+----------------------------+--------------------+--------+---------+
| **[Name                    | ## Signature       | ## Z   | #       |
| (Print)]{.smallcaps}**     |                    | number | # Group |
+----------------------------+--------------------+--------+---------+
|                            |                    |        |         |
+----------------------------+--------------------+--------+---------+
| ## Group Le                | ###### Date        |        | ##      |
| ader Signature of Approval |                    |        |         |
+----------------------------+--------------------+--------+---------+
|                            |                    |        |         |
+----------------------------+--------------------+--------+---------+

This questionnaire helps identify training requirements for a worker
based on the tasks he/she performs at LANSCE. The LANSCE Training Office
assigns workers to training plans in the Employee Development System
(EDS) based upon responses to this questionnaire. EDS tracks training
compliance.

**DIRECTIONS:**

1.  Work with your supervisor or manager to answer the following
    questions.

2.  If the answer to any of the questions below is **"YES"**, highlight
    or check the box in the column at the far right.

3.  When you are done, give the questionnaire to your Group Leader for a
    signature.

4.  Return completed questionnaires to LANSCE Training Office, MS H 831.

5.  Contact the LANSCE Training Office at 5-6256 if you have any
    questions.

+---+-----------------------------+-------+----------------------+---+---+
|   | ***Work Description***      | **    | ***Course            | * | * |
|   |                             | *Plan | Names/Numbers/       | * | * |
|   |                             | Name  | frequency of         | * | * |
|   |                             | /Numb | training***          | A | C |
|   |                             | er*** |                      | s | h |
|   |                             |       |                      | s | e |
|   |                             |       |                      | t | c |
|   |                             |       |                      | . | k |
|   |                             |       |                      | C | b |
|   |                             |       |                      | o | o |
|   |                             |       |                      | d | x |
|   |                             |       |                      | e | i |
|   |                             |       |                      | * | f |
|   |                             |       |                      | * | Y |
|   |                             |       |                      | * | E |
|   |                             |       |                      |   | S |
|   |                             |       |                      |   | * |
|   |                             |       |                      |   | * |
|   |                             |       |                      |   | * |
+---+-----------------------------+-------+----------------------+---+---+
|   | # IF THE ANSWER IS YES...   | **Tra |                      |   |   |
|   |                             | ining |                      |   |   |
|   |                             | you   |                      |   |   |
|   |                             | must  |                      |   |   |
|   |                             | c     |                      |   |   |
|   |                             | omple |                      |   |   |
|   |                             | te.** |                      |   |   |
+---+-----------------------------+-------+----------------------+---+---+
| * | ### *Ma                     |       |                      |   |   |
| 1 | nager & Supervisor Section* |       |                      |   |   |
| . |                             |       |                      |   |   |
| 0 |                             |       |                      |   |   |
| * |                             |       |                      |   |   |
+---+-----------------------------+-------+----------------------+---+---+
| 1 | Are you a line manager      | # P   | PBL Workshop:        |   |   |
| . | (Deputy Group Leader or     | erfor | Concepts, Tools,     |   |   |
| 1 | above)?                     | mance | Coaching & Feedback  |   |   |
|   |                             |  Base |                      |   |   |
|   |                             | d Lea | **43027 1 time**     |   |   |
|   |                             | dersh |                      |   |   |
|   |                             | ip fo |                      |   |   |
|   |                             | r Gro |                      |   |   |
|   |                             | up Le |                      |   |   |
|   |                             | aders |                      |   |   |
|   |                             |       |                      |   |   |
|   |                             | *     |                      |   |   |
|   |                             | *Plan |                      |   |   |
|   |                             | #8    |                      |   |   |
|   |                             | 967** |                      |   |   |
+---+-----------------------------+-------+----------------------+---+---+
|   | ***Work Description***      | **    | ***Course            | * |   |
|   |                             | *Plan | Names/Numbers***     | * |   |
|   |                             | Name  |                      | * |   |
|   |                             | /Numb |                      | A |   |
|   |                             | er*** |                      | s |   |
|   |                             |       |                      | s |   |
|   |                             |       |                      | t |   |
|   |                             |       |                      | . |   |
|   |                             |       |                      | C |   |
|   |                             |       |                      | o |   |
|   |                             |       |                      | d |   |
|   |                             |       |                      | e |   |
|   |                             |       |                      | * |   |
|   |                             |       |                      | * |   |
|   |                             |       |                      | * |   |
+---+-----------------------------+-------+----------------------+---+---+
| 1 | Are you a group level       | L     | Rad Control          | 2 |   |
| . | manager of radiological     | ANSCE | Responsibilities for | 2 |   |
| 2 | workers?                    | RadW  | Managers **23416 ( 1 | 8 |   |
|   |                             | orker | time)**              | 4 |   |
|   |                             | Man   |                      |   |   |
|   |                             | agers | ### OR CURRENT       |   |   |
|   |                             |       |                      |   |   |
|   |                             | *     | In Training Plan 115 |   |   |
|   |                             | *Plan |                      |   |   |
|   |                             | 6     |                      |   |   |
|   |                             | 681** |                      |   |   |
+---+-----------------------------+-------+----------------------+---+---+
| 1 | Do you officially supervise | ISM   | Integrated Safety    | A |   |
| . | others?                     | S     | Management (ISM) for | u |   |
| 3 |                             | uperv | Managers &           | t |   |
|   |                             | isory | Supervisors **18385  | o |   |
|   |                             | Tra   | (1 time)**           |   |   |
|   |                             | ining |                      | A |   |
|   |                             | *     |                      | s |   |
|   |                             | *Plan |                      | s |   |
|   |                             | 4     |                      | i |   |
|   |                             | 216** |                      | g |   |
|   |                             |       |                      | n |   |
+---+-----------------------------+-------+----------------------+---+---+
| 1 | Do you perform management   | *     | Behavioral           |   |   |
| . | walkarounds?                | **Ass | Observation Process  |   |   |
| 4 |                             | igned | for Managers and     |   |   |
|   |                             | by    | Supervisors **22387  |   |   |
|   |                             | SR    | (1 time) Sugg.**     |   |   |
|   |                             | LM*** |                      |   |   |
+---+-----------------------------+-------+----------------------+---+---+

+---+-----------------------------+-------+----------------------+---+---+
|   | ***Integrated Work          |       |                      |   |   |
|   | Management***               |       |                      |   |   |
+---+-----------------------------+-------+----------------------+---+---+
| 1 | Do you approve Integrated   | *     | Hazard               | * |   |
| . | Work Documents (IWD) as a   | **IWM | Identification For   | * |   |
| 5 | Responsible Division Leader | RD    | Integrated Worker    | * |   |
|   | (RDL) or a Responsible Line | L/RLM | **30126 1 time       | 2 |   |
|   | Manager (RLM)?              | Tra   | Sugg**.              | 4 |   |
|   |                             | ining |                      | 7 |   |
|   |                             | Requi | JHA Tool Training    | 8 |   |
|   |                             | remen | for Approvers        | * |   |
|   |                             | ts*** | **30400 (1 time)**   | * |   |
|   |                             |       |                      | * |   |
|   |                             | **    | IWM Overview (SS)    |   |   |
|   |                             | *Plan | **31881 (1 time)**   |   |   |
|   |                             | 69    |                      |   |   |
|   |                             | 61*** | IWM RDL/RLM (SS)     |   |   |
|   |                             |       | **31882 (1 time)**   |   |   |
+---+-----------------------------+-------+----------------------+---+---+
| 1 | Will you perform the duties | *     | Hazard               | * |   |
| . | of a Person in Charge (PIC) | **IWM | Identification For   | * |   |
| 6 | for work covered by an IWD? | PIC   | Integrated Worker    | * |   |
|   |                             | Tra   | **30126 1 time       | 2 |   |
|   |                             | ining | Sugg**.              | 4 |   |
|   |                             | Requi |                      | 7 |   |
|   |                             | remen | JHA Tool Training    | 7 |   |
|   |                             | ts*** | for Preparers        | * |   |
|   |                             |       | **28008 (1 time)     | * |   |
|   |                             | **    | sugg**               | * |   |
|   |                             | *Plan |                      |   |   |
|   |                             | 69    | IWM Overview (SS)    |   |   |
|   |                             | 60*** | **31881 (1 time)**   |   |   |
|   |                             |       |                      |   |   |
|   |                             |       | IWM PIC (SS) **31884 |   |   |
|   |                             |       | (1 time)**           |   |   |
+---+-----------------------------+-------+----------------------+---+---+
| 1 | Will you perform the duties | *     | IWM Overview (SS)    | * |   |
| . | of a worker for work        | **IWM | **31881 (1 time)**   | * |   |
| 7 | covered by an IWD?          | W     |                      | * |   |
|   |                             | orker |                      | 2 |   |
|   |                             | Tra   |                      | 4 |   |
|   |                             | ining |                      | 7 |   |
|   |                             | Requi |                      | 5 |   |
|   |                             | remen |                      | * |   |
|   |                             | ts*** |                      | * |   |
|   |                             |       |                      | * |   |
|   |                             | **    |                      |   |   |
|   |                             | *Plan |                      |   |   |
|   |                             | 69    |                      |   |   |
|   |                             | 57*** |                      |   |   |
+---+-----------------------------+-------+----------------------+---+---+
| 1 | Will you prepare IWDs for   | *     | Hazard               | * |   |
| . | moderate hazard work?       | **IWM | Identification For   | * |   |
| 8 |                             | Pre   | Integrated Worker    | * |   |
|   |                             | parer | **30126 1 time       | 2 |   |
|   |                             | for   | Sugg**.              | 4 |   |
|   |                             | Mod   |                      | 7 |   |
|   |                             | erate | JHA Tool Training    | 6 |   |
|   |                             | H     | for Preparers        | * |   |
|   |                             | azard | **28008 (1 time)**   | * |   |
|   |                             | Tra   |                      | * |   |
|   |                             | ining | IWM Overview (SS)    |   |   |
|   |                             | Requi | **31881 (1 time)**   |   |   |
|   |                             | remen |                      |   |   |
|   |                             | ts*** | IWM Preparers (SS)   |   |   |
|   |                             |       | **31883 (1 time)**   |   |   |
|   |                             | **    |                      |   |   |
|   |                             | *Plan |                      |   |   |
|   |                             | 69    |                      |   |   |
|   |                             | 58*** |                      |   |   |
+---+-----------------------------+-------+----------------------+---+---+
| 1 | Will you prepare IWDs for   | *     | Hazard               | * |   |
| . | high-hazard work?           | **IWM | Identification For   | * |   |
| 9 |                             | Pre   | Integrated Worker    | * |   |
|   |                             | parer | **30126 (1 time)**   | 2 |   |
|   |                             | for   |                      | 4 |   |
|   |                             | High- | JHA Tool Training    | 9 |   |
|   |                             | H     | for Preparers        | 5 |   |
|   |                             | azard | **28008 (1 time)**   | * |   |
|   |                             | Tra   |                      | * |   |
|   |                             | ining | IWM Overview (SS)    | * |   |
|   |                             | Requi | **31881 (1 time)**   |   |   |
|   |                             | remen |                      |   |   |
|   |                             | ts*** | IWM Preparers (SS)   |   |   |
|   |                             |       | **31883 (1 time)**   |   |   |
|   |                             | **    |                      |   |   |
|   |                             | *Plan |                      |   |   |
|   |                             | 70    |                      |   |   |
|   |                             | 25*** |                      |   |   |
+---+-----------------------------+-------+----------------------+---+---+
| 1 | Will you perform the duties | *     | Hazard               | * |   |
| . | of a Subject Matter Expert  | **IWM | Identification For   | * |   |
| 1 | (SME) for work covered by   | SME   | Integrated Worker    | * |   |
| 0 | an IWD?                     | Tra   | **30126 1 time       | 2 |   |
|   |                             | ining | Sugg**.              | 5 |   |
|   |                             | Requi |                      | 2 |   |
|   |                             | remen | JHA Tool Training    | 4 |   |
|   |                             | ts*** | for Approvers        | * |   |
|   |                             |       | **30400 (1 Time)**   | * |   |
|   |                             | **    |                      | * |   |
|   |                             | *Plan | IWM Overview (SS)    |   |   |
|   |                             | 70    | **31881 (1 time)**   |   |   |
|   |                             | 78*** |                      |   |   |
|   |                             |       | IWM RDL/RLM (SS)     |   |   |
|   |                             |       | **31882 (1 time)     |   |   |
|   |                             |       | sugg**               |   |   |
|   |                             |       |                      |   |   |
|   |                             |       | IWM Preparers (SS)   |   |   |
|   |                             |       | **31883 (1 time)     |   |   |
|   |                             |       | sugg**               |   |   |
|   |                             |       |                      |   |   |
|   |                             |       | IWM PIC (SS) **31884 |   |   |
|   |                             |       | (1 time) sugg**      |   |   |
+---+-----------------------------+-------+----------------------+---+---+
| * | # *A                        |       |                      |   |   |
| * | uthorization Basis Section* |       |                      |   |   |
| * |                             |       |                      |   |   |
| 2 |                             |       |                      |   |   |
| . |                             |       |                      |   |   |
| 0 |                             |       |                      |   |   |
| * |                             |       |                      |   |   |
| * |                             |       |                      |   |   |
| * |                             |       |                      |   |   |
+---+-----------------------------+-------+----------------------+---+---+
| 2 | Are you a safety analyst    | USQ   | LANL Unreviewed      | 6 |   |
| . | for the LANSCE Safety       | Qua   | Safety Question      | 2 |   |
| 1 | Basis?                      | lific | Process (initial)    | 2 |   |
|   |                             | ation | **(1 time)**         |   |   |
|   |                             |       | **21781**            |   |   |
|   |                             | #     |                      |   |   |
|   |                             |  Plan | LANL Unreviewed      |   |   |
|   |                             |  3617 | Safety Question      |   |   |
|   |                             |       | Requal **(1 and ½    |   |   |
|   |                             |       | years) 26937**       |   |   |
|   |                             |       |                      |   |   |
|   |                             |       | LANL Introduction to |   |   |
|   |                             |       | Nuclear Safety       |   |   |
|   |                             |       | Basics **(1 time)    |   |   |
|   |                             |       | 26938 Sugg.**        |   |   |
+---+-----------------------------+-------+----------------------+---+---+
| 2 | Do you write or assist in   | # *As | Technical Safety     |   |   |
| . | the writing of Technical    | signe | Requirements- 3 Day  |   |   |
| 2 | Safety Requirements (TSR)s  | d by  | Course **(1          |   |   |
|   | or do you perform TSR       | SRLM* | time)17077**         |   |   |
|   | surveillances?              |       |                      |   |   |
+---+-----------------------------+-------+----------------------+---+---+
| 2 | Do you prepare or review or | TA53  | LANL Unreviewed      |   |   |
| . | approve Unreviewed Safety   | USI   | Safety Question      |   |   |
| 3 | Issue (USI) documents at    | Pr    | Process (initial)    |   |   |
|   | LANSCE?                     | ocess | **(1 time)**         |   |   |
|   |                             |       | **21781**            |   |   |
|   |                             | ##    |                      |   |   |
|   |                             | ##### | TA53 USI procedure   |   |   |
|   |                             |  Plan | Training **(1        |   |   |
|   |                             |  5676 | time)** **25127**    |   |   |
+---+-----------------------------+-------+----------------------+---+---+

+---+----------------------------+-------+---------------------+---+---+---+
| * | #### Radiation Section     |       |                     |   |   |   |
| * |                            |       |                     |   |   |   |
| * |                            |       |                     |   |   |   |
| 3 |                            |       |                     |   |   |   |
| . |                            |       |                     |   |   |   |
| 0 |                            |       |                     |   |   |   |
| * |                            |       |                     |   |   |   |
| * |                            |       |                     |   |   |   |
| * |                            |       |                     |   |   |   |
+---+----------------------------+-------+---------------------+---+---+---+
| 3 | Do you need unescorted     | Ra    | Radiological Worker | * |   |   |
| . | access into any            | diolo | Exam **(2 years)    | * |   |   |
| 1 | radiological controlled    | gical | 12909**             | 9 |   |   |
|   | area or unescorted access  | W     |                     | 1 |   |   |
|   | to radiological areas or   | orker | Radiological Worker | * |   |   |
|   | are you likely to receive  | Trng. | Practical **(1      | * |   |   |
|   | an occupational radiation  | R     | time) 12910**       |   |   |   |
|   | dose in excess of 100 mrem | qmts. |                     |   |   |   |
|   | per year?                  |       | Radiological Worker |   |   |   |
|   |                            | # P   | Classroom Training  |   |   |   |
|   |                            | lan \ | **(1 time) 20301    |   |   |   |
|   |                            | # 115 | Sugg.**             |   |   |   |
+---+----------------------------+-------+---------------------+---+---+---+
| 3 | Are you a user or          | R     | Sealed Source       | 1 |   |   |
| . | custodian of radioactive   | adioa | Safety Self Study   | 0 |   |   |
| 2 | sealed sources that do NOT | ctive | **(1 time) 15097**  | 2 |   |   |
|   | generate very              | S     |                     | 4 |   |   |
|   | high-radiation fields      | ealed | Radworker 2 exam    |   |   |   |
|   | (\<500 rads/ hr.)?         | S     | (**2 yrs) 12909**   |   |   |   |
|   |                            | ource |                     |   |   |   |
|   | \*Note: custodians must    | Custo | Radworker 2         |   |   |   |
|   | also be registered in      | dian/ | practical           |   |   |   |
|   | LRACS (contact HSR-12)     | User  | evaluation (**1     |   |   |   |
|   |                            | (RW1) | time) 12910**       |   |   |   |
|   |                            |       |                     |   |   |   |
|   |                            | # Pl  | Radiological Worker |   |   |   |
|   |                            | an \# | Classroom Training  |   |   |   |
|   |                            |  4138 | **(1 time) 20301    |   |   |   |
|   |                            |       | Sugg**              |   |   |   |
+---+----------------------------+-------+---------------------+---+---+---+
| 3 | Are you a user or          | R     | Sealed Source       |   |   |   |
| . | custodian of radioactive   | adioa | Safety Self Study   |   |   |   |
| 3 | sealed sources that DO     | ctive | **(1 time) 15097**  |   |   |   |
|   | generate very              | S     |                     |   |   |   |
|   | high-radiation fields      | ealed | Radworker 2 exam    |   |   |   |
|   | (\>500 rads/hr.)?          | S     | (**2 yrs) 12909**   |   |   |   |
|   |                            | ource |                     |   |   |   |
|   |                            | Custo | Radworker 2         |   |   |   |
|   |                            | dian/ | practical           |   |   |   |
|   |                            | User  | evaluation (**1     |   |   |   |
|   |                            | (RW2) | time) 12910**       |   |   |   |
|   |                            |       |                     |   |   |   |
|   |                            | *     | Radiological Worker |   |   |   |
|   |                            | *Plan | Classroom Training  |   |   |   |
|   |                            | \#    | **(1 time) 20301    |   |   |   |
|   |                            | 60    | Sugg**              |   |   |   |
|   |                            | 73)** |                     |   |   |   |
+---+----------------------------+-------+---------------------+---+---+---+
| 3 | Are you authorized to      | Nu    | Nuclear Material    | 8 |   |   |
| . | handle, move, process,     | clear | Handler Awareness   | 6 |   |   |
| 4 | store or transport nuclear | Mat   | **(2yrs) 8005**     |   |   |   |
|   | material, including        | erial |                     |   |   |   |
|   | Special nuclear material   | Ha    |                     |   |   |   |
|   | (SNM), Source Nuclear      | ndler |                     |   |   |   |
|   | material, or other Nuclear | Trng. |                     |   |   |   |
|   | Material?                  | R     |                     |   |   |   |
|   |                            | qmts. |                     |   |   |   |
|   |                            |       |                     |   |   |   |
|   |                            | #     |                     |   |   |   |
|   |                            | Plan  |                     |   |   |   |
|   |                            | \# 89 |                     |   |   |   |
+---+----------------------------+-------+---------------------+---+---+---+
| 3 | Are you responsible for    | Nu    | Nuclear Material    | 8 |   |   |
| . | the control and            | clear | Custodian           | 4 |   |   |
| 5 | accountability of nuclear  | Mat   | Orientation (**1    |   |   |   |
|   | material and/ or special   | erial | time**) **5989**    |   |   |   |
|   | nuclear material for one   | Cust  |                     |   |   |   |
|   | or more nuclear material   | odian | MASS Training Level |   |   |   |
|   | balance areas (MBA)s?      | *     | A **(1 time) 8006** |   |   |   |
|   |                            | *Plan |                     |   |   |   |
|   |                            | 87**  | NM Custodian        |   |   |   |
|   |                            |       | Refresher **(1      |   |   |   |
|   |                            |       | yr**) **12362**     |   |   |   |
|   |                            |       |                     |   |   |   |
|   |                            |       | NM Physical         |   |   |   |
|   |                            |       | Inventory web-based |   |   |   |
|   |                            |       | training **(1 yr)   |   |   |   |
|   |                            |       | 19496**             |   |   |   |
+---+----------------------------+-------+---------------------+---+---+---+
| 3 | Do you routinely work with | Laser | Laser Safety Class  | 1 |   |   |
| . | Class III or IV lasers?    | Oper  | 3b or 4             | 9 |   |   |
| 6 |                            | ator, | **(self-study 1     | 1 |   |   |
|   |                            | Class | time) 38946**       |   |   |   |
|   |                            | 3b or |                     |   |   |   |
|   |                            | 4     | Laser Safety Live   |   |   |   |
|   |                            |       | Class 3b or 4       |   |   |   |
|   |                            | # Pl  | **40529 every 3     |   |   |   |
|   |                            | an \# | yrs**               |   |   |   |
|   |                            |  2641 |                     |   |   |   |
|   |                            |       | Laser Safety ;      |   |   |   |
|   |                            |       | Laser Alignment     |   |   |   |
|   |                            |       | Hand-on **41250 1   |   |   |   |
|   |                            |       | time**              |   |   |   |
|   |                            |       |                     |   |   |   |
|   |                            |       | Laser Eye Exam      |   |   |   |
|   |                            |       | **34108 1 time**    |   |   |   |
+---+----------------------------+-------+---------------------+---+---+---+
| 3 | Do you operate only low    | X-Ray | X-Ray Safety for    | 2 |   |   |
| . | hazard x-ray devices and   | Ma    | Analytical &        | 6 |   |   |
| 7 | do not require unescorted  | chine | Industrial Settings | 8 |   |   |
|   | access into radiological   | Oper  | (self-study) **(2   |   |   |   |
|   | areas?                     | ator: | years) 12326**      |   |   |   |
|   |                            | Low   |                     |   |   |   |
|   |                            | h     |                     |   |   |   |
|   |                            | azard |                     |   |   |   |
|   |                            | (     |                     |   |   |   |
|   |                            | Class |                     |   |   |   |
|   |                            | 1)    |                     |   |   |   |
|   |                            |       |                     |   |   |   |
|   |                            | # Pl  |                     |   |   |   |
|   |                            | an \# |                     |   |   |   |
|   |                            |  2678 |                     |   |   |   |
+---+----------------------------+-------+---------------------+---+---+---+
| 3 | Do you operate high-hazard | X-Ray | X-Ray Safety for    | 1 |   |   |
| . | (class 2 and 3) x-ray      | Ma    | Analytical &        | 9 |   |   |
| 8 | sources and x-ray          | chine | Industrial Settings | 1 |   |   |
|   | generating devices that do | Oper  | (self-study) **(1   | 7 |   |   |
|   | NOT generate very high     | ator: | time) 12326**       |   |   |   |
|   | radiation fields (\<500    |       |                     |   |   |   |
|   | rads/hour)?                | Class | Radworker 2 exam    |   |   |   |
|   |                            | 2 & 3 | (**2 yrs) 12909**   |   |   |   |
|   |                            | (RW   |                     |   |   |   |
|   |                            | 1)    | Radworker 2         |   |   |   |
|   |                            |       | practical           |   |   |   |
|   |                            | ##### | evaluation (**1     |   |   |   |
|   |                            | ## Pl | time) 12910**       |   |   |   |
|   |                            | an \# |                     |   |   |   |
|   |                            |  6069 | Radiological Worker |   |   |   |
|   |                            |       | Classroom Training  |   |   |   |
|   |                            |       | **(1 time) 20301    |   |   |   |
|   |                            |       | Sugg**              |   |   |   |
+---+----------------------------+-------+---------------------+---+---+---+
| 3 | Do you operate a           | X-Ray | X-Ray Safety for    | 1 |   |   |
| . | high-hazard (class 2 and   | Ma    | Analytical &        | 9 |   |   |
| 9 | 3) x-ray source and x-ray  | chine | Industrial Settings | 1 |   |   |
|   | generating devices that DO | Oper  | (self-study) **(1   | 6 |   |   |
|   | generate very high         | ator: | time) 12326**       |   |   |   |
|   | radiation fields (\>500    |       |                     |   |   |   |
|   | rads/ hour)?               | Class | Radworker 2 exam    |   |   |   |
|   |                            | 2 & 3 | (**2 yrs) 12909**   |   |   |   |
|   |                            | (RW   |                     |   |   |   |
|   |                            | 2)    | Radworker 2         |   |   |   |
|   |                            |       | practical           |   |   |   |
|   |                            | # Pl  | evaluation (**1     |   |   |   |
|   |                            | an \# | time) 12910**       |   |   |   |
|   |                            |  6068 |                     |   |   |   |
|   |                            |       | Radiological Worker |   |   |   |
|   |                            |       | Classroom Training  |   |   |   |
|   |                            |       | **(1 time) 20301    |   |   |   |
|   |                            |       | Sugg**              |   |   |   |
+---+----------------------------+-------+---------------------+---+---+---+
| * | ### *Waste Section*        |       |                     |   |   |   |
| * |                            |       |                     |   |   |   |
| * |                            |       |                     |   |   |   |
| 4 |                            |       |                     |   |   |   |
| . |                            |       |                     |   |   |   |
| 0 |                            |       |                     |   |   |   |
| * |                            |       |                     |   |   |   |
| * |                            |       |                     |   |   |   |
| * |                            |       |                     |   |   |   |
+---+----------------------------+-------+---------------------+---+---+---+
| 4 | Do you generate chemical,  | Haza  | Chemical Hazard     | 2 |   |   |
| . | hazardous, mixed,          | rdous | Communication       | 6 |   |   |
| 1 | radioactive waste, or      | Waste | Introduction **(1   | 6 |   |   |
|   | other wastes and fill out  | Gene  | time) 25418**       |   |   |   |
|   | waste profile forms?       | rator |                     |   |   |   |
|   |                            |       | Waste Generation    |   |   |   |
|   |                            | # Pl  | Overview **(1 time) |   |   |   |
|   |                            | an \# | 23263**             |   |   |   |
|   |                            |  2810 |                     |   |   |   |
|   |                            |       | Waste Generation    |   |   |   |
|   |                            |       | Overview Refresher  |   |   |   |
|   |                            |       | **(3 yrs)**         |   |   |   |
|   |                            |       | **21464**           |   |   |   |
+---+----------------------------+-------+---------------------+---+---+---+
| 4 | Do you generate hazardous  | Haza  | Chemical Hazard     | 2 |   |   |
| . | or mixed waste?            | rdous | Communication       | 6 |   |   |
| 2 |                            | Waste | Introduction **(1   | 6 |   |   |
|   |                            | Gene  | time)** **25418**   |   |   |   |
|   |                            | rator |                     |   |   |   |
|   |                            | *     | Waste Generation    |   |   |   |
|   |                            | *Plan | Overview Live **(1  |   |   |   |
|   |                            | 2     | time**) **23263**   |   |   |   |
|   |                            | 810** |                     |   |   |   |
|   |                            |       | WGO Refresher (**3  |   |   |   |
|   |                            |       | yrs) 21464**        |   |   |   |
+---+----------------------------+-------+---------------------+---+---+---+
| 4 | Are you responsible for a  | Sate  | Chemical Hazard     | 1 |   |   |
| . | satellite accumulation     | llite | Communication       | 6 |   |   |
| 3 | waste storage area or do   | Ac    | Introduction **(1   | 1 |   |   |
|   | you put waste into a       | cumul | time) 25418**       |   |   |   |
|   | satellite accumulation     | ation |                     |   |   |   |
|   | area?                      | Area  | Waste Generation    |   |   |   |
|   |                            | W     | Overview **(1 time) |   |   |   |
|   |                            | orker | 23263**             |   |   |   |
|   |                            |       |                     |   |   |   |
|   |                            | # P   | Waste Documentation |   |   |   |
|   |                            | lan \ | Forms **(1 time)    |   |   |   |
|   |                            | # 295 | 8504 Sugg.**        |   |   |   |
+---+----------------------------+-------+---------------------+---+---+---+
| 4 | Are you a waste management | Waste | Waste Management    | 5 |   |   |
| . | coordinator?               | Manag | Coordinator         | 2 |   |   |
| 4 |                            | ement | Requirements **9604 |   |   |   |
|   |                            | C     | (1 time)**          |   |   |   |
|   |                            | oordi |                     |   |   |   |
|   |                            | nator | Waste Documentation |   |   |   |
|   |                            | Trn   | Forms **(1 time)    |   |   |   |
|   |                            | Req   | 8504**              |   |   |   |
|   |                            | **.** |                     |   |   |   |
|   |                            |       | Waste Generation    |   |   |   |
|   |                            | # Pla | Overview **(1 time) |   |   |   |
|   |                            | n 135 | 23263**             |   |   |   |
+---+----------------------------+-------+---------------------+---+---+---+
| 4 | Are you responsible for an | TA53  | TA53 Spill          | 1 |   |   |
| . | above ground storage tank  | SPCC  | Prevention, Control | 7 |   |   |
| 5 | (AST) or do you supervise  | Plan  | & Countermeasures   | 8 |   |   |
|   | workers who are            | W     | **25799**           | 7 |   |   |
|   | responsible?               | orker |                     |   |   |   |
|   |                            |       | **(1 time)**        |   |   |   |
|   |                            | ##    |                     |   |   |   |
|   |                            | ##### |                     |   |   |   |
|   |                            |  Plan |                     |   |   |   |
|   |                            |  5801 |                     |   |   |   |
+---+----------------------------+-------+---------------------+---+---+---+
| * | ###                        |       |                     |   |   |   |
| * | *Cranes/ Forklift Section* |       |                     |   |   |   |
| * |                            |       |                     |   |   |   |
| 5 |                            |       |                     |   |   |   |
| . |                            |       |                     |   |   |   |
| 0 |                            |       |                     |   |   |   |
| * |                            |       |                     |   |   |   |
| * |                            |       |                     |   |   |   |
| * |                            |       |                     |   |   |   |
+---+----------------------------+-------+---------------------+---+---+---+
| 5 | Do you perform             | Qual  | Qualified Crane     | 4 |   |   |
| . | high-consequence lifts     | ified | Classroom           | 7 |   |   |
| 1 | with cranes, hoists, or    | Crane | Instruction         |   |   |   |
|   | associated rigging         | Ope   | **(6yrs) 20297**    |   |   |   |
|   | equipment? (Lift exceeds   | rator |                     |   |   |   |
|   | 75% of crane's rated       | Trng  | Qualified Crane     |   |   |   |
|   | capacity; item lifted      | R     | Exam **(3yrs)       |   |   |   |
|   | requires exceptional care  | qmts. | 20298**             |   |   |   |
|   | in handling)               |       |                     |   |   |   |
|   |                            | # P   | Qualified Crane     |   |   |   |
|   |                            | lan \ | License Approval    |   |   |   |
|   |                            | # 123 | **(3 years) 28297** |   |   |   |
|   |                            |       |                     |   |   |   |
|   |                            |       | **You must complete |   |   |   |
|   |                            |       | the class the first |   |   |   |
|   |                            |       | time and every 6    |   |   |   |
|   |                            |       | years afterwards.   |   |   |   |
|   |                            |       | You may re-qualify  |   |   |   |
|   |                            |       | by testout every    |   |   |   |
|   |                            |       | three years except  |   |   |   |
|   |                            |       | for the years when  |   |   |   |
|   |                            |       | the class is        |   |   |   |
|   |                            |       | required.**         |   |   |   |
+---+----------------------------+-------+---------------------+---+---+---+
| 5 | Do you use cranes for      | Incid | Incidental Crane    | 4 |   |   |
| . | simple lifts, which are    | ental | classroom           | 6 |   |   |
| 2 | usually of low weight      | Crane | instruction **(6    |   |   |   |
|   | compared to the crane's    | Ope   | yrs) 20295**        |   |   |   |
|   | capacity and do not        | rator |                     |   |   |   |
|   | require special rigging?   | Trng. | Incidental Crane    |   |   |   |
|   | ***(If you answered "YES"  | R     | Exam **(3yrs)       |   |   |   |
|   | to question \# 5.1, leave  | qmts. | 20296**             |   |   |   |
|   | this one blank)***         |       |                     |   |   |   |
|   |                            | # P   | Incidental Crane    |   |   |   |
|   |                            | lan \ | License Approval    |   |   |   |
|   |                            | # 122 | **(3 years) 28299** |   |   |   |
|   |                            |       |                     |   |   |   |
|   |                            |       | **You must complete |   |   |   |
|   |                            |       | the class the first |   |   |   |
|   |                            |       | time and every 6    |   |   |   |
|   |                            |       | years afterwards.   |   |   |   |
|   |                            |       | You may re-qualify  |   |   |   |
|   |                            |       | by testout every    |   |   |   |
|   |                            |       | three years except  |   |   |   |
|   |                            |       | for the years when  |   |   |   |
|   |                            |       | the class is        |   |   |   |
|   |                            |       | required.**         |   |   |   |
+---+----------------------------+-------+---------------------+---+---+---+
| 5 | Do you operate a powered   | For   | Forklift Safety     | 4 | # |   |
| . | industrial truck or a      | klift | Fundamental Class   | 3 |   |   |
| 3 | forklift?                  | Ope   | **(6yrs) 20299**    |   |   |   |
|   |                            | rator |                     |   |   |   |
|   |                            | Trng  | Forklift Safety     |   |   |   |
|   |                            | R     | Fundamental Exam    |   |   |   |
|   |                            | qmts. | **(3yrs) 20300**    |   |   |   |
|   |                            |       |                     |   |   |   |
|   |                            | # P   | Forklift Operator   |   |   |   |
|   |                            | lan \ | Hands-On            |   |   |   |
|   |                            | # 121 | Proficiency         |   |   |   |
|   |                            |       | Evaluation          |   |   |   |
|   |                            |       | **28151**           |   |   |   |
|   |                            |       |                     |   |   |   |
|   |                            |       | **You must complete |   |   |   |
|   |                            |       | the class the first |   |   |   |
|   |                            |       | time and every 6    |   |   |   |
|   |                            |       | years afterwards.   |   |   |   |
|   |                            |       | You may re-qualify  |   |   |   |
|   |                            |       | by test out every   |   |   |   |
|   |                            |       | three years except  |   |   |   |
|   |                            |       | for the years when  |   |   |   |
|   |                            |       | the class is        |   |   |   |
|   |                            |       | required.**         |   |   |   |
+---+----------------------------+-------+---------------------+---+---+---+
| 5 | Are you a forklift         | For   | Forklift Safety     | 4 | # |   |
| . | proficiency instructor?    | klift | Fundamental Class   | 4 |   |   |
| 4 |                            | P     | **(6yrs) 20299**    |   |   |   |
|   |                            | rofic |                     |   |   |   |
|   |                            | iency | Forklift Safety     |   |   |   |
|   |                            | Instr | Fundamental Exam    |   |   |   |
|   |                            | uctor | **(3yrs) 20300**    |   |   |   |
|   |                            | Tra   |                     |   |   |   |
|   |                            | ining | Forklift            |   |   |   |
|   |                            |       | Proficiency         |   |   |   |
|   |                            | # P   | Instructor          |   |   |   |
|   |                            | lan \ | Training**(3yrs)    |   |   |   |
|   |                            | # 130 | 20355**             |   |   |   |
|   |                            |       |                     |   |   |   |
|   |                            |       | Forklift Operator   |   |   |   |
|   |                            |       | Hands-On            |   |   |   |
|   |                            |       | Proficiency         |   |   |   |
|   |                            |       | Evaluation          |   |   |   |
|   |                            |       | **28151**           |   |   |   |
|   |                            |       |                     |   |   |   |
|   |                            |       | Forklift            |   |   |   |
|   |                            |       | Proficiency         |   |   |   |
|   |                            |       | Instructor          |   |   |   |
|   |                            |       | Endorsement         |   |   |   |
|   |                            |       | **28152**           |   |   |   |
|   |                            |       |                     |   |   |   |
|   |                            |       | **(You must         |   |   |   |
|   |                            |       | complete the Class  |   |   |   |
|   |                            |       | the first time and  |   |   |   |
|   |                            |       | every 6 years       |   |   |   |
|   |                            |       | afterwards. You may |   |   |   |
|   |                            |       | re-qualify by       |   |   |   |
|   |                            |       | testout every three |   |   |   |
|   |                            |       | years except for    |   |   |   |
|   |                            |       | the years when the  |   |   |   |
|   |                            |       | class is            |   |   |   |
|   |                            |       | required)**         |   |   |   |
+---+----------------------------+-------+---------------------+---+---+---+
|   | ####                       | #     |                     |   |   |   |
|   |  Electrical Safety Section |       |                     |   |   |   |
+---+----------------------------+-------+---------------------+---+---+---+
| 6 | Do you perform work on     | #     | Electrical Elective | 3 |   |   |
| . | energized electrical       |  R&D  | **(3 yrs) 16822**   | 5 |   |   |
| 1 | components, equipment and/ | Elect |                     | 9 |   |   |
|   | or circuits in an R&D      | rical | Electrical Safety   |   |   |   |
|   | environment, including     |  Work | Program at LANL     |   |   |   |
|   | diagnostics and testing,   | ers:  | **(1 time) 33215**  |   |   |   |
|   | repair, and/or replacement | Energ |                     |   |   |   |
|   | work in Classes 2.2 and    | ized  | Electrical Safety   |   |   |   |
|   | 2.3?                       |       | Program at LANL     |   |   |   |
|   |                            | #     | Refresher (**3 yrs) |   |   |   |
|   | **\*Assignment of this     |       | 33408**.            |   |   |   |
|   | training plan will         | #     |                     |   |   |   |
|   | automatically mean the     |       | Electrical Work     |   |   |   |
|   | assignment of training     | *     | Hazard Analysis for |   |   |   |
|   | plan number 9099 CPR/AED   | *Plan | R&D Work (**3 yrs)  |   |   |   |
|   | for Electrical Workers at  | #2    | 38710.**            |   |   |   |
|   | LANL.**                    | 876** |                     |   |   |   |
+---+----------------------------+-------+---------------------+---+---+---+
| 6 | Do you perform work on     | R&D   | Electrical Elective | 2 |   |   |
| . | electrical equipment,      | Elect | **(3 yrs) 16822**   | 8 |   |   |
| 2 | Class 2.1 only? This       | rical |                     | 5 |   |   |
|   | training does not prepare  | Wor   | Electrical Safety   |   |   |   |
|   | workers to perform the     | kers: | Program at LANL     |   |   |   |
|   | 2^nd^ person or safety     | Non   | **33215 1 time**    |   |   |   |
|   | watch role. ***(If you     | -Ener |                     |   |   |   |
|   | answered "YES" to the      | gized | Electrical Safety   |   |   |   |
|   | previous question, leave   |       | Program at LANL     |   |   |   |
|   | this one blank)***         | # Pl  | Refresher **33408 3 |   |   |   |
|   |                            | an \# | yrs**.              |   |   |   |
|   |                            |  2899 |                     |   |   |   |
+---+----------------------------+-------+---------------------+---+---+---+
| 6 | Are you a group or         | Elect | Electrical Codes    | 4 |   |   |
| . | division or chief          | rical | for Electrical      | 0 |   |   |
| 3 | electrical safety officer? | S     | Safety Officers     | 0 |   |   |
|   |                            | afety | **(3 yrs) 12569**   |   |   |   |
|   |                            | Of    |                     |   |   |   |
|   |                            | ficer | Electrical Safety   |   |   |   |
|   |                            |       | Program at LANL     |   |   |   |
|   |                            | # Pl  | **33215 1 time**    |   |   |   |
|   |                            | an \# |                     |   |   |   |
|   |                            |  2959 | Electrical Safety   |   |   |   |
|   |                            |       | Program at LANL     |   |   |   |
|   |                            |       | Refresher **33408 3 |   |   |   |
|   |                            |       | yrs**.              |   |   |   |
|   |                            |       |                     |   |   |   |
|   |                            |       | Electrical Elective |   |   |   |
|   |                            |       | **(3 yrs) 16822**   |   |   |   |
|   |                            |       |                     |   |   |   |
|   |                            |       | Electrical Work     |   |   |   |
|   |                            |       | Hazard Analysis for |   |   |   |
|   |                            |       | R&D Work **38710 3  |   |   |   |
|   |                            |       | yrs.**              |   |   |   |
+---+----------------------------+-------+---------------------+---+---+---+
|   | **NOTE: Every electrical   |       |                     |   |   |   |
|   | worker must have a         |       |                     |   |   |   |
|   | completed "Electrical      |       |                     |   |   |   |
|   | Worker Qualification FORM" |       |                     |   |   |   |
|   | on record.**               |       |                     |   |   |   |
+---+----------------------------+-------+---------------------+---+---+---+
|   | #### Gener                 |       |                     |   |   |   |
|   | al Health & Safety Section |       |                     |   |   |   |
+---+----------------------------+-------+---------------------+---+---+---+
| 7 | Are you a fire-watch or    | Por   | Fire Extinguisher   | 3 |   |   |
| . | are you designated by line | table | hands-On Training   | 8 |   |   |
| 1 | management to use portable | Fire  | (part 11) **(1yr)   | 3 |   |   |
|   | fire extinguishers?        | Ex    | 9893**              |   |   |   |
|   |                            | tingu |                     |   |   |   |
|   |                            | isher | Fire Extinguisher:  |   |   |   |
|   |                            | Tra   | Designated Worker   |   |   |   |
|   |                            | ining | and fire Watch      |   |   |   |
|   |                            | *     | **(1yr) 15672**     |   |   |   |
|   |                            | *Plan |                     |   |   |   |
|   |                            | 3     |                     |   |   |   |
|   |                            | 065** |                     |   |   |   |
+---+----------------------------+-------+---------------------+---+---+---+
| 7 | Are you assigned to use    | Lock  | LO/TO Self-study    | 9 |   |   |
| . | lockout/tagout procedures, | out/T | for Hazardous       | 5 |   |   |
| 2 | or are you a               | agout | **41074 (24         |   |   |   |
|   | safety-responsible line    | Autho | months)**           |   |   |   |
|   | manager or facility        | rized |                     |   |   |   |
|   | manager/designee who       | Emp   | LO/TO Update        |   |   |   |
|   | performs notification      | loyee | Self-study **41075  |   |   |   |
|   | duties?                    | Tra   | 1 time**            |   |   |   |
|   |                            | ining |                     |   |   |   |
|   |                            |       | LO/TO hands-on for  |   |   |   |
|   |                            | *     | Hazardous **41076 1 |   |   |   |
|   |                            | *Plan | time**              |   |   |   |
|   |                            | 127** |                     |   |   |   |
|   |                            |       | LO/TO Red Lock      |   |   |   |
|   |                            |       | Program Hands-on    |   |   |   |
|   |                            |       | **24859 1 time**    |   |   |   |
+---+----------------------------+-------+---------------------+---+---+---+
| 7 | Does your work involve the | Cryo  | Cryogen Safety **(1 | 1 |   |   |
| . | use of any cryogens, such  | genic | time) 8876**        | 9 |   |   |
| 3 | as liquid helium or liquid | W     |                     | 3 |   |   |
|   | nitrogen?                  | orker | Chemical Hazard     |   |   |   |
|   |                            |       | Communication       |   |   |   |
|   |                            | # Pl  | Introduction **(1   |   |   |   |
|   |                            | an \# | time) 25418**       |   |   |   |
|   |                            |  2720 |                     |   |   |   |
+---+----------------------------+-------+---------------------+---+---+---+
| 7 | Do you work with gas       | Gas   | Gas Cylinder Safety | 2 |   |   |
| . | cylinders?                 | Cyli  | **(1 time) 9518**   | 8 |   |   |
| 4 |                            | nders |                     | 7 |   |   |
|   |                            | Ha    | Pressure Safety     |   |   |   |
|   |                            | zards | Orientation **(1    |   |   |   |
|   |                            | R     | time) 769**         |   |   |   |
|   |                            | qmts. |                     |   |   |   |
|   |                            |       |                     |   |   |   |
|   |                            | # Pl  |                     |   |   |   |
|   |                            | an \# |                     |   |   |   |
|   |                            |  2302 |                     |   |   |   |
+---+----------------------------+-------+---------------------+---+---+---+
| 7 | Do you work with gaseous   | Hyd   | Hydrogen Gas Safety | 2 |   |   |
| . | and liquid hydrogen        | rogen | (Self Study         | 8 |   |   |
| 5 | systems?                   | Gas   | Booklet) **(1 time) | 6 |   |   |
|   |                            | Ha    | 8724**              |   |   |   |
|   |                            | zards |                     |   |   |   |
|   |                            | R     | Chemical Hazard     |   |   |   |
|   |                            | qmts. | Communication **(1  |   |   |   |
|   |                            |       | time) 25418**       |   |   |   |
|   |                            | # Pl  |                     |   |   |   |
|   |                            | an \# |                     |   |   |   |
|   |                            |  2301 |                     |   |   |   |
+---+----------------------------+-------+---------------------+---+---+---+
| 7 | Do you work with high      | In    | Pressure Safety     | 2 |   |   |
| . | pressure systems in which  | terme | Orientation **(1    | 8 |   |   |
| 6 | pressure exceeds 150 psi?  | diate | time) 769**         | 8 |   |   |
|   |                            | &     |                     |   |   |   |
|   |                            | High  | Intermediate & High |   |   |   |
|   |                            | Pre   | Pressure Safety     |   |   |   |
|   |                            | ssure | **(1 time) 11459**  |   |   |   |
|   |                            | Sys.  |                     |   |   |   |
|   |                            | R     |                     |   |   |   |
|   |                            | qmts. |                     |   |   |   |
|   |                            |       |                     |   |   |   |
|   |                            | # Pl  |                     |   |   |   |
|   |                            | an \# |                     |   |   |   |
|   |                            |  2300 |                     |   |   |   |
+---+----------------------------+-------+---------------------+---+---+---+
| 7 | Do you work with gas or    | Low   | Pressure Safety     | 3 |   |   |
| . | liquids at pressures       | Pre   | Orientation (**1    | 0 |   |   |
| 7 | greater than atmospheric   | ssure | time) 769**         | 0 |   |   |
|   | pressure but less than 150 | Sy    |                     |   |   |   |
|   | psi?***(If you answered    | stems |                     |   |   |   |
|   | "YES" to the question      | tra   |                     |   |   |   |
|   | above, leave this one      | ining |                     |   |   |   |
|   | blank)***                  |       |                     |   |   |   |
|   |                            | # Pl  |                     |   |   |   |
|   |                            | an \# |                     |   |   |   |
|   |                            |  2306 |                     |   |   |   |
+---+----------------------------+-------+---------------------+---+---+---+
| 7 | Do your job duties include | Wel   | Chemical Hazard     | 2 |   |   |
| . | performing welding or      | ding/ | Communication       | 9 |   |   |
| 8 | cutting operations?        | Cu    | Introduction **(1   | 0 |   |   |
|   |                            | tting | time) 25418**       |   |   |   |
|   |                            | Opera |                     |   |   |   |
|   |                            | tions | Welding Safety **(1 |   |   |   |
|   |                            | *     | time) 9519 Sugg.**  |   |   |   |
|   |                            | *Plan |                     |   |   |   |
|   |                            | 2     | Fire Extinguisher   |   |   |   |
|   |                            | 310** | Hands-On Training   |   |   |   |
|   |                            |       | **(1 yr.)** **9893  |   |   |   |
|   |                            |       | Sugg.**             |   |   |   |
|   |                            |       |                     |   |   |   |
|   |                            |       | Fire Extinguisher:  |   |   |   |
|   |                            |       | Designated worker   |   |   |   |
|   |                            |       | and Fire Watch **(1 |   |   |   |
|   |                            |       | time)** **15672     |   |   |   |
|   |                            |       | Sugg.**             |   |   |   |
+---+----------------------------+-------+---------------------+---+---+---+
| 7 | Are you a building         | Asb   | Chemical Hazard     | 2 |   |   |
| . | custodian, Facility        | estos | Communication       | 8 |   |   |
| 9 | Coordinator, or serve on a | Tra   | Introduction **(1   | 0 |   |   |
|   | facility review team       | ining | time) 25418**       |   |   |   |
|   | responsible for buildings  |       |                     |   |   |   |
|   | that contain asbestos or   | #     | **(1 time)**        |   |   |   |
|   | for workers who may be     |  Plan |                     |   |   |   |
|   | exposed while working with |  2294 | Refresher Asbestos  |   |   |   |
|   | potentially friable        |       | Awareness (self     |   |   |   |
|   | asbestos, per 29CFR        |       | study) **(1yr)      |   |   |   |
|   | 1910.1001?                 |       | 14727**             |   |   |   |
|   |                            |       |                     |   |   |   |
|   |                            |       | Asbestos Awareness  |   |   |   |
|   |                            |       | **(1 time) 8661**   |   |   |   |
+---+----------------------------+-------+---------------------+---+---+---+
| 7 | Are you a Hazard           | H     | Chemical Hazard     | 4 |   |   |
| . | Communication Coordinator  | azard | Communication       | 5 |   |   |
| 1 | (do you maintain a         | Com   | Introduction (**1   |   |   |   |
| 0 | group-level inventory of   | munic | time)** **25418**   |   |   |   |
|   | hazardous chemicals and    | ation |                     |   |   |   |
|   | ensure that appropriate    | C     |                     |   |   |   |
|   | MSDSs are available)?      | oordi |                     |   |   |   |
|   |                            | nator |                     |   |   |   |
|   |                            | *     |                     |   |   |   |
|   |                            | *Plan |                     |   |   |   |
|   |                            | 132** |                     |   |   |   |
+---+----------------------------+-------+---------------------+---+---+---+
| 7 | Are you required to enter  | Con   | Confined Space      | 3 |   |   |
| . | or attend; entry into      | fined | Entrant/Attendant   | 9 |   |   |
| 1 | confined spaces (permit    | Space | Hands-on **40438    | 1 |   |   |
| 1 | required or non-permit     | En    | Sugg.**             | 6 |   |   |
|   | required)?                 | trant |                     |   |   |   |
|   |                            | /Atte | Confined Space      |   |   |   |
|   |                            | ndant | Awareness Refresher |   |   |   |
|   |                            | Tra   | **(3 yrs)**         |   |   |   |
|   |                            | ining | **20367**           |   |   |   |
|   |                            | Re    |                     |   |   |   |
|   |                            | quire | Confined Space      |   |   |   |
|   |                            | ments | Entrant/Attendant   |   |   |   |
|   |                            |       | Live **40439 (1     |   |   |   |
|   |                            | *     | time)**             |   |   |   |
|   |                            | *Plan |                     |   |   |   |
|   |                            | 8     |                     |   |   |   |
|   |                            | 809** |                     |   |   |   |
+---+----------------------------+-------+---------------------+---+---+---+
| 7 | Do you supervise entry     | Con   | Confined Space      | 3 |   |   |
| . | into confined spaces       | fined | Entrant/Attendant   | 9 |   |   |
| 1 | (permit required or        | Space | Hands-on **40438    | 1 |   |   |
| 2 | non-permit required)?      | Entry | Sugg.**             | 5 |   |   |
|   |                            | Super |                     |   |   |   |
|   |                            | visor | Confined Space      |   |   |   |
|   |                            | Tra   | Awareness Refresher |   |   |   |
|   |                            | ining | **(3 yrs)**         |   |   |   |
|   |                            | Re    | **20367**           |   |   |   |
|   |                            | quire |                     |   |   |   |
|   |                            | ments | Confined Space      |   |   |   |
|   |                            |       | Entrant/Attendant   |   |   |   |
|   |                            | *     | Live **40439 (1     |   |   |   |
|   |                            | *Plan | time)**             |   |   |   |
|   |                            | 8     |                     |   |   |   |
|   |                            | 808** | Confined Space      |   |   |   |
|   |                            |       | Entry Supervisor    |   |   |   |
|   |                            |       | **26941 (3 Year)**  |   |   |   |
+---+----------------------------+-------+---------------------+---+---+---+
| 7 | Do you EVALUATE a space    | Con   | Chemical Hazard     | 9 |   |   |
| . | and determine whether it   | fined | Communication       | 7 |   |   |
| 1 | is a confined space?       | Space | Introduction **(1   | 7 |   |   |
| 3 |                            | Pr    | time) 25418 sugg.** |   |   |   |
|   |                            | ogram |                     |   |   |   |
|   |                            | -Qual | Confined Space      |   |   |   |
|   |                            | ified | Awareness Refresher |   |   |   |
|   |                            | P     | **(3 yrs)**         |   |   |   |
|   |                            | erson | **20367**           |   |   |   |
|   |                            | Tra   |                     |   |   |   |
|   |                            | ining | Confined Space      |   |   |   |
|   |                            |       | Program Qualified   |   |   |   |
|   |                            | *     | Person Training     |   |   |   |
|   |                            | *Plan | **(1 time) 19613**  |   |   |   |
|   |                            | 4     |                     |   |   |   |
|   |                            | 459** | Confined Space      |   |   |   |
|   |                            |       | Entrant/Attendant   |   |   |   |
|   |                            |       | Live **40439 (1     |   |   |   |
|   |                            |       | time)**             |   |   |   |
|   |                            |       |                     |   |   |   |
|   |                            |       | Confined Space      |   |   |   |
|   |                            |       | Entry Supervisor    |   |   |   |
|   |                            |       | self-study **(1     |   |   |   |
|   |                            |       | time) 26941Sugg.**  |   |   |   |
+---+----------------------------+-------+---------------------+---+---+---+
| 7 | Do you wear an air         | Air   | Respirators: air    | 2 |   |   |
| . | purifying respirator for   | Puri  | purifying **(1 yr)  | 9 |   |   |
| 1 | your job?                  | fying | 3549**              | 2 |   |   |
| 4 |                            | Respi |                     |   |   |   |
|   |                            | rator | Respirators: air    |   |   |   |
|   |                            | Tra   | purifying           |   |   |   |
|   |                            | ining | self-study 40723    |   |   |   |
|   |                            | *     | (1yr)               |   |   |   |
|   |                            | *Plan |                     |   |   |   |
|   |                            | 2     |                     |   |   |   |
|   |                            | 677** |                     |   |   |   |
+---+----------------------------+-------+---------------------+---+---+---+
| 7 | Do you work in an area in  | Noise | Hearing             | 2 |   |   |
| . | which workplace noise is   | Tra   | Conservation **(1   | 7 |   |   |
| 1 | monitored under the        | ining | time) 2430**        | 6 |   |   |
| 5 | Hearing Conservation       | Plan  |                     |   |   |   |
|   | Program?                   |       | Refresher Hearing   |   |   |   |
|   |                            | #     | conservation (**1   |   |   |   |
|   |                            |  Plan | yr) 12350**         |   |   |   |
|   |                            |  2307 |                     |   |   |   |
+---+----------------------------+-------+---------------------+---+---+---+
| 7 | ### Do you use portab      | L     | Ladder Safety       | 8 |   |   |
| . | le ladders (excluding step | adder | Training (**1 time) | 9 |   |   |
| 1 |  stools of three steps or  | Cli   | 12985**             | 7 |   |   |
| 6 | less) as part of your job? | mbers |                     |   |   |   |
|   |                            |       |                     |   |   |   |
|   |                            | #     |                     |   |   |   |
|   |                            |  Plan |                     |   |   |   |
|   |                            |  4257 |                     |   |   |   |
+---+----------------------------+-------+---------------------+---+---+---+
| 7 | ### Do you perform wo      | Fall  | Basic Fall          | 4 |   |   |
| . | rk where you might reasona | Prote | Protection          | 2 |   |   |
| 1 | bly be expected to be expo | ction | Refresher **(1      | 2 |   |   |
| 7 | sed to an unguarded fall h |       | time) 24620**       | 2 |   |   |
|   | azard of more than 4 feet? | *     |                     |   |   |   |
|   |                            | *Plan | Fall Protection     |   |   |   |
|   |                            | 9     | Introduction        |   |   |   |
|   |                            | 257** | **(1yr) 33462**     |   |   |   |
+---+----------------------------+-------+---------------------+---+---+---+
| 7 | ### In your office         | **Ass | # Recommended       |   |   |   |
| . | environment, do you perfor | igned |                     |   |   |   |
| 1 | m repetitive tasks (such a | by    | Ergonomics for      |   |   |   |
| 8 | s at a key board), maintai | S     | Office Workers (**1 |   |   |   |
|   | n a static posture for \*l | RLM** | time) 3594**        |   |   |   |
|   | ong periods (sitting or st |       |                     |   |   |   |
|   | anding), or use awkward po |       |                     |   |   |   |
|   | sition (such as twisting)? |       |                     |   |   |   |
|   |                            |       |                     |   |   |   |
|   | \* Long periods is a       |       |                     |   |   |   |
|   | qualitative term;          |       |                     |   |   |   |
|   | individual response to     |       |                     |   |   |   |
|   | potential ergonomic issues |       |                     |   |   |   |
|   | varies                     |       |                     |   |   |   |
+---+----------------------------+-------+---------------------+---+---+---+
| 7 | ### In your non-off        | **Ass | # Recommended       |   |   |   |
| . | ice work environment, do y | igned |                     |   |   |   |
| 1 | ou perform repetitive task | by    | Ergonomics for      |   |   |   |
| 9 | s, maintain a static postu | S     | non-office Workers  |   |   |   |
|   | re for \*long periods, use | RLM** | **(1 time) 14898**  |   |   |   |
|   |  awkward positions (such a |       |                     |   |   |   |
|   | s twisting), apply pressur |       |                     |   |   |   |
|   | e, or are you exposed to v |       |                     |   |   |   |
|   | ibration for long periods? |       |                     |   |   |   |
|   |                            |       |                     |   |   |   |
|   | \*\* Long periods is a     |       |                     |   |   |   |
|   | qualitative term;          |       |                     |   |   |   |
|   | individual response to     |       |                     |   |   |   |
|   | potential ergonomic issues |       |                     |   |   |   |
|   | varies                     |       |                     |   |   |   |
+---+----------------------------+-------+---------------------+---+---+---+
| 7 | Are you an energized       | CP    | CPR-Adult **3583 1  | 4 |   |   |
| . | electrical worker?         | R/AED | time**              | 1 |   |   |
| 2 |                            | for   |                     | 0 |   |   |
| 0 |                            | Elect | CPR Refresher       | 9 |   |   |
|   |                            | rical | **16585 1 yr**      |   |   |   |
|   |                            | Wo    |                     |   |   |   |
|   |                            | rkers | AED **25535 1 yr    |   |   |   |
|   |                            | at    | suggested**         |   |   |   |
|   |                            | LANL  |                     |   |   |   |
|   |                            |       |                     |   |   |   |
|   |                            | *     |                     |   |   |   |
|   |                            | *Plan |                     |   |   |   |
|   |                            | 9     |                     |   |   |   |
|   |                            | 099** |                     |   |   |   |
+---+----------------------------+-------+---------------------+---+---+---+

+---+-----------------------------+-------+----------------------+---+---+
|   | ###                         |       |                      |   |   |
|   |  *Specific Hazards Section* |       |                      |   |   |
+---+-----------------------------+-------+----------------------+---+---+
| 8 | Do you work with or around  | Bery  | Beryllium Health     | 4 |   |
| . | beryllium or beryllium      | llium | Hazards **(1 time)   | 0 |   |
| 1 | operations?                 | W     | 725**                |   |   |
|   |                             | orker |                      |   |   |
|   |                             | Tra   | Beryllium Health     |   |   |
|   |                             | ining | Hazards Refresher    |   |   |
|   |                             | R     | **(2 yrs) 21784**    |   |   |
|   |                             | qmts. |                      |   |   |
|   |                             |       | Chemical Hazard      |   |   |
|   |                             | # P   | Communication        |   |   |
|   |                             | lan \ | Introduction **(1    |   |   |
|   |                             | # 117 | time) 25418**        |   |   |
+---+-----------------------------+-------+----------------------+---+---+
| 8 | Do you handle beryllium     | Bery  | Beryllium Awareness  | 4 |   |
| . | articles (such as tools),   | llium | Self-study 28340     | 3 |   |
| 2 | but are not otherwise       | Ar    | (one time)           | 1 |   |
|   | exposed to airborne         | ticle |                      | 2 |   |
|   | beryllium?                  | Ha    |                      |   |   |
|   |                             | ndler |                      |   |   |
|   |                             |       |                      |   |   |
|   |                             | Tra   |                      |   |   |
|   |                             | ining |                      |   |   |
|   |                             | Plan  |                      |   |   |
|   |                             | 9361  |                      |   |   |
+---+-----------------------------+-------+----------------------+---+---+
| 8 | Have you been a beryllium   | Bery  | Beryllium Awareness  | 4 |   |
| . | worker in the past (see 8.1 | llium | Self-study 28340     | 3 |   |
| 3 | above)?                     | Assoc | (one time)           | 2 |   |
|   |                             | iated |                      | 3 |   |
|   |                             | W     |                      |   |   |
|   |                             | orker |                      |   |   |
|   |                             |       |                      |   |   |
|   |                             | Tra   |                      |   |   |
|   |                             | ining |                      |   |   |
|   |                             | Plan  |                      |   |   |
|   |                             | 9360  |                      |   |   |
+---+-----------------------------+-------+----------------------+---+---+
| 8 | Do you have access to       | Tr    | Tritium Safety Self  | 2 | [ |
| . | tritium areas or do you     | itium | Study **(1           | 7 | ] |
| 4 | work with tritium?          | S     | time)11952**         | 0 | { |
|   |                             | afety |                      |   | . |
|   |                             |       |                      |   | m |
|   |                             | ###   |                      |   | a |
|   |                             | ####  |                      |   | r |
|   |                             | Plan  |                      |   | k |
|   |                             | #4139 |                      |   | } |
+---+-----------------------------+-------+----------------------+---+---+
| 8 | Do you work with or around  | Che   | Chemical Hazard      | 8 |   |
| . | chemicals?                  | mical | Communication        | 9 |   |
| 5 |                             | Wo    | Introduction **(1    | 9 |   |
|   |                             | rkers | time) 25418**        |   |   |
|   |                             |       |                      |   |   |
|   |                             | H     |                      |   |   |
|   |                             | azcom |                      |   |   |
|   |                             |       |                      |   |   |
|   |                             | # Pl  |                      |   |   |
|   |                             | an \# |                      |   |   |
|   |                             |  4261 |                      |   |   |
+---+-----------------------------+-------+----------------------+---+---+
| 8 | Do your job duties involve  | Corro | Chemical Hazard      | 2 |   |
| . | working with corrosives,    | sives | Communication        | 8 |   |
| 6 | including acids, bases,     | Tra   | Introduction **(1    | 4 |   |
|   | hazardous corrosive gases   | ining | time) 25418**        |   |   |
|   | (a gas that destroys or     |       |                      |   |   |
|   | alters living tissue or the | #     |                      |   |   |
|   | container in which the gas  |  Plan |                      |   |   |
|   | is packaged)?               |  2297 |                      |   |   |
+---+-----------------------------+-------+----------------------+---+---+
| 8 | Do you work directly with   | Lead  | Lead Awareness **(1  | 2 |   |
| . | or are you exposed to lead  | Ha    | time) 44226**        | 8 |   |
| 7 | vapors (could include       | zards |                      | 1 |   |
|   | machining or brazing)?      | Tra   | Chemical Hazard      |   |   |
|   |                             | ining | Communication        |   |   |
|   |                             | R     | Introduction **(1    |   |   |
|   |                             | qmts. | time) 25418**        |   |   |
|   |                             |       |                      |   |   |
|   |                             | # Pl  | Refresher Lead       |   |   |
|   |                             | an \# | Awareness **(Self    |   |   |
|   |                             |  2304 | Study 1yr) 15331**   |   |   |
+---+-----------------------------+-------+----------------------+---+---+
| 8 | Do you work with or around  | Lead  | Lead Awareness **(1  | 6 |   |
| . | lead on occasion (Examples: | Exp   | time) 44226**        | 6 |   |
| 8 | Working around lead         | osure |                      | 9 |   |
|   | shields, stacking lead      | Below | Chemical Hazard      |   |   |
|   | bricks, soldering when      | the   | Communication        |   |   |
|   | airborne levels are         | A     | Introduction **(1    |   |   |
|   | minimal)                    | ction | time)25418**         |   |   |
|   |                             | Level |                      |   |   |
|   |                             |       |                      |   |   |
|   |                             | # Pl  |                      |   |   |
|   |                             | an \# |                      |   |   |
|   |                             |  3675 |                      |   |   |
+---+-----------------------------+-------+----------------------+---+---+
| 8 | Do your job duties involve  | Me    | Chemical Hazard      | 2 |   |
| . | working with mercury, per   | rcury | Communication        | 8 |   |
| 9 | 29CFR1910.1200?             | Tra   | Introduction **(1    | 2 |   |
|   |                             | ining | time)** **25418**    |   |   |
|   |                             |       |                      |   |   |
|   |                             | #     |                      |   |   |
|   |                             |  Plan |                      |   |   |
|   |                             |  2305 |                      |   |   |
+---+-----------------------------+-------+----------------------+---+---+
| 8 | Do your job duties involve  | Corro | Chemical Hazard      |   |   |
| . | working with or around      | sives | Communication        |   |   |
| 1 | corrosives, including       | Ha    | Introduction **(1    |   |   |
| 0 | acids, bases, and some      | zards | time)** **25418**    |   |   |
|   | oxidizers?                  | Tra   |                      |   |   |
|   |                             | ining |                      |   |   |
|   |                             |       |                      |   |   |
|   |                             | #     |                      |   |   |
|   |                             |  Plan |                      |   |   |
|   |                             |  2297 |                      |   |   |
+---+-----------------------------+-------+----------------------+---+---+
| 8 | Do you use dielectric       | Diele | Dielectric           | 5 |   |
| . | gloves, or do you work      | ctric | Electrical Safety    | 1 |   |
| 1 | under a penetration permit  | G     | **(1 time) 17122**   | 0 |   |
| 1 | or an excavation permit and | loves |                      |   |   |
|   | use a jackhammer?           |       | **\*** training      |   |   |
|   |                             | #     | provided by          |   |   |
|   |                             |  Plan | sub-contractor;      |   |   |
|   |                             |  4856 | arrange through      |   |   |
|   |                             |       | LANSCE Training      |   |   |
|   |                             |       | Office               |   |   |
+---+-----------------------------+-------+----------------------+---+---+
| 8 | Do your job duties involve  | So    | Chemical Hazard      |   |   |
| . | working with or around      | lvent | Communication        |   |   |
| 1 | organic solvents?           | H     | Introduction **(1    |   |   |
| 2 |                             | azard | time)** **25418      |   |   |
|   |                             | Tra   | sugg.**              |   |   |
|   |                             | ining |                      |   |   |
|   |                             | Re    | Organic Solvent      |   |   |
|   |                             | quire | Safety (self-study)  |   |   |
|   |                             | ments | **9894 sugg.**       |   |   |
|   |                             |       |                      |   |   |
|   |                             | *     |                      |   |   |
|   |                             | *Plan |                      |   |   |
|   |                             | 2     |                      |   |   |
|   |                             | 485** |                      |   |   |
+---+-----------------------------+-------+----------------------+---+---+
| 8 | Do you deliver one-on-one   | OJT   | TSQP: On-the-Job     | 1 |   |
| . | or small group training at  | G     | Training **(1 Time)  | 7 |   |
| 1 | the work environment to     | roup- | 17663**              | 6 |   |
| 3 | qualify a worker on an      | Level |                      |   |   |
|   | activity?                   | I     | TSQP: Job Task       |   |   |
|   |                             | nstru | Analysis **(1 time)  |   |   |
|   |                             | ctor/ | 25158 Sugg.**        |   |   |
|   |                             | Eval  |                      |   |   |
|   |                             | uator |                      |   |   |
|   |                             | *     |                      |   |   |
|   |                             | *Plan |                      |   |   |
|   |                             | 411** |                      |   |   |
+---+-----------------------------+-------+----------------------+---+---+

+---+-----------------------------+-------+----------------------+---+---+
| 9 | ### *Secur                  |       |                      |   |   |
| . | ity and Safeguards Section* |       |                      |   |   |
| 0 |                             |       |                      |   |   |
+---+-----------------------------+-------+----------------------+---+---+
| 9 | Are you a LANL computer     | Com   | Initial Computer     | 3 |   |
| . | user?                       | puter | Security Training    | 4 |   |
| 1 |                             | Sec   | **(1 time) 9396**    | 7 |   |
|   |                             | urity |                      |   |   |
|   |                             | B     | Annual Security      |   |   |
|   |                             | riefi | Refresher **(1yr)    |   |   |
|   |                             | ng-un | 1425**               |   |   |
|   |                             | class |                      |   |   |
|   |                             | ified |                      |   |   |
|   |                             |       |                      |   |   |
|   |                             | # Pl  |                      |   |   |
|   |                             | an \# |                      |   |   |
|   |                             |  2368 |                      |   |   |
+---+-----------------------------+-------+----------------------+---+---+
| 9 | Are you responsible for the | Class | Introduction to      | 9 |   |
| . | protection, accountability, | ified | classified matter    | 9 |   |
| 2 | and storage of classified   | Doc   | protection/ control  |   |   |
|   | documents?                  | ument | for custodians **(1  |   |   |
|   |                             | Cust  | time) 5646**         |   |   |
|   |                             | odian |                      |   |   |
|   |                             | *     | Sigma Categories     |   |   |
|   |                             | *Plan | Information Update   |   |   |
|   |                             | 137** | **(1 time)**         |   |   |
|   |                             |       | **8904**             |   |   |
+---+-----------------------------+-------+----------------------+---+---+
| 9 | Are you responsible for the | Class | Classified Parts     | 2 |   |
| . | protection, accountability, | ified | Procedure **(1 time) | 6 |   |
| 3 | and storage of classified   | Parts | 12865**              | 3 |   |
|   | material or parts?          | Cust  |                      |   |   |
|   |                             | odian |                      |   |   |
|   |                             | *     |                      |   |   |
|   |                             | *Plan |                      |   |   |
|   |                             | 3     |                      |   |   |
|   |                             | 528** |                      |   |   |
+---+-----------------------------+-------+----------------------+---+---+
| 9 | Do you determine, in        | Deriv | ADC Briefing Phase   | 3 |   |
| . | accordance with approved    | ative | II **(1 time) 7964** | 2 |   |
| 4 | classification guidance,    | Class |                      | 2 |   |
|   | the classification level,   | ifier | ADC Orientation **(1 |   |   |
|   | the category of             | Tra   | time) 17449**        |   |   |
|   | information, and, for       | ining |                      |   |   |
|   | National Security           |       | ADC Recertification  |   |   |
|   | Information (NSI), the      | #     | **(3 yrs) 24507**    |   |   |
|   | duration of classification  | Plan  |                      |   |   |
|   | of a document or material?  | \# 93 |                      |   |   |
+---+-----------------------------+-------+----------------------+---+---+
| 9 | Do you host foreign         | TA53  | Foreign National     | 6 |   |
| . | nationals at TA-53?         | Fo    | Host Training **(1   | 7 |   |
| 5 |                             | regin | time) 15241**        | 0 |   |
|   |                             | Vis   |                      |   |   |
|   |                             | itors |                      |   |   |
|   |                             | &     |                      |   |   |
|   |                             | A     |                      |   |   |
|   |                             | ssign |                      |   |   |
|   |                             | ments |                      |   |   |
|   |                             |       |                      |   |   |
|   |                             | *     |                      |   |   |
|   |                             | *Plan |                      |   |   |
|   |                             | 3     |                      |   |   |
|   |                             | 725** |                      |   |   |
+---+-----------------------------+-------+----------------------+---+---+
| 1 | ##                          | #     |                      |   |   |
| 0 | # *LANSCE Specific Section* |       |                      |   |   |
| . |                             |       |                      |   |   |
| 0 |                             |       |                      |   |   |
+---+-----------------------------+-------+----------------------+---+---+
| 1 | Are you a resident of TA53? | TA53  | TA53 Facility        | 1 |   |
| 0 |                             | Empl  | Specific Training    | 5 |   |
| . |                             | oyees | **(2yrs) 34095**     | 4 |   |
| 1 |                             | /Resi |                      |   |   |
|   |                             | dents | GERT Exam: General   |   |   |
|   |                             |       | Employee             |   |   |
|   |                             | # P   | Radiological         |   |   |
|   |                             | lan \ | Training             |   |   |
|   |                             | # 201 |                      |   |   |
|   |                             |       | **(2yrs) 11575**     |   |   |
|   |                             |       |                      |   |   |
|   |                             |       | TA53 Waste Training  |   |   |
|   |                             |       | **(1 time)**         |   |   |
|   |                             |       | **22162**            |   |   |
|   |                             |       |                      |   |   |
|   |                             |       | TA53 Building        |   |   |
|   |                             |       | Emergency Plan **(1  |   |   |
|   |                             |       | time) 31744**        |   |   |
+---+-----------------------------+-------+----------------------+---+---+
| 1 | Do you perform repetitive   | L     | Ergonomics for       |   |   |
| 0 | tasks or tasks that may     | ANSCE | Office Workers **(1  |   |   |
| . | result in incorrect body    | O     | time) 3594**         |   |   |
| 2 | positions in an office      | ffice |                      |   |   |
|   | environment?                | Ergon |                      |   |   |
|   |                             | omics |                      |   |   |
|   | This Training Plan is       | TRNG. |                      |   |   |
|   | optional, at the SRLM's     | R     |                      |   |   |
|   | discretion.                 | QMTS. |                      |   |   |
|   |                             |       |                      |   |   |
|   |                             | *     |                      |   |   |
|   |                             | *Plan |                      |   |   |
|   |                             | \#    |                      |   |   |
|   |                             | 6     |                      |   |   |
|   |                             | 879** |                      |   |   |
+---+-----------------------------+-------+----------------------+---+---+
| 1 | Do you require unescorted   | TA53  | TA53 Facility        | 3 |   |
| 0 | access to ER-1/ ER-2?       | Lujan | Specific Training    | 5 |   |
| . |                             | C     | **(2yrs) 34095**     | 8 |   |
| 3 |                             | enter |                      |   |   |
|   |                             | A     | TA53 LAA: Overview & |   |   |
|   |                             | ccess | Albatross Module     |   |   |
|   |                             |       | **(1 time) 12047**   |   |   |
|   |                             | # Pl  |                      |   |   |
|   |                             | an \# | TA53 Limited Access: |   |   |
|   |                             |  2724 | Lujan Center **(2    |   |   |
|   |                             |       | yrs) 21701**         |   |   |
+---+-----------------------------+-------+----------------------+---+---+
| 1 | Do you require unescorted   | TA53  | TA53 Facility        | 9 |   |
| 0 | access to the Mechanical    | Li    | Specific Training    | 8 |   |
| . | Equipment Building (MEB:    | mited | **(2yrs) 34095**     | 3 |   |
| 4 | Build 7)                    | A     |                      |   |   |
|   |                             | ccess | TA53 LAA: Overview & |   |   |
|   |                             | En    | Albatross Module     |   |   |
|   |                             | trant | **(1 time) 12047**   |   |   |
|   |                             | MEB   |                      |   |   |
|   |                             |       | TA53 Limited Access: |   |   |
|   |                             | # Pl  | MEB Module **2 yrs)  |   |   |
|   |                             | an \# | 12048**              |   |   |
|   |                             |  4615 |                      |   |   |
+---+-----------------------------+-------+----------------------+---+---+
| 1 | Do you require unescorted   | TA53  | TA53 Facility        | 1 |   |
| 0 | access to the 1L Target     | Li    | Specific Training    | 5 |   |
| . | Area (also called CSA) ?    | mited | **(2yrs) 34095**     | 8 |   |
| 5 |                             | A     |                      | 1 |   |
|   |                             | ccess | TA53 LAA: Overview & |   |   |
|   |                             | En    | Albatross Module     |   |   |
|   |                             | trant | **(1 time) 12047**   |   |   |
|   |                             | CSA   |                      |   |   |
|   |                             |       | TA53 Limited Access: |   |   |
|   |                             | *     | Compressor Trailer   |   |   |
|   |                             | *Plan | Module **(2 yrs)     |   |   |
|   |                             | #5    | 12049**              |   |   |
|   |                             | 585** |                      |   |   |
+---+-----------------------------+-------+----------------------+---+---+
|   | ###### Do you               |       |                      |   |   |
|   |  need unescorted access to  |       |                      |   |   |
|   | any of the following areas? |       |                      |   |   |
+---+-----------------------------+-------+----------------------+---+---+
| 1 | TA53 Primary Beam Area      | TA53  | TA53 Primary Beam    | 3 |   |
| 0 | Access (PBAA) (Sectors A-H, | Pr    | Area Access **40394  | 8 |   |
| . | Switchyard, Line B, Line C, | imary | (2yrs)**             | 7 |   |
| 6 | Line D, PSR, Blue Room, or  | Beam  |                      | 8 |   |
|   | Target-4 Tunnel)?           |       |                      |   |   |
|   |                             | # Pl  |                      |   |   |
|   |                             | an \# |                      |   |   |
|   |                             |  8739 |                      |   |   |
+---+-----------------------------+-------+----------------------+---+---+