ML21054A158
| ML21054A158 | |
| Person / Time | |
|---|---|
| Site: | Palisades  |
| Issue date: | 02/21/2021 |
| From: | Summers S Entergy Nuclear Operations |
| To: | Document Control Desk, Office of Nuclear Reactor Regulation, Office of Nuclear Security and Incident Response |
| Shared Package | |
| ML21054A147 | List: |
| References | |
| Download: ML21054A158 (1) | |
Text
\ _ LJ.S.- N J{ C NRC FFD Program Performance Data Reporting System NRC Form 892 Annual Fat,gue Reporting Form
, 1 1 ,
1 10 CFR Pait 2G Subpart I f1,la11ag11'g Fatigue (EIE General SL b1111ss1011 °ortc1 I F*dily P911od~Report APPROVED BY OMI: CLEARANCE NO, S111M1141 EXPIRES: llooWOl2021 l}UMJtdot>eR1ederllorlai.r1ctlhalClnn1D"-Oll<l)"l)Jlltlt;
~IPar_,...,="~'""-"~"----------Jj 2)~yourmous.-;i1twmfieldlD-...-.:,01!H'tl.,,_tJor>
Eltltnated burden pw rnpon* to COfflll)y' this oollllction r.quest ii 7-1 l!ows. Thia rorm is* volllnblry ,.._ ol l9pOlting tM lnfannitkln MqUlntd under 10 CFR 26.203(e). n. lnfam-.tlon v4 be uNd NRC kl ..,._hlfa!Vue programparfonranc:eralataltowortllaurcanlnllsandWU.,..Send--.reptdlngburdenntRllltolhe Osubmlukiflllpdlte *d!KkthisboxOl'qflhisGanup81911>*~subrnialon FOIA. Prltq, and lnfonnatlon Coledlol, Bfandl (TS-FS3), U.S. Nvclear Regulldary ~ . Wuhlngton DC 20555-0001,orb,"-l lo loklGeotoe;ta-B"IPlfflNBCRAY andlolheDall:Off'cer,Officeoflnforrnation ...d Regulalory AffalQI, NEoe.-1020, (3150-0149), 011iee ofManag-111 and Budget, ~ o n DC 20503. lfa
[)drovr~lu,.any~ l!l thl SMaM used l o ~ ~formalion colladlon dON not cummttr valid OM8 conllol number, th* NRC may t9porlingperiod?('l'H/No) nol conductoraponaor, and a peqon la not required lo ..spandlo,lhe .t'onnatlancdlactlnn,
~-
Swnma,yofWaiver Issuance - 26.203(e)(1)(i-ii)
NumberofWalver1 luued
~orgn-utdiractf'lgof Peofol'nwlgllNl!hph)'llcl;CM' PIMfamungdu111!sora11rtbrlglm PalfarmngmairlWl&IIDI-Or Pen'ornngweurity~lles, u Worll. Hour Controls clllfflll1lydJ\ift.udncit.d ill -me.-. udncrlbeclln onsltactr.dlo11olmainl.,,U1Ce, lfllOP1llltiC111Sofsy,t,lm$.U dncrthldill2S~1}(1J 211~*)(2) 264(a)(3)" U ~ i1'1264(a)(4) 264(a)(5J t-----r-,,_--,.--..-.-
,...,.1., ...........
..,-..-.. _ - - t - - - - , t - - - - t - - - - t - - + - - - t - - - t - - - - t - - - - l t - - - - t - - - - t - - + - - - + - - + - - - - t - - - - + - - - - + - -
(Ca/1:UJIIN'J c:=i 211205(d)(I) c:=i Ex0Ndld72Wlmllnl'l&IIJ'7daypnid c:=J Rw 2S:ZOS(d)(2)
Ltatli.,,~llrbl9ali;-,9.,.plllad c:=J Mrumum Off 211205{d)(3J MnmulllO.pOlr ~"'::m."tka::ll'l'~IUay c:=J t=--=-=,.=.,_c:.,::,.=,:::,=,..=';l;;'=.::~::--t- - -- t - - - t - ---t----t----t-- - t - - -t---;-----;----t-- - -t---t----t----t----t---8'!c'!'!!!!'!l!il:I :=i 26205(d)(4)and 26205(d)(5) ~it-;:.::,az=.:=' c:=J c:=i "NOTE For/fldN/duli&,-,1orrfin,Jln~dr,fjnandortla'dutlu. plNH,;,al.llllb1tnanl),""dW,_.lnllrlgadloca\l,m OonoldDubllcw11tlhH*/fldN/duah I Distribution of Waivers for Individuals in Each Category -26.203(e)(1)(ii,J Summa,yofCorreetiwAction
- 26.203(e)(2) (as applicable)
Number of Emplo~eH IHued Waivers
{HOft: fv..-ilfnowlN1n_,,.,_dror,,,...,cOU11R,,,,...,,_,n,w(a...,oJMar1Nsr_ol,,,.ctlh/1t.,,.column/
<>pemngo,gn,m ll'IIOptlllblof P9rl'orrninghHldl pllpborchamiltry d-1um1Cribedln 264(al(2) desctlbad In 2S.~*M1J AnalyMdF.tlgut,,...._to.tl: (lll'IIIIID,OOOcllanodlt1'5)
F0Wr1111p1--*-.......,_
9/Sll020-c:o.-,hppedwt.i.1n¥-.mloc.Nor111rpo_...,,.,ddnll...
Pll~-W<ft<<....,,.taO.icld..Nor.a,,..,_......,..,,.llfi<<l No,_,,., __ ldamliod.
!Wl"'2020*Bodya-.......,,.......iequ,jllllml..t...,.to.inb&MWCftamdoo......._ Nor..,.. ,-.....,idim:o6..i.
llll/N?O-IID....,.,,......mallallin..tu.l* ........
SUl!lll&l'fandSta1111ofCorrw:tMoktio111 (lmo!10.000ctw.c:tarsJ 11-20 General Comments (optional) (Llmil 10.000 chanod!WI)
,=,_.,
"NDTE.Fo,..-,pMtrrmt,ph_..liMlrMd_-.;,,___,,,.,_,Oll)'_flfh~-lJonCII _ _ _ . . . . _
II-II*---- 1_-_~...=-===~--
,.._,2(Gptcnll~
?1111,...,.. listNima Poiniiiniidi CO...,a,,y&NII.Acllhu FiriiFliini liaNimi Po-iiili C:ompiiiyEmiiAaaiiu
'1na/SNpjlll'~* NRC¥1111consklartltisbmaull'lentlt.,_rdanG11.,.,.,,2ll. llgnt,""'9nll'la'Vllldsla&Lodc"bllllollhalba.,,Hledltdandal -110*.. thoMll~tad ln l9d) ha.,,.
IT t.,-, COrraclld Th-Validate & Lodi" buttotl v.111 Ch&ll(Jll lo'l.ockld" aftfftlta data -.alidation proce11 hal been 11/Cc.lsMy completed Ind Iha fonn II l'Ncfyfor1ubmiulon FoffllLoclmd011.jF,bn,202111a~2SAM j 1s-.111i.-1PCl lfP"t\lltiiaReport AnnualF1ti;,.aeR1po,tingForrnc-,io!ltSO*April201&) NRC Form m (12n012J