ML12060A338
| ML12060A338 | |
| Person / Time | |
|---|---|
| Site: | Oconee, Mcguire, Catawba, McGuire  |
| Issue date: | 02/27/2012 |
| From: | Waldrep B Duke Energy Carolinas |
| To: | Document Control Desk, Office of Nuclear Reactor Regulation |
| References | |
| Download: ML12060A338 (63) | |
Text
Duke Benjamin C. Waidrep Energy Vice President Po~nrgyNuclear Corporate Duke Energy Corporation 526 South Church Street Charlotte, NC 28202 Mailing Address:
EC07H / P. 0. Box 1006 Charlotte, NC 28201-1006 704 382 8162 10 CFR 26.717 704 382 6056 fax Benjamin. Waldrep@duke-energy.com February 27, 2012 U.S. Nuclear Regulatory Commission Attn: Document Control Desk Washington, DC 20555-001
Subject:
Duke Energy Carolinas, LLC (Duke)
Oconee Nuclear Station Units 1, 2, and 3 Docket Nos. 50-269/270/287 McGuire Nuclear Station Units 1 and 2 Docket Nos. 50-369/370 Catawba Nuclear Station Units 1 and 2 Docket Nos. 50-413/414 Fitness-For-Duty Program Performance Data Reports Pursuant to 10 CFR 26.717 Duke hereby submits the consolidated Fitness-For-Duty Program Performance Data Reports for Oconee, McGuire, and Catawba Nuclear Stations and the Nuclear General Office. The reporting period covered by this submittal is January 1, 2011 through December 31, 2011. Attached are screen images of the electronic reports for each station.
Based on quantitative analysis accumulated from the drug and alcohol screening results which are recorded and maintained in Duke's Fitness for Duty database, this data is considered to be complete, accurate and consistent with industry and Duke program expectations.
This correspondence contains no regulatory commitments. Questions regarding these reports should be directed to T. K. McQuarrie at 704-382-1943 or T. J. Wadsworth at (704) 382-5836.
Sincerely, ttm C. Whald Attachments
U. S. Nuclear Regulatory Commission February 27, 2012 Page 2 xc: (without attachments)
V. M. McCree, Regional Administrator U.S. Nuclear Regulatory Commission - Region II Marquis One Tower 245 Peachtree Center Ave., NE Suite 1200 Atlanta, Georgia 30303-1257 J. F. Stang, Jr., Senior Project Manager (ONS)
U.S. Nuclear Regulatory Commission 11555 Rockville Pike Mail Stop 0-8 G9A Rockville, MD 20852-2738 J. H. Thompson, Project Manager (CNS & MNS)
U. S. Nuclear Regulatory Commission 11555 Rockville Pike Mail Stop 0-8 G9A Rockville, MD 20852-2738 A. T. Sabisch NRC Senior Resident Inspector Oconee Nuclear Station J. Zieler NRC Senior Resident Inspector McGuire Nuclear Station G. A. Hutto, III NRC Senior Resident Inspector Catawba Nuclear Station
NRC FFD'Program Performance Data Reporting System Annual Reporting Form for Drug and Alcohol Tests for the EIE General Submission Portal Please explain the change(s) to the form Note:
[,, Submission This is not a submission update; the form auto-populated
- 1) All fields required except those marked 'optional'.
Z Update "Submission Update" in error. This is our original submission for
- 2) Use Adobe Reader 8 or later for this form to work properly.
CY 2011. The NRC is aware of this problem.
- 3) Hold your mouse over a form field to view additional information Select Facility Period of Report Oconee [50-269; 50-270; 50-287]
2011 Tests Conducted in the Calendar Year Total Number of Tests Conducted Total Number of Positive, Adulterated, Licensee Employees ContractorsNendors Substituted, and Refusal to Test Results Pre-Access 1173]
6551 L
71 Random 74 11 989]
7-]
,For Cause 3
216~)W Followup
,j351 Total (Calculated)
[l9161 1,727 1t6]
FFD Program Random Testing Population and Rate Average number of Average number of Total size of the random testing pool Annual random testing percentage licensee employees contractors/vendors throughout the period (Calculated) achieved for the testing pool II
,,,0 3 ý,]
3,2 5
1.5]
Laboratory Testing Does your program use a Licensee Testing Facility?
(Yes / No)
Identify your HHS-Certified Laboratory(ies)
Quest Identify your Blind Performance Test Sample supplier(s)
IQA Associates Substances Tested Did your program only test for NRC-required substances Yes
]Does your program conduct LOD testing No AND at the NRC-specified minimum cutoff levels? (Yes / No) permitted in 26.163(a)(2)? (Yes / No)
Annual Report Form (version 1.3.0 - Nov 8, 2011)
- Page 1 of 2 -
Substances Tested - continued Summary of Management Actions - 26.717(b)(8)
Summarize actions implemented to improve FFD program performance. As applicable, reference in the topic description audit reports, 30-day reports, and/or corrective action reports. If reporting information on more than three topics, select "Others" for Topic 3 to report any additional topics.
Topic 1 Please Select 0
Add an additional Topic Person(s) Responsible for Information Provided Person 1 (required):
Anita McDaniel Specialist Anita.McDaniel@duke-energy.com First Name Last Name Position Title Company Email Address Person 2 (optional):
First Name Last Name Position Title Company Email Address Final Step (Required) - NRC will consider this form authentic in accordance with 26.11 only when the "Validate & Lock" button has been selected and all errors (i.e., those highlighted in red) have been corrected. The "Validate & Lock" button will change to "Locked" after the data validation process has been successfully completed and the form is ready for submission.
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- Page 2 of 2 -
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F Submission Update Unique Reference Number (Lic ONS-i 1-001 Select Facility Oconee [50-269; 50-270; 5 Reason for Testing-26.717(b vu m-u rrogram reenormance uata Keporting bystem Single Positive Test Form for the EIE General Submission Portal Noto:
- 1) All fields -re required a-cept tMose tarked "plional.
- 2) Entries in same form fields may result in infornation being auto-ensee Supplied) populated into other forti fields.
- 3) Use Adobe Reader 8 or later for this forte to work properly.
- 4) Hold your mouse over a forin field to view additional informiatioeu 0-287]
Date of Collection (mm/dd/yyyy) 05/0/201111 b)(5)
For Cause Testing Reason (optional)
Please elaborate (optional)
%ForCausejj Observed Beh Employment Type - 26.717(b)(3) o e
Please elaborate Labor Category-26.717(b)(3) jMatal Handler FOther Refusal-26.717(b)(7) & 26.75 Was this collection refused (Yes I No)?
Test Results - 26.717(b)(4)
Test Validity Valid f
Test Type(s) for Result(s) Reported - 26.717(b)(2) avior I
Drug Testing Drug Only I
[Urinei
]
Was this collection observed(Yes/No)? - 26.717(b)(7) & 26.75 Substance-26.717(b)(2) & (b)(6)
Additional Substance (as applicable) lMarijuana I
IPlease Select Additional Substance (as applicable)
[Please Select I
Use NRC Cutoff (Yes I No)? Yes Use NRC Cutoff (Yes / No)? e-iII Use NRC Cutoff (Yes I No)? Yes Is this a 24-Hour Reporting Event (Yes/No)? -26.719(b)INoI1 Subversion Attempts - 26.717(b)(7) and 26.75(b)
Did this collection involve a subversion attempt (Yes/No)?
Management Actions - 26.717(b)(8) & 26.75 Reason for the Action First drug or alcohol positive Sanction Applied (NRC Minimum or Licensee Administrated)
Licensee Administrated Specific Sanction Applied 3-Year Denial Person(s) Responsible for Information Provided Person 1 (required):
Jule
] Bryant
[FFD Specialist Ju~e.bryant@duk negy.......
First Name Last Name Position Title Company Email Address Person 2 (optional):
First Name Last Name Position Title Company Email Address Final Step (Required) - NRC will consider this form authentic in accordance with 26.11 only when the "Validate & Lock" button has been selected and all errors (i.e., those highlighted in red) have been corrected. The "Validate & Lock" button will change to "Locked" after the data validation process has been successfully completed and the form is ready for submission.
-) a Form Locked On:10ec 20, 2011 at 7:59:02 AM t L 1
1 Sirgl. Pe..oti Test Fo-v-eien 1.3.0 -N-8 2011
Nit; rru rrogram rerrormance uata Kepor-,ng oystem Single Positive Test Form for the EIE General Submission Portal Nowe Submission Update
- 1) All fields -et required except thfose ntaked "optional'.
- 2) Entries in some form fields may result in information being auto-Unique Reference Number (Licensee Supplied) populatod into other ornn fields.
ONS-1 1-002
- 3) Use Adobe Reader 8 or later for this form to work properly.
O1
- 4) Hold your ttouse over a lorm field to view additional information.
Select Facility Oconee (50-269; 50-270; 50-287]
Date of Collection (mm/dd/yyyy) 0609/2011 j
Reason for Testing-26.717(b)(5)
Please elal FRandom Employment Type - 26.717(b)(3)
Licensee Employee Labor Category - 26.717(b)(3)
FHP/RP]
Refusal-26.717(b)(7) & 26.75 Was this collection refused (Yes / No)? i.
Test Results - 26.717(b)(4)
Test Validity Valid Test Type(s) for Result(s) Reported - 26.717(b)(2) orate (optional)
Drug Testing Drug Only I
lurine Was this collection observed (Yes / No)? - 26,717(b)(7) & 26.75 Substance - 26.717(b)(2) & (b)(6)
Additional Substance (as applicable) iMarijuana i
[Please Select Additional Substance (as applicable)
IPlease Select Use NRC Cutoff (Yes ) No)? Yes Use NRC Cutoff (Yes I No)? KI 7 Use NRC Cutoff (Yes / No)? e7II Is this a 24-Hour Reporting Event (Yes/No)? - 26.719(b)[No Subversion Attempts - 26.717(b)(7) and 26.75(b)
Did this collection involve a subversion attempt (Yes/No)?
Management Actions - 26.717(b)(8) & 26.75 Reason for the Action First drug or alcohol positive Sanction Applied (NRC Minimum or Licensee Administrated)
[Licensee Administrated Specific Sanction Applied 14-Day Denial Person(s) Responsible for Information Provided Person I (required):
1JUO F1--
FF Spciai tjulle.bryant@du ke-nergy.corn First Name Last Name Position Title Company Email Address Person 2 (opbonal):
First Name Last Name Position Title Company Email Address Final Step (Required) - NRC will consider this form authentic in accordance with 26.11 only when the "Validate & Lock" button has been selected and all errors (i.e., those highlighted in red) have been corrected. The "Validate & Lock" button will change to 'Locked" after the data validation process has been successfully completed and the form is ready for submission.
Form Locked On:IDec20, 2011 at 8:04:46 AM ]t.
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- Frt, Single P...5v lest Fem veirion 1.3.0 -Nov 8. 2011
rNm rru rrogram rerrormance uata meporuing aystem Single Positive Test Form for the EIE General Submission Portal Solte:
F Submission Update
- 1) All fields ore required except those matkod 'optional'.
- 2) Entries in so-e form fields nayresult in information being outo-Unique Reference Number (Licensee Supplied) populated into other form fields,
- 3) Use Adobe Reader 8 or later for this form io work properly, ONS-'1 1-003
- 4) Hold your mouse over a form field to view additional information.
Select Facility Oconee [50-269; 50-270; 50-287]
Date of Collection (mm/dd/yyyy)
Reason for Testing - 26.717(b)(5)
Please elab Random Employment Type - 26.717(b)(3)
ContractorNendor Labor Category - 26.717(b)(3)
Security Refusal-26.717(b)(7) & 26.75 Was this collection refused (Yes / No)?
Test Results - 26.717(b)(4)
Test Validity Valid Test Type(s) for Result(s) Reported - 26.717(b)(2) orate (optional)
Drug Testing Drug Only I
IUrine Was this collection observed (Yes/No)?. 26.717(b)(7) & 26.75 Substance - 26.717(b)(2) & (b)(6)
Additional Substance (as applicable)
Marijuana
]
[Please Select Additional Substance (as applicable)
[Please Select Use NRC Cutoff (Yes / No)? Yes Use NRC Cutoff (Yes / No)?
Use NRC Cutoff (Yes / No)? Ye Is this a 24-Hour Reporting Event (Yes/No)? - 26.719(b)FNo Subversion Attempts - 26.717(b)(7) and 26.75(b)
Did this collection involve a subversion attempt (Yes/No)?
Management Actions - 26.717(b)(8) & 26.75 Reason for the Action lFirst drug or alcohol positive Sanction Applied (NRC Minimum or Licensee Administrated)
Licensee Administrated Specific Sanction Applied 3-Year Denial Person(s) Responsible for Information Provided Person 1 (required):
Julie
[
r a tFFD S pecialist
] jufie.bryant@ duk ne gy.......
First Name Last Name Position Title Company Email Address Person 2 (optional):
First Name Last Name Position Title Company Email Address Final Step (Required) - NRC mill consider this form authentic in accordance with 26.11 only when the "Validate & Lock" button has been selected and all errors (i.e., those highlighted in red) have been corrected. The "Validate & Lock" button will change to "Locked" after the data validation process has been successfully completed and the form is ready for submission.
Form Locked On: IDec20, 2011 at 8:1I.7 AMSaeto Local C ntth.s Rert btogie olu~e Tes I
or version I.-, -NOV 8, 2U I11
NRC FFD Program Performance Data Keporting System Single Positive Test Form for the EIE General Submission Portal Note.:
Submission Update I) All tieids ae-required except those,rtked optional'.
- 2) Entries irt note foret fields ey result in inlaoration being auto-Unique Reference Number (Licensee Supplied) populated ito-other fort fields, 103)
Use Adobe Reader 8 or later for this form to work property.
ONS-11-004
- 4) Hold your tsou-e one a forem field to view additional iottnattin.
Select Facility Oconee (50-269; 50-270; 50-287]
Date of Collection (mm/dd/yyyy)071/201Lj Reason for Testing - 26.717(b)(5)
Please elaborate (optional)
FRandom]
Employment Type - 20.717(b)(3)
Contractor/Vendor Please elaborate Labor Category-26.717(b)(3)
RP Supervisor O0t her
_7 I
Refusal-26.717(b)(7) & 26.75 Was this collection refused (Yes I No)?
F.
Test Results - 26.717(b)(4)
Test Validity Test Type(s) for Result(s) Reported - 26.717(b)(2)
Alcohol Testing Drug Testing Drug and Alcohol I Breath
[Urine Was this collection observed (Yes/No)? - 26.717(b)(7) & 26.75 Substance-26.717(b)(2) & (b)(6)
Additional Substance (as applicable)
Additional St jAlcohol
]
1ither I
Please Sele Please identify the substance No drug identified by the lab. Thisis WhMat 26.103 BAC level was exceeded?
0.04 or greater Use NRC Cutoff (Yes / No)? FNo Use NRC Cut Initial Cutoff Confirmatory Cutoff sis Eveni (Yes/No)?- 26.719(b) Yes-Please elaborate on the 24-hour reporting event Is this a24-Hour Reporting ubstance (as applicable) ct off (Yes / No)? Yes Did this collection involve a subversion attempt (Yes/No)?
INl Management Actions - 26.717(b)(8) & 26.75 Reason for the Action
[First drug or alcohol positive Sanction Applied (NRC Minimum or Licensee Administrated)
ILicensee Administrated Specific Sanction Applied 3-Year Denial Person(s) Responsible for Information Provided Person I (required):
First Name at Name Position Title Company Email Address Person 2 (optional):
I First Name Last Name Position Tit5e Company Email Address Final Step (Required) - NRC will consider this form authentic in accordance with 26.11 only when the "Validate & Lock" button has been selected and all errors (i.e., those highlighted in red) have been corrected. The 'Validate & Lock" button will change to "Locked" after the data validation process has been successfully completed and the form is ready for submission.
Form Locked On:aIFeb 15, 2012 at 5:52:14 ePM Single Positive rest Form version 1.30 -Nov 8, 2011
NrA rru rrogram rerrormance uata meporung oystem Single Positive Test Form for the ElE General Submission Portal F--'] ubmision Udate tet; Submission Update
- 1) All fields are reqtuired except those marked optional'.
- 2) Entries in some form fields may result in information being auto-Unique Reference Number (Licensee Supplied) populatedinto utthern tm fielat&.
ONS-1 1-005
- 3) Use Adobe Reader 8 or later for this form no wonr properly.
- 4) Hold your mouse over a form field to view additional Informnationt.
Select Facility lOconee [50-269; 50-270; 50-287]
Date of Collection (mm/dd/yyyy)
Reason for Testing-26.717(b)(5)
Please elaborate Random Employment Type - 26.717(b)(3)
ContractorNen d
n Please elaborate Labor Category - 26.717(b)(3)
Refusal - 26.717(b)(7) & 26.75 Was this collection refused (Yes / No)? iNo Test Results - 26.717(b)(4)
Test Validity ealid y Test Type(s) for Result(s) Reported - 26.717(b)(2)
(optional)
Drug Testing Drug Only I
[Urine Was this collection observed (Yes / No)? - 26.717(b)(7) & 26.75 Substance - 26.717(b)(2) & (b)(6)
Additional Substance (as applicable)
I arjuana I
IPlease Select Additional Substance (as applicable)
[Please Select Use NRC Cutoff (Yes / No)? Yes Use NRC Cutoff (Yes / No)? e sII]
Use NRC Cutoff (Yes / No)? Yes Is this a 24-Hour Reporting Event (Yes/Nlo)?- 26.719(b) No Subversion Attempts - 26.717(b)(7) and 26.75(b)
Did this collection involve a subversion attempt (Yes/No)?
Management Actions - 26.717(b)(8) & 26.75 Reason for the Action First drug or alcohol positive Sanction Applied (NRC Minimum or Licensee Administrated)
Licensee Administrated Specific Sanction Applied 3-Year Denial Person(s) Responsible for Information Provided Person I (required):
J u lia
] B ry a nt IF F D S p e ci al st j u ~
e.b ry a n t@ d u k :
n g y..
First Name Last Name Position Title Company Email Address Person 2 (optional):
W I F First Name Last Name Position Title Company Email Address Final Step (Required) - NRC will consider this form authentic in accordance with 26.11 only when the "Validate & Lock" button has been selected and all errors (i.e., those highlighted in red) have been corrected. The 'Validate & Lock" button will change to "Locked" after the data validation process has been successfully completed and the form is ready for submission.
L Form Locked On:lDec 20, 2011 at 8:45:58 AýM In 1
IC t tIh
ýRepolo single Poiv Te t Foeresio 1.3.0 -No 8. 2011
-- Submission Update Unique Reference Number (Li.
IONS-1 1-006 Select Facility Focnee [50-269; 50-270; 5 Reason for Testing-26.717(
rru rruoyram renrmurrance UaLd a
PeOULIFrg 0yLem Single Positive Test Form for the EIE General Submission Portal Now
- 1) All fields ore required except these mearked 'optiona'.
- 2) Entries in some formt fields may result in information being auto-censee Supplied) populated into ether ren fields.
j e
- 3) Use Adobe Reader 8 or later for this form to work properly.
- 4) Hold your,touse over a tornm field to view additional infotmation.
50-2871 Date of Collection (mmlddlyyyy) 071/20liI1 b)(5)
Pre-Access Testing Reason (optional)
Please elaborate (optional)
Pre-Access s
estatemen Employment Type-26.717(b)(3)
Contractor/Vendor Please elaborate Labor Category - 26.717(b)(3) plant supper Refusal-26.717(b)(7) & 26.75 Was this collection refused (Yes / No)?
Test Results - 26.717(b)(4)
Test Validity Valid f
Test Typo(s) for Result(s) Reported - 26.717(b)(2)
I t (Between 31 and 365 days)
Drug Testing IDrug Only I
Ifine I
Was this collection observed (Yes/No)?- 26.717(b)(7) & 26.75 Substance - 26.717(b)(2) & (b)(6)
Additional Substance (as applicable)
Marijuana
[Please Select Additional Substance (as applicable)
JPlease Select Use NRC Cutoff (Yes / No)? Yes Use NRC Cutoff (Yes / No)?
l Use NRC Cutoff (Yes I No)?
Is this a 24-Hour Reporting Event (Yes/No)? - 26.719(b) N.LN7J Subversion Attempts - 26.717(b)(7) and 26.75(b)
Did this collection involve a subversion attempt (Yes/No)?
Management Actions - 26.717(b)(8) & 26.75 Reason for the Action First drug or alcohol positive Sanction Applied (NRC Minimum or Licensee Administrated)
Licensee Administrated Specific Sanction Applied 3-Year Denial Person(s) Responsible for Information Provided Person 1 (required):
Julien IFF Specialist iu~e.broantdokenerg
.com First Name Last Name Position Title Company Email Address Pemon 2 (optiona):
First Name Last Name Position Title Company Email Address Final Step (Required) - NRC will consider this form authentic in accordance with 26.11 only when the "Validate & Lock" button has been selected and all errors (i.e., those highlighted in red) have been corrected. The "Validate & Lock" button will change to "Locked" after the data validation process has been successfully completed and the form is ready for submission.
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NKlU 1--u rrogram rerrormance uata lieporting zystem Single Positive Test Form for the EIE General Submission Portal mote:
Submission Update
- 1) All fields ate required except rhove matked 'optional',
- 2) Entries in same form fields may result in information being auto-Unique Reference Number (Licensee Supplied) populated into other forn fields, 1
- 3) Use Adobe Reader 0 or later for this form to work properly.
ON S-i 1-007
- 4) Hold your,,ouse over a form field to view additional information.
Select Facility Oconee [50-269; 50-270; 50-287]
Date of Collection (mm/dd/yyyy)
Reason for Testing - 26.717(b)(5)
Pre-Access Testing Reason (optional)
Please elaborate (optional)
Pre-Access FReinstatemen Employment Type-26.717(b)(3)
Contractor/Vendor Please elaborate Labor Category - 26.717(b)(3)
Weld Prep
[Other]
Refusal-26.717(b)(7) & 26.75 Was this collection refused (Yes / No)?
No Test Results - 26.717(b)(4)
Test Validity Valid
]
Test Type(s) for Result(s) Reported - 26.717(b)(2) t (Between 31 and 365 days) t(Between 31 and 365 days)
Drug Testing Drug Only I
1.rine Was this collection observed (Yes / No)? - 26.717(b)(7) & 26.75 Substance - 26.717(b)(2) & (b)(6)
Additional Substance (as applicable)
Marijuana
]
1Please Select Additional Substance (as applicable)
[Please Select Use NRC Cutoff (Yes / No)? Yes Use NRC Cutoff (Yes / No)?
Use NRC Cutoff (Yes / No)? Yes Is this a 24-Hour Reporting Event (Yes/No)? - 26.719(b)IFiII-j Subversion Attempts - 26.717(b)(7) and 26.75(b)
Did this collection involve a subversion attempt (Yes/No)?
Management Actions - 26.717(b)(8) & 26.75 Reason for the Action lFirst drug or alcohol positive Sanction Applied (NRC Minimum or Licensee Administrated)
Licensee Administrated Specific Sanction Applied 3-Year Denial Person(s) Responsible for Information Provided Person 1 (required):
Julie BatFF0 tpeo..lisst ju.e.br.nt.dukenery.co First Name Last Name Position Title Company Email Address Person 2 (optional):
First Name Last Name Position Title Company Email Address Final Step (Required) - NRC will consider this form authentic in accordance with 26.11 only when the "Validate & Lock" button has been selected and all errors (i.e., those highlighted in red) have been corrected. The "Validate & Lock" button will change to "Locked" after the data validation process has been successfully completed and the form is ready for submission.
Form Locked on: Dec 20, 201t1 at t2t5948 PMSt I
L Single PFosit Te fom verion 1.3.0--8o 0. 2011
D1 Submission Update Unique Reference Number (Lic ONS-1 1-008 Select Facility Oconee [50-269; 50-270; 5 Reason for Testing - 26.717(b I rru r'rogram reriormance uata neporlng aystem Single Positive Test Form for the EIE General Submission Portal Nete:
- 1) All fields.e requtired except those marked opionat'.
- 2) Entries in some forn, fields may resut! in infornation being auto-censee Supplied populated into other forin fields.
- 3) Use Adobe Reader 8 or later for this form to work properly.
- 4) Hold your mouse OVer a foein field to view additional infomtation.
0-2871 Date of Collection (mm/dd/YYYY) 0 9/2011II b)(5)
Pro-Access Testing Reason (optional)
Please elaborate (optional)
[Pre-Access I
Ilnitial Authori:
Employment Type-26.717(b)(3) lContractorNendcor Please elaborate Labor Category - 26.717(b)(3) rinter I~thef Refusal-26.717(b)(7) & 26.75 Was this collection refused (Yes / No)?
No Test Results - 26.717(b)(4)
Test Validity Test Type(s) for Result(s) Reported - 26.717(b)(2) zation L-Drug Testing Drug Only
[Urine Was this collection observed (Yes/No)7-26.717(b)(7) & 26.75 Substance - 26.717(b)(2) & (b)(6)
Additional Substance (as applicable) 1c1caine I IPlease Select I
Additional Substance (as applicable)
[Please Select Use NRC Cutoff (Yes / No)? Yes Use NRC Cutoff (Yes I No)?
Use NRC Cutoff (Yes / No)? Yes Is this a 24-Hour Reporting Event (Yes/No)? - 26.719(b) FNo.
Subversion Attempts - 26.717(b)(7) and 26.75(b)
Did this collection involve a subversion attempt (Yes/No)?
Management Actions - 26.717(b)(8) & 26.75 Reason for the Action First drug or alcohol positive Sanction Applied (NRC Minimum or Licensee Administrated)
Licensee Administrated Specific Sanction Applied 3-Year Denial Parson(s) Responsible for Information Provided Person 1 (required):
IJule E
E atFFID Specialist jute.btyant@dukenergy.com First Name Last Name Position Title Company Email Address Person 2 (optional):
First Name Last Name Position Title Company Email Address Final Step (Required) - NRC will consider this form authentic in accordance with 26.11 only when the "Validate & Lock" button has been selected and all errors (i.e., those highlighted in red) have been corrected. The "Validate & Lock" button will change to "Locked" after the data validation process has been successfully completed and the form is ready for submission.
Form Locked On:aoDec 20, 2011 at 3:03:59 IPM ito I
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Sinle Po.ive Tet Fo-n ion 1.3.0 -Nov 8, 2011
D Submission Update Unique Reference Number (Lic ONS-1 1-009 Select Facility Oconee [50-269; 50-270; 5 cu i-I-u rrogram -erlormance uata Keporting toystem Single Positive Test Form for the EIE General Submission Portal Note:
r) All field are required e-pept the.e marked optional.
Z) Entries in soen-fern fietds tray resolt in irdtemtatien being antd-ensee Supplied) pepulated into other forn fields.
Sli3)
Use Adobe Reader 8 or later for this form to work properly.
- 4) Hold yenw mouse over a fo rm field to view additional intirn*tioen.
0-287]
Date of Collection (mm/dd'yyyy) 082/2011 Reason for Testing - 26.717(b)(5)
For Cause Testing Reason (optional)
F
[For Cause Physical Condition/Smell of Alcohol Employment Type-26.717(b)(3)
ContractorlVendor Please elaborate Labor Category - 26.717(b)(3)
Housekeeping
[Other Refusal-26.717(b)(7) & 26.75 Was this collection refused (Yes / No)?
Test Results - 26.717(b)(4)
Test Validity Valid Test Type(s) for Result(s) Reported - 26.717(b)(2)
Alcohol Testing Drug Testing Drug and Alcohol I Breath
[Urne Was this collection observed (Yes/No)? - 26.717(b)(7) & 26.75 Substance - 26.717(b)(2) & (b)(6)
Additional Substance (as applicable) jAlcohol
][Other Please identify the substance No drgidentified bythe lab. This is What 26.103 BAC level was exceeded?
N 0]4 or greater Use NRC Cutoff (Yes / No)?FNo Initial Cutoff Confirmatory Cutoff Is this a 24-Hour Reporting Event (Yes/No)? - 26.719(b)FN"o
'lease elaborate (optional)
Additional Substance (as applicable)
Please Select Use NRC Cutoff (Yes I No)? Yes Subversion Attempts - 26.717(b)(7) and 26.75(b)
Did this collection involve a subversion attempt (Yes/No)? E Zo Management Actions - 26.717(b)(8) & 26.75 Reason for the Action lFirst drug or alcohol positive Sanction Applied (NRC Minimum or Licensee Administrated)
ILicensee Administrated Specific Sanction Applied 3-Year Denial Person(s) Responsible for Information Provided Person 1 (required):
Juyi.
11 ant Specialist
,ie.bmant@duke-energy.c. m First Name Last ame Position Title Company Email Address Person 2 (optonal):
FII First Name Last Name Position Title Company Email Address Final Step (Required) - NRC will consider this form authentic in accordance with 26.11 only when the "Validate & Lock" button has been selected and all errors (i.e.. those highlighted in red) have been corrected. The "Validate & Lock" button will change to "Locked" after the data validation process has been successfully completed and the form is ready for submission.
Form Locked On:jFeb 15, 2012 at 6:02:58 PM t L IPi Single Postie Tea Foren esion 1.30- No, 0. 2011
- Submission Update Unique Reference Number (Lic ONS-1 1-010 Select Facility
- uL rru rrogram rerrormance uata neporting oystem Single Positive Test Form for the EIE General Submission Portal Noto
- 1) Alt Fields are required excep t those marked 'optina.
- 2) Entries in some form fields may result in information being auto-ensee Supplied) populated into other fo.mn fields, i
d3)
Use Adobe Reader 8 or later for this form to work properly,
- 4) Hold your mouse over a tern field to view additional Infomiation.
0-2871 Date af Collection (mm/dd/yyyy)108/2/2011ZI b)(5)
Pro-Access Testing Reason (optional)
Please elaborate (optional) 10oe 50-269; 50-270; 5 Reason for Testing - 26.717(b r-Access I
I Ilnitial Authorization Employment Type-26.717(b)(3)
ICOntractor/Vendor Please elaborate Labor Category-26.717(b)(3)
Procedures 1 ° /h e r Refusal-26.717(b)(7) & 26.75 Was this collection refused (Yes I No)?
Test Results - 26.717(b)(4)
Test Validity Fvalid Test Type(s) for Result(s) Reported - 26.717(b)(2)
Drug Testing Drug Only Urine Was this collection observed(Yes/No)?- 26.717(b)(7) & 26.75 Substance - 26.717(b)(2) & (b)(6)
Additional Substance (as applicable) jMarijuana I
IPlease Select I
Additional Substance (as applicable)
[Please Select Use NRC Cutoff (Yes I No)?
Yes Use NRC Cutoff (Yes / No)? eli]
Use NRC Cutoff (Yes / No)? Yes Is this a 24-Hour Reporting Event (Yes/No)? - 26.716(b)FNo 7
Subversion Attempts - 26.717(b)(7) and 26.75(b)
Did this collection involve a subversion attempt (Yes/No)? [No Management Actions - 26.717(b)(8) & 26.75 Reason for the Action First drug or alcohol positive 7 Sanction Applied (NRC Minimum or Licensee Administrated)
Licensee Administrated Specific Sanction Applied 3-Year Denial Person(s) Responsible for Information Provided Person I (required):
Julie Bjulie.bryant@duke-energy.com First Name Last Name Position Title Company Email Address Person 2 (optional):
II IF First Name Last Name Position Title Company Email Address Final Step (Required) - NRC will consider this form authentic in accordance with 26.11 only when the "Validate & Lock" button has been selected and all errors (i.e., those highlighted in red) have been corrected. The "Validate & Lock" button will change to "Locked" after the data validation process has been successfully completed and the form is ready for submission.
Form Locked On:Dec 20, 2011 at 3:16A:1 PM Z-ml c]P R, Fn ý I
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NKIU I-I-U rrogram renormance uata Keporting bystem Single Positive Test Form for the EIE General Submission Portal Note:
Submission Update
- 1) All fields are equired except those aked "optional,
- 2) Entries in some form fields may result in information being atoe-Unique Reference Number (Licensee Supplied) populated into other form fields.
1
- 3) Use Adobe Reader 8 or later for this form to work property.
ON S-1-011
- 4) Hold your mouse ove, a forin field to view additional lnformationt.
Select Facility lOconee [50-269; 50-270; 50-287]
Date of Collection (mm/dd/yyyy)
I Reason for Testing - 26.717(b)(5)
Please elaborat
[Random]
Employment Type-26.717(b)(3)
Contractor/Vendor]
[C~nracor~edorPlease elaborate Labor Category-26.717(b)(3e FOther]
Refusal-26.717(b)(7) & 26.75 Was this collection refused (Yes / No)?
Test Results - 26.717(b)(4)
Test Validity Valid f
Test Type(s) for Result(s) Reported - 26.717(b)(2) e (optional)
Drug Testing IDrug Only I
lurine Was this collection observedf(esfNo)? - 26.717(b)(7) & 26.75 Substance - 26.717(b)(2) & (b)(6)
Additional Substance (as applicable)
Cocaine I
Please Select Additional Substance (as applicable)
IPlease Select Use NRC Cutoff (Yes / No)?FYes Use NRC Cutoff (Yes / No)? e,--7 Use NRC Cutoff (Yes / No)?
Is this a 24.Hour Reporting Event (Yes/No)? - 26.719(b)INo I
Subversion Attempts - 26.717(b)(7) and 26.75(b)
Did this collection involve a subversion attempt (Yes/No)? Iio Management Actions - 26.717(b)(8) & 26.75 Reason for the Action First drug or alcohol positive Sanction Applied (NRC Minimum or Licensee Administrated)
Licensee Administrated Specific Sanction Applied 3-Year Denial Person(s) Responsible for Information Provided Person 1 (required):
1 J u b e B P a tF F D S p e c i a l is t j u l ie.b r y a n t @ d u k e -en er g y.c o r n First Name Last Name Position Title Company Email Address Person 2 (optional):
First Name Last Name Position Title Company Email Address Final Step (Required) - NRC will consider this form authentic in accordance with 26.11 only when the "Validate & Lock" button has been selected and all errors (i.e., those highlighted in red) have been corrected. The "Validate & Lock" button will change to "Locked" after the data validation process has been successfully completed and the form is ready for submission.
Form Locked On:
h0 Lt 2 1at3 1M
- Sývto PC F
hLn Rep, Sinai. fenv,,. Tent rent vetnien 1.3.0 - 5ev 0.2011 Single Po...lv Test F.- v-ion 1.3,0 - N-v 8. 2011
-] Submission Update Unique Reference Number (Li ONS-1 1-012 Select Facility Oconee [50-269; 50-270;5 Reason for Testing - 26.717(
WC FFD Program Performance Data Reporting System Single Positive Test Form for the EME General Submission Portal Note:
- 1) All fields are required e-.ept these marked p.ional.
Z) Entries in some form fields truay result It information being auto-censee Supplied populated ito other fori felds.
- 3) Use Adobe Reader 8 or later for this fern to uwork properly.
- 4) Held your n oesever a rrrr field to view additio-al it-rteatiorrn.
50-287]
Date of Collection (mm/dd/yyyy) [1/1/2011 b)(5)
Pre-Access Testing Reason (optional)
Please elaborate (optional)
Pre-Access initial Authori Employment Type - 26.717(b)(3)
Contractor/Vendor Please elaborate Labor Category - 26.717(b)(3)
][ir Refusal-26.717(b)(7) & 26.75 Was this collection refused (Yes / No)?
Test Results - 26.717(b)(4)
Test Validity TValid Test Type(s) for Result(s) Reported - 26.717(b)(2) zation L_
I Drug Testing Drug Only
]Urine Was this collection observed (Yes / No)? - 26.717(b)(7) & 26.75 Substance - 26.717(b)(2) & (b)(6)
Additional Substance (as applicable) rMarijuana IPlease Select Additional Substance (as applicable)
IPlease Select Use NRC Cutoff (Yes / No)? Yes Use NRC Cutoff (Yes / No)?
Use NRC Cutoff (Yes / No)?FYet Is this a 24-Hour Reporting Event (Yes/No)? - 26.719(b)FNo.
Subversion Attempts - 26.717(b)(7) and 26.75(b)
Did this collection involve a subversion attempt (Yes/No)?
Management Actions - 26.717(b)(8) & 26.75 Reason for the Action First drug or alcohol positive Sanction Applied (NRC Minimum or Licensee Administrated)
Licensee Administrated Specific Sanction Applied 3-Year Denial Person(s) Responsible for Information Provided Person 1 (required):
lryant FFD Specialist julie.bryant@duke-energy.com First Name Last Name Position Title Company Email Address Person 2 (optional):
First Name Last Name Position Title Company Email Address Final Step (Required) - NRC wil consider this form authentic in accordance with 26.11 only when the "Validate & Lock" button has been selected and all errors (i.e., those highlighted in red) have been corrected. The "Validate & Lock" button will change to "Locked" after the data validation process has been successfully completed and the form is ready for submission.
Form Locked On:lFeb 15, 2012 at 6:09:39 PM RL.
Single Posnite Test Form veison 1.30- Nov 8, 2011
NK(; I-I-U Program verformance uata Keporting bystem Single Positive Test Form for the EIE General Submission Portal
[*
Sbmisio UpateNot.e:
Submission Update
- 1) All fields are required except those marked optioral.
- 2) Enties In s..n. fonrm fields may resuit In in.r-aflion being to-Unique Reference Number (Licensee Supplied) poputlated Ilto other for. fields, S1-013)
Use Adobe Reader 8 or later for this form to work property.
ONS-1-013
- 4) Hold yeur nteo.se over a form field to view additionsl i,,foelrnion.
Select Facility lOconee [50-269; 50-270; 50-287]
Date of Collection (mm/ddlyyyy)
Reason for Testing - 26.717(b)(5)
Please elaborate (optional)
[Random I
Employment Type-26.717(b)(3)
IContractor/vendor Please elaborate Labor Category-26.717(b)(3)
Sr RP
[otheýrI Refusal - 26.717(b)(7) & 26.75 Was this collection refused (Yes I No)? i~o Test Results-26.717(b)(4)
Test Validity Test Type(s) for Result(s) Reported - 26.717(b)(2)
Alcohol Testing Drug Testing Drug and Alcohol
[Breath
[Urine Was this collection observed (Yes/No)? - 26.717(b)(7) & 26.75 Substance - 26,717(b)(2) & (b)(6)
Additional Substance (as applicable)
Additional S Alcohol Other Please Sele Please identify the substance INo drgidentified bythe lab. This is,
What 26.103 BAC level was exceeded?
N 0.04 or greater Use NRC Cutoff (Yes / No)?
N Use NRC Cu Initial Cutoff Confirmatory Cutoff Is this a 24-IHour Reportitng Event (Yes/No)? -26.7196(b)[Yes Please elaborate on the 24-hour reporting event Is this a Hon r Reportin g Eventt) - 26
.7 719nd26 (b
)RP Lead Tech ebstance (as applicable)
Ct Y toff (Yes / No)? F-s-Did this collection involve a subversion attempt (YeslNo)?
Management Actions - 26.717(b)(8) & 26.75 Reason for the Action First drug or alcohol positive Sanction Applied (NRC Minimum or Licensee Administrated)
Licensee Administrated Specific Sanction Applied 3-Year Denial Person(s) Responsible for Information Provided Persne I )required):
JPern 1 (
rBryant FFO Specialist julie.bryant@duke-energy co.
First Name Last Name Position Title Company Email Address Person 2 (optional):
First Name Last Name Position Title Company Email Address Final Step (Required) - NRC will consider this form authentic in accordance with 26.11 only when the "Validate & Lock" button has been selected and all errors (i.e., those highlighted in red) have been corrected. The "Validate & Lock" button will change to "Locked" after the data validation process has been successfully completed and the form is ready for submission.
Lotr Form Locked on:lFeb 15, 20112at6:08:23 =PM ISave I.
PC a
Flnl I hn 1, p 6,N1,e P-1-v TeM Fom vemion 1.3.0. Nov 8, 20
D Submission Update Unique Reference Number Li ONS-1 1-014 Select Facility Oconee [50-269; 50-270; S Reason for Testing - 26.717(
uL, rru rrogram renlormance uaa rmeporurig oytLem Single Positive Test Form for the EIE General Submission Portal Note:
- 1) All fields are required except those maiked "optional',
- 2) Entries in some form fields may result in information being auto-censee Supplied) populated into other fhrm field.s.
i3)
Use Adobe Reader 8 or later for this form to work properly.
- 4) Hold yaur rrouse oer a fernm field to view additional infornmation.
0-2871 Date of Collection (mm/dd/yyyy) b)(5)
Pre-Access Testing Reason (optional)
Please elaborate (optional)
Pre-Access i]
initial Authori Employment Type-26.717(b)(3)
Contractor/Vendor]
Please elaborate Labor Category - 26.717(b)(3)
Contractor O0ther]
Refusal - 26.717(b)(7) & 26.75 Was this collection refused (Yes / No)?
Test Results - 26.717(b)(4)
Test Validity Valid f
Test Type(s) for Result(s) Reported - 26.717(b)(2) zation Drug Testing Drug Only
]Urine I
Was this collection observed(Yes/No)?. 26.717(b)(7) & 26.75[N.
Substance - 26.717(b)(2) & (b)(6)
Additional Substance (as applicable)
Cocaine
[Please Select I
Additional Substance (as applicable)
IPlease Select Use NRC Cutoff (Yes I No)?FYe Use NRC Cutoff (Yes / No)?
Use NRC Cutoff (Yes / No)?Re-iI-i Is this a 24-Hour Reporting Event (Yes/No)? - 26.719(b) No j
Subversion Attempts - 26.717(b)(7) and 26.75(b)
Did this collection involve a subversion attempt (Yes/No)?
Management Actions - 26.717(b)(8) & 26.75 Reason for the Action lFirst drug or alcohol potitive Sanction Applied (NRC Minimum or Licensee Administrated) 1Licensee Administrated Specific Sanction Applied 3-Year Denial Person(s) Responsible for Information Provided Person I (required):
Jute Bryant FFD Specialist juebyatdknogio First Name Last Name Position Title Company Email Address Person 2 (optonal):
First Name Last Name Position Title Company Email Address Final Step (Required) -NRC will consider this form authentic in accordance with 26.11 only when the "Validate & Lock" button has been selected and all errors (i.e.. those highlighted in red) have been corrected. The "Validate & Lock" button will change to "Locked" after the data validation process has been successfully completed and the form is ready for submission.
Form Locked On:IDec 20, 2011 at 3:36:04 PM ]
.PSavt t*,*o, iF nt ths Rep*o Ssgl. Po.te. TIsiFoe
-erion 1.3.0- NvS. 2011
D] Submission Update Unique Reference Number Lic SNS-1 1-015 Select Facility IL; I-I-u rogram rertormance uata Ieporting bystem Single Positive Test Form for the ElE General Submission Portal Note:
- 1) All fields are required e-e.pt these markied optioetal.
- 2) Entries in s-ee form fields nay result in inforVation being a.t,-
censee Supplied oulllated into other form fields.
Jl e
- 3) Use Adobe Reader 8 or later for this form to wotk property.
- 4) Hold your touse over a feTte field to view additional infornmation.
0-287]
Date of Collection (mm/dd/yyyy)111/22/211 j
10oe 50-269; 50-270; 5 e (optional)
Reason for Testing - 26.717(b)(5)
Please elaborat Employment Type-26.717(b)(3)
Contractor/Vendor Please elaborate Labor Category - 26.717(b)(3) l 1 ntnentWorker FOther Refusal-26.717(b)(7) & 26.75 Was this collection refused (Yes / No)?
Test Results - 26.717(b)(4)
Test Validity Test Type(s) for Result(s) Reported - 26.717(b)(2) a(optional)
Drug Testing IDrug Only Iurine Was this collection observed (Yes/No)? - 26.717(b)(7) & 26.75 Substance-26.717(b)(2) & (b)(6)
Additional Substance (as applicable)
PMethamphetamine
]Please Select Additional Substance (as applicable)
Please Select Use NRC Cutoff (Yes / No)?
Yes Use NRC Cutoff (Yes / No)?
Use NRC Cutoff (Yes I No)? Yes Is this a 24-Hour Reporting Event (Yes/No)? - 26.719(b)FNo.
Subversion Attempts - 26.717(b)(7) and 26.75(b)
Did this collection involve a subversion attempt (Yes/No)?
I io Management Actions - 26.717(b)(8) & 26.75 Reason for the Action First drug or alcohol positive Sanction Applied (NRC Minimum or Licensee Administrated)
Licensee Administrated Specific Sanction Applied 3-Year Denial Person(s) Responsible for Information Provided Person 1 (required):
uSpecialist le.bryant@duke-energy.com First Name LastlName Position Title Company Email Address Person 2 (optional):
F 7
1 First Name Last Name Position Title Company Email Address Final Step (Required) - NRC will consider this form authentic in accordance with 26.11 only when the 'Validate & Lock" button has been selected and all errors (i.e., those highlighted in red) have been corrected. The "Validate & Lock" button will change to "Locked" after the data validation process has been successfully completed and the form is ready for submission.
Form Locked onFeb 15, 2012 at 6:05:22 PM e to.
C nt Repr oogte t-rsooe ice t-Oet venue i.e 0-nov 5.
Singte P'oifw TesM Fon veion 1.3 0 - No, 8. 2DI 1
-- Submission Update Unique Reference Number (Lic ONS-11-016 Select Facility m; rru rrogram rerTormance uata Keportung zystem Single Positive Test Form for the EIE General Submission Portal
- 1) All fields awe required except these mraiked "optionat'.
- 2) Entries in name form fields may result in information being auts-censee Supplie poputated into ther form fields.
- 3) Use Adobe Reader 8 or later for this form to work properly.
- 4) Hold your mouse over a form field to view additional inforenation.
0-287]
Date of Collection (mmlddlyyyy)112/27 11 I b)(5)
Pre-Access Testing Reason (optional)
Please elaborate (optional)
Oconee [50-269; 50-270; 5 Reason for Testing - 26.717()
Pre-Access F Initial Authori; Employment Type-26.717(b)(3) lContractor/'Vendlor Please elaborate Labor Category - 26.717(b)(3)
General Labor Refusal-26.717(b)(7) & 26.75 Was this collection refused (Yes / No)?
N.
Test Results - 26.717(b)(4)
Test Validity Valid
]
Test Type(s) for Result(s) Reported - 26.717(b)(2) ion Drug Testing Drug Only
[Urine Was this collection observed(Yes/No)?- 26.717(b)(7) & 26.75 Substance - 26.717(b)(2) & (b)(6)
Additional Substance (as applicable)
IMarijuana I Please Select Additional Substance (as applicable)
Please Select Use NRC Cutoff (Yes / No)? Yes Use NRC Cutoff (Yes / No)? EYIII3 Use NRC Cutoff (Yes / No)? Yes Is this a 24-Hour Reporting Event (Yes/No)? - 26.719(b) No Subversion Attempts - 26.717(b)(7) and 26.75(b)
Did this collection involve a subversion attempt (Yes/No)?
Management Actions - 26.717(b)(8) & 26.75 Reason for the Action First drug or alcohol positive Sanction Applied (NRC Minimum or Licensee Administrated)
Licensee Administrated Specific Sanction Applied 3-Year Denial Person(s) Responsible for Information Provided Person I (required):
Anita M
lFFD Specialist anita.mcdaniel@duke-energy.com First Name Last Name Position Title Company Email Address Person 2 (opfionaf):
First Name Last Name Position Title Company Email Address Final Step (Required) - NRC will consider this form authentic in accordance with 26.11 only when the 'Validate & Lock" button has been selected and all errors (i.e., those highlighted in red) have been corrected. The "Validate & Lock" button will change to "Locked" after the data validation process has been successfully completed and the form is ready for submission.
.Form Locked On: Jan 25, 201 t5:38:05 Pl Save tocalPC,,
Single Postve Test Form versin 1.3.0 -Nov 8, 2011
NRC FFD Program Performance Data Reporting System Annual Reporting Form for Drug and Alcohol Tests for the EIE General Submission Portal Please explain the change(s) to the form Nqoe:
'c, Submission This is nolt a submission update; the form auto-populated
- 1) All fields required except those marked 'optional'.
Update "Submission Update" in error. This is our original submission for
- 2) Use Adobe Reader 8 or later for this form to work properly.
CY 2011. The NRC is aware of this problem.
- 3) Hold your mouse over a form field to view additional information.
Select Facility jMcGuire [50-369; 50-370]
Tests Conducted in the Calendar Year Period of Report I I 2011 Total Number of Tests Conducted Total Number of Positive, Adulterated, Licensee Employees Contractors/Vendors Substituted, and Refusal to Test Results Pre-Access
.2351 1
2-141 Random 7627 J
0 For Cause 10 Post-Event 3
1 1o1 I0o Followup24]31 Total (Calculated) 1,0241 3,3461 18]
FFD Program Random Testing Population and Rate Average number of Average number of Total size of the random testing pool Annual random testing percentage licensee employees contractors/vendors throughout the period (Calculated) achieved for the testing pool Laboratory Testing Does your program use a lN Licensee Testing Facility?
(Yes / No)
Identify your HHS-Certified Laboratory(ies)
Quest Identify your Blind Performance Test Sample sipplier(s) IQA Associates Substances Tested Did your program only test for NC-eue substances Does your program conduct LOD testing AND at the NRC-specified minimum cutoff levels? (Yes / No) permitted in 26.163(a)(2)? (Yes / No)
Annual Report Form (version 1.3.0 - Nov 8, 2011)
- Page 1 of 2 -
Substances Tested - continued Summary of Management Actions - 26.717(b)(8)
Summarize actions implemented to improve FFD program performance. As applicable, reference in the topic description audit reports, 30-day reports, and/or corrective action reports. If reporting information on more than three topics, select "Others" for Topic 3 to report any additional topics.
Topic 1 Please Select I
0 Add an additional Topic Person(s) Responsible for Information Provided Person 1 (required):
Anita JMcDaniel
[FFD Specialist Anita.McDaniel@duke-energy.com First Name Last Name Position Title Company Email Address Person 2 (optional):
First Name Last Name Position Title Company Email Address Final Step (Required) - NRC will consider this form authentic in accordance with 26.11 only when the "Validate & Lock" button has been selected and all errors (i.e., those highlighted in red) have been corrected. The "Validate & Lock" button will change to "Locked" after the data validation process has been successfully completed and the form is ready for submission.
Form Locked On: IFeb 15, 2012 at 6:20:40 PM e tSav'Lt.c ecI P
iCPrittihis Repooi Annual Report Form (version 1.3.0 - Nov 8, 2011)
IMcGuire[50-369; 50-370]
j Period of RePort:[~~~j
-Page2of2-Annual Report Form (version 1.3.0 - Nov 8, 2011) iMcGuire [50-369; 5b-370]
Period of Report:12011 I
- Page 2 of2-
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Diutribution of Waivnu to, Ind tutual ki Euuh Category -26.2031C.)OlHi)
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Cu FF0 Program Pertormance Data Reporting system Single Positive Test Form for the EIE General Submission Portal F
Submission Update Unique Reference Number (Licensee Supplied)
MNS-1 1-001 Select Facility McGuire [50-369; 50-3701 Note.;
I) Al fields ate required -acept those marked 'optional'.
- 2) Entrie* in seone torm field.s -iy result i infartatiert being auto-populated Into other form fields.
- 3) Use Adobe Reader 8 or later for this form to work property.
- 4) Held year tias. over a fare. field to vnew additional intforrttien.
Date of Collection (mm/ddlyyyy)
Reason for Testing - 26.717(b)(5)
For Cause Test[
[For Cause I
Please Select Employment Type - 26.717(b)(3)
ContractorNendor Please elaborate Labor Category - 26.717(b)(3)
Bder
[Other Refusal-26.717(b)(7) & 26.75 Was this collection refused (Yes / No)?
Test Results - 26,717(b)(4)
Test Validity Valid Test Type(s) for Result(s) Reported - 26.717(b)(2) ng Reason (optional)
Drug Testing Drug Only E
urine I Was this collection observed (Yes/No)? - 26.717(b)(7) & 26.75FNo Substance - 26.717(b)(2) & (b)(6)
Additional Substance (as applicable) lCocaine
]
Marijuana Additional Substance (as applicable)
IPlease Select Use NRC Cutoff (Yes I No)? Yes Use NRC Cutoff (Yes / No)?
Use NRC Cutoff (Yes/ No)? Yes Is this a 24-Hour Reporting Event (YeslNo)? - 26.719(b)FNo Subversion Attempts - 26.717(b)(7) and 26.75(b)
Did this collection involve a subversion attempt (Yes/No)? I ~
']
Please elaborate on the choice(s) selected:
Initial Specimen out of temp range -repeated under direct observation o Refused to provide initial specimen El Specimen characteristics (e.g., color, odor, precipitant)
El Refused to provide second specimen
[] Invalid test result (initial specimen collected) - 26.185(f)
[ Specimen temperature (out of range)
[3 Refused to follow directions
[o Specimen paraphernalia identified E] Other Management Actions - 26.717(b)(8) & 26.75 Reason for the Action ISubversion attempt Sanction Applied (NRC Minimum or Licensee Administrated)
NRC Minimum I
Specific Sanction Applied lPermanent Denial Person(s) Responsible for Information Provided Person 1 (required):
emya° 11Bant E1%3O3p..1 1-I ll
.e.brantlduke-ennry.c.m First Name Last Name Position Title Company Email Address Person 2 (optional):
I I
First Name Last Name Position Title Company Email Address Final Step (Required) - NRC will consider this form authentic in accordance with 26.11 only when the "Validate & Lock" button has been selected and all errors (i.e., those highlighted in red) have been corrected. The "Validate & Lock" button will change to "Locked" after the data validation process has been successfully completed and the form is ready for submission.
Form Locked On:jFeb 15, 2012at 5:14:30 PM
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ýl:Sveýo
[..........
Sins!. Postive Tie F.ru -ersion 1.30 - N-v 8, 2011
Submission Update Unique Reference Number (Li MNS-1 1-002 Select Facility
% rru rrogram r'erormance uaLa rtepurung aystem Single Positive Test Form for the EIE General Submission Portal Note:
I) All fields are required except those etarked 'optional',
- 2) Entries in soene form fields may result in information being aueo-censee Supplied) populated into olther farm fields.
.3) Use Adobe Reader 8 or later for this formt to work properly.
- 4) Hold your itouse over a forin field to view additional inforntatiot.
McGuire [50-369; 50-370)
Da0e of Collection (mm/dd/yyyy)
Please elaborate (optional)
Reason for Testing - 26.717(b)(5)
Pre-Access Testing Reason (optional)
[Pre-Access II Reinstatement (Between 31 and 365 days)
Employment Type-26.717(b)(3)
IContractorNendor Please elaborate Labor Category - 26.717(b)(3)
Contractor FOther Refusal-26.717(b)(7) & 26.75 Was this collection refused (Yes / No)?
Test Results - 26.717(b)(4)
Test Validity FNot Applicable Test Type(s) for Result(s) Reported - 26.717(b)(2)
Alcohol Testing Alcohol Only I Breath Substance-26.717(b)(2) & (b)(6)
Alcohol Is this a 24-Hour Reporting Event (Yes/No)? - 26.719(b)FNo Subversion Attempts - 26.717(b)(7) and 26.75(b)
Did this collection involve a subversion attempt (Yes/No)?
Management Actions - 26.717(b)(8) & 26.75 Reason for the Action First drug or alcohol positive Sanction Applied (NRC Minimum or Licensee Administrated)
Licensee Administrated Specific Sanction Applied 3-Year Denial Person(s) Responsible for Information Provided Person I (required):
Juba tFFD Specialist juoe.bnyant@duk..ner.gy.c.m First Name Last Name Position Title Company Email Address Person 2 (optional):
First Name Last Name Position Title Company Email Address Final Step (Required) - NRC will consider this form authentic in accordance with 26.11 only when the "Validate & Lock" button has been selected and all errors (i.e., those highlighted in red) have been corrected. The "Validate & Lock" button will change to "Locked" after the data validation process has been successfully completed and the form is ready for submission.
Form Locked On: IDec 14, 2011 at 10:46:25 AMT Pi etino thPisG Rep Single Po v es-t FFo ver n 1.3,0 -Nov 8, 2011
rNm% rru rrogram rerrormance uaLa rneporuniyg aybLemi Single Positive Test Form for the EIE General Submission Portal Note:
Submission Update
- 1) All fields are required except thoese marked 'optional'.
- 2) Entries in some form fields may result in information being auto-Unique Reference Number (Licensee Supplied) populated into other fotrt fields.
M 03)
Use Adobe Reader 8 or later for this fotm to work properly, NIS-1 11-003
- 14)
Hold your mouse over a form field to view additional information.
Select Facility McGuire [50-369; 50-370]
Date of Collection (mm/dd/yyyy)
Reason for Testing - 26.717(b)(5)
Pre-Access Testing Reason (optional)
Pre-A s
Initial Authorization Employment Type-26.717(b)(3)
Cotactor/Vendor]
Please elaborate Labor Category-26.717(b)(3)
Turbin Refusal-26.717(b)(7) & 26.75 Was this collection refused (Yes / No)?
Test Results - 26.717(b)(4)
Test Validity Valid]
Test Type(s) for Result(s) Reported - 26.717(b)(2)
Alcohol Testing Drug Testing Drug and Alcohol Breath Urine Was this collection observed (Yes/ No)? - 26.717(b)(7) & 26.75 Substance - 26.717(b)(2) & (b)(6)
Additional Substance (as applicable)
[Alcohol I
Marijuana I
Please elaborate (optional)
L-I Additional Substance (as applicable)
[Please Select Use NRC Cutoff (Yes / No)? Yes What 26.103 BAC level was exceeded?
0.04 or greater I
Use NRC Cutoff (Yes / No)? Yes Is this a 24-Hour Reporting Event (Yes/No)? - 26.719(b)FNo Subversion Attempts - 26.717(b)(7) and 26.75(b)
Did this collection involve a subversion attempt (Yes/No)?
Management Actions - 26.717(b)(8) & 26.75 Reason for the Action IFirst drug or alcohol positive Sanction Applied (NRC Minimum or Licensee Administrated)
ILicensee Administrated Specific Sanction Applied 3-Year Denial Person(s) Responsible for Information Provided Person 1 (required):
Jule yajuie.bryant@duke-energy.com First Name Last Name Position Title Company Email Address Person 2 (optional):
I I
First Name Last Name Position Title Company Email Address Final Step (Required) - NRC will consider this form authentic in accordance with 26.11 only when the "Validate & Lock" button has been selected and all errors (i.e., those highlighted in red) have been corrected. The 'Validate & Lock" button will change to "Locked" after the data validation process has been successfully completed and the form is ready for submission.
Lcc~ud Form Locked On:lDec 14, 2011 at 10:57:46 AM
=-.1o e *o,:io" P r I
t thiý R:p,
rdmt, rru rrogram reU-riurmian-te UdLa i ePUF LI119 OybLt1mt Single Positive Test Form for the EIE General Submission Portal 1Submission Update
) All fields.rn required except those maoked optional'.
- 2) Entries in soome form fields may result in information being auto-Unique Reference Number (Licensee Supplied) populated into other for,. fiemis.
- 3) Ule Adobe Reader 8 or later for this form to work property.
MNS11-004
- 4) Hold your mouse over a form field to view additional information.
Select Facility McGuire [50-369; 50-370]
Date of Collection (mm/dd/yyyy)
Reason for Testing - 26.717(b)(5)
Pre-Access Test IPre-Access iI Initial Authori; Employment Type - 26.717(b)(3)
[Cntactor/Vendor Please elaborate Labor Category-26.717(b)(3) l&c
[Other Refusal - 26.717(b)(7) & 26.75 Was this collection refused (Yes / No)?
No Test Results - 26.717(b)(4)
Test Validity Valid Test Type(s) for Result(s) Reported - 26.717(b)(2) ing Reason (optional) zation Please elaborate (optional)
Drug Testing Drug Only I
IUrine
]
Was this collection observed(Yes/No)? - 26.717(b)(7) & 26.75 Substance - 26.717(b)(2) & (b)(6)
Additional Substance (as applicable)
IMarijuana i
IPlease Select I
Additional Substance (as applicable)
[Please Select 1
Use NRC Cutoff (Yes / No)? Yes Use NRC Cutoff (Yes / No)?
leTI Use NRC Cutoff (Yes / No)? Yes Is this a 24-Hour Reporting Event (Yes/No)? - 26.719(b) [No Subversion Attempts - 26.717(b)(7) and 26.75(b)
Did this collection involve a subversion attempt (Yes/No)?
Management Actions - 26.717(b)(8) & 26.75 Reason for the Action First drug or alcohol positive Sanction Applied
)NRC Minimum or Licensee Administrated)
Licensee Administrated Specific Sanction Applied 3-Year Denial Person(s) Responsible for Information Provided Person 1 (required):
1jule F FFDSpeial stjulie~bryant@du ke-nergy.co m First Name Last Name Position Title Company Email Address Person 2 (optional):
First Name Last Name Position Title Company Email Address Final Step (Required) - NRC will consider this form authentic in accordance with 26.11 only when the "Validate & Lock" button has been selected and all errors (i.e., those highlighted in red) have been corrected. The "Validate & Lock" button will change to "Locked" after the data validation process has been successfully completed and the form is ready for submission.
Form Locked On:IDec 14, 2011 at 11:03:46AMo
.t............
s~n5i.ro~so.~.~rem vereron.a.e -eooo. ocr Singl, P-,v T-FOM,ri e~n 1.3.0 -N-o 8. 20n11
-1 Submission Update Uell ue eeit i
lt UIloor yI MN-1-005 Select Facility it, rru rrogram rernormance uata reporlung aystem Single Positive Test Form for the EIE General Submission Portal Note;
- 1) All fields -re required except these marked 'optional'.
- 2) Entries in seine for fietds may result in infornatine being auto-censee Supplied) populated into other form fields.
- 3) Use Adobe Reader u or later for this form to work properly,
- 4) Hold your nouse over a torm field to view additional information, Date of Collection (mm/dd/yyyy) O5/16/20liI b)(5)
Pre-Access Testing Reason (optional)
Please elaborate (optional)
McGuire [50-369; 50-3701 Reason for Testing - 26.717(
Il~re-Access J
lnitial Authori:
Employment Type - 26.717(b)(3)
ILicensee Employee Please elaborate Labor Category-26.717(b)(3)
Intern
[Other Refusal-26.717(b)(7) & 26.75 Was this collection refused (Yes No)?
Test Results - 26.717(b)(4)
Test Validity Tvtalid Test Type(s) for Result(s) Reported - 26.717(b)(2) zation Drug Testing Drug Only jrine j
Was this collection observed (Yes/ No)?- 26.717(b)(7) & 26.75 Substance - 26.717(b)(2) & (b)(6)
Additional Substance (as applicable)
Marijuana I
Please Select Additional Substance (as applicable)
I Please Select Use NRC Cutoff (Yes / No)? eTII Use NRC Cutoff (Yes / No)? E li Use NRC Cutoff (Yes / No)? e Is this a 24-Hour Reporting Event (Yes/No)? - 26.719(b) No._o -
Subversion Attempts - 26.717(b)(7) and 26.75(b)
Did this collection involve a subversion attempt (Yes/No)? E~o Management Actions - 26.717(b)(8) & 26.75 Reason for the Action First drug or alcohol positive Sanction Applied (NRC Minimum or Licensee Administrated)
Licensee Administrated Specific Sanction Applied 3-Year Denial Person(s) Responsible for Information Provided Person I (required):
Julie Bryant FFD Specialist shIi atidk-eeg~s Jun FF Spciaistjulie.bryant@d uke-nergy.com First Name Last Name Position Title Company Email Address Person 2 (optonal):
First Name Last Name Position Title Company Email Address Final Step (Required) - NRC will consider this form authentic in accordance with 26.11 only when the "Validate & Lock" button has been selected and all errors (i.e., those highlighted in red) have been corrected. The "Validate & Lock" button will change to "Locked" after the data validation process has been successfully completed and the form is ready for submission.
Form Locked On: Dec 14, 2011 at 11:12:08 AM P... PO f l
.i.t this Report door. remade ieuioee deruron i.a.u '5ev e. Lou Gingle po~tnve T -s Fo-
,m~n.3eO -Nov, B.2011i
rK* rru rrogram reriormance UaLa rMeporLIIng OybLemiT Single Positive Test Form for the EIE General Submission Portal
-*SbisinUdt Sete Submission Update I) All fields a.e required exoept those
- auked bptfionl',
- 2) Entries in some form fields may result in information being auto-Unique Reference Number (Licensee Supplied) populottd into ther forn fields.
- 3) Use Adobe Reader 8 or later for this form to worli property.
_MNS-1_1-006
- 4) Hold your,iouse over a Iormn field to view additional information.
Select Facility McGuire [50-369; 50-370]
Date of Collection (mm/dd/yyyy) 0/ /201iI Please elaborate (optional)
Reason for Testing - 26.717(b)(5)
Pre-Access Tes Access Initial Authori Employment Type-26.717(b)(3)
Contractor/Vendor]
Please elaborate Labor Category - 26.717(b)(3)
]
onactor Refusal - 26.717(b)(7) & 26.75 Was this collection refused (Yes / No)?
No Test Results - 26.717(b)(4)
Test Validity TV Typlsd f R e
Test Type(s) for Result(s) Reported - 26.717(b)(2) ting Reason (optional) zation Drug Testing IDrug Only Urine Was this collection observed(Yes/No)? - 26.717(b)(7) & 26.75 N Substance - 26.717(b)(2) & (b)(6)
Additional Substance (as applicable)
Mariuana 11Please Select Additional Substance (as applicable)
[Please Select I
Use NRC Cutoff (Yes / No)? Yes Use NRC Cutoff (Yes I No)? [I-iII]
Use NRC Cutoff (Yes / No)?
Is this a 24-Hour Reporting Event (Yesifo)? - 26.719(b)[No Subversion Attempts - 26.717(b)(7) and 26.75(b)
Did this collection involve a subversion attempt (Yes/No)? I jo Management Actions - 26.717(b)(8) & 26.75 Reason for the Action First drug or alcohol positive Sanction Applied (NRC Minimum or Licensee Administrated)
Licensee Administrated Specific Sanction Applied 3-Year Denial Person(s) Responsible for Information Provided Person 1 (required):
Julie Bn/ant FFD Specialist julie.bryant@duke--energy.com First Name Last Name Position Title Company Email Address Person 2 (optonal):
First Name Last Name Position Title Company Email Address Final Step (Required) - NRC will consider this form authentic in accordance with 26.11 only when the "Validate & Lock" button has been selected and all errors (i.e., those highlighted in red) have been corrected. The "Validate & Lock" button will change to "Locked" after the data validation process has been successfully completed and the form is ready for submission.
K Form Locked On: Dec 14, 2011 at 11:18:
F caIL.-I; P
Prnnt this Repot Single Pc=bYe lest Fo* ve*lon 1.3.O - NOV 8, 2011
NIIu i-i-u rrogram reenormance uata rKeporung system Single Positive Test Form for the EIE General Submission Portal SI.;e:
Submission Update
- 1) Ali fields are required except tlhose marked optional'.
- 2) Entries in om. torn, fields.osy reslei in Inforntation being auto-Unique Reference Number ILicensee Supplied) populated Into oither form fields, M _NS-I_1-007__
J
- 3) Use Adobe Reader 8 or later for this form to merk property.
IMNS-1-007
- 4) Hold your an-ovse er a fom field to view additional information.
Select Facility McGuire [50-369; 50-370]
Dat Reason for Testing-26.717(b)(5)
Pre-Access Testing Reason (optional)
P Er-A:ccesisl 1Reinstatement (Between 31 and 365 days)
Employment Type-26.717(b)(3)
Please elaborate Labor Category - 26.717(b)(3)
IT Computer Systems
[Other
[
Refusal-26.717(b)(7) & 26.75 Was this collection refused (Yes / No)?
Test Results - 26.717(b)(4)
Test Validity Valid - -
Test Type(s) for Result(s) Reported - 26.717(b)(2)
Alcohol Testing Drug Testing Drug and Alcohol
[Breath Was this collection observed (Yes/No)? - 26.717(b)(7) & 26.75 Substance-26.717(b)(2) & (b)(6)
Additional Substance (as applicable) jAlcohol
]Other Please identify the substance No drug identified by the lab. This is What 26.103 BAC level was exceeded?
0.03 and in work status at least 1 hr Use NRC Cutoff (Yes / No)? NO Initial Cutoff Confirmatory Cutoff Is fisa 24-Hour Reporting Event (Yes/No)? - 26.719(b)FNo e of Collection (mm/ddIyyyy) 06/27/2011
'lease elaborate (optional)
J Additional Substance (as applicable) 1Please Select Use NRC Cutoff (Yes / No)?FYes Subversion Attempts - 26.717(b)(7) and 26,75(b)
Did this collection involve a subversion attempt (Yes/No)?
Management Actions - 26.717(b)(8) & 26.75 Reason for the Action seconddrug or alcohol positive Sanction Applied (NRC Minimum or Licensee Administrated)
Licensee Administrated Specific Sanction Applied Permanent Denial Person(s) Responsible for Information Provided Person 1 (required):
Juli/
Brant FD Specialist ulie.bryant@duke-eneray..om First Name Last Name Position Title Company Email Address Person 2 (oprtional):
First Name Last Name Position Title Company Email Address Final Step (Required) NRC will consider this form authentic in accordance with 26.11 only when the "Validate & Lock" button has been selected and all errors (i.e., those highlighted in red) have been corrected. The "Validate & Lock" button will change to "Locked" after the data validation process has been successfully completed and the form is ready for submission.
Form Locked On:[Feb 15, 2012 at 5:28:33 =PM Saeto ocal.cOFrint his eport single Positive Test Four version 1.3 0- Nov 8, 2011
] Submission Update Unique Reference Number Li MNS-111-008 Select Facility McGuire [50-369; 50-3701 Reason for Teasting - 26.717(
mu i-Iu rrogram rerrormance uata reporting zysiem Single Positive Test Form for the EIE General Submission Portal Note:
- 1) All fields ame required esoept these marked 'optional'.
- 2) Entries in some form fields may result in information being auto-censee Supplied) populated into other rtosn fields.
- 3) Use Adobe Reader 6 or later tor this form to work properly.
- 4) Hold your moose over a foetm field to view additional Inlormation.
Date of Collection (mm/dd/yyyy) 10/2/2011 b)(5)
For Cause Testing Reason (optional)
Please elaborate (optional)
For Cause Credible Report Employment Type-26.717(b)(3)
P actoriVenor Please elaborate Labor Category - 26.717(b)(3)
Project Control
[Other]
Refusal-26.717(b)(7) & 26.75 Was this collection refused (Yes I No)?
Test Results - 26.717(b)(4)
Test Validity Test Type(s) for Result(s) Reported - 26.717(b)(2)
Drug Testing Drug Only 1Urine Was this collection observed (Yes I/No)?- 26.717(b)(7) & 26.75 Substance - 26.717(b)(2) & (b)(6)
Additional Substance (as applicable) lCocaine J[Please Select I
Additional Substance (as applicable)
[Please Select I
Use NRC Cutoff (Yes I No)?
Use NRC Cutoff (Yes / No)? Yes Use NRC Cutoff (Yes / No)? Yes Is this a 24-Hour Reporting Event (Yes/No)? - 26.719(b)FNo I
Subversion Attempts - 26.717(b)(7) and 26.75(b)
Did this collection involve a subversion attempt (Yes/No)?
i o Management Actions - 26.717(b)(8) & 26.75 Reason for the Action First drug or alcohol positive Sanction Applied (NRC Minimum or Licensee Administrated) 1Licensee Administrated Specific Sanction Applied 3-Year Denial Person(s) Responsible for Information Provided Person I (required):
Julie FFD Specialist jule.bryant@duk nergy..om First Name Last Name Position Title Company Email Address Person 2 (optonal):
First Name Last Name Position Title Company Email Address Final Step (Required) - NRC will consider this form authentic in accordance with 26.11 only when the "Validate & Lock" button has been selected and all errors (i.e., those highlighted in red) have been corrected. The "Validate & Lock" button will change to "Locked" after the data validation process has been successfully completed and the form is ready for submission.
Form Locked On:Dec 15, 2011 at 9131:23 AM lSw ti Sing[, Postie T-et F-e ernsion 1.3.0 -1o4 8, 2011
R Submission Update Unique Reference Number (Li Select Facility McGuire [50-369; 50-370]
Reason for Testing-26.717(
WC FFD Program Performance Data Reporting System Single Positive Test Form for the EIE General Submission Portal Note:
- 1) All fields are required eorept those -kared optlona:I Z) Etries in sonee form fields may result in Information being auto-ce Spopulated into otber form fields.
cen Su pplied
- 3) Use Adobe Reader 8 or later for this form to -Ark properly.
- 4) Hold your mouse ever a form field to view additiono,, intfonrsfion.
Date of Collection (mmidd/yyyy) [0/2/2011 b)(5)
Pre-Access Testing Reason (optional)
Please elaborate (optional)
[Pre-Access
]
eilnstatemen Employment Type-26.717(b)(3)
Contractor/Vendor Please elaborate Labor Category - 26.717(b)(3)
LOther]
bude Refusal-26.717(b)(7) & 26.75 Was this collection refused (Yes / No)?
Test Results - 26.717(b)(4)
Test Validity TVtTetd Re Test Type(s) for Result(s) Reported - 26.717(b)(2) t (Between 31 and 365 days)
I Drug Testing Drug Only I
[UiIne]
Was this collection observed (Yes INo)? - 26.717(b)(7) & 26.75 Substance - 26.717(b)(2) & (b)(6)
Additional Substance (as applicable)
Ilarjuana IIPeaseSelect I
Additional Substance (as applicable) 1Please Select Use NRC Cutoff (Yes / No)? Fes Use NRC Cutoff (Yes / No)?
Use NRC Cutoff (Yes / No)?
Is this a 24-Hour Reporting Event (Yes/No)? - 26.71 9(b) No Subversion Annempts - 26.717(b)(7) and 26.75(b)
Did this collection involve a subversion attempt (Yes/No)?
Management Actions - 26.717(b)(8) & 26.75 Reason for the Action First drug or alcohol positive Sanction Applied (NRC Minimum or Licensee Administrated)
Licensee Administrated Specific Sanction Applied 3-Year Denial Person(s) Responsible for Information Provided Person 1 (ruquired):
-ynt
[FFD Specialist julie.bryant@duke-energy.co.
First Name Last Name Position Title Company Email Address Person 2 (optional):
First Name Last Name Position Title Company Email Address Final Step (Required) - NRC will consider this form authentic in accordance with 26.11 only when the "Validate & Lock" button has been selected and all errors (i.e., those highlighted in red) have been corrected. The "Validate & Lock" button will change to 'Locked" after the data validation process has been successfully completed and the form is ready for submission.
- O Form LockedOn:lFeb 15, 2012 at 5:31:30 PM.
PbC]r ru I-rs oevrnnvv-00,
Single Pow-v Teat Form -orto 1.3 0 -Nov a, 2011i
Submission Update Unique Reference Number (Lic MNS-1 1-010 Select Facility McGuire [50-369; 50-370]
Reason for Testing - 26.717(b ciu r-I-u rrogram rernormance uata tKepor-, ng oystem Single Positive Test Form for the ElL General Submission Portal Note:
r) All fields are required except these marked 'optional',
- 2) Entries in soene fore fields may result in information being auto-ensee Supplied) populated into ether f.r-fields.
- 3) Use Adobe Reader 8 or later for this toun to wtet1 properly.
- 4) Hold your mouse over a form field to view additional information.
i~jIIlliZ ~ iii I~
Date of Collection (mm/dd/yyyy) 08/2/20I1 j
b)(5)
Pre-Access Testing Reason (optional)
Please elaborate (optional)
Pre-Access I
FInitial Author):
Employment Type - 26.717(b)(3)
Cotactor/Vendor Please elaborate Labor Category - 26.717(b)(3)
Firewatch Other Refusal-26.717(b)(7) & 26.75 Was this collection refused (Yes / No)?
Test Results - 26.717(b)(4)
Test Validity Valid
]
Test Type(s) for Result(s) Reported - 26.717(b)(2) zation Drug Testing Drug Only urine I
Was this collection observed (Yes / No)? - 26.717(b)(7) & 26.75 Substance - 26.717(b)(2) & (b)(6)
Additional Substance (as applicable) lMarijuana 71 IPlease Select I
Additional Substance (as applicable)
[Please Select I
Use NRC Cutoff (Yes / No)? Yes Use NRC Cutoff (Yes I No)? eIII Use NRC Cutoff (Yes / No)? Yes Is this a 24-Hour Reporting Event (Yes/No)? - 26.71g(b))No 7
Subversion Attempts - 26.717(b)(7) and 26.75(b)
Did this collection involve a subversion attempt (Yes/No)?
Management Actions - 26.717(b)(8) & 26.75 Reason for the Action
[First drug or alcohol positive Sanction Applied (NRC Minimum or Licensee Administrated)
[Licensee Administrated Specific Sanction Applied 3-Year Denial Person(s) Responsible for Information Provided Person 1 (required):
Julia
[Blnt]
FFD Specialist jufie.bryant@dukenergy.c. m First Name Last Name Position Title Company Email Address Person 2 (optional):
First Name Last Name Position Title Company Email Address Final Step (Required) - NRC will consider this form authentic in accordance with 26.11 only when the "Validate & Lock" button has been selected and all errors (i.e., those highlighted in red) have been corrected. The "Validate & Lock" button will change to "Locked" after the data validation process has been successfully completed and the form is ready for submission.
0*
Form Locked On: Dec. 15, 2011 at9:49:53AM]
SP h
Single Puseive Test Ftm, versieo 1.3.0- Nov 8. 2011
F Submission Update Unique Reference Number (Lic MNS-11-011 Select Facility au i-ru rrogram rerrormance uata ueporung system Single Positive Test Form for the EIE General Submission Portal
- 1) All fields are required except those marked 'optional'.
- 2) Entries in.. ne form fields may result in information being auto-censee Supplied) populated into other forn fields.
- 3) Use Adobe Reader 8 or later for this form to work properly.
- 4) Hold your ttouse over a fort field to view additional Informatiomt.
Date of Collection (mm/ddlyyyy) 09072 011 b)(5)
Pre-Access Testing Reason (optional)
Please elaborate (optional)
McGuire [50-369; 50-370]
Reason for Testing - 26.717(b lPre-Access l Reinstatemen Employment Type-26.717(b)(3)
ContractorNendor Please elaborate Labor Category-26.717(b)(3) iccndesser
[Other]
Refusal-26.717(b)(7) & 26.75 Was this collection refused (Yes / No)? No Test Results - 26.717(b)(4)
Test Validity Test Type(s) for Result(s) Reported - 26.717(b)(2) t [Between 31 and 365 days)
I t(Between 31 and 365 days)
Drug Testing Drug Only
]Urine Was this collection obser-ed(Yes/No)?- 26.717(b)(7) & 26.75 Substance - 26.717(b)(2) & (b)(6)
Additional Substance (as applicable)
Marijuana
[Please Select Additional Substance (as applicable)
Please Select I
Use NRC Cutoff (Yes / No)? yes Use NRC Cutoff (Yes I No)? eIII]
Use NRC Cutoff (Yes I No)? Yes Is this a 24-Hour Reporting Event (Yes/No)? - 26.719(b) NoL7 Subversion Attempts - 26.717(b)(7) and 26.75(b)
Did this collection involve a subversion attempt (Yes/No)?
Management Actions - 26.717(b)(8) & 26.75 Reason for the Action First drug or alcohol positive i
Sanction Applied (NRC Minimum or Licensee Administrated)
Licensee Administrated Specific Sanction Applied 3-Year Denial Person(s) Responsible for Information Provided Person 1 (required):
Jue Bryant F
juhe.bryant@duke-energy.com First Name Last Name Position Title Company Email Address Person 2 (opetonall:
First Name Last Name Position Title Company Email Address Final Step (Required) - NRC will consider this form authentic in accordance with 26.11 only when the "Validate & Lock" button has been selected and all errors (i.e., those highlighted in red) have been corrected. The "Validate & Lock" button will change to "Locked" after the data validation process has been successfully completed and the form is ready for submission.
crked Form Locked On:lDec 15, 2011 at 9I58:01lAM ]
to G
FPJnt thýS ýRpott Single Pot~v-Test Fo ver-o 1.3.. --Nv., 2011
Fr Submission Update Unique Reference Number (Lic MNS-11 F-012 Select Facility u; I-v-u rrogram rertormance Data Keporting system Single Positive Test Form for the EIE General Submission Portal Note;
- 1) All fields are required e-cept those marked optional'.
- 2) Entries in some form fields troy result in intorrnation being auto-censee Supplied populated into olter fore fields.,
Sld3)
Use Adobe Reader 8 or later for this form to work property.
- 4) Hold your rrouse over a Fortn field to view additional iefonsntion.
Date of Collection (mm/ddlyyyy) b)(5)
Pro-Access Testing Reason (optional)
Please elaborate (optional)
McGuire [50-369; 50-370]
Reason for Testing - 26.717(
[Pre-Access Reinstatemen Employment Type - 26.717(b)(3)
[ContractorNendor I
Please elaborate Labor Category - 26.717(b)(3)
Refusal-26.717(b)(7) & 26.75 Was this collection refused (Yes I No)?
No Test Results - 26.717(b)(4)
Test Validity Tral i
o Test Type(s) for Result(s) Reported - 26.717(b)(2)
(Between 31 and 365 days)
I Drug Testing Drug Only I
lUrine Was this collection observed (Yes / No)? - 26.717(b)(7) & 26.75 Substance - 26.717(b)(2) & (b)(6)
Additional Substance (as applicable)
Marijuana
,Ij IPlease select Additional Substance (as applicable)
[Please Select Use NRC Cutoff (Yes I No)? Yes Use NRC Cutoff (Yes I No)?
Use NRC Cutoff (Yes/ No)? e-sIII Is this a 24-Hour Reporting Event (Yes/No)?- 26.719(b) No Subversion Attempts - 26.717(b)(7) and 26.75(b)
Did this collection involve a subversion attempt (Yes/No)?
Management Actions - 26.717(b)(8) & 26.75 Reason for the Action First drug or alcohol positive Sanction Applied (NRC Minimum or Licensee Administrated)
Licensee Administrated Specific Sanction Applied 3-Year Denial Person(s) Responsible for Information Provided Person I (required):
Jr1 FFDSiaist I julie.bryant@duke-gyg..om First Name Last Name Position Title Company Email Address Person 2 (oplional):
First Name Last Name Position Title Company Email Address Final Step (Required) - NRC will consider this form authentic in accordance with 26.11 only when the "Validate & Lock" button has been selected and all errors (i.e., those highlighted in red) have been corrected. The "Validate & Lock" button will change to "Locked" after the data validation process has been successfully completed and the form is ready for submission.
Form Locked On:Feb 15,2012at5:37:35PM I eita tý L
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.t' u0 Sing!. P.ositie Tew Forr. -eon 1.30.- Nov 8, 201 1
F Submission Update Unique Reference Number (Li Select Facility
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11d~~duiA r~t:PUI 11.11 OybLUm1 Single Positive Test Form for the EIE General Submission Portal
- 1) All filds ae required except these ia.ked "optienal,
- 2) Entries in some form fieldls may result in infnonnation being auto-censee Supplied) populated into other form fields.
i
- 3) Use Adobe Reader 8 or later for this form to work properly.
- 4) Hold your nouse over a torit field to view additional inotnmafion.
Date of Collection (mm/dd/yyyy) 0/0/2011 McGuire [50-369; 50-370]
Reason for Testing - 26.717(b)(5)
Pre-Access Testing Reason (optional)
Pre-Access Reinstatement (Between 31 and 365 days)
Employment Type-26.717(b)(3)
ContractorNendor P
Please elaborate Labor Category-26.717(b)(3)
RPTech FOther Refusal-26.717(b)(7) & 26.75 Was this collection refused (Yes / No)?
Test Results - 26.717(b)(4)
Test Validity Test Type(s) for Result(s) Reported - 26.717(b)(2)
Drug Testing Drug Only JUrine Was this collection observed (Yes /No)?. 26.717(b)(7) & 26.75 Substance - 26.717(b)(2) & (b)(6)
Additional Substance (as applicable)
Mruan Please Select
]
Please elaborate (optional)
Additional Substance (as applicable)
IPlease Select Use NRC Cutoff (Yes / No)? Yes Use NRC Cutoff (Yes / No)? E;III1 Use NRC Cutoff (Yes / No)? e;Z7 Is this a 2 4-Hour Reporting Event (Yes/No)? - 26.719(b)FNo7 Subversion Attempts - 26.717(b)(7) and 26.75(b)
Did this collection involve a subversion attempt (Yes/No)? [No Management Actions - 26.717(b)(8) & 26.75 Reason for the Action First drug or alcohol positive Sanction Applied (NRC Minimum or Licensee Administrated)
Licensee Administrated Specific Sanction Applied 3-Year Denial Person(s) Responsible for Information Provided Person 1 (required):
jule.bryant@dukegy....
.c.m First Name Last Name Position Title Company Email Address Person 2 (optonal):
First Name Last Name Position Title Company Email Address Final Step (Required) - NRC will consider this form authentic in accordance with 26.11 only when the "Validate & Lock" button has been selected and all errors (i.e., those highlighted in red) have been corrected. The "Validate & Lock" button will change to "Locked" after the data validation process has been successfully completed And the form is ready for submission.
Form Locked On:e 6 :2011at:K6.10 A
Singe Poe Te -t FemF- -ion 1.3.0 - Nov B. 2011
Submission Update Unique Reference Number Lic MNS-11-014 Select Facility McGuire [50-369; 50-370]
Reason for Testing - 26.717(
tt. rru rrogram reerTormance uata meporung aystem Single Positive Test Form for the EIE General Submission Portal Nfior
- 1) All fields ae required -exept those marked optional.
- 2) Entries in some forn fields may result in information being auto-censee Supplied) populated into other form fields.
Jlie
- 3) Use Adobe Reader 8 or later for this form to work properly.
- 4) Hold your mouse over a fortn field to view additional Irnformation.
Date of Collection (mmldd/yyyy) 0/0/2011 I
b)(5)
Pre-Access Testing Reason (optional)
Please elaborate (optional)
Pre-Access
]
IReinstatemen Employment Type-26.717(b)(3)
Cotactor/Vendor]
Please elaborate Labor Category - 26.717(b)(3)
Valve Tech FOther]
Refusal-26.717(b)(7) & 26.75 Was this collection refused (Yes I No)?
Test Results - 26.717(b)(4)
Test Validity Valid Test Type(s) for Result(s) Reported - 26.717(b)(2) t (Between 31 and 365 days)
I Drug Testing Drug Only
]Urine Was this collection observed(Yes/No)?- 26.717(b)(7) & 26.75 Substance - 26.717(b)(2) & (b)(6)
Additional Substance (as applicable)
Marijuana I IPlease Select I
Additional Substance (as applicable)
Please Select Use NRC Cutoff (Yes / No)? ye Use NRC Cutoff (Yes / No)?
Use NRC Cutoff (Yes / No)?
Is this a 24-Hour Reporting Event (Yes/No)? - 26.719(b)FNo7 Subversion Attempts - 26.717(b)(7) and 26.75(b)
Did this collection involve a subversion attempt (Yes/No)?
Management Actions - 26.717(b)(8) & 26.75 Reason for the Action ISecond drug or alcohol positive Sanction Applied (NRC Minimum or Licensee Administrated)
Licensee Administrated Specific Sanction Applied Permanent Denial Person(s) Responsible for Information Provided Person 1 (required):
Jue E B]ant IFD peialist juae.bnant@dukegy....
.com First Name Last Name Position Title Company Email Address Person 2 (optional):
First Name Last Name Position Title Company Email Address Final Step (Required) - NRC will consider this form authentic in accordance with 26.11 only when the "Validate & Lock" button has been selected and all errors (i.e., those highlighted in red) have been corrected. The "Validate & Lock" button will change to "Locked" after the data validation process has been successfully completed and the form is ready for submission.
Form Locked On: IDec 20. 2011 at 7:06:24 AM ILOIPC n
epoiA Single Posilive Test For-version 1.3.0 - Nov 8, 201
rir¶L rru rrogram reriormance UaLa de OpO[LFr1 Oy5Lemii Single Positive Test Form for the EIE General Submission Portal Nf~ot#
Submission Update
- 1) All fields are required except those marked 'optional'.
- 2) Entries in some form fields mayresult in information being auto-Unique Reference Number (Licensee Supplied) populated into other l'o..n fields.
___MNS-_
I
- 3) Use Adobe Reader 8 or later for this form to wor* properly, MNS11-015
- 4) Hold your mouse ove, a forn; Field to view additional information.
Select Facility McGuire [50-369; 50-370]
Date of Collection (mm/dd/yyyy) 09/07/20"jI Please elaborate (optional)
Reason for Testing - 26.717(b)(5)
Pre-Access Test
[Pre-Access lReinstatemen Employment Type-26.717(b)(3)
Cotactor/Vendor Please elaborate Labor Category-26.717(b)(3)
Insulater FOther L
Refusal-26.717(b)(7) & 26.75 Was this collection refused (Yes I No)?
Test Results - 26.717(b)(4)
Test Validity Test Type(s) for Result(s) Reported - 26.717(b)(2) ing Reason (optional) t(Between 31 and 365 days)
Drug Testing Drug Only I
lUrine Was this collection observed (Yes / No)? - 26.717(b)(7) & 26.75 F 77 Substance - 26.717(b)(2) & (b)(6)
Additional Substance (as applicable)
Arphetaminoo II Please Select I
Additional Substance (as applicable)
[Please Select Use NRC Cutoff (Yes / No)? Yes Use NRC Cutoff (Yes I No)?
Use NRC Cutoff (Yes / No)?FYes Is this a 24-Hour Reporting Event (YeslNo)? - 26.719(b)INoI Subversion Attempts - 26.717(b)(7) and 26.75(b)
Did this collection involve a subversion attempt (Yes/No)?
Management Actions - 26.717(b)(8) & 26.75 Reason for the Action IFirst drug or alcohol positive Sanction Applied (NRC Minimum or Licensee Administrated)
Licensee Administrated Specific Sanction Applied 3-Year Denial Person(s) Responsible for Information Provided Person 1 (required):
First Name Last Name Position Title Company Email Address Person 2 (opfional):
First Name Last Name Position Title Company Email Address Final Step (Required) - NRC will consider this form authentic in accordance with 26.11 only when the "Validate & Lock" button has been selected and all errors (i.e., those highlighted in red) have been corrected. The "Validate & Lock" button will change to 'Locked" after the data validation process has been successfully completed and the form is ready for submission.
Form Locked On:I Dec 20, 201 at 7:1249 AM]
v L -
'i Single Posw Test Formversi 1.3.0 -No 8,2011
D Submission Update Unique Reference Numb MIVNS-1 1-016 Select Facility McGuire [50-369; 50-Reason for Testing - 26 rdIKU rru rrogram r-errormance uata rKepor-lng oystem Single Positive Test Form for the EIE General Submission Portal Note;
- 1) All fields ore roquired except rloso aroked optional',
- 2) Entries in some tfrm fields may result in information being wuto-er (Licensee Supplied) populated into other for. fields,.
S213)
Use Adobe Reader 8 or later for this form to work properly.
- 4) Hold your mouse over a fone field to view additional information.
370]
Date of Collection (mm/dd/yyyy)(09/1 /2011
.717(b)(5)
Pre-Access Testing Reason (optional)
Please elaborate (optional)
[Pr-Access Rstatemen Employment Type - 26.717(b)(3)
Cotactor/Vendor]
Please elaborate Labor Category-26.717(b)(3)
Den O0ther
] !ý Refusal-26.717(b)(7) & 26.75 Was this collection refused (Yes / No)?
Test Results - 26.717(b)(4)
Test Validity Valid Test Type(s) for Result(s) Reported - 26.717(b)(2) t (Between 31 and 365 days)
I I
Drug Testing Drug Only
]Urine Was this collection observed (Yes/No)?- 26.717(b)(7) & 26.75 Substance - 26.717(b)(2) & (b)(6)
Additional Substance (as applicable)
SMarijuana
[Please Select Additional Substance (as applicable)
Please Select Use NRC Cutoff (Yes / No)? Yes Use NRC Cutoff (Yes / No)?
Use NRC Cutoff (Yes / No)?
lIIII Is this a 24-Hour Reporting Event (Yes/No)? - 26.719(b) No.
Subversion Attempts - 26.717(b)(7) and 26.75(b)
Did this collection involve a subversion attempt (Yes/No)?
Management Actions - 26.717(b)(8) & 26.75 Reason for the Action First drug or alcohol positive Sanction Applied (NRC Minimum or Licensee Administrated)
[Licensee Administrated Specific Sanction Applied 3-Year Denial Person(s) Responsible for Information Provided Person I (required):
iJ u lie n
IF F O S p e c a lis t
I, oe
.b ry n t O d u° 0 g..
.0 o.
First Name Last Name Position Title Company Email Address Person 2 (optionao:
F -
I First Name Last Name Position Title Company Email Address Final Step (Required) - NRC will consider this form authentic in accordance with 26.11 only when the "Validate & Lock" button has been selected and all errors (i.e., those highlighted in red) have been corrected. The "Validate & Lock" button will change to "Locked" after the data validation process has been successfully completed and the form is ready for submission.
Form LockedOn:jDec20, 201
[Save ýto o.,al I: Pnttih 7!*.P lI Single osve Ttet 1-F-
V-io 1.3o - NoBv 2011
F] Submission Update Unique Reference Number (Lic MNS-11 -017 Select Facility m; i-i-U Program rerrormance uata teporting bystem Single Positive Test Form for the EIE General Submission Portal Note;
- 1) All fields are reqaaiaed ecep thosel markred 'optional;
- 2) Entries In sase form fields inoy result in irdoareaatiora eielrg autoe censea Supplied poltWed into other fore field,.
Sl3)
Use Adobe Reader 8 or later for this fom to wora property.
- 4) Hold your mouse over a form field to view additional ilfoinratioin.
Date of Collection (mm/ddtyyyy)
I 20 i
McGuire [50-369; 50-370]
Reason for Testing - 26.717(b)(5)
For Cause Testing Reason (optional)
PI IFor Cause I
Observed Behavior Employment Type-26.717(b)(3) lContractorNendor I
Please elaborate Labor Category - 26.717(b)(3)
Computer Refusal-26.717(b)(7) & 26.75 Was this collection refused (Yes / No)?
Test Results - 26.717(b)(4)
Test Validity
[Valid Test Type(s) for Result(s) Reported - 26.717(b)(2)
Alcohol Testing Drug Testing Drug and Alcohol 11Breath
[Urine Was this collection observed (Yes/No)? - 261717(b)(7) & 26.75 Substance-26.717(b)(2) & (b)(6)
Additional Substance (as applicable) jAlcohol 1Other Please identify the substance lNo drug identified by the lab. This isi What 26.103 BAC level was exceeded?
0.04 or greater Use NRC Cutoff (Yes / No)?
Initial Cutoff Confirmatory Cutoff Is this a 24-Hour Reporting Event (Yes/No)? - 26.719(b)['N'*'*
ease elaborate (optional)
Additional Substance (as applicable)
Please Select 1
Use NRC Cutoff (Yes / No)? Yes Subversion Attempts - 26.717(b)(7) and 26.75(b)
Did this collection involve a subversion attempt (Yes/No)?
Management Actions - 26.717(b)(8) & 26.75 Reason for the Action First drug or alcohol positive77 ]
Sanction Applied (NRC Minimum or Licensee Administrated)
Licensee Administrated Specific Sanction Applied 3-Year Denial Person(s) Responsible for Information Provided Person I (required):
1ali I.,.]
IF Specinli ju~ llie.bryant@duke-energy.onm First Name Last Name Position Title Company Email Address Person 2 (optional):
First Name Last Name Position Title Company Email Address Final Step (Required) - NRC will consider this form authentic in accordance with 26.11 only when the "Validate & Lock" button has been selected and all errors (i.e., those highlighted in red) have been corrected. The "Validate & Lock" button will change to 'Locked" after the data validation process has been successfully completed and the form is ready for submission.
~iLbk~~-Form Locked On:lFeb 15,2012 at 5:48:13 PM avtoLa V
C Pnt
,this Rep
- i, uieai.raslr.ae lest raee aerelae rae-Ness. Ella single Pifosve est F-o veio 1,3.0 - Nov 8, 20 11
1-4F%, rru r11u1 dU9 ll rFt: lur tldiluU ukXLk INUjJU l9 OyLll."'LlI Single Positive Test Form for the EIE General Submission Portal fpte:
1Submission Update
- 1) All fields ate required except those stacked "optional'.
- 2) Entries in some form fields may result in information being auto-Unique Reference Number (Licensee Supplied) populated into other feota fields, MS1-083)
Use Adobe Reader 8 or later for this form to work properly.
IMNS-11-018
- 4) Hold your msouse over a forae field to view additional Information.
Select Facility McGuire [50-369; 50-370]
Date of Collection (mm/dd/yyyy)
Reason for Testing - 26.717(b)(5)
Please elaborate Il wu i
Random Followup Employment Type-26.717(b)(3)
ContractorNendor Please elaborate Labor Category-26.717(b)(3) contact Refusal - 26.717(b)(7) & 26.75 Was this collection refused (Yes / No)?
Test Results - 26.717(b)(4)
Test Validity Valid R
Test Type(s) for Result(s) Reported - 26.717(b)(2) on the reason for testing (optional)
Drug Testing Drug Only
[Urine Was this collection observed (Yes/No)?- 26.717(b)(7) & 26.75 Substance - 26.717(b)(2) & (b)(6)
Additional Substance (as applicable)
IMarijuana I
jPlease Select Additional Substance (as applicable)
[Please Select Use NRC Cutoff (Yes I No)?
Use NRC Cutoff (Yes I No)? e-I Use NRC Cutoff (Yes / No)? yes Is this a 24-Hour Reporting Event (Yes/No)? - 26.719(b) No Subversion Attempts - 26.717(b)(7) and 26.75(b)
Did this collection involve a subversion attempt (Yes/No)? [jo Management Actions - 26.717(b)(8) & 26.75 Reason for the Action Second drug or alcohol positive Sanction Applied (NRC Minimum or Licensee Administrated)
Licensee Administrated Specific Sanction Applied Permanent Denial Person(s) Responsible for Information Provided Person I (required):
Julie Bryant FFD Specieist julhe.bryant@duke-energy.com First Name Last Name Position Title Company Email Address Person 2 (optional):
First Name Last Name Position Title Company Email Address Final Step (Required) - NRC will consider this form authentic in accordance with 26.11 only when the "Validate & Lock" button has been selected and all errors (i.e.. those highlighted in red) have been corrected. The "Validate & Lock" button will change to "Locked" after the data validation process has been successfully completed and the form is ready for submission.
I -rd Form Locked On: I1ec20. 2011 at 7:34:35 AM]
SaeoLocal Pcý ~P, 1h, 1--p, It LkO e2... 0.1.at.i............
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T~el Form version 1.3.0 -00 Novir 01
NRIE FF0 Program Pertormance Data Reporting System Annual Reporting Form for Drug and Alcohol Tests for the EIE General Submission Portal Please explain the change(s) to the form Note:
r71 Submission This is not a submission update; the form auto-populated
- 1) All fields required except those marked 'optional" Update "Submission Update" in error. This is our original submission for
- 2) Use Adobe Reader 8 or later for this form to work properly.
I CY 2011. The NRC is aware of this problem.
- 3) Hold your mouse over a form field to view additional information.
Select Facility Period of Report Catawba [50-413; 50-414]
2011 Tests Conducted in the Calendar Year Total Number of Tests Conducted Total Number of Positive, Adulterated, Licensee Employees ContractorsNendors Substituted, and Refusal to Test Results P re A cc ess
- 1,2 1 61i*
i* *,**.....
I li J : :
Random I
643]
4271 2I i
For Cause~
4 1*-T1j;]~>
Post-Event I
I LIiiý I
o0 Fotlowup
- 32]
2]
Z ii Total (Calculated) 7781 I,1,675I 16]
FFD Program Random Testing Population and Rate Average number of Average number of Total size of the random testing pool Annual random testing percentage licensee employees contractors/vendors throughout the period (Calculated) achieved for the testing pool Laboratory Testing Does your program use a NO Licensee Testing Facility?
(Yes I No)
Identify your HHS-Certified Laboratory(ies)
Quest Identify your Blind Performance Test Sample supplier(s)
QA Associates Substances Tested Did your program only test for NRC-required substances
[es Does your program conduct LOD testing No AND at the NRC-specified minimum cutoff levels? (Yes / No) permitted in 26.163(a)(2)? (Yes / No)
Annual Report Form (version 1.3.0 - Nov 8, 2011)
- Page 1 of 2 -
Substances Tested - continued Summary of Management Actions - 26.717(b)(8)
Summarize actions implemented to improve FFD program performance. As applicable, reference in the topic description audit reports, 30-day reports, and/or corrective action reports. If reporting information on more than three topics, select "Others" for Topic 3 to report any additional topics.
Topic 1 Please Select 5 Add an additional Topic Person(s) Responsible for Information Provided Person 1 (required):
Anita IMcDaniel FFD Specialist Anita.McDaniel@duke-negy First Name Last Name Position Title Company Email Address Person 2 (optional):
First Name Last Name Position Title Company Email Address Final Step (Required) - NRC will consider this form authentic in accordance with 26.11 only when the "Validate & Lock" button has been selected and all errors (i.e., those highlighted in red) have been corrected. The "Validate & Lock" button will change to "Locked" after the data validation process has been successfully completed and the form is ready for submission.
Form Locked On: Feb 15, 2012 at 6:t1:49 PM L
Sav trn hsRepcýit*
Annual Report Form (version 1.3.0 - Nov 8. 20)1)
Catawba [50-413; 50-414]
] Period of Report:I~~i~]
- Page 2 of 2-Annual Report Form (version 1.3.0 - Nov 8, 2011) lCatawba [50-413; 50-414]
Period of Report:[20711
- Page 2 of 2 -
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vrimL rru rrogram renuormance uata reporung aystem Single Positive Test Form for the EIE General Submission Portal Note:
E Submission Update
- 1) All fields are required except tho.e marked 'optional'.
- 2) Emnries in some form fields may result in infonnation being auto-Unique Reference Number (Licensee Supplied) populated into other foatn fields.
J_
- 3) Use Adobe Reader 8 or later for this form to work properly, ICNS-1 1-001
- 4) Hold your tnouse over a form field to view additional infomiation.
Select Facility ICatawba [50-413; 50-414]
Date of Collection (mm/dd/yyyy)
Reason for Testing - 26.717(b)(5)
Please elab Followup]
Employment Type-26.717(b)(3)
Licensee Employee Labor Category - 26.717(b)(3)
Maintenance (Craft)
Refusal-26.717(b)(7) & 26.75 Was this collection refused (Yes / No)?
No Test Results - 26.717(b)(4)
Test Validity Test Type(s) for Result(s) Reported - 26.717(b)(2) orate on the reason for testing (optional)
Drug Testing Drug Only I
Urine Was this collection observed (Yes / No)? - 26.717(b)(7) & 26.75 Substance - 26.717(b)(2) & (b)(6)
Additional Substance (as applicable)
Morphine I
[Please Select I
Additional Substance (as applicable)
IPlease Select Use NRC Cutoff (Yes / No)?
Yes Use NRC Cutoff (Yes I No)?
Use NRC Cutoff (Yes / No)? Yes Is this a 24-Hour Reporting Event (Yes/No)? - 26.719(b)[No.
Subversion Attempts - 26.717(b)(7) and 26.75(b)
Did this collection involve a subversion attempt (Yes/No)? iIo Management Actions - 26.717(b)(8) & 26.75 Reason for the Action First drug or alcohol positive 1
Sanction Applied (NRC Minimum or Licensee Administrated)
ILicensee Administrated Specific Sanction Applied 3-Year Denial Person(s) Responsible for Information Provided Person I (required):
Julie Brant FFD Special!st juie.bryant@duke-energy.com First Name Last Name Position Title Company Email Address Person 2 (optional):
First Name Last Name Position Title Company Email Address Final Step (Required) - NRC will consider this form authentic in accordance with 26.11 only when the "Validate & Lock" button has been selected and all errors (i.e., those highlighted in red) have been corrected. The "Validate & Lock" button will change to "Locked" after the data validation process has been successfully completed and the form is ready for submission.
Form Locked On:[Dec 8, 2011 a PSM
.toLo.
Ca ] [IPrnf this Report Single Posive T.e. Fo. veri-n 1.3.0 -Nov 8. 2011
M Submission Update Unique Reference Number (Lic CNS-1 1-002 Select Facility Catawba [50-413; 50-414]
Reason for Testing - 26.717(1 it rr-u rrOgram rerlormanlLce UdLd rMeporULni1g OYNLI Single Positive Test Form for the EIE General Submission Portal Noto:
- 1) All fields.,e required except th.ese tetked optional.
- 2) Entries in some fren fields ray result in information being cuto-ensee Supplie ppulated into other Ierto fields.
- 3) Use Adobe Reader Sor later for this form ot worn properly,
- 4) Hold your,louse over a form field to view additional iforntation.
Date of Collection (mm/ddlyyyy) b)(5)
Pre-Access Testing Reason (optional)
Please elaborate (optional)
Pre-Access
[Rnsae n
Employment Type - 26.717(b)(3) lContractor/Vendlor I
Please elaborate Labor Category -26.717(b)(3)
IoerTechnician O0ther
[
Refusal-26.717(b)(7) & 26.75 Was this collection refused (Yes / No)?
Test Results - 26.717(b)(4)
Test Validity Valid f
Test Type(s) for Result(s) Reported - 26.717(b)(2)
(Between 31 and 36S days)
Drug Testing Drug Only I
[Urine Was this collection observed (Yes / No)? - 26.717(b)(7) & 26.75 Substance - 26.717(b)(2) & (b)(6)
Additional Substance (as applicable)
IMarijuana I
IPlease Select Additional Substance (as applicable)
[Please Select Use NRC Cutoff (Yes / No)?
l Use NRC Cutoff (Yes I No)?
Use NRC Cutoff (Yes / No)? Yes Is this a 24-Hour Reporting Event (Yes/No)? - 26.719(b)FNo I_
Subversion Attempts - 26.717(b)(7) and 26.75(b)
Did this collection involve a subversion attempt (Yes/No)?
I io Management Actions - 26.717(b)(8) & 26.75 Reason for the Action IFirst drug or alcohol positive Sanction Applied (NRC Minimum or Licensee Administrated)
ILicensee Administrated Specific Sanction Applied 3-Year Denial Person(s) Responsible for Information Provided Person 1 (required):
1 J u li a]
[ P ~ a r t F F D Sp d.ci a it
] j u l ie.b iy a n t @ d u k ~ e g y First Name Last Name Position Title Company Email Address Person 2 (optional):
IWE First Name Last Name Position Title Company Email Address Final Step (Required) - NRC will consider this form authentic in accordance with 26.11 only when the "Validate & Lock" button has been selected and all errors (i.e., those highlighted in red) have been corrected. The "Validate & Lock" button will change to "Locked" after the data validation process has been successfully completed and the form is ready for submission.
t Form Locked On: IDee 8, 2011 at 3:17:55 PM FsP c
i t ths Rer 0lerue etie ese t..-SeO Z Single Pomtzve Test Fo* ve*ion t.3.0 -Nov 8. 2011
] Submission Update Unique Reference Number(Li CNS-11-003 Select Facility iu rru rrogram rerTormance uata mepor-ung oysiem Single Positive Test Form for the EIE General Submission Portal Note:
- 1) All fields awe required except tlotso marked optional'.
- 2) Entries in some form fields may result in information being auto-censee Supplied) populated into other form fields.
f3)
Use Adobe Reader 8 or later for this form to work properly.
- 4) Hold your mouse over a fort field to view additional Information, Date of Collection (mm/dd/yyyy) 02/ 212 1b)(5)
Pre-Access Testing Reason (optional)
Please elaborate (optional)
Catawba [50-413; 50-414]
Reason for Testing - 26.717(
FPreAccess oReintatemen Employment Type-26.717(b)(3) iContractorNendor Please elaborate Labor Category-26.717(b)(3)
Fp Fier
[Other Refusal - 26.717(b)(7) & 26.75 Was this collection refused (Yes I No)?
Test Results - 26.717(b)(4)
Test Validity Test Type(s) for Result(s) Reported - 26.717(b)(2)
- t (Between 31 and 365 days)
I it (Between 31 and 365 das Drug Testing IDrug Only Urine Was this collection observed (Yes / No)? - 26.717(b)(7) & 26.75 F Substance - 26.717(b)(2) & (b)(6)
Additional Substance (as applicable)
Amphetamines I
IPlease Select I
Additional Substance (as applicable)
IPlease Select Use NRC Cutoff (Yes / No)? Yes Use NRC Cutoff (Yes / No)?
Use NRC Cutoff (Yes / No)?
Is this a 24-Hour Reporting Event (Yes/No)? - 26.719(b)ENo 7 Subversion Attempts - 26.717(b)(7) and 26.75(b)
Did this collection involve a subversion attempt (Yes/No)?
jjo Management Actions - 26.717(b)(8) & 26.75 Reason for the Action First drug or alcohol positive Sanction Applied (NRC Minimum or Licensee Administrated)
Licensee Administrated Specific Sanction Applied 3-Year Denial Person(s) Responsible for Information Provided Person 1 (required):
IJub~e IBryant IFFD Specialist uebyndknrgco First Name Last Name Position Title Company Email Address Person 2 (optional):Il I
First Name Last Name Position Title Company Email Address Final Step (Required) - NRC will consider this form authentic in accordance with 26.11 only when the "Validate & Lock" button has been selected and all errors (i.e., those highlighted in red) have been corrected. The "Validate & Lock" button will change to "Locked" after the data validation process has been successfully completed and the form is ready for submission.
Form Locked On: Dec 8, 2011 at 3:33:07PM ve S* toIl Pi
ý nt7thi~js Re*p,.A single PootVe Test Fom versaon 1.3.0 - Nov B. 2011
NKlU 1-1-U rrogram r-errormance uata teporung cysiem Single Positive Test Form for the EIE General Submission Portal E]Submission Update Note:
- 1) All fields.re required except those matked optional'.
- 2) Entries in some farm fields may result in information being auto-Unique Reference Number (Licensee Supplied) populated into other form fields.
1
- 3) Use Adobe Reader 8 or later for this form to work properly.
CNS-1 1-004
- 4) Hold your tnouse over a form field to view additional information.
Select Facility iCatawba [50-413; 50-414]
Date of Collection (mm/dd/yyyy)
Reason for Testing-26.717(b)(5)
Please elaborate (optional)
Random Employment Type-26.717(b)(3)
Licensee Employee Labor Category -26.717(b)(3)
Maintenance (Craft)
Refusal-26.717(b)(7) & 26.75 Was this collection refused (Yes / No)?
Test Results - 26.717(b)(4)
Test Validity Not Applicable Test Type(s) for Result(s) Reported - 26.717(b)(2)
Alcohol Testing Alcohol Only
] IBreath Substance-26.717(b)(2) & (b)(6)
Alcohol Is this a 24-Hour Reporting Event (Yes/No)? - 26.719(b)F".
Subversion Attempts - 26.717(b)(7) and 26.75(b)
Did this collection involve a subversion attempt (Yes/No)?
Management Actions - 26.717(b)(8) & 26.75 Reason for the Action lFirst drug or alcohol positive Sanction Applied (NRC Minimum or Licensee Administrated)
Licensee Administrated Specific Sanction Applied 14-Day Denial Person(s) Responsible for Information Provided Person 1 (required):
Julie BPa tFFD Specialist ju lie.bryant@ du k e-nergy.com First Name Last Name Position Title Company Email Address Person 2 (optional):
First Name Last Name Position Title Company Email Address Final Step (Required) - NRC will consider this form authentic in accordance with 26.11 only when the "Validate & Lock" button has been selected and all errors (i.e.. those highlighted in red) have been corrected. The "Validate & Lock" button will change to "Locked" after the data validation process has been successfully completed and the form is ready for submission.
Form Locked On:[Dec 8, 2011 at 3:44:05 PM l
Single Positive Test Fom version 1.3,0 - Nov 8, 2011
iPl.-U, rr u
ri mi ill r-i IUI Elu V
lUl uL.dld FlUPV Lillj OyLuilln Single Positive Test Form for the EIE General Submission Portal
-Norae F
Submission Update
) All fields are required except those mar.. d op tional',
- 2) Entries ib, oee f.-Int fields rosy result In iofomtatien being auto-Unique Reference Number (Licensee Supplied) popot led Into er form fields,
___ __ __1__005
- 3) Use Adobe Reader 8 or later for this form to wort property.
1
- 4) Hold yowr iouse
-ver a form field to view additional ibfottrinvlotn.
Select Facility ICatawba [50-413; 50-414]
Date of Collection (mmlddtlyyyy)
I Reason for Testing - 26,717(b)(5)
Please elaborate on the reason for testing (optional)
Employment Type-26.717(b)(3)
IContractOr/vendOr Please elaborate Labor Category - 26.717(b)(3)
Mechanic
[Other Refusal-26.717(b)(7) & 26.75 Was this collection refused (Yes I No)?
Test Results - 26.717(b)(4)
Test Validity Test Type(s) for Result(s) Reported - 26.717(b)(2)
Alcohol Testing Drug Testing 1Drug and Alcohol I [Breath
[Urine Was this collection observed (Yes/No)? - 26.717(b)(7) & 26.75 No Substance - 26.717(b)(2) & (b)(6)
Additional Substance (as applicable)
Alcohol IlCocaine Additional Substance (as applicable)
[Please Select Use NRC Cutoff (Yes I No)? rYes What 26.103 BAC level was exceeded?
0.03 and in work status at least 1 hr Use NRC Cutoff (Yes / No)? EsZ]
Is this a 24-Hour Reporting Event (Yes/No)? - 26,719(b)FNo Subversion Attempts - 26.717(b)(7) and 26.75(b)
Did this collection involve a subversion attempt (Yes/No)?
Management Actions - 26.717(b)(8) & 26.75 Reason for the Action Second drug or alcohol positive Sanction Applied
)NRC Minimum or Licensee Administrated)
Licensee Administrated Specific Sanction Applied Permanent Denial Person(s) Responsible for Information Provided Person 1 (required):
julie
[,nnt IFEO Spaciallt islue.brvanl@duke-e.ergn..om First Name La ame Position Title Company Email Address Person 2 (optional):
WE_-
First Name Last Name Position Title Company Email Address Final Step (Required) - NRC will consider this form authentic in accordance with 26.11 only when the "Validate & Lock" button has been selected and all errors (i.e., those highlighted in red) have been corrected. The "Validate & Lock" button will change to "Locked" after the data validation process has been successfully completed and the form is ready for submission.
Form Locked On:IFeb 15, 2012 a14:54:31 PM I
[
to.L! aiP' 1 ttlis Report..
Single Posibe Test Form version 1.30 -Nov 8. 2011
NrtU H-I-U rrogram 'ereormance uata tKeportlng bystem Single Positive Test Form for the EIE General Submission Portal Note:
Submission Update
- 1) All fields wre required except those reatked 'optional'.
- 2) Entries in some form fields may result in information being auto-Unique Reference Number (Licensee Supplied) populated into other fot,, fields.
- 3) Us. Adobe Reader 8 or later for this form to worh properly.
CNS1 1-006
.4) Hold your mouse over a fom; field to view additional lnformationt.
Select Facility ICatawba [50-413; 50-414]
Date of Collection (mmlddlyyyy)
Reason for Testing - 26.717(b)(5)
Please elaborati Random]
Employment Type-26.717(b)(3) e Please elaborate Labor Category - 26.717(b)(3)
Roor FOther]
Refusal-26.717(b)(7) & 26.75 Was this collection refused (Yes I No)?
No Test Results - 26.717(b)(4)
Test Validity TValid Test Type(s) for Resultds) Reported - 26.717(b)(2) e (optional)
Drug Testing Drug Only
]j jurine Was this collection observed(Yes/No)? - 26.717(b)(7) & 26.75 l
Substance - 26.717(b)(2) & (b)(6)
Additional Substance (as applicable)
Marijuana
[Please Select I
Additional Substance (as applicable)
[Please Select I
Use NRC Cutoff (Yes / No)?
Yes Use NRC Cutoff (Yes / No)?
Use NRC Cutoff (Yes / No)? Yes Is this a 24-Hour Reporting Event (Yes/No)? -26.719(b)o IiI Subversion Attempts - 25.717(b)(7) and 26.75(b)
Did this collection involve a subversion attempt (Yes/No)?
Management Actions - 26.717(b)(8) & 26.75 Reason for the Action First drug or alcohol positive Sanction Applied (NRC Minimum or Licensee Administrated)
ILicensee Administrated Specific Sanction Applied 3-Year Denial Person(s) Responsible for Information Provided Person 1 (required):
Julte Bryant FPD Specatist ejuHe.brtant@duke-energy'com First Name Last Name Position Tite Company Email Address Person 2 (optiona):
F I
First Name Last Name Position Title Company Email Address Final Step (Required) - NRC will consider this form authentic in accordance with 26.11 only when the "Validate & Lock" button has been selected and all errors (i.e., those highlighted in red) have been corrected. The "Validate & Lock" button will change to "Locked" after the data validation process has been successfully completed and the form is ready for submission.
Form Locked On:
c 8,2011 at55.40 PMa o
Singl. Peitive Tet Fo-vemon 13.0 -Nov B. 2011
D Submission Update Unique Reference Number Li CNS-11-007 u i-i-u rrogram rerrormance uata K"eporung system Single Positive Test Form for the EIE General Submission Portal
- 1) All fields mre required except those marked 'optional',
- 2) Entries in some form fields may result in information being auto-censee Supplied) populated into other fone fields.
I e
- 3) Use Adobe Reader 8 or later for this form to work properly.
- 4) Hold your mouse over a form field to view additional inforematie,.
Date of Collection (mmldd/yyyy)10//201111 b)(5)
Pre-Access Testing Reason (optional)
Please elaborate (optional)
Select Facility Catawba [50-413; 50-414]
Reason for Testing - 26.717(
Pre-Access i
I Initial Authori Employment Type-26.717(b)(3)
Contractor/VendorI Please elaborate Labor Category -26.717(b)(3)
Firewtch OtherI Refusal-26.717(b)(7) & 26.75 Was this collection refused (Yes / No)?
No Test Results - 26.717(b)(4)
Test Validity Test Type(s) for Result(s) Reported - 26.717(b)(2) zation Drug Testing IDrug Only IUrine Was this collection observed(Yes/No)?- 26.717(b)(7) & 26.75 Substance - 26.717(b)(2) & (b)(6)
Additional Substance (as applicable)
Marijuana IPlease Select Additional Substance (as applicable) 1Please Select Use NRC Cutoff (Yes / No)? Yes Use NRC Cutoff (Yes / No)?
Use NRC Cutoff (Yes / No)? E~I1 Is this a 24-Hour Reporting Event (Yes/No)? - 26.71 9(b)IFo Z Subversion Attempts - 26.717(b)(7) and 26.75(b)
Did this collection involve a subversion attempt (Yes/No)?
Management Actions - 26.717(b)(8) & 26.75 Reason for the Action First drug or alcohol positive Sanction Applied (NRC Minimum or Licensee Administrated)
Licensee Administrated Specific Sanction Applied 3-Year Denial Person(s) Responsible for Information Provided Person 1 (required):
ujute.bryant@duk...nergy.com First Name Last Name Position Title Company Email Address Person 2 (optional):
First Name Last Name Position Title Company Email Address Final Step (Required) - NRC will consider this form authentic in accordance with 26.11 only when the "Validate & Lock" button has been selected and all errors (i.e., those highlighted in red) have been corrected. The "Validate & Lock" button will change to "Locked" after the data validation process has been successfully completed and the form is ready for submission.
K FormLcked On:IDec2011 at4:08:2OPM Singei. posre Te.t F-o vmien 1.3.0 -Nov 8, 2011
F Submission Update Unique Reference Number (Lic CNS-1 1-008 Select Facility Catawba [50-413; 50-414]
Reason for Testing - 26.717(1
- - rru rrogram ren1ormance UdLa rKeporUiIg oyiLemfl Single Positive Test Form for the EIE General Submission Portal Ntote
- 1) All fields are required ecoept those niatked 'optional'.
- 2) Entries in s*ene form fields may result in information being auto-
- ensee Supplied populated into other form fields.
- 3) Use Adobe Reader t or later for this forso to work properly.
- 4) Hold your mouse over a form field to view additional information.
Date of Collection (mm/dd/yyyy) 03/212 1
b)(5)
Pre-Access Testing Reason (optional)
Please elaborate (optional)
IPreAccess i
Reinstatemen Employment Type - 26.717(b)(3)
Cotactor/Vendor Please elaborate Labor Category-26.717(b)(3)
Refusal-26.717(b)(7) & 26.75 Was this collection refused (Yes / No)?
Test Results - 26.717(b)(4)
Test Validity Valid
]
Test Type(s) for Result(s) Reported - 26.7 17(b)(2)
(Between 31 and 365 days)
Drug Testing Drug Only Urine I
Was this collection observed (Yes / No)? - 26.717(b)(7) & 26.75 Substance - 26.717(b)(2) & (b)(6)
Additional Substance (as applicable)
Marijuana I
IPlease Select I
Additional Substance (as applicable)
[Please Select Use NRC Cutoff (Yes / No)?FYes Use NRC Cutoff (Yes/ No)? eZ-7 Use NRC Cutoff (Yes / No)? e7II Is this a 24-Hour Reporting Event (Yes/No)? - 26.719(b)[No 7
Subversion Attempts - 26.717(b)(7) and 26.75(b)
Did this collection involve a subversion attempt (Yes/No)?
Management Actions - 26.717(b)(8) & 26.75 Reason for the Action lFirst drug or alcohol positive Sanction Applied (NRC Minimum or Licensee Administrated)
Licensee Administrated Specific Sanction Applied 3-Year Denial Person(s) Responsible for Information Provided Person 1 (required):
First Name Last Name Position Title Company Email Address Person 2 (optional):
First Name Last Name Position Title Company Email Address Final Step (Required) - NRC will consider this form authentic in accordance with 26.11 only when the "Validate & Lock" button has been selected and all errors (i.e., those highlighted in red) have been corrected. The 'Validate & Lock" button will change to "Locked" after the data validation process has been successfully completed and the form is ready for submission.
Form Locked On:jDec 20, 2011 at 7:39:17 AM FSay, ro *o-PC] [
ti3 Report]
Single Fos1-v Tet FOM -esOn 1.3.U -No, 8, 2011
j Submission Update Unique Reference Number (Li ICNS-1 1-009 Select Facility Catawba [50-413; 50-414]
r%0, rrui r11u-1 i 9
ll rurlur IllUnF L JULd retpUr
.1111 Oy5Ls EJI Single Positive Test Form for the EIE General Submission Portal
- Note,
- 1) All fields arerequied except these marked optional'.
2/ Entries in saose fo~re fields tray reselt isl infarmsation, beinq auts-censee Supplied)
- p,.Ilated into other ftorc fields.,
e
- 3) Use Adobe Reader 8 or later for this fores to work property.
- 4) Hold your losee over a roern field to view additional ot..tsalleon.
Date of Collection (mm/dd/yyyy)10/0/201 i
b)(5)
Pre-Access Testing Reason (optional)
Please elaborate (optional)
Reason for Testing - 26.717(
Pre-Access Initial Authori)
Employment Type - 26.717(b)(3)
IcontactorNendor Please elaborate LaborCategory - 26.717(b)(3)
[itoriaF 10ther Refusal-26.717(b)(7) & 26.75 Was this collection refused (Yes / No)?
Test Results - 26,717(b)(4)
Test Validity Test Type(s) for Result(s) Reported - 26.717(b)(2)
ý,7
ýa on Drug Testing IDrugOnly I
nrlne Was this collection observed (Yeas/ No)? - 26.717(b)(7) & 26.75 Substance - 26.717(b)(2) & (b)(6)
Additional Substance (as applicable)
Marijuana IPlease Select Additional Substance (as applicable)
[Please Select Use NRC Cutoff (Yes / No)?
Yes Use NRC Cutoff (Yes / No)?
Use NRC Cutoff (Yes / No)? Yes Is this a 24-Hour Reporting Event (Yes/No)? - 26.719(b) ND Subversion Attempts - 26.717(b)(7) and 26.75(b)
Did this collection involve a subversion attempt (Yes/No)?
Management Actions - 26.717(b)(8) & 26.75 Reason for the Action
[First drug or alcohol positive Sanction Applied (NRC Minimum or Licensee Administrated)
ILicensee Administrated Specific Sanction Applied 3-Year Denial Person(s) Responsible for Information Provided Person 1 (required):
Ilyast Frii IIIFFD Specast I julie.bryant@duke-e.e.gy...m First Name Last Name Position Title Company Email Address Person 2 (optional):
First Name Last Name Position Title Company Email Address Final Step (Required) - NRC will consider this form authentic in accordance with 26.11 only when the "Validate & Lock" button has been selected and all errors (i.e., those highlighted in red) have been corrected. The "Validate & Lock" button will change to "Locked" after the data validation process has been successfully completed and the form is ready for submission.
Form Locked On:IFeb 15, 2012 at 5:18:14 PM
[
- E vtoLlPCI Innl this Report Sicgle Poltive Test Foem esoion 1.30 - Nov 8, 2011
Submission Update Unique Reference Number (Li CNS-1 1-010 Select Facility Catawba [50-413; 50-414]
Reason for Testing - 26.717(
WC FFD Program Performance Data Reporting System Single Positive Test Form for the EIE General Submission Portal Noet:
- 1) All fields are required except tHose marked optional,
- 2) Entries in some form fields may result in information being auto-cantles Supplied) popuatted into other fotto fields.
Je
- 3) Use Adobe Reader 8 or later for this form to wot* properly.
- 4) Hold your mtouse over a fornm field to view additional information.
Date of Collection (mm/dd/yyyy) 0/1/201111 b)(5)
Pre-Access Testing Reason (optional)
Please elaborate (optional)
P-Access
]
istatemen Employment Type-26.717(b)(3)
Contractor/Vendor]
Please elaborate Labor Category - 26.717(b)(3) ipaine Other]
Refusal - 26.717(b)(7) & 26.75 Was this collection refused (Yes / No)?
N.
Test Results - 26.717(b)(4)
Test Validity Valid T o
)t7 Test Type(s) for Result(s) Reported - 26.717(b)(2)
I t (Between 6 and 30 days)
Drug Testing Drug Only IUrine Was this collection observed (Yes /No)? - 26.717(b)(7) & 26.75 Substance - 26.717(b)(2) & (b)(6)
Additional Substance (as applicable)
Marijuana I Please Select Additional Substance (as applicable)
IPlease Select Use NRC Cutoff (Yes / No)? Yes Use NRC Cutoff (Yes / No)? e7iIý Use NRC Cutoff (Yes / No)? e7IZ Is this a 24-Hour Reporting Event (Yes/No)? - 26.719(b) FNo7 Subversion Attempts - 26.717(b)(7) and 26.75(b)
Did this collection involve a subversion attempt (Yes/No)?
Management Actions - 26.717(b)(8) & 26.75 Reason for the Action IFirst drug or alcohol positive Sanction Applied (NRC Minimum or Licensee Administrated)
Licensee Administrated Specific Sanction Applied 3-Year Denial Person(s) Responsible for Information Provided Person t (required):
J u lie B ry a nt F F D S p e cia lis t Iju lie.b ry a n t@ d u k....g y....
First Name Last Name Position Title Company Email Address Person 2 (optional:
I First Name Last Name Position Title Company Email Address Final Step (Required) - NRC will consider this form authentic in accordance with 26.11 only when the "Validate & Lock" button has been selected and all errors (i.e., those highlighted in red) have been corrected. The "Validate & Lock" button will change to "Locked" after the data validation process has been successfully completed and the form is ready for submission.
Form Locked On: [Dec 13, 2011 at 7:31:10 AM ]
a.6Lo1 P' tWhta Report Single Poibn Testa F.-
-eion 1.3,0 - Nov 8a 2011
rmir., rru rrogram rnormanue uaLa FpoU[UlF19 Oybem Single Positive Test Form for the EIE General Submission Portal note:
Submission Update I) All fields ate required except thosen marked optional'.
- 2) Entries in some form fields may result in information being auto-Unique Reference Number (Licensee Supplied) populated into other for.
fiela&.
- 3) Use Adobe Reader i or later for this form to work properly.
ICNS-1 1-011
- 4) Hold your tiouse over a fonn fiold to view additiona) information.
Select Facility Catawba [50-413; 50-414]
Date of Collection (mm/dd/yyyy)10/8201jI Please elaborate (optional)
Reason for Testing - 26.717(b)(5)
Pre-Access Tes Pre-Access Ilnitial Authoti Employment Type-26.717(b)(3)
Cotactor/Vendor Please elaborate Labor Category-26.717(b)(3)
Firewalnh
[Other]
Refusal-26.717(b)(7) & 26.75 Was this collection refused (Yes / No)?
Test Results - 26.717(b)(4)
Test Validity Valid Test Type(s) for Result(s) Reported - 26.717(b)(2) ting Reason (optional) zation Drug Testing Drug Only j
Urine Was this collection observed (Yes / No)? - 26.717(b)(7) & 26.75 Substance - 26.717(b)(2) & (b)(6)
Additional Substance (as applicable)
Marijuana
[Please Select I
Additional Substance (as applicable)
[Please Select Use NRC Cutoff (Yes / No)? IY i]
Use NRC Cutoff (Yes I No)? [YZII7 Use NRC Cutoff (Yes / No)? Ey IIZ Is this a 24-Hour Reporting Event (Yes/No)? - 26.719(b)FNo Subversion Attempts - 26.717(b)(7) and 26.75(b)
Did this collection involve a subversion attempt (Yes/No)?
Management Actions - 26.717(b)(8) & 26.75 Reason for the Action IFrst drug or alcohol positive Sanction Applied (NRC Minimum or Licensee Administrated)
[Licensee Administrated Specific Sanction Applied 3-Year Denial Person(s) Responsible for Information Provided Person 1 (required):
tJulie I
r a tF F D S pe cia list j uhe.bryant@ d u k g,ry..
First Name Last Name Position Title Company Email Address Person 2 (optional):
First Name Last Name Position Title Company Email Address Final Step (Required) - NRC will consider this form authentic in accordance with 26. 11 only when the "Validate & Lock" button has been selected and all errors (i.e., those highlighted in red) have been corrected. The "Validate & Lock" button will change to "Locked" after the data validation process has been successfully completed and the form is ready for submission.
PForm Locked On:[Dec 13, 2011 at 7:43:16 AM ]Sav~t9 aCi :Ptnt ths Repoi1Ž Single vPosve Test Form veion.3.0 -NO 08,2011
F Submission Update Unique Reference Number (Li CNS-11-012 Select Facility Catawba [50-413; 50-414]
Reason for Testing - 26.717(
%'., rru r I uyt 1ill rudi I 5ll -IlU uL6dt 1
l JU1 L1 119 OyZL:1II Single Positive Test Form for the EIE General Submission Portal Note:
- 1) All fields iar required except these marked 'optional'.
- 2) Entries in some form fields may result in information being aueo-censee Supplied) populated into other fe-o fields.
Je
- 3) Use Adobe Reader 8 or later for this form to work properly,
- 4) Hold your,,ouse aver a forit field to view additional information.
i~i~ iI llh I II Date of Collection (mm/ddlyyYy)t06/20/20]iI b)(5)
Pre-Access Testing Reason (optional)
Please elaborate (optional) e-Access Ilnitial Authori Employment Type-26.717(b)(3)
C e
Please elaborate Labor Category - 26.717(b)(3)
Fitewatch
[Other]
Refusal-26.717(b)(7) & 26.75 Was this collection refused (Yes / No)?
Test Results - 26.717(b)(4)
Test Validity Valid f
Test Type(s) for Result(s) Reported - 26.717(b)(2) zation I
Drug Testing Drug Only I
Ptine Was this collection observed (Yes lNo)? - 26.717(b)(7) & 26.75 Substance - 26.717(b)(2) & (b)(6)
Additional Substance (as applicable)
Marijuana 1
[Please Select Additional Substance (as applicable)
[Please Select I
Use NRC Cutoff (Yes / No)? Yes Use NRC Cutoff (Yes / No)? e7IJ Use NRC Cutoff (Yes / No)?FYes Is this a 24-Hour Reporting Event (Yes/No)? - 26.719(b)o F.
Subversion Attempts - 26.717(b)(7) and 26.75(b)
Did this collection involve a subversion attempt (Yes/No)? I jo Management Actions - 26.717(b)(8) & 26.75 Reason for the Action First drug or alcohol positive Sanction Applied (NRC Minimum or Licensee Administrated)
ILicensee Administrated Specific Sanction Applied 13-Year Denial Person(s) Responsible for Information Provided Person I (required):
Jub FFD Specialist
] jue.bryant@duk.ner.gy.co.
First Name Last Name Position Title Company Email Address Person 2 (optional):
First Name Last Name Position Title Company Email Address Final Step (Required) - NRC will consider this form authentic in accordance with 26.11 only when the "Validate & Lock" button has been selected and all errors (i.e., those highlighted in red) have been corrected. The "Validate & Lock" button will change to "Locked" after the data validation process has been successfully completed and the form is ready for submission.
Form Locked On: Dec 13, 2011 at 7:54:33AM ]
I Sngl. Postive Test Fo. veeion 1.3.0 - Nov 8. 2011
ir-
., rru rrogramrm rrtr urrF lyAlit.
UiAW rSiPU LI1 OybLeuIi Single Positive Test Form for the EIE General Submission Portal Note:
M Submission Update I All fields a-e required except th o.e maiked 'optional'.
- 2) Entries in some form fields may resltt in information being aoto-Unique Reference Number (Licensee Supplied) populated into other teorn fields.
'3) Use Adobe Reader e or later for this fornt to work properly.
- 4) Hold your teouse over a form field to view additional intormation.
Select Facility Catawba [50-413; 50-414]
Date of Collection (mm/ddlyyyy)
Reason for Testing - 26.717(b)(5)
Pre-Access Testing Rea Pre-Access I
i Initial Authorization Employment Type-26.717(b)(3)
Contractor/Vendor Please elaborate Labor Category - 26.717(b)(3) contractor Ot1her ff t Refusal-26.717(b)(7) & 26.75 Was this collection refused (Yes / No)?
No Test Results - 26.717(b)(4)
Test Validity FValid Test Type(s) for Result(s) Reported - 26.717(b)(2) son (optional)
Please elaborate (optional)
I Drug Testing IDrug Only I
Irine Was this collection observed (Yes / No)? - 26.717(b)(7) & 26.75 Substance - 26.717(b)(2) & (b)(6)
Additional Substance (as applicable)
SMarijuana IPlease Select Additional Substance (as applicable)
I Please Select Use NRC Cutoff (Yes / No)? Yes Use NRC Cutoff (Yes / No)? [e- ]
Use NRC Cutoff (Yes / No)?
Is this a 24-Hour Reporting Event (Yes/No)? - 26.719(b) No.
Subversion Attempts - 26.717(b)(7) and 26.75(b)
Did this collection involve a subversion attempt (Yes/No)? iio Management Actions - 26.717(b)(8) & 26.75 Reason for the Action First drug or alcohol positive Sanction Applied (NRC Minimum or Licensee Administrated)
Licensee Administrated Specific Sanction Applied 3-Year Denial Person(s) Responsible for Information Provided Person 1 (required):
J u lie B r a tF F D S p e c ia lis t ju li e.b ry a n t@ d u k
....g y....
First Name Last Name Position Title Company Email Address Person 2 (optional):
w First Name Last Name Position Title Company Email Address Final Step (Required) - NRC will consider this form authentic in accordance with 26.11 only when the "Validate & Lock" button has been selected and all errors (i.e., those highlighted in red) have been corrected. The "Validate & Lock" button will change to "Locked" after the data validation process has been successfully completed and the form is ready for submission.
Kc; Form Locked On:jDc 13,2011 at 8:O3:1O AM j vicar. rosrove rest roen version r.a.u -5000. tsr, Single P'osit-Test orm vermion 1.3.0. -Nov, 20l11
I'4FlL. rrLi r1 U91 *iE5 rtI EU! 1fII otU LJLu Irit:pOI LI119iu 0y0,LUih Single Positive Test Form for the EIE General Submission Portal None; Submission Update I) All fields aiererquired except those marked optional',
- 2) Entries in some form fields may result in information being auto-Unique Reference Number (Licensee Supplied) populated into other fottn fields,
- 3) Use Adobe Reader 8 or later for this form to work properly.
CNS1 1-0 14
- 4) Hold your touse over a fornt fheld to view additional informtation.
Select Facility Catawba [50-413; 50-414]
Date of Collection (mmlddfyyyy)
Reason for Testing - 26.717(b)(5)
Pre-Access Testing Reason (optional)
IPre-Access 7:1 1Reinstatement (Between 31 and 365 days)
Employment Type - 26.717(b)(3)
ICntactOr/Vendor Please elaborate Labor Category-26.717(b)(3)
Paitet FO-ther I
Pine Refusal - 26.717(b)(7) & 26.75 Was this collection refused (Yes I No)?
No Test Results - 26.717(b)(4)
Test Validity Test Type(s) for Result(s) Reported - 26.717(b)(2)
Drug Testing Drug Only Urine Was this collection observed (Yes / No)? - 26.717(b)(7) & 26.75 Substance - 26.717(b)(2) & (b)(6)
Additional Substance (as applicable)
Marijuania I
Please Select Please elaborate (optional)
Additional Substance (as applicable)
IPlease Select Use NRC Cutoff (Yes / No)? Yes Use NRC Cutoff (Yes I No)? Ey II]
Use NRC Cutoff (Yes / No)?
Yes Is this a 24-Hour Reporting Event (Yes/No)? - 26.719(b)FNIJ Subversion Attempts - 26.717(b)(7) and 26.75(b)
Did this collection involve a subversion attempt (Yes/No)? E Xo Management Actions - 26.717(b)(8) & 26.75 Reason for the Action First drug or alcohol positive Sanction Applied (NRC Minimum or Licensee Administrated)
Licensee Administrated Specific Sanction Applied 3-Year Denial Person(s) Responsible for Information Provided Person 1 (required):
Juli FF SpciaistjuUe.bryant@duke-nergy.com First Name Last Name Position Title Company Email Address Person 2 (optional):
First Name Last Name Position Title Company Email Address Final Step (Required) - NRC will consider this form authentic in accordance with 26.11 only when the "Validate & Lock" button has been selected and all errors (i.e., those highlighted in red) have been corrected. The "Validate & Lock" button will change to "Locked' after the data validation process has been successfully completed and the form is ready for submission.
e Form Locked On:Dec 13, 2011 at 8:33:30 AM Lo Singi Pstiv Test Form version 1.3.0 - Nev 8. 2011
D Submission Update Unique Reference Number (Lii CNS-1 1-015 Select Facility Catawba [50-413; 50-414]
Reason for Testing - 26.717(
MC FFD Program Performance Data Reporting System Single Positive Test Form for the EIE General Submission Portal Note:
- 1) All fields aee required except those marked 'optional',
- 2) Entries in some form fields may result in information being aute-censee Supplied) populated into other Iren fields.
j~i d3)
Use Adobe Reader 8 or later for this fotam to work properly,
- 4) Hold your mouse over a form field to view additional information,.
IiII iIZ ~ ii~iI~ii Date of Collection (mm/dd/yyyy) 108/29/211 b)(5)
Pre-Access Testing Reason (optional)
Please elaborate (optional) e-Access Ilnitial Authori Employment Type-26.717(b)(3)
Contractor/Vendor]
Please elaborate Labor Category - 26.717(b)(3) systems Refusal-26.717(b)(7) & 26.75 Was this collection refused (Yes / No)?
No Test Results - 26.717(b)(4)
Test Validity Valid Test Type(s) for Result(s) Reported - 26.717(b)(2) zation Drug Testing Drug Only
]Urine Was this collection observed (Yes/No)?- 26.717(b)(7) & 26.75 Substance-26.717(b)(2) & (b)(6)
Additional Substance (as applicable)
Marijuana
[Please Select Additional Substance (as applicable)
[Please Select Use NRC Cutoff (Yes I No)? Yes Use NRC Cutoff (Yes / No)?
Use NRC Cutoff (Yes / No)? Yes Is this a 24.Hour Reporting Event (Yes/No)? - 26.719(b)FN4O I
Subversion Attempts - 26.717(b)(7) and 26.75(b)
Did this collection involve a subversion attempt (Yes/No)?
Management Actions - 26.717(b)(8) & 26.75 Reason for the Action First drug or alcohol positive Sanction Applied (NRC Minimum or Licensee Administrated)
Licensee Administrated Specific Sanction Applied 3-Year Denial Person(s) Responsible for Information Provided Person 1 (required):
Julie
,Bant FFD Specialist juie.bryant@dukegy....
.c.m First Name Last Name Position Title Company Email Address Person 2 (optional):
WE_7 First Name Last Name Position Title Company Email Address Final Step (Required) - NRC will consider this form authentic in accordance with 26.11 only when the "Validate & Lock" button has been selected and all errors (i.e., those highlighted in red) have been corrected. The "Validate & Lock" button will change to "Locked" after the data validation process has been successfully completed and the form is ready for submission.
Form Locked On: Dec 13, 2011 at 9:35:32 AM ]
- l)_
1 unoieroflveientronns.rsJenit.s-nuvo.4v11 Single Pobve Tinat*-r Fnversion 1.3.0~ -No 8*V, 20]11
D Submission Update Unique Reference Number (Li ICNS-11-016 Select Facility tu rru rrogram rerrormance uata neporEng aystem Single Positive Test Form for the EIE General Submission Portal Note:
- 1) All fields are required -ept those,iat. d "opt/neat.
/ Entries ir sone forne fields may rnait In Inf*rmation heing anto-censee Supplied populated into te.v/,r fort fie/ds,
- 3) Use Adobe Reader 8 or later for this form to work property.
- 4) Hold your iouse over a form field to view add/i/onal hifn*iaion.
Date of Collection (mm/ddtyyyy)
Catawba [50-413; 50-414]
Reason for Testing - 26.717(b)(5)
For Cause Testing Reason (optional)
PI IFr Cause Physical Condition/Smell of Alcohol Employment Type - 26.717(b)(3) 1Licensee Employee I
Labor Category - 26.717(b)(3)
Maintenance (Craft)
Refusal-26.717(b)(7) & 26.75 Was this collection refused (Yes / No)?
No Test Results - 26.717(b)(4)
Test Validity valid Test Type(s) for Result(s) Reported - 26.717(b)(2)
Alcohol Testing Drug Testing Drug and Alcohol Breath
[Urine Was this collection observed (Yes /No)? - 26.717(b)(7) & 26.75 F Substance - 26.717(b)(2) & (b)(6)
Additional Substance (as appl/cab/e)
Alcohol 0I Other Please identify the substance iNo drug identified by lab. Thin is an What 26.103 SAC level was exceeded?
10.04 or greater Use NRC Cutoff (Yes / No)?
Initial Cutoff 11 Confirmatory Cutoff Ist/is a 24-Hour Reporting Event (Yes/No)? - 26.719(b)-No ease elaborate (optional)
Additional Substance (as applicable)
Please Select Use NRC Cutoff (Yes I No)? Yes Subversion Attempts - 26.717(b)(7) and 26.75(b)
Did this collection involve a subversion attempt (Yes/No)?
Management Actions - 26.717(b)(8) & 26.75 Reason for the Action First drug or alcohol positive Sanction Applied (NRC Minimum or Licensee Administrated)
Licensee Administrated Specific Sanction Applied 14-Day Denial Person(s) Responsible for Information Provided Person 1 (required):
Julie t]
FFD Speilist 1
julie.bryant@duke-enetgy.com First Name Last Name Position Title Company Email Address Person 2 (optional):
F[
I First Name Last Name Position Title Company Email Address Final Step (Required) - NRC will consider this form authentic in accordance with 26.11 only when the "Validate & Lock" button has been selected and all errors (i.e., those highlighted in red) have been corrected. The "Validate & Lock" button will change to "Locked" after the data validation process has been successfully completed and the form is ready for submission.
Form Locked On:IFeb 15, 2012
-a to L.ý.l PC
.nt
,s Rep l
S-gingle ive iest ror versin i3
-N-
, 2011
rKU*
i-t-u rrogram rerrormance uata Keporung system Annual Reporting Form for Drug and Alcohol Tests for the EIE General Submission Portal Please explain the change(s) to the torm Note:
Submission This is not a submission update; the form auto-populated
- 1) All fields required except those marked 'optional'.
"Update Submission Update" in error. This is our original submission for
- 2) Use Adobe Reader 8 or later for this form to work properly.
CY 2011. The NRC is aware of this problem.
- 3) Hold your mouse over a form field to view additional information Select Facility Period of Report 1Corporate - Duke i
I2011 Tests Conducted in the Calendar Year Total Number of Tests Conducted Total Number of Positive, Adulterated, Licensee Employees Contractors/Vendors Substituted, and Refusal to Test Results PrE-ý-
551 1
70A5 i
[*j Random I
I 347]
L0I I
I IOI For, Cause>~
0 7
Post-Event 10 o1
-01 e
Total (Calculated) 402]
01 1
FFD Program Random Testing Population and Rate Average number of Average number of Total size of the random testing pool Annual random testing percentage licensee employees contractors/vendors throughout the period (Calculated) achieved for the testing pool 511
°1 511 6
Laboratory Testing Does your program use a Licensee Testing Facility?
(Yes / No)
Identify your HHS-Certified Laboratory(ies)
Quest Identify your Blind Performance Test Sample supplier(s)
CA Associates Substances Tested Did your program only test for NRC-required substances
[]Does your program conduct LOD testing NO AND at the NRC-specified minimum cutoff levels? (Yes / No)Yes permitted in 26.163(a)(2)? (Yes / No)
Annual Report Form (version 1.3.0 - Nov 8, 2011)
- Page 1 of 2 -
Substances Tested - continued Summary of Management Actions - 26.717(b)(8)
Summarize actions implemented to improve FFD program performance. As applicable, reference in the topic description audit reports, 30-day reports, and/or corrective action reports. If reporting information on more than three topics, select "Others" for Topic 3 to report any additional topics.
Topic 1 I Please Select 0 Add an additional Topic Person(s) Responsible for Information Provided Person 1 (required):
Anita McDaniel FFD Specialist Anita.McDaniel@duke-energy.com First Name Last Name Position Title Company Email Address Person 2 (optional):
First Name Last Name Position Title Company Email Address Final Step (Required) - NRC will consider this form authentic in accordance with 26.11 only when the "Validate & Lock" button has been selected and all errors (i.e., those highlighted in red) have been corrected. The 'Validate & Lock" button will change to "Locked" after the data validation process has been successfully completed and the form is ready for submission.
Form Locked On: Feb 15, 2012 at 6:18:10 PM Saveto Local P
r Annual Report Form (version 1.3.0 - Nov 8, 2011)
[Corporate - Duke Pedod of Report:F2011 Page 2 of 2 -