DRC-2025-001058

CLIVE SITE
LETTER OF TRANSMITTAL DATE: 3/21/2025 ATTN: LLRW
CC; Treesa Parker Karen Kirkwood RE: Transmittal 2025-017
Description of Documents Transmitted Qty
See attached updates to Qualification Cards. Q1146 Rev 2 Compactor Operator 1
------------------------------------------------------------------------------------------------------------ Please replace your current procedure revisions with the documents within this Transmittal. You are not required to sign any documents to verify receipt of this distribution. However, you should make every effort to ensure that your copy of the License is current. FROM: EnergySolutions
Document Control Clive Facility
CL-TN-PR-100-F7
Revision 1
QUALIFICATION CARD
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EMPLOYEE NAME ___________________________________________
QUALIFICATION #: QUALIFICATION TITLE:
QUALIFICATION APPROVAL:
SCOPE:
THIS DOCUMENT APPLIES TO PERSONNEL WHO ARE OR MAY BE REQUIRED TO OPERATE A COMPACTOR
(SHEEP’S FOOT) DURING CONSTRUCTION ACTIVITIES AT ENERGYSOLUTIONS CLIVE FACILITY.
PREREQUISITE TRAINING/QUALIFICATIONS: DATE COMPLETED INITIALS
DEFENSIVE DRIVER TRAINING
PREREQUISITE READING MATERIALS: DATE COMPLETED INITIALS
CL-GF-4536 EQUIPMENT OPERATIONS
CL-GF-4538 GENERAL CELL WORK
APPLICABLE EQUIPMENT OPERATORS MANUAL
QUALIFICATION CRITERIA: Page No (if applicable) SME SIGNATURE DATE COMPLETED INITIALS
CLASSROOM TRAINING WITH WRITTEN EXAM
PASSED AT 80% OR HIGHER
COMPLETION OF PRACTICAL EVALUATION &
PRE-USE INSPECTION FORM
PRACTICAL CRITERIA:
Q1146 COMPACTOR OPERATOR
Task
(Description)
Satisfactory
(Check Mark)SME Date
(Completed)Initials
Performs the Pre-Use Inspection correctly.
Demonstrates ability to steer and turn smoothly.
Demonstrates ability to brake and stop
appropriately.
Sounds horn at all appropriate locations.
Qual Manager ___________________________ ___________________________ Date_________
PRINTED NAME SIGNATURE
Radiation ___________________________ ___________________________ Date_________
Safety Officer PRINTED NAME SIGNATURE
Yes
Practical Evaluation (included) Yes/No
This SECTION is filled out by DOCUMENT CONTROL.
Effective Date: ______________
________________
Revision No.: __2_ 3/20/2025
Roger Ekins Digitally signed by Roger Ekins
Date: 2025.03.21 07:23:24 -06'00'
Digitally signed by Thomas Brown
DN: OU=Health Physics, O="EnergySolutions, LLC", CN=Thomas Brown, E=[e-mail]
Reason: I am approving this document
Location: Clive
Date: 2025-03-21 08:05:59Foxit PhantomPDF Version: 9.7.5Thomas Brown
CL-TN-PR-100-F7
Revision 1 QUALIFICATION CARD

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Keeps components in the appropriate position
while traveling.
Demonstrates ability to maintain a safe travel
speed.
Demonstrates ability to allow clearance when
turning.
Accelerates/Decelerates at gradual rate.

Demonstrates ability to stop correctly.

Demonstrates ability to maneuver turns
correctly.
Inspects and Wears all safety equipment (i.e.
seat belt, harness, etc.) while operating
equipment.

Demonstrates knowledge and safe usage of
attachments, if applicable.
Demonstrates the ability to proper park and
dismount the equipment.
ALL REQUIRED ITEMS HAVE BEEN COMPLETED AND THIS QUALIFICATION IS VALID:

EMPLOYEE _______________________ ______________________ DATE_________
PRINTED NAME SIGNATURE
EMPLOYEE MANAGER _______________________ ______________________ DATE_________
PRINTED NAME SIGNATURE
RSO _______________________ ______________________ DATE_________
PRINTED NAME SIGNATURE

Verification of Completed Documentation

QUAL MANAGER _______________________ ______________________ DATE_________
PRINTED NAME SIGNATURE

***ONCE COMPLETE, SCAN AND PLACE IN FOLDER FOR DATA ENTRY AND DOC CONTROL***

CL-TN-PR-100-F7
Revision 1 QUALIFICATION CARD

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