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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 1, 1,,,, '-u I,, ,, ' " -1EIE General Submission Portal1 /1 rolt'1 rm,: P c op/£' c1ml th t: 1 m 1rotut1 t 111 1) All fields required except tho&e marked 'optlom, r A P PROVED BY 0MB: CLEARANCE NO , 3150-0146 EXPIRES: 11/3 0/2 0 17 2) Entries In some fl e lds auto-,populate Information I n other field s Estimated burden per response to comply with this collection reque st is 30 minutes. T his 3) Mouse over form fields to view additional Information for m is a voluntary means o f rep orting the information required under 10 C FR 26.717. Th e 4) Use of Adobe Reader B or later I s requir e d information is required by NRC to obtain on an ann u a l basis site specific fitness-for-duty (FF D) pr og r am performance data on d ru g and alco h ol programs from licensees and other D Submission D ~~~e~~ssion entities. Send comments regarding burden estimate to the F OIA , Priva cy and Info rma tion Collection Branch (T5-F53), U.S. Nuclear Regutatory Commission , Washington D C U p date 20555-0001 , or by e-mail to l ofocoUects Besource@N B C g ov. and to the Desk Office r , Unlaue Refer e nc e ID (License Su oo lied) O ffi ce of Information and Regulatory Affairs , NEOB-10 20 , (3150-0 14 6), Office of IIPEC 2017-00 1 1 I Management and Budget , Washington DC 20503. If a means used to impose information co ll ection does not display a currently valid 0MB co ntrol num ber , the NR C may not cond u ct or sponsor , and a person is not required to respond to , the information collecti on. Select Fac/1/ty I I ndian Point [50-247; 50-286] I Date of Collect i on I (mm/dd/yyyy) 12/13/2017 1 Reason for Test i ng* 26.717(b)(5) For Cause Testing Reason P l ease elaborate (o ptional) !For Cause I !observed B ehavior I I : Emp l oyment Typ e-26.717(b)(3)
Outage Worker (opt i onal)? I Licensee Emp loyee I INo I Labor Category* 26.717(b)(3) I Maintenance (general fac il ity) I Is this a 24-hour report i ng e vent?. 26.719(b) Was this collect/on refus e d?. 26.717(b)(7)
& 26.75 Test Results -26.717(b)(4) Test Type (s) for Re sult(s) Reported*
26.717(b)(2)
Drug Specimen Teste d I Drug Only I I Urin e I Test Validity l valid I Was this coll e ct i on ob s erved?. 26.717(b)(7)
& 26.75 How many s ub s tan ces we r e confi rmed positive for this indivi d ua l? I 2 I Substance. 26.717(b)(2)
& (b)(6) UseNRC I nit i a l Confirmatory Limit of Cutoffs? Cutoff Cutoff Detection
!cocaine I lopia1e: Morph ine I Subvers i on Attempt -Did this collectio n involve a su b version attempt?* 26.717(b)(7) and 26.75(b) I No I Management Act i on s -26.717(b)(8)
& 26.75 Reason for the Action I First drug or al co h ol posi t ive I Sanction A ppl ied (NRC M in i mum o r Licensee Ad m i n is trated) JNRC Minimum I Spec i fic Sa n ction Applied 114-Day Denial I Person(s)
Respons i ble for Informati o n Provided Per so n 1 (r equired): !Kelty I I P ettus I lsr. Security Coordinator , Access/F FD I kpettus@entergy
.co m First Name Last Name Position Title Co mpan y Email Address Person 2 (o p tio n a l): lwayn e IIGriffin I I supervisor , Access/FFD I wgr i ff1@entergy.com F i r st Name Last Name Posi t ion Title Compa n y Email Address Fin a l Step (Requir e d)* NRC will consi d er thi s fo rm authentic in accordance with 10 CFR 26.11 only when the "Validate
& l ock* button is clicked and all errors (highlighted in red) have been corrected. Th e *validate & lock" butto n will change to *l ocked" after the data validation process ha s been successfu lly completed indicati ng the form i s r eady to, submission. -Form Lock e d O n: IF eb 15 , 2018 at 10: 42: 27 AM I I Save to Loca l PC 11 Print this Report I Single Positive T es t F o rm (v ersion 1.7.0 -December 2016) NRG Form 890 (12120 14)
