ML24052A297
| ML24052A297 | |
| Person / Time | |
|---|---|
| Site: | Palisades  |
| Issue date: | 02/20/2024 |
| From: | Hartmann J Holtec Palisades |
| To: | Document Control Desk, Office of Nuclear Security and Incident Response |
| References | |
| Download: ML24052A297 (2) | |
Text
FFD Program Performance Data Reporting System NRC Form 891, Annual Reporting Form for Drug and Alcohol Tests (submit using the NRC EIE General Submission portal)
HHS-Certified Laboratory (Primary)
Quest Diagnostics Incorporated Lenexa KS 66219 Does your program use a Licensee Testing Facility? No Blind Performance Test Sample Supplier(s) El Sohly Labs Inc Osford MS 38655 HHS-Certified Laboratory (Backup)
Quest Diagnostics Incorporated Norristown PA 19403 Did your program only test for NRC-required substances AND at the NRC-specified minimum cutoff levels? Yes Substances Tested Total Number of Specimens (Special Analyses Testing Conducted) 13 Total Number of "Dilute" Specimen Test Results (Optional) 13 Special Analyses Testing Results
- 26.163(a)(2) and 26.717(b)(2)
- 1) All fields required unless marked 'optional'
- 2) Use of Adobe Reader 8 or later is required
- 3) Mouse over fields for additional information Period of Report 2023 Submission Update Tests Conducted in the Calendar Year Reason For Testing Licensee Employees Total Number of Positive, Adulterated, Substituted, and Refusal to Test Results Contractors/Vendors Random Pre-Access For Cause Followup Post-Event Total (Calculated)
Total Number of Tests Conducted 81 112 0
2 208 83 0
127 3
2 0
0 31 0
5 0
13 13 Total size of the random testing pool throughout the period (Calculated) 267 Average number of contractors/vendors 63 Average number of licensee employees 204 Annual random testing percentage achieved for the testing pool 53.5 FFD Program Random Testing Population and Rate Facility Palisades [50-255]
Laboratory Testing
- Page 1 of 2 -
Annual Report Form (version 1.11.0 - November 2022)
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 the 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.
,l U.S.NRC '
l 1L, l'ttte~ '\\u'-1<:-H ktgulHr
( "' m11,~
,11
/'rot,*< 1111, l'eo 1/t* anti the 1: 11l'irt1111m*111 I
I I_
I I
I I
I I
I_
L I
JI I I
Save to Local PC Print this Report 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 20, 2024 at 8:22:14 AM Summary of Management Actions - 26.717(b)(8)
Topic 1 Please Select 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.
Person(s) Responsible for Information Provided Company Email Address j.hartmann@holtec.com First Name Jean Position Title Access Authorization Position Title First Name Last Name Last Name Hartmann Company Email Address Person 1 (required):
Person 2 (optional):
Annual Report Form (version 1.11.0 - November 2022)
- Page 2 of 2 -
Additional Substances Tested NRC Form 891