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| number = ML14120A409
| number = ML14120A409
| issue date = 04/30/2014
| issue date = 04/30/2014
| title = Three Mile Island [50-289], Annual Report Form for Drug and Alcohol Tests for 2013
| title = Annual Report Form for Drug and Alcohol Tests for 2013
| author name =  
| author name =  
| author affiliation = Amergen Energy Co, LLC
| author affiliation = Amergen Energy Co, LLC
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=Text=
=Text=
{{#Wiki_filter:FFD Program Performance Data Reporting System Annual Reporting Form for Drug and Alcohol Tests Period of Report 2013 Total size of the random testing pool throughout the period (Calculated) 1,016 Average number of
{{#Wiki_filter:FFD Program Performance Data Reporting System Annual Reporting Form for Drug and Alcohol Tests (EIE General Submission Portal)
 
Note:
contractors/vendors 310 Average number of
Submission                                                                                1) All fields required except those marked 'optional'.
 
Update                                                                                    2) Use Adobe Reader 8 or later for this form to work properly.
licensee employees 706 6 819 1 68 53 0 1 1 0 135 361 0 2 3 Note: 1) All fields required except those marked 'optional'.  
: 2) Use Adobe Reader 8 or later for this form to work properly.  
: 3) Hold your mouse over a form field to view additional information.
: 3) Hold your mouse over a form field to view additional information.
Annual random testing percentage achieved for the testing pool 48.8 Substances Tested Did your program only test for NRC-required substances
Select Facility                                                                           Period of Report Three Mile Island [50-289]                                                                       2013 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                                           113                                  819                                                6 Random                                                361                                  135                                                0 For Cause                                                 1                                    1                                              0 Post-Event                                               3                                    2                                              0 Followup                                                53                                    68                                                1 Total (Calculated)                                    531                                1,025                                                  7 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 706                                  310                                              1,016                                            48.8 Laboratory Testing Does your program use a                                    Does your program terminate an individual's authorization or take Licensee Testing Facility?    Yes                          administrative action on initial marijuana or cocaine positive test results  No (Yes / No)                                                  from your licensee testing facility (26.717(d))? (Yes / No)
 
Identify your HHS-Certified Laboratory(ies)       Medtox Identify your Blind Performance Test Sample supplier(s)        ElSohly 26.717(d) Reporting Positive Initial Drug Test Results (Marijuana and Cocaine) - Licensee Testing Facility (LTF)
AND at the NRC-specified minimum cutoff levels? (Yes / No)
Enter values into this table if your program terminates an individual's authorization or takes administrative action on the initial positive test result.
Yes Substance Use Only NRC Cutoff Levels? (Yes / No)
Substance                LTF Results              HHS Laboratory Results            MRO Determinations Marijuana Cocaine Total (Calculated)
Initial Cutoff Confirmatory Cutoff LOD Testing? (Yes / No)
Substances Tested Did your program only test for NRC-required substances                                          Does your program conduct LOD testing Yes                          permitted in 26.163(a)(2)? (Yes / No)
Comment (Optional)
Yes AND at the NRC-specified minimum cutoff levels? (Yes / No)
Alcohol Yes Not Applicable Cocaine Yes Yes Marijuana Yes Yes Amphetamines Yes Yes Opiates Yes Yes PCP Yes Yes FFD Program Random Testing Population and Rate Select Facility T hree Mile Island [50-289]
Special Analyses Testing Results                  Total Number of "Dilute" Total Number of Dilute Specimens Specimen Test Results                                                                                     0 (Special Analyses Testing Conducted)
Submission
(Optional)
 
Use Only NRC Cutoff            Initial      Confirmatory      LOD Testing?                                Comment Substance Levels? (Yes / No)          Cutoff            Cutoff            (Yes / No)                                (Optional)
Update 113 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 Does your program conduct LOD testing  
Alcohol              Yes                                                        Not Applicable Cocaine              Yes                                                        Yes Marijuana            Yes                                                        Yes Amphetamines          Yes                                                        Yes Opiates              Yes                                                        Yes PCP                  Yes                                                        Yes Annual Report Form (version 1.5.1 - February 12, 2014)                                                                                                     - Page 1 of 2 -
 
permitted in 26.163(a)(2)? (Yes / No)
Yes Yes Identify your HHS-Certified Laboratory(ies)
Medtox 26.717(d) Reporting Positive Initial Drug Test Results (Marijuana and Cocaine) - Licensee Testing Facility (LTF)
Substance Cocaine Marijuana Total (Calculated)
LTF Results MRO Determinations HHS Laboratory Results Enter values into this table if your program terminates an individual's authorization or takes administrative action on the ini tial positive test result.
Identify your Blind Performance Test Sample supplier(s)
ElSohly Laboratory Testing Total Number of Tests Conducted Tests Conducted in the Calendar Year 7 1,025 531 Total (Calculated)- Page 1 of 2 -
No Does your program use a Licensee Testing Facility?
(Yes / No)
Does your program terminate an individual's authorization or take administrative action on initial marijuana or cocaine positive test results
 
from your licensee testing facility (26.717(d))? (Yes / No)
Annual Report Form (version  1.5.1 - February 12, 2014)(EIE General Submission Portal)
Total Number of "Dilute" Specimens (Special Analyses Testing Conducted) 0 Total Number of "Dilute" Specimen Test Results (Optional)
Special Analyses Testing Results Save to Local PC Print this Report 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 valid ation process has been successfully completed and the form is ready for submission.
Locked Form Locked On:
A pr 29, 2014 at 6:23:28 PM Topic 1 Description (1) Licensee reported 29 C/V tests under the category "Pre-Access Random." These tests were included under the Pre-Access category. 


Summary of Management Actions - 26.717(b)(8)
Substances Tested - continued Summary of Management Actions - 26.717(b)(8)
Topic 1 Other(s)Please elaborate:
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 (1) Licensee reported 29 C/V tests under the category "Pre-Access Random." These tests were Other(s)                                           included under the Pre-Access category.
Please elaborate:
Form does not provide a separate field to capture this data.
Form does not provide a separate field to capture this data.
Topic 2 Description There were two (2) re-analysis performed for this reporting period and both were re-confirmed.
Topic 2                                            Topic 2 Description There were two (2) re-analysis performed for this reporting period and both were re-confirmed.
Topic 2 Program and System Management Add an additional Topic Summarize actions implemented to improve FFD program performance. As applicable, reference in the topic description audit repo rts, 30-day reports, and/or corrective action reports. If reporting information on more than three topics, select "Others" for Topic 3 to report any addit ional topics.
Program and System Management Add an additional Topic Person(s) Responsible for Information Provided Person 1 (required):
Person(s) Responsible for Information Provided Company Email Address susan.techau@exeloncorp.com First Name Susan Position Title A A/FFD Program Manager Position Title First Name Last Name Last Name Techau Company Email Address Person 1 (required):
Susan                                  Techau                                AA/FFD Program Manager                  susan.techau@exeloncorp.com First Name                             Last Name                          Position Title                         Company Email Address Person 2 (optional):
Person 2 (optional):
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.
Annual Report Form (version 1.5.1 - February 12, 2014)- Page 2 of 2 -
Locked            Form Locked On: Apr 29, 2014 at 6:23:28 PM                                                    Save to Local PC        Print this Report Annual Report Form (version 1.5.1 - February 12, 2014) Three Mile Island [50-289]                                 Period of Report: 2013               - Page 2 of 2 -}}
Substances Tested -
continued Three Mile Island [50-289]Period of Report:2013}}

Latest revision as of 05:12, 4 November 2019

Annual Report Form for Drug and Alcohol Tests for 2013
ML14120A409
Person / Time
Site: Three Mile Island Constellation icon.png
Issue date: 04/30/2014
From:
Amergen Energy Co
To:
Document Control Desk, Office of Nuclear Security and Incident Response
Paul Harris - 287-9294
References
Download: ML14120A409 (1)
v • d • e


Text

FFD Program Performance Data Reporting System Annual Reporting Form for Drug and Alcohol Tests (EIE General Submission Portal)

Note:

Submission 1) All fields required except those marked 'optional'.

Update 2) Use Adobe Reader 8 or later for this form to work properly.

3) Hold your mouse over a form field to view additional information.

Select Facility Period of Report Three Mile Island [50-289] 2013 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 113 819 6 Random 361 135 0 For Cause 1 1 0 Post-Event 3 2 0 Followup 53 68 1 Total (Calculated) 531 1,025 7 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 706 310 1,016 48.8 Laboratory Testing Does your program use a Does your program terminate an individual's authorization or take Licensee Testing Facility? Yes administrative action on initial marijuana or cocaine positive test results No (Yes / No) from your licensee testing facility (26.717(d))? (Yes / No)

Identify your HHS-Certified Laboratory(ies) Medtox Identify your Blind Performance Test Sample supplier(s) ElSohly 26.717(d) Reporting Positive Initial Drug Test Results (Marijuana and Cocaine) - Licensee Testing Facility (LTF)

Enter values into this table if your program terminates an individual's authorization or takes administrative action on the initial positive test result.

Substance LTF Results HHS Laboratory Results MRO Determinations Marijuana Cocaine Total (Calculated)

Substances Tested Did your program only test for NRC-required substances Does your program conduct LOD testing Yes permitted in 26.163(a)(2)? (Yes / No)

Yes AND at the NRC-specified minimum cutoff levels? (Yes / No)

Special Analyses Testing Results Total Number of "Dilute" Total Number of Dilute Specimens Specimen Test Results 0 (Special Analyses Testing Conducted)

(Optional)

Use Only NRC Cutoff Initial Confirmatory LOD Testing? Comment Substance Levels? (Yes / No) Cutoff Cutoff (Yes / No) (Optional)

Alcohol Yes Not Applicable Cocaine Yes Yes Marijuana Yes Yes Amphetamines Yes Yes Opiates Yes Yes PCP Yes Yes Annual Report Form (version 1.5.1 - February 12, 2014) - Page 1 of 2 -

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 (1) Licensee reported 29 C/V tests under the category "Pre-Access Random." These tests were Other(s) included under the Pre-Access category.

Please elaborate:

Form does not provide a separate field to capture this data.

Topic 2 Topic 2 Description There were two (2) re-analysis performed for this reporting period and both were re-confirmed.

Program and System Management Add an additional Topic Person(s) Responsible for Information Provided Person 1 (required):

Susan Techau AA/FFD Program Manager susan.techau@exeloncorp.com First Name Last Name Position Title Company Email Address Person 2 (optional):

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: Apr 29, 2014 at 6:23:28 PM Save to Local PC Print this Report Annual Report Form (version 1.5.1 - February 12, 2014) Three Mile Island [50-289] Period of Report: 2013 - Page 2 of 2 -

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