|
---|
Category:License-Fitness for Duty (FFD) Performance Report
MONTHYEARML22055B0212022-02-24024 February 2022 Single Positive Test Form Collected on 03/16/2021 ML22055B0182022-02-24024 February 2022 Single Positive Test Form Collected on 01/20/2021 ML22055A7282022-02-24024 February 2022 Annual Reporting Form for Drug and Alcohol Test for 2021 and Single Positive Test Forms Collected on 01/20/2021, 02/04/2021, 03/16/2021, 09/28/2021, 01/08/2021, and 03/19/2021 ML22055B0172022-02-24024 February 2022 Annual Report Form for Drug and Alcohol Tests for 2021 ML22055B0192022-02-24024 February 2022 Single Positive Test Form Collected on 02/04/2021 ML22055B0222022-02-24024 February 2022 Single Positive Test Form Collected on 09/28/2021 ML22055B0232022-02-24024 February 2022 Single Positive Test Form Collected on 01/08/2021 ML22055B0242022-02-24024 February 2022 Single Positive Test Form Collected on 01/20/2021 ML22055B0252022-02-24024 February 2022 Single Positive Test Form Collected on 02/04/2021 ML22055B0262022-02-24024 February 2022 Single Positive Test Form Collected on 03/19/2021 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) ML19056A3722019-02-25025 February 2019 Annual Fatigue Report Form for 2018 ML19038A2942019-02-0707 February 2019 Single Positive Test Form Collected on 10/24/2018 ML19030B0492019-01-30030 January 2019 Annual Report Form for Drug and Alcohol Tests for 2018 ML19010A1912019-01-10010 January 2019 Single Positive Test Form Collected on 05/22/2018 ML19010A1922019-01-10010 January 2019 Single Positive Test Form Collected on 10/02/2018 ML19010A1932019-01-10010 January 2019 Single Positive Test Form Collected on 10/02/2018 ML19010A1942019-01-10010 January 2019 Single Positive Test Form Collected on 10/24/2018 ML18150A1492018-05-30030 May 2018 Licensed Operator Positive Fitness-For-Duty Letter 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 ML18058A7942018-02-27027 February 2018 Annual Fatigue Report Form for 2017 ML18037A8632018-02-0606 February 2018 Annual Report Form for Drug and Alcohol Tests for 2017 ML18009A0922018-01-0909 January 2018 Single Positive Test Form Collected on 08/21/2017 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 ML17058A3282017-02-27027 February 2017 Annual Fatigue Report Form for 2016 ML17045A2302017-02-14014 February 2017 Annual Report Form for Drug and Alcohol Tests for 2016 ML17028A0372017-01-28028 January 2017 Single Positive Test Form Collected on 09/13/2016 ML17028A0392017-01-28028 January 2017 Single Positive Test Form Collected on 09/13/2016 ML17028A0352017-01-28028 January 2017 Single Positive Test Form Collected on 08/30/2016 ML17028A0382017-01-28028 January 2017 Single Positive Test Form Collected on 09/13/2016 ML17028A0402017-01-28028 January 2017 Single Positive Test Form Collected on 09/20/2016 ML17028A0362017-01-28028 January 2017 Single Positive Test Form Collected on 09/07/2016 ML16246A0822016-09-0202 September 2016 Single Positive Test Form Collected on 08/23/2016 ML16246A1952016-09-0202 September 2016 Single Positive Test Form Collected on 04/19/2016 ML16246A0812016-09-0202 September 2016 Single Positive Test Form Collected on 04/19/2016 RS-16-050, Submittal of Exelon Fitness for Duty Performance Data Reports-Annual 20152016-02-26026 February 2016 Submittal of Exelon Fitness for Duty Performance Data Reports-Annual 2015 ML16057A7982016-02-26026 February 2016 Annual Fatigue Report Form for 2015 ML16055A1982016-02-24024 February 2016 Annual Report Form for Drug and Alcohol Tests for 2015 ML15357A1042015-12-23023 December 2015 Single Positive Test Form Collected on 10/03/2015 ML15299A4202015-10-26026 October 2015 Single Positive Test Form Collected on 02/10/2015 ML15098A5502015-04-0808 April 2015 Single Positive Test Form Collected on 09/24/2014 RS-15-079, Fitness for Duty Performance Data Reports - Annual 20142015-02-27027 February 2015 Fitness for Duty Performance Data Reports - Annual 2014 ML15058A4852015-02-27027 February 2015 Annual Report Form for Drug and Alcohol Tests for 2014 ML15057A0812015-02-26026 February 2015 Annual Fatigue Report for 2014 ML15057A0482015-02-26026 February 2015 Annual Report Form for Drug and Alcohol Tests for 2014 ML15056A7202015-02-25025 February 2015 Annual Report Form for Drug and Alcohol Tests for 2014 ML15045A0022015-02-14014 February 2015 Single Positive Test Form Collected on 08/26/2014 ML15006A3912015-01-0606 January 2015 Single Positive Test Form Collected on 12/15/2014 ML15006A3922015-01-0606 January 2015 Single Positive Test Form Collected on 11/08/2014 ML15005A0042015-01-0505 January 2015 Single Positive Test Form Collected on 09/09/2014 2022-02-24
[Table view] |
Text
NRC FFD Program Performance Data Reporting System Single Positive Test Form for the EIE General Submission Portal Please explain the change(s) to the form Note:
Submission Update correction required 1) All fields are required except those marked 'optional'.
- 2) Entries in some form fields may result in information being auto-Unique Reference Number (Licensee Supplied) populated into other form fields.
- 3) Use Adobe Reader 8 or later for this form to work properly.
2013-OCP-142 4) Hold your mouse over a form field to view additional information.
Select Facility Oyster Creek [50-219] Date of Collection (mm/dd/yyyy) 12/15/2013 Reason for Testing - 26.717(b)(5) Pre-Access Testing Reason (optional)
Pre-Access Please Select 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 collection refused (Yes / No)? Yes Test Results - 26.717(b)(4)
Test Validity Test Type(s) for Result(s) Reported - 26.717(b)(2) Alcohol Testing Drug Testing 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)
Use NRC Cutoff (Yes / No)? Use NRC Cutoff (Yes / No)? Use NRC Cutoff (Yes / No)?
Is this a 24-Hour Reporting Event (Yes/No)? - 26.719(b) No Subversion Attempts - 26.717(b)(7) and 26.75(b)
Did this collection involve a subversion attempt (Yes/No)? Please elaborate on the choice(s) selected:
Yes The initial test was a pre-access test and temperature was out of range. The donor provided a 2nd sample (observed),
Refused to provide initial specimen Specimen characteristics (e.g., color, odor, precipitant) and the MRO verified that the results were positive for marijuana.
Refused to provide second specimen Invalid test result (initial specimen collected) - 26.185(f)
Specimen temperature (out of range) Refused to follow directions Specimen paraphernalia identified Other Management Actions - 26.717(b)(8) & 26.75 Reason for the Action Subversion attempt Sanction Applied (NRC Minimum or Licensee Administrated)
NRC Minimum Specific Sanction Applied Permanent Denial Person(s) Responsible for Information Provided Person 1 (required):
Dolores Adams Corp. FFD Security Analyst dolores.adams@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 28, 2014 at 12:46:00 PM Save to Local PC Print this Report Single Positive Test Form version 1.4.0 - Oct 31, 2012