NRC FOIA-2017-0368 UFO records

'ALLEGATION RECEIPT FORM
ADegation Number: RIV· 20'i9-A-0101
Pa~e 2 of3
Facility/Outside Org Name: Cooper Nuclear Station
Received By: )(b)(?)(C)
Receipt Date: June 13,2010
CONCERN 1.
into .the corrective action program but isn't sure. The Cl did not initiate a condition report.
10 CFR 50.72 or 10 CFR 73
Regulations prohibit NRC licensees, contractors, & subcontractors from discriminating against, harassing or intimidating (H&I)
individuals who engage in protected activities (alleging violations of regulatory requirements, refusing to engage in practices made
unlawful by statutes, etc.).
YES X No Does the concern involve discrimination or H&l? If •No," proceed to Contact Info.
YES No . Was the individual advised of the DOL process?
What was the protected activitv? When did it occur?
Who in management/supervision was aware of the protected activity? When did they become aware?
How were tbey made aware?
What adverse actions have been taken (termination. demotion..not being setected for position)? When did it occur?
What was management's reason for the adverse action?
Why does the individual believe the actions were taken as a result of engaging in a protected activity?
**"To add an additional concern, be sure your cursor IS NOT the above table (make sure It Is somewhere besides the above
Table; i.e. in this sentence), go to INSERT-> FILE in the top menu, and select R:\#ACES\_ALLEGATIONS\_ALLEGATION
FORMS\Additional Receipt Form Add Concern Pg - eCopy.doc. Having your cursor anywhere else will cause the new concem
table to be pasted into an undesirable location. DELETE these instructions after insertion.