ML21020A102

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Initial License Exam Security Agreement Forms
ML21020A102
Person / Time
Site: Monticello Xcel Energy icon.png
Issue date: 11/03/2020
From:
Nuclear Management Co
To:
NRC/RGN-III/DRS/OLB
Zoia C
Shared Package
ML19127A312 List:
References
Download: ML21020A102 (10)
v • d • e


Text

{{#Wiki_filter:-/, QF-1071-01, Rev. 2 (FP-T-SAT-71) Page1 of 2 (l Xce/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 2020 MONTICELLO IL T NRC examination(s) scheduled for the date(s) of 10/19/20 - 10/26/20 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 knowledge, I did not divulge to any unauthorized persons any information concerning the examinations administered during the date(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 individuals who were administered these examinations.

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1. Pre-E:)c.ami11atic>11 (Review FP-T-SAT-71, Attachment 1 for pre-job briefing requirements)

I acknowledge that I have acquired specialized knowledge about the 2020 MONTICELLO IL T NRC examination(s) scheduled for the date(s) of 10/19/20-10/26/20 as of the date of my signature. I agree that I will not knowingly divulge any infomiation 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. Pp$t-Examination To the best of my knowledge, I did not divulge to any unauthorized persons any infomiation concerning the examinations administered during the date(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 perfomiance feedback to those individuals who were administered these examinations.

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QF-1071-02, Rev. 2 (FP-T-SAT-71) Page 1 of 2 I fl 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 2020 MONTICELLO IL T NRC examination scheduled for the date(s) of 10/19/20 - 10/26/20 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. Po]at-Examination
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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 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/ RESPONSIBILITY SIGNATURE (1) DATE $IGI\\J,ATURE (2) DATE NOTE R.:c,1c__y @, kX' Te '"flwrie., 'Te-c..b fj/1/? 3-9-2..0 lt/J ll r'o-r~r Coml\\l\\..V +t".A1-';-0,Al,.-S 1ec-i-. \\Ji;~ 5-7-P i~ h~ f'--\\ "--\\--_,_, p ,'..p~ sh.,+:.\\.- Mc..-~ 2..... /--

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f / QF-1071-02, Rev. 2 (FP-T-SAT-71) Page2 of2 (}, 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.

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QF-1071-02, Rev. 2 (FP-T-SAT-71) Page1of2 I fl Xcel Energr 1 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 2020 MONTICELLO IL T NRC examination scheduled for the date(s) of 10/19/20 - 10/26/20 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
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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 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/ RESPONSIBILITY SIGNATURE (1) DATE SIGNATURE (2) DATE NOTE ,3~G. S T{(.ftf,_lt:'I S"~O !lA!.1 !l.A CQ12 - 11:-TD I tl:1.'lb Ju(f,l, va,U~ \\IV,lb~ S(ZJ> { f2:.2:.3.:.Lo - Ji< ~ 2JJ]j) cfr;lµ(lfe0-- J...,..,,elf RO /4.w~!Lfa~ 1/-S-;)O __ ~~ (AG,e-1..-- ~ b~ ~/l<t/u, ftv..,( c,-1 Jo1uko 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 ?},, 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.

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