ML23163A252
| ML23163A252 | |
| Person / Time | |
|---|---|
| Issue date: | 06/13/2023 |
| From: | Brian Zaleski NRC/NSIR/DPCP/RSB |
| To: | |
| References | |
| ML23163A251 | |
| Download: ML23163A252 (1) | |
Text
Presentation to the Drug Testing Advisory Board (HHS/SAMHSA)
Performance Trends and Program Updates Fitness for Duty (FFD) Programs - 10 CFR Part 26 June 13, 2023
Discussion Topics Slide 2 FFD Program Performance and Trends 10 CFR Part 26 Final Rule (November 2022)
FFD Performance and Trends - Background This presentation reflects the drug and alcohol test results for individuals subject to 10 CFR Part 26, Fitness For Duty Programs.
These individuals work at:
- Commercial nuclear power reactors (operating and under construction)
- Formerly operating power reactors
- Category IA fuel fabrication facilities
- Corporate FFD program offices (e.g., a utility with multiple operating power reactor sites may administer the fleet FFD program at a central location)
Test result information is reported to the NRC on an annual basis under 10 CFR 26.717 and 26.417(b)(2).
All drug test results are medical review officer (MRO)-verified.
All results for 2022 are draft, as the NRC continues to perform data quality reviews on the information.
Slide 3
FFD Program Performance Results, 2018-2022
- Positive = Positive drug and alcohol tests, adulterated and substituted validity test results, and refusals to test All results in presentation are MRO verified Slide 4 2018 2019 2020 2021 2022 Number of Facilities Reporting 71 70 70 69 64 Individuals Tested 145,797 131,417 124,678 114,150 111,854 Individuals Testing Positive*
1,187 1,085 1,048 1,112 1,082 Identified at Pre-access Testing 69.6%
67.3%
67.4%
66.5%
70.3%
Identified at Random Testing 17.8%
21.8%
22.7%
24.8%
20.4%
Pre-Access Testing Positive Rates 1.02%
1.03%
1.01%
1.17%
1.20%
Licensee Employee 0.43%
0.44%
0.38%
0.64%
0.85%
Contractors/Vendors 1.08%
1.10%
1.08%
1.17%
1.26%
Random Testing Positive Rates 0.37%
0.45%
0.49%
0.61%
0.52%
Licensee Employees 0.17%
0.19%
0.23%
0.28%
0.31%
Contractors/Vendors 0.68%
0.86%
0.92%
1.15%
0.87%
Average Worker Population 99,569 91,954 89,205 82,512 77,306 Licensee Employees 59,913 56,152 54,190 50,094 46,957 Contractors/Vendors 39,656 35,802 35,015 31,608 30,349
FFD Program Performance Results by Test and Employment Categories, 2022 Slide 5 Tested Positive Percent Positive Tested Positive Percent Positive Tested Positive Percent Positive Pre-Access 9,476 81 0.85%
53,855 680 1.26%
63,331 761 1.20%
70.3%
Random 26,632 82 0.31%
15,908 139 0.87%
42,540 221 0.52%
20.4%
For Cause 66 11 16.67%
150 29 19.33%
216 40 18.52%
3.7%
Post-Event 70 0.00%
171 1
0.58%
241 1
0.41%
0.1%
Followup 2,694 21 0.78%
2,832 38 1.34%
5,526 59 1.07%
5.5%
Total 38,938 195 0.50%
72,916 887 1.22%
111,854 1,082 0.97%
100.0%
Test Category Licensee Employees Contractor/Vendors (C/Vs)
Total
% of Total Positives Test Category Tested Positive Percent Positive Pre-Access 63,331 761 1.20%
Random 42,540 221 0.52%
For Cause 216 40 18.52%
Post-Event 241 1
0.41%
Followup 5,526 59 1.07%
Total 111,854 1,082 0.97%
Pre-Access Testing (1990-2022)
Positive Rates by Employment Category Slide 6 0.95%
Licensee Employees 0.85%
1.54%
Contractor/Vendors 1.26%
0.0%
0.2%
0.4%
0.6%
0.8%
1.0%
1.2%
1.4%
1.6%
1990 1992 1994 1996 1998 2000 2002 2004 2006 2008 2010 2012 2014 2016 2018 2020 2022 Percent Positive
Pre-Access Testing, 2022 Distribution of Site-Specific Positive Rates by Employment Category Slide 7 34 4
6 7
5 5
7 3
14 22 11 3
3 1
0
> 0% - 0.5%
> 0.5% - 1%
> 1% - 1.5%
> 1.5% - 2%
> 2% - 2.5%
> 2.5% - 3%
> 3% - 3.5%
Number of Sites Percent (%) Positive Rate Licensee Employee (n = 62)
C/V (n = 64)
Random Testing (1990-2022)
Positive Rates by Employment Category Slide 8 Licensee Employees 0.31%
Contractor/Vendors 0.87%
0.0%
0.2%
0.4%
0.6%
0.8%
1.0%
1.2%
1990 1992 1994 1996 1998 2000 2002 2004 2006 2008 2010 2012 2014 2016 2018 2020 2022 Percent Positive Beginning in 1994, the NRC reduced the minimum annual random testing rate from 100 percent to 50 percent of the subject population
Random Testing (2018-2022)
Distribution of Site-Specific Positive Rates by Employment Category Slide 9 2018 2019 2020 2021 2022 2018 2019 2020 2021 2022 0
29 34 30 25 19 28 35 26 26 25
> 0% - 0.25%
22 17 17 10 13 4
1
> 0.25% - 0.5%
16 15 10 19 16 14 6
6 5
5
> 0.5% - 0.75%
4 3
8 12 12 6
6 8
6 10
> 0.75% - 1%
1 4
1 2
10 6
5 6
6
> 1% - 1.25%
1 5
5 10 7
8
> 1.25% - 1.5%
1 7
3 3
2
> 1.5% - 1.75%
1 1
3 4
5 1
> 1.75% - 2%
1 4
2 2
> 2% - 2.25%
1 2
> 2.25% - 2.5%
1 1
4 1
> 2.5% - 2.75%
1
> 2.75% - 3%
> 3% - 3.25%
1 1
> 3.25% - 3.5%
1
> 3.5% - 3.75%
1 2
> 3.75% - 4%
1
> 4%
1 1
Positive Rate Range (%)
Licensee Employee C/V
Detection Trends - NRC Testing Panel Percentage of Total Positives by Substance Tested Slide 10 Since at least 2014, this chart under reports the substances used by individuals with a drug testing violation. This is because of the high number of subversion attempts where no specimen is tested (at least 60% of subversion attempts each year) marijuana cocaine alcohol amphetamines opiates PCP 0.0%
10.0%
20.0%
30.0%
40.0%
50.0%
60.0%
70.0%
1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 Percent of Total Positives
Results by Employment Category, 2022 Slide 11 Licensee Employees (38,938 tested, 195 individuals positive)
Contractor/Vendors (72,916 tested, 887 individuals positive)
Marijuana 45.5%
Alcohol 36.5%
Cocaine 5.0%
Refusal to Test 6.0%
Amphetamines 6.5%
Opiates 0.5%
n = 200 Marijuana 53.8%
Alcohol 12.0%
Cocaine 8.3%
Refusal to Test 19.5%
Amphetamines 5.7%
Opiates 0.2%
Other 0.4%
PCP 0.1%
n = 918
Pre-Access and Random Positive Rates - Marijuana Slide 12
Results by Labor Category, 2022 Slide 13 0%
20%
40%
60%
80%
100%
Maintenance (general facility)
Facility Support Security Other HP/RP Engineering Maintenance (safety-significant)
Non-Licensed Operator Supervisor Licensed Operator FFD Program Personnel QA/QC SSNM Transporter 388 56 46 20 23 17 17 8
8 1
1 100 16 11 15 5
9 7
6 8
4 1
152 26 3
4 3
2 1
46 5
6 5
1 1
1 64 6
4 1
6 3
2 2
1 Other, 1 PCP, 1 Marijuana Alcohol Refusal to Test Amphetamines Cocaine Opiates Other PCP
Total Substances by Labor Category, 2022 Slide 14 754 109 70 45 35 30 30 17 17 5
1 1
0 Maintenance (general facility)
Facility Support Security Other HP/RP Engineering Maintenance (safety-significant)
Non-Licensed Operator Supervisor Licensed Operator FFD Program Personnel QA/QC SSNM Transporter
Subversion Attempt Trends (2017-2022)
Subversion attempt: Any willful act or attempted act to cheat on a required test (e.g., refuse to provide a specimen, alter a specimen with an adulterant, provide a specimen that is not from the donors body) 2017 2018 2019 2020 2021 2022 Number of Subversion Attempts 305 298 307 288 272 268 Percentage of Drug Testing Violations 31.9%
31.0%
34.5%
34.3%
29.3%
29.8%
Identified at Pre-access Testing 67.5%
77.5%
73.3%
74.7%
72.4%
79.1%
Committed by Contractor/Vendors 97.7%
95.6%
97.4%
96.2%
94.5%
93.3%
Percentage of Sites Reporting At Least One Subversion 64%
70%
61%
70%
70%
75%
- Draft data (2022 reporting cycle closed on February 28, 2023)
Subversion attempt sanction:
Permanent denial unescorted access, 10 CFR 26.75(b)
Slide 15
Subversion Attempt Trends by Labor Category (2017-2022)
Slide 16 Labor Category 2017 2018 2019 2020 2021 2022 Total Maintenance (general facility) 193 226 255 245 217 211 1,136 Facility Support 17 25 18 17 26 30 103 HP/RP 2
2 2
1 6
6 13 Engineering 1
2 3
4 3
10 Maintenance (safety-significant) 9 14 10 10 2
5 45 Security 4
4 6
4 9
5 27 Other 77 16 7
6 6
5 112 Supervisor 1
7 4
1 3
3 16 Non-Licensed Operator 1
2 3
6 QA/QC 2
2 Grand Total 305 298 307 288 272 268 1,470
Electronic Reporting FFD Program Performance Information Annual information reporting required under 10 CFR 26.717 and 26.417(b)(2)
Information is uniform, robust, and event specific Permits additional trending and analysis E-forms (PDF forms) available at: www.nrc.gov/reactors/operating/ops-experience/fitness-for-duty-programs/submit-ffd-reports.html Annual Reporting Form Single Positive Test Form Slide 17
Part 26 Final Rule (November 2022)
Slide 18 Aligns Part 26 drug testing requirements more closely with the U.S. Department of Health and Human Services 2008 and 2017 Mandatory Guidelines for Federal Workplace Drug Testing of urine specimens. Also incorporates lessons learned from implementing Part 26.
Published: November 22, 2022 (87 FR 71422)
Effective: December 22, 2022 Compliance Required by: November 22, 2023 Substantive changes:
Adds testing for MDMA, MDA, hydrocodone, hydromorphone, oxycodone, oxymorphone
Lowers drug testing cutoff levels for amphetamine, methamphetamine, cocaine
Improves testing method to identify heroin metabolite (6-acetylmorphine)
Improves methods to detect donor subversion attempts
Includes option to collect and drug test oral fluid for most observed collection conditions
Part 26 Final Rule (November 2022) -
Implementation Considerations Revise FFD policies and procedures Revise contract with HHS-certified laboratory(ies)
Update quarterly blind performance test samples (BPTSs) consistent with revisions to drug testing (cutoff level changes for existing substances, addition of new substances)
Provide training to covered personnel on rule changes Slide 19
NRC FFD Program Staff Slide 20 Office of Nuclear Security and Incident Response Brian Zaleski, Specialist - Fitness For Duty / Access Authorization Brian.Zaleski@nrc.gov (301-287-0638)
Paul Harris, Senior Program Manager Paul.Harris@nrc.gov (301-287-9294)