ML15062A039
| ML15062A039 | |
| Person / Time | |
|---|---|
| Site: | Wolf Creek  |
| Issue date: | 02/24/2015 |
| From: | Koenig S R 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. KoenigManager Regulatory AffairsFebruary 24, 2015RA 15-0018U. S. Nuclear Regulatory Commission ATTN: Document Control DeskWashington, DC 20555
Subject:
Docket No. 50-482: Electronic Submittal of Annual Fitness for DutyProgram Performance Report and Annual Fatigue Report for 2014Gentlemen:
Please be advised that Wolf Creek Nuclear Operating Corporation (WCNOC) submitted theAnnual Fitness for Duty (FFD) program performance data and Annual Fatigue Report for 2014to the Nuclear Regulatory Commission (NRC) FFD Program Performance Data Reporting System through the U.S. NRC Electronic Information Exchange on February 23, 2015. Thissubmittal meets the requirements in 10 CFR 26.203, 10 CFR 26.717 and 10 CFR 26.719. Inaccordance with 10 CFR 26.11, copies of the reported information are also enclosed with thisreport for the appropriate regional office and resident inspector.
This letter contains no commitments.
If you have any questions concerning this matter, pleasecontact me at (620) 364-4041.
SRK/rlt
Enclosures:
copies of 2014 FFD and Fatigue Reportscc: M. L. Dapas (NRC), w/eC. F. Lyon (NRC), w/eN. F. O'Keefe (NRC), w/eSenior Resident Inspector (NRC), w/eP.O. Box 411 / Burlington, KS 66839 / Phone: (620) 364-8831An 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 requirecby 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 burderestimate 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 tthe 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 ruqufrsd3) Mouse over fields for additlonal Infonnaldo" Select FacilitySSubmission UpdatePei2od of Report]l 2014 -1lWolf Creek [50W4821Tests Conducted In 01e Calendar YearTotal Number of Tests Conducted Total Number of Positive, Adulterated, Reason For Testing Licensee Employees Contractors/Vendors Substituted, and Refusal to Test ResultsPr.-Access; 1 11 4 g1 1 1 7_1Random [ 1 32 1 °1For Cause 5 2 1Post-Event
]3 11 01F ollo wu p 2 6] 8 o0l 11Total (Calculated) 65I1] 1,3661 _9_FFD Program Random Testing Population and RateAverage 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 poolF I I' F Laboratory TestingDoes yOur program use aLicensee Testing Facility?
No(Yes I No)Identify your HHS-Certified Laboratory(ies)
IClinical Reference Laboratory, Lenexa, KSIdentify your Blind Performance Test Sample supplier(s)
AT Laboratories, Inc,. Lenexa, KSSubstances TestedDid your program only test for NRC-required substances Does your program conduct LOD testing YAND 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 oSubstance Use Only NRC Cutoff initial Confirmatory LOD Testing?
CommentLevels? (Yes I No) Cutoff Cutoff (Yes I No) (Optional)
Alcohol Yes Not Applicable Cocaine Yes iYes1Marijuana ZYes YesAmphetamines Fes yesOpiates yes iy YesPCPYesAnnual 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/orcorrective 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 EarliestReasonable 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 FFDSupervisor and FFD staff. Actions completed
- 09110114, effectiveness review completed 11/14/14NCV 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 remedialtraining 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) wereidentified by the licensee and are violations of NRC requirements which meet the criteria of the NRCEnforcement 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 FatigueManagement.
There were nine (9) QA Issues, three (3) QA Recommendations and three (3) itemsidentified 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, CR00089762 for correction to training dates for an individual in the PADS database and CR 00089143 todocument the justification for two observed screens in the Corrective Action database.
The QARecommendations were to improve visibility of Me EAP for personnel, consider deleting a form thatduplicates tracking elements tracked by other processes and physical improvements to the accessscreening 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 oneffectiveness of actions to ensure UAA/UA is removed if drug results are not received within fivebusiness days and CR 00089763 to review actions implemented for the BOP.[] Add an additional TopicTopic 3 Topic 3 Description Other(s)
CR 00078259
-Random not collected within 30 days of selection, resolution
-daily trackingimplemented.
CR 00080135
-Failure to enter DA results in PADS within five business days, resolution
-dailyPlease elaborate:
documentation of data entry.CR 00080726
-UA not administratively withdrawn when DA results not received with five businessCondition 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 ofPADS 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 businessday receipt of DA results, Security Log Entry #9, resolution
-daily review of outstanding DA resultsverified by second checker.CR 00082900
-FFD potential NRC Minor Violations of 10 CFR 26, resolution
-developed matrix of 10CFR 26 to FFD procedures, revised procedures and desktops.
Person(s)
Responsible for Information ProvidedPerson 1 (required):
l X I Z ] Hoch Supervisor, Access Screening cahoch@ noc.coFirst Name Last Name Position Title Company EPerson 2 (optional):
1Ken Craighead FFitnass For Duty Program kecraig@wcnoc.com First Name Last Name Position Title CompanvEmail AddressEmail AddressrFinal 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 ReportAnnual 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. opaerom2) 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 reqdmdem~o Sbison oEDeleteSelect FacilityEtislmted burden per response to comply %it thin collection request Is 30 minutes.
Thaform Is a voluntary means of reporting the Information required under 10 CFR 28.717. TheItonnration Is required by NRC to obtain on an annual bail alt soeslic larens-for-dut 1(FFD) program performance data on drug and alcohol progrus from lcenseie and otheente,. Send comment.
regarding burden etshet. to the FOIA. Pivecy and Informotiom, Collection Branch (TS-F53),
U.S Nudear Reguiatory Commdieon, Wanhingftn DC20555-0001, or by e-moal to nfaise [oibC and to the Desk OfttrOffice of Informalon and Regulatory Aflfrs, NEO6-1020, (3150-0146),
Ofce oManagement 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 condumcor 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 (opIt-A.C m I j I Autorizaion Employment Type -26.717(b)(3)
Outage Worker (optional)?
iControrNeYr I I WILabor Category
-26.717(b)(3)
Please elaborate Isthisaa24-Hour Reporting Event(Yfeadfo)?
-26.719(b)
FNoRefusal-26.717(b)(7)
& 26.75Was this collection refused (Yes / No)? E~iTeat Results -26.717(b)(4)
Test Validity[Not Appli ]Test Type(s) for Result(s)
Reported
-26.717(b)(2)
Alcohol TestingAlcohol Only I BreathISubstance
-26.717(b)(2)
& (b)(6)AlcoholWhat 26.103 BAC level was exceeded?
0,04 or greaterSubversion Attempts
-26.717(b)(7) and 26.75(b)Did this collection involve a subversion attempt (Yes/No)?
Manaoement Actions -26.717(b)(8)
& 26.75Reason for the ActionFirst drug or alcohol positiveSanction Applied(NRC Minimum or Licensee Administrated)
NRC MinimumSpecific Sanction Applied14- Day DenialPerson(s)
Responsible for Information ProvidedPonion I (required):
Icon I o" -isu ev o Sce nn c h ho w ... .First Name Last Name Position Title Company Email AddressPerson 2 (optional):
I Ke Fitns o uyPog ram k=wag~wcooc.com First Name Last Name Posbon me Company Email AddressFinal Sap (Required)
-NRC via conskder ftle form authentic I accordance wlth 26.11 only when the Vallldate
& Lock' buoon is clicked and at errors in red) have beencorrected.
The "Votidate
& Lock" button will change to 'Locked' after the det. vreidation process ha 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)
- 3) Mu" .. owtame ffed. to view eddOM neflnarmadon
- 4) th. oWAckbe Read~rer
- r arter s qubvd
[ DeleteUpdate L- Submission Unique Reference i D i Licensee Suppti50~-48-A2 select FaifcltyEstimated burden per response to comply with thid collecton request is 30 minutes.
Theiform ts a voluntay mearms of reporting the Information uider 10 CFR 26.717. TheIntormnelon 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 otheientities.
Send comments regarding burden estimate to the FOIA, Privacy and Information Collection Branch (TS-F53),
U.S. Nuclear Regulatory Commiaslon, Washington DC20555-0001, or by s-mall to n and to the Desk Ofttcr,Ofice of information and Regulatory
- Affairs, NEOB-1020, (3150-0146),
Office oiManagement 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 condudor sponsor, and a person Is not required to respond to, the Information collection.
WoWf Creek [50-482]Date of Collection 1 1(mmlddyyyy) 0feson ror testing (optional)
Reason for Testing -26.717(b)(5)
Please elaborate on theIF l l Z I F[tw-up rendom selection.
Employment Type -26.717(b)(3) lContracterNenclor Labor Category
-26.717(b)(3)
II zzOutage Woirker (joptiona?
Please elaborate Laborer/s this a 24-Hour Reporting Event (Veslfo)?
-26.71 9(b) NoRefusal-26.717(b)(7)
& 26,75Was this collection refused (Yes / No)?Test Results -26.717(b)(4)
Test ValidityINot Applicable ITest Type(s) for Result(s)
Reported
-26.717(b)(2)
Alcohol OnlyAlcohol TestingSubstance
-26.717(b)(2)
& (b)(6)AlcoholVill& 26.103 BAC level ors exceeded?
0.04 or greaterSubversion Attempts
-26.717(b)(7) and 26.75(b)Did this collection Involve a subversion attempt (Yes/No)?
Mansoement Actions -26 717(b)(8)
& 26.75Reason for the ActionISecond drug or alcohol positiveSanction Applied(NRC Minimum or Licensee Administrated)
NRC MinimumSpecific Sanction Applied5- Year DenialPerson(s)
Responsible for Information ProvidedPerson 1 (required):
o-rt Fi- liuprio Aces Scenn aoh ....First Name Last Name Position Title Company Email AddressPeraon 2 (options):
I.- F, -;a Fe~~ o camrDtyPoga First Name Last Name Position TCtle company Eriol AddressFlhsl 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 beencorrected.
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 1R2/04Single 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 ffseda3) Nllaw over fonm flar s to w addefali mmtioson4) Use of Adohe RAeaedr tor hewti El Submi'sion DeleteUpdate 0] Submission Unique Referc c eneU s SupplF50-82-A3 Select FacilityVolf Creek (50-482]Estimated burden per response to comply wwih t colletion request is 30 minutes.
Thisterm is a voluntary means of reporting the Information requred under 10 CFR 26.717. TheInformaston 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 otherotitiesa.
Send comments regarding burden eslimete to the FOIA, Privacy and Infonnation Collection Branch (TS-F53),
U.S. Nuclear Regulatoy Commission, Washington DC20555-0001, or by s-mall to Intoolecti ReouruspNRC sov and to the Desk Officer,Office of Information and Regulatory Afteir, NEOB-1020, (3150-0146),
Office ofManagement and Budget DC 20503. if a means used to irpose information colecton does not display a currently valid OMB control number, the NRC may not conductor 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 CauseEmployment Type -26&717(b)(3)
Licensee EmployeeLabor Category
-26.717(b)(3)
For Cause Testing ReasonlPhysical ConditiornSmell of AlcoholOutsge Worker (oWptonal?
INis this a 24-Hour Reporting Event (YeasNo)?
-26.719(b)
NoRefusal-26.717(b)(7)
& 26.75Was this collection refused (Yes / No)? [NoTeOt Results -26.717(b)(4)
Test ValidityNot Applicable oTest Type(s) for Result(s)
Reported
-26.717(b)(2)
IAlcohol Only IIAlcohol TestingBreathSubstance
-26.717(b)(2)
& (b)(6)AlcoholWnat 26.103 BAC level was exceeded?
0.04 or greaterSubversion Attempts
-26.717(b)(7) and 26.75(b)Did this collection involve a subversion attempt (Yes/No)?
NoManaoemert Actions -26.717(b)(8)
& 26.75Reason for the ActionFirst drug or alcohol positiveSanction Applied(NRC Minimum or Licensee Admlnistrated)
INRC MinimumSpecifc Sanction Applied14- Day DenialPerson(s)
Responsible for Information ProvydedPerson 1 (required):
First Name Lesta Position aml Company Emaril AddressPerson 2 (optional):
[1(] Craihea [~n For OuyProgram
]kecraigewcnoc.comn Firt Name Last Name Position Tae Company Ermnl AddressFbn 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 beencorrected.
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)
- 1) AN ffelds raqf*od sic e naok.E "plena" A 1RUOU. IBY eUMN: %aXRItANGIt NU. alD4sI ..PIRE :1115s17017
,) Entare In aessa Mehli sue hbnfomrelloa In other fl Estimated burden per response to comply wish Idis collection request is 30 minutes.
Tha3) Allows over Items fonn ldsto view adc ornegfenn form is a voluntary means of reporting the Ifonnation required under 10 CFR 26.717. The4) 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 otheSubmission 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 DC20555-0001, or by -smidl to n and to tie Desk Officer,Office of Information and Regulatory Affalir.
NEOB-1020, (3150-0146),
Office aiUnique 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 condudtor sponsor, and a person is not required to respond to, the Information co0lleclon.
Select Facility1WOtf Crook (50-4821Date of Collection (mm/dtyyy) 11/17 14Reason 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 ILabor Category
-26.717(b)(3)
Please elaborate lot Delivery person/s this a 24-Hour Reporting Event (YesaNo)?
-26.719(b)
NoRefusal-26.717(b)(7)
& 26.75Was this collection refused (Yes / No)? FINITest Results -26.717(b)(4)
Test Validity[Not Applicable ITest Type(s) for Result(s)
Reported
-2&.717(b)(2)
Alcohol TestingIAlcohol Only iSubstance
-26.717(b)(2)
& (b)(8)Alcohole 26.103 BAC level was exceeded?
10.04 or greaterSubversion 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)
& 20.75Reason for the ActionFirst drug or alcohol positiveSanction Applied(NRC Minimum or Ucensre Adminetrated)
NRC MinimumSpecific Sanction Applied14- Day DenialPerson(s)
Responsible for Information ProvidedPerson I [required:
lIsupervisor Access Screenin cabho oc.corFirst Name Last Name Position Titie Company Emall AddressPerson 2 (optionat):
K1( ICn]esd FFites For euty Parggrm ornFirst Name Last Name osition Title Company Enmail AddressFinal 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 beencorrected.
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 22014Single Positive Test Form (version 1.6.0 -Decetyber 19, 2014) NRC Form 890 (1212014)
- 2) Erun, i for fields erto view4* ad owd bsaomuw n Owl4)1k ths Adobe SeaderS la5,ter I requred'E Salmsson Deletselect Factilitv Esltimated burden per reeponse to comply wtfh iteo colleson mrequest is 30 irdnutes.
TN.is a voluntary means of reporting the Infonrmeon required under 10 CFR 26.717. Theoformaeron 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 othermtities.
Send comments regarding burden estmate to the FOIA, Ptlvacy and Information Collection Branch (T5-F53),
U.S. Nudear Regulatory Commission, Washington DC20555-0001, or by e-mail to n and to the Desk Officer,D111ce of Information and Regutatory
- Affairs, NEOB-1020, (3150-0146),
Office ofManagement 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 conductxr 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 2Labor 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 PADSUtity Helperis thisa 24-Hour Reporting Event (YseaNo)?
-26.719(b)
NoRefusal-26.717(b)(7)
& 28.75Was this collection refused (Yes / No)?Test Results -26.717(b)(4)
Test ValiditylValid ]Test Type(s) for Result(s)
Reported
-28.717(b)(2)
Drug TestingDrug Only UrineWas this collection observed (Yes / No)? -28.717(b)(7)
& 26.75Substance
-26.717(b)(2)
& (b)(6) Additional Substance (as applicable)
Msrijuana PIlease SelectUse 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)?
NoAdditional Substance (as applicable)
Please Select IManaornment Actions -26.717(b)(8)
& 26.75Reason for the ActionFirst drug or alcohol positive ISanction Applied(NRC Minimum or Licensee Administrated)
INRC MinimumSpecific Sanction Applied14- Day DenialPerson(s)
Responsible for Information ProvidedPereon 1 (requred):
F~ r. F ---c -~p~ o AccessSo helmn cahochQ o. ...nFirst Name Last Name Position Tlale Company Email AddressPerson 2 (oplonal):
K1(w Faied Fatneas For Duty Program kecrelg@WnoO conmFirst Name Last Name Position Te Company Emal AddressFinal 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 beancorrected.
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 Rnp01tSingle Positive Test Form (version 1.8.0 -December 19, 2014) NRC Form 890 (12/2014) a) -amasam.F
--W~ -ma oaee -4 ELease be sweem 6.1 a.Ss-populaf h~wnwwIn uaw fi eld~sS)OHOOe verlfl tms 1 0. gvisead~aldmdmin buM4) Usee ofAdo" Reaer I or teirlIsreqa*iel
]Se bfnscio DeleteEstmated burden per response to coml y h lf colle5ction request is 30 Inhuts. Thkform is a voluntay means of reportng the ifnoslon required under 10 CFR 26.717. Thfktrollonolr 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 othentitlae.
Smnd oormentrg regearing burden eattoe to the FOIAU Prvcy end hInfanoetci Coecti Branch (T5-F53),
U.S. Nuclear Regulatory
- Comewton, Washington DC20555-0001, or by w-mall to mioJR= M Qov and to the Desk OfficerOffice of Informiatiwo and Regiudtory Affair, NEOB-1020, (3150-0146),
e o'Managemmnt and Budget Wahilngton DC 20503. If a meanm used to impose tlfmmoacoection does not diplay a cwrmily valid OMB ontrol number, the NRC may not conduea sponsor, and .person is not required to respond to. the tinfarmtio colectw.~I IWNIrok[-42 Pre-Acceas TeethI 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 6Lb Caegr -26.717(b){3)
Iniltal Authoroition Outage Wbrke (optiona1
?~IIIPlea"e elaborate F7it tm. at nuclear tecilty, no history in PADSu~Ity HeaperIa this a 24-Hour Reporting Event (YeA/No)?
-26.719(b)
NoRefusal-26.717(b)(7)
& 26.75Was this collection refused (Yes / No)?Test Results -26.717(b)(4)
Test ValidityFV aidTest Type(&) for Resut(s)
-26.717(b)(2)
Drug TestngIDrug Only PrinsWas thls collectlon observe (Yesl /No)?-
& 26.75Substance
-26.717(b)(2)
& (b)(6) Additional Substance (asapplilcable)
AmphetaInes Please SelectIUse NRC Cutoff (Yes / No)? ElIZ]Subversion Attempts
-26.717(b)(7) and 26.75(b)Did this collection involve a subversion attempt (Yes/No)?
NoAddftonal Substnce (as sppicable)
IPleaseelectI Manasoement Actions -26.717(b)(8)
& 26.75Reason for the ActionIFirst drug or alcohol positiveSanction Appled(NRC Minimum or Licensee Administrated)
NIRC MinimumSpecific Senction Applied14- Day DenialPearon(s)
Responeible W lnforvnon ProvidedPerson I (required):
C.I- I ISulpervsor Access Screening Ic .liodin .oFirst Name Last Niae Position Title Company Email AddressPermon 2 (optonel):
I Pln Namcr eqlgevonco First Name Last Name Company Email AddressFth/ 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 beancorrected.
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 (12014tSingle Positiv Teat Form (version 1.6.0 -December 19, 2014) NRC Formi 890 (1=/014)
- 3) Mfuarm ov er, fom ffds tO wasw addillosefhna
- 4) Late ofAdobe Roaedor or tsiw, Isrquired Select Fac~lifty Estimated burden per response to omply with Ud collection request i- 30 minutes Thisform Ia volunttry means of reporting e hofom aon requiked under 10 CFR 26.717. Theinformation is requied by NRC to obtain on at annual basitesitt speciic Iftessf-o-duty (FFD) program data on dirg and alcohol programs from 1onseas and othereties. Send cormenas regording burden sastlmat to Ite FOIA, Pritacy and Informaton Collcon Branch (T1-`53),
U.S. Nudew Regiuitory Commission, Washitalon DC20555-0001, or by *-mail to aifioc llec.. and to she Desk Officr.Oftite of Information and Regulatory Affa, NEOB-1020.
(3150-0146),
Offkie ofManagement 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 conductor sponsor, and a peroon hs not required to respond to, the Information colecton.
~I ~ rek [%4____Daft of Colectin7e-A 7 Te Rea (mm*le 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 elaorateFiat Oma st nuclear fslity, no history in PADS :Laboreris thi a 24-Hour Reporting Event (YOSaNo)?
-26.719(b)
NoRefusaal-26.717(b)(7)
& 26.75Was this collection refused (Yes / No)? [NoTeat Results -26.717(b)(4)
Test ValidityXValdTest Type(a) for Result(s)
Reported
-26.717(b)(2)
Drug TeotingDrug O PiWaa this collection observed (Yea/ 1No)?- 26.717(b)(7)
& 26.75Substance
-26.717(b)(2)
& (b)(6) Additional Substance (as applicable)
Marijuna please SelectAdditional Substance (as applicable) 1Please Select IUse 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)
& 26.75Reason for the ActionFirst drug or alcohol positiveSanction Applied(NRC Minimum or iUcensee Administrated)
NRC MinimumnSpecific Sanction Applied14- Day DenialPerson(s)
Reaponsible for Inflormation ProvidedPeron I (reqired):
- c. i II I ~~ I ....________First Name LAst Nam Position Tite Company Email AddressPoio 2 (optional:
KI- Frl-;:-d--,,
For Duty Program etlnvrocm ksorfllg~wonoc.com First Name Las NPosition T ie Company Email AddressFinal 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 beencorrected.
The Valdsdate
& Lock" button will change to "Locked" sfter 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)
- 1) AN S rqW Wncpf B10000 Hl**d opgaonr2) Ewi~es In seom fe nalotedpepute hownwo, in ~n o 1ia 13) alone over Janet IF Id to view addtimuthrmallon
- 4) Use o(Adobe Raer 8eor later I resu. edF Submission r- DeleteUpdate D-l Submission Unique Refence ID (Licensee SuppliaiF50.482-134 Select FacilityEsmasted burden per response to comply with Oft coolcton request Is 30 minutes.
Tinfonm is a voluntry masea of reporting the Informaton required under 10 CFR 26.717. TheInformation 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 o0mentities.
Send commento regarding burden estmate to the FOLA, Privacy and Informaton Collaction Branch (T5.F53),
U.S. Nudear Regulatory Commisdson, Washington DC20555-0001, or by e-ma-l to I and to fth Desk Officer,Oflce of Informatilon nd Regulatory Affai, NEOB-1020, (3150-0146),
Office *IManagement 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 concedor sponsor, and a person is not required to respond to, the 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" IEmployment Type -26.717(b)(3)
Uconsees EmployeeLabor Category
-26.71 7(b)(3)i iz~Reinstatement (Betweeen 31 and 365 days)Outage Worker (optional)?
INReturn from medcal leaveIs thls a 24-Hour Reporting Event (Yea/No)?
-26.719(b)
NoRefusal-26.717(b)(7)
& 26,75Was this collection refused (Yes / No)? NoTest Results-26.717(b)(4)
Test ValidityEi iTest Type(s) for Result($)
Reported
-26.717(b)(2)
Drug TestingDrug Only PrinsWas this collection observed (Yes/ No)? -26.717(b)(7)
& 26.75Substance
-26.717(b)(2)
& (b)(6) Additional Substance (as applicable) lOpiate:
Morphine I Please SelectAdditional Substance (as applicable)
Please SelctIUse 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 Actions -26.717(b)(8)
& 28.75Reason for the ActionFirst drug or alcohol positiveSanction Applied(NRC Minimum or Licensee Administrated)
NRC MinimumJSpecific Sanction Applied14- Day DenialPerson(s)
Responsible for Information ProvidedPaeron I (requ~ked):
Cad, HoP dSupervior Access Screeng cahod cn ...omFirst Name Last Name Position Tit ComparPerson 2 (optioal):
Ran 1Crighead iFfnses For Duty Program kocralgewmnc.com Email AddressPirst Name Last Nsame iositon I me Uompany omafl AddressFlnal 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 beencorrected, 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 0ttSingle Positive Teat Form (version 1..0 -December 19,2014)
NRC Form 890 (1212014)
Er2 e.I some. fssieWds
.ule-pop telelenru
- 3) ..m oeve fonm Haved to view adelfilelolie
- 4) Ise aAdobe Reedw5er8 or low Is rquired DeleteUpdate EI Submission Unique Reference ID (i Su150-41V-05 solo"ctFcilifty Iornol fierld.brmsaEatiS.. Send comments regordWng burden estimat to ICollection Branch (TS-F53),
U.S. Nuclear Regulatory 205-00, ar by a-rnll to InoolcsRsuodl Dito of Infofmo tln and Regulatory NEOfManagemennt ad Budget, Washington DC 20503. If a rrcoioodin doe. not display a currenty vald OMB conlol nor 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 2Labor Category
-28.717(b)(3) 10 -1[Reinstatement (Bet~ee 31 and 365 days)Outage Worker (optionaQ?
1YesPleaseo elaborate Refueing OutageILaborerI Is this a 24-Hour Reporting Event (YesWo)?
-26.719(b)
NoRefusal-26.717(b)(7)
& 26.75Was this collection refused (Yes I No)?Test Results -26.717(b)(4)
Test ValidityValid]Test Type(s) for Result(s)
Reported
-26.717(b)(2)
Drug TestingIDrug Only UrIine IWas this collection observed (Yea/No)?
-26.717(b)(7)
& 26.75Substance
-26.717(b)(2)
& (b)(6) Additional Substance (as applicable)
Marijuana Plase SelecUea 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 XoAdditional Substance (as applicable)
FPlease Select IManaenement Actions -26.7171b)(8)
& 26.75Reason for th ActionFirst drug or alcohol positiveSanction Applied(NRC Minimum or Licensee Administrated)
NRC MinimumSpecific Sanction Applied14- Day DenialPerson(i)
Responsible for Information ProvidedPerson 1 (required):
[- He ] psor S e i i rcrc ooc..om.First Name Las Position Tite Company Email AddressPenron 2 (optional):
Ken Fies For Duty Program keorealiwo.com First Name Last Name Positbon
"- Company Email AddressFlnal 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 beencorrected.
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 (i1220utSingle Positive Test Form (version 1.6.0 -December 19, 2014) NRC Form 890 (1212014)
Elcroi Inomto ExchangeNRRC FF0 Program Performrance ODta Reporting System10 CFR Part 26, Subpart I -Managing Fatigue*wW. Fsagwe Reporting Forth the EIE Ienaet Seehl.o.
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~W~FO--11 -.-..cJ NRC FFD Program Performance Data Reporting System10 CFR Part 26, Subpart I -Managing FatigueAttachment This attachment provides the entire narrative as the NRC form has been created with boxes that scrolldown, and when printed, the information does not print in its entirety due to the way the NRC has built theelectronic 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.
FatigueAssessments 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 tothe 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 nogaps or areas for improvement were identified.
One recommendation was made to determine if the fatigueassessment form could be revised to improve the documentation guidance to be clearer and more specific todrive improved documentation results.
Reference condition report CR00091378.