ML22179A243

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2018 Prairie Island Ile ES-201-3 Exam Security Agreement
ML22179A243
Person / Time
Site: Prairie Island  Xcel Energy icon.png
Issue date: 10/16/2018
From: Randy Baker
NRC/RGN-III/DRS/OLB
To:
Nuclear Management Co
Baker R
Shared Package
ML17165A317 List:
References
Download: ML22179A243 (8)
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Text

QF-1071-01 1 Rev. 2 (FP-T-SAT-71 Paoe 1 of 2 (l 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 acknowl= e that I have acquired specialized knowledge about the f',l1j1:1il~I.Di#i:@ii examination(s) scheduled for the date(s) of HU,.11n:StJ1Ui11H:i as of the date of my signature. I agree that I will not knowingly divulge any information about thes_ e 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 know71e, I did not divulge to any unauthorized persons any information concerning the examinations administered during the date(s) of UW,.nj1:l!!!le it,~1n:M 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.

PRINTED NAME JOB TITLE/ RESPONSIBILITY DATE SIGNATURE (2) DATE NOTE

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Retention: Life of Plant Retain in: Exam File

QF-1071-01: Rev. 2 (FP-T-SAT-71 Page 1 of2 MASTER SECURITY AGREEME NT The Master Security Agreement is used for those personnel having both knowledge of Exam Sensitive.M aterial and unrestricted access to Primary and Secondary Containment.

1. Pre-Examination (Review FP-T-SAT-71, Attachment 1 for pre-job briefing requirements)

I acknow= e that I have acquired specialized knowledge about the 20 18 ILT NRC Exam examination (s) scheduled for the date(s) of

@w1*Ji:iAIU..t*li*I as of the date of my signature. I agree that I will not knowingly divulge any information about these examination s to any persons who have not been authorized by an Operations Training Supervisor. I understand that I am not to instruct or provide performanc e feedback to those individu.als scheduled to be administere d these examinatiq ns from this date until completion of examinatio n administration. I also understand that I am not to evaluate individuals scheduled to be administere d these examinatio ns from this date until the date of administration. Acting as a simulator booth operator or communica tor 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 requiremen ts (as documente d in NSPM procedures ) and understand that violation of the conditions of this agreement may result in cancellation of the examination s and/or an enforcemen t action against my facility or me. I will immediatel y report to the Exam Project Manager any indications or suggestions that examinatio n security may have been compromised.

2. Post-Examination To the best of m* knowled e, I did not divulge _to any unauthorize d persons any information concerning the examination 1

the date(s) ot Ui:t~aii:lltitii*ii:M From the date that I entered into this security agreement until the completion administration, I did not instruct, evaluate, or provide performanc e feedback to those individuals who were administere s administered during of examination

  • d these examinations.

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Retention: Life of Plant Retain in: Exam File

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

Page 1 of 2 (l Xcel Energy- LIMITED SECURITY AGREEM ENT 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, Attachmen t 1 for pre-job briefing requirements)

I acknowledQe that I have acquired specialized knowledge about the examinatio n scheduled for the date(s) of 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 examinatio ns from this date until completion of examination administration . I also understand that I am not to evaluate individuals scheduled to be administered these examinatio ns from this date until the date of administration. Acting as a simulator booth operator or communica tor 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 requiremen ts (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 enforceme nt action against my facility or me. I will immediatel y report to the Exam Project Manager any indications or suggestions that examination security may have been compromised.

2. Post-Examination e, 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 performanc e feedback to those individuals who were administere d this examinatio n.

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 enforceme nt action against the facility licensee or me.

1.

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PRINTED NAME DA (l...eLL W C11\/Sl<I JOB TITLE/ RESPONS IBILITY v f s S0P012cz r mca SiGNA~U fE(~ /

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Retention : Life of plant Retain in: Exam file

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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.

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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

\(l 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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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 I ll 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. ere-Examination (Review FP-T-SAT-71, Attachment 1 for pre-job briefing requirements)

I acknowledQe that I have acquired specialized knowledge about the I examination scheduled for the date(s) of 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~t-Examination To the bes~ did not divulge to any unauthorized persons any information concerning the examination administered during the date(s) of 111111111111111 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

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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 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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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 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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Retention: Life of plant Retain in: Exam file Form retained in accordance with record retention schedule identified in FP-G-RM-01.

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