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Category:License-Fitness for Duty (FFD) Performance Report
MONTHYEARML23059A0932023-02-28028 February 2023 Annual Fatigue Report Form for 2022 ML23058A3382023-02-27027 February 2023 Single Positive Test Form Collected on 05/03/2022 ML23058A3882023-02-27027 February 2023 Single Positive Test Form Collected on 10/26/2022 ML23058A3102023-02-27027 February 2023 Single Positive Test Form Collected on 02/22/2022 ML23058A3372023-02-27027 February 2023 Single Positive Test Form Collected on 04/06/2022 ML23058A2572023-02-27027 February 2023 Annual Report Form for Drug and Alcohol Tests for 2022 ML23058A3112023-02-27027 February 2023 Single Positive Test Form Collected on 02/14/2022 ML23058A3072023-02-27027 February 2023 Single Positive Test Form Collected on 01/18/2022 ML23058A3062023-02-27027 February 2023 Single Positive Test Form Collected on 02/08/2022 ML23058A3922023-02-27027 February 2023 Single Positive Test Form Collected on 02/27/2022 ML23058A3932023-02-27027 February 2023 Single Positive Test Form Collected on 02/07/2022 ML23058A3042023-02-27027 February 2023 Single Positive Test Form Collected on 01/10/2022 ML23058A3832023-02-27027 February 2023 Single Positive Test Form Collected on 07/18/2022 ML23058A3842023-02-27027 February 2023 Single Positive Test Form Collected on 08/04/2022 ML23058A3312023-02-27027 February 2023 Single Positive Test Form Collected on 03/29/2022 ML23058A3132023-02-27027 February 2023 Single Positive Test Form Collected on 02/14/2022 ML23058A3392023-02-27027 February 2023 Single Positive Test Form Collected on 05/23/2022 ML23058A3262023-02-27027 February 2023 Single Positive Test Form Collected on 02/24/2022 ML23058A3822023-02-27027 February 2023 Single Positive Test Form Collected on 07/15/2022 ML23058A3812023-02-27027 February 2023 Single Positive Test Form Collected on 07/13/2022 ML23058A3082023-02-27027 February 2023 Single Positive Test Form Collected on 02/22/2022 ML23058A3292023-02-27027 February 2023 Single Positive Test Form Collected on 03/29/2022 ML23058A3162023-02-27027 February 2023 Single Positive Test Form Collected on 03/31/2022 ML23058A3872023-02-27027 February 2023 Single Positive Test Form Collected on 10/29/2022 ML23058A3852023-02-27027 February 2023 Single Positive Test Form Collected on 07/25/2022 ML23058A3272023-02-27027 February 2023 Single Positive Test Form Collected on 03/29/2022 ML23058A3092023-02-27027 February 2023 Single Positive Test Form Collected on 02/24/2022 ML23058A3332023-02-27027 February 2023 Single Positive Test Form Collected on 03/30/2022 ML23058A3802023-02-27027 February 2023 Single Positive Test Form Collected on 06/14/2022 ML23058A3862023-02-27027 February 2023 Single Positive Test Form Collected on 09/15/2022 ML23058A3052023-02-27027 February 2023 Single Positive Test Form Collected on 02/09/2022 ML23058A3912023-02-27027 February 2023 Single Positive Test Form Collected on 10/26/2022 ML23058A3892023-02-27027 February 2023 Single Positive Test Form Collected on 11/08/2022 ML23058A3402023-02-27027 February 2023 Single Positive Test Form Collected on 06/02/2022 ML23058A3352023-02-27027 February 2023 Single Positive Test Form Collected on 03/30/2022 ML23058A3902023-02-27027 February 2023 Single Positive Test Form Collected on 10/26/2022 ML23058A3122023-02-27027 February 2023 Single Positive Test Form Collected on 02/14/2022 ML23047A4472023-02-16016 February 2023 Submittal of 30 Day Report Per 10 CFR 26.719(c) Blind Performance Testing ML23058A3242023-02-10010 February 2023 Single Positive Test Form Collected on 3/17/2022 ML23058A3142023-02-10010 February 2023 Single Positive Test Form Collected on 3/11/2022 ML23058A3152023-02-10010 February 2023 Single Positive Test Form Collected on 3/13/2022 ML23058A3212023-02-10010 February 2023 Single Positive Test Form Collected on 3/03/2022 ML23058A3202023-02-10010 February 2023 Single Positive Test Form Collected on 3/08/2022 ML23058A3222023-02-10010 February 2023 Single Positive Test Form Collected on 3/15/2022 ML22056A4252022-02-25025 February 2022 Single Positive Test Form Collected on 10/27/2021 ML22056A4242022-02-25025 February 2022 Single Positive Test Form Collected on 09/22/2021 ML22056A4162022-02-25025 February 2022 Single Positive Test Form Collected on 07/21/2021 ML22056A4182022-02-25025 February 2022 Single Positive Test Form Collected on 09/13/2021 ML22056A4202022-02-25025 February 2022 Single Positive Test Form Collected on 09/20/2021 ML22056A4192022-02-25025 February 2022 Single Positive Test Form Collected on 07/08/2021 2023-02-28
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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 26.717. The information is required by NRC to obtain on an annual basis site specific fitness-
- 4) Use of Adobe Reader 8 or later is required 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 Submission Delete 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:
GGN-2022-12 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 Grand Gulf [50-416] Date of Collection (mm/dd/yyyy) 03/13/2022 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 Use NRC Initial Confirmatory Limit of Substance - 26.717(b)(2) & (b)(6)
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)
Licensee Administrated Specific Sanction Applied 3-Year Denial Person(s) Responsible for Information Provided Person 1 (required):
Steven Chambliss AA/FFD Supervisor schamb4@entergy.com First Name Last Name Position Title Company Email Address Person 2 (optional):
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 10, 2023 at 9:47:47 PM Save to Local PC Print this Report Single Positive Test Form (version 1.10.0 - October 2021) NRC Form 890