ML21054A148

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Annual Report Form for Drug and Alcohol Tests for 2020
ML21054A148
Person / Time
Site: Palisades Entergy icon.png
Issue date: 02/11/2021
From: Summers S
Entergy Nuclear Operations
To:
Document Control Desk, Office of Nuclear Security and Incident Response
Shared Package
ML21054A147 List:
References
Download: ML21054A148 (2)


Text

  • - l J S NR C FFD Program Performance Data Reporting System NRC Form 891. Annual Reporting Form for Drug and Alcohol Tests I

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!F1L r;f' lkl cl1 c...; 11b 1ss Oil Por1cllJ APPROVED BY 0MB: CLEARANCE NO. 3150-0146 EXPIRES: 04/30/2021 Estimated burden per respon"' lo comply wilh lhis collection requesl is 108 hours0.00125 days <br />0.03 hours <br />1.785714e-4 weeks <br />4.1094e-5 months <br />. This form is a volunlary means of reporting lhe information required under 10 CFR 26.417(b)(2) and 26.717. The information is required by NRC lo obtain on an annual basis ste specific filness-for-duty (FFD) program performance dala on drug and alcohol programs from licen"'8s and othe, entitie~ Send comments regarding burden estimate to lhe FOIA, Information Services Branch (T6-A10M), U.S. Nudea< Regulatory Commisson, Washington DC 20555-0001, or by e-mail lo lnfocollects Resource@NRC.gov and to lhe Desk Officer, Office of Information and Regulatory Affairs, NEOB-1020, (3150-0146), Office of Management and Bud~ Washington DC 20503. If a means used to impose information collection does not display a rurrenlly valid 0MB control number, lhe NRC may not conduct or sponsor, and a person is not required to respond to, the information oollection.

1) All fields required unless marked 'optional'
2) Use of Adobe Reader 8 or Isler Is required
3) Mouse over fields for additional Information Facility

!Palisades (50-255)

Tests Conducted In the Calendar Year Submission Update Period of Report 2020 Total Number of Tests Conducted Reason For Testing Licensee Employee ContractorsNendors Pre-Access 60 1,004 Random 417 120 For Cause 4

0 Post-Event 0

2 Follow-up 11 Total (Calculated) 492 1,163 j FFD Program Random Testing Population and Rate Total Number of Positive, Adulterated, Substituted, and Refusal to Test Results 6 I o I o I Average number of licensee employees Average number of contractors/vendors Total size of the random testing pool throughout the period (Calculated)

Annual random testing percentage achieved for the testing pool 1

6751 Laboratory Testing Does your program use a I Licensee Testing Facility?

No (Yes I No)

L. -------'

3261 1

1.001 53.61 HHS-Certified Laboratory (Primary)

Quest Diagnostics Incorporated Lenexa, KS 66219 I

HHS-Certified Laboratory (Backup)

'Quest Diagnostics lnco/jforated Norristown, PA 19403 Identify your Blind Perfonmance Test Sample supplier(s)

LIE_1_s_o_h_1y_L_a_b_s,_1_n_c._, _o_~_o_rd_,_M_S_3_e_6_5_5 __________________ __,

Substances Tested Did your program only test for NRC-required substances Iv Al!!Q at the NRG-specified minimum cutoff levels? (Yes/ No) es Special Analyses Testing Results Does your program conduct LOO testing penmitted in 26.163(a)(2)? (Yes I No) 11 Total Number of "Dilute" 1

Specimen Test Results (Optional)

~---~

Total Number of "Dilute" Specimens I (Special Analyses Testing Conducted) L ____

1_1 Substance Alcohol Cocaine Marijuana Amphetamines Opiates PCP Use NRC Cutoffs?

Ives Ives Ives Ives Ives Ives Initial Cutoff Annual Report Fonm (version 1.9.0 - January 2020)

Conflnnatory Cutoff Limit of Detection (LOD) Testing?

I Not Applicable Ives Ives Ives Ives Ives

-Page1 of2-Comment (Optional)

NRC Fonm 891

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

!Policies and Procedures 181 Add an additional Topic Topic2

!Program and System Management D Add an additional Topic Topic 1 Description In response to the pandemic, procedures were revised to incorporate the CDC guidelines for personal protection use.

Topic 2 Description An analysis of the data for 2020 was conducted and no programmatic weaknesses were found.

Person(s) Responsible for Information Provided Person 1 (required):

lscott I

!summers l

lAA/FFD Supervisor First Name Last Name Position Title ssumme1@entergy.com Company Email Address Person 2 (optional):

II 1r II First Name Last Name Position Title Company Email Address Final Step (Required) - NRG will consider this form authentic in accordance with 10 CFR 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.

Form Locked On:IFeb 11, 2021 at 3:22:26 PM

\\ Save to Local PC I\\ Print this Report Annual Report Form (version 1.9.0 - January 2020)

-Page2of2-NRG Form 891