ML23059A470

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Annual Fitness for Duty Program Performance Report, and Annual Fatigue Report for 2022
ML23059A470
Person / Time
Site: Wolf Creek Wolf Creek Nuclear Operating Corporation icon.png
Issue date: 02/28/2023
From: Hamman D
Wolf Creek
To:
Document Control Desk, Office of Nuclear Reactor Regulation, Office of Nuclear Security and Incident Response
References
RA 23-0016, A1, A2, A3, A4, D1, D2, D3, D4, D5, D6
Download: ML23059A470 (18)
v • d • e


Text

Dustin T. Hamman Director Nuclear Regulatory Affairs

February 28, 2023 RA 23-0016

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 2022

Commissioners and Staff:

In accordance with 10 CFR 26, Wolf Creek Nuclear Operating Corporation (WCNOC) is submitting the Annual Fitness for Duty (FFD) program performance data and Annual Fatigue Report for 2022 to the Nuclear Regulatory Commission (NRC) FFD Program Performance Data Reporting System. 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 enclosed within 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,

Dustin T. Hamman

DTH/jkt

Enclosure I: Copy of 2022 Fatigue Assessment and Report (2 pages)

Enclosure II: Copy of 2022 FFD As sessment and Report (13 pages)

CC: S. S. Lee (NRC), w/e R. J. Lewis (NRC), w/e G. E. Werner (NRC), w/e Senior Resident Inspector (NRC), w/e

P.O. Box 411 l Burlington, KS 66839 l 620-364-8831 Enclosure I to RA 23 -00 16

Copy of 2022 Fatigue R eport and Attachment (This enclosure contains 2 pages)

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] 2022 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 0 0 0 0 Daily Work Hours Exceeded 26 work hrs in any 48 hr period 1 1 0 1 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 0 0 0 0 0 0 0 0 1 0 1 0 1

  • 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] One work hour waiver completed for 2022.

Operating or on-site Waiver 8/6/2022 ONLINE directing of physics or chemistry Performing health fire brigade member as Performing duties of a Performing maintenance or onsite directing of Performing security Waiver issued to ensure regulatory required numbers were maintained until relief arrived for security. Waiver request initiated for a security lieutenant to extend shift for 2 additional hours. This extension would exceed the 26 hrs. in 48 hrs. work hour rule. Waiver for the operations of duties as described in described in maintenance as duties as described in individual was initiated and approved by security management. Individual performed work satisfactory and relieved in 2-hour time frame when relief arrived. No concerns noted in review of the waiver documentation or fatigue assessment documentation.

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 0 0 0 0 1 Analysis of Fatigue Assessment Data: (Limit 10,000 characters) 2 Six fatigue assessments were completed in 2022.

  1. 1 Post event 2/10/2022 ONLINE
  1. 2 Post event 2/14/2022 ONLINE 3 #3 Waiver 8/6/2022 ONLINE
  1. 4 For cause 9/22/2022 ONLINE 4 #5 For cause 10/18/2022 OUTAGE
  1. 6 Post event 11/17/2022 OUTAGE C di i lid d b i i i d f f i i hi h i i I i f i hi f i i di id l i l d did d ib d i i h f i k h h ld h ib d 5

Conclusions:

(Limit 10,000 characters)

6 The results of the annual fatigue management program effectiveness review determined Wolf Creek is effective in controlling the work hours of individuals subject to work hour controls.

7

8

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

The Corrective Action Program is adequately used to identify and correct concerns with compliance to the fatigue rule requirements

10

11 - 20

More than 20

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

Issued Waivers 0 0 0 0 1 (Calculated)

Most Waivers Provided to a 0 0 0 0 1 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):

Stephanie Hernandez Lead Administrative Assistant stephanie.hernandez@evergy.com Eric Martinson Director Nuclear Maintenance eric.martinson@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 28, 2023 at 12:32:46 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 System 10 CFR Part 26, Subpart I -

Managing Fatigue

Attachment 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 F atigue Management form.

Analysis of Waiver Assessment Data:

One work hour waiver completed for 2022.

Waiver 8/6/2022 ONLINE Waiver issued to ensure regulatory required numbers were maintained until relief arrived for security. Waiver request initiated f or a security lieutenant to extend shift for 2 additional hours. This extension would exceed the 26 hrs. in 48 hrs. work hour rule.

Waiver for individual was initiated and approved by security management. Individual performed work satisfactory and relieved in 2-hour time frame when relief arrived. No concerns noted in review of the waiver documentation or fatigue assessment documentation.

Analysis of Fatigue Assessment Data:

Six fatigue assessments were completed in 2022.

  1. 1 Post event 2/10/2022 ONLINE
  1. 2 Post event 2/14/2022 ONLINE
  1. 3 Waiver 8/6/2022 ONLINE
  1. 4 For cause 9/22/2022 ONLINE
  1. 5 For cause 10/18/2022 OUTAGE
  1. 6 Post event 11/17/2022 OUTAGE Condition reports were validated to be initiated for fatigue assessments within the corrective action program. In review of responses within fatigue assessments individuals involved did not describe or document any issues w ith fatigue or work hours that could have contributed to the event. The waiver initiated in security for minimum shift staffing met regulatory and procedure requirements. No issues were identified from security management for lieutenant working additional work hours to maintain security site staffing.

==

Conclusions:==

The results of the annual fatigue management program effectiveness review determined Wolf Creek is effective in controlling the work hours of individuals subject to work hour controls.

Summary and Status of Corrective Actions:

The Corrective Action Program is adequately used to identify and correct concerns with compliance to the fatigue rule requirements

Internal Use Only Enclosure II to RA 23-00 16

Copy of 2022 FFD Report and Attachment (This enclosure contains 13 pages)

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] 2022

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 41 656 6

Random 386 164 2

For Cause 1 2 1

Post-Event 4 0 0

Followup 14 41 1

Total (Calculated) 446 863 10

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

764 298 1,062 51.8

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

HHS-Certified Laboratory (Primary) Clinical Reference LaboratoryHHS-Certified Laboratory (Backup) Quest Laboratory (Lenexa, KS)

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 Policies and Procedures CR # 10015498 NRC NCV - denial sanctions leaving FFD Collection site before all collection procedures were completed is a refusal to test.

NRC Inspection Report 2022-402 issued violation to Access Screening for 10 CFR 26.75 denial sanction guidance for licensee not imposing permanent denial when individual left collection facility without completing the FFD process.

Actions Taken - AI 01 - 008 (Denial Procedure) was revised to align with 10 CFR 26.75 - FFD Denial Sanctions include imposing permanent denial when individual leaves FFD collection site without completing all collection procedures. Reviewing Official has the responsibility to Determine if unescorted access shall be denied or terminated. WCNOC Access Screening Reviewing Officials complete a 2nd Reviewing Official concurrence document with denial and basis for denial prior to notifying individual.

Add an additional Topic

Topic 2 Topic 2 Description Training CR# 10015499/10016226 (NRC Minor) - FFD training and procedures were evaluated and revised accordingly to ensure the content is clear and concise as it relates to possession and use of cannabis (CBD) the second most prevalent active ingredient in cannabis (marijuana). 10 CFR Part 26.29 (a) (1) requires individuals understand and comply with consequences as they apply to fitness for duty.

Definition of CBD Oil was added to procedure AI 01A-002.

Add an additional Topic

Topic 3 Topic 3 Description Other(s) CR # 10020323 - During QA audit 22-09-FFD/FM it was identified the Intoxilyzer 8000 printouts were degrading at a more accelerated rate than previously identified. The FFD consent (AIF 01A-002-03) was revised to log the BAC readings on the form to eliminate the need of retaining the intoxilyzer 8000 Please elaborate: printouts.

Improvement to FFD consent to log actual BAC readings.

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

Mallory Rosales SR Access Specialist Mallory.Rosales@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 28, 2023 at 2:12:09 PM 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: Policies and Procedure

CR # 10015498 NRC NCV - Denial sanctions leaving FFD Collection site before all collection procedures were completed is a refusal to test.

NRC Inspection Report 2022-402 issued violation to Access Screening for 10 CFR 26.75 denial sanction guidance for licensee not imposing permanent denial when individual left collection facility without completing the FFD process.

Actions Taken - AI 01-008 (Denial Procedure) was revised to align with 10 CFR 26.75 - FFD Denial Sanctions include imposing permanent denial when individual leaves FFD collection site without completing all collection procedures. Reviewing Official has the responsibility to Determine if unescorted access shall be denied or terminated. WCNOC Access Screening Reviewing Officials complete a 2nd Reviewing Official concurrence document with denial and basis for denial prior to notifying individual.

Topic 2: Training

CR # 10015499 - FFD training and procedures were evaluated and revised accordingly to ensure the content is clear and concise as it relates to possession and use of cannabidiol (CBD) the second most prevalent active ingredient in cannabis (marijuana). 10 CFR Part 26.29 (a) (1) requires individuals understand and comply with consequences as they apply to fitness for duty.

Definition of CBD Oil was added to procedure AI 01A-002.

Topic 3: Other (Improvement to FFD consent to log actual BAC readings.)

CR # 10020323 - During QA audit 22- 09-FFD/FM it was identified the Intoxilyzer 8000 printouts were degrading at a more accelerated rate than previously identified. The FFD consent (AIF 01A-002- 03) was revised to log the BAC readings on the form to eliminate the need of retaining the intoxilyzer 8000 printouts.

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 10/22/2022 (mm/dd/yyyy)

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

Random

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

Licensee Employee 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?

0.04 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):

Mallory Rosales Access Specialist III mallory.rosales@evergy.com

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

Sonya Jones Supervisor 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 28, 2023 at 2:13:50 PM 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 10/04/2022 (mm/dd/yyyy)

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

Pre-Access Please Select

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):

Mallory Rosales Access Specialist III mallory.rosales@evergy.com

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

Sonya Jones Supervisor 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 28, 2023 at 2:14:12 PM 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:

A3 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 10/04/2022 (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)

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):

Mallory Rosales Access Specialist III mallory.rosales@evergy.com

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

Sonya Jones Supervisor 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 28, 2023 at 2:14:35 PM 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:

A4 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 10/25/2022 (mm/dd/yyyy)

Reason for Testing - 26.717(b)(5)

Followup

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?

0.03 and in work status at least 1 hr

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 Second drug or alcohol positive

Sanction Applied (NRC Minimum or Licensee Administrated)

NRC Minimum

Specific Sanction Applied 5-Year Denial

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

Mallory Rosales Access Specialist III mallory.rosales@evergy.com

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

Sonya Jones Supervisor 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 28, 2023 at 2:14:59 PM 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 9/27/2022 (mm/dd/yyyy)

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

Pre-Access Please Select

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 Employee

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):

Mallory Rosales Access Specialist III mallory.rosales@evergy.com

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

Sonya Jones Supervisor 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 28, 2023 at 2:15:18 PM 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 06/08/2022 (mm/dd/yyyy)

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

Random

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

Licensee Employee No

Labor Category - 26.717(b)(3)

Engineering

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):

Mallory Rosales Access Specialist III mallory.rosales@evergy.com

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

Sonya Jones Supervisor 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 28, 2023 at 2:15:34 PM 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 02/14/2022 (mm/dd/yyyy)

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

Pre-Access Please Select

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

Contractor/Vendor No

Labor Category - 26.717(b)(3)

Security

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):

Mallory Rosales Access Specialist III mallory.rosales@evergy.com

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

Sonya Jones Supervisor 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 28, 2023 at 2:15:53 PM 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 09/13/2022 (mm/dd/yyyy)

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

Pre-Access Please Select

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):

Mallory Rosales Access Specialist III mallory.rosales@evergy.com

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

Sonya Jones Supervisor 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 28, 2023 at 2:16:13 PM 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 09/29/2022 (mm/dd/yyyy)

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

Pre-Access Please Select

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):

Mallory Rosales Access Specialist III mallory.rosales@evergy.com

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

Sonya Jones Supervisor 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 28, 2023 at 2:16:35 PM 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 11/06/2022 (mm/dd/yyyy)

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

For Cause Observed Behavior

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):

Mallory Rosales Access Specialist III mallory.rosales@evergy.com

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

Sonya Jones Supervisor 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 28, 2023 at 2:16:55 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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