ML070670403

Visual/Surface Inspection Certification: David King, Mike Griffin Eye Examination Record: David King, Mike Griffin

ML070670403
Person / Time
Site:	Vermont Yankee File:NorthStar Vermont Yankee icon.png
Issue date:	05/10/2006
From:	Lukens L Entergy Corp
To:	Office of Nuclear Reactor Regulation
References
Download: ML070670403 (4)

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==2?intergv Visual 1Surface Inspection Certifications Method Experience Hours Method Experience Hours Method Training Hours Method Training Hours PT 9310 VT-2 2601 EYT 18 VT-2 28 MT 9152 VT-3 2601 MT 30 VT-3 28 VT-1 2601 VT-Weld 702 VT-1 58 VT-Weld 24

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-c.-5 Entergy EYE EXAMINATION RECORD EMPLOYER: fllkh 44 FAR DISTANCE ACUltY (Snellen Test, indicate "20/30at twenty (20 feer or actual vision)

Unaided Right ao/4d Left g 0 / ~ P Both Jo/lo Present Rx Right Left "(?/XO Both Jp/ao NEAR DISTANCE ACUITY: (Jaeger chart, indicate "Jl" read at the distance required by ASME Section XI [lWA-2322] or actual Snellen fraction 20/25 vision)

Unaided Right  ? 'yo; Left 2 '%oV Both 7 ""/IB Present Ax Right "@hC Left '%o Both "("%5 COLOR CONTRAST TEST RESULTS:

(Check One) pf Examined using test plates in the lshihara Test plates for Color Blindness

[ ] Practicai Demonstration of capability to distinguish colors or differentiate contrast between colors normally encountered by individual in hisher assignments

[ ] Color coded 8-conductor cable Color perception is: Normal [ ] Abnormal [ ] Acceptable by practical demonstration I certify that the above individual has been administered above Eye Examinations and the results entered are correct Eye Examiner: d2hm

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REVIEW OF EYE EXAMINATION RESULTS:

I certify that the above individual's certifications(s) to perform Inspections/ Examinations/ Tests:

(Check one)

[ d a r e supported by the results of this eye examination

[ ] are not n due to unacceptable resul s

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"E'tersy MANAGEMENT MANUAL INMRUATIONAL USE PAGE 300F31 A~ACHMENT 9.6 ENERGYVISION EXAMINATION RECORD Sheet 1 of 1 2w?5 SOCIAL SECURITY or ID I) I /.si+AL I 1 Machine EMPLOYER: EAWf Department: /gpLc ,&H~H FAR OlSTANCF ACUITY: (Snellen Test, indicate 50/30 at twenty (20) feet" or actual vision)

Unaided Present Rx :g Left 'r-Left / Both ./

0 o t h . 7 6 NEAR DISTANCE ACUITY:

Unaided Present Rx Right Right COLOR CONTRAST TEST RESULTS:

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&*A0 Left -

(Jaeger chart, indicate "Jl"read at the distance required by ASME Section XI [IWA-23221 or actual Snellen fraction 20/25 vision)

Left S -2 sych up ma+tc

-i Both 3-1 Both A O k W Z Examined using test plates in the t&iku&Test plates for Color Blindness

[ 1 Practical Demmstration of capability to distinguish colors or dmerentiate contrast between colors normally encountered by individual in hisher assignments

[ 1 Color coded &conductor cable Cdor perception is: [ &at [ J Abnormal [ 1AccepWle by practical demonstration I certify that the above individual has been administered the above Eye Examinations and the results entered are correct Eye Examiner: 36 g  ?

Title:

NT)cLe-d < Date: I[ 06 7EVIEW 0F N E EXAMINATION R@UL TS; certify that the above individual's certifications(s) to perform Inspections / Examinations / Tests:

(Check one) d s u p p o r t e d by the results of this eye examination 1 are not supported by JZUYW& signature: 3.6

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/1/DL-' bJ-6Date: J / 0 6