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Category:License-Fitness for Duty (FFD) Performance Report
MONTHYEARML24030A7342024-01-30030 January 2024 Single Positive Test Form Collected on 10/16/2023 ML24030A7362024-01-30030 January 2024 Single Positive Test Form Collected on 12/07/2023 ML24030A7332024-01-30030 January 2024 Single Positive Test Form Collected on 10/16/2023 ML24030A7322024-01-30030 January 2024 Single Positive Test Form Collected on 06/12/2023 ML24030A7312024-01-30030 January 2024 Single Positive Test Form Collected on 06/12/2023 ML23044A3072023-02-13013 February 2023 Single Positive Test Form Collected on 04/19/2022 ML23044A3242023-02-13013 February 2023 Annual Report Form for Drug and Alcohol Tests for 2022 ML23044A3092023-02-13013 February 2023 Single Positive Test Form Collected on 11/28/2022 ML23044A3082023-02-13013 February 2023 Single Positive Test Form Collected on 09/20/2022 ML22140A2502022-05-20020 May 2022 Annual Report Form for Drug and Alcohol Tests for 2020 ML22140A2492022-05-20020 May 2022 Single Positive Test Form Collected on 01/06/2020 ML22042B3022022-02-11011 February 2022 Annual Report Form for Drug and Alcohol Tests for 2021 ML22033A2482022-02-0202 February 2022 Single Positive Test Form Collected on 11/08/2021 ML22033A2542022-02-0202 February 2022 Single Positive Test Form Collected on 11/30/2021 ML22033A2502022-02-0202 February 2022 Single Positive Test Form Collected on 11/30/2021 ML22033A2512022-02-0202 February 2022 Single Positive Test Form Collected on 11/30/2021 ML22033A2522022-02-0202 February 2022 Single Positive Test Form Collected on 11/01/2021 ML22033A2492022-02-0202 February 2022 Single Positive Test Form Collected on 11/16/2021 ML22033A2532022-02-0202 February 2022 Single Positive Test Form Collected on 11/30/2021 ML22033A2552022-02-0202 February 2022 Single Positive Test Form Collected on 11/17/2021 ML20058D0362020-02-27027 February 2020 Fitness for Duty Performance Data Report-Annual 2019 ML20057D1402020-02-26026 February 2020 Annual Fatigue Report Form for 2019 ML20030A0452020-01-30030 January 2020 Annual Report Form for Drug and Alcohol Tests for 2019 ML20028D7132020-01-28028 January 2020 Single Positive Test Form Collected on 08/21/2019 ML19056A3842019-02-25025 February 2019 Annual Fatigue Report Form for 2018 RS-19-034, Fitness for Duty Performance Data Report-Annual 2018 (Cover Letter)2019-02-25025 February 2019 Fitness for Duty Performance Data Report-Annual 2018 (Cover Letter) ML19038A2972019-02-0707 February 2019 Single Positive Test Form Collected on 07/31/2018 ML19030B0502019-01-30030 January 2019 Annual Report Form for Drug and Alcohol Tests for 2018 ML19003A4172019-01-0303 January 2019 Single Positive Test Form Collected on 07/31/2018 ML19003A4182019-01-0303 January 2019 Single Positive Test Form Collected on 08/28/2018 ML18270A4532018-09-27027 September 2018 Annual Report Form for Drug and Alcohol Tests for 2016 ML18269A2452018-09-26026 September 2018 Annual Report Form for Drug and Alcohol Tests for 2016 ML18269A2492018-09-26026 September 2018 Single Positive Test Form Collected on 09/30/2016 RS-18-025, Submittal of Fitness for Duty Performance Data Reports for the Year 20172018-02-28028 February 2018 Submittal of Fitness for Duty Performance Data Reports for the Year 2017 ML18058A8162018-02-27027 February 2018 Annual Fatigue Report Form for 2017 ML18037A8662018-02-0606 February 2018 Annual Report Form for Drug and Alcohol Tests for 2017 ML18009A1102018-01-0909 January 2018 Single Positive Test Form Collected on 09/05/2017 ML18009A1202018-01-0909 January 2018 Single Positive Test Form Collected on 09/18/2017 ML18009A1192018-01-0909 January 2018 Single Positive Test Form Collected on 09/12/2017 ML18009A1182018-01-0909 January 2018 Single Positive Test Form Collected on 09/14/2017 ML18009A1172018-01-0909 January 2018 Single Positive Test Form Collected on 09/11/2017 ML18009A1162018-01-0909 January 2018 Single Positive Test Form Collected on 09/08/2017 ML18009A1152018-01-0909 January 2018 Single Positive Test Form Collected on 09/07/2017 ML18009A1142018-01-0909 January 2018 Single Positive Test Form Collected on 9/14/2017 ML18009A1132018-01-0909 January 2018 Single Positive Test Form Collected on 9/11/2017 ML18009A1122018-01-0909 January 2018 Single Positive Test Form Collected on 8/29/2017 ML18009A1112018-01-0909 January 2018 Single Positive Test Form Collected on 08/14/2017 ML18009A1092018-01-0909 January 2018 Single Positive Test Form Collected on 02/13/2017 ML17058A3552017-02-27027 February 2017 Annual Fatigue Report Form for 2016 RS-17-023, Submittal of Annual 2016 Fitness for Duty Performance Data Reports2017-02-27027 February 2017 Submittal of Annual 2016 Fitness for Duty Performance Data Reports 2024-01-30
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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 Three Mile Island [50-289] 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 113 819 6 Random 361 135 0 For Cause 1 1 0 Post-Event 3 2 0 Followup 53 68 1 Total (Calculated) 531 1,025 7 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 706 310 1,016 48.8 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 29 C/V tests under the category "Pre-Access Random." These tests were Other(s) included under the Pre-Access category.
Please elaborate:
Form does not provide a separate field to capture this data.
Topic 2 Topic 2 Description There were two (2) re-analysis performed for this reporting period and both were re-confirmed.
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 6:23:28 PM Save to Local PC Print this Report Annual Report Form (version 1.5.1 - February 12, 2014) Three Mile Island [50-289] Period of Report: 2013 - Page 2 of 2 -