ML070670403: Difference between revisions

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d2hm Title: xd Date: bk=$% REVIEW OF EYE EXAMINATION RESULTS: I certify that the above individual's certifications(s) to perform Inspections  
d2hm Title: xd Date: bk=$% REVIEW OF EYE EXAMINATION RESULTS: I certify that the above individual's certifications(s) to perform Inspections  
/ Examinations  
/ Examinations  
/ Tests: (Check one)  
/ Tests: (Check one)
[dare supported by the results of this eye examination n due to unacceptable resul s #Dd [ ] are not , k-6 Title:
[dare supported by the results of this eye examination n due to unacceptable resul s #Dd [ ] are not , k-6 Title:
E M a ttlElr E Y 5; w z u 1 s 8 NUCLEAR MANUAL "E'tersy MANAGEMENT  
E M a ttlElr E Y 5; w z u 1 s 8 NUCLEAR MANUAL "E'tersy MANAGEMENT  
$8) A~ACHMENT  
$8) A~ACHMENT 9.6 ENERGY VISION EXAMINATION RECORD QUNn R-m ENN-NDE-1.10 REV. 2 INMRUATIONAL USE PAGE 300F31 Sheet 1 of 1 I 1 Machine 2w?5 SOCIAL SECURITY or ID I) I /.si+AL EMPLOYER:
 
===9.6 ENERGY===
VISION EXAMINATION RECORD QUNn R-m ENN-NDE-1.10 REV. 2 INMRUATIONAL USE PAGE 300F31 Sheet 1 of 1 I 1 Machine 2w?5 SOCIAL SECURITY or ID I) I /.si+AL EMPLOYER:
EAWf Department:  
EAWf Department:  
/gpLc ,&H~H FAR OlSTANCF ACUITY: :g Left 'r- 0oth.76 Unaided Present Rx (Snellen Test, indicate 50/30 at twenty (20) feet" or actual vision) Left / Both ./ NEAR DISTANCE ACUITY: Unaided Right ';r -2 Left S -2 Both 3-1 Present Rx Right / Left - Both A COLOR CONTRAST TEST RESULTS: ZWkOne) Examined using test plates in the t&iku&Test plates for Color Blindness  
/gpLc ,&H~H FAR OlSTANCF ACUITY: :g Left 'r- 0oth.76 Unaided Present Rx (Snellen Test, indicate 50/30 at twenty (20) feet" or actual vision) Left / Both ./ NEAR DISTANCE ACUITY: Unaided Right ';r -2 Left S -2 Both 3-1 Present Rx Right / Left - Both A COLOR CONTRAST TEST RESULTS: ZWkOne) 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 [ 1 Color coded &conductor cable Cdor perception is: [ &at I certify that the above individual has been administered the above Eye Examinations and the results entered are correct (Jaeger chart, indicate "Jl" read at the distance required by ASME Section XI [IWA-23221 or actual Snellen fraction 20/25 vision) &*A0 -i sych up ma+tc normally encountered by individual in hisher assignments  
[ 1 Practical Demmstration of capability to distinguish colors or dmerentiate contrast between colors [ 1 Color coded &conductor cable Cdor perception is: [ &at I certify that the above individual has been administered the above Eye Examinations and the results entered are correct (Jaeger chart, indicate "Jl" read at the distance required by ASME Section XI [IWA-23221 or actual Snellen fraction 20/25 vision) &*A0 -i sych up ma+tc normally encountered by individual in hisher assignments
[ J Abnormal [ 1 AccepWle by practical demonstration Eye Examiner:
[ J Abnormal [ 1 AccepWle by practical demonstration Eye Examiner:
36 g? Title: NT)cLe-d < Date: I[ 06 7EVIEW 0 F NE EXAMINATION R@UL TS; certify that the above individual's certifications(s) to perform Inspections  
36 g? Title: NT)cLe-d < Date: I[ 06 7EVIEW 0 F NE EXAMINATION R@UL TS; certify that the above individual's certifications(s) to perform Inspections  

Revision as of 04:59, 13 July 2019

Visual/Surface Inspection Certification: David King, Mike Griffin Eye Examination Record: David King, Mike Griffin
ML070670403
Person / Time
Site: Vermont Yankee Entergy icon.png
Issue date: 05/10/2006
From: Lukens L
Entergy Corp
To:
Office of Nuclear Reactor Regulation
References
Download: ML070670403 (4)


Text

Visual 1 Surface Inspection Certifications m ==2?intergv Method Experience Hours Method Experience Hours PT 9310 VT-2 2601 MT 9152 VT-3 2601 VT-1 2601 VT-Weld 702 Method Training Hours Method Training Hours EYT 18 VT-2 28 MT 30 VT-3 28 VT-1 58 VT-Weld 24 I I I I I II =z- E'tergy a NUCLEAR QUWTV RELATED ENN-NDE-2.12 REV.l I MANAGEMENT MANUAL PAGE 24 OF 30 INFORMATIONAL USE I I I 1 Certification of Visual Testing (VT) Personnel Page 1 of 1 cy.5 --c- Entergy EYE EXAMINATION RECORD EMPLOYER:

fllkh 44 FAR DISTANCE ACUltY Unaided Right ao/4d Left g0/~P Both Jo/lo Present Rx Right Left "(?/XO Both Jp/ao NEAR DISTANCE ACUITY: Unaided Right ? 'yo; Left 2 '%oV Both 7 ""/IB Present Ax Right "@hC Left '%o Both "("%5 COLOR CONTRAST TEST RESULTS: (Snellen Test, indicate "20/30 at twenty (20 feer or actual vision) (Jaeger chart, indicate "Jl" read at the distance required by ASME Section XI [lWA-2322]

or actual Snellen fraction 20/25 vision) (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 Title: xd Date: bk=$% REVIEW OF EYE EXAMINATION RESULTS: I certify that the above individual's certifications(s) to perform Inspections

/ Examinations

/ Tests: (Check one)

[dare supported by the results of this eye examination n due to unacceptable resul s #Dd [ ] are not , k-6 Title:

E M a ttlElr E Y 5; w z u 1 s 8 NUCLEAR MANUAL "E'tersy MANAGEMENT

$8) A~ACHMENT 9.6 ENERGY VISION EXAMINATION RECORD QUNn R-m ENN-NDE-1.10 REV. 2 INMRUATIONAL USE PAGE 300F31 Sheet 1 of 1 I 1 Machine 2w?5 SOCIAL SECURITY or ID I) I /.si+AL EMPLOYER:

EAWf Department:

/gpLc ,&H~H FAR OlSTANCF ACUITY: :g Left 'r- 0oth.76 Unaided Present Rx (Snellen Test, indicate 50/30 at twenty (20) feet" or actual vision) Left / Both ./ NEAR DISTANCE ACUITY: Unaided Right ';r -2 Left S -2 Both 3-1 Present Rx Right / Left - Both A COLOR CONTRAST TEST RESULTS: ZWkOne) 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 [ 1 Color coded &conductor cable Cdor perception is: [ &at I certify that the above individual has been administered the above Eye Examinations and the results entered are correct (Jaeger chart, indicate "Jl" read at the distance required by ASME Section XI [IWA-23221 or actual Snellen fraction 20/25 vision) &*A0 -i sych up ma+tc normally encountered by individual in hisher assignments

[ J Abnormal [ 1 AccepWle by practical demonstration Eye Examiner:

36 g? Title: NT)cLe-d < Date: I[ 06 7EVIEW 0 F NE EXAMINATION R@UL TS; certify that the above individual's certifications(s) to perform Inspections

/ Examinations

/ Tests: (Check one) dsupported by the results of this eye examination 1 are not supported by JZUYW & signature:

3.6 Title

/1/DL-' bJ-6 Date: J/ 06