ML12068A123
ML12068A123 | |
Person / Time | |
---|---|
Site: | Wolf Creek ![]() |
Issue date: | 02/29/2012 |
From: | Sen G Wolf Creek |
To: | Document Control Desk, Office of Nuclear Reactor Regulation |
References | |
RA 12-0023 | |
Download: ML12068A123 (23) | |
Text
W*LF CREEK NUCLEAR OPERATING CORPORATION Gautam Sen Manager Regulatory Affairs February 29, 2012 RA 12-0023 U. S. Nuclear Regulatory Commission ATTN: Document Control Desk Washington, DC 20555
Subject:
Docket No. 50-482: Electronic Submittal of Annual Fitness for Duty Program Performance Report and Annual Fatigue Report for 2011 Gentlemen:
Please be advised that Wolf Creek Nuclear Operating Corporation (WCNOC) submitted the Annual Fitness for Duty (FFD) program performance data and Annual Fatigue Report for 2011 to the Nuclear Regulatory Commission (NRC) FFD Program Performance Data Reporting System through the U.S. NRC Electronic Information Exchange on February 23, 2012. This submittal meets the requirements in 10 CFR 26.203, 10 CFR 26.717 and 10 CFR 26.719.
In accordance with 10 CFR 26.11 copies of the reported information are also enclosed with this report to the appropriate regional office and resident inspector.
This letter contains no commitments. If you have any questions concerning this matter, please contact me at (620) 364-4175, or Diane Hooper at (620) 364-4041.
Sincerely, Gautam Sen GS/rlt Enclosure - Copies of FFD and Fatigue Reports cc: E. E. Collins (NRC) w/e J. R. Hall (NRC) wo/e N. F. O'Keefe (NRC) w/e Senior Resident Inspector (NRC) w/e P.O. Box 411 / Burlington, KS 66839 /Phone: (620) 364-8831 4JL( ,.
An Equal Opportunity Employer M/F/HCNET
Docket Number 105000482 ý License Number INPF42 LSN Doc F iZ AUTHOR INFORMATION [ADDRESSEE INFORMATION Affiliation WolCreek Nuclear Operating Corp Destination I'eadquarters Document Control Desk I -
j Name Hoch, Carla J. 1 eMail cahoch@wcno c.com -771 FILE INFORMATION SIGNATURE Digital Signature Document Date 120 Fe b 2012 FFD Program Performance Data 1-2011 L Click to Digitally Sign Documents Title INRC I
Availability j Publicly Available Eat. Page Count SUBMIT Doc. Sensitivity [ Public - Non-sensitive/Unclassified I Secure Transmission Authorization Comments F Click to Authorize Transmission Submit I Update Attach Document(s) kto Attach a Document(s) Sumi Sine Do .etst R EIE Submittal Form 2.0 Build 63 Nuclear Regulatory Commission May 1, 2005
= Required to be filled in Date Received by NRC
0lcroi 0nomto Exchange 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 MM.,
Submission Changed the period of report from 2012 to 2011 1) All Noldo requ~rudexcep tMose mrik*d oplonsl Update 2) ULe Adobe Reader 8 or latrfor tOiVform to wor* properly
- 3) Hold your meouse over a form field to view addftional infonatlon.
Select Facility Perod of Report
. ~I JWolf Creek [50-482] 2011 j Tests Conducted In the CalendarYear Total Number of Tests Conducted Total Number of Positive, Adulterated, Reason For Testing Licensee Employees ContractoralVondors Substituted, and Refusal to Test Results Pr--'=- I 72] 1,511] ,
Random 573] 3415] I4 Fo C [1 21 1 1]81 2]
Post-Event 5] I21I 01 FI-A 391 I 10] 101 ITotl (Calculaed) [I- 69:] 11,9761 177 F-FFD ProgrsmRandom Testing Population and Rate Average number of Average number of Total size of the random testing pool Annual random testing percentage I1,o,1ý licensee employees Iý contractors/vendors
- 1 throughout the period (Calculated)
,7001 achieved for the testing pool 541 Laboratory Testing Does your program use a I Licensee Testing Facility? No (Yes / No)
Identify your HHS-Cerbtied Laboratory(ies) Clinical Reference Lewatowy, Lenexa, KS Identify your Blind Performance Test Sample supplier(s) IAT Laboratories, Inc Len*a, KS Substances Tested Did your program only test for NRC-required substances Yes Does your program conduct LOD testing AD at the NRC-specified minimum cutoff levels? (Yes / No) permitted in 26.163(a)(2)? (Yes / No) [es Use Only NRC Cutoff Initial Confirmatory LOD Testing? Comment Substance Levels? (Yes I No) Cutoff Cutoff (Yes I No) (Optional)
Alcohol e1 11 Not Applicable Cocaine [Yes 7 Yes MM*us _ _s ieZZ Amphetamines le 1 I Ie]
OPCP Yes ___IYes
_C ~e JFEZIZ
-Page 1 of 2-Annual Report Form (version 1.3.O-Nov82011)
AnnualReportForm(version 1.3.0 - Nov 8, 2011) - Page 1 of2 -
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 then three topics, select "Others" for Topic 3 to report any additional topics.
Topic I Topic 1 Description Wolf Creek continues to review and update it's Fitness For Duty Procedures and Policies in an effort to Policies and Procedures continue its compliance with NRC rules and regulations. Wolf Creek reverted back to split collections in October 2011. The split process is consistent with Department of Transportation collections and will strengthen the Appeal process when a re-test is requested by an individual for confirmation at a second laboratory.
H Add an additional Topic Topic 2 Topic 2 Description Wolf Creek continues to develop the FFD training program to ensure the FFD requirements are known to
[Training all employees. Continued to send out training throughout the years when issues arise that need to be communicated to all personnel to ensure they are aware of their responsibilities.
[] Add an additional Topic Person(s)Responsible for InformationProvided Person 1 (required):
Panl 'onrRS-s paoconna -conocm First Name Last Name Position Tide Company Email Address Person 2 (optional):
Access Screening SupervisorHoc cocwCorno~o First Name Last Name Position Tite 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 20,2012 at 2,18.14 PM . t P Annual Report Form Annual Report Form (version Nov 5,2011) 1.3.0 -- Nov (version 1.3.0 8, 2011) Wolf Creek
[50-4fl2]
Creek [50L-482]
JPeriod of Report~j Period of ReportF20171
-Page2of2-
- Page 2 of 2 -
Elcroi Inomto Exchang NRC FFD Program Performance Data Reporting System Single Positive Test Form for the EIE General Submission Portal
[] Submission Update I) ,u E 1 .hPM mOr i hU .w p -a- .eear (LcneeSP9
-EaaVusw
-et *eer emealw ftfelseln iedlM~ym eM~e awd.eeiAbVwnhag.a o Unique Referece Numb 50-482 ij) te Adee ReadwS arWatrha, W fmi. ft were pet 41 Ii* fqhse,aeee e.w a fa ehld t ew slmdlbnat aresa Selret Facility l~tfCee[50421 Date of Collection (mnVdd/yyy)
Reason for Tatifng- 26 .717(b)(5) Pre-Access Taesing Reason (optional) Please elaborate (optional)
IPre-Access 7 I[nitial Autihorization -
Emnploymenot Type - 26.717(b)(3)
Contractor/Vendor Labor Category - 26.717(b)(3)
Maintenance (Craft)
Refusal- 26.717(b)(7) & 26.75 Was tshi colection refuse (Yes I No)?
Test Results - 26.717(b)(4)
Test Vaidity TValid Teat Typs(s) for Resultts) Reported - 26.71 7(b)(2) Drug Testing FDrug only PIUe Wa We cofledfon obseved (Yes / No)? - 26,717(b)( & 26.75 Substance - 26.717(b)(2) & (b)(6) Addtitonai Substane (as applcablo) Addi I Subetenc* (as appicabl)
[anuanaII IPlease Select IPlease select I Use NRC Cutoff (Yes / No)? es Use NRC Cutoff (Yes / No)? Yet Use NRC Cutoff (Yes / No)?FYet is this a 34-our Rdpwtlng Event (YOesWo)? - 26.715(b) No Subverion Attempte - 26.717(b)(7) and 26.75(b)
Did this collection involve a subversion attempt (Yes/No)? I Io Managament Actions - 26.717(b)(8) & 26.75 Reason for the Action
[First drug or alcohol positive Swaction Applied RC Minimum or Licensee Administrated)
INRC Minimum ]
Speoak sanction Applied 14- Day Denial pammo(s) Responsible,for lnftrmaw I monnvliade Ps... I (newine:
Firstae Last Name Position T Company Email Address Pwswe2 (optoai:e iIr I]Name Last Name Position Tatl- Company Email Address HOaWlSa (ReVW M re - NRC will consider this form authernic in accordance with 26.11 only when the Validate & Lock- button has been selected and 8tarrow (ie., thnose hlighted in rap) have been Corrected. The Validate & Lock" button will change to "Locked' after the data validation process has been successfully conmpleted OWdto form iSready for submissio.
FormLocked On: I~e,1,2012 at 12:42 251 5 bM L ý Rw tShl. Oýa.Toe Fýcc~a, 1.3.0-No,. 2011
( AJ'
- aý NRE FFU Program Perrormance Uata Keporting system Single Positive Test Form for the EIE General Submission Portal SSubmission Update Q)ANMod are reminenewest Owe eareste 'opaieed V)Eaeie. Am ieont eno farel m,* y reAt in h*.ernedn being swe-uniku Reference Numt 5O0482 ______________ ) U..~ Aab eosw8 - howAfo @WeeA- ew.
-ir ensif
- 4) fil p..' reese oe'* a terr SeW fa r*wa eredh,1-arl~er,.
Select Faclity lWoff Creek [50-4821 Date of Collection (mrndd/yyyy)
Reason for reading - 2 l.717(b)(5) Pre-Access Testing Reason (option Please el"lOr**te (optWbw*
7 FInitial Aut horization
-7 Pre-Access EMployuN-t Type - 26.717(b)(3) r-lContractor/Vendor]
Labor Caegory- 26.717(b)(3)
Maintenance (Craft)
Refusal - 26.717(b)(7) & 26.75 VWsthn coliection refused (Yes / No)?
Teat Rewul*t - 2e.717(b)(4)
Teat Vaidity Valid ]
Teat Type(s) foe Result($) Reported - 26.717(b)(2)
Drug Testing Drug Only Iine I Was this clletion obsrved (Yes /INO)?- 26.717(b)(7) &26.75 l Subftnce - 26.717(b)(2) & (b)(6) Additinal Subiaanc (as applicable) Addotonal Substance (as appficable)
IMarijuana I IPlease Select I jPlease Select Use NRC Cutoff (Yes/No)? j~7 J Use NRC Cutoff (Yes / No)?FYes Use NRC Cutoff (Yes I No)?
Is a2e a 2A-Hour Reportin Evnt (Yea/No)? - 26.719(b) No Subverslon AftaWte - 26.717(b)(7) and 26.75(b)
Didthis collection involve asubversion attempt (Yes/No)? [ jo Managemewf ACOns - 26.717(b)(8) & 26.75 Reason for the Action First drug or alcohol positive Sanction Applied (NRC Minimum or UoenesewAdminitrated JNRC Minimumn Speci Sanction Appied 14- Day Denial Peroenis) Responsible for krftrmsation Provided Penson I (reqIrei) pnft] P] peoi-R pason~wworo.cm First Name ame Postion Title Company Emas Address Person 2 (optioal=):
aLast Name Position Tile Company Emat Address Final! Stp (Requ/inn) - NRC wnt consider this form authewtic in accordance with 26. 11 only when tne Walidate & Lock" button has bean selected and al errors (i.e., cthoe htiligfighted in red) have been corrected. The WVelidate & Lock' button will change to "Locked' after the data validation process has been successfully completed and *th form i ready for submission.
FormLocked On:IFeb 10, 2012 at 12:46:29 PM Fi; SL.W PIC w ~
SnwhPOOiertr~Forri50Itat. Nro 201i
Elcroi Inomto Excang NRC FF0 Program Performance Data Reporting System Single Positive Test Form for the EIE General Submission Portal t)
N A1 e .ae.eqtm xaý ieaeE E Su~bmission Update *1)AeNt 11 ars eq~ .yvW f e*. 5 bV~#geM
_____________________________ vr
)us# Ado"
- 4) MOWM yow Reede 8- as rtiswf I~ is son l er Oahes"oaft lem eý over - O-Ow. to~
Fsib r,.-k.property, WbAeft"be%
to Si e'do OWN, aaMWkviorm Select Faclity I~t Cek (50-421 Date of Collection (mmr/dd/yMy) ~21 Reason for Teating - 26.717(b)(5) Please inrste (optional)
LRandom fv- .u*=n,
- neai ted random report. lndividu tested St shift.
Employmant Type- 28.717(b)(3)
[ContractorVendor LaborCategory - 26.717(b)(3)
Maintenance (Craft)
Ro~usal- 26.717(b)(7) & 2&75 Was this collection refused (Yes / No)? [N Teat Rasults . 2e.717(b)(4)
Test Validity Valid Test Type(s) for Result(s) Reported - 26.717(b)(2)
Ie Drug Testing Drug Only I I Was this collection observed (Yes / No)?- 26.717(b)(7) &26.75 Substance- 26.717(b)(2) & (b)(6) AddIftional Substance (as applicable) Addlth a Substance (as applicable)
Amphetamines IPlease Select IPlease Select Use NRC Cutoff (Yes / No)? Use NRC Cutoff (Yes / No)? Yes Use NRC Cutoff (Yes / No)? Y is this 24-Hour Reporting Evrnt (YoesNo)?- 28.719(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,Minimnum or Licoame" Administrated)
INRK Minimum Spectc Sanction Applied 14- Day Denial Person(s) Reaponmlble for Inftoon Provided P-son I (rqured):
P--'Connor Fist N Last Name IFp IIti]
Position Title peoonmo .o.
Company EmarsAddress peson 2 (oplei-l)e First Nam Last Name Powii* il Compn Email Address -
RPn Stop (Requird) - NRC wi consider this form autentic in accordance wvth28.11 o*ly when tne 'Veit* & Lock button has been selected and alt errors (i.e., those highVited in red) have been corrected. The "Validate & LodWbutton wVAN chng to "Locked' after the data validation process has been successfully completed and te form is ready for submission.
FonmLocked On:['2O I T0o2o12.t312-:-0:1B
-,W Oý ~T*WF0,,,...et ý35.50
- 2011
AI,(
I NRC FFD Program Performance Data Reporting System Single Positive Test Form for the EIE General Submission Portal Submission Update 1) M int*ff ief tate aamsprOwe
- iabd ..
F (Licaeleh Supplaed..).,,. ana cw* as...s.
Unin .e ............ ________ _W_= We Ad#he Re .) or tow f.orVid fhim to wank pr 150-482 jet
- 4) Hll Your ever- t"ns Id 0I sae M no, Wionoeaei.
Select Facility Wolf Creek [50-482] Date of Collection (mm/ddyyy) 0/1/ii Reason for Testing - 26 .717(b)(5) Pro-Access Testing Reason (optional) Please elaborate (optional) lPre-Access i I Initial Auti horization Emialtyent Type - 26.717(b)(3)
ContractorNendor Labor Categoty- 26.717(b)(3)
Maintenance (Craft)
Refusal- 26.717(b)(7) & 26.75 Wes this collection refusod (Yes I No)?
Toet Results - 26.717(b)(4)
Test Vakidty TValid Toot Type(==)for Result(s) Reported - 26.717(b)(2)
Drug Testing Drug Only ]IUrine Wee this collection obswved (Yes /No)? - 26.717(b)(7) & 26.75 Substance - 26.717(b)(2) & (b)(6) Ad/t/lonea Substance (as opplicable) Additional Substance (as applicable)
IMarijuana IPtease Select IPlease Select Use NRC Cutoff (Yes / No)? tyZI] Use NRC Cutoff (Yes / No)? Yes Use NRC Cutoff (Yes / No)? Yes Is th"s a 24A-ourRepordig Event (Yes/No)? - 26.719(b)FNo.
Subversion Attempts - 26.717(b)(7) and 26.75(b)
Did this collecdion involve a subversion attempt (Yes/No)?
Managenment Act/ona - 26.717(b)(8) & 26.75 Reason for the Action First drug or alcohol positive Sanction Applied NRC Minrium or Ucensee Administae JNRC Minimum Specific Sanction Applied 14- Day Denial Person(s) Responsible for Information Ptovfded Pensn I (requred):
Pee O'Comnor HRStreate pssoe*n= o.....
Find Nome Last Nam Position Title Company Email Address Parsn 2 (opllietl):
FaS Name P ompany Came EmadAddresS Rnal Step (Require - NRC wiglconsider this form autlhentic in accordance with 26.11 oniy when the -Validats & Lock' button has bean selected and all errors (i.e., those highlighted in red) have been corrected. The "Validate & Lock' button will change to 'Lockedr after the data validation process has been succesfully completed mnd the form is ready for submission.
Form Locked On:IFb1,2012 at 12:3&:31j PM0 W4 A i Sire Polis. Td F-o -w 1.3.0. NovS 21 I
All I
NRC FFD Program Performance Data Reporting System I Single Positive Test Form for the EIE General Submission Portal f'l Submision Update 3We5 W) sMe/umred e resyttoo" averd epwlaf Un2jLe Reference Nurn 3) 4."eAdbob sei. #o beer Oe *ie*s om f w" e p"Wlmyn P.P~bdh*
sEWA,... m Select Facility Woff Creek [504821 Data of Collection (mm/ )0ddyyyy) 1/2011 Reason for Testing - 26 .717(b)(5) Pre-Accesa Testing Reason (optional) Plmase elaborate (optional)
I ,orizationI Pre-Accessi Initial Auti Employme Type - 26.717(b)(3)
Contractor/Vendor X Labor Category- 26.717(b)(3)
Maintenance (Craft)
Refuead- 2a.717(b)(7) & 2&75 Was this collection refused (Yes I No)?
Tert Roeuft - 26.717(b)(4)
Test Validity Valid Test Type(s) for Result1s) Reported - 26.717(b)(2) Drug Testing Drug Only Urine was t onobserved (Yes/No)?- 26.717(b)(7) & 26.75 olls folilc Substance - 26.717(b)(2) & (b)(6) AdJlf 01151 Substance (as applicable) Additional Substance (as applicable) rI IPlease Select I Please Select Use NRC Cutoff (Yes / No)? UseNRCCutoffT(Yes INo)?F7 e- Use NRC Cutoff (Yes I No)? FYes7 Is tWe a 24-HourReporting EVn (YVWWo)P-26.719(b) No--7 Subversion Attempts - 26.717(b)7 and 26.75(b)
Did this collection involve a subversion attempt (Yes/No)?
Mimseent Actions - 26.717(b)(8) & 26.75 Reason for the Action First drug or alcohol positive Sancton Applied (NRC;Minimnum or Liene Adrninistrated)
JNRC Minimum I Specific Sanction Applied 14- Day Denial Poisonts) Responsible for InfWormnton Provided Pae,.,n1 (requlradi) pae* ~~paooinQwrocxom First Norame a Position Title Company Email Address Person 2 (optlonal).
HFirtName Last Name Position Tte Company Email Address RFin Stop (Reiquire) - NRC will consider this form authentic in accordance with 26.11 only when the'Validate& Lock' button has ben selected ard MI erors (Le.,athoe hihigted in red) have been corrected, The 'Validate & Lock' button wit change to 'Lo:ked" after the data validation process has been successfully Sand the form i ready for submission.
FormLocked On: IFeb 14, 2012 at 7:46:39 AM I m le 0 PC .1p~is~pilo
Elcroi Inomto Exchane NRC FFD Program Performance Data Reporting System Single Positive Test Form for the EIE General Submission Portal V Atl E.*w a,.qh *em, o Seeosasmt'eddwr.
SSubmaion Update
- 2) Ela Inseme tnim AIIP neovwaef Ihnholanele lon "eMe-Unique Reference Numb, (ori LIMIe" SuppeK woJ
,e- wforlo0.
_ L3ke*Adebe tReew*e' I. twe f- t f-ipe.wy.
50O482 Select Facilty 5WolfCreek
[50-482) Date of Collection (mm/dd/yyyy)031/ 11i Reason for TestIng - 26.717(b)(5) Pro-Access Testing Reason (opbonal) Please elaborate (Wbr Perfornd*g ded*al luRoo*t fix HP departme*
IPr-Access Ilnitial Authorization Pelrmon odoeriesisupporl forHPaepatrneot Emlroymen Type- 26.717(b)(3)
ContractorNendor Labor Category - 26.717(b)(3)
JHP/RP Refusal- 26.717(b)(7) & 26.75 Was this collection refused (Yes / No)?
Test Reouft - 26717(b)(4)
Test Vatldity Valid Test Type(s) for Result(s) Reported - 26.717(b)(2) Drug Testing Drug Only I [Urine I Was &l, collectionobserved (Ye / No)? - 26.717(b)(7) & 26.75 [.I- ]
Substance - 26.717(b)(2) & (b)(6) Additional Subsbrnce (as applckable) AdditionalSubstance (as applicable)
JAmphetamines - 1Please Select IPlease Select I Use NRC Cutoff (Yes / No)? Yes Use NRC Cutoff (Yes I No)? Use NRC Cutoff (Yes / NO)?FYes Is ths a 27AourReporting Event (YaewiNo)? - 26.719(b) No--7 Subverion 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 Minimumn or Liconsee Administrated)
Specific Sanction Appled 14- Day Denial Peronw~s) Reeponailbie for lnfornsation provided Perow1 (requiret):
OConno F; ;~ 7-- paconbcnc oo First Nm Lst am Positaon Tite Company EmarsAddress Personi 2 (optional)ý First Name Last Name Position redo Company Emart Address Rnl Step (RequIred - NRC wil consider this form authentic in acconrance with 26.11 only when ste Validate & Lock button has been selected and al errors (iae., tose highlighted in red) have been corrected. The 'Validate & Loct" button wiN change to "Lockr after the data validatton process has been successfultly completed "e f form is ready for submission.
Form Locked On:Ieb 0,2012 at 151-25P7M~ ] N U~a 34,& P.." T" F- - 1.3.0- N- 8, -
Elcroi Inomto Exchang NRC FFD Program Performance Data Reporting System Single Positive Test Form for the EIE General Submission Portal Sbm*ssion Update 5) Ae1n*/-. edd ae*
Item ree.es*e *lEel*Ime t
- Ornique Refrence Nuim (i~censee -upid)00 lof rt-a" Jaiveldit
_ 3) LAe Adlbe Reader 8 sw far des fror to waes pree 150-482 q*5Hold ,v mwe a term Over to Wee,aam"lla0e.0.Uee Select Fadility lWolf Creek [50-4821 Date of Collection (mmlddtiyyy) i 01 1 Reason fto Toaaing- 26,717(b)(5) Please etlborate (optona) lRanlomn I Employret Type - 26.717(b)(3)
Contractorendora elaborate Labor Categofy- 268717(b)(3)
Other]
Rafutu- 26.717(b)(T) &26.75 Was this colction refused (Yes / No) N Test Resuhts - 26.717(b)(4)
Test Valdity Not Applicable Test Type(s) for Result(s) Reported - 26.717(b)(2) Alcohol Testing Alcohol Only I IBreath I Substance- 26.717(b)(2) & (b)(6)
IA~clhol Is Weisa 24AHour Rep0sorlng Event (YasiWo)? - 26.719(b)*No Subvwesion Aehmprt - 26.717(b)(7) and 26.75(b)
Did this collection involve a subversion attemipt(YesINo)?
Managlemient Actons - 26.717(b)(8) & 26.75 Reason for the Action First drug or alcohol positive Sancbon Applied (NRC Minimum or Ucansee Administratea)
INRK Minimum Specic Sanction Appled 114- Day Denial Pwson(s) Re"ponsiti ftr tnfornmaton PovWded Pasiso I (reqkd):
F-- 7OCnoFRl --- oo*,o First Name Last Name Position Title Company Email Address P-so. 2 (iplaseli:
Fir*t Name Last Name F- -
m~iSmeenint; Position Title cahodihwcuiocxom Coampany Email Address FIrn Stop (Required) -NRC will consider this form authentic in accordance with 26.11 orny when the "Valdate & Lock" button has beow selected and all errors (i.eý thosehighJighted in red) have been corrected. The 'Validate & Locki button wil change to Locked" after the data validation process has been successfully comlt and theform is ready for submission.
Form Lockied Cilo 14, 2012iat pat4A PýTedf`ýý13.0ýNýs 20,
0lcroi Inomto Exchang I
NRC FF0 Program Performance Data Reporting System Single Positive Test Form for the EIE General Submission Portal F Submisston Update rl*e. . m wles,AM.5 (Lcne SuApetl ed) bein, Unique Reference Nume i .lt)UNA,*}etbds.wlwra, 5.55..~rom~. ,*y 150-42 3) Le. Ada.heRe.dw wfofteb le'Al mmSw*pnspety'
- 4) Noldyourw. sr a twin 5.id to Ofw ae.aEa~l 1airdoma Select Facility Woff Creek [50-482] Date of Collection (mm/dd/yyyy)
Reason for Testing - 26.717(b)(5) Pleesee -orate(optional) lRandom Employment Type - 26.717(b)(3)
Licensee Employee Labor Category- 26.717(b)(3)
Maintenance (Craft)
Refusal - 26.717(b)(-) & 26.75 Was this collection refused (Yes / No)?
Teot Results - 26.717(b)(4)
Test Validity Valid Test Type(s) for Result(s) Reported - 26.717(b)(2) Drug Testing Drug Only IUrine VWas this collection observed (Ye/No)?- 26.717(b)(7) & 26.75 No Substance - 26.717(b)(2) & (b)(6) Additional Substance (as applicable) Additional Substance (aS applicable) etamines Please Select Please Select Use NRC Cutoff (Yes / No)? FI Use NRC Cutoff (Yes / No)? Use NRC Cutoff (Yes / No)? Yes Is dtisa 244-our Reporting Event (Yes/o)? - 26.719(b) No.7 Subversion Attempts - 26.717(b)(7) and 26.75(b)
Didthis collection Involve a subversion attempt (Yes/No)? j ~
Management Actions - 26.717(b)(8) & 26.75 Reason for theAction Second drug or alcohol positive Sanction Applied NRC Minroutn or Ucensee Administrated)
NK Minimum I Specific Sanction Applied S-Year Denial Person(s) Responsible for Information Praovded Person 1(required):
First Name Last Name Position rflte Company EmardAddress Person2 (optional):
First Name Last Name PositionTitle Company Emall Address Rnal Step (Requlred)- NRC willconsider this form authentic in accordance with 26.11 only when the 'Validate & Lock" button has been selected and all errors (i.&, those highlighted in red) have been corrected. The =Validate & Lock" button willchange to 'Locked' after the data validation process has been successfully completed and te form is ready for submission.
FormLoctked On:IFeb It0,2012 at1:53:52 P7M rili ýO" c [~*twqvit
&t.& P i T.T Fo.- -won1.3.0. Nov 0 2011
Elcroi Inomto Excang NRC FFO Program Performance Data Reporting System Single Positive Test Form for the EIE General Submission Portal
,Submission Update 1)Alf Old. " requied .aplSo..r iou ed 'oioeai unque Reference Numb or (LiucenseotSuppliedi ft oO. for, wet 50-482 21uW Adob Reder wlatr fr Oft tioe to workprjem ,
- 4) Moldy.. j~ees o va. fw. toe 0. to,e.-.dd/eeh*,fomae~o Select Facility Wolf Creek [50-482] Date of Collection (mmlddyyyy)o 2011 Reason for Testing - 26 .717(b)(5) Pre-Access Testing Reason (optional) I Please elaborate (optional)
I Pre-Access 1 1 1 ] nitial Authori zation Employment Type - 26.717(b)(3)
Contractor/Vendor P Please elaborate Leior Catgoty- 26.717(b)(3) dua was being processed to beoeme a quJaified FFD Colletor. Denled access pior to being qualied to corecL Other Refusal- 26.717(b)(7) & 26.75 Was this collection refused (Yes / No)?
Test Results - 26.717(b)(4)
Test Validity IValid Test Type(s) for Result(s) Reported - 26.717(b)(2) Drug Testing Drug Only I [Oi le I Was this collection obsorved (Yes/No)? - 26.717(b)(7) & 26.75 Substance- 26.717(b)(2) & (b)(6) Additional Substance (as applicable) Additional Substence (as applicable)
Marijuana ]IPlease Select I jPlease Select Use NRC Cutoff (Yes / No)? FZZ] Use NRC Cutoff (Yes I No)? Yes Use NRC Cutoff (Yes I No)? Y-is this a 24-HourReporting Event (YealNo)? - 26.719(b)No-Subversion Attempts - 26.717(b)(7) and 26.75(b)
Did this collection involve a subversion attempt (Yes/No)? No Menegemnent Actions- 26.717(b)(8) & 26.75 Reason for the Action First drug or alcohol positive Sanction Applied NRC Milnmwmor Ucensee Administrated JNRC Minimnum Specific Sancton Applied 14- Day Denial Pwo*ns) Responsaile for Infarmaton Provided Person 1 (required):
First Name LaName Posion Tile Company Emall Address Person 2 (opfioaii:
ICads 7 PHc uevsrA~s Scr --eg ashochiii ....
F-irt Name Last Name Positionde Company Email Address Rnat Stop (*Rquired) - NRC willconsider 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 wil1change to Locked after the data validation process has been successfully completed and theform is ready for submission.
Form Locked On:[~eb10,2012 at ýj01:49PMý s ,Lwp ~
si . T*WFoor vei. 1.3.0-Nov 8, 2511
,,`So, , 0 Aa 0 NKC FFD Program Performance Data Reporting System Single Positive Test Form for the EIE General Submission Portal SSubrmission Update 1)AN ld 11 arermed awseer ~wed mark e~n
- 2) a"Ot.. A,otowetameaide nasyresew~o in woneseg ofthel "ift Unique Re Numb or ULcense" Suplis eeei so i.votoetI leld.
_______________ ) the.Adobe ftodw I o later P., " fomton Pa wt propity.
150-482
'.M neon,.ove
- 4) Hol your . a So, Led to.4eeow,ddal kiffioeww.
Select Facility Wolf Creek [50-482] Dateof Collection (mnm[ddlryy) [ 3*0 R..on Ao Tesg - 26.717(b)(5) Please borate (optonal)
Employment Type - 26.717(b)(3)
IContractorNendor Labo Category - 26.717(b)(3)
IMaintenance (Craft)
Ref~usl - 26.717(b)M?& 26.75 Was this colection refused (Yes / No)?
Teat Results - 26.717(b)(4)
Test Validity Valid Test Type(s) for Result(s) Reported - 26.717(b)(2) Drug Testing Drug Only ]rine Was "i collection observed (Yes/No)? - 26.717(b)7)) &26.75 FN. ]3 Substance - 26.717(b)(2) & (b)(8) Additional Substance (as applicable) AddNoal Substance (as applicable)
Imriuana 11 1 Please Select IPlease Select Use NRC Cutoff (Yes / No)? IeZ] Use NRC Cutoff (Yes / No)?FYes Use NRC Cutoff (Yes I No)?FYes Is thisa 24-Hour Reporting Event (Yes/No)? -26.719(b) NO Subvorsion Attempt - 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 Reamon for the Action Second drug or alcohol positive Sanction Applied (NRCMinimum or Licensee Administrtd NRC Minimum J Specifi Sanction Appled 15-Year Denial -
Person(s) Responsible tot' klrfmtation Provided Pats,* I (requited):
First Name LastPosition Tn Company Emal Address Piesai 2 (optionsl:
Fa--ohJSuevo Aý~r Smmeeing caioth n
ý....
First Name L me Position Tite Company Email Address Rna 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., tuose highflghted in red) have been corrected. The WValidte & Locde button willchange to 'Locked' after the data validation process has been successfulty completed aid the form Is ready for submission.
Form Locked On:[Feb 14, 2012 at 7:17:17 AM I single Poi~wTestFats oao, 1.3.0.Nov8 2011
Elcroi InomtonEcag NKU "-U Frogram rertormance uata Keporung system Single Positive Test Form for the EIE General Submission Portal
- Submission Update Unique Refernc Numb (Uerw(kmeeSupplied) -= 3)LsaA -I,*
sew~..t"W Obow
- W, a"~s Ma .* JIMs ew* 0.
Fwa~ k 50-482 Seaec Faclty Wof Crek [50A82] Date of Collection (motddtyoal)
Reason for Testing - 26 .717(b)(5) Pre-Access Testing Reason (optional Please elaborate (optioal Pre-Access -7 fInitial Autihorization -
Empoyment Type - 26.717(b)(3)
ContractorNendor Labor Caftawy - 26.717(b)(3)
Maintenance (Craft)
Relusal- 26.717(b)(7) &2675 Was thiscollection refused (Yes / No)? N Test Results - 26.717(b)(4)
Test Validity Valid ]
Tet Type(s) for Result(s) Reported - 26.717(b)(2) Drug Testing DrugOny I [Urne]
WMaVIMthis collection observed (Yes / No)? -26.717(b)(7) & 26.75 Substance- 26.717(b)(2) & (b)(6) Addiional Subsitance (as applicable) Additionsa)Substance (as applicabe)
[masn, IiI 11 Please Select Please Select Use NRC Cutoff (Yes / No)? Yen Use NRC Cutoff (Yes I No)? Yes Use NRC Cutoff (Yes /No)?F7 Isths a24-Hour Reporflt Event f(ea.Wo)? -28.719(b) No._7 Subveriwlon Attempts - 26.717(b)(7) and 26.75(b)
Did this collection involve a subversion attempt (Yes/No)? I Io AMnageranwnt Actions - 26.717(b)(8) & 26.75 Reason for the Action First drug or alcohol positive Sanction Applied (NRC Minimum rn ofiwfee Administrated)
NRC Minimum
-pafSancton Appled 14- Day Denial Person(a) Raeponslbie for infonrmation Proisvded Pence 2 (r*e-4:)
FMt No" Let Name Company Emall Address Fis Stop (RequIred) - NRC will consider t'*s form aufwtti in accordance with 26.11 only when the "Velidte & Lock' button has been selected and *il errors (Le., those hlilloted in reo have bean corrcted. The 'Vetdast & Loch' button wiglcan to 'Locked' alter ith data vaidaton process has been successfully me id theform is ready for submission.
Form Locked On:jFeb 20, 2012 at 2:33:57 PM F S&,51Pftoffl"T.* F-n. unrd 1.3.0- N. 9. 2011
011c NRC FFD Program Performance Data Reporting System Single Positive Test Form for the EME General Submission Portal
[] Subission Update 1) A fide ar ropaked exept No". *wed'apdast¶ USique Reference N Lic.Agee Ser eS.ed ARRew 'hic se.es 011111 Se
- 3) tie Adew Phwft I osaw foW r MWA-m i wok prepens 50-482 4) DaeM yea me.. avwhis.la Se .ti ehv ,eI k *ae Select Faciliy lWolf Creek [50-4821 Date of Collection (mrn/dd/wyyy) 0/0/201 Reeson for Testing - 26..717(b)(5) Pro-Access Testing Reason (optional) Please elaborate (optonal)
[Pre-Access Initial Aut horization EnPAOrnent Type- 26.717(b)(3) iContractor/Vendor J Labor Catego - 26.717(b)(3)
JMaintenance (Craft)
Refusalf- 26.717(b)(7) & 26.75 Was this collection refused (Yes / NO)?
Test Results*- 26.717(b)(4)
Teat Valdity Valid Test Type(s) for Result(s) Reported - 26.717(b)(2) Drug Testing rug Ony I IOine W"s 0110colectilon observed (Yes, / No)? - 26.717(b)(7) & 26.75 Substance - 26.717(b)(2) & (b)(6) Addonal substance (asappficable) Addfidnal Substamnce (as appicabi.)
ImrIuaa Please Selec Please Select Use NRC Cutoff (Yes / No)? Use NRC Cutoff (Yes / No)?FYes Use NRC Cutoff (Yes I No)? Yes fo thlia 24-14ourReporting Event (Yes,00)? - 26.719(b) No 7 Subvwoaon Attenipts - 26.717(b)(7) and 26.75(b)
Did this collection Involve a subversion attempt (Yes/No)? I~o Anaqgemd Acions - 26.717(b)(8) & 26.75 Reason for te Action IFirst drug or alcohol positive Sanction Applied (NRC Miiu or Licensee Adrnini~tsbtd JNRC Minimum Specific Swabon Appied 14- Day Denial Paewn(s) ReaponaibI. for ftfntomaton PpovldIed FidName LtN*Position Trde Company Email Address Prswn 2 (sopensf):
Jc. ,.r<i, I+J Aý SE . 7 soh M ....
FMn Nm ist Name P o Me Company Email Address Real St*p (Req*utf - NRC will consider thie form authentic in accordance with 26.11 orny when the "Vatlldte & Lock' button has bean selected and all errors i.e., those highlghted in red have been corrected. The "Valdate & Lodk button willchange to 'Locked" after the data valida*ion process has been successfully completed and the form is reedy for submission.
-Form Lodred On: Feb 14, 2012 at 7:38:08 AM
-*-wv 1-OmIt I.. 1-000 eO 1.4.0.0005 2011
- ,-RNFor
- - ,.- -mk~
s3O
, 2.,,
Elcroi Inomto Excang NKIG FF0 Program Performance Data Reporting System Single Positive Test Form for the EIE General Submission Portal F- Submison Update 1) Aft °F required(m/f 9ey)
-3. .ared 0
V717(b)(5) es In -heS Jam Rso a*(o .e myna.. inen bbef m.d Unique Refeec Nunr* (rLicensee Spepe) ds 0h-1 aitewa OWAb 50-482 2) tin. A4**Rads 8 -~ Wart for'0* Oaft..Se w5prepefy Select Facitity lWolf Creek [50-482 Date of Collection (mm/~ddlyyyy) ~2~I Reson for Testing- 26 .717(b)(5) Pro-Access Testing Reason (optional) Please elaborate (optional)
IPre-Access Initial Authorization Employment Type - 26,717(b)(3)
Contractor/Vendor Labor Category- 26.717(b)(3)
Maintenance (Craft)
Refusal- 26.717(b)(7) & 26.75 Was this cogecton refused (Yes / No)?
Test Result* - 26.717(b)(4)
Test Valdkity TValpd Teat Type(s) for Results) Reported - 28.717(b)(2) Drug Testing
[D-g Only Prine Was "i col/ectdon observed (Yea/No)? - 26.717(b)(7) & 26.75 Substance- 26.717(b)(2) & (b)(6) Addtonal Substance (as applkcabe) Additonal Substance (as applicable)
Maruana] JPlease Select IPlease Select Use NRC Cutoff (Yes / No)? Yes Use NRC Cutoff (Yes / No)? Ye Use NRC Cutoff (Yes I No)? yes
/a 09ai 24-Hour Reporting Event (YesWo)? - 26.719(b) No.
Subversion Afamenft- 26.717(b)(7) and 26.75(b)
Did ftiS collection involve a subversion attempt (Yes/No)? [ Io Managenent Actios - 26.717(b)(8) & 26.75 Reason for the Action First drug or alcohol positive santion Applied RC Mirn or Ucense Administrated)
INRK Minimum Specic Sanction Applied 14- Day Denial Peronas) Responailie far InWmatdon Ptosde person 1(eu*:
O~o~rm¢ IHRSpesalsi Paosonn@ev Sam Ft Nm Last Name Position ritde Company Email Address Fasme2 (aptionaO I- I,; -- mess iireni@Wieoohcoin F irt a ea Name Positio nT tle ------ -Com pany Emn al Address Final SOW(Reqwed - NRC wY condr this tons authnt in accordance with 26811 only when the Velidate & Lock' button ties bean selected and all errors (i.e., those highhogted in red have been corrected. The =Validate & Lockrbutton will change to "Locked' after the data validation process has been successtully completed and the form is ready for submMsion.
Form Lockred On ~b1,21
,2011
Elcroi 0nomto Exhag NRC FFD Program Performance Data Reporting System Single Positive Test Form for the EIE General Submission Portal FI] Subrnirsion Update 1)ANSefl " ringasedexxvioa. OD-~e seeinpillrwl Unique Reference Numbe
_V IWar Assess RMO_ I haw for am$ fe a s.e w. Propefry 150-482
- 4) No ear.sewers.. fares9.94 ft ~5 sealhd es. de, Solect Facility Wolf Creek [50-482] Date of Collection (m/dd/yyyy) 014/2011:]
Reason for Testing- 26 .717(b)(5) For Cause Testing Reason (ophtonal) Please elaborate (optional)
For Cause I [Physical Condition/Smell o f Alcohol lnd~1dsel ws goting through teproreasahg shiemas teerltidual reported SI'esmad of stoeholon the hmidedusI.Immn=tel a For-Ceugs teat ass performeid. The result was poaftve.
Employmen Typee- 26.717(b)(3)
ContractorNendor J Labor Categor - 26.717(b)(3)
Maintenance (Craft)
Refusal - 26.717(b)(7) & 26.75 Was tifs colection refused (Yes I No)?
Test Results - 25.717(b)(4)
Test Vality Not Applicable Teat Type(s) for Result(s) Reported - 26.717(b)(2) Alcohol Testing Alcohol Only I JBreath Substance- 26.717(b)(2) & (b)(6) 1A]cohol Is dts a 24-Hour Reporting Event (Yf, Wop? - 26.719(b)[No Subvesion Attempts - 26.717(b)(7) and 26.75(b)
Did this collecton involve a subversion attempt (Yes/No)? I Io Management Actionm - 26.717(b)(8) & 26.75 Reaion for the Action IFirst drug or alcohol positive 7 Sanction Applied NRC Minimun or Ucensee Administrated)
NRC Minimum Specitic Sanction Applied 14- Day Denial Person(s) Reuponedbie fowinftmation Ptovwd Peso (rIl d):
11Rseclf lroooemowsnosc~ow FirtName Last Name Posiion Te Company Emai Address Fuwswe2 topfieteell)
Faist Name Last Name Pos Titin Company Email Address Rnl Stelp(Requh-ud - NRC willconsider this form authentic in accordance wMth 26.11 orny when the "Valdhate & Lock" button has boe selected en alt errors (i.e., those highligtied Inred) have been corrected. The 'Vadldate &Lock* button willchange to 'Locked' after fte data validatin process has been successfully completed and Mte form is reedy for submiasion.
Form LockedOn: Feb 14, 2012 at~8:21:4 AMPC~~~~
tirels Po.WtiaT.0 F-m -eWn.13.0 - Nm 8 201i I
J,,(
NRC FFO Program Performance Data Reporting System Single Positive Test Form for the EIE General Submission Portal F' Subnssion Update 1)ANNeeds " roedred sessW Sieow In~eieeftet,~w
- 2) EIIAneehs - fern. my roeeft.In k bg awe-USue Referece Numt S(Lwensee SuplieM ads, ~* Afe Nobel
_ 0) the Aidoe RMead # how Aw We Penn.t wo rk pWeley.
50-482 4) Flow yeou eweew e -hem Mold La Owe 0ed o"MWO
,Select Faclt IWOf Creek [50-4821 Dete of Collection (mm/ddiy"yy)0E1i 11i Reason for Telng - 26 .717(b)(5) Pre-Access Testing Reason (optional) Please elaborate (optal Pire-Acess -- Ilnitial Aut horization Enplorment Type - 26.717(b)(3)
ContractorNendor LaborCategory - 26.717(b)(3)
Engineering Refusal -26.717(b)(7) &2675 Was this collection refused (Yes / No)?
Teat Resuft -26.717(b)(4)
Test Validity lValid Test Type(s) for Result(s) Reported - 26.717(b)(2) Drug Testing IDrug Only I 1U11ne VI." this colecton observed (Yws /No)? - 26.717(b)(7) & 26.75 Subance - 26.717(b)(2) & (b)(6) Addftionaf Substance (asappi/cable) Additonal Substance (s applicable)
Marijuana -I 1Please Select Please Select Use NRC Cutoff (Yes /No)? y.7 Use NRC Cutoff (Yes I No)? yet Use NRC Cutoff (Yes / No)? Yes-is otis a2A-Nour Repoting Event (YeawNo)? - 26.719(b) NO.-
Subversion Attenpt$ - 26.717(b)(7) and 26.75(b)
Did this collection involve a subversion attempt (Yes/No)?
Maangeonent Actions - 26.717(b)(8) & 26.75 Reason for the Action First drug or alcohol potitive Sancton Applied NRC Miinlmum or Ucensee Administrated)
JNRC Minimnum Speii Sanction Applied 14- Day Denial Person(s) Responsible for infOwmation Provided Pewon I (ssqsrer):
First Name Last Name positon T Company Emait Address i
Person 2 (sv onas*:
IS~l*,iF; o*
Amess Screening cahoch . .
Cad Hoh stame Po Company Emal Address Fnal Ste fRequp~ " - NRC wiE conmder this form authentic in accordance with 26 11 only when the "Validate & Lock button has bean selected and all errors (fie., tihe hihlighted in red) have bean corrected. The "Valklate & Lock" button will change to 'Lockred after the date validation process has bean sucoe*
-Fonm cospeted aid formois reedy for submission.
Lockced On:I et,14,2012 at 8:04:48 AM * - P R d nioh p0. Tw orm vmn 1.3.0. Ne. 8, DII
( . o( ' a NRC FFD Program Performance Data Reporting System Single Positive Test Form for the EIE General Submission Portal
] Submisson Update 1)M a3ds red, _u~Wiviep s... wiedweene~
(Lb Supiede 7 ,meensee hs0 tr, 0lo a s y Unique Reference Numbe
- 4) CA, Aur. fte I- arbe Pe1di hmeaeetl hate/ .
Select Facility lWolf Creek [50-482] Date of Collecton (mm/dd/yyyy) 1 0 11 Reason for Testing - 26.717(b)(5) Pro-Access Testing Reason (optional) Please elaborate (optionas Pre-Access 7 [Update Authorization Employ t Type - 26.717(b)(3)
IContractorNendor I Labo Categoty- 26.717(b)(3)
[Maintenance (Craft)
Refusal - 26.71 7(b)(7) & 26.75 Was this collection refused (Yes / No)?
Teot Results - 26.717(b)(4)
Test Valdity Valid Test Type(s) for Result(s) Reported - 26.717(b)(2) Drug Testing Drug Only I P I iII]
Was this collection observed (Yes / No)? - 26.717(b)(7) & 26.75 Substance - 26.717(b)(2) & (b)(6) Additional Substance(as applicable) Additional Substance (as applicable)
Imajuana I I Please Select I 1Please Select I Use NRC Cutoff (Yes / No)? Yes Use NRC Cutoff (Yes / No)? Yes Use NRC Cutoff (Yes / No)? Yes is thla a 24,-#our Reporting Event (Yea/No)? - 26.719(b) No Subversion Attempts - 26.717(b)(7) and 26.75(b)
Did this collection involve a subversion attempt (Yes/No)?
Miaragens Actions - 26.717(b)(8) & 26.75 Reason for tie Action First drug or alcohol positive Swtnw Apphad NRC Minimum or Licensee Administrate NK Minimum Spocific Sanction Applied 14- Day Denial peron*(s) Responsible for Irfonnstlon Pro~
Parse I (requ*ae):
1p1_ ýF Fn,_7 paOOnlfwciieC con First Name Last Name position TCompany Emad Address Parson2 (opton):
First Name Last Name Position Titde Company Email Address Final Stop (ReWiulred . NRC will consider "his form authentic in accordance with 26.11 only when the 'Validate & Lock button has been selected and all errors (i., those hightihted in red) have benw corrected. The 'Validate & Locde buttonwiAchange to 'Lockd' after to data validation process has been successfully completed and tae form is ready for submission.
FormLocked OnrlFebs 14,2012 at 8:10:21 AM [
5e~ nO.50. [id Free c.n.n 1.3.0-lienS 2011 rO***
et Fort -~ 1,_*0- Nov8. 2011
Elcroi Inomto Excang NRC FF0 Program Performance Data Reporting System Single Positive Test Form for the EIE General Submission Portal E] SubmsMon Update 1)A# Soid ar regweed wro* Osotesmarked epea~.
hoi mee 006 any roes in h I in. I k Saepbakig suet-Unique Refrec Numb
- 3) the A~ob*fteed58 or1 lterAw"ftwon fe swakproper*y 5O-482 Select Faclty Wolf Creek [50-4821 Dateof Collection (rm/Vdd/yyy) 145011 Reason for Testing - 26 .717(b)(5) For Cause Testng Reason (optional) Please elaborate (optional)
IFor Cause I rObserved Behavior J nodui was observed ekrrrdrfrre endlasring seanetthe was Empojf*rnant Type- 26.717(b)(3) lContractor/endor Z Labor Category- 26.717(b)(3)
Engineering Reft"Ia- 26.717(b)(7) & 26.75 Was tNs collection refused (Yes I No)?
Tort Resuft - 26.717(b)(4)
Teat Vddlty Not Applicable Teat Type(s) for Result(3s) Reported - 26.717(b)(2) Alcohol Testing Alcohol Only ] 18reath Substance- 26.717(b)(2) & (b)(6)
Alcohol Is"tlts a 24-Hour Reporfti Event (YaeNol? - 28.719(b)F N Subversion Attempts - 26.717(b)(7) and 26.75(b)
Didthis collection involve a subversion attempt (Yes/No)? [No 7I7 Aienagaonent Acdons - 26.717(b)(8) & 26.75 Reason for the Action First drug or alcohol positive Sanction Applied (NRCMinimum or License Admintate JNRC Minimum Specifc Sanction Applied 14- Day Denial Person(s) Responsible for Infornaton Provfded Person I (reqisae):
1] -- Jmew psoronrmwvioc-crr First Name Last Name Poson Tite Company Emai Address Paerso2 (sptireS):
First Name Lst Name position Title Company Emals Address Rna Step 04squireW - NRC *1 consiler thIs form autwentic in accondance with 26.11 only when the Validate & Lock button has beon selected and al errors (i.e.,those highihted in red) have beet corrected. The "Validte & Lock button wig change to "Loed after te data validation pros has been successfully completed and tre form is ready for subnission.
Form LockedOnI~ 0 02a 2:7P ým-ý" 'C SrwiuPoet. Test F- -f*.re1 3c-liNov, 2011
NI I,0 NRc FD Progam PWrOrnce Data Report" Sysem 10 CFR Part 26, Subpart I - Managing Fatigue A-l F.p R"-Un Mr for the B-EO*4rerd Sublgodw Part S..-yW~F. -26pNO)
WW-h.
M-~t tWa~a.kýi Ca.an~afl. d tatt,~Oaha*aAaaa., tatOi.,a.aaadak.O..S na*tOna,,aafaOi.
ý* HourC__.*o ~a..s.a .taaaa Oitdifl4*Xt nainoas.. t.fl.da -
ISA a..,atad, n. d..,a.,d,..~ia
- 4a i~AiaO41 e I -- a 0-a
--- i--a-r
- /inin0 w inmm
,.tam
-r oft
- l,* I,*ll* JWu
,W0 Ir.:*Sll- ,ted~a -- __
a-S ueai fw f __t Smea.ayfCaa~aoSfraAodaa,-2d.2O.W.j~2J (a-ia)
Oaaao gait O.O..a.,a)
- ~w*aa-t 1I Wa~e~~a
-- -- 0a~aa0
'a---
taaad I aaaadi Otipif)
- 04*0,1 I atItalor aa.,tadoISA*04, a 040(0, AinatSdFfaO.S*.aaatiti (LO~OmO.,aaa, IF,7 0 aaOaaaaa*Ia.dtil.OlAaU*,aIaAhOfl) S.. a4aaaaapa.a.,an.aa,. OaIOoaa,,,,. taaaaadra...in.~.I.aaa.i..n,. ,n.,aa.ad
~- ~,-. --
fr~I, 0c.I.. --
CttOaaa ia.. '0 lit
~feea~=L. ,~aa. h S~~a-~ - t..U.o -. ,.i.-.--.o.t a _ _ _ I a..a..4,& S.aa4aaaiO n W-"s k F t I
it,.aaa5
________ t ___________________ _____________
Ml, aa*,aaS ~,,..ad.a.a . .....a0.nta~ -r -
- Faaa.0. a120 2tOOtPS
Si
NRC FFD Program Performance Data Reporting System 10 CFR Part 26, Subpart I - Managing Fatigue Attachment This attachment provides the entire narrative as the NRC form has been created with boxes that scroll down, and when printed, the information does not print in its entirety due to the way the NRC has built the electronic FM form.
Analysis of Waiver Assessment Data:
No waivers were initiated at Wolf Creek for 2011.
Analysis of Fatigue Assessment Data:
Fourteen Fatigue Assessments were completed from 01-01-2011 through 12-31-2011. Seven were for-cause assessments and seven were post event assessments. Wolf Creek had zero fatigue assessments completed for a waiver or for a self-declare of fatigue. Two workers did self-declare during the 2011 planned refueling outage and were sent home for a minimum of a 10-hour break and no fatigue assessment was performed or required.
02-21-2011 Operations, Covered, Online, Post Event 02-24-2011 Information Services, Non-covered, Online, For Cause 03-02-2011 Maintenance, Non-covered, Online, Post Event 03-10-2011 Maintenance, Covered, Online, Post Event 03-17-2011 Safety, Non-covered, Online, For Cause 03-16-2011 Maintenance, Non-covered, Online, For Cause 03-25-2011 Health Physics, Non-covered, Outage, For Cause 04-07-2011 Maintenance, Covered, Outage, For Cause 04-14-2011 Maintenance, Non-covered, Outage, For Cause 04-15-2011 Maintenance, Non-covered, Outage, For Cause 05-01-2011 Maintenance, Covered, Outage, Post Event, 07-28-2011 Maintenance, Covered, Online, Post Event 07-29-2011 Maintenance, Covered, Online, Post Event 10-30-2011 Operations, Covered, Online, Post Event The actions taken for the fatigue assessments for-cause and post event were to perform a drug and alcohol screen and for the worker to take a minimum of a 10-hour break awaiting screening results.
==
Conclusions:==
Wolf Creek initiated zero waivers for 2011. For the post-event and for-cause assessments, adequate actions were taken in sending the workers home pending fitness-for-duty results. In review of the completed fatigue assessments no program or performance issues were noted from a collective review of the data.
Summary and Status of Corrective Actions:
The evaluation review period is 01-01-2011 through 12-31-2011. During this review period no waivers were performed, fourteen fatigue assessments were performed, and two workers self-declared fatigue.
Each fatigue assessment and both self-declares were documented in the corrective action program. In review of the condition reports generated for fatigue assessments and self-declares, the corrective actions taken supported fatigue rule requirements. In a collective review of the 2011 fatigue assessments and self-declare data no gaps to performance or program improvement opportunities were found.