ML16246A035

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2016 Prairie Island Nuclear Generating Plant Initial License Examination Form ES-201-3
ML16246A035
Person / Time
Site: Prairie Island  Xcel Energy icon.png
Issue date: 06/17/2016
From: Mcneil D
NRC/RGN-III/DRS/OLB
To:
Northern States Power Company, Minnesota
Shared Package
ML15274A272 List:
References
50-282/OL-16-301, 50-306/OL-16-301
Download: ML16246A035 (16)
v • d • e


Text

{{#Wiki_filter:(l Xce l Energy AUG 2 4 2016 L-Pl-16-068 NUREG-1021 Regional Administrator, Region Ill U.S. Nuclear Regulatory Commission 2443 Warrenville Road, Suite 210 Lisle, Illinois 60532-4352 Prairie Island Nuclear Generating Plant Units 1 and 2 Docket Nos. 50-282 and 50-306 . Renewed Facility Operating License Nos. DPR-42 and DPR-60 2016 Initial Operator Licensing Examination Security Agreement Forms Pursuant to NUREG-1021, Revision 10, "Operator Licensing Examination Standards for Power Reactors," section ES-501.C.1 .a, Northern States Power Company, a Minnesota corporation, doing business as Xcel Energy (hereafter "NSPM"), submits original signed Examination Security Agreement forms (Enclosure 1). Summary of Commitments This letter contains no new commitment and no revision to an existing commitment. Scott Northard Site Vice President, Prairie Island Nuclear Generating Plant Northern States Power Company - Minnesota Enclosures (1) cc: Dell McNeil, US NRC Region Ill, with enclosure Robert Orlikowski, US NRC Region Ill, without enclosure 1717 Wakonade Drive East

  • Welch, Minnesota 55089-9642 Telephone: 651 .388.1121 RE CE IV ED AUG 2 6 2016

ENCLOSURE 1 Original Signed Master Security Agreement (QF-1071-01) and Limited Security Agreement (QF-1071-02) From the 2016 Prairie Island Nuclear Generating Plant (PINGP) Initial Licensing Training (ILT) Examinations 14 pages follow

QF-1071-01 , Rev. 2 FP-T-SAT-71 Pa e 1 of 2 '(t Xcel Energy* MASTER SECURITY AGREEMENT , 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 2016 ILT NRC EXAM examination(s) scheduled for the date(s) of 5/30/2016 - 6/1 0/2016 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 knowledg~ , I did not divulge to any unauthorized persons any information concerning the examinations administered during the date(s) of IPfikb - vfio/11# . 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 individuals who were administered these examinations.

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QF-1071-02, Rev. 2 (FP-T-SAT-71) Page 1 of2 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 acknowledge that I have acquired specialized knowledge about the 2016 ILT NRC EXAM examination scheduled for the date(s) of 5/30/2016 - 6/10/2016 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 canc_ellation 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 of my knowledge, I did not divulge to any unauthorized persons any information concerning the examination administered during the date(s) of . 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 unti.1t e 9?mpletion of their examination administration. I further understand that violation of the conditions * . eement may result in ca,ncellation ott~ e examination and/or enforcement action against the facility licensee or me. PRINTED NAME JOB TITLE I RESPONSIBILITY

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2. 3. 4. 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 2 of2 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 5. 6. 7. 8. 9. 10. 11. 12. 13. - 14. 15. 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 1 of2 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 acknowledge that I have acquired specialized knowledge about the ~01r:. 1<- -r AJR.c. c:.-* . xamination scheduled for the date(s) of 

   *d,o/t~ - 6/t;/,6           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 of my knowledge, I did not divulge to any unauthorized persons any information concerning the examination administered during the date(s) of !eh\11,p - la(LO/u.. . From the date that I entered into this security agreement until the completion of this exam ination 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 SIGNATURE (1) DATE DATE NOTE

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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 2 of 2 LIMITED SECURITY AGREEMENT The Limited Security Agreement is use.d for those personnel having limited knowledge of Exam Sensitive Material but do not have unrestricted access to Primary and Secondary Containment. PRINTED NAME

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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 1 of 2 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 f~r pre-job briefing requirements}

I acknowledge that I have acquired specialized knowledge about the~o1 e; ll TN g e- examination scheduled for the date(s) of 

    <,,{1 {11o - &/,./"    as of the date of my signature. I ag ree 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 of my k!)9w!edge, I did not divulge to any unauthorized persons any information concerning the examination administered during the date(s) of i/t/1b - o/to,46 . 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. d R INTED NAME JOB TITLE I RESPONSIBILITY DATE DATE NOTE 4L 

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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 2 of 2 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. JOB TITLE I RESPONSIBILITY SIGNATURE (1) DATE SIGNATURE (2) DATE NOTE

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c~~~J: - 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 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 1 of 2 (l Xcel Energy- I 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 acknowledge that I have acquired specialized knowledge about the Jo~ \ 1...1 l\J.c. ~xamination scheduled for the date(s) of 

   *::;"/J.,} H~ - lo/ 1011 '=- 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 of my knowledge, I did not divulge to any unauthorized persons any information concerning the examination administered during the date(s) of (, blue - "'(10/ clo . 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 DATE SIGN~TU.J?7 ((2PJ DATE NOTE

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3. 4. 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 2 of 2 LIMITED SECURITY AGREEMENT The Limited Security Agreement is used for those personnel having limited knowledge of Exam Sensitive Mat~rial but do not have unrestricted access to Primary and Secondary Containment. PRINTED NAME JOB TITLE I RESPONSIBILITY SIGNATURE (1) DATE SIGNATURE (2) DATE NOTE 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. NOTES: Retention: Life of plant Retain in: Exam file Form retained in accordance with record retention sc;;hedule identified in FP-G-RM-01.

QF-1071-02, Rev. 2 (FP-T-SAT-71) Page 1 of2 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 acknowledge that I have acq uired specialized knowledge about the .20 1h 11-1 ,v ,u. ~"?Jv\ examination scheduled for the date(s) of 

     <;h.c/11::. - /1ol1ro as of the date of my signature. I agree that I will not knowingly divulge any inform ati on about this exa mination to any persons who have not been authorized by an Operations Training Supervisor.. I understand that I am not to instruct or provide performance feed back to those individuals schedu led to be administered these examinations from this date until completion .of examinati on 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 of my knowledge, I did not divulge to any unauthorized persons any information concerning the examination administered during the date(s) of lohl11D _CQ/1b/llo . 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 DATE DATE NOTE 

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QF-1071-02, Rev. 2 (FP-T-SAT-71) Page 2 of 2 (! 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

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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 1 of2 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-Examinatio n (Review FP-T-SAT-71, Attachment 1 for pre-job briefing requirements)

I acknowledge that I have acquired specialized knowledge about the .~1r. /Lr NP..:.. examination scheduled for the date(s) of

k//1_ - 6A'!t6 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 enfQrcement 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 information concerning the examination administered during the date(s) of (p 1 &- & (0 tt.o . 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 DATE ___3 ~E (2) DATE NOTE

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