ML22053A082

Electronic Submittal of Annual Fitness for Duty Program Performance Report and Annual Fatigue Report for 2021

ML22053A082
Person / Time
Site:	Wolf Creek
Issue date:	02/21/2022
From:	Benham R Wolf Creek
To:	Document Control Desk, Office of Nuclear Reactor Regulation, Office of Nuclear Security and Incident Response
References
A1, A2, D1, D10, D11, D2, D3, D4, D5, D6, D7, D8, D9, RA 22-0018
Download: ML22053A082 (21)

Text

P.O. Box 411 l Burlington, KS 66839 l 620-364-8831 Ron Benham Director Nuclear Regulatory Affairs February 21, 2022 RA 22-0018 U.S. Nuclear Regulatory Commission Attn: NRC Document Control Desk Washington, DC 20555-0001

Subject:

Docket No. 50-482: Electronic Submittal of Annual Fitness for Duty Program Performance Report and Annual Fatigue Report for 2021 Commissioners and Staff:

Please be advised that Wolf Creek Nuclear Operating Corporation (WCNOC) submitted the Annual Fitness for Duty (FFD) program performance data and Annual Fatigue Report for 2021 to the Nuclear Regulatory Commission (NRC) FFD Program Performance Data Reporting System through the U.S. NRC Electronic Information Exchange on February 15, 2022. This submittal meets the requirements in 10 CFR 26.203, 10 CFR 26.717 and 10 CFR 26.719. In accordance with 10 CFR 26.11, copies of the reported information are also enclosed with this report for the appropriate regional office and Senior Resident Inspector.

This letter contains no commitments. If you have any questions concerning this matter, please contact me at (620) 364-4204.

Sincerely, Ron Benham RDB/rlt ENCLOSURE: Copies of 2021 FFD and Fatigue Reports CC: G. E. Werner (NRC), w/e S. A. Morris (NRC), w/e S. S. Lee (NRC), w/e Senior Resident Inspector (NRC), w/e

Enclosure to RA 22-0018 P.O. Box 411 l Burlington, KS 66839 l 620-364-8831 Copies of 2021 FFD and Fatigue Reports (This enclosure contains 19 pages in addition to this cover page)

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 Random Pre-Access For Cause Followup Post-Event Total (Calculated)

Total Number of Tests Conducted 44 397 2

3 470 865 1

1,094 8

5 0

0 202 0

13 2

24 24 Period of Report 2021 Total size of the random testing pool throughout the period (Calculated) 1,017 Average number of contractors/vendors 216 Average number of licensee employees 801

1) 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 58.8 Substances Tested Did your program only test for NRC-required substances AND at the NRC-specified minimum cutoff levels? (Yes / No) Yes Substance Use NRC Cutoffs?

Initial Cutoff Confirmatory Cutoff Limit of Detection (LOD) Testing?

Comment (Optional)

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 Facility Wolf Creek [50-482]

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

Yes No HHS-Certified Laboratory (Primary)

Clinical Reference Laboratory HHS-Certified Laboratory (Backup)

None Identify your Blind Performance Test Sample supplier(s)

ElSohly Laboratory Laboratory Testing

- Page 1 of 2 -

Does your program use a Licensee Testing Facility?

(Yes / No)

Annual Report Form (version 1.10.0 - October 2021)

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

Special Analyses Testing Results APPROVED BY OMB: CLEARANCE NO. 3150-0146 EXPIRES: 09/30/2024 Estimated burden per response to comply with this collection request is 106 hours0.00123 days <br />0.0294 hours <br />1.752645e-4 weeks <br />4.0333e-5 months <br />. This form is a voluntary means of reporting the information required under 10 CFR 26.417(b)(2) and 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, Library, and Information Collections Branch (T-6 A10M), U.S. Nuclear Regulatory Commission, Washington, DC 20555-0001, or by e_mail to Infocollects.Resource@NRC.gov, and the OMB reviewer at: OMB Office of Information and Regulatory Affairs, (3150-0146), Attn: Desk Officer for the Nuclear Regulatory Commission, 725 17th Street NW, Washington, DC 20503; e-mail: oira_submission@omb.eop.gov. The NRC may not conduct or sponsor, and a person is not required to respond to, a collection of information unless the document requesting or requiring the collection displays a currently valid OMB control number.

NRC Form 891

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.

Locked Form Locked On: Feb 15, 2022 at 10:44:56 AM Topic 3 Description Condition Report recommendation to add CBD (cannabidiol) oil and products guidance to the fitness for duty program procedure. (Reference CR 10011074)

Topic 1 Description In 2021 there have been 5 condition reports initiated for individuals arriving late for their scheduled FFD random test. CR 10006150 was written to perform a collective review of these issues to determine if any actions could improve performance or the process. Reference condition reports 00146543, 10000691, 10002986, 10003105 and 10006114.

(HR -1, Projects -1, TRNG -1, QC -1, and RP -1)

Actions taken for CR 10006150: Those missing future tests will have a face-to-face discussion with their Supervisor and the Plant Manager or his designee to explain the reason for the missed test and actions that will be taken to prevent this in the future. Discussed this expectation with Access Screening and the Plant Manager.

Summary of Management Actions - 26.717(b)(8)

Topic 1 Random Testing Add an additional Topic Topic 2 Description During the NRC Fitness for Duty Inspection 71130.08 it was identified the FFD refrigerator used to store specimen collections was reading between fluctuating between 43-and 44-degrees Fahrenheit.

10 CFR 26.117(j) states: Specimens that have not been shipped to the HHS-certified laboratory or the licensee testing facility within 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br /> of collection and any specimen that is suspected of having been substituted, adulterated, or tampered with in any way must be maintained cooled to not more than 6°C (42.8 °F) until they are shipped to the HHS-certified laboratory.

The temperature was immediately corrected by adjusting the temperature set-point, high limit alarm and low limit alarm to the appropriate settings. Previous setpoints that were set on the fridge during installation were 42.1 and 62. A documentation audit was performed on specimens collected since new fridge was installed on 11-23-2020 which proved all specimen collections were able to be tested with no issues. Additional Validation: One of our Medical Review Officers provided validation that the 2-degree temperature difference had no effect on the specimens. This was communicated to the inspector performing the FFD Inspection Topic 2 Program and System Management Add an additional Topic Topic 3 Policies and Procedures 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.

Person(s) Responsible for Information Provided Company Email Address pam.black@evergy.com First Name Pamela Position Title SR Access Specialist Position Title Supv Access Screening First Name Sonya Last Name Jones Last Name Black Company Email Address sonya.jones@evergy.com Person 1 (required):

Person 2 (optional):

Annual Report Form (version 1.10.0 - October 2021)

- Page 2 of 2 -

Substances Tested - continued NRC Form 891

NRC FFD Program Performance Data Reporting 10CFR Part 26 - FFD Internal Use Only This attachment provides the entire narrative as the NRC form has been created with boxes that scroll down, and when printed, the information prints very small due to the way the NRC has built the electronic Fatigue Management form.

FFD Summary of Management Actions Summarize actions implemented to improve FFD program performance Topic 1 - random testing In 2021 there have been 5 condition reports initiated for individuals arriving late for their scheduled FFD random test. CR 10006150 was written to perform a collective review of these issues to determine if any actions could improve performance or the process. Reference condition reports 00146543, 10000691, 10002986, 10003105 and 10006114.

(HR -1, Projects -1, TRNG -1, QC -1, and RP -1)

Actions taken for CR 10006150: Those missing future tests will have a face-to-face discussion with their Supervisor and the Plant Manager or his designee to explain the reason for the missed test and actions that will be taken to prevent this in the future. Discussed this expectation with Access Screening and the Plant Manager.

Topic 2 - program and system management During the NRC Fitness for Duty Inspection 71130.08 it was identified the FFD refrigerator used to store specimen collections was reading between fluctuating between 43-and 44-degrees Fahrenheit. 10 CFR 26.117(j) states: Specimens that have not been shipped to the HHS-certified laboratory or the licensee testing facility within 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br /> of collection and any specimen that is suspected of having been substituted, adulterated, or tampered with in any way must be maintained cooled to not more than 6°C (42.8 °F) until they are shipped to the HHS-certified laboratory.

The temperature was immediately corrected by adjusting the temperature set-point, high limit alarm and low limit alarm to the appropriate settings. Previous setpoints that were set on the fridge during installation were 42.1 and 62. A documentation audit was performed on specimens collected since new fridge was installed on 11-23-2020 which proved all specimen collections were able to be tested with no issues. Additional Validation: One of our Medical Review Officers provided validation that the 2-degree temperature difference had no effect on the specimens. This was communicated to the inspector performing the FFD Inspection.

Actions taken for CR 10001216: For new FFD refrigerator the set-point min and the max temperature range was set correctly. (High limit alarm and low limit alarm)

Topic 3 - policies and procedures Condition Report recommendation to add CBD (cannabidiol) oil and products guidance to the fitness for duty program procedure. (Reference CR 10011074)

NRC FFD Program Performance Data Reporting System 10 CFR Part 26, Subpart I - Managing Fatigue (EIE General Submission Portal)

NRC Form 892, Annual Fatigue Reporting Form Period of Report 2021 Summary of Waiver Issuance - 26.203(e)(1)(i-ii)

Exceeded 16 work hrs in any 24 hr period Daily Work Hours 26.205(d)(1)

Number of Waivers Issued Operating or on-site directing of the operations of systems,as described in 26.4(a)(1)

Operating Outage (days 1-60)

Exceeded 26 work hrs in any 48 hr period Exceeded 72 work hrs in any 7 day period Performing health physics or chemistry duties, as described in 26.4(a)(2)

Operating Outage (days 1-60)

Performing duties of a fire brigade member, as described in 26.4(a)(3)

• Operating Outage (days 1-60)

Performing maintenance or onsite direction of maintenance, as described in 26.4(a)(4)

Operating Outage (days 1-60)

Performing security duties, as described in 26.4(a)(5)

Operating Outage (days 1-60)

Outage Total (days 1-60)

(Calculated)

Combined Total (Calculated)

Less than 10 hr break b/t successive work periods (or 8 hr break accommodating scheduled transition b/t shifts)

Rest Breaks 26.205(d)(2)

Less than 34 hr break in any 9 day period Minimum Days Off Per Shift Cycle 26.205(d)(3)

Average of less than 1 day off per week for 8-hour shifts Average of less than 2 days off per week for 10-hour shifts Average of less than 2.5 days off per week for 12-hour shifts Average of less than 2 days off per week for 12-hour maintenance shifts Average of less than 3 days off per week for 12-hour security shifts Minimum Days Off for Outage Activities (during first 60 days of outage) 26.205(d)(4) and 26.205(d)(5)

Less than 3 days off per successive 15-day period 26.205.(d)(4)

Less than 1 day off per 7-day period for maintenance personnel 26.205.(d)(4)

Less than 4 days off per successive 15-day period for security personnel 26.205.(d)(5)

Total 0

0

• NOTE: For individuals performing fire brigade duties and other duties, please count them only under the fire brigade column. Do not double count these individuals.

0 0

0 0

5 5

10 0

0 0

5 5

0 0

0 0

0 0

0 0

0 0

0 0

10 0

5 5

0 0

0 0

0 0

0 0

0 10 1

Number of Waivers 2

3 Operating or on-site directing of the operations of systems, as described in 26.4(a)(1) 4 5

6 7

8 Performing health physics or chemistry duties as described in 26.4(a)(2)

• NOTE: For individuals performing fire brigade duties and other duties, please count them only under the fire brigade column. Do not double count these individuals.

9 10 11 - 20 More than 20 Total Employees Issued Waivers (Calculated)

Most Waivers Provided to a Single Individual 0

0 0

0 Distribution of Waivers for Individuals in Each Category - 26.203(e)(1)(iii)

Number of Employees Issued Waivers

[Note: Even if no waivers were issued for a given column, please enter a value (e.g., 0) in at least one of the cells in the column]

Performing duties of a fire brigade member as described in 26.4(a)(3)

• 5 Performing maintenance or onsite directing of maintenance as described in 26.4(a)(4) 0 5

0 5

Performing security duties as described in 26.4(a)(5) 0 0

Summary of Corrective Action - 26.203(e)(2) (as applicable)

Analysis of Waiver Assessment Data: (Limit 10,000 characters)

Five (5) waivers are annotated for Waiver Issuance and Waiver Distribution as this NRC form only applies to covered workers. The waivers occurred while the plant was on-line. Waivers were issued for five (5) covered workers in maintenance and two (2) non-covered workers one (1) from planning and one (1) from quality control. A total of seven (7) waivers were issued on 07-27-2021. Issuing waivers and performing fatigue assessments supports ensuring all workers exceeding NRC work hour limits are fit for duty. The work effort was in support of a high angle rescue team and the work effort was for a hydrometer replacement. Fatigue Assessment and Waivers were issued appropriately, and procedure guidance was followed. Minor administrative errors were noted on fatigue assessment and waiver form completion. Procedure change requests were initiated for the Fatigue Assessment and Waiver forms to assist end user in form performance.

Analysis of Fatigue Assessment Data: (Limit 10,000 characters)

Seven (7) fatigue assessments for waivers were performed on 07-27-2021. The plant was on-line, and no performance actions were documented from assessment review. A procedure change request has been initiated for the Fatigue Assessment form to revise some sections of the form to make form a little bit clearer for the end user.

Summary and Status of Corrective Actions: (Limit 10,000 characters)

Topic 1 - For 2021 maintenance incurred three (3) work hour violations for three (3) individuals in November. Maintenance initiated a trend condition report (CR) 100010917 to address this concern.

Actions taken: The manager of maintenance is to provide training on this issue and give clear and specific guidance on regulatory requirement to not violate NRC work hour rules. Due date is 4/28/2022. (OPEN)

Topic 2 - (Historical) The 2021 NRC fitness for duty inspection exit meeting, the lead inspector indicated he would be documenting in the inspection report a licensee-identified, Green non-cited violation (NCV) of 10 CFR 26.31(c)(3) which requires that as soon as practical after an event involving a human error, where the human error may have caused or contributed to the event, the licensee or other entity shall test the individual(s) who committed the error(s). Contrary to this, QA audit 18-09-FFD/FM identified that Fatigue Assessments were not performed on 4/12/18 and 6/21/18. Licensee-identified NCVs are not assigned cross-cutting aspects. CR 127487 was written for the original issue identified by QA. CR 10001396 was written to track this violation. (CLOSED)

Action taken: In 2018 the post-event section of the For-Cause /Post Event/Fatigue Determination form (APF 01A-001-02) was revised and aligned to 10 CFR 26 requirements. This action provides clear and specific guidance and upon a current review, no additional issues were di d

==

Conclusions:==

(Limit 10,000 characters)

The site continues to effectively monitor and manage the fatigue rule.

Print this Report Save to Local PC Work Hour Controls NRC Form 892 Was this facility in an outage for any part of the reporting period? (Yes / No)

Yes Did any single site outage last more than 60 days in total? (Yes / No)

No Outage Total (after day 60)

(Calculated)

Outage (after day 60)

Outage (after day 60)

Outage (after day 60)

Outage (after day 60)

Outage (after day 60)

Note:

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

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

Operating Total (Calculated)

Submission Update - check this box only if this is an update to a previous submission.

Facility Wolf Creek [50-482]

Person(s) Responsible for Information Provided Company Email Address pam.black@evergy.com First Name Pamela Position Title SR Access Specialist Position Title Supv Access Screening First Name Sonya Last Name Jones Last Name Black Company Email Address sonya.jones@evergy.com Person 1 (required):

Person 2 (optional):

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: Feb 15, 2022 at 3:38:22 PM Did your facility issue any waivers in the reporting period? (Yes / No)

Yes 54 hour6.25e-4 days <br />0.015 hours <br />8.928571e-5 weeks <br />2.0547e-5 months <br /> maximum average 0

0 0

Alternate to Minimum Days Off 26.205(d)(7)

General Comments (optional) (Limit 10,000 characters)

The Fatigue Management Program Review did not document any performance gaps or additional issues. (Reference QH-2022-2296)

APPROVED BY OMB: CLEARANCE NO. 3150-0146 EXPIRES: 09/30/2024 Estimated burden per response to comply with this collection request is 82 hours9.490741e-4 days <br />0.0228 hours <br />1.35582e-4 weeks <br />3.1201e-5 months <br />. This form is a voluntary means of reporting the information required under 10 CFR 26.203(e). The information will be used by NRC to evaluate fatigue program performance related to work hour controls and waivers. Send comments regarding burden estimate to the FOIA, Library, and Information Collections Branch (T-6 A10M), U.S. Nuclear Regulatory Commission, Washington, DC 20555-0001, or by e_mail to Infocollects.Resource@NRC.gov, and the OMB reviewer at: OMB Office of Information and Regulatory Affairs, (3150-0146), Attn: Desk Officer for the Nuclear Regulatory Commission, 725 17th Street NW, Washington, DC 20503; e-mail: oira_submission@omb.eop.gov. The NRC may not conduct or sponsor, and a person is not required to respond to, a collection of information unless the document requesting or requiring the collection displays a currently valid OMB control number Annual Fatigue Reporting Form (version 1.6.0 - October 2021)

NRC FFD Program Performance Data Reporting 10CFR Part 26 - FM Internal Use Only This attachment provides the entire narrative as the NRC form has been created with boxes that scroll down, and when printed, the information prints very small due to the way the NRC has built the electronic Fatigue Management form.

Analysis of Waiver Assessment Data:

Five (5) waivers are annotated for Waiver Issuance and Waiver Distribution as this NRC form only applies to covered workers. The waivers occurred while the plant was on-line. Waivers were issued for five (5) covered workers in maintenance and two (2) non-covered workers one (1) from planning and one (1) from quality control. A total of seven (7) waivers were issued on 07-27-2021. Issuing waivers and performing fatigue assessments supports ensuring all workers exceeding NRC work hour limits are fit for duty. The work effort was in support of a high angle rescue team and the work effort was for a hydrometer replacement. Fatigue Assessment and Waivers were issued appropriately, and procedure guidance was followed. Minor administrative errors were noted on fatigue assessment and waiver form completion.

Procedure change requests were initiated for the Fatigue Assessment and Waiver forms to assist end user in form performance.

Analysis of Fatigue Assessment Data:

Seven (7) fatigue assessments for waivers were performed on 07-27-2021. The plant was on-line, and no performance actions were documented from assessment review. A procedure change request has been initiated for the Fatigue Assessment form to revise some sections of the form to make form a little bit clearer for the end user.

==

Conclusions:==

The site continues to effectively monitor and manage the fatigue rule.

Summary and Status of Corrective Actions:

Topic 1 - For 2021 maintenance incurred three (3) work hour violations for three (3) individuals in November. Maintenance initiated a trend condition report (CR) 100010917 to address this concern.

Actions taken: The manager of maintenance is to provide training on this issue and give clear and specific guidance on regulatory requirement to not violate NRC work hour rules. Due date is 4/28/2022.

(OPEN)

Topic 2 - (Historical) The 2021 NRC fitness for duty inspection exit meeting, the lead inspector indicated he would be documenting in the inspection report a licensee-identified, Green non-cited violation (NCV) of 10 CFR 26.31(c)(3) which requires that as soon as practical after an event involving a human error, where the human error may have caused or contributed to the event, the licensee or other entity shall test the individual(s) who committed the error(s). Contrary to this, QA audit 18-09-FFD/FM identified that Fatigue Assessments were not performed on 4/12/18 and 6/21/18. Licensee-identified NCVs are not assigned cross-cutting aspects. CR 127487 was written for the original issue identified by QA. CR 10001396 was written to track this violation. (CLOSED)

Action taken: In 2018 the post-event section of the For-Cause /Post Event/Fatigue Determination form (APF 01A-001-02) was revised and aligned to 10 CFR 26 requirements. This action provides clear and specific guidance and upon a current review, no additional issues were discovered.

Topic 3 - During RF24, Maintenance scaffold leads were loaned to Engineering Projects to support scaffold activities. Projects leadership had the responsibility for assigning outage schedules and admin codes to apply outage rules and approve timesheets in EmpCenter. It was recognized that 2 Maintenance Support employees that were on-loan to Projects during RF24 were assigned daily schedules at the end of RF24; however, they were left on outage rules. Outage rules are not as conservative as on-line rules and are only to be applied when we are off-line. The appropriate Admin

NRC FFD Program Performance Data Reporting 10CFR Part 26 - FM Internal Use Only Code was applied, and the timesheets were re-approved, which allowed verification that no work hour violations occurred during this time.

Actions taken: CR 10008832 (CLOSED) Event shared with all work hour tracking timekeepers to raise awareness of the importance in task completion and verification for loaned individuals.

General Comments:

The Fatigue Management Program Review did not document any performance gaps or additional issues.

(Reference QH-2022-2296)

Facility Wolf Creek [50-482]

Reason for Testing - 26.717(b)(5)

Random Please elaborate (optional)

Employment Type - 26.717(b)(3)

Contractor/Vendor Labor Category - 26.717(b)(3)

Maintenance (general facility)

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 Alcohol Specimen Tested Breath Management Actions - 26.717(b)(8) & 26.75 Specific Sanction Applied 14-Day Denial Save to Local PC Print this Report Unique Reference ID (Licensee Supplied)

A1

1) All fields required except those marked 'optional'

2) Entries in some fields auto-populate information in other fields

3) Mouse over form fields to view additional information

4) Use of Adobe Reader 8 or later is required No 11/10/2021 Submission Update Person(s) Responsible for Information Provided Company Email Address pam.black@evergy.com First Name Pamela Position Title SR Access Specialist Position Title Supv Access Screening First Name Sonya Last Name Jones Last Name Black Company Email Address sonya.jones@evergy.com Person 1 (required):

Person 2 (optional):

Single Positive Test Form (version 1.10.0 - October 2021)

Final Step (Required) - NRC will consider this form authentic in accordance with 10 CFR 26.11 only when the Validate & Lock button is clicked 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.

Locked Form Locked On: Feb 9, 2022 at 8:30:33 AM Reason for the Action First drug or alcohol positive Did this collection involve a subversion attempt? - 26.717(b)(7) and 26.75(b)

No Subversion Attempt -

Sanction Applied (NRC Minimum or Licensee Administrated)

NRC Minimum Delete Submission FFD Program Performance Data Reporting System APPROVED BY OMB: CLEARANCE NO. 3150-0146 EXPIRES: 09/30/2024 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 26.417(b)(2) and 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, Library, and Information Collections Branch (T-6 A10M), U.S. Nuclear Regulatory Commission, Washington, DC 20555-0001, or by e_mail to Infocollects.Resource@NRC.gov, and the OMB reviewer at: OMB Office of Information and Regulatory Affairs, (3150-0146), Attn: Desk Officer for the Nuclear Regulatory Commission, 725 17th Street NW, Washington, DC 20503; e-mail:

oira_submission@omb.eop.gov. The NRC may not conduct or sponsor, and a person is not required to respond to, a collection of information unless the document requesting or requiring the collection displays a currently valid OMB control number.

NRC Form 890, Single Positive Test Form (EIE General Submission Portal)

NRC Form 890 Is this a 24-hour reportable event under 26.719(b)?

No No Substance - 26.717(b)(2) & (b)(6)

Alcohol What 26.103 BAC level was exceeded?

0.02 and in work status at least 2 hrs Date of Collection (mm/dd/yyyy)

Outage Worker (optional)?

Facility Wolf Creek [50-482]

Reason for Testing - 26.717(b)(5)

Random Please elaborate (optional)

Employment Type - 26.717(b)(3)

Contractor/Vendor Labor Category - 26.717(b)(3)

Maintenance (general facility)

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 Alcohol Specimen Tested Breath Management Actions - 26.717(b)(8) & 26.75 Specific Sanction Applied 14-Day Denial Save to Local PC Print this Report Unique Reference ID (Licensee Supplied)

A2

1) All fields required except those marked 'optional'

2) Entries in some fields auto-populate information in other fields

3) Mouse over form fields to view additional information

4) Use of Adobe Reader 8 or later is required No 04/28/2021 Submission Update Person(s) Responsible for Information Provided Company Email Address pam.black@evergy.com First Name Pamela Position Title SR Access Specialist Position Title Supv Access Screening First Name Sonya Last Name Jones Last Name Black Company Email Address sonya.jones@evergy.com Person 1 (required):

Person 2 (optional):

Single Positive Test Form (version 1.10.0 - October 2021)

Final Step (Required) - NRC will consider this form authentic in accordance with 10 CFR 26.11 only when the Validate & Lock button is clicked 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.

Locked Form Locked On: Feb 9, 2022 at 10:11:17 AM Reason for the Action First drug or alcohol positive Did this collection involve a subversion attempt? - 26.717(b)(7) and 26.75(b)

No Subversion Attempt -

Sanction Applied (NRC Minimum or Licensee Administrated)

NRC Minimum Delete Submission FFD Program Performance Data Reporting System APPROVED BY OMB: CLEARANCE NO. 3150-0146 EXPIRES: 09/30/2024 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 26.417(b)(2) and 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, Library, and Information Collections Branch (T-6 A10M), U.S. Nuclear Regulatory Commission, Washington, DC 20555-0001, or by e_mail to Infocollects.Resource@NRC.gov, and the OMB reviewer at: OMB Office of Information and Regulatory Affairs, (3150-0146), Attn: Desk Officer for the Nuclear Regulatory Commission, 725 17th Street NW, Washington, DC 20503; e-mail:

oira_submission@omb.eop.gov. The NRC may not conduct or sponsor, and a person is not required to respond to, a collection of information unless the document requesting or requiring the collection displays a currently valid OMB control number.

NRC Form 890, Single Positive Test Form (EIE General Submission Portal)

NRC Form 890 Is this a 24-hour reportable event under 26.719(b)?

No Yes Substance - 26.717(b)(2) & (b)(6)

Alcohol What 26.103 BAC level was exceeded?

0.04 or greater Date of Collection (mm/dd/yyyy)

Outage Worker (optional)?

Facility Wolf Creek [50-482]

Reason for Testing - 26.717(b)(5)

Pre-Access Pre-Access Testing Reason (optional)

Reinstatement (Between 31 and 365 days)

Please elaborate (optional)

Employment Type - 26.717(b)(3)

Contractor/Vendor Labor Category - 26.717(b)(3)

HP/RP Was this collection refused? - 26.717(b)(7) & 26.75 Test Results - 26.717(b)(4)

Test Validity Valid Test Type(s) for Result(s) Reported - 26.717(b)(2)

Drug Only Drug Specimen Tested Urine Was this collection observed? - 26.717(b)(7) & 26.75 Management Actions - 26.717(b)(8) & 26.75 Specific Sanction Applied 14-Day Denial Save to Local PC Print this Report Unique Reference ID (Licensee Supplied)

D1

1) All fields required except those marked 'optional'

2) Entries in some fields auto-populate information in other fields

3) Mouse over form fields to view additional information

4) Use of Adobe Reader 8 or later is required No No 11/29/2021 Submission Update Person(s) Responsible for Information Provided Company Email Address pam.black@evergy.com First Name Pamela Position Title SR Access Specialist Position Title Supv Access Screening First Name Sonya Last Name Jones Last Name Black Company Email Address sonya.jones@evergy.com Person 1 (required):

Person 2 (optional):

Single Positive Test Form (version 1.10.0 - October 2021)

Final Step (Required) - NRC will consider this form authentic in accordance with 10 CFR 26.11 only when the Validate & Lock button is clicked 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.

Locked Form Locked On: Feb 9, 2022 at 9:11:13 AM Reason for the Action First drug or alcohol positive Did this collection involve a subversion attempt? - 26.717(b)(7) and 26.75(b)

No Subversion Attempt -

Sanction Applied (NRC Minimum or Licensee Administrated)

NRC Minimum Delete Submission FFD Program Performance Data Reporting System APPROVED BY OMB: CLEARANCE NO. 3150-0146 EXPIRES: 09/30/2024 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 26.417(b)(2) and 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, Library, and Information Collections Branch (T-6 A10M), U.S. Nuclear Regulatory Commission, Washington, DC 20555-0001, or by e_mail to Infocollects.Resource@NRC.gov, and the OMB reviewer at: OMB Office of Information and Regulatory Affairs, (3150-0146), Attn: Desk Officer for the Nuclear Regulatory Commission, 725 17th Street NW, Washington, DC 20503; e-mail:

oira_submission@omb.eop.gov. The NRC may not conduct or sponsor, and a person is not required to respond to, a collection of information unless the document requesting or requiring the collection displays a currently valid OMB control number.

NRC Form 890, Single Positive Test Form (EIE General Submission Portal)

NRC Form 890 Is this a 24-hour reportable event under 26.719(b)?

No No How many substances were confirmed positive for this individual?

1 Substance - 26.717(b)(2) & (b)(6)

Use NRC Cutoffs?

Initial Cutoff Confirmatory Cutoff Limit of Detection Marijuana Yes Date of Collection (mm/dd/yyyy)

Outage Worker (optional)?

Facility Wolf Creek [50-482]

Reason for Testing - 26.717(b)(5)

Pre-Access Pre-Access Testing Reason (optional)

Initial Authorization Please elaborate (optional)

Employment Type - 26.717(b)(3)

Contractor/Vendor Labor Category - 26.717(b)(3)

Maintenance (general facility)

Was this collection refused? - 26.717(b)(7) & 26.75 Test Results - 26.717(b)(4)

Test Validity Valid Test Type(s) for Result(s) Reported - 26.717(b)(2)

Drug Only Drug Specimen Tested Urine Was this collection observed? - 26.717(b)(7) & 26.75 Management Actions - 26.717(b)(8) & 26.75 Specific Sanction Applied 14-Day Denial Save to Local PC Print this Report Unique Reference ID (Licensee Supplied)

D2

1) All fields required except those marked 'optional'

2) Entries in some fields auto-populate information in other fields

3) Mouse over form fields to view additional information

4) Use of Adobe Reader 8 or later is required No No 11/29/2021 Submission Update Person(s) Responsible for Information Provided Company Email Address pam.black@evergy.com First Name Pamela Position Title SR Access Specialist Position Title Supv Access Screening First Name Sonya Last Name Jones Last Name Black Company Email Address sonya.jones@evergy.com Person 1 (required):

Person 2 (optional):

Single Positive Test Form (version 1.10.0 - October 2021)

Final Step (Required) - NRC will consider this form authentic in accordance with 10 CFR 26.11 only when the Validate & Lock button is clicked 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.

Locked Form Locked On: Feb 9, 2022 at 9:15:46 AM Reason for the Action First drug or alcohol positive Did this collection involve a subversion attempt? - 26.717(b)(7) and 26.75(b)

No Subversion Attempt -

Sanction Applied (NRC Minimum or Licensee Administrated)

NRC Minimum Delete Submission FFD Program Performance Data Reporting System APPROVED BY OMB: CLEARANCE NO. 3150-0146 EXPIRES: 09/30/2024 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 26.417(b)(2) and 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, Library, and Information Collections Branch (T-6 A10M), U.S. Nuclear Regulatory Commission, Washington, DC 20555-0001, or by e_mail to Infocollects.Resource@NRC.gov, and the OMB reviewer at: OMB Office of Information and Regulatory Affairs, (3150-0146), Attn: Desk Officer for the Nuclear Regulatory Commission, 725 17th Street NW, Washington, DC 20503; e-mail:

oira_submission@omb.eop.gov. The NRC may not conduct or sponsor, and a person is not required to respond to, a collection of information unless the document requesting or requiring the collection displays a currently valid OMB control number.

NRC Form 890, Single Positive Test Form (EIE General Submission Portal)

NRC Form 890 Is this a 24-hour reportable event under 26.719(b)?

No No How many substances were confirmed positive for this individual?

1 Substance - 26.717(b)(2) & (b)(6)

Use NRC Cutoffs?

Initial Cutoff Confirmatory Cutoff Limit of Detection Marijuana Yes Date of Collection (mm/dd/yyyy)

Outage Worker (optional)?

Facility Wolf Creek [50-482]

Reason for Testing - 26.717(b)(5)

Random Please elaborate (optional)

Employment Type - 26.717(b)(3)

Contractor/Vendor Labor Category - 26.717(b)(3)

Maintenance (general facility)

Was this collection refused? - 26.717(b)(7) & 26.75 Test Results - 26.717(b)(4)

Test Validity Valid Test Type(s) for Result(s) Reported - 26.717(b)(2)

Drug Only Drug Specimen Tested Urine Was this collection observed? - 26.717(b)(7) & 26.75 Management Actions - 26.717(b)(8) & 26.75 Specific Sanction Applied 14-Day Denial Save to Local PC Print this Report Unique Reference ID (Licensee Supplied)

D3

1) All fields required except those marked 'optional'

2) Entries in some fields auto-populate information in other fields

3) Mouse over form fields to view additional information

4) Use of Adobe Reader 8 or later is required No No 03/17/2021 Submission Update Person(s) Responsible for Information Provided Company Email Address pam.black@evergy.com First Name Pamela Position Title SR Access Specialist Position Title Supv Access Screening First Name Sonya Last Name Jones Last Name Black Company Email Address sonya.jones@evergy.com Person 1 (required):

Person 2 (optional):

Single Positive Test Form (version 1.10.0 - October 2021)

Final Step (Required) - NRC will consider this form authentic in accordance with 10 CFR 26.11 only when the Validate & Lock button is clicked 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.

Locked Form Locked On: Feb 9, 2022 at 9:19:38 AM Reason for the Action First drug or alcohol positive Did this collection involve a subversion attempt? - 26.717(b)(7) and 26.75(b)

No Subversion Attempt -

Sanction Applied (NRC Minimum or Licensee Administrated)

NRC Minimum Delete Submission FFD Program Performance Data Reporting System APPROVED BY OMB: CLEARANCE NO. 3150-0146 EXPIRES: 09/30/2024 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 26.417(b)(2) and 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, Library, and Information Collections Branch (T-6 A10M), U.S. Nuclear Regulatory Commission, Washington, DC 20555-0001, or by e_mail to Infocollects.Resource@NRC.gov, and the OMB reviewer at: OMB Office of Information and Regulatory Affairs, (3150-0146), Attn: Desk Officer for the Nuclear Regulatory Commission, 725 17th Street NW, Washington, DC 20503; e-mail:

oira_submission@omb.eop.gov. The NRC may not conduct or sponsor, and a person is not required to respond to, a collection of information unless the document requesting or requiring the collection displays a currently valid OMB control number.

NRC Form 890, Single Positive Test Form (EIE General Submission Portal)

NRC Form 890 Is this a 24-hour reportable event under 26.719(b)?

No Yes How many substances were confirmed positive for this individual?

1 Substance - 26.717(b)(2) & (b)(6)

Use NRC Cutoffs?

Initial Cutoff Confirmatory Cutoff Limit of Detection Amphetamine Yes Date of Collection (mm/dd/yyyy)

Outage Worker (optional)?

Facility Wolf Creek [50-482]

Reason for Testing - 26.717(b)(5)

Pre-Access Pre-Access Testing Reason (optional)

Initial Authorization Please elaborate (optional)

Employment Type - 26.717(b)(3)

Contractor/Vendor Labor Category - 26.717(b)(3)

Maintenance (general facility)

Was this collection refused? - 26.717(b)(7) & 26.75 Test Results - 26.717(b)(4)

Test Validity Valid Test Type(s) for Result(s) Reported - 26.717(b)(2)

Drug Only Drug Specimen Tested Urine Was this collection observed? - 26.717(b)(7) & 26.75 Management Actions - 26.717(b)(8) & 26.75 Specific Sanction Applied 14-Day Denial Save to Local PC Print this Report Unique Reference ID (Licensee Supplied)

D4

1) All fields required except those marked 'optional'

2) Entries in some fields auto-populate information in other fields

3) Mouse over form fields to view additional information

4) Use of Adobe Reader 8 or later is required No No 01/25/2021 Submission Update Person(s) Responsible for Information Provided Company Email Address pam.black@evergy.com First Name Pamela Position Title SR Access Specialist Position Title Supv Access Screening First Name Sonya Last Name Jones Last Name Black Company Email Address sonya.jones@evergy.com Person 1 (required):

Person 2 (optional):

Single Positive Test Form (version 1.10.0 - October 2021)

Final Step (Required) - NRC will consider this form authentic in accordance with 10 CFR 26.11 only when the Validate & Lock button is clicked 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.

Locked Form Locked On: Feb 9, 2022 at 9:23:48 AM Reason for the Action First drug or alcohol positive Did this collection involve a subversion attempt? - 26.717(b)(7) and 26.75(b)

No Subversion Attempt -

Sanction Applied (NRC Minimum or Licensee Administrated)

NRC Minimum Delete Submission FFD Program Performance Data Reporting System APPROVED BY OMB: CLEARANCE NO. 3150-0146 EXPIRES: 09/30/2024 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 26.417(b)(2) and 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, Library, and Information Collections Branch (T-6 A10M), U.S. Nuclear Regulatory Commission, Washington, DC 20555-0001, or by e_mail to Infocollects.Resource@NRC.gov, and the OMB reviewer at: OMB Office of Information and Regulatory Affairs, (3150-0146), Attn: Desk Officer for the Nuclear Regulatory Commission, 725 17th Street NW, Washington, DC 20503; e-mail:

oira_submission@omb.eop.gov. The NRC may not conduct or sponsor, and a person is not required to respond to, a collection of information unless the document requesting or requiring the collection displays a currently valid OMB control number.

NRC Form 890, Single Positive Test Form (EIE General Submission Portal)

NRC Form 890 Is this a 24-hour reportable event under 26.719(b)?

No Yes How many substances were confirmed positive for this individual?

1 Substance - 26.717(b)(2) & (b)(6)

Use NRC Cutoffs?

Initial Cutoff Confirmatory Cutoff Limit of Detection Marijuana Yes Date of Collection (mm/dd/yyyy)

Outage Worker (optional)?

Facility Wolf Creek [50-482]

Reason for Testing - 26.717(b)(5)

Random Please elaborate (optional)

Employment Type - 26.717(b)(3)

Contractor/Vendor Labor Category - 26.717(b)(3)

Maintenance (general facility)

Was this collection refused? - 26.717(b)(7) & 26.75 Test Results - 26.717(b)(4)

Test Validity Valid Test Type(s) for Result(s) Reported - 26.717(b)(2)

Drug Only Drug Specimen Tested Urine Was this collection observed? - 26.717(b)(7) & 26.75 Management Actions - 26.717(b)(8) & 26.75 Specific Sanction Applied 14-Day Denial Save to Local PC Print this Report Unique Reference ID (Licensee Supplied)

D5

1) All fields required except those marked 'optional'

2) Entries in some fields auto-populate information in other fields

3) Mouse over form fields to view additional information

4) Use of Adobe Reader 8 or later is required No No 04/05/2021 Submission Update Person(s) Responsible for Information Provided Company Email Address pam.black@evergy.com First Name Pamela Position Title SR Access Specialist Position Title Supv Access Screening First Name Sonya Last Name Jones Last Name Black Company Email Address sonya.jones@evergy.com Person 1 (required):

Person 2 (optional):

Single Positive Test Form (version 1.10.0 - October 2021)

Final Step (Required) - NRC will consider this form authentic in accordance with 10 CFR 26.11 only when the Validate & Lock button is clicked 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.

Locked Form Locked On: Feb 9, 2022 at 9:31:01 AM Reason for the Action First drug or alcohol positive Did this collection involve a subversion attempt? - 26.717(b)(7) and 26.75(b)

No Subversion Attempt -

Sanction Applied (NRC Minimum or Licensee Administrated)

NRC Minimum Delete Submission FFD Program Performance Data Reporting System APPROVED BY OMB: CLEARANCE NO. 3150-0146 EXPIRES: 09/30/2024 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 26.417(b)(2) and 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, Library, and Information Collections Branch (T-6 A10M), U.S. Nuclear Regulatory Commission, Washington, DC 20555-0001, or by e_mail to Infocollects.Resource@NRC.gov, and the OMB reviewer at: OMB Office of Information and Regulatory Affairs, (3150-0146), Attn: Desk Officer for the Nuclear Regulatory Commission, 725 17th Street NW, Washington, DC 20503; e-mail:

oira_submission@omb.eop.gov. The NRC may not conduct or sponsor, and a person is not required to respond to, a collection of information unless the document requesting or requiring the collection displays a currently valid OMB control number.

NRC Form 890, Single Positive Test Form (EIE General Submission Portal)

NRC Form 890 Is this a 24-hour reportable event under 26.719(b)?

No Yes How many substances were confirmed positive for this individual?

1 Substance - 26.717(b)(2) & (b)(6)

Use NRC Cutoffs?

Initial Cutoff Confirmatory Cutoff Limit of Detection Marijuana Yes Date of Collection (mm/dd/yyyy)

Outage Worker (optional)?

Facility Wolf Creek [50-482]

Reason for Testing - 26.717(b)(5)

Random Please elaborate (optional)

Employment Type - 26.717(b)(3)

Contractor/Vendor Labor Category - 26.717(b)(3)

Other Was this collection refused? - 26.717(b)(7) & 26.75 Test Results - 26.717(b)(4)

Test Validity Valid Test Type(s) for Result(s) Reported - 26.717(b)(2)

Drug Only Drug Specimen Tested Urine Was this collection observed? - 26.717(b)(7) & 26.75 Management Actions - 26.717(b)(8) & 26.75 Specific Sanction Applied 14-Day Denial Save to Local PC Print this Report Unique Reference ID (Licensee Supplied)

D6 Please elaborate on the Labor Category selected vending machine badged contractor

1) All fields required except those marked 'optional'

2) Entries in some fields auto-populate information in other fields

3) Mouse over form fields to view additional information

4) Use of Adobe Reader 8 or later is required No No 03/11/2021 Submission Update Person(s) Responsible for Information Provided Company Email Address pam.black@evergy.com First Name Pamela Position Title SR Access Specialist Position Title Supv Access Screening First Name Sonya Last Name Jones Last Name Black Company Email Address sonya.jones@evergy.com Person 1 (required):

Person 2 (optional):

Single Positive Test Form (version 1.10.0 - October 2021)

Final Step (Required) - NRC will consider this form authentic in accordance with 10 CFR 26.11 only when the Validate & Lock button is clicked 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.

Locked Form Locked On: Feb 9, 2022 at 9:35:31 AM Reason for the Action First drug or alcohol positive Did this collection involve a subversion attempt? - 26.717(b)(7) and 26.75(b)

No Subversion Attempt -

Sanction Applied (NRC Minimum or Licensee Administrated)

NRC Minimum Delete Submission FFD Program Performance Data Reporting System APPROVED BY OMB: CLEARANCE NO. 3150-0146 EXPIRES: 09/30/2024 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 26.417(b)(2) and 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, Library, and Information Collections Branch (T-6 A10M), U.S. Nuclear Regulatory Commission, Washington, DC 20555-0001, or by e_mail to Infocollects.Resource@NRC.gov, and the OMB reviewer at: OMB Office of Information and Regulatory Affairs, (3150-0146), Attn: Desk Officer for the Nuclear Regulatory Commission, 725 17th Street NW, Washington, DC 20503; e-mail:

oira_submission@omb.eop.gov. The NRC may not conduct or sponsor, and a person is not required to respond to, a collection of information unless the document requesting or requiring the collection displays a currently valid OMB control number.

NRC Form 890, Single Positive Test Form (EIE General Submission Portal)

NRC Form 890 Is this a 24-hour reportable event under 26.719(b)?

No No How many substances were confirmed positive for this individual?

1 Substance - 26.717(b)(2) & (b)(6)

Use NRC Cutoffs?

Initial Cutoff Confirmatory Cutoff Limit of Detection Marijuana Yes Date of Collection (mm/dd/yyyy)

Outage Worker (optional)?

Please elaborate on the choice(s) selected:

Urine specimen out of temperature range. Donor refused direct observed 2nd urine test. Donor denied.

Facility Wolf Creek [50-482]

Reason for Testing - 26.717(b)(5)

Pre-Access Pre-Access Testing Reason (optional)

Initial Authorization Please elaborate (optional)

Employment Type - 26.717(b)(3)

Contractor/Vendor Labor Category - 26.717(b)(3)

Maintenance (general facility)

Was this collection refused? - 26.717(b)(7) & 26.75 Test Results - 26.717(b)(4)

Test Validity Substituted Test Type(s) for Result(s) Reported - 26.717(b)(2)

Drug Only Drug Specimen Tested Urine Was this collection observed? - 26.717(b)(7) & 26.75 Management Actions - 26.717(b)(8) & 26.75 Specific Sanction Applied Permanent Denial Save to Local PC Print this Report Unique Reference ID (Licensee Supplied)

D7

1) All fields required except those marked 'optional'

2) Entries in some fields auto-populate information in other fields

3) Mouse over form fields to view additional information

4) Use of Adobe Reader 8 or later is required No No 03/12/2021 Submission Update Person(s) Responsible for Information Provided Company Email Address pam.black@evergy.com First Name Pamela Position Title SR Access Specialist Position Title Supv Access Screening First Name Sonya Last Name Jones Last Name Black Company Email Address sonya.jones@evergy.com Person 1 (required):

Person 2 (optional):

Single Positive Test Form (version 1.10.0 - October 2021)

Final Step (Required) - NRC will consider this form authentic in accordance with 10 CFR 26.11 only when the Validate & Lock button is clicked 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.

Locked Form Locked On: Feb 9, 2022 at 9:51:22 AM Reason for the Action Subversion attempt Did this collection involve a subversion attempt? - 26.717(b)(7) and 26.75(b)

Yes Refused to provide initial specimen Refused to provide second specimen Invalid test result (initial specimen collected) - 26.185(f)

Did not appear for testing Shy-bladder (no medical condition)

Refused to follow directions Subversion Attempt -

Sanction Applied (NRC Minimum or Licensee Administrated)

NRC Minimum Delete Submission FFD Program Performance Data Reporting System APPROVED BY OMB: CLEARANCE NO. 3150-0146 EXPIRES: 09/30/2024 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 26.417(b)(2) and 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, Library, and Information Collections Branch (T-6 A10M), U.S. Nuclear Regulatory Commission, Washington, DC 20555-0001, or by e_mail to Infocollects.Resource@NRC.gov, and the OMB reviewer at: OMB Office of Information and Regulatory Affairs, (3150-0146), Attn: Desk Officer for the Nuclear Regulatory Commission, 725 17th Street NW, Washington, DC 20503; e-mail:

oira_submission@omb.eop.gov. The NRC may not conduct or sponsor, and a person is not required to respond to, a collection of information unless the document requesting or requiring the collection displays a currently valid OMB control number.

NRC Form 890, Single Positive Test Form (EIE General Submission Portal)

NRC Form 890 Is this a 24-hour reportable event under 26.719(b)?

No Yes Specimen temperature (out of range)

Specimen paraphernalia identified Specimen characteristics (e.g., color, odor, precipitant)

Donor admitted to subversion attempt Other Date of Collection (mm/dd/yyyy)

Outage Worker (optional)?

Facility Wolf Creek [50-482]

Reason for Testing - 26.717(b)(5)

Pre-Access Pre-Access Testing Reason (optional)

Initial Authorization Please elaborate (optional)

Employment Type - 26.717(b)(3)

Contractor/Vendor Labor Category - 26.717(b)(3)

Maintenance (general facility)

Was this collection refused? - 26.717(b)(7) & 26.75 Test Results - 26.717(b)(4)

Test Validity Valid Test Type(s) for Result(s) Reported - 26.717(b)(2)

Drug Only Drug Specimen Tested Urine Was this collection observed? - 26.717(b)(7) & 26.75 Management Actions - 26.717(b)(8) & 26.75 Specific Sanction Applied 14-Day Denial Save to Local PC Print this Report Unique Reference ID (Licensee Supplied)

D8

1) All fields required except those marked 'optional'

2) Entries in some fields auto-populate information in other fields

3) Mouse over form fields to view additional information

4) Use of Adobe Reader 8 or later is required No No 09/27/2021 Submission Update Person(s) Responsible for Information Provided Company Email Address pam.black@evergy.com First Name Pamela Position Title SR Access Specialist Position Title Supv Access Screening First Name Sonya Last Name Jones Last Name Black Company Email Address sonya.jones@evergy.com Person 1 (required):

Person 2 (optional):

Single Positive Test Form (version 1.10.0 - October 2021)

Final Step (Required) - NRC will consider this form authentic in accordance with 10 CFR 26.11 only when the Validate & Lock button is clicked 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.

Locked Form Locked On: Feb 9, 2022 at 9:56:58 AM Reason for the Action First drug or alcohol positive Did this collection involve a subversion attempt? - 26.717(b)(7) and 26.75(b)

No Subversion Attempt -

Sanction Applied (NRC Minimum or Licensee Administrated)

NRC Minimum Delete Submission FFD Program Performance Data Reporting System APPROVED BY OMB: CLEARANCE NO. 3150-0146 EXPIRES: 09/30/2024 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 26.417(b)(2) and 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, Library, and Information Collections Branch (T-6 A10M), U.S. Nuclear Regulatory Commission, Washington, DC 20555-0001, or by e_mail to Infocollects.Resource@NRC.gov, and the OMB reviewer at: OMB Office of Information and Regulatory Affairs, (3150-0146), Attn: Desk Officer for the Nuclear Regulatory Commission, 725 17th Street NW, Washington, DC 20503; e-mail:

oira_submission@omb.eop.gov. The NRC may not conduct or sponsor, and a person is not required to respond to, a collection of information unless the document requesting or requiring the collection displays a currently valid OMB control number.

NRC Form 890, Single Positive Test Form (EIE General Submission Portal)

NRC Form 890 Is this a 24-hour reportable event under 26.719(b)?

No No How many substances were confirmed positive for this individual?

1 Substance - 26.717(b)(2) & (b)(6)

Use NRC Cutoffs?

Initial Cutoff Confirmatory Cutoff Limit of Detection Marijuana Yes Date of Collection (mm/dd/yyyy)

Outage Worker (optional)?

Facility Wolf Creek [50-482]

Reason for Testing - 26.717(b)(5)

Pre-Access Pre-Access Testing Reason (optional)

Reinstatement (Between 31 and 365 days)

Please elaborate (optional)

Employment Type - 26.717(b)(3)

Contractor/Vendor Labor Category - 26.717(b)(3)

Maintenance (general facility)

Was this collection refused? - 26.717(b)(7) & 26.75 Test Results - 26.717(b)(4)

Test Validity Valid Test Type(s) for Result(s) Reported - 26.717(b)(2)

Drug Only Drug Specimen Tested Urine Was this collection observed? - 26.717(b)(7) & 26.75 Management Actions - 26.717(b)(8) & 26.75 Specific Sanction Applied 14-Day Denial Save to Local PC Print this Report Unique Reference ID (Licensee Supplied)

D9

1) All fields required except those marked 'optional'

2) Entries in some fields auto-populate information in other fields

3) Mouse over form fields to view additional information

4) Use of Adobe Reader 8 or later is required No No 03/10/2021 Submission Update Person(s) Responsible for Information Provided Company Email Address pam.black@evergy.com First Name Pamela Position Title SR Access Specialist Position Title Supv Access Screening First Name Sonya Last Name Jones Last Name Black Company Email Address sonya.jones@evergy.com Person 1 (required):

Person 2 (optional):

Single Positive Test Form (version 1.10.0 - October 2021)

Final Step (Required) - NRC will consider this form authentic in accordance with 10 CFR 26.11 only when the Validate & Lock button is clicked 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.

Locked Form Locked On: Feb 9, 2022 at 10:01:14 AM Reason for the Action First drug or alcohol positive Did this collection involve a subversion attempt? - 26.717(b)(7) and 26.75(b)

No Subversion Attempt -

Sanction Applied (NRC Minimum or Licensee Administrated)

NRC Minimum Delete Submission FFD Program Performance Data Reporting System APPROVED BY OMB: CLEARANCE NO. 3150-0146 EXPIRES: 09/30/2024 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 26.417(b)(2) and 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, Library, and Information Collections Branch (T-6 A10M), U.S. Nuclear Regulatory Commission, Washington, DC 20555-0001, or by e_mail to Infocollects.Resource@NRC.gov, and the OMB reviewer at: OMB Office of Information and Regulatory Affairs, (3150-0146), Attn: Desk Officer for the Nuclear Regulatory Commission, 725 17th Street NW, Washington, DC 20503; e-mail:

oira_submission@omb.eop.gov. The NRC may not conduct or sponsor, and a person is not required to respond to, a collection of information unless the document requesting or requiring the collection displays a currently valid OMB control number.

NRC Form 890, Single Positive Test Form (EIE General Submission Portal)

NRC Form 890 Is this a 24-hour reportable event under 26.719(b)?

No Yes How many substances were confirmed positive for this individual?

1 Substance - 26.717(b)(2) & (b)(6)

Use NRC Cutoffs?

Initial Cutoff Confirmatory Cutoff Limit of Detection Marijuana Yes Date of Collection (mm/dd/yyyy)

Outage Worker (optional)?

Facility Wolf Creek [50-482]

Reason for Testing - 26.717(b)(5)

Pre-Access Pre-Access Testing Reason (optional)

Reinstatement (Between 31 and 365 days)

Please elaborate (optional)

Employment Type - 26.717(b)(3)

Contractor/Vendor Labor Category - 26.717(b)(3)

Maintenance (general facility)

Was this collection refused? - 26.717(b)(7) & 26.75 Test Results - 26.717(b)(4)

Test Validity Valid Test Type(s) for Result(s) Reported - 26.717(b)(2)

Drug Only Drug Specimen Tested Urine Was this collection observed? - 26.717(b)(7) & 26.75 Management Actions - 26.717(b)(8) & 26.75 Specific Sanction Applied 14-Day Denial Save to Local PC Print this Report Unique Reference ID (Licensee Supplied)

D10

1) All fields required except those marked 'optional'

2) Entries in some fields auto-populate information in other fields

3) Mouse over form fields to view additional information

4) Use of Adobe Reader 8 or later is required No No 03/03/2021 Submission Update Person(s) Responsible for Information Provided Company Email Address pam.black@evergy.com First Name Pamela Position Title SR Access Specialist Position Title Supv Access Screening First Name Sonya Last Name Jones Last Name Black Company Email Address sonya.jones@evergy.com Person 1 (required):

Person 2 (optional):

Single Positive Test Form (version 1.10.0 - October 2021)

Final Step (Required) - NRC will consider this form authentic in accordance with 10 CFR 26.11 only when the Validate & Lock button is clicked 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.

Locked Form Locked On: Feb 9, 2022 at 10:05:37 AM Reason for the Action First drug or alcohol positive Did this collection involve a subversion attempt? - 26.717(b)(7) and 26.75(b)

No Subversion Attempt -

Sanction Applied (NRC Minimum or Licensee Administrated)

NRC Minimum Delete Submission FFD Program Performance Data Reporting System APPROVED BY OMB: CLEARANCE NO. 3150-0146 EXPIRES: 09/30/2024 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 26.417(b)(2) and 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, Library, and Information Collections Branch (T-6 A10M), U.S. Nuclear Regulatory Commission, Washington, DC 20555-0001, or by e_mail to Infocollects.Resource@NRC.gov, and the OMB reviewer at: OMB Office of Information and Regulatory Affairs, (3150-0146), Attn: Desk Officer for the Nuclear Regulatory Commission, 725 17th Street NW, Washington, DC 20503; e-mail:

oira_submission@omb.eop.gov. The NRC may not conduct or sponsor, and a person is not required to respond to, a collection of information unless the document requesting or requiring the collection displays a currently valid OMB control number.

NRC Form 890, Single Positive Test Form (EIE General Submission Portal)

NRC Form 890 Is this a 24-hour reportable event under 26.719(b)?

No Yes How many substances were confirmed positive for this individual?

1 Substance - 26.717(b)(2) & (b)(6)

Use NRC Cutoffs?

Initial Cutoff Confirmatory Cutoff Limit of Detection Amphetamine Yes Date of Collection (mm/dd/yyyy)

Outage Worker (optional)?

Facility Wolf Creek [50-482]

Reason for Testing - 26.717(b)(5)

Pre-Access Pre-Access Testing Reason (optional)

Initial Authorization Please elaborate (optional)

Employment Type - 26.717(b)(3)

Contractor/Vendor Labor Category - 26.717(b)(3)

Other Was this collection refused? - 26.717(b)(7) & 26.75 Test Results - 26.717(b)(4)

Test Validity Valid Test Type(s) for Result(s) Reported - 26.717(b)(2)

Drug Only Drug Specimen Tested Urine Was this collection observed? - 26.717(b)(7) & 26.75 Management Actions - 26.717(b)(8) & 26.75 Specific Sanction Applied 14-Day Denial Save to Local PC Print this Report Unique Reference ID (Licensee Supplied)

D11 Please elaborate on the Labor Category selected cafe worker

1) All fields required except those marked 'optional'

2) Entries in some fields auto-populate information in other fields

3) Mouse over form fields to view additional information

4) Use of Adobe Reader 8 or later is required No No 04/19/2021 Submission Update Person(s) Responsible for Information Provided Company Email Address pam.black@evergy.com First Name Pamela Position Title SR Access Specialist Position Title Supv Access Screening First Name Sonya Last Name Jones Last Name Black Company Email Address sonya.jones@evergy.com Person 1 (required):

Person 2 (optional):

Single Positive Test Form (version 1.10.0 - October 2021)

Final Step (Required) - NRC will consider this form authentic in accordance with 10 CFR 26.11 only when the Validate & Lock button is clicked 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.

Locked Form Locked On: Feb 14, 2022 at 12:20:45 PM Reason for the Action First drug or alcohol positive Did this collection involve a subversion attempt? - 26.717(b)(7) and 26.75(b)

No Subversion Attempt -

Sanction Applied (NRC Minimum or Licensee Administrated)

NRC Minimum Delete Submission FFD Program Performance Data Reporting System APPROVED BY OMB: CLEARANCE NO. 3150-0146 EXPIRES: 09/30/2024 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 26.417(b)(2) and 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, Library, and Information Collections Branch (T-6 A10M), U.S. Nuclear Regulatory Commission, Washington, DC 20555-0001, or by e_mail to Infocollects.Resource@NRC.gov, and the OMB reviewer at: OMB Office of Information and Regulatory Affairs, (3150-0146), Attn: Desk Officer for the Nuclear Regulatory Commission, 725 17th Street NW, Washington, DC 20503; e-mail:

oira_submission@omb.eop.gov. The NRC may not conduct or sponsor, and a person is not required to respond to, a collection of information unless the document requesting or requiring the collection displays a currently valid OMB control number.

NRC Form 890, Single Positive Test Form (EIE General Submission Portal)

NRC Form 890 Is this a 24-hour reportable event under 26.719(b)?

No Yes How many substances were confirmed positive for this individual?

1 Substance - 26.717(b)(2) & (b)(6)

Use NRC Cutoffs?

Initial Cutoff Confirmatory Cutoff Limit of Detection Marijuana Yes Date of Collection (mm/dd/yyyy)

Outage Worker (optional)?