ML22053A082

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Electronic Submittal of Annual Fitness for Duty Program Performance Report and Annual Fatigue Report for 2021
ML22053A082
Person / Time
Site: Wolf Creek Wolf Creek Nuclear Operating Corporation icon.png
Issue date: 02/21/2022
From: Benham R
Wolf Creek
To:
Document Control Desk, Office of Nuclear Reactor Regulation, Office of Nuclear Security and Incident Response
References
A1, A2, D1, D10, D11, D2, D3, D4, D5, D6, D7, D8, D9, RA 22-0018
Download: ML22053A082 (21)
v • d • e


Text

Ron Benham Director Nuclear Regulatory Affairs

February 21, 2022 RA 22-0018

U.S. Nuclear Regulatory Commission Attn: NRC Document Control Desk Washington, DC 20555-0001

Subject:

Docket No. 50-482: Electronic Submittal of Annual Fitness for Duty Program Performance Report and Annual Fatigue Report for 2021

Commissioners and Staff:

Please be advised that Wolf Creek Nuclear Operating Corporation (WCNOC) submitted the Annual Fitness for Duty (FFD) program performance data and Annual Fatigue Report for 2021 to the Nuclear Regulatory Commission (NRC) FFD Program Performance Data Reporting System through the U.S. NRC Electronic Information Exchange on February 15, 2022. This submittal meets the requirements in 10 CFR 26.203, 10 CFR 26.717 and 10 CFR 26.719. In accordance with 10 CFR 26.11, copies of the reported information are also enclosed with this report for the appropriate regional office and Senior Resident Inspector.

This letter contains no commitments. If you have any questions concerning this matter, please contact me at (620) 364-4204.

Sincerely,

Ron Benham

RDB/rlt

ENCLOSURE: Copies of 2021 FFD and Fatigue Reports

CC: G. E. Werner (NRC), w/e S. A. Morris (NRC), w/e S. S. Lee (NRC), w/e Senior Resident Inspector (NRC), w/e

P.O. Box 411 l Burlington, KS 66839 l 620-364-8831

Enclosure to RA 22-0018

Copies of 2021 FFD and Fatigue Reports (This enclosure contains 19 pages in addition to this cover page)

P.O. Box 411 l Burlington, KS 66839 l 620-364-8831

FFD Program Performance Data Reporting System NRC Form 891, Annual Reporting Form for Drug and Alcohol Tests

(EIE General Submission Portal)

APPROVED BY OMB: CLEARANCE NO. 3150-0146 EXPIRES: 09/30/2024 Estimated burden per response to comply with this collection request is 106 hours0.00123 days <br />0.0294 hours <br />1.752645e-4 weeks <br />4.0333e-5 months <br />. This form is a voluntary means of reporting the information required under 10 CFR 26.417(b)(2) and 26.717. The information is required by NRC to obtain on an annual basis site specific fitness-for-duty (FFD) program performance data on drug and alcohol programs from licensees and other entities. Send comments regarding burden estimate to the FOIA, Library, and Information Collections Branch (T-6 A10M), U.S. Nuclear Regulatory Commission, Washington, DC 20555-0001, or by e_mail to Infocollects.Resource@NRC.gov, and the OMB reviewer at: OMB Office of Information and Regulatory Affairs, (3150-0146), Attn: Desk Officer for the Nuclear Regulatory Commission, 725 17th Street NW, Washington, DC 20503; e-mail: oira_submission@omb.eop.gov. The NRC may not conduct or sponsor, and a person is not required to respond to, a collection of information unless the document requesting or requiring the collection displays a currently valid OMB control number.

1) All fields required unless marked 'optional' Submission
2) Use of Adobe Reader 8 or later is required Update
3) Mouse over fields for additional information Facility Period of Report Wolf Creek [50-482] 2021

Tests Conducted in the Calendar Year Reason For Testing Total Number of Tests Conducted Total Number of Positive, Adulterated, Licensee Employees Contractors/Vendors Substituted, and Refusal to Test Results

Pre-Access 44 865 8

Random 397 202 5

For Cause 2 1 0

Post-Event 3 2 0

Followup 24 24 0

Total (Calculated) 470 1,094 13

FFD Program Random Testing Population and Rate Average number of Average number of Total size of the random testing pool Annual random testing percentage licensee employees contractors/vendors throughout the period (Calculated) achieved for the testing pool

801 216 1,017 58.8

Laboratory Testing Does your program use a Licensee Testing Facility? No (Yes / No)

HHS-Certified Laboratory (Primary) Clinical Reference LaboratoryHHS-Certified Laboratory (Backup) None

Identify your Blind Performance Test Sample supplier(s) ElSohly Laboratory

Substances Tested

Did your program only test for NRC-required substances Yes Does your program conduct LOD testing AND at the NRC-specified minimum cutoff levels? (Yes / No) permitted in 26.163(a)(2)? (Yes / No) Yes

Special Analyses Testing Results Total Number of "Dilute" Total Number of Dilute Specimens Specimen Test Results (Special Analyses Testing Conducted) 0 (Optional)

Substance Use NRC Initial Confirmatory Limit of Detection Comment Cutoffs? Cutoff Cutoff (LOD) Testing? (Optional)

Alcohol Yes Not Applicable

Cocaine Yes Yes

Marijuana Yes Yes

Amphetamines Yes Yes

Opiates Yes Yes

PCP Yes Yes

Annual Report Form (version 1.10.0 - October 2021) - Page 1 of 2 - NRC Form 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 Topic 1 Description Random Testing In 2021 there have been 5 condition reports initiated for individuals arriving late for their scheduled FFD random test. CR 10006150 was written to perform a collective review of these issues to determine if any actions could improve performance or the process. Reference condition reports 00146543, 10000691, 10002986, 10003105 and 10006114.

(HR -1, Projects -1, TRNG -1, QC -1, and RP -1)

Actions taken for CR 10006150: Those missing future tests will have a face-to-face discussion with their Supervisor and the Plant Manager or his designee to explain the reason for the missed test and actions that will be taken to prevent this in the future. Discussed this expectation with Access Screening and the Plant Manager.

Add an additional Topic

Topic 2 Topic 2 Description Program and System Management During the NRC Fitness for Duty Inspection 71130.08 it was identified the FFD refrigerator used to store specimen collections was reading between fluctuating between 43-and 44-degrees Fahrenheit.

10 CFR 26.117(j) states: Specimens that have not been shipped to the HHS-certified laboratory or the licensee testing facility within 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br /> of collection and any specimen that is suspected of having been substituted, adulterated, or tampered with in any way must be maintained cooled to not more than 6°C (42.8 °F) until they are shipped to the HHS-certified laboratory.

The temperature was immediately corrected by adjusting the temperature set-point, high limit alarm and low limit alarm to the appropriate settings. Previous setpoints that were set on the fridge during installation were 42.1 and 62. A documentation audit was performed on specimens collected since new fridge was installed on 11-23-2020 which proved all specimen collections were able to be tested with no issues. Additional Validation: One of our Medical Review Officers provided validation that the 2-degree Add an additional Topic temperature difference had no effect on the specimens. This was communicated to the inspector performing the FFD Inspection Topic 3 Topic 3 Description Policies and Procedures Condition Report recommendation to add CBD (cannabidiol) oil and products guidance to the fitness for duty program procedure. (Reference CR 10011074)

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

Pamela Black SR Access Specialist pam.black@evergy.com

First Name Last Name Position Title Company Email Address Person 2 (optional):

Sonya Jones Supv Access Screening sonya.jones@evergy.com

First Name Last Name Position Title Company Email Address Final Step (Required) - NRC 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.

Locked Form Locked On: Feb 15, 2022 at 10:44:56 AM Save to Local PC Print this Report

Annual Report Form (version 1.10.0 - October 2021) - Page 2 of 2 -NRC Form 891 NRC FFD Program Performance Data Reporting 10CFR Part 26 - FFD

This attachment provides the entire narrative as the NRC form has been created with boxes that scroll down, and when printed, the information prints very small due to the way the NRC has built the electronic Fatigue Management form.

FFD Summary of Management Actions Summarize actions implemented to improve FFD program performance

Topic 1 - random testing In 2021 there have been 5 condition reports initiated for individuals arriving late for their scheduled FFD random test. CR 10006150 was written to perform a collective review of these issues to determine if any actions could improve performance or the process. Reference condition reports 00146543, 10000691, 10002986, 10003105 and 10006114.

(HR -1, Projects -1, TRNG -1, QC -1, and RP -1)

Actions taken for CR 10006150: Those missing future tests will have a face -to-face discussion with their Supervisor and the Plant Manager or his designee to explain the reason for the missed test and actions that will be taken to prevent this in the future. Discussed this expectation with Access Screening and the Plant Manager.

Topic 2 - program and system management During the NRC Fitness for Duty Inspection 71130.08 it was identified the FFD refrigerator used to store specimen collections was reading between fluctuating between 43-and 44-degrees Fahrenheit. 10 CFR 26.117(j) states: Specimens that have not been shipped to the HHS -certified laboratory or the licensee testing facility within 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br /> of collection and any specimen that is su spected of having been substituted, adulterated, or tampered with in any way must be maintained cooled to not more than 6°C (42.8 °F) until they are shipped to the HHS-certified laboratory.

The temperature was immediately corrected by adjusting the temperature set-point, high limit alarm and low limit alarm to the appropriate settings. Previous setpoints that were set on the fridge during installation were 42.1 and 62. A documentation audit was performed on specimens collected since new fridge was installed on 11-23-2020 which proved all specimen collections were able to be tested with no issues. Additional Validation: One of our Medical Review Officers provided validation that the 2 -degree temperature difference had no effect on the specimens. This was communicated to the inspector performing the FFD Inspection.

Actions taken for CR 10001216: For new FFD refrigerator the set-point min and the max temperature range was set correctly. (High limit alarm and low limit alarm)

Topic 3 - policies and procedures Condition Report recommendation to add CBD (cannabidiol) oil and products guidance to the fitness for duty program procedure. (Reference CR 10011074)

Internal Use Only NRC FFD Program Performance Data Reporting System NRC Form 892, Annual Fatigue Reporting Form 10 CFR Part 26, Subpart I - Managing Fatigue (EIE General Submission Portal)

Facility Period of Report Note: APPROVED BY OMB: CLEARANCE NO. 3150-0146 EXPIRES: 09/30/2024

1) Use Adobe Reader 8 or later for this form to work properly.

Wolf Creek [50-482] 2021 2) Hold your mouse over a form field to view additional information. Estimated burden per response to comply with this collection request is 82 hours9.490741e-4 days <br />0.0228 hours <br />1.35582e-4 weeks <br />3.1201e-5 months <br />. This form is a voluntary means of

reporting the information required under 10 CFR 26.203(e). The information will be used by NRC to evaluate fatigue program performance related to work hour controls and waivers. Send comments regarding burden estimate to the Submission Update - check this box only if this is an update to a previous submission. FOIA, Library, and Information Collections Branch (T-6 A10M), U.S. Nuclear Regulatory Commission, Washington, DC 20555-0001, or by e_mail to Infocollects.Resource@NRC.gov, and the OMB reviewer at: OMB Office of Information and Regulatory Affairs, (3150-0146), Attn: Desk Officer for the Nuclear Regulatory Commission, 725 17th Street NW, Washington, DC 20503; e-mail: oira_submission@omb.eop.gov. The NRC may not conduct or Did your facility issue any waivers in the Was this facility in an outage for any part of the Did any single site outage last more than 60 sponsor, and a person is not required to respond to, a collection of information unless the document requesting or reporting period? (Yes / No) reporting period? (Yes / No) days in total? (Yes / No) requiring the collection displays a currently valid OMB control number

Yes Yes No

Summary of Waiver Issuance - 26.203(e)(1)(i-ii)

Number of Waivers Issued

Work Hour Controls Operating or on-site directing of chemistry duties, as described in Performing health physics or Performing duties of a fire brigade member, as described in onsite direction of maintenance, Performing maintenance or Performing security duties, as described in Operating Outage Outage Combined the operations of systems,as described in 26.4(a)(1) 26.4(a)(2) 26.4(a)(3)

  • as described in 26.4(a)(4) 26.4(a)(5) Total Total Total Total (days 1-60) (after day 60)

Operating Outage Outage Operating Outage Outage Operating Outage Outage Operating Outage Outage Operating Outage Outage (Calculated) (Calculated) (Calculated) (Calculated)

(days 1-60) (after day 60) (days 1-60) (after day 60) (days 1-60) (after day 60) (days 1-60) (after day 60) (days 1-60) (after day 60)

Exceeded 16 work hrs in any 24 hr period 5 5 0 5 Daily Work Hours Exceeded 26 work hrs in any 48 hr period 5 5 0 5 26.205(d)(1)

Exceeded 72 work hrs in any 7 day period 0 0 0

Rest Less than 10 hr break b/t successive work Breaks periods (or 8 hr break accommodating 0 0 0 26.205(d)(2) scheduled transition b/t shifts)

Less than 34 hr break in any 9 day period 0 0 0

Average of less than 1 day off per week 0 0 for 8-hour shifts

Average of less than 2 days off per week 0 0 Minimum for 10-hour shifts Days Off Average of less than 2.5 days off per week 0 0 Per Shift for 12-hour shifts Cycle Average of less than 2 days off per week 26.205(d)(3) for 12-hour maintenance shifts 0

Average of less than 3 days off per week for 12-hour security shifts 0

Less than 3 days off per successive 15-day 0 0 Minimum Days Off period 26.205.(d)(4) for Outage Less than 1 day off per 7-day period for Activities (during first maintenance personnel 26.205.(d)(4) 60 days of outage) 26.205(d)(4) and Less than 4 days off per successive 15-day 26.205(d)(5) period for security personnel 26.205.(d)(5)

Alternate to Minimum 54 hour6.25e-4 days <br />0.015 hours <br />8.928571e-5 weeks <br />2.0547e-5 months <br /> maximum average 0 0 0 Days Off 26.205(d)(7)

Total 000000100 0 0 10 0 10

  • NOTE: For individuals performing fire brigade duties and other duties, please count them only under the fire brigade column. Do not double count these individuals.

Distribution of Waivers for Individuals in Each Category - 26.203(e)(1)(iii) Summary of Corrective Action - 26.203(e)(2) (as applicable)

Number of Employees Issued Waivers Analysis of Waiver Assessment Data: (Limit 10,000 characters)

[Note: Even if no waivers were issued for a given column, please enter a value (e.g., 0) in at least one of the cells in the column] Five (5) waivers are annotated for Waiver Issuance and Waiver Distribution as this NRC form only applies to covered workers. The waivers occurred while the plant was on-line. Waivers were issued for five (5) covered workers in maintenance and two (2) non-covered Operating or on-site workers one (1) from planning and one (1) from quality control. A total of seven (7) waivers were issued on 07-27-2021. Issuing waivers and performing fatigue assessments supports ensuring all workers exceeding NRC work hour limits are fit for duty. The work effort was in directing of physics or chemistry Performing health fire brigade member as Performing duties of a Performing maintenance or onsite directing of Performing security support of a high angle rescue team and the work effort was for a hydrometer replacement. Fatigue Assessment and Waivers were issued appropriately, and procedure guidance was followed. Minor administrative errors were noted on fatigue assessment and waiver form the operations of duties as described in described in maintenance as duties as described in completion. Procedure change requests were initiated for the Fatigue Assessment and Waiver forms to assist end user in form performance.

Number of Waivers systems, as 26.4(a)(2) 26.4(a)(3)

  • described in 26.4(a)(4) 26.4(a)(5) described in 26.4(a)(1)

1 Analysis of Fatigue Assessment Data: (Limit 10,000 characters) 2 Seven (7) fatigue assessments for waivers were performed on 07-27-2021. The plant was on-line, and no performance actions were documented from assessment review. A procedure change request has been initiated for the Fatigue Assessment form to revise some sections of the form to make form a little bit clearer for the end user.

3

4

5 5

Conclusions:

(Limit 10,000 characters)

6 The site continues to effectively monitor and manage the fatigue rule.

7

8

9 Summary and Status of Corrective Actions: (Limit 10,000 characters)

Topic 1 - For 2021 maintenance incurred three (3) work hour violations for three (3) individuals in November. Maintenance initiated a trend condition report (CR) 100010917 to address this concern.

Actions taken: The manager of maintenance is to provide training on this issue and give clear and specific guidance on regulatory requirement to not violate NRC work hour rules. Due date is 4/28/2022. (OPEN) 10 Topic 2 - (Historical) The 2021 NRC fitness for duty inspection exit meeting, the lead inspector indicated he would be documenting in the inspection report a licensee-identified, Green non-cited violation (NCV) of 10 CFR 26.31(c)(3) which requires that as soon as practical

after an event involving a human error, where the human error may have caused or contributed to the event, the licensee or other entity shall test the individual(s) who committed the error(s). Contrary to this, QA audit 18-09-FFD/FM identified that Fatigue Assessments were 11 - 20 not performed on 4/12/18 and 6/21/18. Licensee-identified NCVs are not assigned cross-cutting aspects. CR 127487 was written for the original issue identified by QA. CR 10001396 was written to track this violation. (CLOSED)

Action taken: In 2018 the post-event section of the For-Cause /Post Event/Fatigue Determination form (APF 01A-001-02) was revised and aligned to 10 CFR 26 requirements. This action provides clear and specific guidance and upon a current review, no additional issues were More than 20 di d

Total Employees General Comments (optional) (Limit 10,000 characters)

Issued Waivers 0 0 0 5 0 (Calculated) The Fatigue Management Program Review did not document any performance gaps or additional issues. (Reference QH-2022-2296)

Most Waivers Provided to a 0 0 0 5 0 Single Individual

  • NOTE: For individuals performing fire brigade duties and other duties, please count them only under the fire brigade column. Do not double count these individuals.

Person(s) Responsible for Information Provided Person 1 (required): Person 2 (optional):

Pamela Black SR Access Specialist pam.black@evergy.com Sonya Jones Supv Access Screening sonya.jones@evergy.com

First Name Last Name Position Title Company Email Address 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: Feb 15, 2022 at 3:38:22 PM Save to Local PC Print this Report Annual Fatigue Reporting Form (version 1.6.0 - October 2021) NRC Form 892 NRC FFD Program Performance Data Reporting 10CFR Part 26 - FM

This attachment provides the entire narrative as the NRC form has been created with boxes that scroll down, and when printed, the information prints very small due to the way the NRC has built the electronic Fatigue Management form.

Analysis of Waiver Assessment Data:

Five (5) waivers are annotated for Waiver Issuance and Waiver D istribution as this NRC form only applies to covered workers. The waivers occurred while the plant was on-line. Waivers were issued for five (5) covered workers in maintenance and two (2) non-covered workers one (1) from planning and one (1) from quality control. A total of seven (7) waivers were issued on 07-27-2021. Issuing waivers and performing fatigue assessments supports ensuring all workers exceeding NRC work hour limits are fit for duty. The work effort was in support of a high angle rescue team and the work effort was for a hydrometer replacement. Fatigue Assessment and Waivers were issued appropriately, and procedure guidance was followed. Minor administrative errors were noted on fatigue assessment and waiver form completion.

Procedure change requests were initiated for the Fatigue Assessment and Waiver forms to assist end user in form performance.

Analysis of Fatigue Assessment Data:

Seven (7) fatigue assessments for waivers were performed on 07-27-2021. The plant was on-line, and no performance actions were documented from assessment review. A procedure change request has been initiated for the Fatigue Assessment form to revise some sections of the form to make form a little bit clearer for the end user.

==

Conclusions:==

The site continues to effectively monitor and manage the fatigue rule.

Summary and Status of Corrective Actions:

Topic 1 - For 2021 maintenance incurred three (3) work hour violations for three (3) individuals in November. Maintenance initiated a trend condition report (CR) 100010917 to address this concern.

Actions taken: The manager of maintenance is to provide training on this issue and give clear and specific guidance on regulatory requirement to not violate NRC work hour rules. Due date is 4/28/2022.

(OPEN)

Topic 2 - (Historical) The 2021 NRC fitness for duty inspection exit meeting, the lead inspector indicated he would be documenting in the inspection report a licensee -identified, Green non-cited violation (NCV) of 10 CFR 26.31(c)(3) which requires that as soon as practical after an event involving a human error, where the human error may have caused or contributed to the event, the licensee or other entity shall test the individual(s) who committed the error(s). Contrary to this, QA audit 18-09-FFD/FM identified that Fatigue Assessments were not performed on 4/12/18 and 6/21/18. Licensee-identified NCVs are not assigned cross-cutting aspects. CR 127487 was written for the original issue identified by QA. CR 10001396 was written to track this violation. (CLOSED)

Action taken: In 2018 the post-event section of the For-Cause /Post Event/Fatigue Determination form (APF 01A-001-02) was revised and aligned to 10 CFR 26 requirements. This action provides clear and specific guidance and upon a current review, no additional issues were discovered.

Topic 3 - During RF24, Maintenance scaffold leads were loaned to Engineeri ng Proj ects to support scaffold activities. Projects leadership had the responsibility for assigning outage schedules and admin codes to apply outage rules and approve timesheets in EmpCenter. It was recognized that 2 Maintenance Support employees that were on-loan to Projects during RF24 were assigned daily schedules at the end of RF24; however, they were left on outage rules. Outage rules are not as conservative as on-line rules and are only to be applied when we are off-line. The appropriate Admin

Internal Use Only NRC FFD Program Performance Data Reporting 10CFR Part 26 - FM

Code was applied, and the timesheets were re-approved, which allowed verification that no work hour violations occurred during this time.

Actions taken: CR 10008832 (CLOSED) Event shared with all work hour tracking timekeepers to raise awareness of the importance in task completion and verification for loaned individuals.

General Comments:

The Fatigue Management Program Review did not document any performance gaps or additional issues.

(Reference QH-2022-2296)

Internal Use Only FFD Program Performance Data Reporting System NRC Form 890,Single Positive Test Form (EIE General Submission Portal)

1) All fields required except those marked 'optional' APPROVED BY OMB: CLEARANCE NO. 3150-0146 EXPIRES: 09/30/2024
2) Entries in some fields auto-populate information in other fields Estimated burden per response to comply with this collection request is 30 minutes. This form
3) Mouse over form fields to view additional information is a voluntary means of reporting the information required under 10 CFR 26.417(b)(2) and
4) Use of Adobe Reader 8 or later is required 26.717. The information is required by NRC to obtain on an annual basis site specific fitness-for-duty (FFD) program performance data on drug and alcohol programs from licensees and Submission Delete other entities. Send comments regarding burden estimate to the FOIA, Library, and Information Collections Branch (T-6 A10M), U.S. Nuclear Regulatory Commission, Washington, DC Update Submission 20555-0001, or by e_mail to Infocollects.Resource@NRC.gov, and the OMB reviewer at: OMB Office of Information and Regulatory Affairs, (3150-0146), Attn: Desk Officer for the Nuclear Unique Reference ID (Licensee Supplied) Regulatory Commission, 725 17th Street NW, Washington, DC 20503; e-mail:

A1 oira_submission@omb.eop.gov. The NRC may not conduct or sponsor, and a person is not required to respond to, a collection of information unless the document requesting or requiring the collection displays a currently valid OMB control number.

Facility Wolf Creek [50-482] Date of Collection 11/10/2021 (mm/dd/yyyy)

Reason for Testing - 26.717(b)(5) Please elaborate (optional)

Random

Employment Type - 26.717(b)(3) Outage Worker (optional)?

Contractor/Vendor No

Labor Category - 26.717(b)(3)

Maintenance (general facility)

Is this a 24-hour reportable event under 26.719(b)? No

Was this collection refused? - 26.717(b)(7) & 26.75 No

Test Results - 26.717(b)(4)

Test Type(s) for Result(s) Reported - 26.717(b)(2)

Alcohol Only

Substance - 26.717(b)(2) & (b)(6)

Alcohol

Alcohol Specimen Tested Breath

What 26.103 BAC level was exceeded?

0.02 and in work status at least 2 hrs

Subversion Attempt - Did this collection involve a subversion attempt? - 26.717(b)(7) and 26.75(b) 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):

Pamela Black SR Access Specialist pam.black@evergy.com

First Name Last Name Position Title Company Email Address Person 2 (optional):

Sonya Jones Supv Access Screening sonya.jones@evergy.com

First Name Last Name Position Title Company Email Address

Final Step (Required) - NRC will consider this form authentic in accordance with 10 CFR 26.11 only when the Validate & Lock button is clicked and all errors (highlighted in red) have been corrected. The Validate & Lock button will change to Locked after the data validation process has been successfully completed indicating the form is ready for submission.

Locked Form Locked On: Feb 9, 2022 at 8:30:33 AM Save to Local PC Print this Report

Single Positive Test Form (version 1.10.0 - October 2021) NRC Form 890 FFD Program Performance Data Reporting System NRC Form 890,Single Positive Test Form (EIE General Submission Portal)

1) All fields required except those marked 'optional' APPROVED BY OMB: CLEARANCE NO. 3150-0146 EXPIRES: 09/30/2024
2) Entries in some fields auto-populate information in other fields Estimated burden per response to comply with this collection request is 30 minutes. This form
3) Mouse over form fields to view additional information is a voluntary means of reporting the information required under 10 CFR 26.417(b)(2) and
4) Use of Adobe Reader 8 or later is required 26.717. The information is required by NRC to obtain on an annual basis site specific fitness-for-duty (FFD) program performance data on drug and alcohol programs from licensees and Submission Delete other entities. Send comments regarding burden estimate to the FOIA, Library, and Information Collections Branch (T-6 A10M), U.S. Nuclear Regulatory Commission, Washington, DC Update Submission 20555-0001, or by e_mail to Infocollects.Resource@NRC.gov, and the OMB reviewer at: OMB Office of Information and Regulatory Affairs, (3150-0146), Attn: Desk Officer for the Nuclear Unique Reference ID (Licensee Supplied) Regulatory Commission, 725 17th Street NW, Washington, DC 20503; e-mail:

A2 oira_submission@omb.eop.gov. The NRC may not conduct or sponsor, and a person is not required to respond to, a collection of information unless the document requesting or requiring the collection displays a currently valid OMB control number.

Facility Wolf Creek [50-482] Date of Collection 04/28/2021 (mm/dd/yyyy)

Reason for Testing - 26.717(b)(5) Please elaborate (optional)

Random

Employment Type - 26.717(b)(3) Outage Worker (optional)?

Contractor/Vendor Yes

Labor Category - 26.717(b)(3)

Maintenance (general facility)

Is this a 24-hour reportable event under 26.719(b)? No

Was this collection refused? - 26.717(b)(7) & 26.75 No

Test Results - 26.717(b)(4)

Test Type(s) for Result(s) Reported - 26.717(b)(2)

Alcohol Only

Substance - 26.717(b)(2) & (b)(6)

Alcohol

Alcohol Specimen Tested Breath

What 26.103 BAC level was exceeded?

0.04 or greater

Subversion Attempt - Did this collection involve a subversion attempt? - 26.717(b)(7) and 26.75(b) 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):

Pamela Black SR Access Specialist pam.black@evergy.com

First Name Last Name Position Title Company Email Address Person 2 (optional):

Sonya Jones Supv Access Screening sonya.jones@evergy.com

First Name Last Name Position Title Company Email Address

Final Step (Required) - NRC will consider this form authentic in accordance with 10 CFR 26.11 only when the Validate & Lock button is clicked and all errors (highlighted in red) have been corrected. The Validate & Lock button will change to Locked after the data validation process has been successfully completed indicating the form is ready for submission.

Locked Form Locked On: Feb 9, 2022 at 10:11:17 AM Save to Local PC Print this Report

Single Positive Test Form (version 1.10.0 - October 2021) NRC Form 890 FFD Program Performance Data Reporting System NRC Form 890,Single Positive Test Form (EIE General Submission Portal)

1) All fields required except those marked 'optional' APPROVED BY OMB: CLEARANCE NO. 3150-0146 EXPIRES: 09/30/2024
2) Entries in some fields auto-populate information in other fields Estimated burden per response to comply with this collection request is 30 minutes. This form
3) Mouse over form fields to view additional information is a voluntary means of reporting the information required under 10 CFR 26.417(b)(2) and
4) Use of Adobe Reader 8 or later is required 26.717. The information is required by NRC to obtain on an annual basis site specific fitness-for-duty (FFD) program performance data on drug and alcohol programs from licensees and Submission Delete other entities. Send comments regarding burden estimate to the FOIA, Library, and Information Collections Branch (T-6 A10M), U.S. Nuclear Regulatory Commission, Washington, DC Update Submission 20555-0001, or by e_mail to Infocollects.Resource@NRC.gov, and the OMB reviewer at: OMB Office of Information and Regulatory Affairs, (3150-0146), Attn: Desk Officer for the Nuclear Unique Reference ID (Licensee Supplied) Regulatory Commission, 725 17th Street NW, Washington, DC 20503; e-mail:

D1 oira_submission@omb.eop.gov. The NRC may not conduct or sponsor, and a person is not required to respond to, a collection of information unless the document requesting or requiring the collection displays a currently valid OMB control number.

Facility Wolf Creek [50-482] Date of Collection 11/29/2021 (mm/dd/yyyy)

Reason for Testing - 26.717(b)(5) Pre-Access Testing Reason (optional) Please elaborate (optional)

Pre-Access Reinstatement (Between 31 and 365 days)

Employment Type - 26.717(b)(3) Outage Worker (optional)?

Contractor/Vendor No

Labor Category - 26.717(b)(3)

HP/RP

Is this a 24-hour reportable event under 26.719(b)? No

Was this collection refused? - 26.717(b)(7) & 26.75 No

Test Results - 26.717(b)(4)

Test Type(s) for Result(s) Reported - 26.717(b)(2) Drug Specimen Tested Drug Only Urine

Test Validity Valid

Was this collection observed? - 26.717(b)(7) & 26.75 No

How many substances were confirmed positive for this individual? 1

Substance - 26.717(b)(2) & (b)(6) Use NRC Initial Confirmatory Limit of Cutoffs? Cutoff Cutoff Detection

Marijuana Yes

Subversion Attempt - Did this collection involve a subversion attempt? - 26.717(b)(7) and 26.75(b) 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):

Pamela Black SR Access Specialist pam.black@evergy.com

First Name Last Name Position Title Company Email Address Person 2 (optional):

Sonya Jones Supv Access Screening sonya.jones@evergy.com

First Name Last Name Position Title Company Email Address

Final Step (Required) - NRC will consider this form authentic in accordance with 10 CFR 26.11 only when the Validate & Lock button is clicked and all errors (highlighted in red) have been corrected. The Validate & Lock button will change to Locked after the data validation process has been successfully completed indicating the form is ready for submission.

Locked Form Locked On: Feb 9, 2022 at 9:11:13 AM Save to Local PC Print this Report

Single Positive Test Form (version 1.10.0 - October 2021) NRC Form 890 FFD Program Performance Data Reporting System NRC Form 890,Single Positive Test Form (EIE General Submission Portal)

1) All fields required except those marked 'optional' APPROVED BY OMB: CLEARANCE NO. 3150-0146 EXPIRES: 09/30/2024
2) Entries in some fields auto-populate information in other fields Estimated burden per response to comply with this collection request is 30 minutes. This form
3) Mouse over form fields to view additional information is a voluntary means of reporting the information required under 10 CFR 26.417(b)(2) and
4) Use of Adobe Reader 8 or later is required 26.717. The information is required by NRC to obtain on an annual basis site specific fitness-for-duty (FFD) program performance data on drug and alcohol programs from licensees and Submission Delete other entities. Send comments regarding burden estimate to the FOIA, Library, and Information Collections Branch (T-6 A10M), U.S. Nuclear Regulatory Commission, Washington, DC Update Submission 20555-0001, or by e_mail to Infocollects.Resource@NRC.gov, and the OMB reviewer at: OMB Office of Information and Regulatory Affairs, (3150-0146), Attn: Desk Officer for the Nuclear Unique Reference ID (Licensee Supplied) Regulatory Commission, 725 17th Street NW, Washington, DC 20503; e-mail:

D2 oira_submission@omb.eop.gov. The NRC may not conduct or sponsor, and a person is not required to respond to, a collection of information unless the document requesting or requiring the collection displays a currently valid OMB control number.

Facility Wolf Creek [50-482] Date of Collection 11/29/2021 (mm/dd/yyyy)

Reason for Testing - 26.717(b)(5) Pre-Access Testing Reason (optional) Please elaborate (optional)

Pre-Access Initial Authorization

Employment Type - 26.717(b)(3) Outage Worker (optional)?

Contractor/Vendor No

Labor Category - 26.717(b)(3)

Maintenance (general facility)

Is this a 24-hour reportable event under 26.719(b)? No

Was this collection refused? - 26.717(b)(7) & 26.75 No

Test Results - 26.717(b)(4)

Test Type(s) for Result(s) Reported - 26.717(b)(2) Drug Specimen Tested Drug Only Urine

Test Validity Valid

Was this collection observed? - 26.717(b)(7) & 26.75 No

How many substances were confirmed positive for this individual? 1

Substance - 26.717(b)(2) & (b)(6) Use NRC Initial Confirmatory Limit of Cutoffs? Cutoff Cutoff Detection

Marijuana Yes

Subversion Attempt - Did this collection involve a subversion attempt? - 26.717(b)(7) and 26.75(b) 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):

Pamela Black SR Access Specialist pam.black@evergy.com

First Name Last Name Position Title Company Email Address Person 2 (optional):

Sonya Jones Supv Access Screening sonya.jones@evergy.com

First Name Last Name Position Title Company Email Address

Final Step (Required) - NRC will consider this form authentic in accordance with 10 CFR 26.11 only when the Validate & Lock button is clicked and all errors (highlighted in red) have been corrected. The Validate & Lock button will change to Locked after the data validation process has been successfully completed indicating the form is ready for submission.

Locked Form Locked On: Feb 9, 2022 at 9:15:46 AM Save to Local PC Print this Report

Single Positive Test Form (version 1.10.0 - October 2021) NRC Form 890 FFD Program Performance Data Reporting System NRC Form 890,Single Positive Test Form (EIE General Submission Portal)

1) All fields required except those marked 'optional' APPROVED BY OMB: CLEARANCE NO. 3150-0146 EXPIRES: 09/30/2024
2) Entries in some fields auto-populate information in other fields Estimated burden per response to comply with this collection request is 30 minutes. This form
3) Mouse over form fields to view additional information is a voluntary means of reporting the information required under 10 CFR 26.417(b)(2) and
4) Use of Adobe Reader 8 or later is required 26.717. The information is required by NRC to obtain on an annual basis site specific fitness-for-duty (FFD) program performance data on drug and alcohol programs from licensees and Submission Delete other entities. Send comments regarding burden estimate to the FOIA, Library, and Information Collections Branch (T-6 A10M), U.S. Nuclear Regulatory Commission, Washington, DC Update Submission 20555-0001, or by e_mail to Infocollects.Resource@NRC.gov, and the OMB reviewer at: OMB Office of Information and Regulatory Affairs, (3150-0146), Attn: Desk Officer for the Nuclear Unique Reference ID (Licensee Supplied) Regulatory Commission, 725 17th Street NW, Washington, DC 20503; e-mail:

D3 oira_submission@omb.eop.gov. The NRC may not conduct or sponsor, and a person is not required to respond to, a collection of information unless the document requesting or requiring the collection displays a currently valid OMB control number.

Facility Wolf Creek [50-482] Date of Collection 03/17/2021 (mm/dd/yyyy)

Reason for Testing - 26.717(b)(5) Please elaborate (optional)

Random

Employment Type - 26.717(b)(3) Outage Worker (optional)?

Contractor/Vendor Yes

Labor Category - 26.717(b)(3)

Maintenance (general facility)

Is this a 24-hour reportable event under 26.719(b)? No

Was this collection refused? - 26.717(b)(7) & 26.75 No

Test Results - 26.717(b)(4)

Test Type(s) for Result(s) Reported - 26.717(b)(2) Drug Specimen Tested Drug Only Urine

Test Validity Valid

Was this collection observed? - 26.717(b)(7) & 26.75 No

How many substances were confirmed positive for this individual? 1

Substance - 26.717(b)(2) & (b)(6) Use NRC Initial Confirmatory Limit of Cutoffs? Cutoff Cutoff Detection

Amphetamine Yes

Subversion Attempt - Did this collection involve a subversion attempt? - 26.717(b)(7) and 26.75(b) 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):

Pamela Black SR Access Specialist pam.black@evergy.com

First Name Last Name Position Title Company Email Address Person 2 (optional):

Sonya Jones Supv Access Screening sonya.jones@evergy.com

First Name Last Name Position Title Company Email Address

Final Step (Required) - NRC will consider this form authentic in accordance with 10 CFR 26.11 only when the Validate & Lock button is clicked and all errors (highlighted in red) have been corrected. The Validate & Lock button will change to Locked after the data validation process has been successfully completed indicating the form is ready for submission.

Locked Form Locked On: Feb 9, 2022 at 9:19:38 AM Save to Local PC Print this Report

Single Positive Test Form (version 1.10.0 - October 2021) NRC Form 890 FFD Program Performance Data Reporting System NRC Form 890,Single Positive Test Form (EIE General Submission Portal)

1) All fields required except those marked 'optional' APPROVED BY OMB: CLEARANCE NO. 3150-0146 EXPIRES: 09/30/2024
2) Entries in some fields auto-populate information in other fields Estimated burden per response to comply with this collection request is 30 minutes. This form
3) Mouse over form fields to view additional information is a voluntary means of reporting the information required under 10 CFR 26.417(b)(2) and
4) Use of Adobe Reader 8 or later is required 26.717. The information is required by NRC to obtain on an annual basis site specific fitness-for-duty (FFD) program performance data on drug and alcohol programs from licensees and Submission Delete other entities. Send comments regarding burden estimate to the FOIA, Library, and Information Collections Branch (T-6 A10M), U.S. Nuclear Regulatory Commission, Washington, DC Update Submission 20555-0001, or by e_mail to Infocollects.Resource@NRC.gov, and the OMB reviewer at: OMB Office of Information and Regulatory Affairs, (3150-0146), Attn: Desk Officer for the Nuclear Unique Reference ID (Licensee Supplied) Regulatory Commission, 725 17th Street NW, Washington, DC 20503; e-mail:

D4 oira_submission@omb.eop.gov. The NRC may not conduct or sponsor, and a person is not required to respond to, a collection of information unless the document requesting or requiring the collection displays a currently valid OMB control number.

Facility Wolf Creek [50-482] Date of Collection 01/25/2021 (mm/dd/yyyy)

Reason for Testing - 26.717(b)(5) Pre-Access Testing Reason (optional) Please elaborate (optional)

Pre-Access Initial Authorization

Employment Type - 26.717(b)(3) Outage Worker (optional)?

Contractor/Vendor Yes

Labor Category - 26.717(b)(3)

Maintenance (general facility)

Is this a 24-hour reportable event under 26.719(b)? No

Was this collection refused? - 26.717(b)(7) & 26.75 No

Test Results - 26.717(b)(4)

Test Type(s) for Result(s) Reported - 26.717(b)(2) Drug Specimen Tested Drug Only Urine

Test Validity Valid

Was this collection observed? - 26.717(b)(7) & 26.75 No

How many substances were confirmed positive for this individual? 1

Substance - 26.717(b)(2) & (b)(6) Use NRC Initial Confirmatory Limit of Cutoffs? Cutoff Cutoff Detection

Marijuana Yes

Subversion Attempt - Did this collection involve a subversion attempt? - 26.717(b)(7) and 26.75(b) 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):

Pamela Black SR Access Specialist pam.black@evergy.com

First Name Last Name Position Title Company Email Address Person 2 (optional):

Sonya Jones Supv Access Screening sonya.jones@evergy.com

First Name Last Name Position Title Company Email Address

Final Step (Required) - NRC will consider this form authentic in accordance with 10 CFR 26.11 only when the Validate & Lock button is clicked and all errors (highlighted in red) have been corrected. The Validate & Lock button will change to Locked after the data validation process has been successfully completed indicating the form is ready for submission.

Locked Form Locked On: Feb 9, 2022 at 9:23:48 AM Save to Local PC Print this Report

Single Positive Test Form (version 1.10.0 - October 2021) NRC Form 890 FFD Program Performance Data Reporting System NRC Form 890,Single Positive Test Form (EIE General Submission Portal)

1) All fields required except those marked 'optional' APPROVED BY OMB: CLEARANCE NO. 3150-0146 EXPIRES: 09/30/2024
2) Entries in some fields auto-populate information in other fields Estimated burden per response to comply with this collection request is 30 minutes. This form
3) Mouse over form fields to view additional information is a voluntary means of reporting the information required under 10 CFR 26.417(b)(2) and
4) Use of Adobe Reader 8 or later is required 26.717. The information is required by NRC to obtain on an annual basis site specific fitness-for-duty (FFD) program performance data on drug and alcohol programs from licensees and Submission Delete other entities. Send comments regarding burden estimate to the FOIA, Library, and Information Collections Branch (T-6 A10M), U.S. Nuclear Regulatory Commission, Washington, DC Update Submission 20555-0001, or by e_mail to Infocollects.Resource@NRC.gov, and the OMB reviewer at: OMB Office of Information and Regulatory Affairs, (3150-0146), Attn: Desk Officer for the Nuclear Unique Reference ID (Licensee Supplied) Regulatory Commission, 725 17th Street NW, Washington, DC 20503; e-mail:

D5 oira_submission@omb.eop.gov. The NRC may not conduct or sponsor, and a person is not required to respond to, a collection of information unless the document requesting or requiring the collection displays a currently valid OMB control number.

Facility Wolf Creek [50-482] Date of Collection 04/05/2021 (mm/dd/yyyy)

Reason for Testing - 26.717(b)(5) Please elaborate (optional)

Random

Employment Type - 26.717(b)(3) Outage Worker (optional)?

Contractor/Vendor Yes

Labor Category - 26.717(b)(3)

Maintenance (general facility)

Is this a 24-hour reportable event under 26.719(b)? No

Was this collection refused? - 26.717(b)(7) & 26.75 No

Test Results - 26.717(b)(4)

Test Type(s) for Result(s) Reported - 26.717(b)(2) Drug Specimen Tested Drug Only Urine

Test Validity Valid

Was this collection observed? - 26.717(b)(7) & 26.75 No

How many substances were confirmed positive for this individual? 1

Substance - 26.717(b)(2) & (b)(6) Use NRC Initial Confirmatory Limit of Cutoffs? Cutoff Cutoff Detection

Marijuana Yes

Subversion Attempt - Did this collection involve a subversion attempt? - 26.717(b)(7) and 26.75(b) 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):

Pamela Black SR Access Specialist pam.black@evergy.com

First Name Last Name Position Title Company Email Address Person 2 (optional):

Sonya Jones Supv Access Screening sonya.jones@evergy.com

First Name Last Name Position Title Company Email Address

Final Step (Required) - NRC will consider this form authentic in accordance with 10 CFR 26.11 only when the Validate & Lock button is clicked and all errors (highlighted in red) have been corrected. The Validate & Lock button will change to Locked after the data validation process has been successfully completed indicating the form is ready for submission.

Locked Form Locked On: Feb 9, 2022 at 9:31:01 AM Save to Local PC Print this Report

Single Positive Test Form (version 1.10.0 - October 2021) NRC Form 890 FFD Program Performance Data Reporting System NRC Form 890,Single Positive Test Form (EIE General Submission Portal)

1) All fields required except those marked 'optional' APPROVED BY OMB: CLEARANCE NO. 3150-0146 EXPIRES: 09/30/2024
2) Entries in some fields auto-populate information in other fields Estimated burden per response to comply with this collection request is 30 minutes. This form
3) Mouse over form fields to view additional information is a voluntary means of reporting the information required under 10 CFR 26.417(b)(2) and
4) Use of Adobe Reader 8 or later is required 26.717. The information is required by NRC to obtain on an annual basis site specific fitness-for-duty (FFD) program performance data on drug and alcohol programs from licensees and Submission Delete other entities. Send comments regarding burden estimate to the FOIA, Library, and Information Collections Branch (T-6 A10M), U.S. Nuclear Regulatory Commission, Washington, DC Update Submission 20555-0001, or by e_mail to Infocollects.Resource@NRC.gov, and the OMB reviewer at: OMB Office of Information and Regulatory Affairs, (3150-0146), Attn: Desk Officer for the Nuclear Unique Reference ID (Licensee Supplied) Regulatory Commission, 725 17th Street NW, Washington, DC 20503; e-mail:

D6 oira_submission@omb.eop.gov. The NRC may not conduct or sponsor, and a person is not required to respond to, a collection of information unless the document requesting or requiring the collection displays a currently valid OMB control number.

Facility Wolf Creek [50-482] Date of Collection 03/11/2021 (mm/dd/yyyy)

Reason for Testing - 26.717(b)(5) Please elaborate (optional)

Random

Employment Type - 26.717(b)(3) Outage Worker (optional)?

Contractor/Vendor No

Labor Category - 26.717(b)(3) Please elaborate on the Labor Category selected Other vending machine badged contractor

Is this a 24-hour reportable event under 26.719(b)? No

Was this collection refused? - 26.717(b)(7) & 26.75 No

Test Results - 26.717(b)(4)

Test Type(s) for Result(s) Reported - 26.717(b)(2) Drug Specimen Tested Drug Only Urine

Test Validity Valid

Was this collection observed? - 26.717(b)(7) & 26.75 No

How many substances were confirmed positive for this individual? 1

Substance - 26.717(b)(2) & (b)(6) Use NRC Initial Confirmatory Limit of Cutoffs? Cutoff Cutoff Detection

Marijuana Yes

Subversion Attempt - Did this collection involve a subversion attempt? - 26.717(b)(7) and 26.75(b) 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):

Pamela Black SR Access Specialist pam.black@evergy.com

First Name Last Name Position Title Company Email Address Person 2 (optional):

Sonya Jones Supv Access Screening sonya.jones@evergy.com

First Name Last Name Position Title Company Email Address

Final Step (Required) - NRC will consider this form authentic in accordance with 10 CFR 26.11 only when the Validate & Lock button is clicked and all errors (highlighted in red) have been corrected. The Validate & Lock button will change to Locked after the data validation process has been successfully completed indicating the form is ready for submission.

Locked Form Locked On: Feb 9, 2022 at 9:35:31 AM Save to Local PC Print this Report

Single Positive Test Form (version 1.10.0 - October 2021) NRC Form 890 FFD Program Performance Data Reporting System NRC Form 890,Single Positive Test Form (EIE General Submission Portal)

1) All fields required except those marked 'optional' APPROVED BY OMB: CLEARANCE NO. 3150-0146 EXPIRES: 09/30/2024
2) Entries in some fields auto-populate information in other fields Estimated burden per response to comply with this collection request is 30 minutes. This form
3) Mouse over form fields to view additional information is a voluntary means of reporting the information required under 10 CFR 26.417(b)(2) and
4) Use of Adobe Reader 8 or later is required 26.717. The information is required by NRC to obtain on an annual basis site specific fitness-for-duty (FFD) program performance data on drug and alcohol programs from licensees and Submission Delete other entities. Send comments regarding burden estimate to the FOIA, Library, and Information Collections Branch (T-6 A10M), U.S. Nuclear Regulatory Commission, Washington, DC Update Submission 20555-0001, or by e_mail to Infocollects.Resource@NRC.gov, and the OMB reviewer at: OMB Office of Information and Regulatory Affairs, (3150-0146), Attn: Desk Officer for the Nuclear Unique Reference ID (Licensee Supplied) Regulatory Commission, 725 17th Street NW, Washington, DC 20503; e-mail:

D7 oira_submission@omb.eop.gov. The NRC may not conduct or sponsor, and a person is not required to respond to, a collection of information unless the document requesting or requiring the collection displays a currently valid OMB control number.

Facility Wolf Creek [50-482] Date of Collection 03/12/2021 (mm/dd/yyyy)

Reason for Testing - 26.717(b)(5) Pre-Access Testing Reason (optional) Please elaborate (optional)

Pre-Access Initial Authorization

Employment Type - 26.717(b)(3) Outage Worker (optional)?

Contractor/Vendor Yes

Labor Category - 26.717(b)(3)

Maintenance (general facility)

Is this a 24-hour reportable event under 26.719(b)? No

Was this collection refused? - 26.717(b)(7) & 26.75 No

Test Results - 26.717(b)(4)

Test Type(s) for Result(s) Reported - 26.717(b)(2) Drug Specimen Tested Drug Only Urine

Test Validity Substituted

Was this collection observed? - 26.717(b)(7) & 26.75 No

Subversion Attempt - Did this collection involve a subversion attempt? - 26.717(b)(7) and 26.75(b) Yes

Did not appear for testing Specimen characteristics (e.g., color, odor, precipitant) Please elaborate on the choice(s) selected:

Shy-bladder (no medical condition) Invalid test result (initial specimen collected) - 26.185(f) Urine specimen out of temperature range. Donor refused direct observed 2nd urine test. Donor denied.

Refused to provide initial specimen Refused to follow directions Refused to provide second specimen Donor admitted to subversion attempt Specimen temperature (out of range) Other Specimen paraphernalia identified

Management Actions - 26.717(b)(8) & 26.75 Reason for the Action Subversion attempt

Sanction Applied (NRC Minimum or Licensee Administrated)

NRC Minimum

Specific Sanction Applied Permanent Denial

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

Pamela Black SR Access Specialist pam.black@evergy.com

First Name Last Name Position Title Company Email Address Person 2 (optional):

Sonya Jones Supv Access Screening sonya.jones@evergy.com

First Name Last Name Position Title Company Email Address

Final Step (Required) - NRC will consider this form authentic in accordance with 10 CFR 26.11 only when the Validate & Lock button is clicked and all errors (highlighted in red) have been corrected. The Validate & Lock button will change to Locked after the data validation process has been successfully completed indicating the form is ready for submission.

Locked Form Locked On: Feb 9, 2022 at 9:51:22 AM Save to Local PC Print this Report

Single Positive Test Form (version 1.10.0 - October 2021) NRC Form 890 FFD Program Performance Data Reporting System NRC Form 890,Single Positive Test Form (EIE General Submission Portal)

1) All fields required except those marked 'optional' APPROVED BY OMB: CLEARANCE NO. 3150-0146 EXPIRES: 09/30/2024
2) Entries in some fields auto-populate information in other fields Estimated burden per response to comply with this collection request is 30 minutes. This form
3) Mouse over form fields to view additional information is a voluntary means of reporting the information required under 10 CFR 26.417(b)(2) and
4) Use of Adobe Reader 8 or later is required 26.717. The information is required by NRC to obtain on an annual basis site specific fitness-for-duty (FFD) program performance data on drug and alcohol programs from licensees and Submission Delete other entities. Send comments regarding burden estimate to the FOIA, Library, and Information Collections Branch (T-6 A10M), U.S. Nuclear Regulatory Commission, Washington, DC Update Submission 20555-0001, or by e_mail to Infocollects.Resource@NRC.gov, and the OMB reviewer at: OMB Office of Information and Regulatory Affairs, (3150-0146), Attn: Desk Officer for the Nuclear Unique Reference ID (Licensee Supplied) Regulatory Commission, 725 17th Street NW, Washington, DC 20503; e-mail:

D8 oira_submission@omb.eop.gov. The NRC may not conduct or sponsor, and a person is not required to respond to, a collection of information unless the document requesting or requiring the collection displays a currently valid OMB control number.

Facility Wolf Creek [50-482] Date of Collection 09/27/2021 (mm/dd/yyyy)

Reason for Testing - 26.717(b)(5) Pre-Access Testing Reason (optional) Please elaborate (optional)

Pre-Access Initial Authorization

Employment Type - 26.717(b)(3) Outage Worker (optional)?

Contractor/Vendor No

Labor Category - 26.717(b)(3)

Maintenance (general facility)

Is this a 24-hour reportable event under 26.719(b)? No

Was this collection refused? - 26.717(b)(7) & 26.75 No

Test Results - 26.717(b)(4)

Test Type(s) for Result(s) Reported - 26.717(b)(2) Drug Specimen Tested Drug Only Urine

Test Validity Valid

Was this collection observed? - 26.717(b)(7) & 26.75 No

How many substances were confirmed positive for this individual? 1

Substance - 26.717(b)(2) & (b)(6) Use NRC Initial Confirmatory Limit of Cutoffs? Cutoff Cutoff Detection

Marijuana Yes

Subversion Attempt - Did this collection involve a subversion attempt? - 26.717(b)(7) and 26.75(b) 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):

Pamela Black SR Access Specialist pam.black@evergy.com

First Name Last Name Position Title Company Email Address Person 2 (optional):

Sonya Jones Supv Access Screening sonya.jones@evergy.com

First Name Last Name Position Title Company Email Address

Final Step (Required) - NRC will consider this form authentic in accordance with 10 CFR 26.11 only when the Validate & Lock button is clicked and all errors (highlighted in red) have been corrected. The Validate & Lock button will change to Locked after the data validation process has been successfully completed indicating the form is ready for submission.

Locked Form Locked On: Feb 9, 2022 at 9:56:58 AM Save to Local PC Print this Report

Single Positive Test Form (version 1.10.0 - October 2021) NRC Form 890 FFD Program Performance Data Reporting System NRC Form 890,Single Positive Test Form (EIE General Submission Portal)

1) All fields required except those marked 'optional' APPROVED BY OMB: CLEARANCE NO. 3150-0146 EXPIRES: 09/30/2024
2) Entries in some fields auto-populate information in other fields Estimated burden per response to comply with this collection request is 30 minutes. This form
3) Mouse over form fields to view additional information is a voluntary means of reporting the information required under 10 CFR 26.417(b)(2) and
4) Use of Adobe Reader 8 or later is required 26.717. The information is required by NRC to obtain on an annual basis site specific fitness-for-duty (FFD) program performance data on drug and alcohol programs from licensees and Submission Delete other entities. Send comments regarding burden estimate to the FOIA, Library, and Information Collections Branch (T-6 A10M), U.S. Nuclear Regulatory Commission, Washington, DC Update Submission 20555-0001, or by e_mail to Infocollects.Resource@NRC.gov, and the OMB reviewer at: OMB Office of Information and Regulatory Affairs, (3150-0146), Attn: Desk Officer for the Nuclear Unique Reference ID (Licensee Supplied) Regulatory Commission, 725 17th Street NW, Washington, DC 20503; e-mail:

D9 oira_submission@omb.eop.gov. The NRC may not conduct or sponsor, and a person is not required to respond to, a collection of information unless the document requesting or requiring the collection displays a currently valid OMB control number.

Facility Wolf Creek [50-482] Date of Collection 03/10/2021 (mm/dd/yyyy)

Reason for Testing - 26.717(b)(5) Pre-Access Testing Reason (optional) Please elaborate (optional)

Pre-Access Reinstatement (Between 31 and 365 days)

Employment Type - 26.717(b)(3) Outage Worker (optional)?

Contractor/Vendor Yes

Labor Category - 26.717(b)(3)

Maintenance (general facility)

Is this a 24-hour reportable event under 26.719(b)? No

Was this collection refused? - 26.717(b)(7) & 26.75 No

Test Results - 26.717(b)(4)

Test Type(s) for Result(s) Reported - 26.717(b)(2) Drug Specimen Tested Drug Only Urine

Test Validity Valid

Was this collection observed? - 26.717(b)(7) & 26.75 No

How many substances were confirmed positive for this individual? 1

Substance - 26.717(b)(2) & (b)(6) Use NRC Initial Confirmatory Limit of Cutoffs? Cutoff Cutoff Detection

Marijuana Yes

Subversion Attempt - Did this collection involve a subversion attempt? - 26.717(b)(7) and 26.75(b) 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):

Pamela Black SR Access Specialist pam.black@evergy.com

First Name Last Name Position Title Company Email Address Person 2 (optional):

Sonya Jones Supv Access Screening sonya.jones@evergy.com

First Name Last Name Position Title Company Email Address

Final Step (Required) - NRC will consider this form authentic in accordance with 10 CFR 26.11 only when the Validate & Lock button is clicked and all errors (highlighted in red) have been corrected. The Validate & Lock button will change to Locked after the data validation process has been successfully completed indicating the form is ready for submission.

Locked Form Locked On: Feb 9, 2022 at 10:01:14 AM Save to Local PC Print this Report

Single Positive Test Form (version 1.10.0 - October 2021) NRC Form 890 FFD Program Performance Data Reporting System NRC Form 890,Single Positive Test Form (EIE General Submission Portal)

1) All fields required except those marked 'optional' APPROVED BY OMB: CLEARANCE NO. 3150-0146 EXPIRES: 09/30/2024
2) Entries in some fields auto-populate information in other fields Estimated burden per response to comply with this collection request is 30 minutes. This form
3) Mouse over form fields to view additional information is a voluntary means of reporting the information required under 10 CFR 26.417(b)(2) and
4) Use of Adobe Reader 8 or later is required 26.717. The information is required by NRC to obtain on an annual basis site specific fitness-for-duty (FFD) program performance data on drug and alcohol programs from licensees and Submission Delete other entities. Send comments regarding burden estimate to the FOIA, Library, and Information Collections Branch (T-6 A10M), U.S. Nuclear Regulatory Commission, Washington, DC Update Submission 20555-0001, or by e_mail to Infocollects.Resource@NRC.gov, and the OMB reviewer at: OMB Office of Information and Regulatory Affairs, (3150-0146), Attn: Desk Officer for the Nuclear Unique Reference ID (Licensee Supplied) Regulatory Commission, 725 17th Street NW, Washington, DC 20503; e-mail:

D10 oira_submission@omb.eop.gov. The NRC may not conduct or sponsor, and a person is not required to respond to, a collection of information unless the document requesting or requiring the collection displays a currently valid OMB control number.

Facility Wolf Creek [50-482] Date of Collection 03/03/2021 (mm/dd/yyyy)

Reason for Testing - 26.717(b)(5) Pre-Access Testing Reason (optional) Please elaborate (optional)

Pre-Access Reinstatement (Between 31 and 365 days)

Employment Type - 26.717(b)(3) Outage Worker (optional)?

Contractor/Vendor Yes

Labor Category - 26.717(b)(3)

Maintenance (general facility)

Is this a 24-hour reportable event under 26.719(b)? No

Was this collection refused? - 26.717(b)(7) & 26.75 No

Test Results - 26.717(b)(4)

Test Type(s) for Result(s) Reported - 26.717(b)(2) Drug Specimen Tested Drug Only Urine

Test Validity Valid

Was this collection observed? - 26.717(b)(7) & 26.75 No

How many substances were confirmed positive for this individual? 1

Substance - 26.717(b)(2) & (b)(6) Use NRC Initial Confirmatory Limit of Cutoffs? Cutoff Cutoff Detection

Amphetamine Yes

Subversion Attempt - Did this collection involve a subversion attempt? - 26.717(b)(7) and 26.75(b) 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):

Pamela Black SR Access Specialist pam.black@evergy.com

First Name Last Name Position Title Company Email Address Person 2 (optional):

Sonya Jones Supv Access Screening sonya.jones@evergy.com

First Name Last Name Position Title Company Email Address

Final Step (Required) - NRC will consider this form authentic in accordance with 10 CFR 26.11 only when the Validate & Lock button is clicked and all errors (highlighted in red) have been corrected. The Validate & Lock button will change to Locked after the data validation process has been successfully completed indicating the form is ready for submission.

Locked Form Locked On: Feb 9, 2022 at 10:05:37 AM Save to Local PC Print this Report

Single Positive Test Form (version 1.10.0 - October 2021) NRC Form 890 FFD Program Performance Data Reporting System NRC Form 890,Single Positive Test Form (EIE General Submission Portal)

1) All fields required except those marked 'optional' APPROVED BY OMB: CLEARANCE NO. 3150-0146 EXPIRES: 09/30/2024
2) Entries in some fields auto-populate information in other fields Estimated burden per response to comply with this collection request is 30 minutes. This form
3) Mouse over form fields to view additional information is a voluntary means of reporting the information required under 10 CFR 26.417(b)(2) and
4) Use of Adobe Reader 8 or later is required 26.717. The information is required by NRC to obtain on an annual basis site specific fitness-for-duty (FFD) program performance data on drug and alcohol programs from licensees and Submission Delete other entities. Send comments regarding burden estimate to the FOIA, Library, and Information Collections Branch (T-6 A10M), U.S. Nuclear Regulatory Commission, Washington, DC Update Submission 20555-0001, or by e_mail to Infocollects.Resource@NRC.gov, and the OMB reviewer at: OMB Office of Information and Regulatory Affairs, (3150-0146), Attn: Desk Officer for the Nuclear Unique Reference ID (Licensee Supplied) Regulatory Commission, 725 17th Street NW, Washington, DC 20503; e-mail:

D11 oira_submission@omb.eop.gov. The NRC may not conduct or sponsor, and a person is not required to respond to, a collection of information unless the document requesting or requiring the collection displays a currently valid OMB control number.

Facility Wolf Creek [50-482] Date of Collection 04/19/2021 (mm/dd/yyyy)

Reason for Testing - 26.717(b)(5) Pre-Access Testing Reason (optional) Please elaborate (optional)

Pre-Access Initial Authorization

Employment Type - 26.717(b)(3) Outage Worker (optional)?

Contractor/Vendor Yes

Labor Category - 26.717(b)(3) Please elaborate on the Labor Category selected Other cafe worker

Is this a 24-hour reportable event under 26.719(b)? No

Was this collection refused? - 26.717(b)(7) & 26.75 No

Test Results - 26.717(b)(4)

Test Type(s) for Result(s) Reported - 26.717(b)(2) Drug Specimen Tested Drug Only Urine

Test Validity Valid

Was this collection observed? - 26.717(b)(7) & 26.75 No

How many substances were confirmed positive for this individual? 1

Substance - 26.717(b)(2) & (b)(6) Use NRC Initial Confirmatory Limit of Cutoffs? Cutoff Cutoff Detection

Marijuana Yes

Subversion Attempt - Did this collection involve a subversion attempt? - 26.717(b)(7) and 26.75(b) 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):

Pamela Black SR Access Specialist pam.black@evergy.com

First Name Last Name Position Title Company Email Address Person 2 (optional):

Sonya Jones Supv Access Screening sonya.jones@evergy.com

First Name Last Name Position Title Company Email Address

Final Step (Required) - NRC will consider this form authentic in accordance with 10 CFR 26.11 only when the Validate & Lock button is clicked and all errors (highlighted in red) have been corrected. The Validate & Lock button will change to Locked after the data validation process has been successfully completed indicating the form is ready for submission.

Locked Form Locked On: Feb 14, 2022 at 12:20:45 PM Save to Local PC Print this Report

Single Positive Test Form (version 1.10.0 - October 2021) NRC Form 890

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