ML15128A227
| ML15128A227 | |
| Person / Time | |
|---|---|
| Site: | Prairie Island  |
| Issue date: | 08/22/2014 |
| From: | Bielby M NRC/RGN-III/DRS/OLB |
| To: | Northern States Power Co |
| Shared Package | |
| ML13093A444 | List: |
| References | |
| Download: ML15128A227 (9) | |
Text
(l Xcel Energy NOV 0 3 2014 L-Pl-14-110 NUREG-1021 Regional Administrator, Region Ill US Nuclear Regulatory Commission 2443 Warrenville Road, Suite 210 Lisle, Illinois 60532-4352 Prairie Island Nuclear Generating Plant Units 1 and 2 Dockets 50-282 and 50-306 Renewed License Nos. DPR-42 and DPR-60 2014 Initial Operator Licensing Examination Security Agreement Forms Pursuant to NUREG-1021, Revision 9, Supplement 1, Operator Licensing Examination Standards for Power Reactors, section ES-501 , Initial Post Examination Activities, the facility licensee must submit the original examination security agreement forms to the NRC's regional office for retention after the examinations are complete.
Northern States Power Company, a Minnesota corporation, doing business as Xcel Energy (hereafter "NSPM"), submits the original signed examination security agreements as Enclosure 1.
Summary of Commitments This letter contains no new commitments and no revisions to existing commitments.
/)
/tuti.,:J//{~uc--;J-c/---'
/
Kevin Davison Site Vice President, Prairie Island Nuclear Generating Plant Northern States Power Company - Minnesota Enclosures (1) cc: Mike Bielby, US NRC Region Ill , with enclosure Hironori Peterson, US NRC Region Ill, without enclosure
' m::CEIVEO ~mv 0 4 2014 1717 Wakonade Drive East o Welch , Minnesota 55089-9642 Telephone: 651 .388.1121
QF-1071-01, Rev. 2 (FP-T-SAT-71) Page 1 of 2 (l Xcel Energy- MASTER SECURITY AGREEMENT I The Master Security Agreement is used for those personnel having both knowledge of Exam Sensitive Material and unrestricted access to Primary and Secondary Containment.
- 1. Pre-Examination (Review FP-T-SAT-71, Attachment 1 for pre-job briefing requirements)
I acknowledge that I have acquired specialized knowledge about the .2oi4 u_r tJ£'- examination(s) scheduled for the date(s) of
'iS/t.Jh4 - 1?/it /1'1 as of the date of my signature. I agree that I will not knowingly divulge any information about these examinations to any persons who have not been authorized by an Operations Training Supervisor. I understand that I am not to instruct or provide performance feedback to those individuals scheduled to be administered these examinations from this date until completion of examination administration. I also understand that I am not to evaluate individuals scheduled to be administered these examinations from this date until the date of administration. Acting as a simulator booth operator or communicator is acceptable if I do not select the training content or provide direct or indirect feedback to an examinee. Furthermore, I am aware of the physical security measures and requirements (as documented in NSPM procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action against my facility or me. I will immediately report to the Exam Project Manager any indications or suggestions that examination security may have been compromised.
- 2. Post-Examination To the best of my nowl~~~ , ,1 did not divulge to any unauthorized p~rson~ any inf?rmation concern!ng the exami.nations adn:i in i~tered during the date(s) of 15 L/ /lt - ./r-, 1'f . From the date that I entered into this security agreement until the completion of exam1nat1on administration, I did not in *truct, evaluate, or provide performance feedback to those individuals who were administered these examinations.
PRINTED NAME JOB TITLE/ RESPONSIBILITY SIGNATURE (1) DATE DATE NOTE
~
1.
2.
3.
$'1-L~w,J S A120\S 1) f a.eo (j;;, urtJ\
-z;iAv?s C*.1,1,. zer oPS DP>
£
,._'? .
Ir' ;WJCJtYr "L IA!8 r£JHM
/J _
~ </- .~
=:= _to-~7-I}
71:~7-~%4
/
- r7~
10 1.1)1
/:ft
/.<1'1 ~z5
- (1>/1<<
£1-0; ttl I
0f 11fy -
-; -fJ/L .N
- O gA-b'f.
- 4. H tlftM' .pii-7U?f!J /ti ~R.fJl
- 5. ,,Yl !1s csn ~6y e.v <./\
_, t,..,\
Ill \'"*!i 6.
0 +
-.:::, C. GL ~-
I, I . l.
\!Jhi '\-S or, ~l \~*1 1\. - -
- 1. An+/-hooj Snort s i V'r1 TPb+er Cfu~ ~ 11-1/-/3 {4-;t~ ~~-.:/- 8-is~1 £\
/
Retention: Life of Plant Retain in: Exam File
QF-1071-01, Rev. 2 (FP-T-SAT-71)
[ll XcelEnergy- MASTER SECURITY AGREEMENT Pcige 2 of 2 The Secondary and Master Security Agreement is used for those personnel having both knowledge of Exam Sensitive Material and unrestricted access to Primary Containment.
PRINTED NAME JOB .T. ITLE I RESPONSIBILITY SIG
. NATURE (1) DATE n~~T~~; (2)
- Je.t.r;,:e~;~ S~~.'A~, ~"t~-.c ~'f ?1*h~ ~~~
DATE NOTE g-fts-/ty
<J/t5/i'i 10.. M1c.Jiolt1t\ A.bvie11 {')fJ i~J~JXulfTUl L'-7! _ 'i/z/t'f _/ _._~__,,.,..
~N~ c1 ,~,,i , scov , D'* ,, ~ ,*-y~., w'
"'-!Kl..J.... "i . ~- !_ ( l . [)(\ -
~ / l :CL+'-
.. ' ' /-.- t. (\ ' *~ r: il ~sv* __
,"'"" / );£\ . . __ _ _L__ _ _ _ _ _ _ ~!sir
- ,1 , KG 1,"l' 12.
13.
14.
15.
16.
17.
18.
19.
20.
NOTES:
Retention: Life of Plant Retain in: Exam File
10/~Jiif
')(1°!
QF-1071-02, Rev. 2 (FP-T-SAT-71) Page 1 ot-r'<JP I fl Xcel Energy- I LIMITED SECURITY AGREEMENT I The Limited Security Agreement is used for those personnel having limited knowledge of Exam Sensitive Material but do not have unrestricted access to Primary and Secondary Containment.
- 1. Pre-Examination (Review FP-T-SAT-71, Attachment 1 for pre-job briefing requirements)
I ~ckno~led~e that I have acquired specialized knowledge about the .;}oi'i il:r rJ\l<.. examination scheduled for the date(s) of
'iiL\h'l * ~li'il 111 as of the date of my signature. I agree that I will not knowingly divulge any information about this examination to any persons who have not been authorized by an Operations Training Supervisor.. I understand that I am not to instruct or provide performance feedback to those individuals scheduled to be administered these examinations from this date until completion of examination administration. I also understand that I am not to evaluate individuals scheduled to be administered these examinations from this date until the date of administration.
Acting as a simulator booth operator or communicator is acceptable if I do not select the training content or provide direct or indirect feedback to an examinee. Furthermore, I am aware of the physical security measures and requirements (as documented in NSPM procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examination and/or an enforcement action against my facility or me. I will immediately report to the Exam Project Manager any indications or suggestions that examination security may have been compromised.
- 2. Post-Examination To the best f y kn wledge, I did not divulge to any unauthorized persons any information concerning the examination administered during the date(s) of ~ <t 14. - 'l 6 . From the date that I entered into this security agreement until the completion of this examination administrati n, I did. not instruct, evaluate, or provide performance feedback to those individuals who were administered this examination.
Furthermore, I agree to NOT discuss any aspects associated with the contents of this examination with ANY examinee until the completion of their examination administration. I further understand that violation of the conditions of this agreement may result in cancellation of the examination and/or enforcement action against the facility licensee or me.
PRINTED NAME JOB TITLE I RESPONSIBILITY DATE ./\SIGNA/ l fE (2) DATE NOTE
- 1. "s *41 I , -
Ut,.. r , //"J....,
J,, LI\, V:; C....11. 'i-<....v 1..- S' ') / 5:r}
2'-r ~it (JI 't .ff~/ -fc;.__ _, /Z ).,<.pl </
1///y /,r/uhJ I (l 1)
~ ;~--:-, f, ~~
~--;;,
9_),_.JLf
- 2 c cv-
- 2. Kr, r J___
I
\_o..,0.r-Q.... 0-\,.)J\.\,(. Lto HWI 9 -~-f'f
- r;~
- 3. --
- 4. t/cu1fJ f5ttcH S:S' '1_~ - -
Retention: Life of plant Retain in: Exam file Form retained in accordance with record retention schedule identified in FP-G-RM-01.
, ,., .~
pl
'flJ' QF-1071-02, Rev. 2 (FP-T-SAT-71) Page 2 of~(::>
I fl Xcel Energy- LIMITED SECURITY AGREEMENT The Limited Security Agreement is used for those personnel having limited knowledge of Exam Sensitive Material but do not have unrestricted access to Primary and Secondary Containment.
PRINTED NAME JOB TITLE I RESPONSIBILITY SIGNATURE (1) DATE SIGNATURE (2) DATE NOTE
'f=
f
( (\ )\/~*-
- 1/~111~ -
,_~ I?W<~-=
- 5. \ *hAtt--- ::') fN'v- \
l ---- - - - - - ----:-7 L Rn .
7 \ __
~~!<>Phi~
- 6. f)g..vc.(. lYL1t5l-L f_o ,¢ "
qf11/rf
- 7. Jc.-e.. ~Wl..e<...v'\ J.-"'-Sf-r'-"-<- J-.:,..,,.,.- r/rt/1t 8.
9.
t1((1'k /..17oj.brvcl
>c<. +/-en-e )vi,ra, ff>
5,;Vf
£M .
I 7
~/- ~*~\ .~0- 0?1J;~ ~ ~~L~&
. i!fi!? /~ ,, <tfzofl~
!c(j/r~
- 10. rJl\*\-h~..-. ~ :t>1.'i3s . s s/ s*-r1t zi:. .L~.- '3/'> /tl ~:p;t'J I v/:J/; I/
t..:::.L:.- ' --
11.
12.
13, 14 *
-\ " \,.-.... )(... \? ) '
JJD.N 0te
,~J 'ffi_W
'~""" Sz,1~, '" MSS~J\/&~a-1
/ \-;1\) -'\{l;_t <;,.,
..::. LHt::C '-
no
(,?A
\L\.;..J
~
'xf0=
1/->f1q 3,ll
,.., ' /
1'/
..>/?~ *";t1
~ r~1i1
/lj / L-
- //,/ /,?i
~'f_,/{. /c~- *(/'\J
?-1 "ii:
B/~..,9//r.y
- 15. -J"eU I ~\,\ Vvt o..A.. 55 r---* - ~ -
- 16. t /,.t C/ t " r <) r._.,
- 7 A Ro t)l.....,_..Ic..------=- 1-/ I ~1 / ,J
_. _ fl -I
,ll .l....
~c""'-
Z.;;._
l** ----
"-'-L- q;!t,A*L{_
i/;11 ~
- 17. /V tc\;,,ohs / V] oocly >.) '1/i<J(1'i
- 18. R.oss ~o !J Ofs lt--1J6 ~*
I ~
. 1Y,;
1~tllft1i/ .~ of!t
~~: a4t1::2~\\
- 19. 15.t~C 1rw6-P ;;JJ <:I/V::::r*
- 20. .Jo.soi-\ £-tv-;t. ~{~...d 55 ;l_>TA o/-z."111:{
NOTES:
Retention: Life of plant Retain in: Exam file Form retained in accordance with record retention schedule identified in FP-G-RM-01.
QF-1071-02, Rev. 2 (FP-T-SAT-71) Page~ ef2 <E.1>\0 1i... \\~
~ ""~
I(l XcelEnergy- I LIMITED secURllY AGREEMENT [
The Limited Security Agreement is used for those personnel having limited knowledge of Exam Sensitive Material but do not have unrestricted access to Primary and Secondary Containment PRINTED NAME JOB TITLE I RESPONSIBILITY DATE SIGNATURE (2) DATE NOTE
- 5. ~ll..-~fNV-\ LRn $/1:4 see. ')X'e'.'I\ e...; > ~)O..'\~
- 6. :612..vc_(, fu_.Ll,sz.: L2-D z../2-1/tf see ?r-e-nc,,;, '> e c..se....
~S?he ~. i4i~~
- 7. Jee..~ 'l'/r;{N'
- 8. !1i&!'K J..(7esbrrd...
- 9. .~~.oe. }Vfl(1q J, U f;M ...,~(/j,3~ ~<!_ p rs'{ 10-is ? °.J..,_
10.
.LL .. <J rJ o,,," V\G<.,..., f>, bu...s s S'I St.ft ;Jbb_i.£._ "3/8/!'( See. ? re.--J 1c:>->S ec--se....
- 11. \.
'l 1 .:.rs "
l tl 0 se.:: ':>f'e.~ 1 0*~~ yi c~", ~
- 12. VwvtJ. ffi=E'P l\JJS f&$C5a7' *see. ? c~ " 1.:.-.;\ y;>u.~IL
- 13. 3\eph0Y\ Se.;l1L!ifv\ef SIV\. see. ?r e-<1~..:i.s pCA.~e..
<--~~----------~~~-
- 14. / \J'l\.A<2.<-E<;. Sc..t-1tc~ Rei ~ :3iu//o/ See ~"'o>?'i po-y~.
1s. Jeif 1h;.1Mo.....__ ss <fa>>Lf;;>( * ~ ¥' re \,(( 0-.) ~ ec.- '}~*
- 16. ~~qd ~~:-5c>-"1 KO ~L - '-//'-/It~ See i 6i lo-.> f?O..'J-'L
- 17. N ('tl.rto\.._5 Mooay SS ~~11 Ross ~olJ lr-rJ6 ~* ~ .~/J1 ~ ~
18.
19.
/17
{blf1!t¥~#K
- u. . Ots m/rtP 'I/ J;,;.,-- ~ -¥/nil'/~ -g-z.a-f'f
Retention: Life of plant Retain in: Exam file Form retained in accordance with record retention schedule identified in FP-G-RM-01.
Rev. 2 ff P-T-SAT-71
?o.s~ 4 a.I' ~ sc;1:11i'-'
- F. -1of1*
- 1 MASTER SECURITY AGREEMENT The Master Security Agreement is used for those personnel having both knowledge of Exam Sensitive Material and unrestricted access to Primary
- 1. Pre-Examination (Review FP-T-SAT-71 , Attachment 1 for pre-job briefing requirements)
'X Ji -s/20 l(l 11-1 s 1'i I acknowledgi:!'tha I hav~~acquired specialized knowledge about the 2014 NRC ILT EXAM examination(s) scheduled for the date(s) of 8/4/2014 -=..B.l~ e/2atzr ~as of the date of my signature. I agree that I wil l not knowingly divulge any information about these examinations to any -
persons who have not been authorized by an Operations Training Supervisor. I understand that I am not to instruct or provide performance feedback to those individuals scheduled to be administered these examinations from this date until completion of examination administration . I also understand that I am not to evaluate individuals scheduled to be administered these examinations from this date until the date of administration. Acting as a simulator booth operator or communicator is acceptable if I do not select the training content or provide direct or indirect feedback to an examinee. Furthermore, I am aware of the physical security measures and requirements (as documented in NSPM procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examinations and/or an enforcement action against my facility or me. I will immediately report to the Exam Project Manager any indications or suggestions that examination security may have been compromised.
- 2. Post-Examination To the best of my knowle,ge, I did not divulge to any unauthorized persons any i~ormation c~cerning the examinations adm inistere.d during the date(s) of :r:\l.u,J - ~ \"?\ 1y . From the date that I entered into this secu ity agreeme t until the completion of ex
- a 10 administration , I did not instruct', evaluate, or provide performance feedback to tho e individual who were administered ~nations.
PRINTED NAME JOB TITLE I RESPONSIBILITY NOTE
- 1. J e~ A th "'(J.f Ce.*c ('.hetil.,/d,;<</, /.Jew f .i . '~w 3 /5/1 ~ f ¥4 -a/Zi;/1( - -
- 2. R()""-r~Cl.ll C_ ~111:\.'-'"'"&lo--. ~ ~ '-r tJ. ..,-tJ.C.. / \>o 1-.,\ i~~ \'>'" L- ~ ~ ~,'l-3.
4.
5.
6.
7.
Retention: Life of Plant Retain in: Exam File
S..,,
QF-1071-02, Rev. 2 (FP-T-SAT-71) Page ""1-f'o'l+-f..:;;2"-
- lio \ l "i 1' of IP '° (t Xcel Energy* LIMITED SECURITY AGREEMENT The Limited Security Agreement is used for those personnel having limited knowledge of Exam Sensitive Material but do not have unrestricted access to Primary and Secondary Containment.
- 1. Pre-Examination (Review FP-T-SAT-71, Attachment 1 for pre-job briefing requirements)
I ac~n9wledge t~at I have acquired specialized knowledge about the 2o 1 t L-f *"'~'- examination scheduled for the date(s) of bf.., I1i.i - S/llS' I1:t as of the date of my signature. I agree that I will not knowingly divulge any information about this examination to any persons who have not been authorized by an Operations Training Supervisor.. I understand that I am not to instruct or provide performance feedback to those individuals scheduled to be administered these examinations from this date until completion of examination administration. I also understand that I am not to evaluate individuals scheduled to be administered these examinations from this date until the date of administration.
Acting as a simulator booth operator or communicator is acceptable if I do not select the training content or provide direct or indirect feedback to an examinee. Furthermore, I am aware of the physical security measures and requirements (as documented in NSPM procedures) and understand that violation of the conditions of this agreement may result in cancellation of the examination and/or an enforcement action against my facility or me. I will immediately report to the Exam Project Manager any indications or suggestions that examination security may have been compromised.
- 2. Post-Examination To the best o my know edfle, I did not divulge to any unauthorized persons any information concerning the examination administered during the date(s) of a t.t/i'i - 8 ;'( / 1'-f
- From the date that I entered into this security agreement until the completion of this examination administration, I did not instruct, evaluate, or provide performance feedback to those individuals who were administered this examination.
Furthermore, I agree to NOT discuss any aspects associated with the contents of this examination with ANY examinee until the completion of their examination administration. I further understand that violation of the conditions of this agreement may result in cancellation of the examination and/or enforcement action against the facility licensee or me.
PRINTED NAME JOB TITLE I RESPONSIBILITY ~:N~ DATE
- 1. m°'rk H°'(e n Lt?0id Ro ---dt/~ ~*J\*l:/
f(,tJ, 4-ei m. l11 Mn*-' /'~ ~/)
'===== *---*-------
- 2. fo C: ::;7 4 *ZI- ttf g.z")-1<{ _
- 3. Jf::v1,.J .1YI I/ l~J -* r*
_5' -;-r.::- v* _, ~ [/ ~ r *'
, ~ ' 7* '.-~
- ?"J -1::./ <2/
o..ktiz.bl~Yl./ ... I-
~: $11~. ~~
./
- 4. ~~\\ul>>. "\bet~ 'l'<fl..v(.:l'-1, Retention: Life of plant Retain in: Exam file Form retained in accordance with record retention schedule identified in FP-G-RM-01.
QF-1071-02, Rev. 2 (FP-T-SAT-71) Page-% of 2 s.,,1
(, 0 ~ c;, l~/c.ll'-\
fl Xcel Energy- LIMITED SECURITY AGREEMENT The Limited Security Agreement is used for those personnel having limited knowledge of Exam Sensitive Material but do not have unrestricted access to Primary and Secondary Containment.
PRINTED NAME JOB TITLE I RESPONSIBILITY DATE DATE NOTE c* C:
5.
6.
0 c..tirr- ~Htl t<.f' j """\
S"le: e.r=J l:)Ud.
USD
~?kl~~ MJF rJu~
~/:nh'f . .,: :. :.::____;_,;.£_.:.__~::;._
~--
- 7. *]<)S or'\
fo ~ l<o .JJ.jjfJ'f _
- 8. ,/r
,.J Eke b-S c1
~~;4l?t...- /... 1::'71,!J ,!( 0
{/
..~..-.~-vc<.,.;
- / A CJ-12*/i-/
/' ;; ~/! _.*
- 9. .'.J I"""- Lc.-i- \J""{..-r-' 5"_5 "---,/{~_ '1-f,2.-!'f - -
- 10. t1fJ ti ~ Sfr!L~111 LW - -------1 kv rilL/j~ ;_off/;I _
- 11. ""J*;_;f 7 sC::l'*:\. ) /
/ .('_ "1u7' / ) C.)
,¢? '*
"_b<~,/ " ?};;~Y" I" ~ I' - -
I
- 12. Pect..r\. S;evto r? ~c Leo..cO --g O r~_/:Lt
- 13. -;-;;J,J :5 fr'a,1 ;-1 :51/l .t?i ~~ t/ =----
- 14. \L- sf;;t 1£. <oil ~ .-: /r1 <; l r- lo.-.-<AC ;;:.~ %r~ --
~1{;f>;
~
..,,/ I ff;/,,/,.,.._.,"'
- 15. __<;j-rul ljgMjt Ot1 s -1r t... u ) . ./,,. AH_v \".s c, r g!'--t;/lt ' ,./
~ 71
- 16. -
- I r~ , . ..f- Lt\rJo~ ). vu +r"' ch r ff/'r/!'1 ~/tS"/f(
- 17. Ctl\LV 6 12-E.6.Sol\I 8/ i [ii./
w<<ae.---.
~9-
- 18. 1J;o,../ fj,v-CJt;:.,eJcu~ _ ,..., J,
_/.- /tJf ,...., c ' 10
../-,
J..-' ?0~)4
- 19. /111;c_.,t:: /5/z.W / ;.A~d7#t!L-:Z~JA-t ~&~er !?~;1~/__
- 20. f~'1 1'-A:tY<. *4fr/!,.,.,: L -::Z:,.r_,? vt. c-h/ , ~/~- .,.,- -----,- ,.......... rhl/I/ __
NOTES:
Retention: Life of plant Retain in: Exam file Form retained in accordance with record retention schedule identified in FP-G-RM-01.