon those forms and Form ES-201-2

3 SIMULATOR CRITERIA -- -shy

The associated simulator operating tests (scenario sets) have been reviewed in accordance with Form ES-301-4 and a copy is attached II IY 11f11

DatePrinted Nam~atur~ ~ a Author Jeff Ridosh ~-1~ Z~II

b Facility Reviewer () Andrew Zuchowski C-- L (1~1 c NRC Chief Examiner () lampnb f1~ I oJ Ii ~~~ r LJ-3Lpound

d NRC Supervisor ~~ lCilt~11 -sc--20 20 ZCJII

NOTE bull The facility signature is not applicable for NRC-developed tests Independent NRC reviewer initial items in Column c chief examiner concurrence is required


i

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

Facility Oyster Creek Date of Exam 71111 Scenario NumbElrs 1 123 Operating Test Number ILT 10-1

Initials QUALITATIVE ATTRIBUTES

a b c

1 The initial conditions are realistic in that some equipment andlor instrumentation may be out of J(service but it does not cue the operators into expected events Pr fF 2 The scenarios consist mostly of related events 1f II 7f 3 Each event description consists of

bull the peint in the scenario when it is to be initiated

bull the malfunction(s) that are entered to initiate the event II bull the symptomscues that will be visible to the crew

Jr If bull the expected operator actions (by shift position)

bull the event termination point (if applicable) I 4 No more than one non-mechanistic failure (eg pipe break) is incorporated into the scenario without

a credible preceding incident such as a seismic event 1 Ir (~ 5 The events are valid with regard to physics and thermodynamics fI 4t 1f= 6 Sequencing and timing of events is reasonable and allows the examination team to obtain complete

evaluation results commensurate with the scenario objectives II Ll- lY 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 II are given rY 8 The simulator modeling is not altered fl a (f 9 The scenarios have been validated Pursuant to 1 OCFR5546(d) any open simulator performance

deficiencies or deviations from the referenced plant have been evaluated II tr (fto ensure that functional fidelity is maintained while running the planned scenariosI 10 Every operator will be evaluated using at least one new or significantly modified scenario II (r (PAll other scenarios have been altered in accordance with Section 05 (f ES-301

11 All individual operator competencies can be evaluated as verified using Form ES-301-6I II (Pi(submit the form along with the simulator scenarios) ~ 12 Each applicant will be significantly involved in the minimum number of transients and eventsI specified on Form ES-301-5 (submit the form with the simulator scenarios) 1 r- lP 13 The level of difficulty is appropriate to support licensing decisions for each crew position II I) (y

Target Quantitative Attributes (Per Scenario See Section D5d) Actual Attributes -- -shy1 Total malfunctions (5-8) 6 6 I 7 Il tr If 2 Malfunctions after EOP entry (1-2) 1 1 2 II 7amp f)

3 Abnormal events (2-4) 3 121 2 14 I I-ltt 4 Major transients (1-2) 1 1 1 2 14 It 5 EOPs enteredrequiring substantive actions (1-2) 2 2 1 t ~I

I 6 EOP contingencies requiring substantive actions (0-2) 1 I 1 I 0 f i 7 Critical tasks (2-3) 2 2 I 2 ff

~


ESw301 Simulator Scenario Quality ChE~cklist Form ESw301 w4

Facility Oyster Creek Date of Exam 71111 Scenario Numbers 41 Operating Test Number ILT 10-1


a b c

1 The initial conditions are realistic in that some equipment andor instrumentation may be out of II Irservice but it does not cue the operators into expected events rf 2 The scenarios consist mostly of related events I f) n 3 Each event description consists of

bull the point in the scenario when it is to be initiated the malfunction( s) that are entered to initiate the eventbull

bull the symptomscues that will be visible to the crew

fl t rYl

bull the expected operator actions (by shift position)

bull the event termination point (if applicable)

4 No more than one non-mechanistic failure (eg pipe break) is incorporated into the scenario without a credible preceding incident such as a seismic event ~ r~

5 The events are valid with regard to physics and thermodynamics 1 t l1f 6 Sequencing and timing of events is reasonable and allows the examination team to obtain complete I ttr Iffevaluation 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 r (If

8 The simUlator modeling is not altered IY 9 The scenarios have been validated Pursuant to 10CFR5546(d) any open simulator periormance ff

deficiencies or deviations from the referenced plant have been evaluated 1 to ensure that functional fidelity is maintained while running the planned scenarios

fr f 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 05 of ES-301 II ~y 11 All individual operator competencies can be evaluated as verified using Form ES-301-6 r(submit the form along with the simulator scenarios) II ~f 12 Each applicant will be significantly involved in the minimum number of transients and events fr (fspecified on Form ES-301-5 (submit the form with the simulator scenarios) f 13 The level of difficulty is appropriate to support licensing decisions for each crew position 1 if

Target Quantitative Attributes (Per Scenario See Section DSd) Actual A ttri butes -- -shy1 Total malfunctions (5-8) 7 I II r (f I

2 Malfunctions after EOP entry (1-2) 2 I ~I III 1f 3 Abnormal events (2-4) 3 I I II IV ff 4 Major transients (1-2) 2 I I t (fIt 5 EOPs enteredrequiring substantive actions (1-2) 2 I I fl 11 1F 6 EOP contingencies requiring substantive actions (0-2) 1 I ft fr f 7 Critical tasks (2-3) 2 I I Y laquo


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

~Cility Oyster Creek Date of Exam 71111 Operating Test Number ILT 10-1 -ScenariosA E

P V 1 (Backup) 2 3 4 T MP E 0 IL N CREW CREW CREW CREW RO POSITION POSITION POSITION POSITION T NI T

A IC S A B S A B S A B S A B L MA T R T 0 R T 0 R T () R T 0 UN Y 0 C P 0 C P 0 C P 0 C P M()T P

R I UE RO RX 2 1 1 1 0 L8l

NOR 2 1 1 1 1SRO-I RO-l 0

IC 46 45 234 7 4 4 2SRO-U 0 MAJ 7 78 68 5 2 2 1

TS 0 0 2 2

RO RX 1 1 1 1 0 L8l

1 1 1 1SRO-I NOR 1RO-2 0 IIC 56 36 234 7 4 4 2SRO-U 0 MAJ 7 78 68 5 2 2 1

TS 0 0 2 2

RO RX 3 1 1 1 0L8l SRO-I NOR 1 2 2 1 1 1

i RO-3 0

IC 56 45 15 6 4 4 2SRO-U 0 iMAJ 7 78 68 5 2 2 1

TS 0 0 2 2

RO RX 3 1 1 1 0L8l SRO-I NOR 1 2 2 1 1 1

RO-4 0 IIC 56 45 15 6 4 4 2

SRO-U 0 MAJ 7 79 68 5 2 2 1

TS 0 2

Instructions

1 Check the applicant level and enter the operatinamp test number and F()rm ES-D-l event numbers for each event type TS are not afaPlicable for RO applicants R s must serve in both the at-the-controls (ATC) and balance-of-p ant (BOP) positions Instant SROs must serve in both the SRO and the ATC positions including at least two instrument or component (IC) malfunctions and one major transient in the ATC position If an Instant SRO additionally serves in the BOP position one IC malfunction can be credited toward the two IC malfunctions required for the ATC position

2 ReactiVit manigulationS may be conducted under normal or controlled abnormal conditions (refer to Section 5d) ut must be significant per Section C2a of Appendix D () Reactivity and normal evolutions may be replaced with additional instrument or component malfunctions on a 1-for-1 basis

3 Whenever practical both instrument and component malfunctions should be included only those that require verifiable actions that provide insight to the applicants com~etence count toward the mimmum requirements specified for the applicants license level in t e right-hand columns


ES-301 Transient and Event ChecklistForm ES-301-5

Facility Oyster Creek Date of Exam 71111 Operating Test Number ILT 10-1

ScenariosA E P V 1 (Backup) 2 3 4 I T I MP E 0 IL N CREW CREW CREW CREW

SRO J T POSITION POSITION POSITION POSITION T N A IC

S A B S A B S A B S A B L MA T R T 0 R T 0 R T 0 R T 0 UN Y 0 C P 0 C P 0 C P 0 C P M()T P

R I UE RO RX 2 1 3 3 1 1 00 SRO-I NOR 1 2 2 1 1 1

SR0-1 [8] IC 456 3456 15 9 4 4 2SRO-U

0 MAJ 7 7 a 68 5 2 2 1

TS 346 356 6 0 2 2

RO RX 2 1 3 3 1 1 00 SRO-I NOR 1 1 1 1 1

SR0-2amp4 [8] 1234IIC 456 36 10 4 4 25SRO-U 0 middotMAJ 7 76 66 5 2 2 1

TS 346 24 5 0 2 2

RO RX 2 1 3 3 1 1 00 SRO-I NOR 2 1 1 1 1

SR0-3 [8] 1234IIC 46 3456 11 4 4 2SRO-U 5

0 MAJ 7 78 66 5 2 2 1

TS 356 24 5 0 2 2

RO RX 2 1 3 3 1 1 00 SRO-I NOR 2 1 1 1 1

SRO-5 [8] IIC 46 3456 234 9 4 4 2SRO-U

0 MAJ 7 76 68 5 2 2 1

TS 356 3 a 2 2

Instructions

1 Check the af~licant level and enter the operating test number and Form ES-D-1 event numbers for each event ~ are not a~licable for RO applicants ROs must servEI in both the at-the-controls (ATC) and ba ance-of-rlant (B P) positions Instant SROs must serve in both the SRO and the ATC positions including at leas two instrument or component (IIC) malfunctions and one major transient in the ATC eOSition If an Instant SRO additionally serves in the BOP position one IIC malfunction can be credited oward the two IIC malfunctions required for the ATC position

2 Reactivi~ manipulations may be conducted under normal or controlled abnormal conditions (refer to Section 5d) out must be Significant per Section C2a of Appendix D tJ Reactivity and normal evolutions may be replaced WIth additional instrument or component mal nctions on a 1-ror-1 basis

3 Whenever practical both instrument and component malfunctions should be included only those ithat require verifiab e actions that provide insight to the applicants como=tence count toward

the minimum requirements specified for the applicants license level in e right-hand columns


ES-301 Competencies Checklist Form ES-301-6

Facility Oyster Creek Date of Examination 71111 Operating Test No ILT 10-1

ROmiddot1 ROmiddot2 APPLICANTS ROmiddot3 RO-4 RO [gJ RO [gJ RO [gJ RO [gJ

Competencies SRO-I SRO-U

0 0

SRO-I SRO-U

0 0

SRO-I SRO-U

0 0

SROmiddotI SRO-U

0 0

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

InterpreU Diagnose 46 5 24 56 3 24 56 5 15 56 5 15

Events and Conditions

Comply With and Use 2 2 34 1 13 34 1 2 15 1 2 15

Procedures (1)

Operate Control 2 4 24 5 13 24 5 4 13 5 4 13

Boards (2)

Communicate 2 5 24 6 3 24 6 5 3 6 5 3

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



Facility Oyster Creek Date of Examination 71111 Operating Test No ILT 10~1

SRO-1 SRO-2amp4 APPLICANTS SRO-3 SRO-5 RO 0 RO 0 RO 0 RO 0


~ 0

SRO-I SRO-U

~ 0

SRO-I SRO-U

~ 0

SRO-I SRO-U

~ 0


Interpret Diagnose 15 3 4 4 2-4


Comply With and Use 15 13 2 2 34

Procedures (1)

Operate Control 13 13 2 2 2-4

Boards (2) I

Communicate 6-9 3 3 1-8 2 i 6-9 1-8 2 6-9 2-4

iand Interact

Demonstrate 1-8 1middot9 1-8 1-8 1middot9 1-8 1middot9

Supervisory Ability (3)

Comply With and 34 356 34 24 356 24 i

356

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 ormore event numbers that will allow the examiners to evaluate evety applicable competency for evety applicant


ES-401 Written Examination Quality Checklist Form ES-401-6

Facility Oyster Creek Date of Exam 71111 Exam Level RO 2J SRO 2J

Initial

Item Description a b r

1 Questions and answers are technically accurate and applicable to the facility 1 11 f 2 a NRC KAs are referenced for all questions

b Facility leaming objectives are referenced as available II ( l~ 3 SRO questions are appropriate in accordance with Section D2d of ES-401 I Y f 4 The sampling process was random and systematic (If more than 4 RO or 2 SRO questions

were repeated from the last 2 NRC licensing exam consult the NRR OL program office) 1f 5 Question duplication from the license screeningaudit exam was controlled

as indicated below (check the item that applies) and appears appropriate _ the audit exam was systematically and randomly developed or 1 _ the audit exam was completed before the license exam was started or ~f _ the examinations were developed independently or L the licensee certifies that there is no duplication or _ other (explain)

Bank Modified New6 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 I SRO-only 3418 153 2614 II question distributions) at right IJ- t-

Memory CIA7 Between 50 and 60 percent of the questions on the RO exam are written at the comprehenSion lana lysis level the SRO exam may exceed 60 percent if the randomly 1

307 4518 fcselected KAs support the higher cognitive levels enter ~ the actual RO I SRO question distributions) at right

I 8 Referenceshandouts provided do not give away answers 1or aid in the elimination of distractors PI f

9 Question content conforms with specific KIA statements in the previously approved examination outline and is appropriate for the Tier to which they are assigned 1 deviations are justified fgtr ~

10 Question psychometric quality and format meet the guidelines in ES Appendix B II ~ II 11 The exam contains the required number of one-point multiple choice items the total is correct and agrees with value on cover sheet

Printed Name Signature Date

6uf(a Author Jeff RigQsh ~ b Facility Reviewer () Andrew Zuchowski ~~I G(uh~ c NRC Chief Examiner () 1Qt)~ ~ 5t I lt-~u-M~ 1 ~

~WI -bVI5eII --==q~ 16 t~ ~IIId NRC Regional Supervisor

Note The facility reviewers initialssignature are not applicable for NRC-developed examinations Independent NRC reviewer initial items in Column CO chief examiner concurrence required


____ _

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

Facility Oyster Creek Date of Exam 72011 Exam Level RO L8J SRO L8J

Item Description

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 gt25 of examinations)

4 Grading for all borderline cases (80 plusmn 2 overall and 70 or 80 as applicable plusmn 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 trainin~ deficiencies and wording problems evaluate validity of questions missed by half or more of the applicants

Printed Name I Signature

a Author Jeffrey Ridosh YffiZ~ b Facility Reviewer()

And Zu~ S-shyc NRC Chief Examiner() -ji~_5--

Initials

a b c

I 4t II A

II ~ II ~ I 4 1 (gt r

Date

722111

7~11 iZVJluJLt

d NRC Supervisor() Mkshy() The facility reviewers signature is not applicable for examinations graded by the NRC

two independent NRC reviews are required

ES-403 Page 5 of 5

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

Facility Oyster Creek Date of Examination 71111

Initials Item Task Description

a b c

1 a Verify that the outline(s) fit(s) the appropriate model in accordance with ES-401 lit W R b Assess whether the outline was systematically and randomly prepared in accordance with III Section 01 of ES-401 and whether all KIA categories are appropriately sampled IiT T c Assess whether the outline over-emphasizes any systems evolutions or generic topics fJ ~ (E N d Assess whether the justifications for deselected or rejected KIA statements are appropriate Ii At -(f

a Using Form ES-301-5 verify that the proposed scenario sets cover the required number 2

~ l~of normal evolutions instrument and component failures technical specifications u and major transientsS

I b Assess whether there are enough scenario sets (and spares) to test the projected number M 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 U L f~ J- fat least one new or significantly modified scenario that no scenarios are cluplicated A from the applicants audit test(s and scenarios will not be repeated on subsequent days T o c To the extent possible assess whetherthe outline(s conform(s) with the qualitative R and quantitative criteria specified on Form ES-301-4 and described in Appendix D fA r 1f

a Verify that the systems walk-through outline meets the criteria specified on Form ES-301-2 3 (1) the oulline(s) contain(s) the required number of control room and in-plant tasks

distributed among the safety functions as specified on the form W (2) task repetition from the last two NRC examinations is within the limits specified on the form 1 II((3) no tasks are duplicated from the applicants audit test(s) T (4) the number of new or modified tasks meets or exceeds the minimums specified on the form (5) the number of altemate 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 Ilr1(2) at least one task is new or significantly modified If Alrshyi3i no more than one task is repeated from the last two NRC licensing examinations r

c Determine if there are enough different outlines to test the projected number and mix Ill fI ~ of applicants and ensure that no items are duplicated on subsequent days U- r

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

G b Assess whether the 10 CFR 554143 and 5545 sampling is appropr_ia_te__________-I-_~__+I-~t-__lf_-rt-_lMIE N c Ensure that KIA importance ratings (except for plant-specific priorities) are at least 25 ty ~ E

d Check for duplication and overlap among exam sections It ~J1LR A e Check the entire exam for balance of coverage YlW L

f Assess whether the exam fits the appropriate job level (RO or SRO) it 4- I(r-----------------~~~~~~__ll

Printed Name 1Sign~~9 a Author Jeffrev Ridosh

~---b Facility Reviewer () Andrew Zuchowski ~ -~

c NRC Chief Examiner ()

d NRC Supervisor

NOTE It Independent NRC Reviewer initial items in Column c chief examiner concurrence required Not applicable for NRC-prepared examination outlines



1 Pre-Examination


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1 Pre-Examination


2 Post-Examination







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2 Post-Examination




pc __5________ ____ 6 ____ 7 ____ 8 ____ 9 ________________________________________ 10 ____ 11 ____ 12 ____ 13 ____ 14 ____

NOTES


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I




a b c

















i




a b c














~





a b c




fl t rYl
















R I UE RO RX 2 1 1 1 0 L8l


IC 46 45 234 7 4 4 2SRO-U 0 MAJ 7 78 68 5 2 2 1

TS 0 0 2 2

RO RX 1 1 1 1 0 L8l


TS 0 0 2 2

RO RX 3 1 1 1 0L8l SRO-I NOR 1 2 2 1 1 1

i RO-3 0

IC 56 45 15 6 4 4 2SRO-U 0 iMAJ 7 78 68 5 2 2 1

TS 0 0 2 2

RO RX 3 1 1 1 0L8l SRO-I NOR 1 2 2 1 1 1

RO-4 0 IIC 56 45 15 6 4 4 2

SRO-U 0 MAJ 7 79 68 5 2 2 1

TS 0 2

Instructions











SR0-1 [8] IC 456 3456 15 9 4 4 2SRO-U

0 MAJ 7 7 a 68 5 2 2 1

TS 346 356 6 0 2 2

RO RX 2 1 3 3 1 1 00 SRO-I NOR 1 1 1 1 1


TS 346 24 5 0 2 2

RO RX 2 1 3 3 1 1 00 SRO-I NOR 2 1 1 1 1

SR0-3 [8] 1234IIC 46 3456 11 4 4 2SRO-U 5

0 MAJ 7 78 66 5 2 2 1

TS 356 24 5 0 2 2

RO RX 2 1 3 3 1 1 00 SRO-I NOR 2 1 1 1 1

SRO-5 [8] IIC 46 3456 234 9 4 4 2SRO-U

0 MAJ 7 76 68 5 2 2 1

TS 356 3 a 2 2

Instructions










0 0

SRO-I SRO-U

0 0

SRO-I SRO-U

0 0

SROmiddotI SRO-U

0 0





Procedures (1)

Operate Control 2 4 24 5 13 24 5 4 13 5 4 13

Boards (2)

Communicate 2 5 24 6 3 24 6 5 3 6 5 3

and Interact




Instructions







~ 0

SRO-I SRO-U

~ 0

SRO-I SRO-U

~ 0

SRO-I SRO-U

~ 0





Procedures (1)


Boards (2) I

Communicate 6-9 3 3 1-8 2 i 6-9 1-8 2 6-9 2-4

iand Interact



Comply With and 34 356 34 24 356 24 i

356

Use Tech Specs (3)


Instructions





Initial

















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i




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~





a b c




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R I UE RO RX 2 1 1 1 0 L8l


IC 46 45 234 7 4 4 2SRO-U 0 MAJ 7 78 68 5 2 2 1

TS 0 0 2 2

RO RX 1 1 1 1 0 L8l


TS 0 0 2 2

RO RX 3 1 1 1 0L8l SRO-I NOR 1 2 2 1 1 1

i RO-3 0

IC 56 45 15 6 4 4 2SRO-U 0 iMAJ 7 78 68 5 2 2 1

TS 0 0 2 2

RO RX 3 1 1 1 0L8l SRO-I NOR 1 2 2 1 1 1

RO-4 0 IIC 56 45 15 6 4 4 2

SRO-U 0 MAJ 7 79 68 5 2 2 1

TS 0 2

Instructions











SR0-1 [8] IC 456 3456 15 9 4 4 2SRO-U

0 MAJ 7 7 a 68 5 2 2 1

TS 346 356 6 0 2 2

RO RX 2 1 3 3 1 1 00 SRO-I NOR 1 1 1 1 1


TS 346 24 5 0 2 2

RO RX 2 1 3 3 1 1 00 SRO-I NOR 2 1 1 1 1

SR0-3 [8] 1234IIC 46 3456 11 4 4 2SRO-U 5

0 MAJ 7 78 66 5 2 2 1

TS 356 24 5 0 2 2

RO RX 2 1 3 3 1 1 00 SRO-I NOR 2 1 1 1 1

SRO-5 [8] IIC 46 3456 234 9 4 4 2SRO-U

0 MAJ 7 76 68 5 2 2 1

TS 356 3 a 2 2

Instructions










0 0

SRO-I SRO-U

0 0

SRO-I SRO-U

0 0

SROmiddotI SRO-U

0 0





Procedures (1)

Operate Control 2 4 24 5 13 24 5 4 13 5 4 13

Boards (2)

Communicate 2 5 24 6 3 24 6 5 3 6 5 3

and Interact




Instructions







~ 0

SRO-I SRO-U

~ 0

SRO-I SRO-U

~ 0

SRO-I SRO-U

~ 0





Procedures (1)


Boards (2) I

Communicate 6-9 3 3 1-8 2 i 6-9 1-8 2 6-9 2-4

iand Interact



Comply With and 34 356 34 24 356 24 i

356

Use Tech Specs (3)


Instructions





Initial

















____ _



Item Description










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i




a b c














~





a b c




fl t rYl
















R I UE RO RX 2 1 1 1 0 L8l


IC 46 45 234 7 4 4 2SRO-U 0 MAJ 7 78 68 5 2 2 1

TS 0 0 2 2

RO RX 1 1 1 1 0 L8l


TS 0 0 2 2

RO RX 3 1 1 1 0L8l SRO-I NOR 1 2 2 1 1 1

i RO-3 0

IC 56 45 15 6 4 4 2SRO-U 0 iMAJ 7 78 68 5 2 2 1

TS 0 0 2 2

RO RX 3 1 1 1 0L8l SRO-I NOR 1 2 2 1 1 1

RO-4 0 IIC 56 45 15 6 4 4 2

SRO-U 0 MAJ 7 79 68 5 2 2 1

TS 0 2

Instructions











SR0-1 [8] IC 456 3456 15 9 4 4 2SRO-U

0 MAJ 7 7 a 68 5 2 2 1

TS 346 356 6 0 2 2

RO RX 2 1 3 3 1 1 00 SRO-I NOR 1 1 1 1 1


TS 346 24 5 0 2 2

RO RX 2 1 3 3 1 1 00 SRO-I NOR 2 1 1 1 1

SR0-3 [8] 1234IIC 46 3456 11 4 4 2SRO-U 5

0 MAJ 7 78 66 5 2 2 1

TS 356 24 5 0 2 2

RO RX 2 1 3 3 1 1 00 SRO-I NOR 2 1 1 1 1

SRO-5 [8] IIC 46 3456 234 9 4 4 2SRO-U

0 MAJ 7 76 68 5 2 2 1

TS 356 3 a 2 2

Instructions










0 0

SRO-I SRO-U

0 0

SRO-I SRO-U

0 0

SROmiddotI SRO-U

0 0





Procedures (1)

Operate Control 2 4 24 5 13 24 5 4 13 5 4 13

Boards (2)

Communicate 2 5 24 6 3 24 6 5 3 6 5 3

and Interact




Instructions







~ 0

SRO-I SRO-U

~ 0

SRO-I SRO-U

~ 0

SRO-I SRO-U

~ 0





Procedures (1)


Boards (2) I

Communicate 6-9 3 3 1-8 2 i 6-9 1-8 2 6-9 2-4

iand Interact



Comply With and 34 356 34 24 356 24 i

356

Use Tech Specs (3)


Instructions





Initial

















____ _



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I




a b c

















i




a b c














~





a b c




fl t rYl
















R I UE RO RX 2 1 1 1 0 L8l


IC 46 45 234 7 4 4 2SRO-U 0 MAJ 7 78 68 5 2 2 1

TS 0 0 2 2

RO RX 1 1 1 1 0 L8l


TS 0 0 2 2

RO RX 3 1 1 1 0L8l SRO-I NOR 1 2 2 1 1 1

i RO-3 0

IC 56 45 15 6 4 4 2SRO-U 0 iMAJ 7 78 68 5 2 2 1

TS 0 0 2 2

RO RX 3 1 1 1 0L8l SRO-I NOR 1 2 2 1 1 1

RO-4 0 IIC 56 45 15 6 4 4 2

SRO-U 0 MAJ 7 79 68 5 2 2 1

TS 0 2

Instructions











SR0-1 [8] IC 456 3456 15 9 4 4 2SRO-U

0 MAJ 7 7 a 68 5 2 2 1

TS 346 356 6 0 2 2

RO RX 2 1 3 3 1 1 00 SRO-I NOR 1 1 1 1 1


TS 346 24 5 0 2 2

RO RX 2 1 3 3 1 1 00 SRO-I NOR 2 1 1 1 1

SR0-3 [8] 1234IIC 46 3456 11 4 4 2SRO-U 5

0 MAJ 7 78 66 5 2 2 1

TS 356 24 5 0 2 2

RO RX 2 1 3 3 1 1 00 SRO-I NOR 2 1 1 1 1

SRO-5 [8] IIC 46 3456 234 9 4 4 2SRO-U

0 MAJ 7 76 68 5 2 2 1

TS 356 3 a 2 2

Instructions










0 0

SRO-I SRO-U

0 0

SRO-I SRO-U

0 0

SROmiddotI SRO-U

0 0





Procedures (1)

Operate Control 2 4 24 5 13 24 5 4 13 5 4 13

Boards (2)

Communicate 2 5 24 6 3 24 6 5 3 6 5 3

and Interact




Instructions







~ 0

SRO-I SRO-U

~ 0

SRO-I SRO-U

~ 0

SRO-I SRO-U

~ 0





Procedures (1)


Boards (2) I

Communicate 6-9 3 3 1-8 2 i 6-9 1-8 2 6-9 2-4

iand Interact



Comply With and 34 356 34 24 356 24 i

356

Use Tech Specs (3)


Instructions





Initial

















____ _



Item Description










Initials

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I




a b c

















i




a b c














~





a b c




fl t rYl
















R I UE RO RX 2 1 1 1 0 L8l


IC 46 45 234 7 4 4 2SRO-U 0 MAJ 7 78 68 5 2 2 1

TS 0 0 2 2

RO RX 1 1 1 1 0 L8l


TS 0 0 2 2

RO RX 3 1 1 1 0L8l SRO-I NOR 1 2 2 1 1 1

i RO-3 0

IC 56 45 15 6 4 4 2SRO-U 0 iMAJ 7 78 68 5 2 2 1

TS 0 0 2 2

RO RX 3 1 1 1 0L8l SRO-I NOR 1 2 2 1 1 1

RO-4 0 IIC 56 45 15 6 4 4 2

SRO-U 0 MAJ 7 79 68 5 2 2 1

TS 0 2

Instructions











SR0-1 [8] IC 456 3456 15 9 4 4 2SRO-U

0 MAJ 7 7 a 68 5 2 2 1

TS 346 356 6 0 2 2

RO RX 2 1 3 3 1 1 00 SRO-I NOR 1 1 1 1 1


TS 346 24 5 0 2 2

RO RX 2 1 3 3 1 1 00 SRO-I NOR 2 1 1 1 1

SR0-3 [8] 1234IIC 46 3456 11 4 4 2SRO-U 5

0 MAJ 7 78 66 5 2 2 1

TS 356 24 5 0 2 2

RO RX 2 1 3 3 1 1 00 SRO-I NOR 2 1 1 1 1

SRO-5 [8] IIC 46 3456 234 9 4 4 2SRO-U

0 MAJ 7 76 68 5 2 2 1

TS 356 3 a 2 2

Instructions










0 0

SRO-I SRO-U

0 0

SRO-I SRO-U

0 0

SROmiddotI SRO-U

0 0





Procedures (1)

Operate Control 2 4 24 5 13 24 5 4 13 5 4 13

Boards (2)

Communicate 2 5 24 6 3 24 6 5 3 6 5 3

and Interact




Instructions







~ 0

SRO-I SRO-U

~ 0

SRO-I SRO-U

~ 0

SRO-I SRO-U

~ 0





Procedures (1)


Boards (2) I

Communicate 6-9 3 3 1-8 2 i 6-9 1-8 2 6-9 2-4

iand Interact



Comply With and 34 356 34 24 356 24 i

356

Use Tech Specs (3)


Instructions





Initial

















____ _



Item Description










Initials

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i




a b c














~





a b c




fl t rYl
















R I UE RO RX 2 1 1 1 0 L8l


IC 46 45 234 7 4 4 2SRO-U 0 MAJ 7 78 68 5 2 2 1

TS 0 0 2 2

RO RX 1 1 1 1 0 L8l


TS 0 0 2 2

RO RX 3 1 1 1 0L8l SRO-I NOR 1 2 2 1 1 1

i RO-3 0

IC 56 45 15 6 4 4 2SRO-U 0 iMAJ 7 78 68 5 2 2 1

TS 0 0 2 2

RO RX 3 1 1 1 0L8l SRO-I NOR 1 2 2 1 1 1

RO-4 0 IIC 56 45 15 6 4 4 2

SRO-U 0 MAJ 7 79 68 5 2 2 1

TS 0 2

Instructions











SR0-1 [8] IC 456 3456 15 9 4 4 2SRO-U

0 MAJ 7 7 a 68 5 2 2 1

TS 346 356 6 0 2 2

RO RX 2 1 3 3 1 1 00 SRO-I NOR 1 1 1 1 1


TS 346 24 5 0 2 2

RO RX 2 1 3 3 1 1 00 SRO-I NOR 2 1 1 1 1

SR0-3 [8] 1234IIC 46 3456 11 4 4 2SRO-U 5

0 MAJ 7 78 66 5 2 2 1

TS 356 24 5 0 2 2

RO RX 2 1 3 3 1 1 00 SRO-I NOR 2 1 1 1 1

SRO-5 [8] IIC 46 3456 234 9 4 4 2SRO-U

0 MAJ 7 76 68 5 2 2 1

TS 356 3 a 2 2

Instructions










0 0

SRO-I SRO-U

0 0

SRO-I SRO-U

0 0

SROmiddotI SRO-U

0 0





Procedures (1)

Operate Control 2 4 24 5 13 24 5 4 13 5 4 13

Boards (2)

Communicate 2 5 24 6 3 24 6 5 3 6 5 3

and Interact




Instructions







~ 0

SRO-I SRO-U

~ 0

SRO-I SRO-U

~ 0

SRO-I SRO-U

~ 0





Procedures (1)


Boards (2) I

Communicate 6-9 3 3 1-8 2 i 6-9 1-8 2 6-9 2-4

iand Interact



Comply With and 34 356 34 24 356 24 i

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Instructions





Initial

















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a b c




fl t rYl
















R I UE RO RX 2 1 1 1 0 L8l


IC 46 45 234 7 4 4 2SRO-U 0 MAJ 7 78 68 5 2 2 1

TS 0 0 2 2

RO RX 1 1 1 1 0 L8l


TS 0 0 2 2

RO RX 3 1 1 1 0L8l SRO-I NOR 1 2 2 1 1 1

i RO-3 0

IC 56 45 15 6 4 4 2SRO-U 0 iMAJ 7 78 68 5 2 2 1

TS 0 0 2 2

RO RX 3 1 1 1 0L8l SRO-I NOR 1 2 2 1 1 1

RO-4 0 IIC 56 45 15 6 4 4 2

SRO-U 0 MAJ 7 79 68 5 2 2 1

TS 0 2

Instructions











SR0-1 [8] IC 456 3456 15 9 4 4 2SRO-U

0 MAJ 7 7 a 68 5 2 2 1

TS 346 356 6 0 2 2

RO RX 2 1 3 3 1 1 00 SRO-I NOR 1 1 1 1 1


TS 346 24 5 0 2 2

RO RX 2 1 3 3 1 1 00 SRO-I NOR 2 1 1 1 1

SR0-3 [8] 1234IIC 46 3456 11 4 4 2SRO-U 5

0 MAJ 7 78 66 5 2 2 1

TS 356 24 5 0 2 2

RO RX 2 1 3 3 1 1 00 SRO-I NOR 2 1 1 1 1

SRO-5 [8] IIC 46 3456 234 9 4 4 2SRO-U

0 MAJ 7 76 68 5 2 2 1

TS 356 3 a 2 2

Instructions










0 0

SRO-I SRO-U

0 0

SRO-I SRO-U

0 0

SROmiddotI SRO-U

0 0





Procedures (1)

Operate Control 2 4 24 5 13 24 5 4 13 5 4 13

Boards (2)

Communicate 2 5 24 6 3 24 6 5 3 6 5 3

and Interact




Instructions







~ 0

SRO-I SRO-U

~ 0

SRO-I SRO-U

~ 0

SRO-I SRO-U

~ 0





Procedures (1)


Boards (2) I

Communicate 6-9 3 3 1-8 2 i 6-9 1-8 2 6-9 2-4

iand Interact



Comply With and 34 356 34 24 356 24 i

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Instructions





Initial

















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R I UE RO RX 2 1 1 1 0 L8l


IC 46 45 234 7 4 4 2SRO-U 0 MAJ 7 78 68 5 2 2 1

TS 0 0 2 2

RO RX 1 1 1 1 0 L8l


TS 0 0 2 2

RO RX 3 1 1 1 0L8l SRO-I NOR 1 2 2 1 1 1

i RO-3 0

IC 56 45 15 6 4 4 2SRO-U 0 iMAJ 7 78 68 5 2 2 1

TS 0 0 2 2

RO RX 3 1 1 1 0L8l SRO-I NOR 1 2 2 1 1 1

RO-4 0 IIC 56 45 15 6 4 4 2

SRO-U 0 MAJ 7 79 68 5 2 2 1

TS 0 2

Instructions











SR0-1 [8] IC 456 3456 15 9 4 4 2SRO-U

0 MAJ 7 7 a 68 5 2 2 1

TS 346 356 6 0 2 2

RO RX 2 1 3 3 1 1 00 SRO-I NOR 1 1 1 1 1


TS 346 24 5 0 2 2

RO RX 2 1 3 3 1 1 00 SRO-I NOR 2 1 1 1 1

SR0-3 [8] 1234IIC 46 3456 11 4 4 2SRO-U 5

0 MAJ 7 78 66 5 2 2 1

TS 356 24 5 0 2 2

RO RX 2 1 3 3 1 1 00 SRO-I NOR 2 1 1 1 1

SRO-5 [8] IIC 46 3456 234 9 4 4 2SRO-U

0 MAJ 7 76 68 5 2 2 1

TS 356 3 a 2 2

Instructions










0 0

SRO-I SRO-U

0 0

SRO-I SRO-U

0 0

SROmiddotI SRO-U

0 0





Procedures (1)

Operate Control 2 4 24 5 13 24 5 4 13 5 4 13

Boards (2)

Communicate 2 5 24 6 3 24 6 5 3 6 5 3

and Interact




Instructions







~ 0

SRO-I SRO-U

~ 0

SRO-I SRO-U

~ 0

SRO-I SRO-U

~ 0





Procedures (1)


Boards (2) I

Communicate 6-9 3 3 1-8 2 i 6-9 1-8 2 6-9 2-4

iand Interact



Comply With and 34 356 34 24 356 24 i

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Instructions





Initial

















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SR0-1 [8] IC 456 3456 15 9 4 4 2SRO-U

0 MAJ 7 7 a 68 5 2 2 1

TS 346 356 6 0 2 2

RO RX 2 1 3 3 1 1 00 SRO-I NOR 1 1 1 1 1


TS 346 24 5 0 2 2

RO RX 2 1 3 3 1 1 00 SRO-I NOR 2 1 1 1 1

SR0-3 [8] 1234IIC 46 3456 11 4 4 2SRO-U 5

0 MAJ 7 78 66 5 2 2 1

TS 356 24 5 0 2 2

RO RX 2 1 3 3 1 1 00 SRO-I NOR 2 1 1 1 1

SRO-5 [8] IIC 46 3456 234 9 4 4 2SRO-U

0 MAJ 7 76 68 5 2 2 1

TS 356 3 a 2 2

Instructions










0 0

SRO-I SRO-U

0 0

SRO-I SRO-U

0 0

SROmiddotI SRO-U

0 0





Procedures (1)

Operate Control 2 4 24 5 13 24 5 4 13 5 4 13

Boards (2)

Communicate 2 5 24 6 3 24 6 5 3 6 5 3

and Interact




Instructions







~ 0

SRO-I SRO-U

~ 0

SRO-I SRO-U

~ 0

SRO-I SRO-U

~ 0





Procedures (1)


Boards (2) I

Communicate 6-9 3 3 1-8 2 i 6-9 1-8 2 6-9 2-4

iand Interact



Comply With and 34 356 34 24 356 24 i

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Instructions





Initial

















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0 0

SRO-I SRO-U

0 0

SRO-I SRO-U

0 0

SROmiddotI SRO-U

0 0





Procedures (1)

Operate Control 2 4 24 5 13 24 5 4 13 5 4 13

Boards (2)

Communicate 2 5 24 6 3 24 6 5 3 6 5 3

and Interact




Instructions







~ 0

SRO-I SRO-U

~ 0

SRO-I SRO-U

~ 0

SRO-I SRO-U

~ 0





Procedures (1)


Boards (2) I

Communicate 6-9 3 3 1-8 2 i 6-9 1-8 2 6-9 2-4

iand Interact



Comply With and 34 356 34 24 356 24 i

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Instructions





Initial

















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Item Description










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~ 0

SRO-I SRO-U

~ 0

SRO-I SRO-U

~ 0

SRO-I SRO-U

~ 0





Procedures (1)


Boards (2) I

Communicate 6-9 3 3 1-8 2 i 6-9 1-8 2 6-9 2-4

iand Interact



Comply With and 34 356 34 24 356 24 i

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Use Tech Specs (3)


Instructions





Initial

















____ _



Item Description










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Documents

Initials iF IF TF · Furthermore, I am aware of the physical security measures and requirements (as documented in the facility licensee's procedures) and understand that violation