IR 05000237/1980016
| ML17174A597 | |
| Person / Time | |
|---|---|
| Site: | Dresden  |
| Issue date: | 10/23/1980 |
| From: | Norelius C, Phillip G, Spessard R NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION III) |
| To: | |
| Shared Package | |
| ML17174A596 | List: |
| References | |
| 50-237-80-16, 50-249-80-20, NUDOCS 8012170554 | |
| Download: ML17174A597 (31) | |
Text
{{#Wiki_filter:* ~ U.S. NUCLEAR REGULATORY COMMISSION OFFICE OF INSPECTION :AND ENFORCEMENT
REGION III
Report No. 50-237/80-16; 50-249/80-20 , Docket No. 50-237; 50-249 License No. DPR-19; DPR-25 Licensee: Commonwealth Edison Company Chicago, IL Facility Name: Dresden Nuclear Power Station, Units 2 and 3 Investigation At: Dresden Station, Morris, IL Dates of Investigat.ion: September 8-10, 1980 . .H<7~~- Investigato~A~ Phillip:?' Reviewed By: C. E. Norelius Assistant to the Director ~7 / / 17*
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R. L. Sp~ard, Chief Reactor Projects Section 1 Inspection Swnmary: /~~~~'ft) date) (date) (date) Investigation on September 8-10, 1980 (Report No. 50-237/80-16; 50-249/80-20) Areas Investigated: Because two reactor operators were considered by the NRC Senior Resident Inspector to be asleep while on duty in the reactor control room, reviewed records interviewed personnel and obtained sworn statement The investigation inv~lved 20 investigation-hours by one investigato Results: The investigation determined that an NRC inspector observed two operators apparently asleep, but both operators, while stating they may have closed their eyes or "nodded off", stated they were not aslee Both operators claimed to be reading at the tim One item of noncompliance, a Severity Level III violation, was identified in that contrary to 10 CFR 50.54(k), two licensed operators appeared to be asleep such that they were not fully attentive nor able to monitot reactor condition rs*o12 17 0 5'5'/
- REASON FOR INVESTIGATION On September 5, 1980, Region III was advised that on August 8, 1980, an NRC resident inspector had observed two reactor operators apparently asleep while on duty in the control roo SUMMARY OF FACTS At about 6:00 a.m., on August 8, 1980, the NRC Senior Resident Inspector at Dresden Nuclear Power Station walked through the control room and observed the Reactor Operator (NSO) at the center desk and the NSO assigned to Unit 3 apparently aslee The Inspector stated that he had observed the NSO at the center desk with his arm outstretched on the desk with his head resting on his ar He also stated the Unit 3 operator was observed with his arms folded on his desk with his head resting on his arm He said that, although he did not speak to or approach anyone present in the control room, he was convinced the two operators were aslee The Inspector proceeded to the Shift Engineer's office and informed him of his observatio The Shift Engineer made a telephone call to the center desk and instructed the NSO to assure that everyone was awake in the control roo The NSO who was at the center desk stated that he was reading a book with his head resting on his upper arm, a position he frequently assumes when readin He stated he may have closed his eyes for a few seconds but denied that he was aslee He also stated that a few minutes earlier he had recorded some instrument reading The Unit 3 NSO stated he was reading a book with his arms folded around the book, holding it open, and his head was bent dow He stated that he may have closed his eyes for a few seconds, but at no time did he loose awareness of his surrounding He also stated he had prepared a turnover sheet a few minutes earlie Both operators indicated that they were fighting slee The other two NSO's present in the control room, the Unit 1 and Unit 2 operators, stated they did not see the Inspector the first time he passed through the control room, and both stated they did not observe any one asleep or apparently asleep in the control roo All of the operators indicated that on the third shift there is usually little or nothing to do, there is little traffic through the control room and each operator is essentially isolated from the other The existing conditions in the control room on this shift make it difficult to remain alert at all time One item of noncompliance was identified during this investigatio Contrary to 10 CFR 50.54(k) two of the three licensed operators assigned to monitor the operation of Units 2 and 3 appeared to be asleep, such that they were not fully attentive nor were they able to monitor reactor condition *
DETAILS Persons Contacted Commonwealth Edison Company
- D. J. Scott, Plant Superintendent
- R. M. Ragan, Assistant Plant Superintendent for Operations C. E. Sargent, Operating Engineer R. Goodin, Shift Engineer K. E. LaVoie, NSO L. H. Berg, NSO T. P. Meents, NSO P. E. Planing, NSO G. G. Turner, NSO and Steward, !BEW Local 1460 U.S. NRC
- J. L. Barker, Senior Resident Inspector
- T. M. Tongue, Resident Inspector
- M. J. Jordan, Resident Inspector
- Denotes those present during the exit meeting on September 10, 1980. Introduction On September 5, 1980, Region III was advised that on August 8, 1980, the Senior Resident Inspector at the Dresden Nuclear Power Station had observed two reactor operators asleep while on duty in the control roo.
Interview with NRC Senior Resident Inspector On September 8, 1980, J. L. Barker, NRC Senior Resident Inspector at Dresden Nuclear Power Station, was interviewed and he provided a sworn statement, a copy of which is attached to this report as Exhibit Barker advised that on August 8, 1980, which was a Friday, he arrived at the Dresden Site at about 6:00 After a brief stop at his office he proceeded directly to the control roo He entered the control room through the south door, paused for a few seconds as he reached the approximate center of the control room and then proceeded out of the control room through the west doo While in the control room, Barker stated, he observed the operator at the center desk with one arm outstretched on the desk with head resting on i He said that he did not recall seeing any reading material on the desk in front of the operato Although he did not see the operator's eyes, Barker said that he was personally convinced the operator was aslee * Barker also stated he observed the Unit 3 operator with his arms folded on his desk with his head resting on his arm Since he could not see this operator's eyes in that position, he could not say whether they were open or closed, but he 1was also personally convinced that operator was also aslee Barker stated he did not approach either of the operators and did not speak to anyon He indicated he also observed the o~rators at Units 1 and 2 and both were sitting upright and readin Barker stated a shift change occurs at 7:00 a.m. and that the turn-over from one shift to another begins at about 6:50 a.m. and is completed by 7:20 He indicated that during the third shift there is little traffic through the control roo Barker stated that he proceeded from the control room directly to the Shift Engineer's offic As he entered the Shift Engineer's office he asked the Shift Engineer if he was aware that there were operators asleep in the control roo Barker said the Shift Engineer picked up the telephone before he could stop him and called the center desk of the control roo He recalled that the Shift Engineer said on the telephone something to the effect, "If anyone's asleep, hold reveille".
Barker indicated he had intended to have the Shift Engineer accompany him to the control room to observe the conditions he had observed in passing through there a few minutes earlie Barker stated it is his practice to take any problems he observes to a supervisory individual rather than to discuss problems he encounters with non-supervisory personne Barker stated he remained in the Shift Engineer's office for approx-imately a half-hour discussing other matters before he departe When he left, he passed through the control room again and at that time all personnel present were awak Barker stated that for the remainder of that day he was occupied with other matters and did not discuss the matter with the Plant Superin-tendent until Monday, August 11, 198 The Plant Superintendent, who at that time was B. Stephenson, informed him that the matter would be investigate Barker indicated it was his understanding that later the same day, or possibly the following day, the Plant Superintendent interviewed the center desk NSO in the presence of other management personnel and a union stewar He heard that during the interview the operator had denied being aslee Barker said he understood that the operator had stated he had his head down but he was looking at some papers on his des The NSO, who had been assigned to Unit 3 on August 8, 1980, was on vacation during the week of August 11, 1980, and was not interviewed by plant management until about two weeks late Barker indicated that on or about August 13, 1980, B. Stephenson was replaced as a plant superintendent by D. Scot He indicated he had talked to Scott about the problem he had encountered in the control room and indicated that he expected some corrective action to be take During a subsequent meeting the Plant Superintendent in-formed him that the Unit 1 and 2 operators had not seen Barker in the control rQom and that the Unit 3 operator has also denied being asleep when Barker was in the control room on August 8t The Plant Superintendent informed Barker a letter concerning the incident would be put in the personnel files of the two operators and that action was being taken by management to provide relief for the operators at least once during each shif In addition, the Plant Superintendent indicated that a memorandum to all operators would be issued on the subject of sleeping while on dut Barker stated that, since he did not have any witnesses to confirm his observations, he felt that there was not a sufficient basis for citing the licensee for an item of noncompliance concerning the con-dition he had observed on August 8, 198 He indicated he was also satisfied that plant management had taken corrective action concerning the matter and he had considered the matter essentially closed at that poin. Interviews with Two NRC Resident Inspectors On September 8, 1980, Thomas M. Tongue and Micheal J. Jordan, both NRC Resident Inspectors at Dresden, were interviewe Both individ-uals provided sworn statements, and copies of these statements are attached to this report as Exhibits B and C, respectivel Both individuals stated they had no first hand knowledge relating to the conditions observed by Barker on August 8, 198 They indicated that Barker had informed them of what he had experienced and both indicated that they had not observed any operators asleep during any visits they had made to the control roo. Tour of Control Room On September 8, 1980, a tour was made of the Dresden Control Room accompanied by Barker, the NRC Senior Resident Inspector, who de-scribed the path he had taken on August Attached to this report as Exhibit D is a sketch of the lay-out of the control room showing Barker's path through the control room on August 8, 198 It was noted during the time spent in the control room that there is a con-stant drone or humming soun It was further observed that the movements of personnel in the control room made no sound because the room is carpete During the visit to the control room the Operators Logs for Units 2 and 3 as well as the center desk log were reviewe It was noted that on August 8, 1980, the Unit 2 Operators Log showed an entry at 0345 and the next entry was at 075 The Unit 3 Operators Log for that date showed an entry for 0402 and the next entry was at 080 The center desk log for this date showed entries at 0350 and another at 062 The next entry in the center desk log took place during the following shif. Interview with Shift Engineer On September 9, 1980, Richard C. Goodin, Shift Engineer, was inter-viewed and he provided a sworn statement, a copy of which is attached to this report as Exhibit The Shift Engineer stated that on August 8, 1980, at about 6:00 or shortly after that, the Senior Resident Inspector entered his office and said something to the effect that "Goodin, wake up your sleeping NSO's".
The Shift Engineer stated he had asked the Inspector which ones were aslee Barker responded that the two out of three were aslee The Shift Engineer said that this was clear in his recollection because there were four NSO's present in the control roo He went on to explain that there was no specific NRC requirement that there be a~ NSO on Vnit 1 since it had been shut down for several month However, for other reasons, the Unit 1 panel was being continuously manned by an NSO. . The Shift Engineer stated that the Inspector proceeded across the office and sat down at the Unit 1 foreman's desk and began to engage in conversation with the Unit 2 forema The Shift Engineer stated that the Inspector had an opportunity to request that he accompany him to the control room if he had desired that he do s He indicated that he was not altogether sure that the inspector was not joking when he entered his office and said to wake-up the sleeping NSO' The Shift Engineer stated that after the Inspector had sat down, he, the Shift Engineer, called the center desk of the cpntrol room on the telephon He stated that the telephone was answered after a maximum of two ring He informed the operator who answered the telephone that an NRC inspector had been in the control room and had accused the personnel there of being aslee He told the operator that if anyone was asleep in the control room that they should "hold reveille."
The Shift Engineer went on to state that it was his recollection that the NSO who had answered the telephone had denied that anyone was asleep in the control room during their telephone conversatio Although the Inspector remained in the Shift Engineer's office for .several minutes, there was no further conversation regarding the conditions that the Inspector.had observed in the control roo The Shift Engineer stated that he had been in the control room about - 6 -
. ~' 4:30 a.m. that morning and possibly had visited the control room again prior to the Inspector's visi He stated he did not see anyone asleep in the control room at that time and had never seen anyone asleep at any time in the control roo He had stated he had on occasion seen an operator who was nodding or drowsy but that he had not observed any one actually aslee The Shift Engineer stated that since there was no further conversa-tion with the Inspector concerning the matter, he had forgotten about the occurrence until the subject was brought to his attention by the Plant Superintendent the following Monday, August 11, 198 The Shift Engineer stated that since August 8, 1980, the management has provided a means of relieving the operators on duty at least once during each shif He indicated that on the third shift the control room is usually quiet and there is little, if anything, going o The operators assigned to that shift are present in an atmosphere which is conducive to boredom and it is difficult for them to remain alert at all time. Interview with the Unit 3 NSO On September 9, 1980,' Lawrence H. Berg, the NSO who was assigned Unit 3 during the 11:00 p.m. to 7:00 a.m. shift on August 8, 1980, was interviewed and he provided a sworn statement, a copy of which is attached to this report as Exhibit George G. Turner, NSO and Steward, !BEW Local 1460, was present at the Unit 3 NSO's request during this intervie The Unit 3 NSO stated that a few minutes after 6:00 a.m. on August 8, 1980, he heard the phone ring at the center desk. * After the NSO at the center desk completed the telephone conversation he saw him approaching his desk and, as he approached him, he asked him what he wante The center desk NSO said that the Shift Engineer had called and said that an NRC inspector had walked through the control room and said that some operators in the control room were aslee The Unit 3 NSO requested the center desk NSO to relieve him and he went to get coffee or other refreshments for himself and the other NSO's in the control roo The Unit 3 NSO stated that at about 5:00 a.m. he had been relieved by the NSO at the center desk for a few minutes and he had gone to get coffee or cokes for the other NSO At about 5:45 a.m. to 5:50 he wrote out his turnover sheet which is for the benefit of the NSO who would relieve hi When he completed the turnover sheet, he began to read a boo He said he had his arms folded around the book, hold-ing it open, with the book on his des He indicated that his head was leaning over the desk with his head bent dow He indicated that, although he did not specifically recall it, he may have had his eyes closed for a few seconds and that he was fighting slee He stated - 7 -
that, although his eyes may have been closed for a few seconds, he at no time lost awareness of his surrounding He said he recalled having the sensation of his head bending forward with his eyes closed and then his head snapping backward and opening his eye He stated he did not see the Inspector enter the control room that morning. _He estimated he had been reading for about fifteen minutes before he heard the center desk telephone rin The Unit 3 NSO stated that he went on a one-week vacation the fol-lowing week and was interviewed by plant management upon his retur He indicated that he had attended a second meeting on about September 2, 1980, in which management stated that they r'ecognized that this was not an individual proble Management had stated that they would provide some relief for the NSOs on duty in the control roo He also indicated a report of the occurrence had been placed in his personnel fil. Interview with the Center Desk NSO On September 10, 1980, Kurt E. LaVoie, the NSO assigned to the center desk on August 8, 1980, on the 11:00 p.m. - 7:00 a.m. shift was interviewed and he provided a sworn statement, a copy of which is attached to this report as Exhibit George G. Turner, NSO and Steward, IBEW Local 1460, was present during this interview at the request of LaVoi The Center Desk NSO stated the individual assigned to the center desk is required to record hourly readings of various instrument These readings are recorded on a sheet with the hours of the day pre-printed on i The actual time that readings are taken is not recorde In order to accomplish this task it is necessary for him to leave the desk to obtain the readings from the control panels at the west wal of the control roo He indicated that this task requires about 5 to 10 minutes to complet He said it was his recollection that he had taken the 6:00 a.m. readings between 5:45 a.m. and 6:00 He stated that, after this task was completed, he began to read a boo He stated he did not see Barker enter the control roo The Center Desk NSO stated he was reading the book with his head resting on the upper portion of his right arm, a position he fre-quently assumes while reading~ He indicated that he was reading in this position when his telephone rang at approximately 6:10 He answered the telephone after the first or second rin The cal.ler was the Shift Engineer who said that an NRC inspector had been in the control room and had complained to the Shift Engineer that he had observed some operators aslee Following his conversation with the Shift Engineer, the Center Desk NSO stated he walked toward the Unit 2 NSO and observed that he was standing at the control pane He turned and walked toward the Unit 3 NSO and observed that he had his head down with a book in his han He said that he had also observed the Unit 1 NSO reading a boo The Center Desk NSO stated that, as he approached the Unit 3 NSO, the latter asked him what he wanted, and he informed him an NRC inspector was with ~he Shift Engineer and was claiming that the operators in the control room were aslee The Unit 3 NSO asked to be relieved and the Unit 3 NSO went to get coffee for the other NSOs in the control roo The Center Desk NSO stated that the Unit 3 NSO did not seem to be asleep to hi He stated that he did not see anyone asleep in the control room on that shif The Center Desk NSO said that, when the Inspector entered the control room he might have had his eyes closed, but he maintained that he was not sleepin He indicated there had been no occasions while he was on duty in the control room when he would have had his eyes closed for as much as one minut He stated that on August 8, 1980, he had telieved the Unit 3 NSO sometime between 5:00 and 5:30 a.m. so that the Unit 3 NSO could go for coffee or other refreshments for the other NSO The Center Desk NSO stated he saw the Inspector come back into the control room about 10 minutes after the phone call was received from the Shift Engineer.. He indicated the Inspector did not say anything to him but proceeded on out of the control roo The Center Desk NSO said that he had never seen any operators on duty in the control room really sound aslee He said it is very quiet in the control room during the third shift and there is little or no traffic through the control room during that shif He indicated that, when he feels drowsy, he usually gets up and walks around or talks to someon He indicated that conversation with the other NSOs, which is helpful in remaining alert, is more difficult now because they are required to remain at their desks at all time unless relieve He said that until about two years ago the NSOs had customarily spent some time around the center desk conversing with one another and this helped to relieve the boredom that is experienced during the third shif. Interview with Unit 2 NSO On September 9, 1980, Paul E. Planing, the NSO who was assigned to Unit 2 on August 8, 1980, during the 11:00 p.m. - 7:00 a.m. shift, was interviewed and provided a sworn statement, a copy of which is attached to this report as Exhibit George G. Turner, NSO and Steward, IBEW Local 1460 was present during this interview at the request of Planin The Unit 2 NSO stated he did not see the NRC Inspector in the control room the first time he entered on August He said he was also not aware of the telephone call from the Shift Engineer to the center des He stated that at about 6:15 - 6:30 a.m. the Inspector did enter the control room and came over to his desk, said hello and then left. After the Inspector departed, one of the NSOs told him that the Inspector had said he had observed some of the NSOs in the control room aslee The Unit 2 NSO stated he is of the op1n1on that he was standing at the control panel equalizing the drywell to torus differential pressure when the Inspector entered the control room the first tim He indicated that he could have been sitting at his desk reading a boo The Unit 2 NSO stated he did not notice anyone who appeared to be asleep or with his head down during that shif He made the observation that thiNSO, who was assigned to the center desk on that shift, frequently writes with his head resting on his ar He indicated he could not see the Unit 3 NSO from his desk without rolling his chair away from his d~sk. He said he does not usually look in that direction unless he hears an alarm or has something specific to say to the Unit 3 NS The Unit 2 NSO said the third shift is a period when there is little or no traffic in the control roo He indicated he did not recall seeing anyone enter the control room for about an hour before the Inspector entered at abour 6:15 a~ The Unit 2 NSO stated he has never observed anyone asleep in the control room and there have been no occasions when a telephone or an alarm had not been answered promptl He indicated he has experienced drowsiness on some occasions, has caught himself nodding or been in a condition in which he was fighting slee He indicated that, when the Unit to which he is assigned is running smoothly during the third shift, there is little for him to do and the working environment is one of boredo He indicated that this is a problem faced by all of the operators at this plant and, in his opinion, this is a common problem throughout the industr. Interview with the Unit 1 NSO On September 10, 1980, Timothy P. Meents, the NSO who was assigned to Unit 1 on the 11:00 p.m. - 7:00 a.m. shift on August 8, 1980, was interviewed and he provided a sworn statement, a copy of which is attached to this report as Exhibit George G. Turner, NSO and Steward, IBEW Local 1460, was present at the Unit 1 NSO's request during this intervie The Unit 1 NSO stated it was his recollection that at about 5:30 on August 8, 1980, the Unit 2 NSO asked him if he wanted a cok From that time, until he saw the Inspector come through on what he - 10 - unaerstands was his second visit to the control room, the Unit 1 NSO said he was readin He indic~ted he usually faces toward the center desk while he is reading but he did not recall with certainty whether he was facing that direction on August 8, 198 In any event he indicated that he can not see the individual at the center desk because there are obstructions which block his view of that positio He stated he did not see the Inspector the first time he walked _through the control.room on August 8, 198 * The Unit 1 NSO stated that he cannot see the Unit 3 NSO from his position at Unit He stated he did not see any operators who were asleep or who appeared to be asleep during that shif He indicated that he may have heard the telephone ring at the center desk when the Shift Engineer called at about 6:15 a.m~ but he does not specifically recall i He said he was not aware of the Inspector's complaint about NSOs being asleep until after he had observed the Inspector pass through the control room the second tim He indicated that, when he is assigned to Unit 1, he is permitted to move around the control room in contrast to the Unit 2 and Unit 3 NSO He indicated he was in the area of the center desk when the inspector came through the second tim He indicated that the Inspector may have said hello but he did not stop to talk with anyon The Unit 1 NSO stated he was asked by C. E. Sargent, Operating Engineer, who is a member of plant management, about what had transpired on August 8, 198 He indicated he was unable to provide any information as to whether or not the other NSOs were asleep on that shif. Interview with Operating Engineer On September 9, 1980, C. E. Sargent, Operating Engineer, was inter-viewe Sargent stated that, when the NRC Inspector brought the matter to the attention of the Plant Superintendent on August 11, 1980, arrangements were made to interview the NSO who was assigned to the center desk on August 8, 198 This interview was conducted by B. Stephenson, who was then Plant Superintendent, on August 12, 1980 with other management personnel as well a union steward presen Since the NSO, who had been assigned to Unit 3 on August 8, 1980, was away on vacation, that interview was not conducted until' August 18, 198 This interview was conducted by Sargen In each instance an Employee Report was prepared containing the information discusse A copy of the Employee Report for each individual was placed in the individual's personnel fil Copies of these Employee Reports were obtained and are attached to this report as Exhibits J and In both instances the NSOs were given a formal oral warning concerning sleeping in the control room while on dut Sargent also advised that a memorandum, dated August 22, 1980, was sent to all Operating Shift Supervisors and Nuclear Station Operators on the subject of operating personnel found sleeping in the control roo A copy of this memorandum was obtained and is attached to this report as Exhibit Sargent stated this memorandum also referenced an earlier memorandum concerning the subject of employees found sleeping which was dated November 8, 197 A copy of this earlier memorandum was also obtained and is attached to this report at Exhibit Sargent stated the August 22, 1980 memorandum provides for the utilization of the Unit 1 NSO to provide relief for the other NSO's assigned to the control room as a means of assuring that the NSOs remain alert at all times in the control roo Sargent stated that corporate management had been made aware of the problem and the actions that had been taken by plant management regarding i. Exit Meeting On September 10, 1980, an exit meeting was held which was attended by those individuals identified by an asterisk (*) in the Persons Contacted Section of this repor Licensee management was advised that this matter was considered to be a serious one by the NRC and that the NRC was not only concerned about NSOs being asleep but also that they remain alert at all times while on dut Attachments: Exhibits A through M - 12 -
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Dresj_en Station Morris, IL September 8, 1980 I, Jimmy L. Barker, hereby make the following voluntary statement to G. Phillip who has identified himself to me as an investigator with the U. Nuclear Regulatory Commissio I make this statement freely with no threats . or promises of reward having been made to m Mr. Phillip is writing this statement for me at my reques I have been employed with the Region III office of the.NRG since October 197 I worked as an inspector in the Reactor Operations Support.Section until March 197*8 at which time I was designa.ted as the Project Inspector for the Dresden Nuclear Power Statio I have been at Dresden as a Resident Inspector since July 1978 and was designated the Senior Resident,)nspector in October 197 "* On August 8, 1980 I arrived at the station at about 6:10 a.m. and arrived in the control room a few minutes late I entered the control room through the south doo.r and, as I approached the center desk, I observed the operator at the center desk with his left arm outstretched on the desk with his head resting on i He was facing away from me so I did not see his eye He did not move and I did not notice any reading material in front of hi He appeared to be aslee I proceeded west and observed the Unit 3 operator had his arms folded and his head resting on them face downwar He did not move either and he appeared to be aslee I didn't speak to anyone in the con-trol room but I observed that the Unit 1 and Unit 2 operators were sitting upright and readin I exited the ~est door of the control room and proceeded directly to the Shift Engineer's offic I said to the Shift Engineer on duty "Do you realize two of the four operators in the control room are asleep?" Before I could ask him to accompany me to the control room, he picked up the telephone and called the control room, I think the center d.es He said something to the effect, "Hold reveille in the control room".
I remained in the Shift Engineer's office engaged in conversation with him for about 30 minute When I left, I went through the control room and everyone was awake at that tim I was busy on other matters the rest of that day and on Monday, August 11, 1980, I discussed the matter with the Station Superintendent, who at that time was B. Stephenso He stated he would conduct a full investigation of the matte On Tuesday, August 12, I was informed that the operator who had been at the center desk had been interviewed and he had denied he was aslee I was informed the other operator was on vacation and would be questioned in a week to 10 days later when he returned to wor I was sub-sequently informed that upon questioning, he denied he had been aslee At that time I stated to plant management that even though there was no evidence that the operators were asleep, I wanted management to implement corrective action which would insure that operators remain alert and awake in the control roo l Exhibit A Page 1 of 2
Jimmy L. Barker
- At a subsequent meeting with plant management they_ informed that a letter
, would be placed in the personnel files of the two operators delineating . the investigation, that the station's policy regarding sleeping on site would be reiterated to all operators, and that on interim basis the Unit 1 operator would be used to relieve the Units 2 and 3 operators each shift for a short time. - Since I had no positive evidence that the operators had been asleep and the licensee had taken corrective action to prevent sleeping in the control room, I felt it was unnecessary to escalate the incident to the Region III offic I have read the foregoing statement consisting of 5 handwritten page I have made any necessary corrections and have initialed the I have signed my name in the margin of each pag This statement is the truth to the best of my knowledge and belie... Subscribed and sworn to before me this 8th day of September, 1980 Isl Gerald A. Phillip Investigation Specialist Isl Jimmy*L. Barker Date Senior Resident Inspector Dresden Station Exhibit A Page 2 of 2
- Dresden Station Morris, IL Sep~er 8, 1980 I, Thomas M. Tongue,*hereby make the following voluntary statement to G. A. Phillip who has identified himself to me as an Investigator with the U. S. NucLear Regulatory Commissio I make this statement freely with no threats or promises of reward having been made to m Mr. Phillip is writing this statement for me at my reques I began working for the NRC, Region III office in September 1976 as a Radiation Special~s In December 1979 I was assigned as a Resident Inspector at the Dresden Station which is my current positio On August 11, 1980 I returned from 3 weeks annual leav Shortly after arriving at the station that morning at about 7:00 a.m., I went to the control roo While I was in the control room I was questioned b3 one of the operators about what action was. going to be taken concerning 'the two operators who had been found sleeping in the control room.. This was my first knowledge of the inciden When I returned to the Resident Inspector's office I asked Barker about the matte He informed he had observed two operators in the control room asleep one morning the previous wee He said this occurred at about 6:00 a.m. one mornin During this conversation, or possibly during a later discussion, with Barker I asked him what was going to be done about i He said he wanted to see what the licensee was going to do about it before deciding what action he would tak During a later conversation he informed me that the matter had been brought to the attention of the corporate offic He said one operator had denied that he was asleep and the other operator was on vacatio He said he didn't think he had a firm basis for citing the licensee because the one individual had denied being asleep and he, Barker, had no witnesse At a closeout meeting with station management on August 29, 1980 Barker said he was satisfied with the corrective action taken by the licensee re-garding the matter of operators being asleep in the control roo Since this was a finding of Barker's I left the question of informing the Region III office to hi I did not know whether or not the Region III office was informed until Thrusday, September 4, when a reporter made inquiries about the matte The *formal reporting period was from August 3 to September 6, so I was not surprised that the matter had not been discussed with Region II Items of noncompliance identified during a reporting period may be discussed with
- the supervisor in Region III at any time during the period prior to the written report being put in final for Occasionally we don't discuss these items until just before the report is writte For example, today I dis-cussed a matter I had identified ~ weeks ago with the supervisor in the Region III offic I have read th~ foregoing statement consisting of 4 handwritten page I Exhibit B Page 1 of 2
\\ Thomas M. Tongue
~- I have made any necessary corrections and have initialed the I have signed my name in the margin of each pag This statement is the truth to the best '. of my knowledge and belie Isl Thomas M. Tongue Resident Inspector Dresden Station Subscribed and sworn to before me this 8th day of September, 1980 Isl Gerald A. Phillip Investigation Specialist 918180 Date Exhibit B Page 2 of 2 r
Dresden.Station Morris, IL Sept-&mber 8, 1980 10:15 I, Michael J. Jordan, hereby make the following voluntary statement to G. A. Phillip-who has identified himself to me as an investigator with the U. S. Nuclear Regulatory Commissio I make this statement freely with no threats or promises of reward having been made to m Mr. Phillip is writing this statement for me at my reques I am presently an NRC Resident Inspector at the Dresden Nuclear Power Plant in a training status and I have been employed by the NRC for about 2 month When I arrived at work at about 7:30 a.m. on Augu~t 8, 1980 I was informed by James Barker, Senior Resident Inspector that he had seen two f.eactor ope-rators on duty in the control room asleep at about 6:00 a.m. that mornin Barker indicated that one operator was on duty at the center desk and one operator who was on duty on either Unit 2 or Unit 3, I donot recall which one he said, and both were aslee The operator on duty at Unit 1 and the other unit were apparently awak Barker indicated that the two operators had their heads resting on their* arms on the desks and their eyes were close When he walked around them, they did not sti Barker said he went to the Shift Engineer's office and informed him of what he had observe Barker told me the Shift Engineer telephoned the control room, thereby awakening the operator Later the same day Barker discussed the incident with station managemen During a later conversation with Barker, he indicated that he felt it would be difficult to ho}d the licensee in noncompliance in this.regard because it was a matter of his word against the word of the operator I am aware that several days later the licensee placed a letter of reprimand in the personnel files of each of the two operators.and issued a policy memo concerning the requirement that operators stay awake at all times while on dut I do not know whether information concerning this matter was communicated to anyone at the Region III office but I was under the assumption that it had been until a few days ag Since I had no first-hand knowledge of the matter and I am in a training status and since Barker is my supervisor, I did not consider it my responsibility to notify Region II I assumed *that whatever action was appropriate had been take I have read the foregoing statement consisting of 3 handwritten page I have made any necessary corrections and have initialed the I have signed my name in the margin of each pag This statement is the truth to the best of my knowledge and belief *.. Isl Michael J. Jordan Resident Inspector 918180 Exhibit C Page 1 of 2
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Michael J. Jordan Subscribed and sworn to before me this 8th day of September, 1980 at Dresden Station, Morris, IL Isl Gerald A. Phillip Investigation Sp~cialist
Exhibit C Page 2 of 2
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. *.: Dresden Station Morrj._s, IL September 9, 1980
- I, Richard.C. Goodin, hereby make the following voluntary statement to G. A. Phillip_who has identified himself to me as an Investigator with the U. S. Nuclear Regulatory Commissio I make this statement freely with no threats or promises of reward having been made to m Mr. Phillip is writing this statement for me at my reques I have been employed by Commonwealth Edison since July 1971 and have been a Shift Engineer at the Dresden Station for about the last 3 year On August 8, 1980 I was working on the 11 p.m. -
7 a.m. shif At about 6 a.m. Mr. Barker, NRC Senior Resident Inspector, came into my offic He said loudly to me, "Goodin, wake up your sleepi_ng NSO' s" or something to that effec I asked him which one He said 2 out of Barker then walked to a chair and sa't down at the Unit 1 foreman's desk::.. He sat down and began talking to the Unit 2 foreman about his new job in Housto At that point I picked up the telephone and called the center desk in the control roo At a maximum of 2 rings the NSO on the center desk answere I told him to hold reveille in the control room and that an NRC inspector had been through the control room and had accused them of being aslee It is my recollection that the NSO denied it during the conversatio There was no further discussion with Barker about the matter that mornin I have read the foregoing statement consisting of two handwritten page I have made any necessary corrections and have initialed the I have signed my name in the margin of each pag This statement is the truth to the best of my knowledge and belie Subscribed and sworn to before me this 9th day of September 1980 at Dresden Station Isl Gerald A. Phillip Investigation Specialist Isl Richard C. Goodin 919180 Date Exhibit E Page 1 of 1
Dresden Station Morris, IL Sept~mber 9, 1980 I, Lawrence H. Berg, hereby make the following voluntary statement to G. :Phillip who has identified himself to me as an Investigatior with the U. Nuclear Regulatory Cimmissio I make this statement freely with no threats or promises of reward having been made to m Mr. Phillip is writing this statement for me at my reques I have been employed at Dresden Station since about 1974 and I have been an NSO since December 197 During the 11 p.m.-7 a.m. shift on August 8, 1980 I was the Unit 3 NS I have been informed that at about 6 a.m. that morning Mr. Barker came into the control roo I did not see him on that occasion.* As I recall at about 5 I was relieved by the operator at the center desk for a few minut~. At about 5:45 - 5:50 a.m. I wrote out the turnover sheet for the operator on the next shif After that I began reading a boo I had m)r arms folded around the book, holding it open, and it was on the des My head was bent down while I was readin Although my eyes may have closed for a few seconds, at no time did I lose awareness of my surrounding I feel that at no time was I sound aslee At about 6 a.m. or a few minutes later I heard the phone ring at the center desk and the NSO there answered it. After the telephone conversation, the center desk operator walked toward my desk and said the shift engineer had calle He indicated that the shift engineer said an NRC man had come through the control room and said he saw me aslee I was relieved by the center desk operator and went to get coffee for myself and the other operator I heard later that Barker had come into the control room again while I was gon I have read the foregoing statement consisting of 3 handwritten page I have made any necessary corrections and have initialed the I have signed my name in the margin of each pag This statement is the truth to the best of my knowledge and belie Subscribed and sworn to before me this 9th day of September, 1980 at Dresden Station Isl Gerald A. Phillip Investigation Specialist Isl Lawre nee A. Bey 919180 Date
- Exhibit F Page 1 of 1
Dresden Station Morris, IL Sept~Jllber 10, 1980 I, Kurt E. LaVoie, hereby make the following voluntary statement to G. Phillip who has identified himself to me as an Investigator with the s~ Nuclear Regulatory Commissio I make this statement freely with no threats or promises of reward having been made to m Mr. Phillip is writing this statement for me at my reques I have been employed at Dresden since September 1976 and I have been an NSO since about July 197 On August 8, 1980 I was assigned to the center desk in the control room on the 11 p.m. - 7 a.m. shif At about 5:45 a.m. I took the required hourly reading This takes about 5-10 minutes. After that I sat at my desk reading a boo While reading I had my right arm stretched out on the desk with my head resting on the upper part of the arm. t* frequently read in this positio I understand that Mr. Barker came through the control room at about 6 and observed me in this positio I did not see Barker in the control room on that occasio There are times when my eyes get tired while I'm reading and I shut.them for a few seconds but less than a minut I was reading from the time that I finished the hourly readings until the telephone rang at about 6:05 or 6:1 I answered the telephone after the first or second rin The call was from the shift engineer who said the NRC inspector was in his office complaining that some operators in the control room were aslee After the call I went toward the Unit 1 operator's desk and saw that he was awake and readin I then walked back toward the Unit 2 desk and saw that the Unit 2 operator was.standing at the three pane I then walked toward the Unit 3 operator's desk and as I approached him, he asked me what I wante I told him the shift engineer had called and said the NRC inspector had said there were operators asleep in the control roo The Unit 3 operator asked me to relieve him and he went to get coffee for the operator A few minutes later Barker came through the control room but I had no conversation with hi I have read the foregoing statement have made any.. necessary corrections my name in the margin of each pag best of my knowledge and belie consisting of 3 handwritten page I and have initialed the I have signed This statement is the truth to the Isl 9110180 Kurt LaVoie Subscribed and sworn to before me this 10th day Of September, 1980 Is Gerald A. Phillip Investigation Specialist Exhibit G Page 1 of 1
Dresden Station Morris, IL Septs:nI>er 9, 1980 I, Paul E. Planing, hereby make the following voluntary statement to G. A. Phillip_who has identified himself to me as an Investigator with the U. S. Nuclear Regulatory Commission, I make this statement freely with no threats or promises of reward having been made to m Mr. Phillip is writing this statement. for me at my reques I have been employed at the Dresden Station since November 1974 and have been an NSO since December 197 On the 11 p.m.-7 a.m. shift on August 8, 1980 I was the Unit 2 NS At about 6:15 - 6:30 a.m. Mr. Barker came into the control roo He stopped at my desk and said hello and then left th.e control roo Some-time after he left I was informed that he said he had been in th~~*control room on an earlier occasion that morning and claimed two other operators were aslee I did not see Barker enter the control room on the earlier occasion, which I understand was at about 6 I believe at about that time I was standing at the control panel equalizing the drywell to torus differential pressur It is also possible that I was sitting at my deks reading at that tim At no time during that shift did I observe any of the other operators asleep or appear to be aslee I have read the foregoing statement consisting of 2 handwritten page I have made any necessary corrections and have initialed the I have signed my name in the margin of each pag This *statement is the truth to the best of my knowledge and belie Isl Paul E. Planing Subscribed and sworn to before me this 9th day of September, 1980 at Dresden Station Isl Gerald A. Phillip Investigation Specialist
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919180 Date Exhibit H Page 1 of 1
Dresden Station Morris, IL Sept~]llber 10, 1980 I, Timothy P. Meents, hereby make the following voluntary statement to G. A. Phillip-who has identified himself to me as an Investigator wi the U. S. Nuclear Regulatory Commissio I make this statement freely with no threats or promises of reward having been made to m M Phillip is writing this statement for me at my reques I have been employed at Dresden Station since April.1974 and I have been an NSO since about February 197 On August 8, 1980, I was the NSO on Unit 1 on the 11 p.m.-7 a.m. shif From at least 5 a.m. until after 6 a.m. I sat at 11\\Y desk readin At about 5: 30 a.m. the Unit 2 operator came to my desk and asked me,j.f I wanted a cok I understand that Mr. Barker came through the control room at about 6 a.m. but I did not see hi Even though I usually sit at my desk facing the center desk I cannot see the operator at that desk because of obstruction Also, because of the control room layout I cannot see the operator at the Unit 3 des During that shift I did not see anyone who was asleep or appeared to be aslee A few minutes after 6 a.m. I left my desk and went to the area near the center desk. While I was there Mr. Barker came through the control room but we did not have any conversatio I do not recall whether the telephone at the center desk rang before Barker came into the control roo I have read the foregoing statement consisting of two handwritten page I have made any necessary corrections and have initialed the I have signed my name in the margin of each pag This statement is the truth to the best of my knowledge and belie Subscribed and sworn to before me this* 10th day -of September, 1980 at Dresden Statio Isl Gerald A. Phillip Investigation Specialist Isl 9I10180 Timothy P. Meents Date Exhibit I Page 1 of 1
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(* August 22, 1980 TO: Operating Shift Supervisors and Nuclear Station Operators SUBJECT: Shift Operating Personnel Assigned in the Control Room Found Sleeping The station policy for employees found sleeping, (letter from B.B. Stephenson, Dated November 8, 197.7), represents the current station policy fo~ all employees except those in the Control Room with license duties that limit their mobility (N.S.O.). This exception is taken since it is recognized that severely limited mobility (assigned to a desk) for long periods of time is not conducive to the expected performance level for these employee, In order to help alleviate this problem, the following guideline will be used on a trial or interim basi ~is guideline is.subject to change upon written notice to the personnel involve Effective immediately, the Unit 1 N.S.O. may be released from his duties to provide relief £or other N.S.O.'s assigned in the Control Roo Should an N.S.O. become drowsy, he shall notify a shift supervisor that he will be leaving the Control Room and the Unit 1 N.S.O. will be covering his position. It is expected the duration of an individual's absence from 'the Control Room will be a reasonable amount of time to provide the individual a change of environment or an opportunity to refresh himsel During the time the Unit.l N.S.O. or other qualified person is providing relief for another position, he is responsible for the unit or positio In all cases the oncomiiig temporary relief individual is responsible to ensure he knows the status of items normally included in the N.S.O. shift turnove c; In the event the Unit 1 N.S.O. is not available, the shift supervisor may cover the position for a short time. In addition, the shift supervisors are responsible to assess the condition of the N.S.O. 's on a continuing basis and to take.the necessary action to ensure all Control Room operators are alert aµd capable of performing their licensed dutie The following is a restatement of the station policy on employees found sleeping as it applies to the N.S.O.' Employees with license duties found sleeping in the Control Room may be sent home for the remainder of their shif The decision to either send ~ sleeping employee home or allow him to continue performing his duties will be made at the discretion of the shift supervisor. If the supervisor elects to send the employee home, he must be accompanied by another management person at the time he confronts the employee and during the subsequent conversation Exhibit L Page 1 of 2
/ (C The supervisor will fill out an Employee Report for every event regardless of whether or not the employee is sent home and forward it to the Assistant Superintendent, Operations, on the next regular work da A union Ste~ard is to be present at the time of the conversation between the supervisor and employee if there is a steward on the sit U a shift supervisor elects to send -an-N.S.O. home in accordance with the above authority, he will initiate steps to replace the N.S.O. immediately regardless of the time of da These efforts are to be well documented. . Supervisors should remember that authority is a privilege, granted to be used with discretion, as a tool, in accomplishing assigned responsibilitie ~ Supervisors must take into account the impact their decision to send someone home will have on the rest of the*work group and their ability to accomplish the-ir assigned responsibilitie DJS/CES/nh Station Superintendent Dresden Nuclear Power Station Exhibit L Page 2 of 2 . ' '
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November 8, 1977 BBS LTR Yl044-77 TO: Dresden Supervisors SUBJECT: Employees Found Sleeping Employees found sleeping in locker rooms or some other place -while on Company time may be sent home for the remainder of their shif The decision to either send a sleeping employee home or send him back to work will be made at the discretion of the superviso If the supervisor elects to send the employe home, he must be accomp-anied by another management person at the time he confronts the employe and during the subsequent conversation The supervisor will fill out an Employee Report and for-ward it to the Department Head on the next regular work day with a copy to the Assis-tant Superintenden Supervisors will only discipline employees in their own department A Union Steward is to be present at the time of the conversation between the supervisor and employee if there is a steward on the sit If an shift engineer or shift foreman elects to send an operator home in accordance with the above authority, he will initiate steps to replace the operator immediately regardless of the time of day.. These efforts are to be well docum*ente Supervisors should remember that authority is a privilege, granted to be used with discretion, as a tool, in accomplishing assigned responsibilitie Supervisors must take into account the impact their decision to send some-one home will have on the rest of the work group and their ability to accomplish their assigned responsibilitie BBS:dlz ens on Station Superintendent Dresden Nuclear Power Station Exhibit M Page 1 of 1 ~ -.. -. }}