Team Member Qualification Summary

DOE-STD-3006-2000

TEAM MEMBER QUALIFICATION SUMMARY

Name:

Objectives Assigned:

Employer/Normal Work Assignment:

Summary of Technical Qualifications:

(Bullet format please, no narrative)

Summary of Assessment/ORR/Inspection Qualifications:

(Bullet format please, no narrative)

Basis for Acceptable Independence:

Summary of Facility Familiarization:

Required Reading

Date/Initials

SAR, XYZ Sections in Chap X

DOE Plan of Action

DOE Implementation Plan

ORR Standard: Writer's Guide (Appendix 4)

TSR's for XYZ Operations

Training Study Guide for facility/activity

Appendix 4-17