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{{#Wiki_filter:W.LF CREEK   'NUCLEAR OPERATING CORPORATION Steven R. Koenig Manager Regulatory Affairs February 24, 2015 RA 15-0018 U. S. Nuclear Regulatory Commission ATTN: Document Control Desk Washington, DC 20555
{{#Wiki_filter:W.LF CREEK
'NUCLEAR OPERATING CORPORATION Steven R. Koenig Manager Regulatory Affairs February 24, 2015 RA 15-0018 U. S. Nuclear Regulatory Commission ATTN: Document Control Desk Washington, DC 20555


==Subject:==
==Subject:==
Docket No. 50-482: Electronic Submittal of Annual Fitness for Duty Program Performance Report and Annual Fatigue Report for 2014 Gentlemen:
Docket No. 50-482:
Electronic Submittal of Annual Fitness for Duty Program Performance Report and Annual Fatigue Report for 2014 Gentlemen:
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 2014 to the Nuclear Regulatory Commission (NRC) FFD Program Performance Data Reporting System through the U.S. NRC Electronic Information Exchange on February 23, 2015. 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 resident inspector.
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 2014 to the Nuclear Regulatory Commission (NRC) FFD Program Performance Data Reporting System through the U.S. NRC Electronic Information Exchange on February 23, 2015. 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 resident inspector.
This letter contains no commitments. If you have any questions concerning this matter, please contact me at (620) 364-4041.
This letter contains no commitments. If you have any questions concerning this matter, please contact me at (620) 364-4041.
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==Enclosures:==
==Enclosures:==
copies of 2014 FFD and Fatigue Reports cc:   M. L. Dapas (NRC), w/e C. F. Lyon (NRC), w/e N. F. O'Keefe (NRC), w/e
copies of 2014 FFD and Fatigue Reports cc:
                                                                                              ,dc),04 Senior Resident Inspector (NRC), w/e P.O. Box 411 / Burlington, KS 66839 / Phone: (620) 364-8831 An Equal Opportunity Employer M/F/HCNET
M. L. Dapas (NRC), w/e C. F. Lyon (NRC), w/e N. F. O'Keefe (NRC), w/e Senior Resident Inspector (NRC), w/e P.O. Box 411 / Burlington, KS 66839 / Phone: (620) 364-8831 An Equal Opportunity Employer M/F/HCNET
,dc),04


Estimated burden per response to comply with this collection request is 114 hours. This form is a voluntary means of reporting the inuformationrequired under 10 CFR 26.717. The information is requirec by NRC to obtain on an annual basis site specific fltness-for-duty (FFD) program performance data on drug and alcohol programs from licensees and other entitles. Send comments regarding burder estimate to the FOIA, Privacy and Informaton Collection Branch (T5-F53), U.S. Nuclear Regulatory Commission, Washington DC 20555-0001, or by e-mail to l,                                         and t the Desk Officer, Office of Information and Regulatory Affairs, NEOB-1020, (3150.0146), Office of Management and Buaget, Washington DC 20503. If a means used to impose information collectin 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.
Estimated burden per response to comply with this collection request is 114 hours. This form is a voluntary means of reporting the inuformation required under 10 CFR 26.717. The information is requirec by NRC to obtain on an annual basis site specific fltness-for-duty (FFD) program performance data on drug and alcohol programs from licensees and other entitles. Send comments regarding burder estimate to the FOIA, Privacy and Informaton Collection Branch (T5-F53), U.S. Nuclear Regulatory Commission, Washington DC 20555-0001, or by e-mail to l,
1)All fields required utess marked 'optlonal
and t the Desk Officer, Office of Information and Regulatory Affairs, NEOB-1020, (3150.0146), Office of Management and Buaget, Washington DC 20503.
: 2) Use of Adobe Reader 8 or lateris ruqufrsd                                                                 SSubmission
If a means used to impose information collectin 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.
: 3) Mouse over fields for additlonal Infonnaldo"                                                               Update Select Facility lWolf Creek [50W4821
: 1) All fields required utess marked 'optlonal
                                                                                                            ]l 2014 Pei2od of Report
: 2) Use of Adobe Reader 8 or later is ruqufrsd
                                                                                                                                    -1 Tests Conducted In 01e CalendarYear Total Number of Tests Conducted                                             Total Number of Positive, Adulterated, Reason For Testing                     Licensee Employees                       Contractors/Vendors                           Substituted, and Refusal to Test Results Pr.-Access;                             1 11                       4                                       g11                                  1                     7_1 Random                                     [                         1                                     32                                 1                       °1 For Cause                                                         5                                           2                                                       1 Post-Event                                                       ]3                                           11                                                       01 Follo  wup                                                      26]                                         8o0l                                                        11 Total (Calculated)                                             65I1]                                     1,3661             _9_
: 3) Mouse over fields for additlonal Infonnaldo" Select Facility SSubmission Update Pei2od of Report
FFDProgramRandom Testing Populationand Rate Average number of licensee employees F                          I°*        I Average number of contractors/vendors I'            F Total size of the random testing pool throughout the period (Calculated)
]l 2014  
F*g Annual random testing percentage I*
-1 lWolf Creek [50W4821 Tests Conducted In 01e Calendar Year Total Number of Tests Conducted Total Number of Positive, Adulterated, Reason For Testing Licensee Employees Contractors/Vendors Substituted, and Refusal to Test Results Pr.-Access; 1 11 4 g1 1 1
achieved for the testing pool LaboratoryTesting Does yOur program use a Licensee Testing Facility?         No (Yes I No)
7_1 Random
Identify your HHS-Certified Laboratory(ies)             IClinical Reference Laboratory, Lenexa, KS Identify your Blind Performance Test Sample supplier(s)                 AT Laboratories, Inc,. Lenexa, KS Substances Tested Did your program only test for NRC-required substances                                                       Does your program conduct LOD testing               Y AND at the NRC-specified minimum cutoff levels? (Yes / No) Yes                                               permitted in 26.163(aX2)? (Yes / No)
[
Special Analyses Tenng Results                             Total Number of "Dilute                                                                                     [
1 32 1  
Specimen Test Results                         1 (0             (Secal AName Dlyses   T         pestingeCndutds Sei A                 T           o (Optional)
°1 For Cause 5
Substance           Use Only NRC Cutoff               initial       Confirmatory             LOD Testing?                                       Comment Levels? (Yes I No)             Cutoff             Cutoff                 (Yes I No)                                     (Optional)
2 1
Alcohol                   Yes                                                                   Not Applicable Cocaine                   Yes                                                                   iYes1 Marijuana                           ZYes                                                       Yes Amphetamines             Fes                                                                   yes Opiates                   yes iy                                                               Yes PCP                       Yes 2-                                                          NRC Form 891 (1212014)
Post-Event  
: 19. 2014)                         Page 1
]3 11 01 F ollo wu p
                                                                                          -- Page   1 of 1.6.0 -- December (version 1.6.0 of 2 -
2 6]
Annual Annual    Report  Form (version Report Form                        December 19, 2014)                                                                                                     NRC Form 891 (12/2014)
8 o0l 11 Total (Calculated) 65I1]
1,3661
_9_
FFD Program Random Testing Population and Rate Average number of Average number of Total size of the random testing pool Annual random testing percentage licensee employees contractors/vendors throughout the period (Calculated) achieved for the testing pool F
I°* I I' F F*g I*
Laboratory Testing Does yOur program use a Licensee Testing Facility?
No (Yes I No)
Identify your HHS-Certified Laboratory(ies)
IClinical Reference Laboratory, Lenexa, KS Identify your Blind Performance Test Sample supplier(s)
AT Laboratories, Inc,. Lenexa, KS Substances Tested Did your program only test for NRC-required substances Does your program conduct LOD testing Y
AND at the NRC-specified minimum cutoff levels? (Yes / No) Yes permitted in 26.163(aX2)? (Yes / No)
Special Analyses Tenng Results Total Number of "Dilute
[
Specimen Test Results (0
1 (Secal AName Dlyses T
pestingeCndutds (Optional)
Sei A T
o Substance Use Only NRC Cutoff initial Confirmatory LOD Testing?
Comment Levels? (Yes I No)
Cutoff Cutoff (Yes I No)
(Optional)
Alcohol Yes Not Applicable Cocaine Yes iYes1 Marijuana ZYes Yes Amphetamines Fes yes Opiates yes iy Yes PCP Yes Annual Report Form (version 1.6.0 - December 19. 2014)  
- Page 1 of 2 -
NRC Form 891 (1212014)
Annual Report Form (version 1.6.0 - December 19, 2014)
- Page 1 of 2 -
NRC Form 891 (12/2014)


Substances Tested - continued Summary of Management Actions - 26,717(bX8)
Substances Tested - continued Summary of Management Actions - 26,717(bX8)
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.
Summarize actions implemented to improve FFD program performance. As applicable, reference in the topic description audit reports, 30-day reports, and/or corrective action reports. If reporting information on more than three topics, select "Others" for Topic 3 to report any additional topics.
Topic 1                                             Topic 1 Description Program and System Management                       NRC IR05000482/2014403 04114114 -04/17/14 Fitness For Duty Program Inspection NCV 05000482/2014403-01 Failure To Test DonorOff-site When Selected For Random, at Earliest Reasonable Opportunity. Condition Report CR 00082946 initiated to evaluate and address the concern.
Topic 1 Topic 1 Description Program and System Management NRC IR 05000482/2014403 04114114 -04/17/14 Fitness For Duty Program Inspection NCV 05000482/2014403-01 Failure To Test DonorOff-site When Selected For Random, at Earliest Reasonable Opportunity. Condition Report CR 00082946 initiated to evaluate and address the concern.
Implemented tracking method to track return of individual to site by notifying the person's FFD Supervisor and FFD staff. Actions completed 09110114, effectiveness review completed 11/14/14 NCV 050000482/2014403-02 Failure To Train FFD Urine Collectors On The In-Use Thermometer.
Implemented tracking method to track return of individual to site by notifying the person's FFD Supervisor and FFD staff. Actions completed 09110114, effectiveness review completed 11/14/14 NCV 050000482/2014403-02 Failure To Train FFD Urine Collectors On The In-Use Thermometer.
Condition Report CR 00082953 initiated to evaluate and address the concern. Provided remedial training for all FFD collectors, revised training materials. Actions completed 10/06/14, effectiveness review completed 01/13t15.
Condition Report CR 00082953 initiated to evaluate and address the concern. Provided remedial training for all FFD collectors, revised training materials. Actions completed 10/06/14, effectiveness review completed 01/13t15.
Licensee-Identified Violations: three examples of violations of very low safety significance (Green) were identified by the licensee and are violations of NRC requirements which meet the criteria of the NRC Enforcement Policy for being dispositioned as Non-Cited Violations.
Licensee-Identified Violations: three examples of violations of very low safety significance (Green) were identified by the licensee and are violations of NRC requirements which meet the criteria of the NRC Enforcement Policy for being dispositioned as Non-Cited Violations.
Topic 2                                             Topic 2 Description Program and System Management                       Quality Assurance Audit Report No: 14-10-FFD/FM, 10/16/14 - 11/13/14 Fitness For Duty and Fatigue Management. There were nine (9) QA Issues, three (3) QA Recommendations and three (3) items identified during the audit that will require GA follow-up.
Topic 2 Topic 2 Description Program and System Management Quality Assurance Audit Report No: 14-10-FFD/FM, 10/16/14 - 11/13/14 Fitness For Duty and Fatigue Management. There were nine (9) QA Issues, three (3) QA Recommendations and three (3) items identified during the audit that will require GA follow-up.
Three of the GA Issues were on the FFD program, CR 00089757 on procedure formatting errors, CR 00089762 for correction to training dates for an individual in the PADS database and CR 00089143 to document the justification for two observed screens in the Corrective Action database. The QA Recommendations were to improve visibility of Me EAP for personnel, consider deleting a form that duplicates tracking elements tracked by other processes and physical improvements to the access screening office areas. Two of the three QA Follow-up items were on the FFD program. Corrective actions have been implemented, CRs to perform a follow up on the effectiveness are CR 00089772 on effectiveness of actions to ensure UAA/UA is removed ifdrug results are not received within five business days and CR 00089763 to review actions implemented for the BOP.
Three of the GA Issues were on the FFD program, CR 00089757 on procedure formatting errors, CR 00089762 for correction to training dates for an individual in the PADS database and CR 00089143 to document the justification for two observed screens in the Corrective Action database. The QA Recommendations were to improve visibility of Me EAP for personnel, consider deleting a form that duplicates tracking elements tracked by other processes and physical improvements to the access screening office areas. Two of the three QA Follow-up items were on the FFD program. Corrective actions have been implemented, CRs to perform a follow up on the effectiveness are CR 00089772 on effectiveness of actions to ensure UAA/UA is removed if drug results are not received within five business days and CR 00089763 to review actions implemented for the BOP.
[] Add an additional Topic Topic 3                                             Topic 3 Description Other(s)                                             CR 00078259 - Random not collected within 30 days of selection, resolution - daily tracking implemented.
[] Add an additional Topic Topic 3 Topic 3 Description Other(s)
CR 00080135 - Failure to enter DA results in PADS within five business days, resolution - daily Please elaborate:                                   documentation of data entry.
CR 00078259 - Random not collected within 30 days of selection, resolution - daily tracking implemented.
CR 00080726 - UA not administratively withdrawn when DA results not received with five business Condition Reports (CR) on the FFD program.           days, resolution - daily tracking of outstanding DA results.
CR 00080135 - Failure to enter DA results in PADS within five business days, resolution - daily Please elaborate:
documentation of data entry.
CR 00080726 - UA not administratively withdrawn when DA results not received with five business Condition Reports (CR) on the FFD program.
days, resolution - daily tracking of outstanding DA results.
CR 00080773 - Individual not added to Follow-Up program in SSIS, resolution - weekly comparison of PADS active at Wolf Creek in a Follow-Up program against SSIS active Follow-Up list.
CR 00080773 - Individual not added to Follow-Up program in SSIS, resolution - weekly comparison of PADS active at Wolf Creek in a Follow-Up program against SSIS active Follow-Up list.
CR 00082548 - Failure to place badge on Security Clearance Hold - miscalculation of the five business day receipt of DA results, Security Log Entry #9, resolution -daily review of outstanding DA results verified by second checker.
CR 00082548 - Failure to place badge on Security Clearance Hold - miscalculation of the five business day receipt of DA results, Security Log Entry #9, resolution -daily review of outstanding DA results verified by second checker.
CR 00082900 - FFD potential NRC Minor Violations of 10 CFR 26, resolution -developed matrix of 10 CFR 26 to FFD procedures, revised procedures and desktops.
CR 00082900 - FFD potential NRC Minor Violations of 10 CFR 26, resolution -developed matrix of 10 CFR 26 to FFD procedures, revised procedures and desktops.
Person(s) Responsible for Information Provided Person 1 (required):
Person(s) Responsible for Information Provided Person 1 (required):
l           X         I Z ]               Hoch                                   Supervisor, Access Screening             cahoch@     noc.co First Name                             Last Name                               Position Title                       Company E Email Address Person 2 (optional):
l X
1Ken FFitnass   First Name Craighead Last Name For Duty Program Position Title kecraig@wcnoc.com Companv r    Email Address Final Step (Required)- NRC will consider this form authentic in accordance with 26.11 only when the "Validate & Lock" button has been selected and all errors (i.e., those highlighted in red) have been corrected. The "Validate & Lock" button will change to 'Locked" after the data validation process has been successfully completed and the form is ready for submission.
I Z ]
Form Locked On:IFeb 17. 2015 at 3:32.22 PM]                                                         Save to Local PC     iPnt this Report Annual Report Form (version 1.6.0 - December 19, 2014)                         - Page 2 of 2 -                                                 NRC Form 891 (12/2014)
Hoch Supervisor, Access Screening cahoch@
Annual Report Form (version 1.6.0 - December 19, 2014)                         - Page 2 of 2 -                                                 NRC Form 891 (12/2014)
noc.co First Name Last Name Position Title Company E Person 2 (optional):
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1Ken Craighead FFitnass For Duty Program kecraig@wcnoc.com First Name Last Name Position Title Companv Email Address Email Address r
: 2) Etries.Insom, Noielsate-opepn d bte           n obmma in o~te fielt,                     Etislmted burden per response to comply %it thin collection request Is 30 minutes. Tha form Is a voluntary means of reporting the Information required under 10 CFR 28.717. The V1We... avvwrfarm        ffielif to viewadditional Idnforaton Itonnration Is required by NRC to obtain on an annual bail altsoeslic larens-for-dut1 4)Live ofAdohe Reader'8          orhawois reqdmde                                            (FFD) program performance data on drug and alcohol progrus from lcenseie and othe ente,. Send comment. regarding burden etshet. to the FOIA. Pivecy and Informotiom, oEDelete                                                      Collection Branch (TS-F53), U.S Nudear Reguiatory Commdieon, Wanhingftn DC m~o  Sbison                                                                              20555-0001, or by e-moal to nfaise               [oibC           and to the Desk Ofttr Office of Informalon and Regulatory Aflfrs, NEO6-1020, (3150-0146), Ofce o Management and Budget Washington DC 20503. If a mean. used to impose Informatov collection doen not display a cumrentlyvalid OMB control number, the NRC my not condumc or sponsor, and a person is not required to repond to, tie information collclion.
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.
Select Facility FO         50-42]
Form Locked On:IFeb 17. 2015 at 3:32.22 PM]
re
Save to Local PC iPnt this Report Annual Report Form (version 1.6.0 - December 19, 2014)
                                                                          ]                Date of Collection (mm/dd/yyyy)             03/10/2014 Reason for Testing - 28.717(b)(5)                   Pre-Access Testing Reason (optional)                              Please elaborate (optional)
- Page 2 of 2 -
It-A.C                   m             j     I       I    Autorizaion Employment Type - 26.717(b)(3)                     Outage Worker (optional)?
NRC Form 891 (12/2014)
iControrNeYr                                 I     I WI Labor Category - 26.717(b)(3)                       Please elaborate I
Annual Report Form (version 1.6.0 - December 19, 2014)  
Isthisaa24-HourReporting Event(Yfeadfo)? - 26.719(b)                   FNo Refusal- 26.717(b)(7) & 26.75 Was this collection refused (Yes / No)?           E~i Teat Results - 26.717(b)(4)
- Page 2 of 2 -
NRC Form 891 (12/2014)
: 7) ^a nirse rwlaeqae arnain mlaene mare. opaerom
: 2) Etries. In som, Noiel sate-opepn d
bte n
obmma in o~te fielt, V1 We... avvwrfarm ffielif to view additional Idnforaton 4)Live ofAdohe Reader'8 or hawo is reqdmde m~o Sbison oEDelete Select Facility Etislmted burden per response to comply %it thin collection request Is 30 minutes. Tha form Is a voluntary means of reporting the Information required under 10 CFR 28.717. The Itonnration Is required by NRC to obtain on an annual bail alt soeslic larens-for-dut1 (FFD) program performance data on drug and alcohol progrus from lcenseie and othe ente,. Send comment. regarding burden etshet. to the FOIA. Pivecy and Informotiom, Collection Branch (TS-F53), U.S Nudear Reguiatory Commdieon, Wanhingftn DC 20555-0001, or by e-moal to nfaise
[oibC and to the Desk Ofttr Office of Informalon and Regulatory Aflfrs, NEO6-1020, (3150-0146), Ofce o Management and Budget Washington DC 20503. If a mean. used to impose Informatov collection doen not display a cumrently valid OMB control number, the NRC my not condumc or sponsor, and a person is not required to repond to, tie information collclion.
FO re 50-42]
]
Date of Collection (mm/dd/yyyy) 03/10/2014 tional)
Please elaborate (optional)
Reason for Testing - 28.717(b)(5)
Pre-Access Testing Reason (op It-A.C m
I j
I Autorizaion Employment Type - 26.717(b)(3)
Outage Worker (optional)?
iControrNeYr I
I WI Labor Category - 26.717(b)(3)
Please elaborate Isthisaa24-Hour Reporting Event(Yfeadfo)? - 26.719(b)
FNo Refusal-26.717(b)(7) & 26.75 Was this collection refused (Yes / No)? E~i Teat Results - 26.717(b)(4)
Test Validity
Test Validity
[Not Appli           ]
[Not Appli  
Test Type(s) for Result(s) Reported - 26.717(b)(2)             Alcohol Testing Alcohol Only                                               I Breath Substance - 26.717(b)(2) & (b)(6)
]
Test Type(s) for Result(s) Reported - 26.717(b)(2)
Alcohol Testing Alcohol Only I Breath I
Substance - 26.717(b)(2) & (b)(6)
Alcohol What 26.103 BAC level was exceeded?
Alcohol What 26.103 BAC level was exceeded?
0,04 or greater Subversion Attempts - 26.717(b)(7) and 26.75(b)
0,04 or greater Subversion Attempts - 26.717(b)(7) and 26.75(b)
Did this collection involve a subversion attempt (Yes/No)?
Did this collection involve a subversion attempt (Yes/No)?
Manaoement Actions - 26.717(b)(8) & 26.75 Reason for the Action First drug or alcohol positive Sanction Applied (NRC Minimum or Licensee Administrated)
Manaoement Actions - 26.717(b)(8) & 26.75 Reason for the Action First drug or alcohol positive Sanction Applied (NRC Minimum or Licensee Administrated)
NRC Minimum Specific Sanction Applied 14- Day Denial Person(s)Responsible for Information Provided Ponion I (required):
NRC Minimum Specific Sanction Applied 14-Day Denial Person(s) Responsible for Information Provided Ponion I (required):
Icon                                       I o" -                                  isu ev o Sce nn                             chho w....
Icon I o" isu ev o Sce nn c h ho w....
First Name                                 Last Name                                 Position Title                           Company Email Address Person 2 (optional):
First Name Last Name Position Title Company Email Address Person 2 (optional):
IKe                                                                                    Fitns o uyPog ram                           k=wag~wcooc.com First Name                                 Last Name                                 Posbon     me                           Company Email Address Final Sap (Required)- NRC via conskder ftle form authentic I accordance wlth 26.11 only when the Vallldate& Lock' buoon is clicked and at errors (higlight*d in red) have been corrected. The "Votidate & Lock" button will change to 'Locked' after the det.vreidation process ha be*n suaocoanilty completed indicating the forn is ready for submisaon.
I Ke Fitns o uyPog ram k=wag~wcooc.com First Name Last Name Posbon me Company Email Address Final Sap (Required) - NRC via conskder ftle form authentic I accordance wlth 26.11 only when the Vallldate & Lock' buoon is clicked and at errors (higlight*d in red) have been corrected. The "Votidate & Lock" button will change to 'Locked' after the det. vreidation process ha be*n suaocoanilty completed indicating the forn is ready for submisaon.
Form Locked On: IFeb 11, 2015 at 1:52:18PM                                                         S       tot     iPC       FPor 8901R2214 Single Positive Teat Form (version 1.6.0 - Decenmber           19, 2014)                                                                                     NRCForm890 (12/2014)
Form Locked On: I Feb 11, 2015 at 1:52:18PM S
 
tot iPC FPor 8901R2214 Single Positive Teat Form (version 1.6.0 - Decenmber 19, 2014)
Estimated burden per response to comply with thid collecton request is 30 minutes. Thei form ts a voluntay mearms of reporting the Information req*ired uider 10 CFR 26.717. The
NRC Form 890 (12/2014)
: 3) Mu".. owtame ffed. to vieweddOMneflnarmadon                                            Intormnelon Is required by NRC to obtain       en an wninal basis tspook fnmstfor--duti
: 3) Mu".. owtame ffed. to view eddOM neflnarmadon
: 4) th. oWAckbeRead~rer    # r arters qubvd                                                (FF0) program perlorrmrace data on drug and alcohol progarne from licnsees and othei entities. Send comments regarding burden estimate to the FOIA, Privacy and Information
: 4) th. oWAckbe Read~rer
[*Submission          [    Delete                                                    Collection Branch (TS-F53), U.S. Nuclear Regulatory Commiaslon, Washington DC Update              L- Submission                                                20555-0001, or by s-mall to n                                     and to the Desk Ofttcr, Ofice of information and Regulatory Affairs, NEOB-1020, (3150-0146), Office oi i i Unique Reference        D Licensee Suppti                                                Management and Budget Walhington DC 20503. If a meanm used to Immese Information 50~-48-A2                                                                              collection does not displaya currently vasid OMB contut number, the NRC may not condud or sponsor, and a person Is not required to respond to, the Information collection.
# r arter s qubvd
selectFaifclty Date of Collection 1          1 WoWf   Creek [50-482]                                                                   (mmlddyyyy)               0 Reason for Testing - 26.717(b)(5)                 Please elaborate on the             feson rortesting (optional)
[*Submission
IF         l l             Z               I       F[tw-up   rendomselection.
[
Employment Type - 26.717(b)(3)                   Outage Woirker (joptiona?
Delete Update L-Submission Unique Reference i
lContracterNenclor zz Labor Category- 26.717(b)(3)
D i
II                                           Please elaborate Laborer
Licensee Suppti 50~-48-A2 select Faifclty Estimated burden per response to comply with thid collecton request is 30 minutes. Thei form ts a voluntay mearms of reporting the Information req*ired uider 10 CFR 26.717. The Intormnelon Is required by NRC to obtain en an wninal basis tspook fnmstfor--duti (FF0) program perlorrmrace data on drug and alcohol progarne from licnsees and othei entities. Send comments regarding burden estimate to the FOIA, Privacy and Information Collection Branch (TS-F53), U.S. Nuclear Regulatory Commiaslon, Washington DC 20555-0001, or by s-mall to n and to the Desk Ofttcr, Ofice of information and Regulatory Affairs, NEOB-1020, (3150-0146), Office oi Management and Budget Walhington DC 20503. If a meanm used to Immese Information collection does not display a currently vasid OMB contut number, the NRC may not condud or sponsor, and a person Is not required to respond to, the Information collection.
/s this a 24-HourReporting Event (Veslfo)? - 26.71 9(b)               No Refusal- 26.717(b)(7) & 26,75 Was this collection refused (Yes / No)?
WoWf Creek [50-482]
Date of Collection 1 1
(mmlddyyyy) 0 feson ror testing (optional)
Reason for Testing - 26.717(b)(5)
Please elaborate on the IF l l Z
I F[tw-up rendom selection.
Employment Type - 26.717(b)(3) lContracterNenclor Labor Category - 26.717(b)(3)
II zz Outage Woirker (joptiona?
Please elaborate Laborer
/s this a 24-Hour Reporting Event (Veslfo)? - 26.71 9(b)
No Refusal-26.717(b)(7) & 26,75 Was this collection refused (Yes / No)?
Test Results - 26.717(b)(4)
Test Results - 26.717(b)(4)
Test Validity INot Applicable         I Test Type(s) for Result(s) Reported - 26.717(b)(2)           Alcohol Testing Alcohol Only Substance - 26.717(b)(2) & (b)(6)
Test Validity INot Applicable I
Test Type(s) for Result(s) Reported - 26.717(b)(2)
Alcohol Only Alcohol Testing Substance - 26.717(b)(2) & (b)(6)
Alcohol Vill& 26.103 BAC level ors exceeded?
Alcohol Vill& 26.103 BAC level ors exceeded?
0.04 or greater Subversion Attempts - 26.717(b)(7) and 26.75(b)
0.04 or greater Subversion Attempts - 26.717(b)(7) and 26.75(b)
Did this collection Involve a subversion attempt (Yes/No)?
Did this collection Involve a subversion attempt (Yes/No)?
Mansoement Actions - 26 717(b)(8) & 26.75 Reason for the Action ISecond drug or alcohol positive Sanction Applied (NRC Minimum or Licensee Administrated)
Mansoement Actions - 26 717(b)(8) & 26.75 Reason for the Action ISecond drug or alcohol positive Sanction Applied (NRC Minimum or Licensee Administrated)
NRC Minimum Fi-Specific Sanction Applied 5- Year Denial Person(s)Responsible for Information Provided Person 1 (required):
NRC Minimum Specific Sanction Applied 5-Year Denial Person(s) Responsible for Information Provided Person 1 (required):
o-rt                                                                             liuprio Aces Scenn                             aoh         ....
o-rt Fi-liuprio Aces Scenn aoh First Name Last Name Position Title Company Email Address Peraon 2 (options):
First Name                               Last Name                                 Position Title                         Company Email Address F,
I.-
Peraon 2 (options):
F, -;a Fe~~
I.-                                             -;a                                   Fe~~                                                   o camrDtyPoga First Name                               Last Name                                 Position TCtle                         company Eriol Address Flhsl Step IRequlrsd) - NRC will consider this form authentic in accordanco with 26.11 only when the Validate &Lock' button is clicked and all errors (highlighted in red) have been corrected. The "Validate &Loc button wili change to "Locked after the date validetion process has been successhly completed Indicating the form is ready for submleslon.
o camrDtyPoga First Name Last Name Position TCtle company Eriol Address Flhsl Step IRequlrsd) - NRC will consider this form authentic in accordanco with 26.11 only when the Validate & Lock' button is clicked and all errors (highlighted in red) have been corrected. The "Validate & Loc button wili change to "Locked after the date validetion process has been successhly completed Indicating the form is ready for submleslon.
Form Locked On: F   Feb 11, 2015 al   1:51:52 PM                                                   Sav89Loc0         PC A fthi               1R2/04 Single Positive Test Fonm(version 1.6.0 - December 19, 2014)                                                                                               NRC Form890 (12/2014)
Form Locked On: F Feb 11, 2015 al 1:51:52 PM Sav89Loc0 PC A fthi 1R2/04 Single Positive Test Fonm (version 1.6.0 - December 19, 2014)
NRC Form 890 (12/2014)


1)tANltfid. rsu*vd excelof OWlesmashed e'sa                                           IAPPROVEBYONE:CLEARANCE                 NO.3104146                 EXPIRE&11212 V nlfa braw   some I awtvfspulaplksean m/ean         n owr ffseda                     Estimated burden per response to comply wwiht        colletion request is 30 minutes. This
1)t AN ltfid. rsu*vd excelof OWles mashed e'sa IAPPROVE BY ONE: CLEARANCE NO. 3104146 EXPIRE&11212 V nlfa braw some I awtvfspulaplksean m/ean n owr ffseda
: 3) Nllaw over fonmflar s to v** waddefali                                              term is a voluntary means of reporting the Information requred under 10 CFR 26.717. The mmtioson Informaston is reqidred by NRC to obtain on an annual basis sit speoikc itess-for-duty
: 3) Nllaw over fonm flar s to v** w addefali mmtioson
: 4) Use of Adohe RAeaedr tor    hewti ra*eed (FFD) program performance data on drug and alcohol progara from liensees and other otitiesa. Send comments regarding burden eslimete to the FOIA, Privacy andInfonnation Update              0]  Submission Delete El Submi'sion                                                                          Collection Branch (TS-F53), U.S. Nuclear Regulatoy Commission, Washington DC 20555-0001, or by s-mall to Intoolecti ReouruspNRC sov and to the Desk Officer, Office of Information and Regulatory Afteir, NEOB-1020, (3150-0146), Office of Unique Referc c              eneUs Suppl F50-82-A3                                                                              Management and Budget Washi*gton DC 20503. if a means used to irpose information colecton does not display a currently valid OMB control number, the NRC may not conduct or sporsor. and a person is not requked to respond to, the inormation collection.
: 4) Use of Adohe RAeaedr tor hewti ra*eed El Submi'sion Delete Update 0] Submission Unique Referc c eneU s Suppl F50-82-A3 Select Facility Volf Creek (50-482]
Select Facility Date of Collection Volf Creek (50-482]
Estimated burden per response to comply wwih t colletion request is 30 minutes. This term is a voluntary means of reporting the Information requred under 10 CFR 26.717. The Informaston is reqidred by NRC to obtain on an annual basis sit speoikc itess-for-duty (FFD) program performance data on drug and alcohol progara from liensees and other otitiesa. Send comments regarding burden eslimete to the FOIA, Privacy and Infonnation Collection Branch (TS-F53), U.S. Nuclear Regulatoy Commission, Washington DC 20555-0001, or by s-mall to Intoolecti ReouruspNRC sov and to the Desk Officer, Office of Information and Regulatory
(mm/dd/yyyy)C           04/18/2014 Reason for Testing - 26717(b)(5)                For Cause Testing Reason                                        Please elaborate (optional)
: Afteir, NEOB-1020, (3150-0146), Office of Management and Budget Washi*gton DC 20503. if a means used to irpose information colecton does not display a currently valid OMB control number, the NRC may not conduct or sporsor. and a person is not requked to respond to, the inormation collection.
IFor Cause lPhysical ConditiornSmell of Alcohol Employment Type - 26&717(b)(3)                   Outsge Worker (oWptonal?
Date of Collection (mm/dd/yyyy)C 04/18/2014 Please elaborate (optional)
Licensee Employee                               IN LaborCategory- 26.717(b)(3) is this a24-HourReporting Event (YeasNo)? - 26.719(b)             No Refusal- 26.717(b)(7) & 26.75 Was this collection refused (Yes / No)?       [No TeOt Results - 26.717(b)(4)
Reason for Testing - 26717(b)(5)
Test Validity o
IFor Cause Employment Type - 26&717(b)(3)
Not Applicable Test Type(s) for Result(s) Reported - 26.717(b)(2)         I AlcoholTesting Alcohol Only                                             I IBreath Substance - 26.717(b)(2) & (b)(6)
Licensee Employee Labor Category - 26.717(b)(3)
For Cause Testing Reason lPhysical ConditiornSmell of Alcohol Outsge Worker (oWptonal?
IN is this a 24-Hour Reporting Event (YeasNo)? - 26.719(b)
No Refusal-26.717(b)(7) & 26.75 Was this collection refused (Yes / No)? [No TeOt Results - 26.717(b)(4)
Test Validity Not Applicable o
Test Type(s) for Result(s) Reported - 26.717(b)(2)
I Alcohol Only II Alcohol Testing Breath Substance - 26.717(b)(2) & (b)(6)
Alcohol Wnat 26.103 BAC level was exceeded?
Alcohol Wnat 26.103 BAC level was exceeded?
0.04 or greater Subversion Attempts - 26.717(b)(7) and 26.75(b)
0.04 or greater Subversion Attempts - 26.717(b)(7) and 26.75(b)
Did this collection involve a subversion attempt (Yes/No)? No Manaoemert Actions - 26.717(b)(8) & 26.75 Reason for the Action First drug or alcohol positive Sanction Applied (NRC Minimum or Licensee Admlnistrated)
Did this collection involve a subversion attempt (Yes/No)? No Manaoemert Actions - 26.717(b)(8) & 26.75 Reason for the Action First drug or alcohol positive Sanction Applied (NRC Minimum or Licensee Admlnistrated)
INRC   Minimum Specifc Sanction Applied 14- Day Denial Person(s)Responsible for Information Provyded Person 1(required):
INRC Minimum Specifc Sanction Applied 14-Day Denial Person(s) Responsible for Information Provyded Person 1 (required):
First Name                               Lesta aml                               Position                                Company EmarilAddress Person 2 (optional):
First Name Lesta Position aml Company Emaril Address Person 2 (optional):
[1(]       Firt Name Craihea Last Name
[1(]
[~n       ForOuyProgram Position Tae
Craihea
                                                                                                                          ]kecraigewcnoc.comn Company Ermnl Address Fbn Step(Requ/red) - NRCwil consider     dis formauthentc In accordance with26.11ondywhen the WValkdete     & Lock buttonis cihked and allemrors(highigted Inred) have been corrected. The 'Validate & Lock'button wil change to 'Locheoeaer the data validation process has ben succesafully   completed islcathig the form isready forsubmisslon.
[~n For OuyProgram
Form Locked On: IFeb 11, 2015 at 1:51:11PM                                                        51/ loc01Pc                                     4PflIfsRqat Single Positive Test Form (version 1.6.0 - December 19,2014)                                                                                           NRC Form890 (12/2014)
]kecraigewcnoc.comn Firt Name Last Name Position Tae Company Ermnl Address Fbn Step (Requ/red) - NRC wil consider dis form authentc In accordance with 26.11 ondy when the WValkdete  
: 1) AN ffelds raqf*od       sicM*e naok.E "plena"                                     A 1RUOU. IBYeUMN:%aXRItANGItNU. alD4sI                               .. PIRE :1115s17017
& Lock button is cihked and all emrors (highigted In red) have been corrected.
,) Entare In aessaMehli sue               hbnfomrelloaIn other fl                     Estimated burden per response to comply wish Idis collection request is 30 minutes. Tha 3)
The 'Validate & Lock' button wil change to 'Locheoe aer the data validation process has ben succesafully completed islcathig the form is ready for submisslon.
: 4) Allows   over Items fonn ldsto 8 view   adc         ornegfenn                           form is a voluntary means     reporting the Ifonnation Use ofAdobe     Rteder     aterst reqred                                       information   is re(pired by of NRC   to obtain             required on an amnnui basis under  10 CFR itoe apecific   26.717. The Itfoewfor-dlut (FFD) program performance data on drug and alcohol progran from lscense end othe Submission               Delete                                               entities, Send comments regarding burden estimate to the FOIA, Privacy and Information U   t                   SCollection                                                     Brancd {TS-F53). U.S. Nuclear Regulatory Commission, Walsington DC 20555-0001, or by -smidl to n                                       and to tie Desk Officer, Office of Information and Regulatory Affalir. NEOB-1020, (3150-0146), Office ai Unique Reference ID (Licensee Supplied)                                             Mangemrent and Budget, Washington DC 20503. If a means used to impose Information 50482-A4                                                                             collection does not display e currentlyvalid OMB conbol number, the NRC may not condudt or sponsor, anda person is not required to respond to, the Information co0lleclon.
Form Locked On: I Feb 11, 2015 at 1:51:11 PM 51/ loc01Pc 4PflIfsRqat Single Positive Test Form (version 1.6.0 - December 19, 2014)
Select Facility Date of Collection 1WOtfCrook (50-4821                                                                 (mm/dtyyy)               11/17     14 Reason for Testing. 26,717(b)(5)                 Prm-Access Testing Reason (optionel)                          Please elaborate (optionel)
NRC Form 890 (12/2014)
JR'A                                             Inieial Authortezon Employment Type - 20.717(b)(3)                   Outage Worker (optlonal)?
: 1) AN ffelds raqf*od sic M* e naok.E "plena" A
i~nMsI                                           I Labor Category- 26.717(b)(3)                     Please elaborate lot                                               Deliveryperson
1RUOU. IBY eUMN: %aXRItANGIt NU. alD4sI  
  /s this a 24-Hour ReportingEvent (YesaNo)? - 26.719(b)             No Refusal- 26.717(b)(7) & 26.75 Was this collection refused (Yes / No)?       FINI Test Results - 26.717(b)(4)
.. PIRE :1115s17017
,) Entare In aessa Mehli sue hbnfomrelloa In other fl Estimated burden per response to comply wish Idis collection request is 30 minutes. Tha
: 3) Allows over Items fonn ldsto view adc ornegfenn form is a voluntary means of reporting the Ifonnation required under 10 CFR 26.717. The
: 4) Use ofAdobe Rteder 8 aterst reqred information is re(pired by NRC to obtain on an amnnui basis itoe apecific Itfoewfor-dlut (FFD) program performance data on drug and alcohol progran from lscense end othe Submission Delete entities, Send comments regarding burden estimate to the FOIA, Privacy and Information U
t SCollection Brancd {TS-F53). U.S. Nuclear Regulatory Commission, Walsington DC 20555-0001, or by -smidl to n and to tie Desk Officer, Office of Information and Regulatory Affalir. NEOB-1020, (3150-0146), Office ai Unique Reference ID (Licensee Supplied)
Mangemrent and Budget, Washington DC 20503.
If a means used to impose Information 50482-A4 collection does not display e currently valid OMB conbol number, the NRC may not condudt or sponsor, and a person is not required to respond to, the Information co0lleclon.
Select Facility 1WOtf Crook (50-4821 Date of Collection (mm/dtyyy) 11/17 14 Reason for Testing. 26,717(b)(5)
Prm-Access Testing Reason (optionel)
JR'A Inieial Authortezon Employment Type - 20.717(b)(3)
Outage Worker (optlonal)?
i~nMsI I
Labor Category - 26.717(b)(3)
Please elaborate lot Delivery person
/s this a 24-Hour Reporting Event (YesaNo)? - 26.719(b)
No Refusal-26.717(b)(7) & 26.75 Was this collection refused (Yes / No)?
FINI Test Results - 26.717(b)(4)
Test Validity
Test Validity
[Not Applicable         I Test Type(s) for Result(s) Reported - 2&.717(b)(2)         Alcohol Testing IAlcohol   Only                                           i Substance - 26.717(b)(2) &(b)(8)
[Not Applicable I
Test Type(s) for Result(s) Reported - 2&.717(b)(2)
Alcohol Testing IAlcohol Only i
Substance - 26.717(b)(2) & (b)(8)
Alcohol e 26.103 BAC level was exceeded?
Alcohol e 26.103 BAC level was exceeded?
10.04 or greater Subversion Attempts - 26,717(b)(7) and 26.75(b)
10.04 or greater Subversion Attempts - 26,717(b)(7) and 26.75(b)
Did this collection involve a subversion attempt (Yes/No)?
Did this collection involve a subversion attempt (Yes/No)?
Please elaborate (optionel)
Management Actions - 26.717(b)(8) & 20.75 Reason for the Action First drug or alcohol positive Sanction Applied (NRC Minimum or Ucensre Adminetrated)
Management Actions - 26.717(b)(8) & 20.75 Reason for the Action First drug or alcohol positive Sanction Applied (NRC Minimum or Ucensre Adminetrated)
NRC Minimum Specific Sanction Applied 14- Day Denial Person(s) Responsible for Information Provided Person I [required:
NRC Minimum Specific Sanction Applied 14-Day Denial Person(s) Responsible for Information Provided Person I [required:
Access Screenin                 cabho       oc.cor lIsupervisor First Name                               Last Name                           Position Titie                             Company Emall Address Person2 (optionat):
lIsupervisor Access Screenin cabho oc.cor First Name Last Name Position Titie Company Emall Address Person 2 (optionat):
K1(                                         FFites ICn]esd                                       For       Parggrm                     euty          orn First Name                               Last Name                             osition Title                             Company EnmailAddress Final Stop (Requlred)- NRCw.llconsider this fonmauthentic in accordance with 26.11onlywhen the Validate&Lock*button Is clickedand a11erors (highlighted in red) have been corrected. The Vidtdate&Lock' buttonwallchange to Locked afslr the data vandation process haa been successfully completed Indicatingthe fore is ready forsubmission.
K1(
Form LockedOn IFab 1, 2015at 1RC                                                                                               For 8901 22014 Single Positive Test Form(version 1.6.0 - Decetyber 19, 2014)                                                                                         NRC Form 890 (1212014)
ICn]esd FFites For euty Parggrm orn First Name Last Name osition Title Company Enmail Address Final Stop (Requlred) - NRC w.ll consider this fonm authentic in accordance with 26.11 only when the Validate & Lock* button Is clicked and a11 erors (highlighted in red) have been corrected. The Vidtdate & Lock' button wall change to Locked afslr the data vandation process haa been successfully completed Indicating the fore is ready for submission.
 
Form LockedOn I Fab 1, 2015 at 1RC For 8901 22014 Single Positive Test Form (version 1.6.0 - Decetyber 19, 2014)
Esltimatedburden per reeponse to comply wtfh iteocollesonmrequest is 30 irdnutes. TN.
NRC Form 890 (1212014)
: 2) Erun,    i  for fieldsertoview4* ad    owdbsaomuw  nOwl                            br*n is a voluntary means of reporting the Infonrmeon required under 10 CFR 26.717. The oformaeronIn required by NRC to obtain on rn*nm"tI basis site specifi teu-for-duty 4)1kths    Adobe SeaderS      la5,terI requred'                                        FFD) program performance data on drug and alocoholprogramo from lilensees and other ESalmsson                  Delet mtities. Send comments regarding burden estmate to the FOIA, Ptlvacy and Information Collection Branch (T5-F53), U.S. Nudear Regulatory Commission, Washington DC 20555-0001, or by e-mail to n         le*ssuredNC-g               and to the Desk Officer, D111ce of Information and Regutatory Affairs, NEOB-1020, (3150-0146), Office of Management and Budget, Washington DC 20503. Ifa mean.s reed to Impors Informntion wetecton does not diplay a currnty valid OMB control number, Sm NRC may not conduct xr sponsor. and a person innot required to respond to, SM informaoti conecdon.
: 2) Erun, i
select Factilitv
for fields erto view4*
[Wolf Creek [50-482]                                       ____________Date                  Of collection (mm/dd/yyyy)
ad owd bsaomuw n Owl 4)1k ths Adobe SeaderS la5,ter I requred' E
Reason for Tsting - 26.717(b)(5)                 Pra-Access Testing Reason (optional)                           Please elaborate (optional)
Salmsson Delet select Factilitv Esltimated burden per reeponse to comply wtfh iteo colleson mrequest is 30 irdnutes. TN.
Initial Authorizaton Employment Type - 28,717(b)(3)                    Outage Worker (optionso?
br*n is a voluntary means of reporting the Infonrmeon required under 10 CFR 26.717. The oformaeron In required by NRC to obtain on rn *nm"tI basis site specifi teu-for-duty FFD) program performance data on drug and alocohol programo from lilensees and other mtities. Send comments regarding burden estmate to the FOIA, Ptlvacy and Information Collection Branch (T5-F53), U.S. Nudear Regulatory Commission, Washington DC 20555-0001, or by e-mail to n le*ssuredNC-g and to the Desk Officer, D111ce of Information and Regutatory Affairs, NEOB-1020, (3150-0146), Office of Management and Budget, Washington DC 20503. If a mean.s reed to Impors Informntion wetecton does not diplay a currnty valid OMB control number, Sm NRC may not conduct xr sponsor. and a person in not required to respond to, SM informaoti con ecdon.
Fit       at nuclearfacility,no history in PADS lCantbctorCteno r 2 Joe.
[Wolf Creek [50-482]
LaborCategory- 26.717(b)(3)                      Please elaborate Utity Helper is thisa 24-HourReporting Event (YseaNo)? - 26.719(b)             No Refusal- 26.717(b)(7) & 28.75 Was this collection refused (Yes / No)?
Reason for Tsting - 26.717(b)(5)
Employment Type - 28,717(b)(3) lCantb ctorCteno r 2 Labor Category - 26.717(b)(3)
Joe.
____________Date Of collection (mm/dd/yyyy)
Pra-Access Testing Reason (optional)
Please elaborate (optional)
Initial Authorizaton Outage Worker (optionso?
Please elaborate Fit at nuclear facility, no history in PADS Utity Helper is thisa 24-Hour Reporting Event (YseaNo)? - 26.719(b)
No Refusal-26.717(b)(7) & 28.75 Was this collection refused (Yes / No)?
Test Results - 26.717(b)(4)
Test Results - 26.717(b)(4)
Test Validity
Test Validity lValid
                      ]
]
lValid Test Type(s) for Result(s) Reported - 28.717(b)(2)                                   Drug Testing Drug Only                                                                           Urine Was this collection observed (Yes / No)? - 28.717(b)(7) & 26.75 Substance - 26.717(b)(2) & (b)(6)                             Additional Substance (as applicable)                          Additional Substance(as applicable)
Test Type(s) for Result(s) Reported - 28.717(b)(2)
Msrijuana                                                     PIleaseSelect                                                  Please Select                                   I Use NRC Cutoff (Yes / No)? ry           Z]
Drug Testing Drug Only Urine Was this collection observed (Yes / No)? - 28.717(b)(7) & 26.75 Substance - 26.717(b)(2) & (b)(6)
Additional Substance (as applicable)
Msrijuana PIlease Select Use NRC Cutoff (Yes / No)? ry Z]
Subversion Attempts - 28.717(b)(7) and 26.75(b)
Subversion Attempts - 28.717(b)(7) and 26.75(b)
Did this collection involve a subversion attempt (Yes/No)?         No ManaornmentActions - 26.717(b)(8) & 26.75 Reason for the Action First drug or alcohol positive                           I Sanction Applied (NRC Minimum or Licensee Administrated)
Did this collection involve a subversion attempt (Yes/No)?
INRC Minimum Specific Sanction Applied 14- Day Denial Person(s) Responsible for Information Provided Pereon 1 (requred):
No Additional Substance (as applicable)
F~r.                                           c                                  F--- -~p~   o AccessSo       helmn             cahochQ
Please Select I
* o. ... n First Name                               Last Name                             Position Tlale                             Company Email Address Person 2 (oplonal):
Manaornment Actions - 26.717(b)(8) & 26.75 Reason for the Action First drug or alcohol positive I
K1(w                                       Faied                                   FatneasForDutyProgram                      kecrelg@WnoO     conm First Name                               Last Name                               Position Te                               Company Emal Address FinalSlop(Requieod - NRCwillconsider this formaulwtic in eccordance       with 2611 onlywhen the "Vaidate &Lock'buttonis clickedand all errom(hghsighted         in red) have bean corrected. The Velidate &Lockbuttonmwilchange to "Locked' aflte the data vaideati process   hbe beenweuc        y completed   nicating Smformto ready     forsubissedon.
Sanction Applied (NRC Minimum or Licensee Administrated)
Form LockedOn: IFeb 11, 2015 at 1:50:12 Pt                                                                     L.c                       9PCRnp01t (P12t Single Positive Test Form(version 1.8.0 - December 19, 2014)                                                                                             NRC Form 890 (12/2014)
INRC Minimum Specific Sanction Applied 14-Day Denial Person(s) Responsible for Information Provided Pereon 1 (requred):
F~
: r.
F ---
c
-~p~
o AccessSo helmn cahochQ
* o.  
...n First Name Last Name Position Tlale Company Email Address Person 2 (oplonal):
K1(w Faied Fatneas For Duty Program kecrelg@WnoO conm First Name Last Name Position Te Company Emal Address Final Slop (Requieod - NRC will consider this form aulwtic in eccordance with 2611 only when the "Vaidate & Lock' button is clicked and all errom (hghsighted in red) have bean corrected. The Velidate & Lockbutton mwil change to "Locked' aflte the data vaideati process hbe been weuc y completed nicating Sm form to ready for subissedon.
Form Locked On: I Feb 11, 2015 at 1:50:12 Pt L.c 9PC (P12t Rnp01t Single Positive Test Form (version 1.8.0 - December 19, 2014)
NRC Form 890 (12/2014)


a)- amasam.F -- W~ -maoaee                      -
a) -
4 ELease besweem    6.1 a.Ss-populaf h~wnwwIn uaw       eld~s fi                        Estmated burden per response to coml y         h lf   colle5ctionrequest is 30 Inhuts. Thk form is a voluntay means of reportng the ifnoslon required under 10 CFR 26.717. Thf S)OHOOe verlfltms      0.1 gvisead~aldmdmin buM ktrollonolr Israinked byNRCto obatineon.           mimannulbeobofte spectic, ftoawfor-&Mt
amasam.F W~ -ma oaee 4 ELease be sweem 6.1 a.Ss-populaf h~wnwwIn uaw fi eld~s S)OHOOe verlfl tms 1
: 4) UseeofAdo" Reaer I or teirlIsreqa*iel                                              (FFD) program perharmanoe date on drug and alcohol program fwa lia                   and othe ntitlae. Smnd oormentrg regearing burden eattoe to the FOIAUPrvcy end hInfanoetci Coecti Branch (T5-F53), U.S. Nuclear Regulatory Comewton, Washington DC 20555-0001, or by w-mall to                           M      Qov    mioJR=
: 0. gvisead~aldmdmin buM
and to the Desk Officer Office of Informiatiwo and Regiudtory Affair, NEOB-1020, (3150-0146),                   e o' Delete                                                Managemmntand Budget Wahilngton DC 20503. If a meanm used to impose tlfmmoa
: 4) Usee ofAdo" Reaer I or teirlIsreqa*iel
    ]Se bfnscio                                                                      coection does not diplay a cwrmily valid OMB ontrol number, the NRC may not condue a sponsor, and . person is not required to respond to. the tinfarmtio colectw.
]Se bfnscio Delete Estmated burden per response to coml y h lf colle5ction request is 30 Inhuts. Thk form is a voluntay means of reportng the ifnoslon required under 10 CFR 26.717. Thf ktrollonolr Is rainked by NRC to obatine on.
I      Daft Of Colloctfon
mimannul beob ofte spectic, ftoawfor-&Mt (FFD) program perharmanoe date on drug and alcohol program fwa lia and othe ntitlae. Smnd oormentrg regearing burden eattoe to the FOIAU Prvcy end hInfanoetci Coecti Branch (T5-F53), U.S. Nuclear Regulatory Comewton, Washington DC 20555-0001, or by w-mall to mioJR=
~I                     IWNIrok[-42                                                   (mM         y)         03/04/2014 Reason for Tesaing - 26.717(b)(5)              Pre-Acceas TeethngReason (optional)                              Please eleborate (optional)
M Qov and to the Desk Officer Office of Informiatiwo and Regiudtory Affair, NEOB-1020, (3150-0146),
F7it tm. at nuclear tecilty, no history in PADS Iniltal Authoroition T
e o' Managemmnt and Budget Wahilngton DC 20503. If a meanm used to impose tlfmmoa coection does not diplay a cwrmily valid OMB ontrol number, the NRC may not condue a sponsor, and. person is not required to respond to. the tinfarmtio colectw.
Employment ype - 26.717(b)(3)                 Outage Wbrke (optiona1 ?
~I IWNIrok[-42 Pre-Acceas Teeth I
lConrCatNendor 6 Lb Caegr - 26.717(b){3)
Daft Of Colloctfon (mM y) 03/04/2014 ng Reason (optional)
                                                ~III Plea"e elaborate u~Ity Heaper Ia this a 24-HourReporting Event (YeA/No)? - 26.719(b)             No Refusal- 26.717(b)(7) & 26.75 Was this collection refused (Yes / No)?
Please eleborate (optional)
Reason for Tesaing - 26.717(b)(5)
Employment Type - 26.717(b)(3) lConrCatNendor 6 Lb Caegr - 26.717(b){3)
Iniltal Authoroition Outage Wbrke (optiona1 ?
~III Plea"e elaborate F7it tm. at nuclear tecilty, no history in PADS u~Ity Heaper Ia this a 24-Hour Reporting Event (YeA/No)? - 26.719(b)
No Refusal-26.717(b)(7) & 26.75 Was this collection refused (Yes / No)?
Test Results - 26.717(b)(4)
Test Results - 26.717(b)(4)
Test Validity FV aid Test Type(&) for Resut(s) Repor*ed - 26.717(b)(2)                                   Drug Testng IDrug Only                                                                         Prins Was thls collectlon observe (Yesl/No)?- 26.717(b)*7) &26.75 Substance - 26.717(b)(2) & (b)(6)                           AdditionalSubstance (asapplilcable)                          Addftonal Substnce (as sppicable)
Test Validity FV aid Test Type(&) for Resut(s) Repor*ed - 26.717(b)(2)
AmphetaInes                                               PleaseSelectI                                                  IPleaseelectI Use NRC Cutoff (Yes / No)?     ElIZ]
Drug Testng IDrug Only Prins Was thls collectlon observe (Yesl /No)?- 26.717(b)*7) & 26.75 Substance - 26.717(b)(2) & (b)(6)
Additional Substance (asapplilcable)
AmphetaInes Please SelectI Use NRC Cutoff (Yes / No)? ElIZ]
Subversion Attempts - 26.717(b)(7) and 26.75(b)
Subversion Attempts - 26.717(b)(7) and 26.75(b)
Did this collection involve a subversion attempt (Yes/No)? No Manasoement Actions - 26.717(b)(8) & 26.75 Reason for the Action IFirst drug or alcohol positive Sanction Appled (NRC Minimum or Licensee Administrated)
Did this collection involve a subversion attempt (Yes/No)?
NIRCMinimum Specific Senction Applied 14- Day Denial Pearon(s) Responeible W lnforvnon Provided PersonI (required):
No Addftonal Substnce (as sppicable)
C.I-                                                                           IISulpervsor AccessScreening              Ic               .liodin
IPleaseelectI Manasoement Actions - 26.717(b)(8) & 26.75 Reason for the Action IFirst drug or alcohol positive Sanction Appled (NRC Minimum or Licensee Administrated)
                                                                                                                                                .o First Name                             Last Niae                               Position Title                             Company Email Address Permon 2 (optonel):
NIRC Minimum Specific Senction Applied 14-Day Denial Pearon(s) Responeible W lnforvnon Provided Person I (required):
I     Pln           Namcr                                                                                                     eqlgevonco First Name                             Last Name                                                                         Company Email Address Fth/ Step(Relqwh. - NRCme1                srm authmuenc coneider fhi              Inacaordence wuth26.11onlyWimithe Valkae & Lock butsn letked and vti.r.                               tn red) thae bean
C.I-I ISulpervsor Access Screening Ic  
                                                                                                                                                          *Ofigbtod corrected. The 'V-dhte & Lock button wll chanie to .oched" afterthedaftvaidstion process   ha. been successtdy completed Indicating   the fSrmisreedyforsubminemn.
.liodin  
Form Locked On: Feb 11, 2015 at 1:49:F2PM                                                                  IDL.1 P8                       9Wk (12014t Single Positiv Teat Form (version 1.6.0 - December 19,2014)                                                                                             NRC Formi890 (1=/014)
.o First Name Last Niae Position Title Company Email Address Permon 2 (optonel):
 
I Pln Namcr eqlgevonco First Name Last Name Company Email Address Fth/ Step (Relqwh. - NRC me1 coneider fhi srm authmuenc In acaordence wuth 26.11 only Wimi the Valkae & Lock butsn le tked and vti.r.  
Estimated burden per responseto omply with Ud collectionrequest i- 30 minutes This form Ia volunttry means of reporting t* e hofomaon requiked under 10 CFR 26.717. The 3)Mfuarm  ov er, fomffds tOwaswaddillosefhna                                                information is requied by NRC to obtain on at annual basitesitt speciic Iftessf-o-duty
*Ofigbtod tn red) thae bean corrected.
: 4) LateofAdobe Roaedor    or tsiw,Isrquired                                              (FFD) program petloro*nce data on dirg andalcohol programs from 1onseas and other eties. Send cormenasregording burden sastlmat to Ite FOIA, Pritacy and Informaton Collcon Branch (T1-`53), U.S. Nudew Regiuitory Commission, Washitalon DC 20555-0001, or by *-mail to                   llec..             aifioc and to she Desk Officr.
The 'V-dhte & Lock button wll chanie to.oched" after the daft vaidstion process ha. been successtdy completed Indicating the fSrm is reedy for subminemn.
Oftite of Information and Regulatory Affa,           NEOB-1020. (3150-0146), Offkie of Managementand Budget, Wasblgton     IDC 20503. If a means used to Impose Inlormation collecton does not display a cturently valid OMB contol rnomber, he. NRC my not conduct or sponsor, and a peroon hsnot required to respond to, the Information colecton.
Form Locked On: Feb 11, 2015 at 1:49:F2 PM IDL.1 P8 9Wk (12014t Single Positiv Teat Form (version 1.6.0 - December 19, 2014)
Select Fac~lifty of Colectin
NRC Formi 890 (1=/014)
~I~       rek [%4                                       7e-A
: 3) Mfuarm ov er, fom ffds tO wasw addillosefhna
____Daft Te7      Rea             (mmle                                     al)
: 4) Late ofAdobe Roaedor or tsiw, Isrquired Select Fac~lifty Estimated burden per response to omply with Ud collection request i-30 minutes This form Ia volunttry means of reporting t* e hofom aon requiked under 10 CFR 26.717. The information is requied by NRC to obtain on at annual basitesitt speciic Iftessf-o-duty (FFD) program petloro*nce data on dirg and alcohol programs from 1onseas and other eties. Send cormenas regording burden sastlmat to Ite FOIA, Pritacy and Informaton Collcon Branch (T1-`53), U.S. Nudew Regiuitory Commission, Washitalon DC 20555-0001, or by *-mail to aifioc llec..
Reason for Testing - 26.717(b)(5)                  Pro-Access Testing Reason (optional)                              Plsasae elaborate (optional)
and to she Desk Officr.
IIII                               I]           InitalAuthorization                                            Fiat Omast nuclear fslity, no history in PADS          :
Oftite of Information and Regulatory
Employment Type- 26.717(b)(3)                     Outage Worker (optlonal)?
: Affa, NEOB-1020. (3150-0146), Offkie of Management and Budget, Wasblgton IDC 20503. If a means used to Impose Inlormation collecton does not display a cturently valid OMB contol rnomber, he. NRC my not conduct or sponsor, and a peroon hs not required to respond to, the Information colecton.
LaborCategory - 26.717(b)(3)                       Pleaweelaorate Laborer is thi a 24-HourReporting Event (YOSaNo)? - 26.719(b)                 No Refusaal- 26.717(b)(7) & 26.75 Was this collection refused (Yes / No)?       [No Teat Results - 26.717(b)(4)
~I ~ rek [%4
Test Validity XVald Test Type(a) for Result(s) Reported - 26.717(b)(2)                                     Drug Teoting Drug O                                                                                 Pi Waa this collection observed (Yea/1No)?- 26.717(b)(7) & 26.75 Substance - 26.717(b)(2) & (b)(6)                             Additional Substance (asapplicable)                            AdditionalSubstance (as applicable)
____Daft of Colectin 7e-A 7
Marijuna                                                     please Select                                                 1Please Select                                 I Use NRC Cutoff (Yes / No)?       E-I]
Te Rea (mmle al)
Pro-Access Testing Reason (optional)
Plsasae elaborate (optional)
Reason for Testing - 26.717(b)(5)
IIII I]
Employment Type-26.717(b)(3)
Labor Category - 26.717(b)(3)
Inital Authorization Outage Worker (optlonal)?
Pleawe elaorate Fiat Oma st nuclear fslity, no history in PADS Laborer is thi a 24-Hour Reporting Event (YOSaNo)? - 26.719(b)
No Refusaal-26.717(b)(7) & 26.75 Was this collection refused (Yes / No)? [No Teat Results - 26.717(b)(4)
Test ValidityXVald Test Type(a) for Result(s) Reported - 26.717(b)(2)
Drug Teoting Drug O Pi Waa this collection observed (Yea/ 1No)?- 26.717(b)(7) & 26.75 Substance - 26.717(b)(2) & (b)(6)
Additional Substance (as applicable)
Marijuna please Select Additional Substance (as applicable) 1Please Select I
Use NRC Cutoff (Yes / No)? E-I]
Subveralon Attempta - 26.717(b)(7) and 26.75(b)
Subveralon Attempta - 26.717(b)(7) and 26.75(b)
Did this collection Involve a subversion attempt (Yes/No)?
Did this collection Involve a subversion attempt (Yes/No)?
Aanaaenamnt Actions - 26.717(b)(8) & 26.75 Reason for the Action First drug or alcohol positive Sanction Applied (NRC Minimum or iUcensee Administrated)
Aanaaenamnt Actions - 26.717(b)(8) & 26.75 Reason for the Action First drug or alcohol positive Sanction Applied (NRC Minimum or iUcensee Administrated)
NRC Minimumn Specific Sanction Applied 14- Day Denial i
NRC Minimumn Specific Sanction Applied 14-Day Denial Person(s) Reaponsible for Inflormation Provided Peron I (reqired):
Person(s)Reaponsible for Inflormation Provided Peron I (reqired):
: c.
: c.                               II                           I                 ~~                                           I               ....
i II I  
First Name                                 LAst Nam                                 Position Tite                             Company Email Address Poio 2 (optional:
~~
KI-                                     Frl-;:-d--,,                                       For Duty Program                   etlnvrocm ksorfllg~wonoc.com First Name                                 Las NPosition                                     T   ie                           Company Email Address Final Step (Requinr4 - NRC will consider tis form authentic in sccordence wth 26.11 only when the Validste & Loc button is clicked and all nore (highlited In red) hive been corrected. The Valdsdate& Lock" button will change to "Locked" sfter *e dta validstion proceaa hei. been mucomposy otnpated Indicating the form Is ready for ubmibnlon Form Locked On: IFeb 11, 2015 at 1:48:24 PM0swt11uwpc1 Single Poaitive TeatForm (version 1.6.0 - December 19, 2014)                                                                                             NRCFoint 890 (12/2014)
I First Name LAst Nam Position Tite Company Email Address Poio 2 (optional:
 
KI-Frl-;:-d--,,
1)AN S       rqW WncpfB10000      Hl**d opgaonr
For Duty Program etlnvrocm ksorfllg~wonoc.com First Name Las NPosition T ie Company Email Address Final Step (Requinr4 - NRC will consider tis form authentic in sccordence wth 26.11 only when the Validste & Loc button is clicked and all nore (highlited In red) hive been corrected. The Valdsdate & Lock" button will change to "Locked" sfter *e dta validstion proceaa hei. been mucomposy otnpated Indicating the form Is ready for ubmibnlon Form Locked On: I Feb 11, 2015 at 1:48:24 PM0swt11uwpc1 Single Poaitive Teat Form (version 1.6.0 - December 19, 2014)
: 2) Ewi~es Inseomfe        nalotedpepute hownwo,   in o ~n 1ia1                          Esmasted burden per response to comply withOft coolcton request Is 30 minutes. Tin fonm is a voluntry masea of reporting the Informaton required under 10 CFR 26.717. The
NRC Foint 890 (12/2014)
: 3) alone over JanetIF Id to view addtimuthrmallon Information is required by NRC to obtain on an annual basis ite spedfic ftos-for-duth
: 1) AN S
: 4) Use o(Adobe Raer 8eorlater I resu.ed                                                  (FFD) program performance data on drug and alohol program from licenees and o0m F      Submission Update r- Delete                                                      entities. Send commento regarding burden estmate to the FOLA, Privacy and Informaton Collaction Branch (T5.F53), U.S. Nudear Regulatory Commisdson, Washington DC D-l  Submission                                              20555-0001, or by e-ma-l to I                                     and to fth Desk Officer, Oflce of Informatilon nd Regulatory Affai, NEOB-1020, (3150-0146), Office *I Unique Refence ID (Licensee Suppliai F50.482-134                                                                              Management and Budget. Washington DC 20503. If a meana used to lspoae Information collection dean not diplay a currenty valid OMS contol number, the NRC may not conced or sponsor, anda person is not required to respond to, the ndf*rnation collection.
rqW Wncpf B10000 Hl**d opgaonr
Select Facility                                                                        Date of Collection     ___________
: 2) Ewi~es In seom fe nalotedpepute hownwo, in  
woIf Creek [50-482]                                                     :(mm/ddiyyyy)                           04/01/2014 JR" Reason for Testing - 26.717(b)(5)
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I     Pro-Access Testing Reason (optional)
1ia 1
: 3) alone over Janet IF Id to view addtimuthrmallon
: 4) Use o(Adobe Raer 8eor later I resu. ed F
Submission r-Delete Update D-l Submission Unique Refence ID (Licensee Suppliai F50.482-134 Select Facility Esmasted burden per response to comply with Oft coolcton request Is 30 minutes. Tin fonm is a voluntry masea of reporting the Informaton required under 10 CFR 26.717. The Information is required by NRC to obtain on an annual basis ite spedfic ftos-for-duth (FFD) program performance data on drug and alohol program from licenees and o0m entities. Send commento regarding burden estmate to the FOLA, Privacy and Informaton Collaction Branch (T5.F53), U.S. Nudear Regulatory Commisdson, Washington DC 20555-0001, or by e-ma-l to I and to fth Desk Officer, Oflce of Informatilon nd Regulatory Affai, NEOB-1020, (3150-0146), Office *I Management and Budget. Washington DC 20503.
If a meana used to lspoae Information collection dean not diplay a currenty valid OMS contol number, the NRC may not conced or sponsor, and a person is not required to respond to, the ndf*rnation collection.
Date of Collection ___________
woIf Creek [50-482]
:(mm/ddiyyyy) 04/01/2014 Pro-Access Testing Reason (optional)
Please elaborate (optional)
Reason for Testing - 26.717(b)(5)
JR" I
Employment Type - 26.717(b)(3)
Uconsees Employee Labor Category - 26.71 7(b)(3) i iz~
Reinstatement (Betweeen 31 and 365 days)
Reinstatement (Betweeen 31 and 365 days)
Please elaborate (optional)
Outage Worker (optional)?
Return from medcal leave Employment Type - 26.717(b)(3)                    Outage Worker (optional)?
IN Return from medcal leave Is thls a 24-Hour Reporting Event (Yea/No)? - 26.719(b)
UconseesEmployee                                IN i
No Refusal-26.717(b)(7) & 26,75 Was this collection refused (Yes / No)?
Labor Category - 26.717(b)(3) iz~
No Test Results-26.717(b)(4)
Is thls a 24-Hour ReportingEvent (Yea/No)? - 26.719(b)               No Refusal- 26.717(b)(7) & 26,75 Was this collection refused (Yes / No)?       No Test Results- 26.717(b)(4)
Test Validity Ei i
Test Validity Ei                   i Test Type(s) for Result($) Reported - 26.717(b)(2)                                     Drug Testing Drug Only                                                                             Prins Was this collection observed (Yes/ No)? - 26.717(b)(7) & 26.75 Substance - 26.717(b)(2) & (b)(6)                           Additional Substance (asapplicable)                            AdditionalSubstance (asapplicable) lOpiate:   Morphine                             I             Please Select                                                 Please SelctI Use NRC Cutoff (Yes / No)?FE-.I]
Test Type(s) for Result($) Reported - 26.717(b)(2)
Drug Testing Drug Only Prins Was this collection observed (Yes/ No)? - 26.717(b)(7) & 26.75 Substance - 26.717(b)(2) & (b)(6)
Additional Substance (as applicable) lOpiate: Morphine I
Please Select Additional Substance (as applicable)
Please SelctI Use NRC Cutoff (Yes / No)?FE-.I]
Subversion Attempts - 26.717(b)(7) and 28.75(b)
Subversion Attempts - 26.717(b)(7) and 28.75(b)
Did this collection involve a subversion attempt (Yes/No)? No Man*oement Actions - 26.717(b)(8) & 28.75 Reason for the Action First drug or alcohol positive Sanction Applied (NRC Minimum or Licensee Administrated)
Did this collection involve a subversion attempt (Yes/No)?
NRC MinimumJ Specific Sanction Applied 14- Day Denial Person(s) Responsible for Information Provided Paeron I (requ~ked):
No Man*oement Actions - 26.717(b)(8) & 28.75 Reason for the Action First drug or alcohol positive Sanction Applied (NRC Minimum or Licensee Administrated)
Access Screeng                 cahod     cn... om Cad,          First Name HoPdSupervior Last Name                                 Position Tit                             Compar Email Address Person 2 (optioal):
NRC MinimumJ Specific Sanction Applied 14-Day Denial Person(s) Responsible for Information Provided Paeron I (requ~ked):
Ran                                     1Crighead                                 iFfnses ForDutyProgram                      kocralgewmnc.com Pirst Name                             Last Nsame                                 iositon Ime                            Uompany omafl Address Flnal Step (Required) - NRC will consider his orm authentic in accordance with 26.11 only when the Validate &Lock button Is clicked and all etrom (highlighted in red) h-e been corrected, The 'Vtlidte &Lock button Willchange to 'Locked" aftr the data validation processhes been successfully conpleted Indcating the form Is ready for submission.
: Cad, HoP dSupervior Access Screeng cahod cn  
Farm Locked On: IoFob 11,s201521)P  at 1 47:47 PS.-                                                         ýLG,           C FoR" 8             1Ro 0tt Single Positive Teat Form(version 1..0 - December 19,2014)                                                                                             NRC Form890 (1212014)
... om First Name Last Name Position Tit Compar Person 2 (optioal):
Ran 1Crighead iFfnses For Duty Program kocralgewmnc.com Email Address Pirst Name Last Nsame iositon I me Uompany omafl Address Flnal Step (Required) - NRC will consider his orm authentic in accordance with 26.11 only when the Validate & Lock button Is clicked and all etrom (highlighted in red) h-e been corrected, The 'Vtlidte & Lock button Will change to 'Locked" aftr the data validation process hes been successfully conpleted Indcating the form Is ready for submission.
Farm Locked On: IoFob 11,s2015 at 1 47:4 7 PS.-  
ýLG, 21)P C FoR" 8
1Ro 0tt Single Positive Teat Form (version 1..0 - December 19,2014)
NRC Form 890 (1212014)


Er2 e.I some.         .ule-pop telelenru Iornol fierld.
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: 3) .. m oevefonmHavedto view adelfileloliebrmsaE
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: 4) Ise aAdobe Reedw5er8     or low Is rquired
: 3)..
    *1Submissi'on               Delete                                                 atiS.. Send comments regordWng     burden estimat to I Update              EI  Submission CollectionBranch (TS-F53), U.S. Nuclear Regulatory 205-00, ar by a-rnll to InoolcsRsuodl Dito   of   Infofmotln  and Regulatory     Afla*e, NEOf Unique Reference ID (i                Su                                              Managemennt   ad Budget, Washington DC20503. If a rr 150-41V-05                                                                            coioodin doe. not display a currenty vald OMBconlol n or sponsor, anda parson Is not required to respond to, the solo"ctFcilifty                                                        _Date               of Collection Wolf Crook [50-482]                                                                  (mm/ddtyyyy)           12/15/2014 Reason for Testing - 26.717(b)(5)                  Pro-Access Testing Reason (optional)                         Please elaborate (optional)
m oeve fonm Haved to view adelfilelolie
[Reinstatement (Bet~ee 31 and 365 days)                       Refueing Outage Employment Type - 26.717(b)(3)                     Outage Worker (optionaQ?
: 4) Ise aAdobe Reedw5er8 or low Is rquired
Contrccaendor 2                                   1Yes Labor Category - 28.717(b)(3)                     Pleaseo elaborate 10 -1                                             ILaborerI Is this a 24-HourReporting Event (YesWo)? - 26.719(b)               No Refusal- 26.717(b)(7) & 26.75 Was this collection refused (Yes I No)?
*1Submissi'on Delete Update EI Submission Unique Reference ID (i Su 150-41V-05 solo"ctFcilifty Iornol fierld.
brmsaE atiS.. Send comments regordWng burden estimat to I Collection Branch (TS-F53), U.S. Nuclear Regulatory 205-00, ar by a-rnll to InoolcsRsuodl Dito of Infofmo tln and Regulatory Afla*e, NEOf Managemennt ad Budget, Washington DC 20503. If a rr coioodin doe. not display a currenty vald OMB conlol n or sponsor, and a parson Is not required to respond to, the
_Date of Collection (mm/ddtyyyy) 12/15/2014 Pro-Access Testing Reason (optional)
Please elaborate (optional)
Wolf Crook [50-482]
Reason for Testing - 26.717(b)(5)
Employment Type - 26.717(b)(3)
Contrccaendor 2 Labor Category - 28.717(b)(3) 10 -1
[Reinstatement (Bet~ee 31 and 365 days)
Outage Worker (optionaQ?
1Yes Pleaseo elaborate Refueing Outage ILaborerI Is this a 24-Hour Reporting Event (YesWo)? - 26.719(b)
No Refusal-26.717(b)(7) & 26.75 Was this collection refused (Yes I No)?
Test Results - 26.717(b)(4)
Test Results - 26.717(b)(4)
Test Validity Valid]
Test Validity Valid]
Test Type(s) for Result(s) Reported - 26.717(b)(2)                                   Drug Testing IDrug Only                                                                           UrIine           I Was this collection observed (Yea/No)? - 26.717(b)(7) &26.75 Substance - 26.717(b)(2) & (b)(6)                             AdditionalSubstance (as applicable)                        AdditionalSubstance (as applicable)
Test Type(s) for Result(s) Reported - 26.717(b)(2)
Marijuana                                                     Plase Selec                                                 FPlease  Select                            I Uea NRC Cutoff (Yes / No)?       [Y-Z]
Drug Testing IDrug Only UrIine I Was this collection observed (Yea/No)? - 26.717(b)(7) & 26.75 Substance - 26.717(b)(2) & (b)(6)
Additional Substance (as applicable)
Marijuana Plase Selec Uea NRC Cutoff (Yes / No)? [Y-Z]
Subversion Attempts - 26,717(b)(7) and 26.75(b)
Subversion Attempts - 26,717(b)(7) and 26.75(b)
Did this collection involve a subversion attempt (Yes/No)?       I     Xo Manaenement Actions - 26.7171b)(8) &26.75 Reason for th Action First drug or alcohol positive Sanction Applied (NRC Minimum or Licensee Administrated)
Did this collection involve a subversion attempt (Yes/No)? I Xo Additional Substance (as applicable)
NRC Minimum Specific Sanction Applied 14- Day Denial Person(i) Responsible for Information Provided Person 1 (required):
FPlease Select I
[- He                                                                   ]           psor             Sei                    i     rcrc ooc..om.
Manaenement Actions - 26.7171b)(8) & 26.75 Reason for th Action First drug or alcohol positive Sanction Applied (NRC Minimum or Licensee Administrated)
Company Email Address First Name                                 Las                                   Position Tite Penron 2 (optional):
NRC Minimum Specific Sanction Applied 14-Day Denial Person(i) Responsible for Information Provided Person 1 (required):
Ken                                                                             Fies ForDutyProgram                      keorealiwo.com First Name                                 Last Name                             Positbon "-                               Company Email Address Flnal Step (Requlraod) - NRCwillconaldor  this formaulherlrc Inaccordance with26.11 onlywhen the "Valdate& Lode' button is dicked and as erors (hlghlhghted Inred) have been corrected. The Validate & Lock" button wil1chargeto Locked' ader the data validatounpronoe.has been sucoestiry completed Indicatingthe formis ready forsubmiasion.
[- He  
Form Locked On: IFeb 11, 2015 at 1:47:12 PM                                                               t. Lod PC     Foir   8t9 (i1220ut Single Positive Test Form(version 1.6.0 - December 19, 2014)                                                                                       NRC Form 890 (1212014)
]
psor S e i i
rcrc ooc..om.
First Name Las Position Tite Company Email Address Penron 2 (optional):
Ken Fies For Duty Program keorealiwo.com First Name Last Name Positbon "-
Company Email Address Flnal Step (Requlraod)  
- NRC will conaldor this form aulherlrc In accordance with 26.11 only when the "Valdate & Lode' button is dicked and as erors (hlghlhghted In red) have been corrected.
The Validate & Lock" button wil1 charge to Locked' ader the data validatoun pronoe. has been sucoestiry completed Indicating the form is ready for submiasion.
Form Locked On: I Feb 11, 2015 at 1:47:12 PM
: t. Lod PC Foir 8t9 (i1220ut Single Positive Test Form (version 1.6.0 - December 19, 2014)
NRC Form 890 (1212014)


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NRC FFD Program Performance Data Reporting System 10 CFR Part 26, Subpart I - Managing Fatigue Attachment This attachment provides the entire narrative as the NRC form has been created with boxes that scroll down, and when printed, the information does not print in its entirety due to the way the NRC has built the electronic FM form.
NRC FFD Program Performance Data Reporting System 10 CFR Part 26, Subpart I - Managing Fatigue Attachment This attachment provides the entire narrative as the NRC form has been created with boxes that scroll down, and when printed, the information does not print in its entirety due to the way the NRC has built the electronic FM form.
Line 281: Line 478:
Analysis of Fatigue Assessment Data:
Analysis of Fatigue Assessment Data:
Eight (8) Fatigue Assessments were completed for 2014. For-Cause = 4, Post-Event = 2, Self-Declaration
Eight (8) Fatigue Assessments were completed for 2014. For-Cause = 4, Post-Event = 2, Self-Declaration
= 2. Actions taken were to place ACAD badge on hold pending drug & alcohol results. Fatigue Assessments were completed by procedure and by qualified fatigue assessors.
= 2. Actions taken were to place ACAD badge on hold pending drug & alcohol results.
Fatigue Assessments were completed by procedure and by qualified fatigue assessors.


==
==
Conclusions:==
Conclusions:==
Waivers: As no waivers were initiated for 2014 no recommendations for improvement were made.
Waivers: As no waivers were initiated for 2014 no recommendations for improvement were made.
Fatigue Assessments: The 2014 Fatigue Management Annual Review did identify minor improvements to the fatigue assessment form to drive the fatigue assessor to improve their documentation efforts. Reference condition report CR00091378.
Fatigue Assessments: The 2014 Fatigue Management Annual Review did identify minor improvements to the fatigue assessment form to drive the fatigue assessor to improve their documentation efforts. Reference condition report CR00091378.
Summary and Status of Corrective Actions:
Summary and Status of Corrective Actions:
The evaluation review period is 01-01-2014 through 12-31-2014. During this review period zero (0) waivers were performed and eight (8) fatigue assessments were initiated. Condition reports were initiated for fatigue assessments within the corrective action program.
The evaluation review period is 01-01-2014 through 12-31-2014.
During this review period zero (0) waivers were performed and eight (8) fatigue assessments were initiated. Condition reports were initiated for fatigue assessments within the corrective action program.
A collective review of 2014 conditions reports was performed for the fatigue management program and no gaps or areas for improvement were identified. One recommendation was made to determine if the fatigue assessment form could be revised to improve the documentation guidance to be clearer and more specific to drive improved documentation results. Reference condition report CR00091378.}}
A collective review of 2014 conditions reports was performed for the fatigue management program and no gaps or areas for improvement were identified. One recommendation was made to determine if the fatigue assessment form could be revised to improve the documentation guidance to be clearer and more specific to drive improved documentation results. Reference condition report CR00091378.}}

Latest revision as of 14:04, 10 January 2025

Submittal of Annual Fitness for Duty Program Performance Report and Annual Fatigue Report for 2014
ML15062A039
Person / Time
Site: Wolf Creek Wolf Creek Nuclear Operating Corporation icon.png
Issue date: 02/24/2015
From: Koenig S
Wolf Creek
To:
Document Control Desk, Office of Nuclear Security and Incident Response
References
RA 15-0018
Download: ML15062A039 (14)


Text

W.LF CREEK

'NUCLEAR OPERATING CORPORATION Steven R. Koenig Manager Regulatory Affairs February 24, 2015 RA 15-0018 U. S. Nuclear Regulatory Commission ATTN: Document Control Desk Washington, DC 20555

Subject:

Docket No. 50-482:

Electronic Submittal of Annual Fitness for Duty Program Performance Report and Annual Fatigue Report for 2014 Gentlemen:

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 2014 to the Nuclear Regulatory Commission (NRC) FFD Program Performance Data Reporting System through the U.S. NRC Electronic Information Exchange on February 23, 2015. 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 resident inspector.

This letter contains no commitments. If you have any questions concerning this matter, please contact me at (620) 364-4041.

SRK/rlt

Enclosures:

copies of 2014 FFD and Fatigue Reports cc:

M. L. Dapas (NRC), w/e C. F. Lyon (NRC), w/e N. F. O'Keefe (NRC), w/e Senior Resident Inspector (NRC), w/e P.O. Box 411 / Burlington, KS 66839 / Phone: (620) 364-8831 An Equal Opportunity Employer M/F/HCNET

,dc),04

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 inuformation required under 10 CFR 26.717. The information is requirec by NRC to obtain on an annual basis site specific fltness-for-duty (FFD) program performance data on drug and alcohol programs from licensees and other entitles. Send comments regarding burder estimate to the FOIA, Privacy and Informaton Collection Branch (T5-F53), U.S. Nuclear Regulatory Commission, Washington DC 20555-0001, or by e-mail to l,

and t the Desk Officer, Office of Information and Regulatory Affairs, NEOB-1020, (3150.0146), Office of Management and Buaget, Washington DC 20503.

If a means used to impose information collectin 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.

1) All fields required utess marked 'optlonal
2) Use of Adobe Reader 8 or later is ruqufrsd
3) Mouse over fields for additlonal Infonnaldo" Select Facility SSubmission Update Pei2od of Report

]l 2014

-1 lWolf Creek [50W4821 Tests Conducted In 01e Calendar Year Total Number of Tests Conducted Total Number of Positive, Adulterated, Reason For Testing Licensee Employees Contractors/Vendors Substituted, and Refusal to Test Results Pr.-Access; 1 11 4 g1 1 1

7_1 Random

[

1 32 1

°1 For Cause 5

2 1

Post-Event

]3 11 01 F ollo wu p

2 6]

8 o0l 11 Total (Calculated) 65I1]

1,3661

_9_

FFD Program Random Testing Population and Rate Average number of Average number of Total size of the random testing pool Annual random testing percentage licensee employees contractors/vendors throughout the period (Calculated) achieved for the testing pool F

I°* I I' F F*g I*

Laboratory Testing Does yOur program use a Licensee Testing Facility?

No (Yes I No)

Identify your HHS-Certified Laboratory(ies)

IClinical Reference Laboratory, Lenexa, KS Identify your Blind Performance Test Sample supplier(s)

AT Laboratories, Inc,. Lenexa, KS Substances Tested Did your program only test for NRC-required substances Does your program conduct LOD testing Y

AND at the NRC-specified minimum cutoff levels? (Yes / No) Yes permitted in 26.163(aX2)? (Yes / No)

Special Analyses Tenng Results Total Number of "Dilute

[

Specimen Test Results (0

1 (Secal AName Dlyses T

pestingeCndutds (Optional)

Sei A T

o Substance Use Only NRC Cutoff initial Confirmatory LOD Testing?

Comment Levels? (Yes I No)

Cutoff Cutoff (Yes I No)

(Optional)

Alcohol Yes Not Applicable Cocaine Yes iYes1 Marijuana ZYes Yes Amphetamines Fes yes Opiates yes iy Yes PCP Yes Annual Report Form (version 1.6.0 - December 19. 2014)

- Page 1 of 2 -

NRC Form 891 (1212014)

Annual Report Form (version 1.6.0 - December 19, 2014)

- Page 1 of 2 -

NRC Form 891 (12/2014)

Substances Tested - continued Summary of Management Actions - 26,717(bX8)

Summarize actions implemented to improve FFD program performance. As applicable, reference in the topic description audit reports, 30-day reports, and/or corrective action reports. If reporting information on more than three topics, select "Others" for Topic 3 to report any additional topics.

Topic 1 Topic 1 Description Program and System Management NRC IR 05000482/2014403 04114114 -04/17/14 Fitness For Duty Program Inspection NCV 05000482/2014403-01 Failure To Test DonorOff-site When Selected For Random, at Earliest Reasonable Opportunity. Condition Report CR 00082946 initiated to evaluate and address the concern.

Implemented tracking method to track return of individual to site by notifying the person's FFD Supervisor and FFD staff. Actions completed 09110114, effectiveness review completed 11/14/14 NCV 050000482/2014403-02 Failure To Train FFD Urine Collectors On The In-Use Thermometer.

Condition Report CR 00082953 initiated to evaluate and address the concern. Provided remedial training for all FFD collectors, revised training materials. Actions completed 10/06/14, effectiveness review completed 01/13t15.

Licensee-Identified Violations: three examples of violations of very low safety significance (Green) were identified by the licensee and are violations of NRC requirements which meet the criteria of the NRC Enforcement Policy for being dispositioned as Non-Cited Violations.

Topic 2 Topic 2 Description Program and System Management Quality Assurance Audit Report No: 14-10-FFD/FM, 10/16/14 - 11/13/14 Fitness For Duty and Fatigue Management. There were nine (9) QA Issues, three (3) QA Recommendations and three (3) items identified during the audit that will require GA follow-up.

Three of the GA Issues were on the FFD program, CR 00089757 on procedure formatting errors, CR 00089762 for correction to training dates for an individual in the PADS database and CR 00089143 to document the justification for two observed screens in the Corrective Action database. The QA Recommendations were to improve visibility of Me EAP for personnel, consider deleting a form that duplicates tracking elements tracked by other processes and physical improvements to the access screening office areas. Two of the three QA Follow-up items were on the FFD program. Corrective actions have been implemented, CRs to perform a follow up on the effectiveness are CR 00089772 on effectiveness of actions to ensure UAA/UA is removed if drug results are not received within five business days and CR 00089763 to review actions implemented for the BOP.

[] Add an additional Topic Topic 3 Topic 3 Description Other(s)

CR 00078259 - Random not collected within 30 days of selection, resolution - daily tracking implemented.

CR 00080135 - Failure to enter DA results in PADS within five business days, resolution - daily Please elaborate:

documentation of data entry.

CR 00080726 - UA not administratively withdrawn when DA results not received with five business Condition Reports (CR) on the FFD program.

days, resolution - daily tracking of outstanding DA results.

CR 00080773 - Individual not added to Follow-Up program in SSIS, resolution - weekly comparison of PADS active at Wolf Creek in a Follow-Up program against SSIS active Follow-Up list.

CR 00082548 - Failure to place badge on Security Clearance Hold - miscalculation of the five business day receipt of DA results, Security Log Entry #9, resolution -daily review of outstanding DA results verified by second checker.

CR 00082900 - FFD potential NRC Minor Violations of 10 CFR 26, resolution -developed matrix of 10 CFR 26 to FFD procedures, revised procedures and desktops.

Person(s) Responsible for Information Provided Person 1 (required):

l X

I Z ]

Hoch Supervisor, Access Screening cahoch@

noc.co First Name Last Name Position Title Company E Person 2 (optional):

1Ken Craighead FFitnass For Duty Program kecraig@wcnoc.com First Name Last Name Position Title Companv Email Address Email Address r

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.

Form Locked On:IFeb 17. 2015 at 3:32.22 PM]

Save to Local PC iPnt this Report Annual Report Form (version 1.6.0 - December 19, 2014)

- Page 2 of 2 -

NRC Form 891 (12/2014)

Annual Report Form (version 1.6.0 - December 19, 2014)

- Page 2 of 2 -

NRC Form 891 (12/2014)

7) ^a nirse rwlaeqae arnain mlaene mare. opaerom
2) Etries. In som, Noiel sate-opepn d

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obmma in o~te fielt, V1 We... avvwrfarm ffielif to view additional Idnforaton 4)Live ofAdohe Reader'8 or hawo is reqdmde m~o Sbison oEDelete Select Facility Etislmted burden per response to comply %it thin collection request Is 30 minutes. Tha form Is a voluntary means of reporting the Information required under 10 CFR 28.717. The Itonnration Is required by NRC to obtain on an annual bail alt soeslic larens-for-dut1 (FFD) program performance data on drug and alcohol progrus from lcenseie and othe ente,. Send comment. regarding burden etshet. to the FOIA. Pivecy and Informotiom, Collection Branch (TS-F53), U.S Nudear Reguiatory Commdieon, Wanhingftn DC 20555-0001, or by e-moal to nfaise

[oibC and to the Desk Ofttr Office of Informalon and Regulatory Aflfrs, NEO6-1020, (3150-0146), Ofce o Management and Budget Washington DC 20503. If a mean. used to impose Informatov collection doen not display a cumrently valid OMB control number, the NRC my not condumc or sponsor, and a person is not required to repond to, tie information collclion.

FO re 50-42]

]

Date of Collection (mm/dd/yyyy) 03/10/2014 tional)

Please elaborate (optional)

Reason for Testing - 28.717(b)(5)

Pre-Access Testing Reason (op It-A.C m

I j

I Autorizaion Employment Type - 26.717(b)(3)

Outage Worker (optional)?

iControrNeYr I

I WI Labor Category - 26.717(b)(3)

Please elaborate Isthisaa24-Hour Reporting Event(Yfeadfo)? - 26.719(b)

FNo Refusal-26.717(b)(7) & 26.75 Was this collection refused (Yes / No)? E~i Teat Results - 26.717(b)(4)

Test Validity

[Not Appli

]

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

Alcohol Testing Alcohol Only I Breath I

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

Alcohol What 26.103 BAC level was exceeded?

0,04 or greater Subversion Attempts - 26.717(b)(7) and 26.75(b)

Did this collection involve a subversion attempt (Yes/No)?

Manaoement Actions - 26.717(b)(8) & 26.75 Reason for the Action First drug or alcohol positive Sanction Applied (NRC Minimum or Licensee Administrated)

NRC Minimum Specific Sanction Applied 14-Day Denial Person(s) Responsible for Information Provided Ponion I (required):

Icon I o" isu ev o Sce nn c h ho w....

First Name Last Name Position Title Company Email Address Person 2 (optional):

I Ke Fitns o uyPog ram k=wag~wcooc.com First Name Last Name Posbon me Company Email Address Final Sap (Required) - NRC via conskder ftle form authentic I accordance wlth 26.11 only when the Vallldate & Lock' buoon is clicked and at errors (higlight*d in red) have been corrected. The "Votidate & Lock" button will change to 'Locked' after the det. vreidation process ha be*n suaocoanilty completed indicating the forn is ready for submisaon.

Form Locked On: I Feb 11, 2015 at 1:52:18PM S

tot iPC FPor 8901R2214 Single Positive Teat Form (version 1.6.0 - Decenmber 19, 2014)

NRC Form 890 (12/2014)

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Delete Update L-Submission Unique Reference i

D i

Licensee Suppti 50~-48-A2 select Faifclty Estimated burden per response to comply with thid collecton request is 30 minutes. Thei form ts a voluntay mearms of reporting the Information req*ired uider 10 CFR 26.717. The Intormnelon Is required by NRC to obtain en an wninal basis tspook fnmstfor--duti (FF0) program perlorrmrace data on drug and alcohol progarne from licnsees and othei entities. Send comments regarding burden estimate to the FOIA, Privacy and Information Collection Branch (TS-F53), U.S. Nuclear Regulatory Commiaslon, Washington DC 20555-0001, or by s-mall to n and to the Desk Ofttcr, Ofice of information and Regulatory Affairs, NEOB-1020, (3150-0146), Office oi Management and Budget Walhington DC 20503. If a meanm used to Immese Information collection does not display a currently vasid OMB contut number, the NRC may not condud or sponsor, and a person Is not required to respond to, the Information collection.

WoWf Creek [50-482]

Date of Collection 1 1

(mmlddyyyy) 0 feson ror testing (optional)

Reason for Testing - 26.717(b)(5)

Please elaborate on the IF l l Z

I F[tw-up rendom selection.

Employment Type - 26.717(b)(3) lContracterNenclor Labor Category - 26.717(b)(3)

II zz Outage Woirker (joptiona?

Please elaborate Laborer

/s this a 24-Hour Reporting Event (Veslfo)? - 26.71 9(b)

No Refusal-26.717(b)(7) & 26,75 Was this collection refused (Yes / No)?

Test Results - 26.717(b)(4)

Test Validity INot Applicable I

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

Alcohol Only Alcohol Testing Substance - 26.717(b)(2) & (b)(6)

Alcohol Vill& 26.103 BAC level ors exceeded?

0.04 or greater Subversion Attempts - 26.717(b)(7) and 26.75(b)

Did this collection Involve a subversion attempt (Yes/No)?

Mansoement Actions - 26 717(b)(8) & 26.75 Reason for the Action ISecond drug or alcohol positive Sanction Applied (NRC Minimum or Licensee Administrated)

NRC Minimum Specific Sanction Applied 5-Year Denial Person(s) Responsible for Information Provided Person 1 (required):

o-rt Fi-liuprio Aces Scenn aoh First Name Last Name Position Title Company Email Address Peraon 2 (options):

I.-

F, -;a Fe~~

o camrDtyPoga First Name Last Name Position TCtle company Eriol Address Flhsl Step IRequlrsd) - NRC will consider this form authentic in accordanco with 26.11 only when the Validate & Lock' button is clicked and all errors (highlighted in red) have been corrected. The "Validate & Loc button wili change to "Locked after the date validetion process has been successhly completed Indicating the form is ready for submleslon.

Form Locked On: F Feb 11, 2015 al 1:51:52 PM Sav89Loc0 PC A fthi 1R2/04 Single Positive Test Fonm (version 1.6.0 - December 19, 2014)

NRC Form 890 (12/2014)

1)t AN ltfid. rsu*vd excelof OWles mashed e'sa IAPPROVE BY ONE: CLEARANCE NO. 3104146 EXPIRE&11212 V nlfa braw some I awtvfspulaplksean m/ean n owr ffseda

3) Nllaw over fonm flar s to v** w addefali mmtioson
4) Use of Adohe RAeaedr tor hewti ra*eed El Submi'sion Delete Update 0] Submission Unique Referc c eneU s Suppl F50-82-A3 Select Facility Volf Creek (50-482]

Estimated burden per response to comply wwih t colletion request is 30 minutes. This term is a voluntary means of reporting the Information requred under 10 CFR 26.717. The Informaston is reqidred by NRC to obtain on an annual basis sit speoikc itess-for-duty (FFD) program performance data on drug and alcohol progara from liensees and other otitiesa. Send comments regarding burden eslimete to the FOIA, Privacy and Infonnation Collection Branch (TS-F53), U.S. Nuclear Regulatoy Commission, Washington DC 20555-0001, or by s-mall to Intoolecti ReouruspNRC sov and to the Desk Officer, Office of Information and Regulatory

Afteir, NEOB-1020, (3150-0146), Office of Management and Budget Washi*gton DC 20503. if a means used to irpose information colecton does not display a currently valid OMB control number, the NRC may not conduct or sporsor. and a person is not requked to respond to, the inormation collection.

Date of Collection (mm/dd/yyyy)C 04/18/2014 Please elaborate (optional)

Reason for Testing - 26717(b)(5)

IFor Cause Employment Type - 26&717(b)(3)

Licensee Employee Labor Category - 26.717(b)(3)

For Cause Testing Reason lPhysical ConditiornSmell of Alcohol Outsge Worker (oWptonal?

IN is this a 24-Hour Reporting Event (YeasNo)? - 26.719(b)

No Refusal-26.717(b)(7) & 26.75 Was this collection refused (Yes / No)? [No TeOt Results - 26.717(b)(4)

Test Validity Not Applicable o

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

I Alcohol Only II Alcohol Testing Breath Substance - 26.717(b)(2) & (b)(6)

Alcohol Wnat 26.103 BAC level was exceeded?

0.04 or greater Subversion Attempts - 26.717(b)(7) and 26.75(b)

Did this collection involve a subversion attempt (Yes/No)? No Manaoemert Actions - 26.717(b)(8) & 26.75 Reason for the Action First drug or alcohol positive Sanction Applied (NRC Minimum or Licensee Admlnistrated)

INRC Minimum Specifc Sanction Applied 14-Day Denial Person(s) Responsible for Information Provyded Person 1 (required):

First Name Lesta Position aml Company Emaril Address Person 2 (optional):

[1(]

Craihea

[~n For OuyProgram

]kecraigewcnoc.comn Firt Name Last Name Position Tae Company Ermnl Address Fbn Step (Requ/red) - NRC wil consider dis form authentc In accordance with 26.11 ondy when the WValkdete

& Lock button is cihked and all emrors (highigted In red) have been corrected.

The 'Validate & Lock' button wil change to 'Locheoe aer the data validation process has ben succesafully completed islcathig the form is ready for submisslon.

Form Locked On: I Feb 11, 2015 at 1:51:11 PM 51/ loc01Pc 4PflIfsRqat Single Positive Test Form (version 1.6.0 - December 19, 2014)

NRC Form 890 (12/2014)

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1RUOU. IBY eUMN: %aXRItANGIt NU. alD4sI

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3) Allows over Items fonn ldsto view adc ornegfenn form is a voluntary means of reporting the Ifonnation required under 10 CFR 26.717. The
4) Use ofAdobe Rteder 8 aterst reqred information is re(pired by NRC to obtain on an amnnui basis itoe apecific Itfoewfor-dlut (FFD) program performance data on drug and alcohol progran from lscense end othe Submission Delete entities, Send comments regarding burden estimate to the FOIA, Privacy and Information U

t SCollection Brancd {TS-F53). U.S. Nuclear Regulatory Commission, Walsington DC 20555-0001, or by -smidl to n and to tie Desk Officer, Office of Information and Regulatory Affalir. NEOB-1020, (3150-0146), Office ai Unique Reference ID (Licensee Supplied)

Mangemrent and Budget, Washington DC 20503.

If a means used to impose Information 50482-A4 collection does not display e currently valid OMB conbol number, the NRC may not condudt or sponsor, and a person is not required to respond to, the Information co0lleclon.

Select Facility 1WOtf Crook (50-4821 Date of Collection (mm/dtyyy) 11/17 14 Reason for Testing. 26,717(b)(5)

Prm-Access Testing Reason (optionel)

JR'A Inieial Authortezon Employment Type - 20.717(b)(3)

Outage Worker (optlonal)?

i~nMsI I

Labor Category - 26.717(b)(3)

Please elaborate lot Delivery person

/s this a 24-Hour Reporting Event (YesaNo)? - 26.719(b)

No Refusal-26.717(b)(7) & 26.75 Was this collection refused (Yes / No)?

FINI Test Results - 26.717(b)(4)

Test Validity

[Not Applicable I

Test Type(s) for Result(s) Reported - 2&.717(b)(2)

Alcohol Testing IAlcohol Only i

Substance - 26.717(b)(2) & (b)(8)

Alcohol e 26.103 BAC level was exceeded?

10.04 or greater Subversion Attempts - 26,717(b)(7) and 26.75(b)

Did this collection involve a subversion attempt (Yes/No)?

Please elaborate (optionel)

Management Actions - 26.717(b)(8) & 20.75 Reason for the Action First drug or alcohol positive Sanction Applied (NRC Minimum or Ucensre Adminetrated)

NRC Minimum Specific Sanction Applied 14-Day Denial Person(s) Responsible for Information Provided Person I [required:

lIsupervisor Access Screenin cabho oc.cor First Name Last Name Position Titie Company Emall Address Person 2 (optionat):

K1(

ICn]esd FFites For euty Parggrm orn First Name Last Name osition Title Company Enmail Address Final Stop (Requlred) - NRC w.ll consider this fonm authentic in accordance with 26.11 only when the Validate & Lock* button Is clicked and a11 erors (highlighted in red) have been corrected. The Vidtdate & Lock' button wall change to Locked afslr the data vandation process haa been successfully completed Indicating the fore is ready for submission.

Form LockedOn I Fab 1, 2015 at 1RC For 8901 22014 Single Positive Test Form (version 1.6.0 - Decetyber 19, 2014)

NRC Form 890 (1212014)

2) Erun, i

for fields erto view4*

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Salmsson Delet select Factilitv Esltimated burden per reeponse to comply wtfh iteo colleson mrequest is 30 irdnutes. TN.

br*n is a voluntary means of reporting the Infonrmeon required under 10 CFR 26.717. The oformaeron In required by NRC to obtain on rn *nm"tI basis site specifi teu-for-duty FFD) program performance data on drug and alocohol programo from lilensees and other mtities. Send comments regarding burden estmate to the FOIA, Ptlvacy and Information Collection Branch (T5-F53), U.S. Nudear Regulatory Commission, Washington DC 20555-0001, or by e-mail to n le*ssuredNC-g and to the Desk Officer, D111ce of Information and Regutatory Affairs, NEOB-1020, (3150-0146), Office of Management and Budget, Washington DC 20503. If a mean.s reed to Impors Informntion wetecton does not diplay a currnty valid OMB control number, Sm NRC may not conduct xr sponsor. and a person in not required to respond to, SM informaoti con ecdon.

[Wolf Creek [50-482]

Reason for Tsting - 26.717(b)(5)

Employment Type - 28,717(b)(3) lCantb ctorCteno r 2 Labor Category - 26.717(b)(3)

Joe.

____________Date Of collection (mm/dd/yyyy)

Pra-Access Testing Reason (optional)

Please elaborate (optional)

Initial Authorizaton Outage Worker (optionso?

Please elaborate Fit at nuclear facility, no history in PADS Utity Helper is thisa 24-Hour Reporting Event (YseaNo)? - 26.719(b)

No Refusal-26.717(b)(7) & 28.75 Was this collection refused (Yes / No)?

Test Results - 26.717(b)(4)

Test Validity lValid

]

Test Type(s) for Result(s) Reported - 28.717(b)(2)

Drug Testing Drug Only Urine Was this collection observed (Yes / No)? - 28.717(b)(7) & 26.75 Substance - 26.717(b)(2) & (b)(6)

Additional Substance (as applicable)

Msrijuana PIlease Select Use NRC Cutoff (Yes / No)? ry Z]

Subversion Attempts - 28.717(b)(7) and 26.75(b)

Did this collection involve a subversion attempt (Yes/No)?

No Additional Substance (as applicable)

Please Select I

Manaornment Actions - 26.717(b)(8) & 26.75 Reason for the Action First drug or alcohol positive I

Sanction Applied (NRC Minimum or Licensee Administrated)

INRC Minimum Specific Sanction Applied 14-Day Denial Person(s) Responsible for Information Provided Pereon 1 (requred):

F~

r.

F ---

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o AccessSo helmn cahochQ

  • o.

...n First Name Last Name Position Tlale Company Email Address Person 2 (oplonal):

K1(w Faied Fatneas For Duty Program kecrelg@WnoO conm First Name Last Name Position Te Company Emal Address Final Slop (Requieod - NRC will consider this form aulwtic in eccordance with 2611 only when the "Vaidate & Lock' button is clicked and all errom (hghsighted in red) have bean corrected. The Velidate & Lockbutton mwil change to "Locked' aflte the data vaideati process hbe been weuc y completed nicating Sm form to ready for subissedon.

Form Locked On: I Feb 11, 2015 at 1:50:12 Pt L.c 9PC (P12t Rnp01t Single Positive Test Form (version 1.8.0 - December 19, 2014)

NRC Form 890 (12/2014)

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]Se bfnscio Delete Estmated burden per response to coml y h lf colle5ction request is 30 Inhuts. Thk form is a voluntay means of reportng the ifnoslon required under 10 CFR 26.717. Thf ktrollonolr Is rainked by NRC to obatine on.

mimannul beob ofte spectic, ftoawfor-&Mt (FFD) program perharmanoe date on drug and alcohol program fwa lia and othe ntitlae. Smnd oormentrg regearing burden eattoe to the FOIAU Prvcy end hInfanoetci Coecti Branch (T5-F53), U.S. Nuclear Regulatory Comewton, Washington DC 20555-0001, or by w-mall to mioJR=

M Qov and to the Desk Officer Office of Informiatiwo and Regiudtory Affair, NEOB-1020, (3150-0146),

e o' Managemmnt and Budget Wahilngton DC 20503. If a meanm used to impose tlfmmoa coection does not diplay a cwrmily valid OMB ontrol number, the NRC may not condue a sponsor, and. person is not required to respond to. the tinfarmtio colectw.

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Daft Of Colloctfon (mM y) 03/04/2014 ng Reason (optional)

Please eleborate (optional)

Reason for Tesaing - 26.717(b)(5)

Employment Type - 26.717(b)(3) lConrCatNendor 6 Lb Caegr - 26.717(b){3)

Iniltal Authoroition Outage Wbrke (optiona1 ?

~III Plea"e elaborate F7it tm. at nuclear tecilty, no history in PADS u~Ity Heaper Ia this a 24-Hour Reporting Event (YeA/No)? - 26.719(b)

No Refusal-26.717(b)(7) & 26.75 Was this collection refused (Yes / No)?

Test Results - 26.717(b)(4)

Test Validity FV aid Test Type(&) for Resut(s) Repor*ed - 26.717(b)(2)

Drug Testng IDrug Only Prins Was thls collectlon observe (Yesl /No)?- 26.717(b)*7) & 26.75 Substance - 26.717(b)(2) & (b)(6)

Additional Substance (asapplilcable)

AmphetaInes Please SelectI Use NRC Cutoff (Yes / No)? ElIZ]

Subversion Attempts - 26.717(b)(7) and 26.75(b)

Did this collection involve a subversion attempt (Yes/No)?

No Addftonal Substnce (as sppicable)

IPleaseelectI Manasoement Actions - 26.717(b)(8) & 26.75 Reason for the Action IFirst drug or alcohol positive Sanction Appled (NRC Minimum or Licensee Administrated)

NIRC Minimum Specific Senction Applied 14-Day Denial Pearon(s) Responeible W lnforvnon Provided Person I (required):

C.I-I ISulpervsor Access Screening Ic

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.o First Name Last Niae Position Title Company Email Address Permon 2 (optonel):

I Pln Namcr eqlgevonco First Name Last Name Company Email Address Fth/ Step (Relqwh. - NRC me1 coneider fhi srm authmuenc In acaordence wuth 26.11 only Wimi the Valkae & Lock butsn le tked and vti.r.

  • Ofigbtod tn red) thae bean corrected.

The 'V-dhte & Lock button wll chanie to.oched" after the daft vaidstion process ha. been successtdy completed Indicating the fSrm is reedy for subminemn.

Form Locked On: Feb 11, 2015 at 1:49:F2 PM IDL.1 P8 9Wk (12014t Single Positiv Teat Form (version 1.6.0 - December 19, 2014)

NRC Formi 890 (1=/014)

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4) Late ofAdobe Roaedor or tsiw, Isrquired Select Fac~lifty Estimated burden per response to omply with Ud collection request i-30 minutes This form Ia volunttry means of reporting t* e hofom aon requiked under 10 CFR 26.717. The information is requied by NRC to obtain on at annual basitesitt speciic Iftessf-o-duty (FFD) program petloro*nce data on dirg and alcohol programs from 1onseas and other eties. Send cormenas regording burden sastlmat to Ite FOIA, Pritacy and Informaton Collcon Branch (T1-`53), U.S. Nudew Regiuitory Commission, Washitalon DC 20555-0001, or by *-mail to aifioc llec..

and to she Desk Officr.

Oftite of Information and Regulatory

Affa, NEOB-1020. (3150-0146), Offkie of Management and Budget, Wasblgton IDC 20503. If a means used to Impose Inlormation collecton does not display a cturently valid OMB contol rnomber, he. NRC my not conduct or sponsor, and a peroon hs not required to respond to, the Information colecton.

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Pro-Access Testing Reason (optional)

Plsasae elaborate (optional)

Reason for Testing - 26.717(b)(5)

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Employment Type-26.717(b)(3)

Labor Category - 26.717(b)(3)

Inital Authorization Outage Worker (optlonal)?

Pleawe elaorate Fiat Oma st nuclear fslity, no history in PADS Laborer is thi a 24-Hour Reporting Event (YOSaNo)? - 26.719(b)

No Refusaal-26.717(b)(7) & 26.75 Was this collection refused (Yes / No)? [No Teat Results - 26.717(b)(4)

Test ValidityXVald Test Type(a) for Result(s) Reported - 26.717(b)(2)

Drug Teoting Drug O Pi Waa this collection observed (Yea/ 1No)?- 26.717(b)(7) & 26.75 Substance - 26.717(b)(2) & (b)(6)

Additional Substance (as applicable)

Marijuna please Select Additional Substance (as applicable) 1Please Select I

Use NRC Cutoff (Yes / No)? E-I]

Subveralon Attempta - 26.717(b)(7) and 26.75(b)

Did this collection Involve a subversion attempt (Yes/No)?

Aanaaenamnt Actions - 26.717(b)(8) & 26.75 Reason for the Action First drug or alcohol positive Sanction Applied (NRC Minimum or iUcensee Administrated)

NRC Minimumn Specific Sanction Applied 14-Day Denial Person(s) Reaponsible for Inflormation Provided Peron I (reqired):

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I First Name LAst Nam Position Tite Company Email Address Poio 2 (optional:

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For Duty Program etlnvrocm ksorfllg~wonoc.com First Name Las NPosition T ie Company Email Address Final Step (Requinr4 - NRC will consider tis form authentic in sccordence wth 26.11 only when the Validste & Loc button is clicked and all nore (highlited In red) hive been corrected. The Valdsdate & Lock" button will change to "Locked" sfter *e dta validstion proceaa hei. been mucomposy otnpated Indicating the form Is ready for ubmibnlon Form Locked On: I Feb 11, 2015 at 1:48:24 PM0swt11uwpc1 Single Poaitive Teat Form (version 1.6.0 - December 19, 2014)

NRC Foint 890 (12/2014)

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Submission r-Delete Update D-l Submission Unique Refence ID (Licensee Suppliai F50.482-134 Select Facility Esmasted burden per response to comply with Oft coolcton request Is 30 minutes. Tin fonm is a voluntry masea of reporting the Informaton required under 10 CFR 26.717. The Information is required by NRC to obtain on an annual basis ite spedfic ftos-for-duth (FFD) program performance data on drug and alohol program from licenees and o0m entities. Send commento regarding burden estmate to the FOLA, Privacy and Informaton Collaction Branch (T5.F53), U.S. Nudear Regulatory Commisdson, Washington DC 20555-0001, or by e-ma-l to I and to fth Desk Officer, Oflce of Informatilon nd Regulatory Affai, NEOB-1020, (3150-0146), Office *I Management and Budget. Washington DC 20503.

If a meana used to lspoae Information collection dean not diplay a currenty valid OMS contol number, the NRC may not conced or sponsor, and a person is not required to respond to, the ndf*rnation collection.

Date of Collection ___________

woIf Creek [50-482]

(mm/ddiyyyy) 04/01/2014 Pro-Access Testing Reason (optional)

Please elaborate (optional)

Reason for Testing - 26.717(b)(5)

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Employment Type - 26.717(b)(3)

Uconsees Employee Labor Category - 26.71 7(b)(3) i iz~

Reinstatement (Betweeen 31 and 365 days)

Outage Worker (optional)?

IN Return from medcal leave Is thls a 24-Hour Reporting Event (Yea/No)? - 26.719(b)

No Refusal-26.717(b)(7) & 26,75 Was this collection refused (Yes / No)?

No Test Results-26.717(b)(4)

Test Validity Ei i

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

Drug Testing Drug Only Prins Was this collection observed (Yes/ No)? - 26.717(b)(7) & 26.75 Substance - 26.717(b)(2) & (b)(6)

Additional Substance (as applicable) lOpiate: Morphine I

Please Select Additional Substance (as applicable)

Please SelctI Use NRC Cutoff (Yes / No)?FE-.I]

Subversion Attempts - 26.717(b)(7) and 28.75(b)

Did this collection involve a subversion attempt (Yes/No)?

No Man*oement Actions - 26.717(b)(8) & 28.75 Reason for the Action First drug or alcohol positive Sanction Applied (NRC Minimum or Licensee Administrated)

NRC MinimumJ Specific Sanction Applied 14-Day Denial Person(s) Responsible for Information Provided Paeron I (requ~ked):

Cad, HoP dSupervior Access Screeng cahod cn

... om First Name Last Name Position Tit Compar Person 2 (optioal):

Ran 1Crighead iFfnses For Duty Program kocralgewmnc.com Email Address Pirst Name Last Nsame iositon I me Uompany omafl Address Flnal Step (Required) - NRC will consider his orm authentic in accordance with 26.11 only when the Validate & Lock button Is clicked and all etrom (highlighted in red) h-e been corrected, The 'Vtlidte & Lock button Will change to 'Locked" aftr the data validation process hes been successfully conpleted Indcating the form Is ready for submission.

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1Ro 0tt Single Positive Teat Form (version 1..0 - December 19,2014)

NRC Form 890 (1212014)

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  • 1Submissi'on Delete Update EI Submission Unique Reference ID (i Su 150-41V-05 solo"ctFcilifty Iornol fierld.

brmsaE atiS.. Send comments regordWng burden estimat to I Collection Branch (TS-F53), U.S. Nuclear Regulatory 205-00, ar by a-rnll to InoolcsRsuodl Dito of Infofmo tln and Regulatory Afla*e, NEOf Managemennt ad Budget, Washington DC 20503. If a rr coioodin doe. not display a currenty vald OMB conlol n or sponsor, and a parson Is not required to respond to, the

_Date of Collection (mm/ddtyyyy) 12/15/2014 Pro-Access Testing Reason (optional)

Please elaborate (optional)

Wolf Crook [50-482]

Reason for Testing - 26.717(b)(5)

Employment Type - 26.717(b)(3)

Contrccaendor 2 Labor Category - 28.717(b)(3) 10 -1

[Reinstatement (Bet~ee 31 and 365 days)

Outage Worker (optionaQ?

1Yes Pleaseo elaborate Refueing Outage ILaborerI Is this a 24-Hour Reporting Event (YesWo)? - 26.719(b)

No Refusal-26.717(b)(7) & 26.75 Was this collection refused (Yes I No)?

Test Results - 26.717(b)(4)

Test Validity Valid]

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

Drug Testing IDrug Only UrIine I Was this collection observed (Yea/No)? - 26.717(b)(7) & 26.75 Substance - 26.717(b)(2) & (b)(6)

Additional Substance (as applicable)

Marijuana Plase Selec Uea NRC Cutoff (Yes / No)? [Y-Z]

Subversion Attempts - 26,717(b)(7) and 26.75(b)

Did this collection involve a subversion attempt (Yes/No)? I Xo Additional Substance (as applicable)

FPlease Select I

Manaenement Actions - 26.7171b)(8) & 26.75 Reason for th Action First drug or alcohol positive Sanction Applied (NRC Minimum or Licensee Administrated)

NRC Minimum Specific Sanction Applied 14-Day Denial Person(i) Responsible for Information Provided Person 1 (required):

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First Name Las Position Tite Company Email Address Penron 2 (optional):

Ken Fies For Duty Program keorealiwo.com First Name Last Name Positbon "-

Company Email Address Flnal Step (Requlraod)

- NRC will conaldor this form aulherlrc In accordance with 26.11 only when the "Valdate & Lode' button is dicked and as erors (hlghlhghted In red) have been corrected.

The Validate & Lock" button wil1 charge to Locked' ader the data validatoun pronoe. has been sucoestiry completed Indicating the form is ready for submiasion.

Form Locked On: I Feb 11, 2015 at 1:47:12 PM

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NRC Form 890 (1212014)

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NRC FFD Program Performance Data Reporting System 10 CFR Part 26, Subpart I - Managing Fatigue Attachment This attachment provides the entire narrative as the NRC form has been created with boxes that scroll down, and when printed, the information does not print in its entirety due to the way the NRC has built the electronic FM form.

Analysis of Waiver Assessment Data:

No waivers were initiated for 2014.

Analysis of Fatigue Assessment Data:

Eight (8) Fatigue Assessments were completed for 2014. For-Cause = 4, Post-Event = 2, Self-Declaration

= 2. Actions taken were to place ACAD badge on hold pending drug & alcohol results.

Fatigue Assessments were completed by procedure and by qualified fatigue assessors.

==

Conclusions:==

Waivers: As no waivers were initiated for 2014 no recommendations for improvement were made.

Fatigue Assessments: The 2014 Fatigue Management Annual Review did identify minor improvements to the fatigue assessment form to drive the fatigue assessor to improve their documentation efforts. Reference condition report CR00091378.

Summary and Status of Corrective Actions:

The evaluation review period is 01-01-2014 through 12-31-2014.

During this review period zero (0) waivers were performed and eight (8) fatigue assessments were initiated. Condition reports were initiated for fatigue assessments within the corrective action program.

A collective review of 2014 conditions reports was performed for the fatigue management program and no gaps or areas for improvement were identified. One recommendation was made to determine if the fatigue assessment form could be revised to improve the documentation guidance to be clearer and more specific to drive improved documentation results. Reference condition report CR00091378.