ML060930755
| ML060930755 | |
| Person / Time | |
|---|---|
| Site: | Point Beach  |
| Issue date: | 04/03/2006 |
| From: | Louden P NRC/RGN-III/DRP/RPB5 |
| To: | Koehl D Nuclear Management Co |
| References | |
| CAL 3-04-001 | |
| Download: ML060930755 (21) | |
Text
April 3, 2006 CAL 3-04-001 Mr. Dennis L. Koehl Site Vice President Point Beach Nuclear Plant Nuclear Management Company, LLC 6590 Nuclear Road Two Rivers, WI 54241-9516
SUBJECT:
PUBLIC MEETING ON MARCH 23, 2006, TO DISCUSS POINT BEACH SAFETY CULTURE SURVEY RESULTS
Dear Mr. Koehl:
This letter refers to the public meeting conducted on March 23, 2006, at the Two Creeks Town Hall in Two Creeks, Wisconsin. The meeting was held at your request to discuss the results of a safety culture survey performed by Nuclear Management Company (NMC) at Point Beach Nuclear Plant.
Mr. Patrick Louden, Branch 5 Chief, Division of Reactor Projects at NRC Region III, opened the meeting with introductions of Nuclear Regulatory Commission (NRC) officials and then turned the meeting over to you and your staff.
Your presentation opened with an overview of four areas (enablers) to address the results of previous self-assessments at Point Beach. This discussion included a description of the Point Beach Excellence Plan and provided a time-line of pertinent actions (assessments, training) taken by NMC prior to the December 2004 safety culture survey. Then, you discussed NMCs response to the self-assessment results, and provided an overview of ongoing efforts in the four enablers.
Next, you and your staff discussed in detail the four enablers: selecting and retaining the right people; verification of effective implementation of processes; communication and reinforcement of the right picture; and, effective coaching and engagement. You discussed the Site Performance Index, used to monitor these four main areas and measure progress.
Finally, you and your staff discussed initiatives to address the results of the December 2004 safety culture survey. You closed the meeting with an overview of your presentation.
Mr. James Caldwell, Region III Administrator, concluded the meeting with an acknowledgment of the information provided by you and other NMC representatives. Mr. Caldwell emphasized the importance of safety culture and stated that the NRC will continue review of the condition of the safety conscious work environment at Point Beach.
D. Koehl A listing of principal NMC and NRC meeting attendees and a copy of the handout provided by NMC at the meeting are enclosed as Enclosures 1 and 2, respectively, to this letter.
In accordance with 10 CFR 2.390 of the NRC's "Rules of Practice," a copy of this letter and its enclosures will be available electronically for public inspection in the NRC Public Document Room or from the Publicly Available Records System (PARS) component of NRC's document system (ADAMS), and is accessible from the NRC Web site at http://www.nrc.gov/reading-rm/adams.html (the Public Electronic Reading Room).
If you have any questions regarding this meeting, please contact me at (630) 829-9627.
Sincerely,
/RA/
Patrick L. Louden, Chief Branch 5 Division of Reactor Projects Docket Nos. 50-266; 50-301 License Nos. DPR-24; DPR-27
Enclosures:
1.
List of Principal Attendees 2.
Licensee Presentation Slides Distribution:
See next page
D. Koehl A listing of principal NMC and NRC meeting attendees and a copy of the handout provided by NMC at the meeting are enclosed as Enclosures 1 and 2, respectively, to this letter.
In accordance with 10 CFR 2.390 of the NRC's "Rules of Practice," a copy of this letter and its enclosures will be available electronically for public inspection in the NRC Public Document Room or from the Publicly Available Records System (PARS) component of NRC's document system (ADAMS), and is accessible from the NRC Web site at http://www.nrc.gov/reading-rm/adams.html (the Public Electronic Reading Room).
If you have any questions regarding this meeting, please contact me at (630) 829-9627.
Sincerely,
/RA/
Patrick L. Louden, Chief Branch 5 Division of Reactor Projects Docket Nos. 50-266; 50-301 License Nos. DPR-24; DPR-27
Enclosures:
1.
List of Principal Attendees 2.
Licensee Presentation Slides Distribution:
See next page DOCUMENT NAME: G:\\POIN\\public meetings\\03-23-06 public mtg (safety culture)\\Pub Mtg Summary 3-23-06.wpd o receive a copy of this document, indicate in the box: "C" = Copy without attachment/enclosure "E" = Copy with attachment/enclosure "N" = No copy OFFICE RIII RIII NAME LHaeg:sls PLouden DATE 04/03/06 04/03/06 OFFICIAL RECORD COPY
D. Koehl cc w/encl:
F. Kuester, President and Chief Executive Officer, We Generation D. Cooper, Senior Vice President, Group Operations J. McCarthy, Site Director of Operations D. Weaver, Nuclear Asset Manager Plant Manager Regulatory Affairs Manager Training Manager Site Assessment Manager Site Engineering Director Emergency Planning Manager J. Rogoff, Vice President, Counsel & Secretary K. Duveneck, Town Chairman Town of Two Creeks Chairperson Public Service Commission of Wisconsin J. Kitsembel, Electric Division Public Service Commission of Wisconsin State Liaison Officer
D. Koehl ADAMS Distribution:
JLD CFL EMH1 LXR1 RidsNrrDirsIrib GEG KGO CAA1 RGK DRPIII DRSIII PLB1 JRK1 PUBLIC MEETING PRINCIPAL ATTENDEES March 23, 2006 Nuclear Management Company Dennis Koehl Site Vice President, Point Beach James McCarthy Director Site Operations, Point Beach Aldo Capristo Business Support Manager, Point Beach Gerald Young Nuclear Oversight Manager, Point Beach Robert Grazio Compliance Manager, Point Beach Nuclear Regulatory Commission James Caldwell Regional Administrator, Region III Mark Satorius Director, Division of Reactor Projects, Region III Kenneth OBrien Team Leader, Enforcement and Investigation Coordination Staff, Region III Lisamarie Jarriel Agency Allegations Advisor, Office of Enforcement Patrick Louden Chief, Branch 5, Division of Reactor Projects Robert Krsek Senior Resident Inspector, Point Beach Gregory Gibbs Resident Inspector, Point Beach Michael Kunowski Project Engineer, Division of Reactor Projects Public David Lochbaum Director, Nuclear Safety Project, Union of Concerned Scientists (via telephone)
Daniel Horner McGraw Hill Nuclear Publications (via telephone)
Billie Pirner Garde Attorney-at-Law, Clifford and Garde
Point Beach Nuclear Plant SAFETY CULTURE UPDATE March 23, 2006
A C
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INDIVIDUAL EXCELLENCE POINT BEACH EXCELLENCE Safe, Reliable, Predictable, Leader EXCELLENCE Organizational Excellence Operational Excellence Training Excellence Equipment Excellence Predictable Teamwork Accountable Learning Safety Configuration Control Teamwork Teamwork Effective Accountable Model Zero Tolerance Reliable Predictable Pride Organizational Excellence Operational Excellence Training Excellence Equipment Excellence Predictable Teamwork Accountable Learning Safety Configuration Control Teamwork Teamwork Effective Accountable Model Zero Tolerance Reliable Predictable Pride Accident Free No Rework Event Free Control Dose Attend Training Meet Schedule Accident Free No Rework Event Free Control Dose Attend Training Meet Commitments Opportunities Results Qualified Workers Job Planning/
Preparation Procedures/Work Instructions Verification/Validation Supervisor Oversight Worker Practices BARRIERS FOR EXCELLENCE Picture of Excellence 2
Implementing Change
- Improve and sustain improvements
- Change organization culture
- Change behaviors
- Achieve consistent & fair reinforcement
- Four enablers
- Select & retain the right people
- Communicate & reinforce the right picture
- Verify effective implementation of processes
- Ensure effective coaching & engagement
A C
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INDIVIDUAL EXCELLENCE POINT BEACH EXCELLENCE Safe, Reliable, Predictable, Leader EXCELLENCE Organizational Excellence Operational Excellence Training Excellence Equipment Excellence Predictable Teamwork Accountable Learning Safety Configuration Control Teamwork Teamwork Effective Accountable Model Zero Tolerance Reliable Predictable Pride Organizational Excellence Operational Excellence Training Excellence Equipment Excellence Predictable Teamwork Accountable Learning Safety Configuration Control Teamwork Teamwork Effective Accountable Model Zero Tolerance Reliable Predictable Pride Accident Free No Rework Event Free Control Dose Attend Training Meet Schedule Accident Free No Rework Event Free Control Dose Attend Training Meet Commitments Opportunities Results Qualified Workers Job Planning/
Preparation Procedures/Work Instructions Verification/Validation Supervisor Oversight Worker Practices BARRIERS FOR EXCELLENCE Picture of Excellence 3
A C
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INDIVIDUAL EXCELLENCE POINT BEACH EXCELLENCE Safe, Reliable, Predictable, Leader EXCELLENCE Organizational Excellence Operational Excellence Training Excellence Equipment Excellence Predictable Teamwork Accountable Learning Safety Configuration Control Teamwork Teamwork Effective Accountable Model Zero Tolerance Reliable Predictable Pride Organizational Excellence Operational Excellence Training Excellence Equipment Excellence Predictable Teamwork Accountable Learning Safety Configuration Control Teamwork Teamwork Effective Accountable Model Zero Tolerance Reliable Predictable Pride Accident Free No Rework Event Free Control Dose Attend Training Meet Schedule Accident Free No Rework Event Free Control Dose Attend Training Meet Commitments Opportunities Results Qualified Workers Job Planning/
Preparation Procedures/Work Instructions Verification/Validation Supervisor Oversight Worker Practices BARRIERS FOR EXCELLENCE Picture of Excellence 3
A C
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A N
INDIVIDUAL EXCELLENCE POINT BEACH EXCELLENCE Safe, Reliable, Predictable, Leader EXCELLENCE Organizational Excellence Operational Excellence Training Excellence Equipment Excellence Predictable Teamwork Accountable Learning Safety Configuration Control Teamwork Teamwork Effective Accountable Model Zero Tolerance Reliable Predictable Pride Organizational Excellence Operational Excellence Training Excellence Equipment Excellence Predictable Teamwork Accountable Learning Safety Configuration Control Teamwork Teamwork Effective Accountable Model Zero Tolerance Reliable Predictable Pride Accident Free No Rework Event Free Control Dose Attend Training Meet Schedule Accident Free No Rework Event Free Control Dose Attend Training Meet Commitments Opportunities Results Qualified Workers Job Planning/
Preparation Procedures/Work Instructions Verification/Validation Supervisor Oversight Worker Practices BARRIERS FOR EXCELLENCE Picture of Excellence 4
Actions Prior to the Cultural Survey
- 1Q04 Picture of Excellence introduced with D-15 meetings
- 2Q04 New Site VP
- 3Q04 Picture of Excellence training
- 3Q04 Organizational assessments
- 4Q04 Excellence Plan revised to include organizational assessment results
- 4Q04 Begin leadership assessments
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INDIVIDUAL EXCELLENCE POINT BEACH EXCELLENCE Safe, Reliable, Predictable, Leader EXCELLENCE Organizational Excellence Operational Excellence Training Excellence Equipment Excellence Predictable Teamwork Accountable Learning Safety Configuration Control Teamwork Teamwork Effective Accountable Model Zero Tolerance Reliable Predictable Pride Organizational Excellence Operational Excellence Training Excellence Equipment Excellence Predictable Teamwork Accountable Learning Safety Configuration Control Teamwork Teamwork Effective Accountable Model Zero Tolerance Reliable Predictable Pride Accident Free No Rework Event Free Control Dose Attend Training Meet Schedule Accident Free No Rework Event Free Control Dose Attend Training Meet Commitments Opportunities Results Qualified Workers Job Planning/
Preparation Procedures/Work Instructions Verification/Validation Supervisor Oversight Worker Practices BARRIERS FOR EXCELLENCE Picture of Excellence 5
Response to Assessments
- Safety Culture Survey confirmed results of Organizational assessments
- Excellence Plan
- Site wide plan
- Integrates initiatives and key actions
- Actions incorporated into Excellence Plan
- Actions apply to PBNP organization
- Continue to monitor and adjust
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INDIVIDUAL EXCELLENCE POINT BEACH EXCELLENCE Safe, Reliable, Predictable, Leader EXCELLENCE Organizational Excellence Operational Excellence Training Excellence Equipment Excellence Predictable Teamwork Accountable Learning Safety Configuration Control Teamwork Teamwork Effective Accountable Model Zero Tolerance Reliable Predictable Pride Organizational Excellence Operational Excellence Training Excellence Equipment Excellence Predictable Teamwork Accountable Learning Safety Configuration Control Teamwork Teamwork Effective Accountable Model Zero Tolerance Reliable Predictable Pride Accident Free No Rework Event Free Control Dose Attend Training Meet Schedule Accident Free No Rework Event Free Control Dose Attend Training Meet Commitments Opportunities Results Qualified Workers Job Planning/
Preparation Procedures/Work Instructions Verification/Validation Supervisor Oversight Worker Practices BARRIERS FOR EXCELLENCE Picture of Excellence 6
Overview of Continuing Actions Select & retain the right people Conduct Leadership assessments Act on results of leadership assessments Verify effective implementation of processes Site Performance Index CAP implementation improvements & performance indicators ODMI process 6 month assessments Improve Plant Health Committee Improve PMP process Improve PARB Establish DRUM process Management Review Meetings Communicate & reinforce the right picture Daily reinforcement of ACEMAN &
Picture of Excellence D-15 meetings Feedback results of leadership assessments Leadership handbook & associated training Leadership development meetings All-hands meetings Effective coaching & engagement MARC process Human performance jamboree Training on Nuclear Safety Culture Policy Leadership Development Training Taking Action training 6
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INDIVIDUAL EXCELLENCE POINT BEACH EXCELLENCE Safe, Reliable, Predictable, Leader EXCELLENCE Organizational Excellence Operational Excellence Training Excellence Equipment Excellence Predictable Teamwork Accountable Learning Safety Configuration Control Teamwork Teamwork Effective Accountable Model Zero Tolerance Reliable Predictable Pride Organizational Excellence Operational Excellence Training Excellence Equipment Excellence Predictable Teamwork Accountable Learning Safety Configuration Control Teamwork Teamwork Effective Accountable Model Zero Tolerance Reliable Predictable Pride Accident Free No Rework Event Free Control Dose Attend Training Meet Schedule Accident Free No Rework Event Free Control Dose Attend Training Meet Commitments Opportunities Results Qualified Workers Job Planning/
Preparation Procedures/Work Instructions Verification/Validation Supervisor Oversight Worker Practices BARRIERS FOR EXCELLENCE Picture of Excellence 7
Select & Retain the Right People
- Leadership Assessments
- Included supervisors and above
- Completed in January 2006
- Resulting actions
- Feedback
- Training
- Position changes
- Address common themes
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INDIVIDUAL EXCELLENCE POINT BEACH EXCELLENCE Safe, Reliable, Predictable, Leader EXCELLENCE Organizational Excellence Operational Excellence Training Excellence Equipment Excellence Predictable Teamwork Accountable Learning Safety Configuration Control Teamwork Teamwork Effective Accountable Model Zero Tolerance Reliable Predictable Pride Organizational Excellence Operational Excellence Training Excellence Equipment Excellence Predictable Teamwork Accountable Learning Safety Configuration Control Teamwork Teamwork Effective Accountable Model Zero Tolerance Reliable Predictable Pride Accident Free No Rework Event Free Control Dose Attend Training Meet Schedule Accident Free No Rework Event Free Control Dose Attend Training Meet Commitments Opportunities Results Qualified Workers Job Planning/
Preparation Procedures/Work Instructions Verification/Validation Supervisor Oversight Worker Practices BARRIERS FOR EXCELLENCE Picture of Excellence 8
Right Processes - Verify Effective Implementation
- Site Performance Index
- Implemented Operational Decision Making Issue Evaluation Process
- Multi-discipline, multi-level operational decision making process
- Corrective Action Program improvements &
performance indicators
- Department Roll Up Meeting Process trending
- Plant Health Committee improvements
- Management Review Meetings
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INDIVIDUAL EXCELLENCE POINT BEACH EXCELLENCE Safe, Reliable, Predictable, Leader EXCELLENCE Organizational Excellence Operational Excellence Training Excellence Equipment Excellence Predictable Teamwork Accountable Learning Safety Configuration Control Teamwork Teamwork Effective Accountable Model Zero Tolerance Reliable Predictable Pride Organizational Excellence Operational Excellence Training Excellence Equipment Excellence Predictable Teamwork Accountable Learning Safety Configuration Control Teamwork Teamwork Effective Accountable Model Zero Tolerance Reliable Predictable Pride Accident Free No Rework Event Free Control Dose Attend Training Meet Schedule Accident Free No Rework Event Free Control Dose Attend Training Meet Commitments Opportunities Results Qualified Workers Job Planning/
Preparation Procedures/Work Instructions Verification/Validation Supervisor Oversight Worker Practices BARRIERS FOR EXCELLENCE Picture of Excellence 9
Communicate & Reinforce the Right Picture
- Daily reinforcement of ACEMAN &
Picture of Excellence
- D-15 Meetings
- Feedback on leadership assessments
- Leadership handbook & associated training
- Leadership development meetings
- All-hands meetings
A C
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INDIVIDUAL EXCELLENCE POINT BEACH EXCELLENCE Safe, Reliable, Predictable, Leader EXCELLENCE Organizational Excellence Operational Excellence Training Excellence Equipment Excellence Predictable Teamwork Accountable Learning Safety Configuration Control Teamwork Teamwork Effective Accountable Model Zero Tolerance Reliable Predictable Pride Organizational Excellence Operational Excellence Training Excellence Equipment Excellence Predictable Teamwork Accountable Learning Safety Configuration Control Teamwork Teamwork Effective Accountable Model Zero Tolerance Reliable Predictable Pride Accident Free No Rework Event Free Control Dose Attend Training Meet Schedule Accident Free No Rework Event Free Control Dose Attend Training Meet Commitments Opportunities Results Qualified Workers Job Planning/
Preparation Procedures/Work Instructions Verification/Validation Supervisor Oversight Worker Practices BARRIERS FOR EXCELLENCE Picture of Excellence 10 Effective Coaching &
Engagement
- MARC Process
- Structured method for engagement
- Improves predictability and consistency
- Protocol meeting improves alignment
- Training on Nuclear Safety Culture Policy
- Leadership Development Training
- Taking Action Training
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INDIVIDUAL EXCELLENCE POINT BEACH EXCELLENCE Safe, Reliable, Predictable, Leader EXCELLENCE Organizational Excellence Operational Excellence Training Excellence Equipment Excellence Predictable Teamwork Accountable Learning Safety Configuration Control Teamwork Teamwork Effective Accountable Model Zero Tolerance Reliable Predictable Pride Organizational Excellence Operational Excellence Training Excellence Equipment Excellence Predictable Teamwork Accountable Learning Safety Configuration Control Teamwork Teamwork Effective Accountable Model Zero Tolerance Reliable Predictable Pride Accident Free No Rework Event Free Control Dose Attend Training Meet Schedule Accident Free No Rework Event Free Control Dose Attend Training Meet Commitments Opportunities Results Qualified Workers Job Planning/
Preparation Procedures/Work Instructions Verification/Validation Supervisor Oversight Worker Practices BARRIERS FOR EXCELLENCE Picture of Excellence 11 Site Performance Index
- Compilation of 30 indicators
- Monitors 4 main areas
- Safety Conscious Work Environment
- Plant Risk
- Problem Identification & Resolution
- Human Performance
- Real time measure of progress
- Evaluated against standards of excellence
- Focus for action as needed
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INDIVIDUAL EXCELLENCE POINT BEACH EXCELLENCE Safe, Reliable, Predictable, Leader EXCELLENCE Organizational Excellence Operational Excellence Training Excellence Equipment Excellence Predictable Teamwork Accountable Learning Safety Configuration Control Teamwork Teamwork Effective Accountable Model Zero Tolerance Reliable Predictable Pride Organizational Excellence Operational Excellence Training Excellence Equipment Excellence Predictable Teamwork Accountable Learning Safety Configuration Control Teamwork Teamwork Effective Accountable Model Zero Tolerance Reliable Predictable Pride Accident Free No Rework Event Free Control Dose Attend Training Meet Schedule Accident Free No Rework Event Free Control Dose Attend Training Meet Commitments Opportunities Results Qualified Workers Job Planning/
Preparation Procedures/Work Instructions Verification/Validation Supervisor Oversight Worker Practices BARRIERS FOR EXCELLENCE Picture of Excellence 12 Site Performance Index Elements
- Safety Conscious Work Environment
- My supervisor values a questioning attitude
- My supervisor treats me with dignity
& respect
- I am comfortable raising issues to my supervisor without fear of retaliation
- Problem Identification & Resolution
- Corrective Action Program Initiation Rate
- Trends
- Root Cause Evaluation Quality
- Apparent Cause Evaluation Quality
- Backlog of CAPs
- Backlog of Open Actions
- Activities Extended
- Screen Team Effectiveness
- CAP Regulatory Effectiveness
- Self Assessment Quality Plant Risk Operator Burdens System Health Assessments Reactivity Management Unplanned LCOs Corrective Maintenance Backlog Elective Maintenance Backlog Preventive Maintenance Backlog Human Performance HU Regulatory Effectiveness Site Event Clock Reset Rate Maintenance Avoidable Rework Radiological Deficiencies Personnel Contamination Events Training Program Effectiveness Security Loggable Events Valve Mispositionings Industrial Safety - OSHA Recordables Procedure Change Request Backlog 12
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INDIVIDUAL EXCELLENCE POINT BEACH EXCELLENCE Safe, Reliable, Predictable, Leader EXCELLENCE Organizational Excellence Operational Excellence Training Excellence Equipment Excellence Predictable Teamwork Accountable Learning Safety Configuration Control Teamwork Teamwork Effective Accountable Model Zero Tolerance Reliable Predictable Pride Organizational Excellence Operational Excellence Training Excellence Equipment Excellence Predictable Teamwork Accountable Learning Safety Configuration Control Teamwork Teamwork Effective Accountable Model Zero Tolerance Reliable Predictable Pride Accident Free No Rework Event Free Control Dose Attend Training Meet Schedule Accident Free No Rework Event Free Control Dose Attend Training Meet Commitments Opportunities Results Qualified Workers Job Planning/
Preparation Procedures/Work Instructions Verification/Validation Supervisor Oversight Worker Practices BARRIERS FOR EXCELLENCE Picture of Excellence 13 Initiatives to Address Safety Culture Survey Results
- Survey Results
- Leadership effectiveness
- Trust & Confidence in Site Management
- Trust and Mutual Respect between Management and the Workforce
- Initiatives
- Leadership assessments
- Resulting actions from leadership assessments
- Feedback results of leadership assessments
- MARC process
- Leadership development training
- Taking Action training
- Training on nuclear safety culture policy
- Management Review Meetings
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INDIVIDUAL EXCELLENCE POINT BEACH EXCELLENCE Safe, Reliable, Predictable, Leader EXCELLENCE Organizational Excellence Operational Excellence Training Excellence Equipment Excellence Predictable Teamwork Accountable Learning Safety Configuration Control Teamwork Teamwork Effective Accountable Model Zero Tolerance Reliable Predictable Pride Organizational Excellence Operational Excellence Training Excellence Equipment Excellence Predictable Teamwork Accountable Learning Safety Configuration Control Teamwork Teamwork Effective Accountable Model Zero Tolerance Reliable Predictable Pride Accident Free No Rework Event Free Control Dose Attend Training Meet Schedule Accident Free No Rework Event Free Control Dose Attend Training Meet Commitments Opportunities Results Qualified Workers Job Planning/
Preparation Procedures/Work Instructions Verification/Validation Supervisor Oversight Worker Practices BARRIERS FOR EXCELLENCE Picture of Excellence 14 Initiatives to Address Safety Culture Survey Results
- Survey Results
- CAP effectiveness
- Overall Effectiveness of the Corrective Action Program
- Effective Resolution of identified Nuclear Safety issues
- Timely Resolution of identified Nuclear Safety issues
- Communications effectiveness
- General Communications
- Change Management
- Dignity, Trust & Respect
- Initiatives
- CAP improvements &
performance indicators
- Establish DRUM process
- Site performance index
- D-15 Meetings
- Feedback on leadership assessments
- Leadership handbook &
associated training
- Leadership development meetings
- All-hands meetings
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INDIVIDUAL EXCELLENCE POINT BEACH EXCELLENCE Safe, Reliable, Predictable, Leader EXCELLENCE Organizational Excellence Operational Excellence Training Excellence Equipment Excellence Predictable Teamwork Accountable Learning Safety Configuration Control Teamwork Teamwork Effective Accountable Model Zero Tolerance Reliable Predictable Pride Organizational Excellence Operational Excellence Training Excellence Equipment Excellence Predictable Teamwork Accountable Learning Safety Configuration Control Teamwork Teamwork Effective Accountable Model Zero Tolerance Reliable Predictable Pride Accident Free No Rework Event Free Control Dose Attend Training Meet Schedule Accident Free No Rework Event Free Control Dose Attend Training Meet Commitments Opportunities Results Qualified Workers Job Planning/
Preparation Procedures/Work Instructions Verification/Validation Supervisor Oversight Worker Practices BARRIERS FOR EXCELLENCE Picture of Excellence 15 Summary & Closing Remarks