ML12068A123: Difference between revisions
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| number = ML12068A123 | | number = ML12068A123 | ||
| issue date = 02/29/2012 | | issue date = 02/29/2012 | ||
| title = | | title = Operating Corporation - Annual Fitness for Duty (FFD) Program Performance Data and Annual Fatigue Report for 2011 | ||
| author name = Sen G | | author name = Sen G | ||
| author affiliation = Wolf Creek Nuclear Operating Corp | | author affiliation = Wolf Creek Nuclear Operating Corp |
Revision as of 12:51, 12 April 2019
ML12068A123 | |
Person / Time | |
---|---|
Site: | Wolf Creek ![]() |
Issue date: | 02/29/2012 |
From: | Sen G Wolf Creek |
To: | Document Control Desk, Office of Nuclear Reactor Regulation |
References | |
RA 12-0023 | |
Download: ML12068A123 (23) | |
Text
W*LF CREEK NUCLEAR OPERATING CORPORATION Gautam Sen Manager Regulatory Affairs February 29, 2012 RA 12-0023 U. S. Nuclear Regulatory Commission ATTN: Document Control Desk Washington, DC 20555
Subject:
Docket No. 50-482: Electronic Submittal of Annual Fitness for Duty Program Performance Report and Annual Fatigue Report for 2011 Gentlemen:
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 2011 to the Nuclear Regulatory Commission (NRC) FFD Program Performance Data Reporting System through the U.S. NRC Electronic Information Exchange on February 23, 2012. 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 to the appropriate regional office and resident inspector.
This letter contains no commitments.
If you have any questions concerning this matter, please contact me at (620) 364-4175, or Diane Hooper at (620) 364-4041.Sincerely, Gautam Sen GS/rlt Enclosure
-Copies of FFD and Fatigue Reports cc: E. E. Collins (NRC) w/e J. R. Hall (NRC) wo/e N. F. O'Keefe (NRC) w/e Senior Resident Inspector (NRC) w/e P.O. Box 411 / Burlington, KS 66839 /Phone: (620) 364-8831 4JL( ,.An Equal Opportunity Employer M/F/HCNET Docket Number 105000482
ý License Number INPF42 LSN Doc F iZ AUTHOR INFORMATION
[ADDRESSEE INFORMATION Affiliation WolCreek Nucl Name Hoch, Carla J.eMail cahoch@wcno ear Operating Corp j 1 Destination I'eadquarters Document Control Desk I -c.com -771 FILE INFORMATION Document Date 120 Fe Title I NRC SIGNATURE Digital Signature L Click to Digitally Sign Documents b 2012 1 -FFD Program Performance Data 2011 I Availability j Publicly Available Eat. Page Count Doc. Sensitivity
[ Public -Non-sensitive/Unclassified I Comments Attach Document(s) kto Attach a Document(s)
SUBMIT Secure Transmission Authorization F Click to Authorize Transmission Submit I Update Sumi Sine Do .etst R EIE Submittal Form 2.0 Build 63 Nuclear Regulatory Commission May 1, 2005= Required to be filled in Date Received by NRC 0lcroi 0nomto Exchange NRC FFD Program Performance Data Reporting System Annual Reporting Form for Drug and Alcohol Tests for the EIE General Submission Portal Please explain the change(s) to the form Submission Changed the period of report from 2012 to 2011 Update Select Facility.~I MM., 1) All Noldo requ~rud excep tMose mrik*d oplonsl 2) ULe Adobe Reader 8 or latr for tOiV form to wor* properly 3) Hold your meouse over a form field to view addftional infonatlon.
Perod of Report 2011 j JWolf Creek [50-482]Tests Conducted In the Calendar Year Total Number of Tests Conducted Total Number of Positive, Adulterated, Reason For Testing Licensee Employees ContractoralVondors Substituted, and Refusal to Test Results Pr--'=- I 72] 1 ,511] , Random 5 73] 3415] I4 Fo C [1 21 1 81 1 ] 2]Post-Event 5] I21I 01 FI-A 391 I 10] 101 ITotl (Calculaed)
[I -69:] 11,9761 177 FFD Progrsm 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 I1,o,1ý Iý 1 ,7001 F- 541 Laboratory Testing Does your program use a I Licensee Testing Facility?
No (Yes / No)Identify your HHS-Cerbtied Laboratory(ies)
Clinical Reference Lewatowy, Lenexa, KS Identify your Blind Performance Test Sample supplier(s)
IAT Laboratories, Inc KS Substances Tested Did your program only test for NRC-required substances Yes Does your program conduct LOD testing AD at the NRC-specified minimum cutoff levels? (Yes / No) permitted in 26.163(a)(2)? (Yes / No) [es Use Only NRC Cutoff Initial Confirmatory LOD Testing? Comment Substance Levels? (Yes I No) Cutoff Cutoff (Yes I No) (Optional)
Alcohol e1 11 Not Applicable Cocaine [Yes 7 Yes MM*us _ _s ieZZ Amphetamines le 1 I Ie]OPCP Yes ___IYes_C ~e JFEZIZ AnnualReportForm(version 1.3.O-Nov82011) -Page 1 of 2-Annual Report Form (version 1.3.0 -Nov 8, 2011)-Page 1 of2 -
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 then three topics, select "Others" for Topic 3 to report any additional topics.Topic I Topic 1 Description Policies and Procedures H Add an additional Topic Topic 2[Training Wolf Creek continues to review and update it's Fitness For Duty Procedures and Policies in an effort to continue its compliance with NRC rules and regulations.
Wolf Creek reverted back to split collections in October 2011. The split process is consistent with Department of Transportation collections and will strengthen the Appeal process when a re-test is requested by an individual for confirmation at a second laboratory.
Topic 2 Description Wolf Creek continues to develop the FFD training program to ensure the FFD requirements are known to all employees.
Continued to send out training throughout the years when issues arise that need to be communicated to all personnel to ensure they are aware of their responsibilities.
[] Add an additional Topic Person(s)
Responsible for Information Provided Person 1 (required):
Panl 'onrRS-s paoconna -conocm First Name Last Name Position Tide Company Email Address Person 2 (optional):
SupervisorHoc Access Screening cocwCorno~o First Name Last Name Position Tite 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.
Form Locked On: Feb 20,2012 at 2,18.14 PM .t P Annual Report Form (version 1.3.0 -Nov 5,2011) Creek [50-4fl2]
J Period of Report~j -Page2of2-Annual Report Form (version 1.3.0 -Nov 8, 2011)Wolf Creek [50L-482]Period of ReportF20171
-Page 2 of 2 -
Elcroi Inomto Exchang[] Submission Update Unique Referece Numb 50-482 Selret Facility l~tfCee[50421 NRC FFD Program Performance Data Reporting System Single Positive Test Form for the EIE General Submission Portal I) ,u E 1 .hPM mOr i hU w -a- .p .eear (LcneeSP9 EaaVusw ftf elseln ealw awd.e eiAbVwnhag.a
--et ee r em iedlM~ym eM~e o ij) te Adee ReadwS arWatr ha, W fmi. ft were pet 41 fqhse ,aeee e.w a fa ehld t ew slmdlbnat aresa Date of Collection (mnVdd/yyy)
.717(b)(5)
Pre-Access Taesing Reason (optional)
Please elaborate (optional)
Reason for Tatifng- 26 IPre-Access 7 I[nitial Auti Emnploymenot Type -26.717(b)(3)
Contractor/Vendor Labor Category -26.717(b)(3)
Maintenance (Craft)Refusal- 26.717(b)(7)
& 26.75 Was tshi colection refuse (Yes I No)?Test Results -26.717(b)(4)
Test Vaidity TValid Teat Typs(s) for Resultts)
Reported -26.71 7(b)(2)horization
-Drug Testing FDrug only PIU e Wa We cofledfon obseved (Yes / No)? -26,717(b)( & 26.75 Substance
-26.717(b)(2)
& (b)(6) Addtitonai Substane (as applcablo)
[anuanaII IPlease Select Addi I Subetenc* (as appicabl)IPlease select I Use NRC Cutoff (Yes / No)?FYet Use NRC Cutoff (Yes / No)? es Use NRC Cutoff (Yes / No)? Yet is this a 34-our Rdpwtlng Event (YOesWo)?
-26.715(b)
No Subverion Attempte -26.717(b)(7) and 26.75(b)Did this collection involve a subversion attempt (Yes/No)?
I Io Managament Actions -26.717(b)(8)
& 26.75 Reason for the Action[First drug or alcohol positive Swaction Applied RC Minimum or Licensee Administrated)
INRC Minimum ]Speoak sanction Applied 14- Day Denial pammo(s) Responsible, for lnftrmaw I monnvliade Ps... I (newine: Firstae Last Name Position T Company Email Address Pwswe 2 (optoai:e iIr I]Name Last Name Position Tatl- Company Email Address HOaWlSa (ReVW M re -NRC will consider this form authernic in accordance with 26.11 only when the Validate & Lock- button has been selected and 8t arrow (ie., thnose hlighted in rap) have been Corrected.
The Validate & Lock" button will change to "Locked' after the data validation process has been successfully conmpleted OWd to form iS ready for submissio.
Form Locked On: I~e,1,2012 at 12:42 251 5 bM L ý Rw tShl. Oýa.Toe Fýcc~a, 1.3.0 -No,. 2011
(
- aý AJ'SSubmission Update uniku Reference Numt 5O0482 Select Faclity lWoff Creek [50-4821 Reason for reading -2 NRE FFU Program Perrormance Uata Keporting system Single Positive Test Form for the EIE General Submission Portal Q) AN Mod are remine newest Owe ea reste 'opaieed V) Eaeie. Am ieont eno farel m,* y reAt in h*.ernedn being swe-______________ ) U..~ Aab eosw8 -howAfo @Wee A- ew. -ir ensif 4) fil p..' reese a terr SeW fa eredh,1-arl~er,.
Date of Collection (mrndd/yyyy) l.717(b)(5)
Pre-Access Testing Reason (option Please el"lOr**te (optWbw*Pre-Access 7 FInitial Aut EMployuN-t Type -26.717(b)(3) lContractor/Vendor]
Labor Caegory- 26.717(b)(3)
Maintenance (Craft)Refusal -26.717(b)(7)
& 26.75 VWs thn coliection refused (Yes / No)?Teat -2e.717(b)(4)
Teat Vaidity Valid ]Teat Type(s) foe Result($)
Reported -26.717(b)(2) horization r- -7 Drug Testing Drug Only Iine I Was this clletion obsrved (Yes /INO)? -26.717(b)(7)
& 26.75 lSubftnce -26.717(b)(2)
& (b)(6) Additinal Subiaanc (as applicable)
IMarijuana I I Please Select I Addotonal Substance (as appficable) jPlease Select Use NRC Cutoff (Yes I No)?Use NRC Cutoff (Yes /No)? j~7 J Use NRC Cutoff (Yes / No)?FYes Is a2e a 2A-Hour Reportin Evnt (Yea/No)?
-26.719(b)
No Subverslon AftaWte -26.717(b)(7) and 26.75(b)Did this collection involve a subversion attempt (Yes/No)?
[ jo Managemewf ACOns -26.717(b)(8)
& 26.75 Reason for the Action First drug or alcohol positive Sanction Applied (NRC Minimum or Uoenesew Adminitrated JNRC Minimum n Speci Sanction Appied 14- Day Denial Peroenis)
Responsible for krftrmsation Provided Penson I (reqIrei)pnft] P] -R peoi pason~wworo.cm First Name ame Postion Title Company Emas Address Person 2 (optioal=):
aLast Name Position Tile Company Emat Address Final! Stp (Requ/inn)
-NRC wnt consider this form authewtic in accordance with 26. 11 only when tne Walidate & Lock" button has bean selected and al errors (i.e., cthoe htiligfighted in red) have been corrected.
The WVelidate
& Lock' button will change to "Locked' after the data validation process has been successfully completed and form i ready for submission.
Form Locked On: IFeb 10, 2012 at 12:46:29 PM Fi; SL.W PIC w ~Snwh POOiertr~
Forri50Itat.
Nro 201i Elcroi Inomto Excang E Su~bmission Update Select Faclity I~t Cek (50-421 NRC FF0 Program Performance Data Reporting System Single Positive Test Form for the EIE General Submission Portal t) A1 N e .ae.eqtm xaý ieaeEAeNt 1 1 ars eq~ .yvW f *. e 5 bV~#g eM vr I~ is son l er lem Oahe s"oaft to WbAeft"be%
__________________________________ ) us# Ado" Reede 8 -as r tiswf Fsib r,. -k. property, 4) MOWM yow eý over -O-Ow. to~ Si e'do aa OWN, MWkviorm Date of Collection (mmr/dd/yMy)
~21 Reason for Teating -26.717(b)(5)
Please LRandom fv- Employmant Type- 28.717(b)(3)
[ContractorVendor Labor Category -26.717(b)(3)
Maintenance (Craft)Ro~usal- 26.717(b)(7)
& 2&75 Was this collection refused (Yes / No)? [N Teat Rasults .2e.717(b)(4)
Test Validity Valid Test Type(s) for Result(s)
Reported -26.717(b)(2) inrste (optional)
- neai ted random report. lndividu tested St shift.Drug Testing Drug Only I I Ie Was this collection observed (Yes / No)?- 26.717(b)(7)
& 26.75 Substance-26.717(b)(2)
& (b)(6) AddIftional Substance (as applicable)
Amphetamines I Please Select Addlth a Substance (as applicable)
IPlease Select Use NRC Cutoff (Yes / No)? Y Use NRC Cutoff (Yes / No)?Use NRC Cutoff (Yes / No)? Yes is this 24-Hour Reporting Evrnt (YoesNo)?-
28.719(b)FNo Subversion Attempts -26.717(b)(7) and 26.75(b)Did this collection involve a subversion attempt (Yes/No)?Management Actions -26.717(b)(8)
& 26.75 Reason for the Action IFirst drug or alcohol positive Sanction Applied (NRC, Minimnum or Licoame" Administrated)
INRK Minimum Spectc Sanction Applied 14- Day Denial Person(s)
Reaponmlble for Inftoon Provided P-son I (rqured): P--'Connor IF p IIti] peoonmo .o.Fist N Last Name Position Title Company Emars Address peson 2 (oplei-l)e First Nam Last Name il Compn Email Address -RPn Stop (Requird)
-NRC wi consider this form autentic in accordance wvth 28.11 when tne 'Veit* & Lock button has been selected and alt errors (i.e., those highVited in red) have been corrected.
The "Validate
& LodW button wVAN chng to "Locked' after the data validation process has been successfully completed and te form is ready for submission.
Fonm Locked On:['2O T0o2o12.t312-:-0:1B I-,W Oý ~T*W F0,,,...et
ý35.50 -2011 AI,(F Submission Update Unin e .............
NRC FFD Program Performance Data Reporting System Single Positive Test Form for the EIE General Submission Portal 1) M ief aamspr tate iabd Owe ..*(Licaeleh Supplaed..).,,.
cw* ana as...s.________ _W_= .) We Ad#he Re or tow f.or Vid fhim to wank pr 4) Hll Your jet ever -t"ns Id 0I sae M no, Wionoeaei.
Date of Collection (mm/ddyyy) 0/1/ii.717(b)(5)
Pro-Access Testing Reason (optional)
Please elaborate (optional)
I 150-482 Select Facility Wolf Creek [50-482]Reason for Testing -26 lPre-Access i I Initial Auti Emialtyent Type -26.717(b)(3)
ContractorNendor Labor Categoty-26.717(b)(3)
Maintenance (Craft)Refusal- 26.717(b)(7)
& 26.75 Wes this collection refusod (Yes I No)?Toet Results -26.717(b)(4)
Test Vakidty TValid Toot Type(==) for Result(s)
Reported -26.717(b)(2) horization Drug Testing Drug Only ] IUrine Wee this collection obswved (Yes /No)? -26.717(b)(7)
& 26.75 Substance
-26.717(b)(2)
& (b)(6) Ad/t/lonea Substance (as opplicable)
IMarijuana IPtease Select Additional Substance (as applicable)
IPlease Select Use NRC Cutoff (Yes / No)? Yes Use NRC Cutoff (Yes / No)? tyZI]Use NRC Cutoff (Yes / No)? Yes Is th"s a 24A-our Repordig Event (Yes/No)?
-26.719(b)FNo.
Subversion Attempts -26.717(b)(7) and 26.75(b)Did this collecdion involve a subversion attempt (Yes/No)?Managenment Act/ona -26.717(b)(8)
& 26.75 Reason for the Action First drug or alcohol positive Sanction Applied NRC Minrium or Ucensee Administae JNRC Minimum Specific Sanction Applied 14- Day Denial Person(s)
Responsible for Information Ptovfded Pensn I (requred):
Pee O'Comnor HR Streate o.....Find Nome Last Nam Position Title Company Email Address Parsn 2 (opllietl):
FaS Name Came P ompany Emad AddresS Rnal Step (Require -NRC wigl consider this form autlhentic in accordance with 26.11 oniy when the -Validats
& Lock' button has bean selected and all errors (i.e., those highlighted in red) have been corrected.
The "Validate
& Lock' button will change to 'Lockedr after the data validation process has been succesfully completed mnd the form is ready for submission.
Form Locked On:IFb1,2012 at 12:3&:31j PM0 W4 A i Sire Polis. Td F-o -w 1.3.0 .Nov S 21 I All I f'l Submision Update Un2jLe Reference Nurn Select Facility Woff Creek [504821 Reason for Testing -26 NRC FFD Program Performance Data Reporting System Single Positive Test Form for the EIE General Submission Portal W) 3We5 sMe/umred e resyt too" averd epwlaf 3) 4."e Adbob sei. #o beer Oe om f e w" p"Wlmyn P.P~bdh* sEW A,... m Data of Collection (mm/ )0ddyyyy) 1/2011.717(b)(5)
Pre-Accesa Testing Reason (optional)
Plmase elaborate (optional)
I Pre-Accessi I Initial Auti Employme Type -26.717(b)(3)
Contractor/Vendor X Labor Category-26.717(b)(3)
Maintenance (Craft)Ref uead- 2a.717(b)(7)
& 2&75 Was this collection refused (Yes I No)?Tert Roeuft -26.717(b)(4)
Test Validity Valid Test Type(s) for Result1s)
Reported -26.717(b)(2),orizationI Drug Testing Drug Only Urine was t olls folilc onobserved (Yes/No)?-
26.717(b)(7)
& 26.75 Substance
-26.717(b)(2)
& (b)(6) AdJlf 01151 Substance (as applicable) rI IPlease Select I Additional Substance (as applicable)
Please Select Use NRC Cutoff (Yes I No)? FYes7 Use NRC Cutoff (Yes / No)?Use NRC CutoffT(Yes INo)?F7 e-Is tWe a 24-Hour Reporting EVn (YVWWo)P-26.719(b)
No--7 Subversion Attempts -26.717(b)7 and 26.75(b)Did this collection involve a subversion attempt (Yes/No)?Mimseent Actions -26.717(b)(8)
& 26.75 Reason for the Action First drug or alcohol positive Sancton Applied (NRC; Minimnum or Liene Adrninistrated)
JNRC Minimum I Specific Sanction Applied 14- Day Denial Poisonts)
Responsible for InfWormnton Provided Pae,.,n 1 (requlradi) pae* ~~paooinQwrocxom First Norame a Position Title Company Email Address Person 2 (optlonal).
HFirt Name Last Name Position Tte Company Email Address RFin Stop (Reiquire)
-NRC will consider this form authentic in accordance with 26.11 only when the 'Validate
& Lock' button has ben selected ard MI erors (Le., athoe hihigted in red) have been corrected, The 'Validate
& Lock' button wit change to 'Lo:ked" after the data validation process has been successfully Sand the form i ready for submission.
Form Locked On: IFeb 14, 2012 at 7:46:39 AM I m le 0 PC .1p~is~pilo Elcroi Inomto Exchane SSubmaion Update Unique Reference Numb, 50O482 NRC FFD Program Performance Data Reporting System Single Positive Test Form for the EIE General Submission Portal V Atl E.*w a,.qh o Seeo sasmt'ed dwr.2) Ela In seme tnim AIIP neovwaef Ihn holanele lon "eMe-(ori LIMIe" SuppeK woJ ,e- w forlo 0._ L3ke* Adebe tReew*e' I. twe t f- f-ipe.wy.Date of Collection (mm/dd/yyyy)031/
11i Select Facilty 5WolfCreek
[50-482)Reason for TestIng -26.717(b)(5)
Pro-Access Testing Reason (opbonal)IPr-Access Ilnitial Authorization Emlroymen Type- 26.717(b)(3)
ContractorNendor Labor Category -26.717(b)(3)
JHP/RP Refusal- 26.717(b)(7)
& 26.75 Was this collection refused (Yes / No)?Test Reouft -26717(b)(4)
Test Vatldity Valid Test Type(s) for Result(s)
Reported -26.717(b)(2)
Drug Testing Drug Only I [Urine I Was &l, collection observed (Ye / No)? -26.717(b)(7)
& 26.75 [.I- ]Substance
-26.717(b)(2)
& (b)(6) Additional Subsbrnce (as applckable)
JAmphetamines
-1Please Select Please elaborate (Wbr Per fix HP Pelrmon odo eriesi supporl for HP aepatrneot Additional Substance (as applicable)
IPlease Select I Use NRC Cutoff (Yes / NO)?FYes Use NRC Cutoff (Yes / No)? Yes Use NRC Cutoff (Yes I No)?Is ths a 27Aour Reporting Event (YaewiNo)?
-26.719(b)
No--7 Subverion Attempts -26.717(b)(7) and 26.75(b)Did this collection involve a subversion attempt (Yes/No)?Management Actions -26,717(b)(8)
& 26.75 Reason for the Action First drug or alcohol positive Sanction Applied (NRC Minimumn or Liconsee Administrated)
Specific Sanction Appled 14- Day Denial Peronw~s)
Reeponailbie for lnfornsation provided Perow 1 (requiret):
OConno F; ; ~ 7 --paconbcnc oo First Nm Lst am Positaon Tite Company Emars Address Personi 2 (optional)ý First Name Last Name Position redo Company Emart Address Rnl Step (RequIred
-NRC wil consider this form authentic in acconrance with 26.11 only when ste Validate & Lock button has been selected and al errors (iae., tose highlighted in red) have been corrected.
The 'Validate
& Loct" button wiN change to "Lockr after the data validatton process has been successfultly completed "e f form is ready for submission.
Form Locked On:Ieb 0,2012 at 151 -25 ] P7M~ N U~a 34,& P.." T" F- -1.3.0 -N- 8, -
Elcroi Inomto Exchang Update Ornique Refrence Nuim 150-482 Select Fadility lWolf Creek [50-4821 NRC FFD Program Performance Data Reporting System Single Positive Test Form for the EIE General Submission Portal 5) Ae1n*/ -. Item edd ree.
t (i~censee -upid)00 lof rt-a" Jaiveldit_ 3) LAe Adlbe Reader 8 w s far des fror to waes preeHold ,v e mw a term Over to Wee, aam"lla0e.0.Uee Date of Collection (mmlddtiyyy) i 01 1 Reason fto Toaaing- 26,717(b)(5)
Please etlborate (optona)lRanlomn I Employret Type -26.717(b)(3)
Contractorendora elaborate Labor Categofy-268717(b)(3)
Other]Rafutu- 26.717(b)(T)
& 26.75 Was this colction refused (Yes / No) N Test Resuhts -26.717(b)(4)
Test Valdity Not Applicable Test Type(s) for Result(s)
Reported -26.717(b)(2)
Alcohol Testing Alcohol Only I IBreath I Substance-26.717(b)(2)
& (b)(6)IA~clhol Is Weis a 24AHour Rep0sorlng Event (YasiWo)?
-
Subvwesion Aehmprt -26.717(b)(7) and 26.75(b)Did this collection involve a subversion attemipt (YesINo)?Managlemient Actons -26.717(b)(8)
& 26.75 Reason for the Action First drug or alcohol positive Sancbon Applied (NRC Minimum or Ucansee Administratea)
INRK Minimum Specic Sanction Appled 114- Day Denial Pwson(s) Re"ponsiti ftr tnfornmaton PovWded Pasiso I (reqkd): F-- 7OCno FRl --- First Name Last Name Position Title Company Email Address P-so. 2 (iplaseli:
F- -m~iSmeenint; cahodihwcuiocxom Fir*t Name Last Name Position Title Coampany Email Address FIrn Stop (Required) -NRC will consider this form authentic in accordance with 26.11 orny when the "Valdate & Lock" button has beow selected and all errors (i.eý those highJighted in red) have been corrected.
The 'Validate
& Locki button wil change to Locked" after the data validation process has been successfully comlt and the form is ready for submission.
Form Lockied Cilo 14, 2012i at pat4A PýTedf`ýý13.0ýNýs 20, 0lcroi Inomto Exchang F Submisston Update Unique Reference Nume 150-42 NRC FF0 Program Performance Data Reporting System Single Positive Test Form for the EIE General Submission Portal.m les, (Lcne SuApetl ed) bein, w AM.5 i 5.55..~rom~. 3) Le. Ada.heRe.dw wfofteb le'Al mm Sw*pnspety'
- 4) Nold your w. sr a twin 5.id to Ofw ae.aEa~l 1airdoma Date of Collection (mm/dd/yyyy)
I Select Facility Woff Creek [50-482]Reason for Testing -26.717(b)(5)
Pleesee lRandom Employment Type -26.717(b)(3)
Licensee Employee Labor Category-26.717(b)(3)
Maintenance (Craft)Refusal -26.717(b)(-)
& 26.75 Was this collection refused (Yes / No)?Teot Results -26.717(b)(4)
Test Validity Valid Test Type(s) for Result(s)
Reported -26.717(b)(2)
Drug Only-orate (optional)
Drug Testing IUrine VWas this collection observed (Ye/No)?-
26.717(b)(7)
& 26.75 No Substance
-26.717(b)(2)
& (b)(6) Additional Substance (as applicable) etamines Please Select Additional Substance (aS applicable)
Please Select Use NRC Cutoff (Yes / No)? Yes Use NRC Cutoff (Yes / No)? FI Use NRC Cutoff (Yes / No)?Is dtis a 244-our Reporting Event (Yes/o)? -26.719(b)
No.7 Subversion Attempts -26.717(b)(7) and 26.75(b)Did this collection Involve a subversion attempt (Yes/No)?
j ~Management Actions -26.717(b)(8)
& 26.75 Reason for the Action Second drug or alcohol positive Sanction Applied NRC Minroutn or Ucensee Administrated)
NK Minimum I Specific Sanction Applied S-Year Denial Person(s)
Responsible for Information Praovded Person 1 (required):
First Name Last Name Position rflte Company Emard Address Person 2 (optional):
First Name Last Name PositionTitle Company Emall Address Rnal Step (Requlred)
-NRC will consider this form authentic in accordance with 26.11 only when the 'Validate
& Lock" button has been selected and all errors (i.&, 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 te form is ready for submission.
Form Loctked On: IFeb It0, 2012 at 1:53:52 P7M rili ýO" c [~*twqvit&t.& P i T.T Fo.- -won 1.3.0. Nov 0 2011 Elcroi Inomto Excang , Submission Update unque Reference Numb 50-482 Select Facility Wolf Creek [50-482]Reason for Testing -26 NRC FFO Program Performance Data Reporting System Single Positive Test Form for the EIE General Submission Portal 1) Alf Old. " requied .ap lSo..r iou ed 'oioeai or (Liucenseot Suppliedi ft oO. for, wet 21 uW Adob Reder wlatr fr Oft tioe to workprjem
, 4) Moldy.. j~ees va. o fw. toe 0. to ,e.-.dd/eeh*,fomae~o Date of Collection (mmlddyyyy)o 2011.717(b)(5)
Pre-Access Testing Reason (optional)
I Please elaborate (optional)
Pre-Access 1 1 1 ] nitial Authori Employment Type -26.717(b)(3)
Contractor/Vendor P Please elaborate Leior Catgoty- 26.717(b)(3) dua was being Other Refusal- 26.717(b)(7)
& 26.75 Was this collection refused (Yes / No)?Test Results -26.717(b)(4)
Test Validity IValid Test Type(s) for Result(s)
Reported -26.717(b)(2)
I zation processed to beoeme a quJaified FFD Colletor.
Denled access pior to being qualied to corecL Drug Testing Drug Only I [Oi le I Was this collection obsorved (Yes/No)?
-26.717(b)(7)
& 26.75 Substance
-26.717(b)(2)
& (b)(6) Additional Substance (as applicable)
Marijuana
] IPlease Select I Additional Substence (as applicable) jPlease Select Use NRC Cutoff (Yes I No)? Y-Use NRC Cutoff (Yes / No)? FZZ]Use NRC Cutoff (Yes I No)? Yes is this a 24-Hour Reporting Event (YealNo)?
-26.719(b)No-Subversion Attempts -26.717(b)(7) and 26.75(b)Did this collection involve a subversion attempt (Yes/No)?
No Menegemnent Actions- 26.717(b)(8)
& 26.75 Reason for the Action First drug or alcohol positive Sanction Applied NRC Milnmwm or Ucensee Administrated JNRC Minimnum Specific Sancton Applied 14- Day DenialResponsaile for Infarmaton Provided Person 1 (required):
First Name LaName Posion Tile Company Emall Address Person 2 (opfioaii:
ICads 7 PHc uevsrA~s Scr --eg ashochiii
....F-irt Name Last Name Positionde Company Email Address Rnat Stop
-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 wil1 change to Locked after the data validation process has been successfully completed and the form is ready for submission.
Form Locked On: [~eb10,2012 at ýj01 :49PMý s ,Lwp ~si .T*W Foor vei. 1.3.0-Nov 8, 2511 0 ,,`So, , 0 Aa SSubrmission Update Unique Re Numb 150-482 Select Facility Wolf Creek [50-482]NKC FFD Program Performance Data Reporting System Single Positive Test Form for the EIE General Submission Portal 1) AN ld 11 are rmed awseer mark ~wed e~n 2) a"Ot.. A, otowe tame aide nasy resew~o in woneseg ofthel "ift or ULcense" eeei Suplis so i.vo toetI leld._______________ ) the. Adobe ftodw I o later P., " fom ton Pa wt propity.4) Hol '.M your .neon,.ove a So, Led to .4eeow, ddal kiffioeww.
Date of Collection (mnm[ddlryy)
[ R..on Ao Tesg -26.717(b)(5)
Please Employment Type -26.717(b)(3)
IContractorNendor Labo Category -26.717(b)(3)
IMaintenance (Craft)Ref~usl -26.717(b)M?
& 26.75 Was this colection refused (Yes / No)?Teat Results -26.717(b)(4)
Test Validity Valid Test Type(s) for Result(s)
Reported -26.717(b)(2) borate (optonal)Drug Testing Drug Only ]rine Was "i collection observed (Yes/No)?
-26.717(b)7))
& 26.75 FN. ]3 Substance
-26.717(b)(2)
& (b)(8) Additional Substance (as applicable)
Imriuana 11 1 Please Select A ddNoal Substance (as applicable)
IPlease Select Use NRC Cutoff (Yes I No)?FYes Use NRC Cutoff (Yes / No)? IeZ]Use NRC Cutoff (Yes / No)?FYes Is this a 24-Hour Reporting Event (Yes/No)?
-26.719(b)
NO Subvorsion Attempt -26,717(b)(7) and 26.75(b)Did this collection involve a subversion attempt (Yes/No)?Management Actions -26.717(b)(8)
& 26.75 Reamon for the Action Second drug or alcohol positive Sanction Applied (NRC Minimum or Licensee Administrtd NRC Minimum J Specifi Sanction Appled 15- Year Denial -Person(s)
Responsible tot' klrfmtation ProvidedI (requited):
First Name LastPosition Tn Company Emal Address Piesai 2 (optionsl:
Fa- -ohJSuevo Aý~r Smmeeing caioth n ý....First Name L me Position Tite Company Email Address Rna 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., tuose highflghted in red) have been corrected.
The WValidte & Locde button will change to 'Locked' after the data validation process has been successfulty completed aid the form Is ready for submission.
Form Locked On:[Feb 14, 2012 at 7:17:17 AM I single Poi~w Test Fats oao, 1.3.0. Nov 8 2011 Elcroi InomtonEcag
-Submission Update Unique Refernc Numb 50-482 Seaec Faclty Wof Crek [50A82]Reason for Testing -26 NKU "-U Frogram rertormance uata Keporung system Single Positive Test Form for the EIE General Submission Portal 3)LsaA sew Obow a"~s Ma .* JIMs 0. ew* Fwa~ k (Uerw(kmee Supplied)
-= ~..t"W W, Date of Collection (motddtyoal)
.717(b)(5)
Pre-Access Testing Reason (optional Please elaborate (optioal Pre-Access
-7 fInitial Auti Empoyment Type -26.717(b)(3)
ContractorNendor Labor Caftawy -26.717(b)(3)
Maintenance (Craft)Relusal- 26.717(b)(7)
& 2675 Was this collection refused (Yes / No)? N Test Results -26.717(b)(4)
Test Validity Valid ]Tet Type(s) for Result(s)
Reported -26.717(b)(2) horization
-Drug Testing DrugOny I [Urne]WMaVIM this collection observed (Yes / No)? -26.717(b)(7)
& 26.75 Substance
-26.717(b)(2)
& (b)(6) Addiional Subsitance (as applicable)
[masn, IiI 1 1 Please Select Additionsa)
Substance (as applicabe)
Please Select Use NRC Cutoff (Yes /No)?F7 Use NRC Cutoff (Yes / No)? Yen Use NRC Cutoff (Yes I No)? Yes Is ths a 24-Hour Reporflt Event f(ea.Wo)?
-28.719(b)
No._7 Subveriwlon Attempts -26.717(b)(7) and 26.75(b)Did this collection involve a subversion attempt (Yes/No)?
I Io AMnageranwnt Actions -26.717(b)(8)
& 26.75 Reason for the Action First drug or alcohol positive Sanction Applied (NRC Minimum rn of iwfee Administrated)
NRC Minimum-paf Sancton Appled 14- Day Denial Person(a)
Raeponslbie for infonrmation Proisvded Pence 2 FMt No" Let Name Company Emall Address Fis Stop (RequIred)
-NRC will consider form aufwtti in accordance with 26.11 only when the "Velidte & Lock' button has been selected and errors (Le., those hlilloted in reo have bean corrcted.
The 'Vetdast & Loch' button wigl can to 'Locked' alter ith data vaidaton process has been successfully me id the form is ready for submission.
Form Locked On:jFeb 20, 2012 at 2:33:57 PM F S&,51 Pftoffl"T.*
F-n. unrd 1.3.0- N. 9. 2011 011c[] Subission Update USique Reference N 50-482 Select Faciliy lWolf Creek [50-4821 NRC FFD Program Performance Data Reporting System Single Positive Test Form for the EME General Submission Portal 1) A fide ar ropaked exept No". *wed'apdast¶ Ser Lic.Agee eS.ed Rew 'hic AR Se se.es 011111 3) tie Adew Ph wft I osaw foW r MW A-m i wok prepens 4) DaeM yea me.. avw his.la Se .ti ehv ,eI k Date of Collection (mrn/dd/wyyy) 0/0/201..717(b)(5)
Pro-Access Testing Reason (optional)
Please elaborate (optonal)Reeson for Testing -26[Pre-Access Initial Aut EnPAOrnent Type- 26.717(b)(3) iContractor/Vendor Labor Catego -26.717(b)(3)
JMaintenance (Craft)Refusalf-26.717(b)(7)
& 26.75 Was this collection refused (Yes / NO)?Test -26.717(b)(4)
Teat Valdity Valid Test Type(s) for Result(s)
Reported -26.717(b)(2) horization J Drug Testing rug Ony I IOine W"s 0110 colectilon observed (Yes, / No)? -26.717(b)(7)
& 26.75 Substance
-26.717(b)(2)
& (b)(6) Addonal substance (as appficable)
ImrIuaa Please Selec Addfidnal Substamnce (as appicabi.)
Please Select Use NRC Cutoff (Yes I No)? Yes Use NRC Cutoff (Yes / No)?Use NRC Cutoff (Yes / No)?FYes fo thli a 24-14our Reporting Event (Yes,00)?
-26.719(b)
No 7 Subvwoaon Attenipts
-26.717(b)(7) and 26.75(b)Did this collection Involve a subversion attempt (Yes/No)?
I~o Anaqgemd Acions -26.717(b)(8)
& 26.75 Reason for te Action IFirst drug or alcohol positive Sanction Applied (NRC Miiu or Licensee Adrnini~tsbtd JNRC Minimum Specific Swabon Appied 14- Day Denial Paewn(s) ReaponaibI.
for ftfntomaton PpovldIed FidName Trde Company Email Address Prswn 2 (sopensf):
J c .I+J ,.r<i, Aý S E .7 s o h M ....FMn Nm ist Name P o Me Company Email Address Real -NRC will consider thie form authentic in accordance with 26.11 orny when the "Vatlldte
& Lock' button has bean selected and all errors i.e., those highlghted in red have been corrected.
The "Valdate & Lodk button will change to 'Locked" after the data process has been successfully completed and the form is reedy for submission.-Form Lodred On: Feb 14, 2012 at 7:38:08 AM-1-OmIt I.. 1-000 eO 1.4.0.0005 2011-,-RN --,.- For -mk~ s3O , 2.,,
Elcroi Inomto Excang F- Submison Update Unique Refeec Nunr*50-482 Select Facitity lWolf Creek [50-482 NKIG FF0 Program Performance Data Reporting System Single Positive Test Form for the EIE General Submission Portal 1) Aft ° F required (m/f 9ey) -3. 0 .ared V717(b)(5) -heS In Rso Jam es a* .e (o myna.. inen bbef m.d (rLicensee Spepe) ds 0h-1 aitewa OWAb 2) tin. A4**Rads 8 -~ Wart for' 0* Oa ft.. Se w5 prepefy Date of Collection (mm/~ddlyyyy)
~2~I.717(b)(5)
Pro-Access Testing Reason (optional)
Please elaborate (optional)
Reson for Testing- 26 IPre-Access Initial Authorization Employment Type -26,717(b)(3)
Contractor/Vendor Labor Category-26.717(b)(3)
Maintenance (Craft)Refusal- 26.717(b)(7)
& 26.75 Was this cogecton refused (Yes / No)?Test -26.717(b)(4)
Test Valdkity TValpd Teat Type(s) for Results) Reported -28.717(b)(2)
Drug Testing[D-g Only Prine Was "i col/ectdon observed (Yea/No)?
-26.717(b)(7)
& 26.75 Substance
-26.717(b)(2)
& (b)(6) Addtonal Substance (as applkcabe)
Maruana] JPlease Select Additonal Substance (as applicable)
IPlease Select Use NRC Cutoff (Yes I No)? yes Use NRC Cutoff (Yes / No)? Yes Use NRC Cutoff (Yes / No)? Ye/a 09a i 24-Hour Reporting Event (YesWo)? -26.719(b)
No.Subversion Afamenft-26.717(b)(7) and 26.75(b)Did ftiS collection involve a subversion attempt (Yes/No)?
[ Io Managenent Actios -26.717(b)(8)
& 26.75 Reason for the Action First drug or alcohol positive santion Applied RC Mirn or Ucense Administrated)
INRK Minimum Specic Sanction Applied 14- Day Denial Peronas) Responailie far InWmatdon Ptosde person 1 (eu*: O~o~rm¢ IHR Spesalsi Paosonn@ev Sam Ft Nm Last Name Position ritde Company Email Address Fasme 2 (aptionaO I- I,; -- mess iireni@W ieooh coin F ir t a ea Name Positio n T tle ------ -Com pany Emn al Address Final SOW (Reqwed -NRC wY condr this tons authnt in accordance with 268 11 only when the Velidate & Lock' button ties bean selected and all errors (i.e., those highhogted in red have been corrected.
The =Validate
& Lockr button will change to "Locked' after the data validation process has been successtully completed and the form is ready for submMsion.
Form Lockred On ~b1,21 ,2011 Elcroi 0nomto Exhag FI] Subrnirsion Update Unique Reference Numbe 150-482 Solect Facility Wolf Creek [50-482]Reason for Testing- 26 NRC FFD Program Performance Data Reporting System Single Positive Test Form for the EIE General Submission Portal 1) ANSefl " ringased exxvioa. OD-~e seein pillrwl_V IW Assess RMO_ I ar haw for am$ fe s.e w. a Propefry 4) No ear. sewers .. fares 9.94 ft ~5 sealhd es. de, Date of Collection (m/dd/yyyy) 014/2011:]
.717(b)(5)
For Cause Testing Reason (ophtonal)
Please elaborate (optional)
For Cause I [Physical Condition/Smell o Employmen Typee- 26.717(b)(3)
ContractorNendor J Labor Categor -26.717(b)(3)
Maintenance (Craft)Refusal -26.717(b)(7)
& 26.75 Was tifs colection refused (Yes I No)?Test Results -25.717(b)(4)
Test Vality Not Applicable Teat Type(s) for Result(s)
Reported -26.717(b)(2)
Alcohol Testing Alcohol Only I JBreath f Alcohol lnd~1dsel ws goting through teproreasahg shiem as teerltidual reported SI'e smad of stoehol on the hmidedusI.
Immn=tel a For-Ceugs teat ass performeid.
The result was poaftve.Substance-26.717(b)(2)
& (b)(6)1A]cohol Is dts a 24-Hour Reporting Event (Yf, Wop? -26.719(b)[No Subvesion Attempts -26.717(b)(7) and 26.75(b)Did this collecton involve a subversion attempt (Yes/No)?
I Io Management Actionm -26.717(b)(8)
& 26.75 Reaion for the Action IFirst drug or alcohol positive 7 Sanction Applied NRC Minimun or Ucensee Administrated)
NRC Minimum Specitic Sanction Applied 14- Day Denial Person(s)
Reuponedbie fow inftmation Ptovwd Peso (rIl d): 11Rseclf lroooemowsnosc~ow FirtName Last Name Posiion Te Company Emai Address Fuwswe 2 topfieteell)
Faist Name Last Name Pos Titin Company Email Address Rnl Stelp (Requh-ud
-NRC will consider this form authentic in accordance wMth 26.11 orny when the "Valdhate
& Lock" button has boe selected en alt errors (i.e., those highligtied In red) have been corrected.
The 'Vadldate
& Lock* button will change to 'Locked' after fte data validatin process has been successfully completed and Mte form is reedy for submiasion.
Form Locked On: Feb 14, 2012 at~ 8:21:4 AMPC~~~~tirels Po.Wtia T.0 F-m -eWn. 13.0 -Nm 8 201i I J,,(F' Subnssion Update USue Referece Numt 50-482 ,Select Faclt IWOf Creek [50-4821 NRC FFO Program Performance Data Reporting System Single Positive Test Form for the EIE General Submission Portal 1) AN Needs " roedred sessW Sieow In~eieeftet,~w
- 2) EIIAnee hs -fern. my roeeft. In k bg awe-S(Lwensee SuplieM ads, Afe Nobel_ 0) the Aidoe RMead # how Aw We Penn.t wo rk pWeley.4) Flow yeou eweew e -hem Mold L Owe a 0ed o"MWO Dete of Collection (mm/ddiy"yy)0E1i 11i.717(b)(5)
Pre-Access Testing Reason (optional)
Please elaborate (optal Reason for Telng -26 Pire-Acess
-- Ilnitial Aut Enplorment Type -26.717(b)(3)
ContractorNendor Labor Category -26.717(b)(3)
Engineering Refusal -26.717(b)(7)
& 2675 Was this collection refused (Yes / No)?Teat Resuft -26.717(b)(4)
Test Validity lValid Test Type(s) for Result(s)
Reported -26.717(b)(2) horization Drug Testing IDrug Only I 1U 11ne VI." this colecton observed (Yws /No)? -26.717(b)(7)
& 26.75 Subance -26.717(b)(2)
& (b)(6) Addftionaf Substance (as appi/cable)
Marijuana -I 1Please Select Additonal Substance (s applicable)
Please Select Use NRC Cutoff (Yes / No)? Yes-Use NRC Cutoff (Yes /No)? y.7 Use NRC Cutoff (Yes I No)? yet is otis a 2A-Nour Repoting Event (YeawNo)?
-26.719(b)
NO.-Subversion Attenpt$ -26.717(b)(7) and 26.75(b)Did this collection involve a subversion attempt (Yes/No)?Maangeonent Actions -26.717(b)(8)
& 26.75 Reason for the Action First drug or alcohol potitive Sancton Applied NRC Miinlmum or Ucensee Administrated)
JNRC Minimnum Speii Sanction Applied 14- Day Denial Person(s)
Responsible for infOwmation Provided Pewon I (ssqsrer):
First Name Last Name positon T Company Emait Address Person 2 (sv i Cad Hoh Amess Screening cahoch ..stame Po Company Emal Address Fnal Ste fRequp~ " -NRC wiE conmder this form authentic in accordance with 26 11 only when the "Validate
& Lock button has bean selected and all errors (fie., tihe hihlighted in red) have bean corrected.
The "Valklate
& Lock" button will change to 'Lockred after the date validation process has bean cospeted aid formois reedy for submission.-Fonm Lockced On: I et, 14, 2012 at 8:04:48 AM * -P R d nioh p0. Tw orm vmn 1.3.0. Ne. 8, DI I
( .a o( '] Submisson Update Unique Reference Numbe Select Facility lWolf Creek [50-482]NRC FFD Program Performance Data Reporting System Single Positive Test Form for the EIE General Submission Portal 1) M a3ds red, _u~Wi viep s... wiedweene~
7 (Lb ensee Supiede ,me tr, hs0 0 lo s y a 4) CA, Aur. fte I- arbe Pe1di hmeaeetl hate/ .Date of Collecton (mm/dd/yyyy) 1 0 11 Reason for Testing -26.717(b)(5)
Pro-Access Testing Reason (optional)
Pre-Access 7 [Update Authorization Employ t Type -26.717(b)(3)
IContractorNendor I Labo Categoty-26.717(b)(3)
[Maintenance (Craft)Refusal -26.71 7(b)(7) & 26.75 Was this collection refused (Yes / No)?Teot Results -26.717(b)(4)
Test Valdity Valid Test Type(s) for Result(s)
Reported -26.717(b)(2)
Drug Testing Drug Only I P I iII]Was this collection observed (Yes / No)? -26.717(b)(7)
& 26.75 Substance
-26.717(b)(2)
& (b)(6) Additional Substance (as applicable)
Imajuana I I Please Select I Please elaborate (optionas Additional Substance (as applicable) 1Please Select I Use NRC Cutoff (Yes / No)? Yes Use NRC Cutoff (Yes / No)? Yes Use NRC Cutoff (Yes / No)? Yes is thla a 24,-#our Reporting Event (Yea/No)?
-26.719(b)
No Subversion Attempts -26.717(b)(7) and 26.75(b)Did this collection involve a subversion attempt (Yes/No)?Miaragens Actions -26.717(b)(8)
& 26.75 Reason for tie Action First drug or alcohol positive Swtnw Apphad NRC Minimum or Licensee Administrate NK Minimum Spocific Sanction Applied 14- Day Denial Responsible for Irfonnstlon Pro~Parse I (requ*ae):
1p1_ ý F Fn,_7 paOOnlfwciieC con First Name Last Name position TCompany Emad Address Parson 2 (opton): First Name Last Name Position Titde Company Email Address Final Stop (ReWiulred
.NRC will consider "his form authentic in accordance with 26.11 only when the 'Validate
& Lock button has been selected and all errors (i., those hightihted in red) have benw corrected.
The 'Validate
& Locde button wiA change to 'Lockd' after to data validation process has been successfully completed and tae form is ready for submission.
Form Locked OnrlFebs 14,2012 at 8:10:21 AM [5e~ nO.50. [id Free c.n.n 1.3.0- lienS 2011et Fort -~ -Nov 8. 2011 Elcroi Inomto Excang E] SubmsMon Update Unique Refrec Numb 5O-482 Select Faclty Wolf Creek [50-4821 Reason for Testing -26 NRC FF0 Program Performance Data Reporting System Single Positive Test Form for the EIE General Submission Portal 1) A# Soid ar regweed wro* Osotes marked epea~.I in. hoi mee 006 any roes in I k h Saep bakig suet-3) the A~ob* fteed5 8 or1 lter Aw"ftwon fe swakproper*y Date of Collection (rm/Vdd/yyy) 145011.717(b)(5)
For Cause Testng Reason (optional)
Please elaborate (optional)
IFor Cause I rObserved Behavior Type- 26.717(b)(3) lContractor/endor Z Labor Category-26.717(b)(3)
Engineering Reft"Ia- 26.717(b)(7)
& 26.75 Was tNs collection refused (Yes I No)?Tort Resuft -26.717(b)(4)
Teat Vddlty Not Applicable Teat Type(s) for Result(3s)
Reported -26.717(b)(2)
Alcohol Testing Alcohol Only ] 18reath J nodui was observed ekrrrdrfrre end lasring seanet the was Substance-26.717(b)(2)
& (b)(6)Alcohol Is" tlts a 24-Hour Reporfti Event (YaeNol? -28.719(b)F N Subversion Attempts -26.717(b)(7) and 26.75(b)Did this collection involve a subversion attempt (Yes/No)?
[No 7I7 Aienagaonent Acdons -26.717(b)(8)
& 26.75 Reason for the Action First drug or alcohol positive Sanction Applied (NRC Minimum or License Admintate JNRC Minimum Specifc Sanction Applied 14- Day Denial Person(s)
Responsible for Infornaton Provfded Person I (reqisae):
1] Jmew -- psoronrmwvioc-crr First Name Last Name Poson Tite Company Emai Address Paerso 2 (sptireS):
First Name Lst Name position Title Company Emals Address Rna Step 04squireW
-NRC *1 consiler thIs form autwentic in accondance with 26.11 only when the Validate & Lock button has beon selected and al errors (i.e., those highihted in red) have beet corrected.
The "Validte & Lock button wig change to "Loed after te data validation pros has been successfully completed and tre form is ready for subnission.
Form Locked OnI~ 0 02a 2:7P ým-ý" 'C SrwiuPoet.
Test F- -f*.re1 3c-liNov, 2011 N I I,0 NRc FD Progam PWrOrnce Data Report" Sysem 10 CFR Part 26, Subpart I -Managing Fatigue A-l F.p R"-Un Mr for the B-E Sublgodw Part S..-yW~F.
WW-h. -26pNO)M-~t tWa~a.kýiý* Hour C__.*o Ca.an~afl.
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S.aa4aaaiO n W-"s k F t_______ ________ t ___________________
_____________
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......a0.nta~ -r --Faaa.0. a120 2tOOtPS------Si 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 does not print in its entirety due to the way the NRC has built the electronic FM form.Analysis of Waiver Assessment Data: No waivers were initiated at Wolf Creek for 2011.Analysis of Fatigue Assessment Data: Fourteen Fatigue Assessments were completed from 01-01-2011 through 12-31-2011.
Seven were for-cause assessments and seven were post event assessments.
Wolf Creek had zero fatigue assessments completed for a waiver or for a self-declare of fatigue. Two workers did self-declare during the 2011 planned refueling outage and were sent home for a minimum of a 10-hour break and no fatigue assessment was performed or required.02-21-2011 Operations, Covered, Online, Post Event 02-24-2011 Information Services, Non-covered, Online, For Cause 03-02-2011 Maintenance, Non-covered, Online, Post Event 03-10-2011 Maintenance, Covered, Online, Post Event 03-17-2011 Safety, Non-covered, Online, For Cause 03-16-2011 Maintenance, Non-covered, Online, For Cause 03-25-2011 Health Physics, Non-covered, Outage, For Cause 04-07-2011 Maintenance, Covered, Outage, For Cause 04-14-2011 Maintenance, Non-covered, Outage, For Cause 04-15-2011 Maintenance, Non-covered, Outage, For Cause 05-01-2011 Maintenance, Covered, Outage, Post Event, 07-28-2011 Maintenance, Covered, Online, Post Event 07-29-2011 Maintenance, Covered, Online, Post Event 10-30-2011 Operations, Covered, Online, Post Event The actions taken for the fatigue assessments for-cause and post event were to perform a drug and alcohol screen and for the worker to take a minimum of a 10-hour break awaiting screening results.Conclusions:
Wolf Creek initiated zero waivers for 2011. For the post-event and for-cause assessments, adequate actions were taken in sending the workers home pending fitness-for-duty results. In review of the completed fatigue assessments no program or performance issues were noted from a collective review of the data.Summary and Status of Corrective Actions: The evaluation review period is 01-01-2011 through 12-31-2011.
During this review period no waivers were performed, fourteen fatigue assessments were performed, and two workers self-declared fatigue.Each fatigue assessment and both self-declares were documented in the corrective action program. In review of the condition reports generated for fatigue assessments and self-declares, the corrective actions taken supported fatigue rule requirements.
In a collective review of the 2011 fatigue assessments and self-declare data no gaps to performance or program improvement opportunities were found.