ML22270A225

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Ile Security Agreement - Final
ML22270A225
Person / Time
Site: Prairie Island  Xcel Energy icon.png
Issue date: 08/26/2022
From: Jim Nance
NRC/RGN-III/DORS
To:
Xcel Energy
Nance J
Shared Package
ML21188A222 List:
References
Download: ML22270A225 (17)
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Text

QF-1071-01, Rev. 2 (FP-T-SAT-71) Page 1 of 3 (l Xcel Energr 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 acknowledie that I have acquired specialized knowledge about the i'J@l<'J>jj1111Hi:t4examination(s) scheduled for the date(s) of l:l',l;t,lmj,¥@-'§j,J,lmj,,,jaj 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 SupeNisor. 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 knowledfi;6' I did not divulge to any unauthorized persons any information concerning the examinations administered during the date(s) of 1:ij:@M*ii #r-!or..fl 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.

Retention: Life of Plant Retain in: Exam File

QF-1071-01, Rev. 2 (FP-T-SAT-71) Pape 2 of 3

'fl Xcel Energr 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.

PRINTED NAME JOB TITLE/ RESPONSIBILITY DATE Sl~ATU~ (2) DATE NOTE

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QF-1071-01, Rev. 2 (FP-T-SAT-71 PaQe 2 of 3 o, 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.

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Retention: Life of Plant Retain in: Exam File

,, QF-1071-01, Rev. 2 (FP-T-SAT-71) PaQe 3 of 3 (l Xcel Energr 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.

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Retention: Life of Plant Retain in: Exam File

QF-1071-02, Rev. 2 (FP-T-SAT-71) Page 1 of9

'(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.

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

I acknowledie that I have acquired specialized knowledge about the i,..j,~..j,.jI1111iiifoiijjexamination scheduled for the date(s) of 1,JJ;tj,~w..j,N:)lj,.1)3/4ej,..ij 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.

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 9f the conditions of this agreement may result in cancellation of the examination and/or enforcement action against the facility licensee or me.

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) otf:Jj:ik,m*li :Jlij,JJ,Jw.& 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.

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)

PeeR5 Page2 of9 I(l Xce/Energr 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.

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)

IN51Rl/CrOR5 Page2 of9 (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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'fl Xcel Energr 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 / RESPONSIBILITY DATE DATE NOTE

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

CReWl Page 4 of 9 (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)

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(!, Xcel Energy* LIMITED SECURITY AGREEMENT The Limited Security Agreement is used for those personnel having limited knowledge of Exam Sensttive 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) Cf<£/,(/ 2 Page 5 of9

  • (l,. Xcel Energy* LIMITED SECURITY AGREEMENT The Limited Security Agreement is used for those personnel having limned knowledge of Exam Sensttive Material but do not have unrestricted access to Primary and Secondary Containment.

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'(/, 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 Plimary and Secondary Containment.

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QF-1071-02, Rev. 2 (FP-T-SAT-71) CRE/,(/3 Page 6 of 9 tl 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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CRFl,i/ 9 Page 7 of 9 O,, 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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Page 8 of9 QF-1071-02, Rev. 2 (FP-T-SAT-71)

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  • o_.. 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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CREu/6 Page 9 of 9 I'(/, 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.

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CREtl/6 Page 9 of 9 ft Xcel Energr 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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