ML14057A395

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Annual Reporting Form for Drug and Alcohol Tests, for Calendar Year 2013
ML14057A395
Person / Time
Site: Palisades 
Issue date: 02/17/2014
From: Dotson B, Rabideau B
Entergy Nuclear Operations
To:
Document Control Desk, Office of Nuclear Security and Incident Response
Shared Package
ML14057A574 List:
References
PNP 2014-016
Download: ML14057A395 (2)
v • d • e


Text

Select Facility Period of Report Palisades [50-255]

J 2013 Note:

1) All fields required except those marked optional
2) Use Adobe Reader 8 or later for this form to work properly.
3) Hold your mouse over a form field to view additional information.

Tests Conducted in the Calendar Year Total Number of Tests Conducted Total Number of Positive, Adulterated, Reason For Testing Licensee Employees ContractorsNendors Substituted, and Refusal to Test Results Pre-Access 261 4I Random 4061 I

1251 I

ForCause I

2

[

Post-Event 01 21 ol Followup I

29 291 I

Total (Calculated) 463j 6201 7j FFD Program Random Testing Population and Rate Average number of Average number of Total size of the random testing pooi Annual random testing percentage licensee employees contractors/vendors throughout the period (Calculated) achieved for the testing pool 674 3211 I

Laboratory Testing Does your program use a Licensee Testing Facility?

No (Yes? No)

Identify your HHS-Certified Laboratory(ies)

Quest Diagnostics, Lenexa KS Identify your Blind Performance Test Sample supplier(s) 1 E1 SoNy Laboratories Substances Tested Did your program only test for NRC-required substances Yes Does your program conduct LOD testing Yes ANQ at the NRC-specified minimum cutoff levels? (Yes / No) permitted in 26.1 63(a)(2)? (Yes / No)

Total Number of Dilute Specimens I

Special Analyses Testing Results Total Number of Dilute Specimen Test Results I

13 I

(Special Analyses Testing Conducted) 13 (Optional)

I I

Use Only NRC Cutoff Initial Confirmatory LOD Testing?

Comment Substance Levels? (Yes I No)

Cutoff Cutoff (Yes / No)

(Optional)

Alcohol IYes IN0t Applicable Cocaine Iyes s

Marijuana lYan Ives Amphetamines Yes Iyes Opiates IYes Ives PCP IYes IYes D

Submission Update fnnud Report Form (version 1.5.1

- February 12, 2014)

-Page 1 of 2-I LI.S.N I{ C:

FFD Program Perf 01 malICe Data Repol tll1g System AIlIlLlall~epoltlllg 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 Re~ort Ipalisades [50-255]

I I 2013

\\

Tests Conducted In the Calendar Year Total Number of Tesls Conducted Total Number of Positive, Adulterated, Reason For Testing Licensee Employees ContractorsNendors Substlt ted, and Refusal to Test Results Pre-Access II 2611 II 46~J1 II 5lf Random 406\\

1251 21 For C.use II 211 II 011 11 011 Post-Event 01 21 01 FoJIowup II 291 II

291, II 011 Total (Calculated) 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

6741 I

3211 I

9951 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 Management Actions - 26.71 7(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 Topic 1 Description Program and System Management An analysis of the data for 2013 was conducted and did not identify any program weaknesses, Person(s) Responsible for Information Provided Person 1 (required):

Brian Rabideau Supervisor Access AuthorizationFFD brabideentergycom First Name Last Name Position Title Company Email Address Person 2 (optional):

Barb

Dotsor, licensing Specialist otS0n@enter9Y.com 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 17, 2014 at 10:03:36 AM Save to Local PC Print this Report Annual Report Form (version 1.5.1

- February 12, 2014) IPalisades [50-255J J Period of Report:

-Page 2 of 2-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):

I LBri_._an __ --,."...""",-____ --...JIIL..R_ab_i_de_BU_--;=:n;==-___ -'llsupervisor Access AuthorizationIFFD I brabide@entergy.com First Name Last Name Position TIUe

;C:-o-m-p-a-n-y"'E=-m-a"'n;-A=-d';"d7"re-s-s----

Person 2 (optional):

learb I I Dotson I I Licensing Specialist I bdotson@entergy.com L----'F"'i=rs"'t*N"'am=e:------' '-----;-La=s"'t*Nr:a=m:-:e:-----"" '-------,.Pc::o-=si"'ti"'on""'"T"'iU"'e-----'

Company Email Address Fln81 Step (Required)* NRC will consider this form authentic in accordance with 26.11 only when the "Vatidate & 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.

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 __________ ""1 Period of Report:12013 I

-Page20f2-

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