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Category:License-Fitness for Duty (FFD) Performance Report
MONTHYEARML24053A0802024-02-22022 February 2024
Single Positive Test Form Collected on 09/14/2023
ML24053A0742024-02-22022 February 2024
Single Positive Test Form Collected on 04/11/2023
ML24053A0772024-02-22022 February 2024
Single Positive Test Form Collected on 08/09/2023
ML24053A0782024-02-22022 February 2024
Single Positive Test Form Collected on 08/10/2023
ML24053A0762024-02-22022 February 2024
Single Positive Test Form Collected on 08/07/2023
ML24053A0842024-02-22022 February 2024
Annual Fatigue Report Form for 2023
ML24053A0792024-02-22022 February 2024
Single Positive Test Form Collected on 08/31/2023
ML24053A0732024-02-22022 February 2024
Single Positive Test Form Collected on 03/20/2023
ML24053A0822024-02-22022 February 2024
Single Positive Test Form Collected on 11/08/2023
ML24053A0752024-02-22022 February 2024
Single Positive Test Form Collected on 06/13/2023
ML24053A0642024-02-22022 February 2024
2023 Annual Fitness for Duty Program Performance Data Report and Fatigue Management Program Data Report
ML24053A0812024-02-22022 February 2024
Single Positive Test Form Collected on 10/03/2023
ML24053A0832024-02-22022 February 2024
Annual Report Form for Drug and Alcohol Tests for 2023
ML23055B0472023-02-24024 February 2023
Annual Fitness for Duty Program Performance Data Report and Fatigue Management Program Data Report Per 10 CFR 26.717(e)
ML23055B0402023-02-24024 February 2023
Single Positive Test Form Collected on 08/17/2022
ML23055B0392023-02-24024 February 2023
Single Positive Test Form Collected on 07/19/2022
ML23055B0442023-02-24024 February 2023
Annual Report Form for Drug and Alcohol Tests for 2022
ML23055B0422023-02-24024 February 2023
Single Positive Test Form Collected on 3/21/2022
ML23055B0372023-02-24024 February 2023
Single Positive Test Form Collected on 04/11/2022
ML23055B0462023-02-24024 February 2023
Annual Fitness for Duty Performance Data Report and Fatigue Management Program Data Report
ML23055B0432023-02-24024 February 2023
Single Positive Test Form Collected on 1/24/2022
ML23055B0352023-02-24024 February 2023
Single Positive Test Form Collected on 01/18/2022
ML23055B0382023-02-24024 February 2023
Single Positive Test Form Collected on 06/1/2022
ML23055B0452023-02-24024 February 2023
Annual Fatigue Report Form for 2022
ML23055B0362023-02-24024 February 2023
Single Positive Test Form Collected on 03/24/2022
ML23055B0412023-02-24024 February 2023
Single Positive Test Form Collected on 11/9/2022
ML22056A2122022-02-28028 February 2022
Annual Fatigue Reporting Form for 2021
ML22056A2012022-02-25025 February 2022
Submittal of 2021 Annual Fitness for Duty Program Performance Data Report and Fatigue Management Program Data Report
ML22056A2052022-02-23023 February 2022
Single Positive Test Form Collected on 08/16/2021
ML22056A2022022-02-23023 February 2022
Single Positive Test Form Collected on 04/05/2021
ML22056A2062022-02-23023 February 2022
Single Positive Test Form Collected on 10/28/2021
ML22056A2042022-02-23023 February 2022
Single Positive Test Form Collected on 05/12/2021
ML22056A2032022-02-23023 February 2022
Single Positive Test Form Collected on 03/02/2021
ML22056A2072022-02-23023 February 2022
Single Positive Test Form Collected on 12/14/2021
ML22056A2082022-02-23023 February 2022
Single Positive Test Form Collected on 10/26/2021
ML22056A2092022-02-23023 February 2022
Single Positive Test Form Collected on 02/24/2021
ML22056A2102022-02-23023 February 2022
Single Positive Test Form Collected on 08/31/2021
ML22056A2112022-02-23023 February 2022
Annual Reporting Form for Drug and Alcohol Tests for 2021
ML21049A0182021-02-18018 February 2021
Annual Fatigue Report Form for 2020
ML21049A0162021-02-18018 February 2021
Single Positive Test Form Collected on 10/26/2020
ML21049A0102021-02-18018 February 2021
Annual Report Form for Drug and Alcohol Tests for 2020
ML21049A0112021-02-18018 February 2021
Single Positive Test Form Collected on 04/20/2020
ML21049A0122021-02-18018 February 2021
Single Positive Test Form Collected on 05/13/2020
ML21049A0132021-02-18018 February 2021
Single Positive Test Form Collected on 05/13/2020
ML21049A0142021-02-18018 February 2021
Single Positive Test Form Collected on 05/27/2020
ML21049A0172021-02-18018 February 2021
Single Positive Test Form Collected on 11/16/2020
ML21049A0152021-02-18018 February 2021
Single Positive Test Form Collected on 07/14/2020
NL-21-010, Submittal of 2020 Annual Fitness for Duty Program Performance Data Report and Fatigue Management Program Data Report2021-02-17017 February 2021
Submittal of 2020 Annual Fitness for Duty Program Performance Data Report and Fatigue Management Program Data Report
NL-20-052, Unsatisfactory 10 CFR 26 Fitness-For-Duty Blind Performance Testing Results2020-07-0707 July 2020
Unsatisfactory 10 CFR 26 Fitness-For-Duty Blind Performance Testing Results
NL-20-020, Submittal of 2019 Annual Fitness for Duty Performance Data Report Update2020-02-26026 February 2020
Submittal of 2019 Annual Fitness for Duty Performance Data Report Update
2024-02-22
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.-1 U.S.NRC ' FFD Program Performance Data Reporting System ' "-., NRC Form 890 Single Pos1t1ve Test Form I j, ,,,\.111<, i.:,., --1 EI E General Submission Portal) J'r 111t'tllllJ.:Pt't1/1kam/th,:
l mtr1 1 11m 1 11 t 1) Al l fields required .xcept those marl(ed 'optiona l' APPR O V E D BY 0 M B: CLEARA NCE NO. 3150-0146 EXPIRES: 11/30/2017 2) Entries In sonNt fields a uto-populate Information I n other fields Estimated burden per respon se to comply with this collection request is 30 minutes. This 3) Mous e over form fields to view additional Information form is a voluntary means of reporting the information r e qu i r ed under 10 CFR 26.717. The 4) Use of Adobe Reader 8 or later Is required information is required by NRC to obtain on an annual basis site spec ific fitne ss-for-duty (FFO} program performance data on drug and alcoho l programs from li ce n sees and other D Submission D ~~~e!~ssion entities. Send comme n ts rega rding burden estima t e to the FOIA , Priva cy and Information Update Collection Br anch (T S-F 53). U.S. Nuclear R eg ul atory Commission, Wa s h ington D C 20555-0001 , or by e-mail to lofoco U ects Re source@N R C O DY , and to the Desk Officer , Un/Que Reference ID (License Supplied)
Office of Information and R egulatory Affairs, NEOB-1020 , (3150-0146), Office of I I PEC 2017-004 I Manag ement and Budg et, Wa shi ngton DC 20503. If a mean s u sed to impos e info rm ation co lle ction does not display a currently valid 0MB co ntrol number , the NRC may not conduct or sponsor , and a person is not required to respond to , the information collection. Select Facility I Indian Point [50-247; 50-286] I Dat o of Collect/on I 0310212017
\ (mm ldd/yyyy)
Reason for Testing-26.717(b)(5)
Pre-Access Testing Reason (o ptiona l) Please elaborate (optional)
I Pre-Access I !Initia l Au thori zatio n I I I Employment Type -26. 7 1 7(b)(3) Outage Worker (optional)?
lcontractor Nendor I Ives I Labor Category-26. 717(b)(3) I Maintenance (general facility)
I Is this a 24-hour report i ng event? -26. 719(b) Was this collect i on r efused?-26.717(b)(7)
& 26.75 Test Results-26.717(b)(4) Test Type (s) for Result(s)
Reported -26.717(b)(2)
Drug Specimen Tested l orug O nl y I jurine I Test Validity lvalid I W a s th is colle ct/on observed?-26.717(b)(7)
& 26.75 How many substances were confirmed positive for this i nd ivi dual? j 1 I Substanc e-26.717(b)(2) & (b)(6) Use NRC Initial Confi rmat ory Limit of Cutoffs? Cutoff Cutoff Detection I Mari j uana I I~ Subversion Attempt* Di d this collection involve a subversion attempt? -26.717(b)(7) and 26.75(b) I No I Management Act i ons -26. 7 1 7(b)(B) & 26. 75 Reason for the Action I seco nd drug or alcohol pos i tive I Sanction Applied (NRC Minimu m or Licensee Ad mini strated) I Licensee Administrated I Specific Sanction Applied jPer man e nt Denial I Per s on(s) Respon s ible for Informat i on Provided Person 1 (requ ired): I Ke ll y I !Pettu s I ls,. Secur;ty Coord;nator , Access/FFD kpettus@entergy
.com First Name Last Name Position T itle Com pany Ema il Add ress Per so n 2 (optional)
- lw ayne I IG,;ffin I l supeiv;sor. Access/FFD I wgr;ff1@entergy.com F irst Name Last Name Position Title Company Emai l Address Final Step (Required)
- NRG wi ll co n side r this form authentic in a cco rd ance with 10 CFR 26.11 only when the "Va l idate & lock" button is c l icked and all errors (highlighted in red) hav e been corrected. Th e *validate & Lo ck* button will change to *Locked" after the data validation process has been successfully com pl eted indicating the form is r eady for submission. -FormlockedOn
- IFeb15 , 20 18at 10: 13: 16AMI J Save to Local PC J J Print this Report I Sing l e Positive Test Form (v ersion 1.7.0 -December 2016) NR C Form 890 (1 2/2014)
