ML18058A903

Annual Reporting Form for Drug and Alcohol Tests, for Calendar Year 2017

ML18058A903
Person / Time
Site:	Palisades
Issue date:	01/02/2018
From:	Dotson B, Rabideau B Entergy Nuclear Operations
To:	Document Control Desk, Office of Nuclear Security and Incident Response
Shared Package
ML18058A902	List: ML18058A903 ML18058A905 ML18058A907 ML18058A908 ML18058A909 ML18058A910 ML18058A911 ML18058A912 ML18058A913 ML18058A914 ML18058A915 ML18058A916 ML18058A917 ML18058A918
References
Download: ML18058A903 (2)

Text

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: 11/30/2017 Estimated burden per response to comply with this collection request is 114 hours0.00132 days <br />0.0317 hours <br />1.884921e-4 weeks <br />4.3377e-5 months <br />. This form is a voluntary means of reporting the information required under 10 CFR 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, Privacy and Information Collection Branch (T5-F53), U.S. Nuclear Regulatory Commission, Washington DC 20555-0001, or by e-mail to Infocollects.

Resource@NRC.gov, and to the Desk Officer, Office of Information and Regulatory Affairs, NEOB-1020, (3150-0146), Office of Management and Budget, Washington DC 20503. If a means used to impose information collection does not display a currently valid OMB control number, the NRC may not conduct or sponsor, and a person is not required to respond to, the information collection.

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 Select Facility Period of Report Palisades [50-255] 2017 Tests Conducted in the Calendar Year Total Number of Tests Conducted Total Number of Positive, Adulterated, Reason For Testing Licensee Employees Contractors/Vendors Substituted, and Refusal to Test Results Pre-Access 66 696 10 Random 412 141 1 For Cause 2 0 0 Post-Event 1 0 0 Followup 25 44 1 Total (Calculated) 506 881 12 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 672 368 1,040 53.1 Laboratory Testing Does your program use a Licensee Testing Facility? No (Yes / No)

HHS-Certified Laboratory (Primary) Quest Diagnostics, Lenexa KS HHS-Certified Laboratory (Backup) Quest Diagnostics, Norristown PA Identify your Blind Performance Test Sample supplier(s) El Sohly Laboratories Substances Tested Did your program only test for NRC-required substances Does your program conduct LOD testing Yes Yes AND at the NRC-specified minimum cutoff levels? (Yes / No) permitted in 26.163(a)(2)? (Yes / No)

Special Analyses Testing Results Total Number of "Dilute" Total Number of Dilute Specimens Specimen Test Results 13 13 (Special Analyses Testing Conducted)

(Optional)

Use NRC Initial Confirmatory Limit of Detection Comment Substance 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 1.7.0 - December 2016) - Page 1 of 2 - NRC Form 891 (12/2014)

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 Program and System Management An analysis of the data for 2017 was conducted and did not identify any program weaknesses.

Add an additional Topic Person(s) Responsible for Information Provided Person 1 (required):

Supervisor, Access Authorization/ brabide@entergy.com Brian Rabideau FFD First Name Last Name Position Title Company Email Address Person 2 (optional):

Barb Dotson Licensing Specialist bdotson@entergy.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: Jan 2, 2018 at 2:35:43 PM Save to Local PC Print this Report Annual Report Form (version 1.7.0 - December 2016) - Page 2 of 2 - NRC Form 891 (12/2014)