8.7 - Exhibit D Attachment FRM-2855 Training Checklist.pdf

Company

Form

FRM-2855

NON-M&O PERSONNEL TRAINING REQUIREMENTS CHECKLIST

5/1/2023

Rev. 09

NOTE 1: Only U.S. citizens are authorized to have a learning management system account (aka ATOM).

Instructions: Complete this form for each individual to be assigned NNSS-related training requirements. Print form to PDF, sign, and submit to Training@nv.doe.gov.

Individual’s Information

STR/POC/Supervisor verifies this individual is a U.S. citizen: Yes

Name (First, Middle Initial, Last): User ID (EX number):

Email address: Phone number:

Employer/Company name: Start date:

Has this individual ever worked for a previous NNSS M&O Contractor or Non-M&O Contractor? Yes No End date:

STR, POC, or Supervisor Information

STR/POC/Supervisor name (print): STR/POC/Supervisor (sign and date):

STR/POC/Supervisor email address: STR/POC/Supervisor phone number:

Review training requirements listed below and select Yes/No as applicable to scope of work.

NOTE 2: Training requirements may be in addition to or may duplicate those specified in a subcontract Exhibit E.

Assign Requirement; this individual will: Component/Program Title Component/ Program ID

Length (hrs)

Requirement(s)/Comments

Yes No

IF this individual possesses a site-specific badge or HSPD-12 credential from another government entity (e.g., another DOE/NNSA site, DoD organization, national lab, DTRA, FBI, other government agency) THEN completion of these security briefings is not required.

Be issued a long-term (i.e., greater than 5 days) LSSO or HSPD-12 badge under Nevada in order to access NNSA/NFO facilities, to include NLVF, NNSS, RSL-N and outlying locations

Initial Security Briefing

Counterintelligence Awareness Briefing

1S000110

1S000170

1.0

1.0

Security awareness briefing completions are required by DOE Order 470.4B and DOE Order 475.1

Additional information can be found in CD-2300.001 and OP-2300.030

Yes No Require an NTSOPS account to access the unclassified computer network

Cyber Security Qualification Program CYBER01 1.0 Must be completed prior to requesting an NTSOPS account via FRM-2529 or SAR/FRM-0496. (Per CD-5500.004) mailto:Training@nv.doe.gov

Company

Form

FRM-2855

NON-M&O PERSONNEL TRAINING REQUIREMENTS CHECKLIST

5/1/2023

Rev. 09

Learning and Organizational Development Use Only

Date Received: Input by (sign and date):

Assign Requirement – this individual will Component/Program Title Course/

Program ID Length

(hrs) Comments

Yes No Perform work as an M&O Contractor subcontractor

MSTS Export Control Awareness

(WBT)

Overview of Controlled Unclassified Information

1H00W310

1S00W115

0.5

1.0

Per DOE Acquisition Guide, Chapter 25 (if not covered by employer) and

CD-0021.007

Per CD-2300.001

Yes No Work at any facility/location operated by the M&O Contractor for NNSA/NFO

General Employee Radiological Training (GERT) (WBT)

Protective Actions – How to Act During an Emergency (WBT)

1E00W585

1REMPAW1

0.5

0.5

Per DOE/NV/03624—0257

Per DOE O 151.1C

Yes No Work onsite at any NNSS site location/facility

NNSS Access Safety Orientation (WBT) 1E00W102 0.5 Per NFO O 410.X1

Yes No As an M&O subcontractor or other contractor, performs activity-level work for the M&O Contractor

Integrated Work Control Training

Program IWCP001 1.0 Per CD-1200.001

List below any additional, applicable training from the TRC [Training Requirements Checklist]. Include any additional training specified in a subcontract Exhibit E. List Component/Program Title and Component/Program ID number as shown on the TRC.

Component/Program Title Component/Program ID Comments