ML18058A903

Palisades, 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)

Tests Conducted in the Calendar Year Reason For Testing Licensee Employees Total Number of Positive, Adulterated, Substituted, and Refusal to Test Results Contractors/Vendors RandomPre-Access For Cause FollowupPost-Event Total (Calculated)

Total Number of Tests Conducted 664122150669608811010014111204425Period of Report 2017Total size of the random testing pool throughout the period (Calculated) 1,040Average number of contractors/vendors 368Average number of licensee employees 6721) All fields required unless marked 'optional'

2) Use of Adobe Reader 8 or later is required

3) Mouse over fields for additional information Annual random testing percentage achieved for the testing pool 53.1Substances Tested Did your program only test for NRC-required substances AND at the NRC-specified minimum cutoff levels? (Yes / No)

YesSubstance Use NRC Cutoffs?Initial CutoffConfirmatory CutoffLimit of Detection (LOD) Testing?

Comment (Optional)

AlcoholYesNot Applicable CocaineYesYesMarijuana YesYesAmphetamines YesYesOpiatesYesYesPCPYesYesFFD Program Random Testing Population and Rate Select Facility Palisades [50-255]

Submission UpdateDoes your program conduct LOD testing permitted in 26.163(a)(2)? (Yes / No)

YesNoHHS-Certified Laboratory (Primary) Quest Diagnostics, Lenexa KSHHS-Certified Laboratory (Backup)Quest Diagnostics, Norristown PAIdentify your Blind Performance Test Sample supplier(s) El Sohly Laboratories Laboratory Testing

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Does your program use a Licensee Testing Facility?

(Yes / No)

Annual Report Form (version 1.7.0 - December 2016) 13Total Number of "Dilute" Specimens (Special Analyses Testing Conducted) 13Total Number of "Dilute" Specimen Test Results (Optional)

Special Analyses Testing Results 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.

NRC Form 891 (12/2014)

Save to Local PC Print this Report 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.

LockedForm Locked On:Jan 2, 2018 at 2:35:43 PM Topic 1 Description An analysis of the data for 2017 was conducted and did not identify any program weaknesses.

Summary of Management Actions

- 26.717(b)(8)

Topic 1Program 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.

Person(s) Responsible for Information Provided Company Email Address brabide@entergy.com First Name BrianPosition Title Supervisor, Access Authorization/

FFDPosition Title Licensing Specialist First Name BarbLast Name DotsonLast Name RabideauCompany Email Address bdotson@entergy.com Person 1 (required):

Person 2 (optional):

Annual Report Form (version 1.7.0 - December 2016)

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Substances Tested -

continued NRC Form 891 (12/2014)