ML15062A039
| ML15062A039 | |
| Person / Time | |
|---|---|
| Site: | Wolf Creek |
| 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
,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
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 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.
1)All fields required utess marked 'optlonal
- 2) Use of Adobe Reader 8 or lateris ruqufrsd SSubmission
- 3) Mouse over fields for additlonal Infonnaldo" Update Select Facility lWolf Creek [50W4821
]l 2014 Pei2od of Report
-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_
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)
F*g Annual random testing percentage I*
achieved for the testing pool LaboratoryTesting 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 1 (0 (Secal AName Dlyses T pestingeCndutds Sei A T o (Optional)
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 2- NRC Form 891 (1212014)
- 19. 2014) Page 1
-- Page 1 of 1.6.0 -- December (version 1.6.0 of 2 -
Annual Annual Report Form (version Report Form December 19, 2014) 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 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.
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 ifdrug 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 Email Address Person 2 (optional):
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.
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.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.
Select Facility FO 50-42]
re
] Date of Collection (mm/dd/yyyy) 03/10/2014 Reason for Testing - 28.717(b)(5) Pre-Access Testing Reason (optional) Please elaborate (optional)
It-A.C m j I I Autorizaion Employment Type - 26.717(b)(3) Outage Worker (optional)?
iControrNeYr I I WI Labor Category - 26.717(b)(3) Please elaborate I
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)
Test Validity
[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)
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 chho w....
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.
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)
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
- 3) Mu".. owtame ffed. to vieweddOMneflnarmadon Intormnelon Is required by NRC to obtain en an wninal basis tspook fnmstfor--duti
- 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
[*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.
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)
IF l l Z I F[tw-up rendomselection.
Employment Type - 26.717(b)(3) Outage Woirker (joptiona?
lContracterNenclor zz Labor Category- 26.717(b)(3)
II Please elaborate Laborer
/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)?
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)
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 Fi-Specific Sanction Applied 5- Year Denial Person(s)Responsible for Information Provided Person 1 (required):
o-rt liuprio Aces Scenn aoh ....
First Name Last Name Position Title Company Email Address F,
Peraon 2 (options):
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.
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)
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
- 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
- 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.
Select Facility Date of Collection Volf Creek (50-482]
(mm/dd/yyyy)C 04/18/2014 Reason for Testing - 26717(b)(5) For Cause Testing Reason Please elaborate (optional)
IFor Cause lPhysical ConditiornSmell of Alcohol Employment Type - 26&717(b)(3) Outsge Worker (oWptonal?
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)
Test Validity o
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)
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 aml Position Company EmarilAddress Person 2 (optional):
[1(] Firt Name Craihea Last Name
[~n ForOuyProgram Position Tae
]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.
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)
- 1) AN ffelds raqf*od sicM*e naok.E "plena" A 1RUOU. IBYeUMN:%aXRItANGItNU. alD4sI .. PIRE :1115s17017
,) Entare In aessaMehli sue hbnfomrelloaIn other fl Estimated burden per response to comply wish Idis collection request is 30 minutes. Tha 3)
- 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.
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)
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 Deliveryperson
/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)
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)?
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:
Access Screenin cabho oc.cor lIsupervisor First Name Last Name Position Titie Company Emall Address Person2 (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.
Form LockedOn IFab 1, 2015at 1RC For 8901 22014 Single Positive Test Form(version 1.6.0 - Decetyber 19, 2014) NRC Form 890 (1212014)
Esltimatedburden per reeponse to comply wtfh iteocollesonmrequest is 30 irdnutes. TN.
- 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.
select Factilitv
[Wolf Creek [50-482] ____________Date Of collection (mm/dd/yyyy)
Reason for Tsting - 26.717(b)(5) Pra-Access Testing Reason (optional) Please elaborate (optional)
Initial Authorizaton Employment Type - 28,717(b)(3) Outage Worker (optionso?
Fit at nuclearfacility,no history in PADS lCantbctorCteno r 2 Joe.
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)?
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) Additional Substance(as applicable)
Msrijuana PIleaseSelect Please Select I 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 ManaornmentActions - 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. c F--- -~p~ o AccessSo helmn cahochQ
- o. ... n First Name Last Name Position Tlale Company Email Address Person 2 (oplonal):
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.
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)
a)- amasam.F -- W~ -maoaee -
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
- 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=
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
]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.
I Daft Of Colloctfon
~I IWNIrok[-42 (mM y) 03/04/2014 Reason for Tesaing - 26.717(b)(5) Pre-Acceas TeethngReason (optional) Please eleborate (optional)
F7it tm. at nuclear tecilty, no history in PADS Iniltal Authoroition T
Employment ype - 26.717(b)(3) Outage Wbrke (optiona1 ?
lConrCatNendor 6 Lb Caegr - 26.717(b){3)
~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)?
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)
AmphetaInes PleaseSelectI IPleaseelectI 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 Manasoement Actions - 26.717(b)(8) & 26.75 Reason for the Action IFirst drug or alcohol positive Sanction Appled (NRC Minimum or Licensee Administrated)
NIRCMinimum Specific Senction Applied 14- Day Denial Pearon(s) Responeible W lnforvnon Provided PersonI (required):
C.I- IISulpervsor AccessScreening Ic .liodin
.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. - NRCme1 srm authmuenc coneider fhi Inacaordence wuth26.11onlyWimithe Valkae & Lock butsn letked and vti.r. tn red) thae bean
- Ofigbtod corrected. The 'V-dhte & Lock button wll chanie to .oched" afterthedaftvaidstion process ha. been successtdy completed Indicating the fSrmisreedyforsubminemn.
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)
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
- 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.
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.
Select Fac~lifty of Colectin
~I~ rek [%4 7e-A
____Daft Te7 Rea (mmle al)
Reason for Testing - 26.717(b)(5) Pro-Access Testing Reason (optional) Plsasae elaborate (optional)
IIII I] InitalAuthorization Fiat Omast nuclear fslity, no history in PADS :
Employment Type- 26.717(b)(3) Outage Worker (optlonal)?
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)
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)
Marijuna please Select 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 i
Person(s)Reaponsible for Inflormation Provided Peron I (reqired):
- c. II I ~~ 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)
1)AN S rqW WncpfB10000 Hl**d opgaonr
- 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
- 3) alone over JanetIF Id to view addtimuthrmallon Information is required by NRC to obtain on an annual basis ite spedfic ftos-for-duth
- 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.
Select Facility Date of Collection ___________
woIf Creek [50-482] :(mm/ddiyyyy) 04/01/2014 JR" Reason for Testing - 26.717(b)(5)
I Pro-Access Testing Reason (optional)
Reinstatement (Betweeen 31 and 365 days)
Please elaborate (optional)
Return from medcal leave Employment Type - 26.717(b)(3) Outage Worker (optional)?
UconseesEmployee IN i
Labor Category - 26.717(b)(3) iz~
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 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]
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):
Access Screeng cahod cn... om Cad, First Name HoPdSupervior Last Name Position Tit Compar Email Address Person 2 (optioal):
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.
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)
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- 4) Ise aAdobe Reedw5er8 or low Is rquired
- 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)
[Reinstatement (Bet~ee 31 and 365 days) Refueing Outage Employment Type - 26.717(b)(3) Outage Worker (optionaQ?
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)?
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) AdditionalSubstance (as applicable) AdditionalSubstance (as applicable)
Marijuana Plase Selec FPlease Select I 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 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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Company Email Address First Name Las Position Tite Penron 2 (optional):
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.
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)
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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.