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Category:License-Fitness for Duty (FFD) Performance Report
MONTHYEARML24037A2142024-02-0606 February 2024 Annual Fatigue Report Form for 2023 ML24012A1102024-01-12012 January 2024 Single Positive Test Form Collected on 02/14/2023 ML24012A1082024-01-12012 January 2024 Single Positive Test Form Collected on 02/03/2023 ML24012A1182024-01-12012 January 2024 Single Positive Test Form Collected on 02/21/2023 ML24012A1172024-01-12012 January 2024 Single Positive Test Form Collected on 02/21/2023 ML24012A1092024-01-12012 January 2024 Single Positive Test Form Collected on 02/07/2023 ML24012A1112024-01-12012 January 2024 Single Positive Test Form Collected on 02/15/2023 ML24012A1212024-01-12012 January 2024 Single Positive Test Form Collected on 10/16/2023 ML24012A1192024-01-12012 January 2024 Single Positive Test Form Collected on 01/13/2023 ML24012A1202024-01-12012 January 2024 Single Positive Test Form Collected on 09/20/2023 ML24012A1162024-01-12012 January 2024 Single Positive Test Form Collected on 02/16/2023 ML24012A1072024-01-12012 January 2024 Single Positive Test Form Collected on 01/30/2023 ML23051A0012023-02-20020 February 2023 Annual Fatigue Report Form for 2022 ML23046A0632023-02-15015 February 2023 Single Positive Test Form Collected on 04/04/2022 ML23046A0682023-02-15015 February 2023 Single Positive Test Form Collected on 08/18/2022 ML23046A0522023-02-15015 February 2023 Single Positive Test Form Collected on 08/28/2022 ML23046A0512023-02-15015 February 2023 Single Positive Test Form Collected on 08/28/2022 ML23046A0622023-02-15015 February 2023 Single Positive Test Form Collected on 08/17/2022 ML23046A0572023-02-15015 February 2023 Single Positive Test Form Collected on 02/09/2022 ML23046A0502023-02-15015 February 2023 Single Positive Test Form Collected on 08/28/2022 ML23046A0552023-02-15015 February 2023 Single Positive Test Form Collected on 08/31/2022 ML23046A0582023-02-15015 February 2023 Single Positive Test Form Collected on 07/27/2022 ML23046A0652023-02-15015 February 2023 Single Positive Test Form Collected on 08/17/2022 ML23046A0562023-02-15015 February 2023 Single Positive Test Form Collected on 09/02/2022 ML23046A0642023-02-15015 February 2023 Single Positive Test Form Collected on 05/11/2022 ML23046A0672023-02-15015 February 2023 Single Positive Test Form Collected on 08/03/2022 ML23046A0662023-02-15015 February 2023 Single Positive Test Form Collected on 09/15/2022 ML23046A0702023-02-15015 February 2023 Single Positive Test Form Collected on 05/18/2022 ML23046A0692023-02-15015 February 2023 Single Positive Test Form Collected on 05/18/2022 ML23046A4552023-02-15015 February 2023 Annual Report Form for Drug and Alcohol Tests for 2022 ML23046A0712023-02-15015 February 2023 Single Positive Test Form Collected on 08/23/2022 ML23046A0492023-02-15015 February 2023 Single Positive Test Form Collected on 8/24/2022 ML23046A0542023-02-15015 February 2023 Single Positive Test Form Collected on 08/30/2022 ML23046A0482023-02-15015 February 2023 Single Positive Test Form Collected on 03/09/2022 ML22104A1472022-04-14014 April 2022 Single Positive Test Form Collected on 04/04/2022 ML22056A3962022-02-25025 February 2022 Single Positive Test Form Collected on 11/10/2021 ML22056A3952022-02-25025 February 2022 Single Positive Test Form Collected on 08/10/2021 ML22056A3942022-02-25025 February 2022 Single Positive Test Form Collected on 04/21/2021 ML22056A3972022-02-25025 February 2022 Single Positive Test Form Collected on 09/15/2021 ML22056A3982022-02-25025 February 2022 Single Positive Test Form Collected on 03/31/2021 ML22056A4002022-02-25025 February 2022 Single Positive Test Form Collected on 08/20/2021 ML22056A4012022-02-25025 February 2022 Single Positive Test Form Collected on 04/04/2021 ML22056A4022022-02-25025 February 2022 Single Positive Test Form Collected on 02/24/2021 ML22056A4032022-02-25025 February 2022 Single Positive Test Form Collected on 08/26/2021 ML22056A4042022-02-25025 February 2022 Single Positive Test Form Collected on 04/06/2021 ML22056A4052022-02-25025 February 2022 Single Positive Test Form Collected on 04/13/2021 ML22056A4062022-02-25025 February 2022 Single Positive Test Form Collected on 06/24/2021 ML22056A4072022-02-25025 February 2022 Annual Report Form for Drug and Alcohol Tests for 2021 ML22056A3992022-02-25025 February 2022 Single Positive Test Form Collected on 03/31/2021 ML22049A9852022-02-18018 February 2022 (50-335, 50-389), Annual Report Form for Drug and Alcohol Tests for 2021 2024-02-06
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FFD Program Performance Data Reporting System Single Positive Test Form (EIE General Submission Portal)
Note:
Submission Delete 1) All fields are required except those marked 'optional'.
Update Submission 2) Entries in some form fields may result in information being auto-populated into other form fields.
Unique Reference Number (Licensee Supplied)
- 3) Use Adobe Reader 8 or later for this form to work properly.
161688Q 4) Hold your mouse over a form field to view additional information.
Select Facility St. Lucie [50-335; 50-389] Date of Collection (mm/dd/yyyy) 01/08/2014 Reason for Testing - 26.717(b)(5) Please elaborate (optional)
Random Employment Type - 26.717(b)(3)
Licensee Employee Labor Category - 26.717(b)(3)
Non-Licensed Operator Refusal - 26.717(b)(7) & 26.75 Was this collection refused (Yes / No)? No Test Results - 26.717(b)(4)
Test Validity Not Applicable Test Type(s) for Result(s) Reported - 26.717(b)(2) Alcohol Testing Alcohol Only Breath Substance - 26.717(b)(2) & (b)(6)
Alcohol What 26.103 BAC level was exceeded?
0.02 and in work status at least 2 hrs 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)? No Management Actions - 26.717(b)(8) & 26.75 Reason for the Action First drug or alcohol positive Sanction Applied (NRC Minimum or Licensee Administrated)
NRC Minimum Specific Sanction Applied 14- Day Denial Person(s) Responsible for Information Provided Person 1 (required):
Lisa Alvarez MROA lisa.alvarez@fpl.com First Name Last Name Position Title Company Email Address Person 2 (optional):
David Bonthron AA/FFD Program Manager david.bonthron@fpl.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.
Locked Form Locked On: Jun 11, 2014 at 10:31:37 AM Save to Local PC Print this Report Single Positive Test Form (version 1.5.0 - January 1, 2014)