ML14162A292: Difference between revisions
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| number = ML14162A292 | | number = ML14162A292 | ||
| issue date = 06/11/2014 | | issue date = 06/11/2014 | ||
| title = | | title = Single Positive Test Form Collected on 02/25/2014 | ||
| author name = | | author name = | ||
| author affiliation = Florida Power & Light Co | | author affiliation = Florida Power & Light Co | ||
| Line 15: | Line 15: | ||
=Text= | =Text= | ||
{{#Wiki_filter:Select Facility St. Lucie [50-335; 50-389] | {{#Wiki_filter:FFD Program Performance Data Reporting System Single Positive Test Form (EIE General Submission Portal) | ||
Reason for Testing | Note: | ||
- 26.717(b)(5) | Submission Delete 1) All fields are required except those marked 'optional'. | ||
Update Submission 2) Entries in some form fields may result in information being auto-populated into other form fields. | |||
Reinstatement (Between 31 and 365 days | Unique Reference Number (Licensee Supplied) | ||
: 3) Use Adobe Reader 8 or later for this form to work properly. | |||
Employment Type | 444455Q 4) Hold your mouse over a form field to view additional information. | ||
Select Facility St. Lucie [50-335; 50-389] Date of Collection (mm/dd/yyyy) 02/25/2014 Reason for Testing - 26.717(b)(5) Pre-Access Testing Reason (optional) Please elaborate (optional) | |||
Contractor/Vendor Labor Category | Pre-Access Reinstatement (Between 31 and 365 days) | ||
Employment Type - 26.717(b)(3) | |||
Contractor/Vendor Labor Category - 26.717(b)(3) | |||
Maintenance (Craft) | Maintenance (Craft) | ||
Refusal - 26.717(b)(7) & 26.75 Was this collection refused (Yes / No)? | Refusal - 26.717(b)(7) & 26.75 Was this collection refused (Yes / No)? No Test Results - 26.717(b)(4) | ||
Test Results | Test Validity Not Applicable Test Type(s) for Result(s) Reported - 26.717(b)(2) Alcohol Testing Alcohol Only Breath Substance - 26.717(b)(2) & (b)(6) | ||
- 26.717(b)(4) | Alcohol What 26.103 BAC level was exceeded? | ||
Test Validity Not Applicable Test Type(s) for Result(s) Reported - 26.717(b)(2) | 0.04 or greater Is this a 24-Hour Reporting Event (Yes/No)? - 26.719(b) No Subversion Attempts - 26.717(b)(7) and 26.75(b) | ||
Alcohol Only | Did this collection involve a subversion attempt (Yes/No)? 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) | ||
- 26.717(b)(2) & (b)(6) | NRC Minimum Specific Sanction Applied 14- Day Denial Person(s) Responsible for Information Provided Person 1 (required): | ||
Lisa Alvarez MROA lisa.alvarez@fpl.com First Name Last Name Position Title Company Email Address Person 2 (optional): | |||
David Bonthron AA/FFD Program Manager david.bonthron@fpl.com 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: Jun 11, 2014 at 10:35:12 AM Save to Local PC Print this Report Single Positive Test Form (version 1.5.0 - January 1, 2014)}} | |||
- 26. | |||
Final Step (Required) - | |||
NRC will consider this form authentic in accordance with 26.11 only when the | |||
Latest revision as of 04:32, 4 November 2019
| ML14162A292 | |
| Person / Time | |
|---|---|
| Site: | Saint Lucie  |
| Issue date: | 06/11/2014 |
| From: | Florida Power & Light Co |
| To: | Document Control Desk, Office of Nuclear Security and Incident Response |
| Paul Harris - 287-9294 | |
| References | |
| Download: ML14162A292 (1) | |
Text
FFD Program Performance Data Reporting System Single Positive Test Form (EIE General Submission Portal)
Note:
Submission Delete 1) All fields are required except those marked 'optional'.
Update Submission 2) Entries in some form fields may result in information being auto-populated into other form fields.
Unique Reference Number (Licensee Supplied)
- 3) Use Adobe Reader 8 or later for this form to work properly.
444455Q 4) Hold your mouse over a form field to view additional information.
Select Facility St. Lucie [50-335; 50-389] Date of Collection (mm/dd/yyyy) 02/25/2014 Reason for Testing - 26.717(b)(5) Pre-Access Testing Reason (optional) Please elaborate (optional)
Pre-Access Reinstatement (Between 31 and 365 days)
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 collection refused (Yes / No)? No Test Results - 26.717(b)(4)
Test Validity Not Applicable Test Type(s) for Result(s) Reported - 26.717(b)(2) Alcohol Testing Alcohol Only Breath Substance - 26.717(b)(2) & (b)(6)
Alcohol What 26.103 BAC level was exceeded?
0.04 or greater Is this a 24-Hour Reporting Event (Yes/No)? - 26.719(b) No Subversion Attempts - 26.717(b)(7) and 26.75(b)
Did this collection involve a subversion attempt (Yes/No)? 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):
Lisa Alvarez MROA lisa.alvarez@fpl.com First Name Last Name Position Title Company Email Address Person 2 (optional):
David Bonthron AA/FFD Program Manager david.bonthron@fpl.com 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: Jun 11, 2014 at 10:35:12 AM Save to Local PC Print this Report Single Positive Test Form (version 1.5.0 - January 1, 2014)