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Category:License-Fitness for Duty (FFD) Performance Report
MONTHYEARML23058A2912023-02-27027 February 2023 Annual Report Form for Drug and Alcohol Tests for 2022 ML23051A0232023-02-20020 February 2023 Single Positive Test Form Collected on 03/15/2022 ML23051A0302023-02-17017 February 2023 Annual Fatigue Reporting Form for 2022 ML23051A0282023-02-16016 February 2023 Single Positive Test Form Collected on 07/25/2022 ML23051A0252023-02-16016 February 2023 Single Positive Test Form Collected on 05/09/2022 ML23051A0292023-02-16016 February 2023 Annual Reporting Form for Drug and Alcohol Tests for 2022 ML23051A0272023-02-16016 February 2023 Single Positive Test Form Collected on 06/22/2022 ML23051A0212023-02-16016 February 2023 Single Positive Test Form Collected on 01/26/2022 ML23051A0242023-02-16016 February 2023 Single Positive Test Form Collected on 04/28/2022 ML23051A0262023-02-16016 February 2023 Single Positive Test Form Collected on 05/11/2022 ML23051A0202023-02-16016 February 2023 Single Positive Test Form Collected on 01/05/2022 ML23051A0222023-02-16016 February 2023 Single Positive Test Form Collected on 03/07/2022 ML22054A1362022-02-23023 February 2022 Annual Fatigue Form for 2021 ML22054A1342022-02-17017 February 2022 Single Positive Test Form Collected on 09/13/2021 ML22054A1332022-02-17017 February 2022 Single Positive Test Form Collected on 09/13/2021 ML22054A0832022-02-17017 February 2022 Single Positive Test Form Collected on 03/15/2021 ML22054A0902022-02-17017 February 2022 Single Positive Test Form Collected on 09/13/2021 ML22054A1272022-02-17017 February 2022 Single Positive Test Form Collected on 03/15/2021 ML22054A0882022-02-17017 February 2022 Single Positive Test Form Collected on 09/13/2021 ML22054A0862022-02-17017 February 2022 Single Positive Test Form Collected on 07/06/2021 ML22054A1282022-02-17017 February 2022 Single Positive Test Form Collected on 03/31/2021 ML22054A0842022-02-17017 February 2022 Single Positive Test Form Collected on 03/31/2021 ML22054A1322022-02-17017 February 2022 Single Positive Test Form Collected on 09/13/2021 ML22054A0852022-02-17017 February 2022 Single Positive Test Form Collected on 04/05/2021 ML22054A0912022-02-17017 February 2022 Single Positive Test Form Collected on 10/07/2021 ML22054A0892022-02-17017 February 2022 Single Positive Test Form Collected on 09/13/2021 ML22054A0872022-02-17017 February 2022 Single Positive Test Form Collected on 07/12/2021 ML22054A1292022-02-17017 February 2022 Single Positive Test Form Collected on 04/05/2021 ML22054A1352022-02-17017 February 2022 Single Positive Test Form Collected on 10/07/2021 ML22054A1312022-02-17017 February 2022 Single Positive Test Form Collected on 07/12/2021 ML22054A1302022-02-17017 February 2022 Single Positive Test Form Collected on 07/06/2021 ML22054A0822022-02-16016 February 2022 Annual Reporting Form for Drug and Alcohol Tests for 2021 ML22054A1262022-02-16016 February 2022 Annual Reporting Form for Drug and Alcohol Tests for 2021 ML21055A7942021-02-24024 February 2021 Annual Report Form for Drug and Alcohol Tests for 2020 ML21055A7932021-02-24024 February 2021 Single Positive Test Form Collected on 12/03/2020 ML21055A7922021-02-24024 February 2021 Single Positive Test Form Collected on 09/21/2020 ML21055A7912021-02-24024 February 2021 Single Positive Test Form Collected on 09/17/2020 ML21055A7902021-02-24024 February 2021 Single Positive Test Form Collected on 09/15/2020 ML21055A7892021-02-24024 February 2021 Single Positive Test Form Collected on 08/30/2020 ML21055A7882021-02-24024 February 2021 Single Positive Test Form Collected on 08/24/2020 ML21055A7872021-02-24024 February 2021 Single Positive Test Form Collected on 08/17/2020 ML21055A7862021-02-24024 February 2021 Single Positive Test Form Collected on 08/10/2020 ML21055A7852021-02-24024 February 2021 Single Positive Test Form Collected on 06/30/2020 ML21054A1582021-02-21021 February 2021 Annual Fatigue Form for 2020 ML21054A1522021-02-11011 February 2021 Single Positive Test Form Collected on 08/24/2020 ML21054A1512021-02-11011 February 2021 Single Positive Test Form Collected on 08/17/2020 ML21054A1542021-02-11011 February 2021 Single Positive Test Form Collected on 09/15/2020 ML21054A1502021-02-11011 February 2021 Single Positive Test Form Collected on 08/10/2020 ML21054A1532021-02-11011 February 2021 Single Positive Test Form Collected on 08/30/2020 ML21054A1552021-02-11011 February 2021 Single Positive Test Form Collected on 09/17/2020 2023-02-27
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, I L I.S.N I{ C: FFD Program Perf 01 malICe Data Repol tll1g System '. "--.
101111 fOI Dlug allCl !\ICCll1ol Tests I ,t 'oi , " 'I I '" d I I tmU: o Submission
- 1) All fields required except those marlred 'optlona".
Update 2) Use Adobe Raltder 8 or later for this form to worlr property. 3) Hold your mouse over a form field to view additional Informetlon.
Select F acilily Period of Ipalisades
[50-255] I I 2013 \ Tests Conducted In the Calendar Year To ta l Num ber of Tesls Conducted To tal Numb e r of Po siti v e, Adult e ra te d , Reason For Testing Lic ensee E mployee s ContractorsNendors Subs tlt t e d , and R efusal t o T est R es u lts _.-.. ---. -Pre-Access I I 26 1 1 II I I 5 lf --Random 406\ 12 5 1 21 For C.use I I 21 1 I I 0 11 11 01 1 Pos t-E vent 01 21 01 F oJIowu p I I 29 1 II 29 1 , I I 0 11 Tot al (Calcula t ed) 4631 6201 71 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 I 674 1 I 321 1 I 995 1 I 53.41 Laboratory Testing Does your program use a INO I Licensee Testing Facility? (Yes I No) Identify your HHS-Certified Laboratory(Jes)
'Ouest Diagnostics , Lenexa KS , Identify your Blind Performance Test Sample supplier(s)
'E1 Sohly Laboratories I Substences Tested Did your program only test for NRC-required substances I Yes I Does your program conduct LOD testing Iyes I Al!Il2 at the NRC-specified minimum cutoff levels? (Yes I No) permitted in 26.163(a)(2)? (Yes I No) Special Analyses Testing Results Total Number of " Dilute", 13 1 Total Number of "Dilute" Specimens I 13 1 Specimen Test Results (Special Analyses Testing Conducted) . (Optional)
Substance Use Only NRC Cutoff Initial Confirmatory LOD Testing? Comment Levels? (Yes I No) Cutoff Cutoff (Yes I No) (Optional)
Alcohol Iyes INot Applicable I Cocaine Iyes Iyes I Marijuana Iyes Iyes I Amphetamines IYes Iyes I Oplatas I Yes Iyes I PCP Iyes Iyes I Annual Report Form (version 1.5.1 -February 12 , 2014) -Page10f2-Substances Tested* continued Summary of "'anagement Actions* 26.717(b)(8)
Summarize actions implemented to improve FFD program performance.
As applicable, reference in the topic description audit reports, 3O-day reports, andlor corrective action reports. If reporting information on more than three topics, select "Others" for Topic 3 to report any additional topics. Topic 1 Topic 1 Description ILP_r_D9_ra_m_a_n_d_S_Y_st_e_m_M_a_n_a_
9_e_m_e_n_t_---'I M analysis of the data tor 2013 was conducted and did not Identify any program weaknesses. Person(s)
Responsible for Information Provided Parson 1 (required)
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Company Email Address Fln81 Step (Required)*
NRC will consider th is form authent i c in accordance with 26.11 only when the "Vatidate
& Lock" button has been selected and all errors (I.e., those highlighted i n 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. 1_ Form Locked On¥eb 17, 2014 at 10:03: 36 AM I I Save to Local PC II Print this Report I Mnual Report Form (version 1.5.1 _ February 12 , 2014) L..lp_a_lis_a_de_s_15_G-_2_5_5_1
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""1 Period of Report: 12013 I -Page20f2-