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{{#Wiki_filter:" r-i) US NR C t ._ FFD Program Performance Data Reporting System 'll * | {{#Wiki_filter:" r-i) US NR C t ._ FFD Program Performance Data Reporting System 'll * | ||
* NRC Form 891, Annual Reporting Form for Drug and Alcohol Tests t ln1ttd Statt~ ~ude.tt R1:gul.ttory C)tllfnl"l,U1 *11 Protecti11g People and tile Eill'iTOllm;;;,, (EIE General Subm,ss,on Portal) APPROVED BY 0MB: CLEARANCE NO. 3150-0146 EXPIRES: 11/30/2017 Estimated burden per response to comply with this collection request is 114 hours. 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-duly (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 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 0MB control number, the NRC may not conduct or sponsor, and a person is not required to respond to, the information | * NRC Form 891, Annual Reporting Form for Drug and Alcohol Tests t ln1ttd Statt~ ~ude.tt R1:gul.ttory C)tllfnl"l,U1 | ||
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 | *11 Protecti11g People and tile Eill'iTOllm;;;,, | ||
* NRG will consider this form authentic in accordance with 1 O CFR 26.11 only when the "Validate & Lock" button has been selected and all errors (i.e., those | (EIE General Subm,ss,on Portal) APPROVED BY 0MB: CLEARANCE NO. 3150-0146 EXPIRES: 11/30/2017 Estimated burden per response to comply with this collection request is 114 hours. 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-duly (FFD) program performance data on drug and alcohol programs from licensees and other entities. | ||
,)(/ US NR C ,,.,, FFD Program Performance Data Reporting System '"~'""'N:d .. :.,,_,.,,1 .. , ... c,,mm,""" NRC Form 890, Single Positive Test Form Pro1ectiug People attd the Etll'lrmunr'ttl (EIE General Subm1ss1on Portal) 1) All field$ required except those marked *optional' 2) Entries in some fields auto*popolate info,mation ir, other fields J) Mouse over form field$ to view additional infomiation 4) Use of Adobe Reader 8 or later is required D Submission Update Uni ue Reference ID License Su tied 50-482-A1-17 Select Facility !Wolf Creek [50-482) APPROVED BY 0MB: CLEARANCE NO. 31S0-0146 EXPIRES: 11/30/2017 Estimated burden per response to comply with this collection request is 30 minutes. This form is a voluntary means of reporting the information required under 10 CFR 26.717. The information is required by NRG to obtain on an annual basis site specific fitness-for-duty (FFO) 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 Jnfo.colle.ct:i.B.e:~uur.ce@NBC..g.o.\* .. 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 0MB control number, the NRC may not conduct or sponsor, and a person is not required to respond to, the information collection. Date of Collection I (mm/dd/yyyy) _ 04/17/2017 Reason for Testing-26.717(b)(S) I Pre-Access Pre-Access Testing Reason (optional) Employment Type -26.717(b)(3) !contractor/Vendor Labor Category -26. 717(b)(3) !Facility Support I Please Select Outage Worker (optional)? INo Is this a 24-hour reporting event? -26.719(b) Was this collection refused?-26.717(b)(7) & 26.75 Test Results -26.717(b)(4) Test Type(s) for Result(s) Reported -26.717(b)(2) !Alcohol Only Substance -26,717(b)(2) & (b)(6) !Alcohol Alcohol Specimen Tested !Breath What 26.103 BAC level was exceeded? lo.03 and in work status at least 1 hr Subversion Attempt-Did this collection involve a subversion attempt? -26.717(b)(7) and 26.75(b) LI __ N_o __ Management Actions -26.717(b)(8) & 26.75 Reason for the Action I First drug or alcohol positive Sanction Applied (NRC Minimum or Licensee Administrated) INRC Minimum Specific Sanction Applied 114-Day Denial Person(s) Responsible for | 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 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 0MB control number, the NRC may not conduct or sponsor, and a person is not required to respond to, the information collectio | |||
: n. 1) All fields required unless marked 'optional' 2) Use of Adobe Reader 8 or later is required 3) Mouse over fields for additional infom,ation D Submission Update Select Facility Period of Report jwolf Creek [50--482] I I 2017 I Tests Conducted in the Calendar Year Total Number of Tests Conducted Reason For Testing Licensee Employees ContractorsNendors Total Number of Positive, Adulterated, Substituted, and Refusal to Test Results Pre-Access I 82 Random I 541 For Cause 2 Post-Event 7 Followup 22 I Total (Calculated) 654 I FFD Program Random Testing Population and Rate Average number of licensee employees Average number of contractors/vendors 1 9971 1 1921 Laboratory Testing Does your program use a I I Licensee Testing Facility? | |||
No (Yes/No) ~-------~-I I 220 80 1 2 8 311 Total size of the random testing pool throughout the period (Calculated) 1 1.1891 0 0 0 0 Annual random testing percentage achieved for the testing pool I 52.2 I HHS--Certified Laboratory (Primary) | |||
Clinical Reference Laboratory | |||
{Lenexa. KS) I HHS-Certified Laboratory (Backup) !Quest Laboratory (Lenexa, KS) Identify your Blind Perfomnance Test Sample supplier(s) !Professional Toxicology Services, Lenexa, KS. ~---------------------------------~ | |||
Substances Tested Did your program only_ test ro_r NRG-required substances !Yes I Alli)_ at the NRG-specified minimum cutoff levels? (Yes/ No) ~------~ Special Analyses Testing Results Total Number of "Dilute" I I Specimen Test Results (Optional) ~---~ Does your program conduct LOD testing I I permitted in 26.163(a)(2)? | |||
(Yes/ No)Yes ~------~ Total Number of "Dilute" Specimens I O I (Special Analyses Testing Conducted) | |||
~----~-Substance Use NRC Initial Cutoff Confirmatory Limit of Detection Comment Cutoffs? | |||
Cutoff (LOD) Testing? | |||
(Optional) Alcohol Ives I Not Applicable I Cocaine Ives Ives I Marijuana Ives Ives I Amphetamines Ives Ives I Opiates Ives Ives I PCP Ives Ives I 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 descripti on 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 additiona l topics. Topic 1 Topic 1 Description I Training I Condition Report, CR 00111458 -1 O CFR 26.31 (b)(1)(1) requires a psychological assessment be conducted of FFD program personnel and updated nominally every 5 years. During a review of the "Review of FFD Personnel Pool Dates" on 03/07117, it was identified one individual had not met this requirement. | |||
The individual's qualification as a collector was suspended. This was reported to the NRG Inspector during Inspection 05000482/2017403. This was identified as a licensee-identified non-cited violation | |||
. The collector completed the psychological assessment the day after discovery. | |||
Full compliance has been achieved. The licensee developed a form for tracking all collector qualifications. 181 Add an additional Topic Topic 2 Topic 2 Description I Blind Performance Test Samples I Condition Report, CR 00111505 -10 CFR 26.168(9) states, in part, licensees and other entities shall use only blind performance test samples that have been certified by the supplier to contain a measurable amount of the target drug or analy1e. Contrary to the requirement, from April 2008 to March 2017, blind urine specimens submitted to the contract laboratory to test and confirm the required concentrations for cocaine did not meet the required measurable amount. This was reported to the NRG Inspector during Inspection 05000482/2 017403. This was identified as a licensee-identified non-cited violation. | |||
The licensee contacted the vendor for the blind performance test samples to change the makeup of the cocaine samples to meet the levels of concentration for cocaine and the drug analytes. The subsequent specimens met the required concentration of cocaine to meet the required measurable amount for cocaine and the analytes. Full compliance was achieved in March 2017 when only cocaine blind performance test samples were ordered that had the required measurable amounts of cocaine and the 181 Add an additional Topic analy1es. Topic 3 Topic 3 Description I Blind Performance Test Samples I Condition Report CR 00117707 The results for a blind specimen submitted for laboratory analysis did test positive for cocaine but not for codeine and 6AM. The MRO office contacted FFD on 11/20/17. The MRO office was requested to request a retest per procedure. The results of the retest received 11/27/17 were the same as the 11/20/17 results. This CR is to document the Reportability Requirements of 10 CFR 26.719, under 10 CFR 26.719(c) | |||
(1). A basic cause evaluation was performed. The lab results from the specimen did contain measurable amounts of codeine and 6AM. however they were below the cutoff levels. Certifying Scientists from two Health and Human Services certified laboratories and a MRO Subject Matter Expert were contacted for input. No direct cause for a degradation of the codeine and 6AM could be determined. Subsequent cocaine blind specimen test samples from the same vendor from the same test sample lot tested within the positive range for cocaine and the metabolites, codeine and 6AM. As a result of the investigation the vendor of the blind performance test samples was changed to a vendor that is used by a large number of plants in the industry. This was completed in February 2018. ,...,.. ....... * .... -. ............. ----*---*--* ---*---**'"' a ....... *-*i..-....... 1,.,1,., .... --*--* ~--......... --*** '---"'--1... .... --*--*--' Person(s) Responsible for Information Provided Person 1 (required): I Kenneth 11 Craighead I I Fitness For Program I kecraig@wcnoc.com First Name Last Name Position Title Company Email Address Person 2 (optional): IKenn [ Irate [ I Superintendent Access Screening I mitate@wcnoc.com First Name Last Name Position Title Company Email Address Final Step (Required) | |||
* NRG will consider this form authentic in accordance with 1 O CFR 26.11 only when the "Validate & Lock" button has been selected and all errors (i.e., those highlight ed 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:jFeb 26, 2018 at 7:16:24 AM I I Save to Local PC ! I Print this Report I Annual Report Form (version 1.7.0 -December 2016) -Page 2 of 2 -NRG Form 891 (12/2014) | |||
,)(/ US NR C ,,.,, FFD Program Performance Data Reporting System '"~'""'N:d | |||
.. :.,,_,.,,1 | |||
.. , ... c,,mm,""" NRC Form 890, Single Positive Test Form Pro1ectiug People attd the Etll'lrmunr'ttl (EIE General Subm1ss1on Portal) 1) All field$ required except those marked *optional' 2) Entries in some fields auto*popolate info,mation ir, other fields J) Mouse over form field$ to view additional infomiation 4) Use of Adobe Reader 8 or later is required D Submission Update Uni ue Reference ID License Su tied 50-482-A1-17 Select Facility | |||
!Wolf Creek [50-482) APPROVED BY 0MB: CLEARANCE NO. 31S0-0146 EXPIRES: 11/30/2017 Estimated burden per response to comply with this collection request is 30 minutes. This form is a voluntary means of reporting the information required under 10 CFR 26.717. The information is required by NRG to obtain on an annual basis site specific fitness-for-duty (FFO) 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 Jnfo.colle | |||
.ct:i.B.e:~uur | |||
.ce@NBC..g. | |||
o.\* .. 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 0MB control number, the NRC may not conduct or sponsor, and a person is not required to respond to, the information collection. Date of Collection I (mm/dd/yyyy) _ 04/17/2017 Reason for Testing-26.717(b)(S) I Pre-Access Pre-Access Testing Reason (optional) Employment Type -26.717(b)(3) !contractor/Vendor Labor Category -26. 717(b)(3) !Facility Support I Please Select Outage Worker (optional)? INo Is this a 24-hour reporting event? -26.719(b) Was this collection refused?-26.717(b)(7) & 26.75 Test Results -26.717(b)(4) Test Type(s) for Result(s) Reported -26.717(b)(2) !Alcohol Only Substance -26,717(b)(2) & (b)(6) !Alcohol Alcohol Specimen Tested !Breath What 26.103 BAC level was exceeded? lo.03 and in work status at least 1 hr Subversion Attempt-Did this collection involve a subversion attempt? -26.717(b)(7) and 26.75(b) LI __ N_o __ Management Actions -26.717(b)(8) & 26.75 Reason for the Action I First drug or alcohol positive Sanction Applied (NRC Minimum or Licensee Administrated) INRC Minimum Specific Sanction Applied 114-Day Denial Person(s) Responsible for Informatio n Provided Person 1 (required): ~IK_*_nn_*_lh ________ ~l lcraighead I I Fitness Foe Duty Prngram First Name '-----~L-a~s,~N~a-m_e____ Position Title Person 2 (optional): I ~K_*_""---------~l 0IT_*_'*---------~ | |||
Superintendent Access Saeening First Name Last Name Position Title kecraig@wcnoc | |||
.com Company Email Address mitate@wcnoc.com 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 is c~cked and all errors (highlighted in red) have been corrected. The "Validate & Lock* button will change to *Locked" after the data validation process has been successfully completed indicating the form is ready for submission. Form Locked on:jFeb 26, 2018 at 7:14:32 AM Single Positive Test Form (version 1.7.0-December 2016) I Save to Local PC j I Print this Report j NRC Form 890 (12/2014)}} |
Revision as of 02:11, 29 June 2018
ML18067A046 | |
Person / Time | |
---|---|
Site: | Wolf Creek ![]() |
Issue date: | 02/28/2018 |
From: | Wolf Creek |
To: | Office of Nuclear Security and Incident Response |
References | |
RA 18-0024 | |
Download: ML18067A046 (3) | |
Text
" r-i) US NR C t ._ FFD Program Performance Data Reporting System 'll *
- NRC Form 891, Annual Reporting Form for Drug and Alcohol Tests t ln1ttd Statt~ ~ude.tt R1:gul.ttory C)tllfnl"l,U1
- 11 Protecti11g People and tile Eill'iTOllm;;;,,
(EIE General Subm,ss,on Portal) APPROVED BY 0MB: 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-duly (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 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 0MB control number, the NRC may not conduct or sponsor, and a person is not required to respond to, the information collectio
- n. 1) All fields required unless marked 'optional' 2) Use of Adobe Reader 8 or later is required 3) Mouse over fields for additional infom,ation D Submission Update Select Facility Period of Report jwolf Creek [50--482] I I 2017 I Tests Conducted in the Calendar Year Total Number of Tests Conducted Reason For Testing Licensee Employees ContractorsNendors Total Number of Positive, Adulterated, Substituted, and Refusal to Test Results Pre-Access I 82 Random I 541 For Cause 2 Post-Event 7 Followup 22 I Total (Calculated) 654 I FFD Program Random Testing Population and Rate Average number of licensee employees Average number of contractors/vendors 1 9971 1 1921 Laboratory Testing Does your program use a I I Licensee Testing Facility?
No (Yes/No) ~-------~-I I 220 80 1 2 8 311 Total size of the random testing pool throughout the period (Calculated) 1 1.1891 0 0 0 0 Annual random testing percentage achieved for the testing pool I 52.2 I HHS--Certified Laboratory (Primary)
Clinical Reference Laboratory
{Lenexa. KS) I HHS-Certified Laboratory (Backup) !Quest Laboratory (Lenexa, KS) Identify your Blind Perfomnance Test Sample supplier(s) !Professional Toxicology Services, Lenexa, KS. ~---------------------------------~
Substances Tested Did your program only_ test ro_r NRG-required substances !Yes I Alli)_ at the NRG-specified minimum cutoff levels? (Yes/ No) ~------~ Special Analyses Testing Results Total Number of "Dilute" I I Specimen Test Results (Optional) ~---~ Does your program conduct LOD testing I I permitted in 26.163(a)(2)?
(Yes/ No)Yes ~------~ Total Number of "Dilute" Specimens I O I (Special Analyses Testing Conducted)
~----~-Substance Use NRC Initial Cutoff Confirmatory Limit of Detection Comment Cutoffs?
Cutoff (LOD) Testing?
(Optional) Alcohol Ives I Not Applicable I Cocaine Ives Ives I Marijuana Ives Ives I Amphetamines Ives Ives I Opiates Ives Ives I PCP Ives Ives I 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 descripti on 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 additiona l topics. Topic 1 Topic 1 Description I Training I Condition Report, CR 00111458 -1 O CFR 26.31 (b)(1)(1) requires a psychological assessment be conducted of FFD program personnel and updated nominally every 5 years. During a review of the "Review of FFD Personnel Pool Dates" on 03/07117, it was identified one individual had not met this requirement.
The individual's qualification as a collector was suspended. This was reported to the NRG Inspector during Inspection 05000482/2017403. This was identified as a licensee-identified non-cited violation
. The collector completed the psychological assessment the day after discovery.
Full compliance has been achieved. The licensee developed a form for tracking all collector qualifications. 181 Add an additional Topic Topic 2 Topic 2 Description I Blind Performance Test Samples I Condition Report, CR 00111505 -10 CFR 26.168(9) states, in part, licensees and other entities shall use only blind performance test samples that have been certified by the supplier to contain a measurable amount of the target drug or analy1e. Contrary to the requirement, from April 2008 to March 2017, blind urine specimens submitted to the contract laboratory to test and confirm the required concentrations for cocaine did not meet the required measurable amount. This was reported to the NRG Inspector during Inspection 05000482/2 017403. This was identified as a licensee-identified non-cited violation.
The licensee contacted the vendor for the blind performance test samples to change the makeup of the cocaine samples to meet the levels of concentration for cocaine and the drug analytes. The subsequent specimens met the required concentration of cocaine to meet the required measurable amount for cocaine and the analytes. Full compliance was achieved in March 2017 when only cocaine blind performance test samples were ordered that had the required measurable amounts of cocaine and the 181 Add an additional Topic analy1es. Topic 3 Topic 3 Description I Blind Performance Test Samples I Condition Report CR 00117707 The results for a blind specimen submitted for laboratory analysis did test positive for cocaine but not for codeine and 6AM. The MRO office contacted FFD on 11/20/17. The MRO office was requested to request a retest per procedure. The results of the retest received 11/27/17 were the same as the 11/20/17 results. This CR is to document the Reportability Requirements of 10 CFR 26.719, under 10 CFR 26.719(c)
(1). A basic cause evaluation was performed. The lab results from the specimen did contain measurable amounts of codeine and 6AM. however they were below the cutoff levels. Certifying Scientists from two Health and Human Services certified laboratories and a MRO Subject Matter Expert were contacted for input. No direct cause for a degradation of the codeine and 6AM could be determined. Subsequent cocaine blind specimen test samples from the same vendor from the same test sample lot tested within the positive range for cocaine and the metabolites, codeine and 6AM. As a result of the investigation the vendor of the blind performance test samples was changed to a vendor that is used by a large number of plants in the industry. This was completed in February 2018. ,...,.. ....... * .... -. ............. ----*---*--* ---*---**'"' a ....... *-*i..-....... 1,.,1,., .... --*--* ~--......... --*** '---"'--1... .... --*--*--' Person(s) Responsible for Information Provided Person 1 (required): I Kenneth 11 Craighead I I Fitness For Program I kecraig@wcnoc.com First Name Last Name Position Title Company Email Address Person 2 (optional): IKenn [ Irate [ I Superintendent Access Screening I mitate@wcnoc.com First Name Last Name Position Title Company Email Address Final Step (Required)
- NRG will consider this form authentic in accordance with 1 O CFR 26.11 only when the "Validate & Lock" button has been selected and all errors (i.e., those highlight ed 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:jFeb 26, 2018 at 7:16:24 AM I I Save to Local PC ! I Print this Report I Annual Report Form (version 1.7.0 -December 2016) -Page 2 of 2 -NRG Form 891 (12/2014)
,)(/ US NR C ,,.,, FFD Program Performance Data Reporting System '"~'""'N:d
.. :.,,_,.,,1
.. , ... c,,mm,""" NRC Form 890, Single Positive Test Form Pro1ectiug People attd the Etll'lrmunr'ttl (EIE General Subm1ss1on Portal) 1) All field$ required except those marked *optional' 2) Entries in some fields auto*popolate info,mation ir, other fields J) Mouse over form field$ to view additional infomiation 4) Use of Adobe Reader 8 or later is required D Submission Update Uni ue Reference ID License Su tied 50-482-A1-17 Select Facility
!Wolf Creek [50-482) APPROVED BY 0MB: CLEARANCE NO. 31S0-0146 EXPIRES: 11/30/2017 Estimated burden per response to comply with this collection request is 30 minutes. This form is a voluntary means of reporting the information required under 10 CFR 26.717. The information is required by NRG to obtain on an annual basis site specific fitness-for-duty (FFO) 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 Jnfo.colle
.ct:i.B.e:~uur
.ce@NBC..g.
o.\* .. 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 0MB control number, the NRC may not conduct or sponsor, and a person is not required to respond to, the information collection. Date of Collection I (mm/dd/yyyy) _ 04/17/2017 Reason for Testing-26.717(b)(S) I Pre-Access Pre-Access Testing Reason (optional) Employment Type -26.717(b)(3) !contractor/Vendor Labor Category -26. 717(b)(3) !Facility Support I Please Select Outage Worker (optional)? INo Is this a 24-hour reporting event? -26.719(b) Was this collection refused?-26.717(b)(7) & 26.75 Test Results -26.717(b)(4) Test Type(s) for Result(s) Reported -26.717(b)(2) !Alcohol Only Substance -26,717(b)(2) & (b)(6) !Alcohol Alcohol Specimen Tested !Breath What 26.103 BAC level was exceeded? lo.03 and in work status at least 1 hr Subversion Attempt-Did this collection involve a subversion attempt? -26.717(b)(7) and 26.75(b) LI __ N_o __ Management Actions -26.717(b)(8) & 26.75 Reason for the Action I First drug or alcohol positive Sanction Applied (NRC Minimum or Licensee Administrated) INRC Minimum Specific Sanction Applied 114-Day Denial Person(s) Responsible for Informatio n Provided Person 1 (required): ~IK_*_nn_*_lh ________ ~l lcraighead I I Fitness Foe Duty Prngram First Name '-----~L-a~s,~N~a-m_e____ Position Title Person 2 (optional): I ~K_*_""---------~l 0IT_*_'*---------~
Superintendent Access Saeening First Name Last Name Position Title kecraig@wcnoc
.com Company Email Address mitate@wcnoc.com 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 is c~cked and all errors (highlighted in red) have been corrected. The "Validate & Lock* button will change to *Locked" after the data validation process has been successfully completed indicating the form is ready for submission. Form Locked on:jFeb 26, 2018 at 7:14:32 AM Single Positive Test Form (version 1.7.0-December 2016) I Save to Local PC j I Print this Report j NRC Form 890 (12/2014)