ML14120A400

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Annual Report Form for Drug and Alcohol Tests for 2013
ML14120A400
Person / Time
Site: Clinton Constellation icon.png
Issue date: 04/30/2014
From:
AmerGen Energy Co
To:
Document Control Desk, Office of Nuclear Security and Incident Response
Paul Harris - 287-9294
References
Download: ML14120A400 (1)


Text

FFD Program Performance Data Reporting System Annual Reporting Form for Drug and Alcohol Tests (EIE General Submission Portal)

Note:

Submission 1) All fields required except those marked 'optional'.

Update 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.

Select Facility Period of Report Clinton [50-461] 2013 Tests Conducted in the Calendar Year Total Number of Tests Conducted Total Number of Positive, Adulterated, Reason For Testing Licensee Employees Contractors/Vendors Substituted, and Refusal to Test Results Pre-Access 79 1,333 8 Random 358 132 1 For Cause 0 2 2 Post-Event 2 1 0 Followup 40 71 1 Total (Calculated) 479 1,539 12 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 688 242 930 52.7 Laboratory Testing Does your program use a Does your program terminate an individual's authorization or take Licensee Testing Facility? Yes administrative action on initial marijuana or cocaine positive test results No (Yes / No) from your licensee testing facility (26.717(d))? (Yes / No)

Identify your HHS-Certified Laboratory(ies) Medtox Identify your Blind Performance Test Sample supplier(s) ElSohly 26.717(d) Reporting Positive Initial Drug Test Results (Marijuana and Cocaine) - Licensee Testing Facility (LTF)

Enter values into this table if your program terminates an individual's authorization or takes administrative action on the initial positive test result.

Substance LTF Results HHS Laboratory Results MRO Determinations Marijuana Cocaine Total (Calculated)

Substances Tested Did your program only test for NRC-required substances Does your program conduct LOD testing Yes permitted in 26.163(a)(2)? (Yes / No)

Yes AND at the NRC-specified minimum cutoff levels? (Yes / No)

Special Analyses Testing Results Total Number of "Dilute" Total Number of Dilute Specimens Specimen Test Results 0 (Special Analyses Testing Conducted)

(Optional)

Use Only NRC Cutoff Initial Confirmatory LOD Testing? Comment Substance Levels? (Yes / No) Cutoff Cutoff (Yes / No) (Optional)

Alcohol Yes Not Applicable Cocaine Yes Yes Marijuana Yes Yes Amphetamines Yes Yes Opiates Yes Yes PCP Yes Yes Annual Report Form (version 1.5.1 - February 12, 2014) - 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 Topic 1 Description (1) Licensee reported 21 tests (2 for Licensee Employees, 19 for C/Vs) under the category "Pre-Access Other(s) Random." These tests were included under the Pre-Access category.

Please elaborate:

Form does not provide space for breakdown of data.

Topic 2 Topic 2 Description There was one Significant FFD event which resulted in a 24 hour2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br /> Report number 48740.

Program and System Management Add an additional Topic Person(s) Responsible for Information Provided Person 1 (required):

Susan Techau AA/FFD Program Manager susan.techau@exeloncorp.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.

Locked Form Locked On: Apr 29, 2014 at 4:37:59 PM Save to Local PC Print this Report Annual Report Form (version 1.5.1 - February 12, 2014) Clinton [50-461] Period of Report: 2013 - Page 2 of 2 -