ML16223A462
| ML16223A462 | |
| Person / Time | |
|---|---|
| Site: | Arkansas Nuclear |
| Issue date: | 08/09/2016 |
| From: | NRC/RGN-IV/DRP |
| To: | |
| Neil O'Keefe | |
| References | |
| Download: ML16223A462 (31) | |
Text
INSPECTION PLANNING CONSIDERATIONS FOR REVIEWING ITEMS ASSOCIATED WITH THE CONFIRMATORY ACTION LETTER FOR ARKANSAS NUCLEAR ONE, UNITS 1 AND 2 August 9, 2016 Purpose This document is intended to describe considerations that will be used to schedule, plan, and conduct future NRC inspections to review Entergys progress in improving the safety performance at Arkansas Nuclear One (ANO), Units 1 and 2, including the effectiveness of actions completed from the ANO Comprehensive Recovery Plan (CRP).
Background
On March 4, 2015, in the NRCs annual assessment letter for ANO, (ML15063A499), the NRC notified Entergy that ANO Units 1 and 2 had transitioned to the Multiple/Repetitive Degraded Cornerstone Column (Column 4) of the NRCs Reactor Oversight Process Action Matrix. This change was based on having one Yellow finding in each unit involving the failure to adequately approve the design and to load test a temporary lift assembly, and one Yellow finding in each unit involving the failure to design, construct, and maintain plant design features required to protect safety-related equipment from the effects of flooding.
In early 2016, the NRC completed an independent diagnostic inspection of safety performance at ANO, documented in NRC Inspection Report 05000313/2016007 and 05000368/2016007 (ML16161B279). This inspection included a review of Entergys self-assessments and root cause evaluations for declining performance. Based on Entergys review of the causes of the performance decline, the findings from the independent Third Party Nuclear Safety Culture Assessment, and the results of the NRCs independent diagnostic evaluation, the NRC determined that Entergy had a good understanding of the depth and breadth of performance concerns associated with ANOs performance decline. The NRC also reviewed the ANO CRP and concluded that Entergys planned corrective actions should correct significant performance deficiencies and result in sustained performance improvement at ANO.
On June 17, 2016, the NRC issued a Confirmatory Action Letter (CAL) (ML16169A193) to confirm commitments made by Entergy concerning ANO, Units 1 and 2. In a letter dated May 17, 2016, ANO Comprehensive Recovery Plan, (ML16139A059), Entergy notified the NRC of its plan to perform specific actions to resolve the causes for declining performance at ANO, and provided a summary of that plan.
Inspection Planning and Scheduling Considerations The ANO CRP is comprised of 14 Area Action Plans that contain key improvement actions and scheduled completion dates for each action. NRC Inspection Report 05000313/2016007 and 05000368/2016007 described six performance areas of concern identified by the NRC, and the CAL identified the selected CRP actions that the NRC has concluded are necessary to cause performance improvements in those same six performance areas.
The attachment provides a description and planned due date for each action identified in the CAL. CRP actions that overlap or are redundant are listed together.
The NRC will perform inspections approximately quarterly to evaluate the status of performance improvement at ANO, as well as to independently review the effectiveness of CRP actions.
CRP actions will be scheduled for inspection following notification by Entergy that it has
SUNSI Review By: NFO ADAMS Yes No Non-Sensitive Sensitive Publicly Available Non-Publicly Available Keyword:
OFFICE SPE: PBE C: PBE D: DRP C: PBE NAME JDixon NOKeefe TPruett NOKeefe SIGNATURE
/RA/
/RA/
/RA/
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DATE 8/2/16 8/2/16 8/4/16 8/9/16 OFFICE NAME SIGNATURE DATE
AAPKey#
Description CRAction AAPDueDate Sustained Improvement Item(Y/N)
Discussedin 95003Report Section(s)
Samples C201502836 015 03/31/2016 C201502836 036 04/07/2016 C201502836 016 02/29/2016 C201502836 028 03/31/2016 C201502836 029 07/31/2016 CRANOC2015 02833015 06/17/2016 CRANOC2015 02833016 12/15/2016 C201600614 023 12/31/16 C201502833 013 05/25/2017 C201502833 014 01/12/2017 C201502833 036 08/11/2017 CRANOC2014 00259219 12/11/2015 CRANOC2014 00259213 01/08/2016 CRANOC2014 00259214 01/15/2016 CRANOC2014 00259215 12/11/2015 CRANOC2014 00259220 02/25/2016 5.2.2 DB02 5.2.2 ProvidetrainingtoEngineering,Operations,andPlannerstoincreasethe knowledgeandskillsregardingpassivebarriersandotherDesignBasis Features.
Y Y
N CO05 OC05 DevelopandissueanEntergychangemanagementprocedurefor planning,execution,andfollowupofhighriskchanges.Procedurewill includespecificexpectationsforreviewingeffectivenessofthehighrisk change.Performsnapshotbenchmarkingtocheckapproachforchange managementagainstindustrypractices.
5.1 5.4.7 DB01 Establishmetricstomonitorperformancethatwouldindicatethat leadershipfocusonminimizingriskandnuclearsafetyresultsin improvementtothehealthofMaintenanceRulesystems.
Significant Performance Deficiencies (i.e., Yellow Findings)
The following actions address the root and contributing causes for the Yellow findings for the stator drop and the flooding events, including plant deficiencies and problems with vendor oversight, change management, conservative decision making, and risk management, Entergy will implement the following actions by October 2017:
Facilitatebehaviorchangebyrewardingperformancethatindicates leadershipbehaviorsarefocusedonminimizingriskandnuclearsafetyby incorporatingMaintenanceRuleMonitoringgoalsintotheSupervisorand aboveIncentivePlan(SMIP).
Page 1 of 29
CRANOC2014 00259221 12/11/2015 CRANOC2015 02833049 02/12/2016 CRANOC2015 02833050 02/19/2016 CRANOC2015 02833051 01/26/2016 CRANOC2015 02833052 01/08/2016 CRANOC2015 02833053 03/23/2016 CRANOC2015 02833054 01/15/2016 2201502879 026 07/21/2016 C201502832 023 08/01/2016 2201500362 019 04/21/2016 DM06 DeliverRiskRecognitiontraininganddevelopanANOcurriculumforall sitepersonnelwithunescortedaccess.
C201502832 044 09/17/17 Y
5.5.2 DM07 DevelopandImplementtrainingonproceduresgoverningrisk assessment.ThetrainingisforWorkManagementSROs,WorkWeek Managers,ShiftManagers,andUnitCoordinators.
C201600522 002 08/11/16 Y
5.5.2 DM08 DevelopandimplementaFamiliarizationGuideforthefunctionofWork ManagementSROwhichwillensureclearunderstandingofjobfunction.
C201600520 003 06/30/16 Y
5.5.2 DM10 ReviseOnLineRiskAssessmentProcedureENWM104toinclude guidancetoclassify,ashighriskworkactivitiesinvolvingacrediblerisk concernwithunacceptableconsequencesandfirstofakindorfirstina while activities.
C201402318 014 11/26/14 Y
4.1.2 5.5.2 C201402318 016 03/31/2015 4.3.5 5.5.2 DM11 ReviseProjectManagementProcedurestoensurehighconsequencerisks areproperlyidentifiedandeliminated/mitigatedthroughastructured riskmanagementprocess.
4.1.2 4 1 3 Y
DB03 Y
5.2.2 DM01 Establishadecisionmakingtoolforstationpersonnelthatincludes expectationsforuseatANO.Theintentofthisactionistoestablisha MinimumRiskOptionbehaviorthatdrivesthedecisionmakerto developmultiplesolutionsanddrivethedecisionthathastheleastriskby consideringthefollowingfactors:NuclearSafety,IndustrialSafety,Dose, PlantTransients,EquipmentReliability,GenerationLoss,andFinancial.
TheMinimumRiskOptionconceptisariskmanagementtechnique designedtominimizethepotentialrisktoaslowasreasonably achievable.Theconceptinvolvesidentifyingpotentialoptionsfor performinganactivity,andassessinghowtoeffectivelymanageand mitigatetheriskforeachofthepotentialoptions.
Y Page 2 of 29
C201402318 040 12/10/2014 C201400259 010 01/29/2016 2201300904 114 01/29/2016 C201400259 052 06/06/2014 C201400259 122 02/10/2016 C201400259 131 12/17/2015 C201400259 143 12/18/2015 C201400259 227 02/18/2016 C201400259 248 06/23/2016 C201400259 230 01/26/2017 C201400259 231 01/26/2017 C201400259 232 01/26/2017 C201400259 233 01/26/2017 C201400259 234 01/26/2017 C201400259 235 06/29/2017 C201400259 236 02/23/2017 C201400259 237 01/26/2017 C201400259 238 01/26/2017 C201400259 011 03/11/2016 C201301304 085 07/25/2014 VO19 4.1.3 5.5.2 FP01 Developexternalfloodingdesignbasisdocumentationsoconfiguration controlisdefinedandmaintained.Developanengineeringreportand floodprotectiondrawingssimilartofireprotectiondrawingstoclearly documentthefloodingdesignbasisandcreditedfloodprotection features(creditedexternalfloodprotectionfeaturesandcredited operatoractions),andassignuniqueequipmentIDtoeachflood protectionfeatureandboundary.
4.2.3 4.2.3 4.2.5 4.2.3 FP03 Labelexternalfloodbarriersintheplanttoprovideinfieldawarenessof floodprotectionfeatures.
FP02 Developinternalfloodingdesignbasisdocumentationsoconfiguration controlisdefinedandmaintained.Developanengineeringreportand floodprotectiondrawingssimilartothefireprotectiondrawingsto clearlydocumentthefloodingdesignbasisandcreditedfloodprotection features(creditedinternalfloodprotectionfeaturesandcredited operatoractions).UpdatetheFloodingUpperLevelDocument(ULD).
Assignuniqueequipmentidentificationtoeachfloodprotectionfeature andboundary.
Y N
N N
Page 3 of 29
C201400259 246 12/08/2016 C201301304 017 07/25/2013 C201301304 018 07/25/2013 C201301304 019 07/25/2013 C201301304 020 07/25/2013 C201301304 021 07/25/2013 C201301304 030 08/22/2013 C201301304 031 11/14/2013 C201301304 032 08/22/2013 C201301304 033 11/14/2013 C201301304 034 09/19/2013 C201301304 035 12/05/2013 C201301304 037 12/05/2013 C201301304 039 12/05/2013 C201301304 041 12/05/2013 C201301304 043 12/05/2013 C201301304 045 12/05/2013 C201301304 047 12/05/2013 C201301304 049 12/05/2013 C201301304 051 12/05/2013 C201301304 053 12/05/2013 C201301304 055 12/05/2013 C201301304 057 12/05/2013 C201301304 059 12/05/2013 C201301304 061 12/05/2013 FP04 EstablishanEngineeringBarrierprogramtoincludeexternalandinternal floodprotectioninaccordancewiththerequirementsofprocedureEN DC329.AssignprogramownerandbackupSiteEngineer.Establishthe preventivemaintenanceofexternalandinternalfloodprotection featuresincludingscope,frequency,testingcriteria,andacceptance criteria.
4.2.3 4.2.5 Y
Page 4 of 29
C201301304 063 12/05/2013 C201301304 065 12/05/2013 C201301304 067 12/05/2013 C201301304 069 12/05/2013 C201301304 072 09/19/2013 C201301304 073 12/05/2013 C201301304 074 09/19/2013 C201301304 075 12/05/2013 C201301304 082 11/06/2013 C201301304 083 02/21/2014 C201301304 084 04/11/2014 C201400259 012 07/11/2014 C201400259 025 11/07/2014 C201400259 092 12/17/2015 C201400259 118 01/11/2016 C201400259 121 01/21/2016 C201400259 123 06/23/2016 C201400259 126 12/08/2016 C201400259 155 09/15/2016 C201502833 029 03/23/2017 C201400259 064 12/19/2014 C201400259 247 08/25/2016 4.2.3 4.2.5 FP05 ReviseprocedureENDC329,EngineeringProgramsControland Oversight,toinclude ExternalandInternalFloodProtectionintheEngineeringProgramListfor ANO.
RevisethefloodingprogrammaticaspectsofENDC150,Condition M
it i
f M i t R l St t
R i
EN DC 136 N
Page 5 of 29
C201400259 014 01/15/2016 C201400259 017 01/29/2016 C201400259 015 06/27/2014 C201400259 016 06/27/2014 C201400259 020 05/16/2014 C201400259 031 08/29/2014 C201400259 032 03/20/2014 C201400259 033 04/17/2014 C201400259 034 11/28/2014 C201400259 037 02/11/2016 C201400259 039 08/29/2014 C201400259 040 09/19/2014 C201400259 059 09/16/2014 C201400259 068 02/26/2015 C201400259 069 03/24/2016 C201400259 077 10/30/2015 C201400259 142 06/26/2015 C201400259 146 01/15/2016 C201400259 202 08/28/2015 C201400259 205 01/15/2016 C201400259 206 12/17/2015 C201400259 208 11/05/2015 C201400259 209 01/28/2016 FP06 Validatethatallexternalfloodgapsidentifiedfromthereviewof documentationforcrediblefloodpathsandthefollowupwalkdowns havebeenresolved.
4.2.3 5.2.1 N
Page 6 of 29
C201400259 082 06/23/2016 C201400259 018 06/27/2014 C201400259 112 12/31/2017 C201400259 250 12/31/2016 C201400259 019 10/02/2015 C201400259 058 07/18/2014 C201400259 070 10/17/2014 C201400259 073 10/24/2014 C201400259 078 12/17/2015 C201400259 093 12/04/2015 C201400259 127 10/30/2015 C201400259 251 12/17/2015 C201400259 252 01/29/2016 FP09 EstablishtheProgramNotebookandinitialProgramHealthReportfor floodprotectioninaccordancewithENDC143(EngineeringHealth Reports)toidentify,communicate,prioritize,anddriveresolutionof issuesthatchallengeaneffectivefloodprotectionstrategyincluding performanceindicators,initialcolorrating(RedorYellow,andaction plan C201400259 210 11/17/16 N
4.2.3 C201400259 213 01/08/2016 C201400259 214 01/15/2016 C201400259 215 12/11/2015 C201300888 016 07/10/2013 C201300888 018 10/10/2013 C201301304 027 06/27/2013 C201400259 022 03/27/2015 C201400259 136 09/03/2015 C201400259 216 12/11/2015 FP07 FP08 4.2.3 5.2.1 Developandconductinitialandcontinuingtrainingessentialto understandingandmaintainingthelicensebasisforfloodbarrier features.AddressOperations,Engineering,andWorkPlanninggroups.
4.2.3 N
N 4.2.3 N
Performwalkdownsofallcreditedinternalfloodprotectionfeaturesand documenttheresultsinanengineeringreport.
FP13 Validatethatallinternalfloodgapsidentifiedfromthereviewof documentationforcrediblefloodpathsandthefollowupwalkdowns havebeenresolved.
Page 7 of 29
C201400259 217 12/11/2015 C201400259 218 12/11/2015 C201402318 094 12/17/2015 C201402318 095 12/17/2015 C201402318 096 01/17/2016 C201402318 165 02/18/2016 C201402318 097 12/17/2015 C201402318 098 02/14/2015 C201402318 099 03/20/2015 VO04 EstablishaVendorOversightTeamtodrivecontinuousimprovementin VendorOversight.
C201502838 015 03/31/16 Y
5.5.5 VO05 DevelopandimplementaprocessformonitoringofSupplemental OversightPlancompliance.
C201502838 013 04/14/16 Y
5.5.5 VO06 Establishspecifictemplateandguidancetosupportconsistent developmentofSupplementalOversightPlans.
C201402318 168 07/07/16 Y
5.5.5 VO07 Developandimplementinitialandcontinuingtrainingontheprocedure forManagementandOversightofSupplementalPersonnel.Trainingis forsitecontractmanagersandprojectmanagers.
C201502838 014 09/08/16 Y
5.5.5 C201402318 170 06/01/2016 C201402318 171 01/26/2017 VO09 PerformanorganizationalcapacityassessmentforVendorOversight, includingContractManagementandAdministration,Critical Procurementsanddepartmentspecificresourceimpacts.
C201402318 169 05/27/16 N
5.5.5 VO10 EvaluatespanofcontrolwithregardtoResponsibleOversightofVendors, andplaceactionstoaddressidentifiedweaknessesinthecorrective actionprogram.
C201502838 010 09/15/16 N
5.5.5 VO11 RevisetheSupplementalPersonnelExpectationsBriefChecklistto includesupplementalpersonnelreceivingaSiteemployeehandbookand adiscussionbyresponsiblemanagementontheSiteemployeehandbook and expectations for use.
C201502829 028 05/21/16 Y
5.5.5 VO14 EstablishaFleetCharterTeamorANOTeamtoaddressweaknessesin theproceduresforcontractoroversight.Specifically,identifygapsinthe procedurestoalignwithIndustryGuideAP930(SupplementalPersonnel ProcessDescription).Assignadditionalactionsaswarrantedtoaddress any gaps identified.
C201402318 175 07/17/16 N
5.5.5 VO01 DesignateaSubjectMatterExpert(SME)tooverseeimplementationof theprocedureforManagementandOversightofSupplementalPersonnel andcontractoroversightforANO.
4.1.2 5.5.5 VO08 DevelopandimplementacontractmanagementFamiliarizationGuide toincludedeterminationanddocumentationofworkscope,risk assessment,incentivesandpenalties,andperformancemonitoring.
IncludereviewofOperatingExperience,suchasthecontractualaspects ofthestatorliftrigfailureandotherrelatedindustryeventsinthe FamiliarizationGuide.
5.5.5 N
Y Page 8 of 29
VO15 ReviewcurrentprocessesinEngineeringrelatedtoVendorOversight FundamentalProblem.Determineifadditionalactionsarerequiredto addresslessformalinterfaceswithsuppliersofcontractservices.Assign additionalactionsaswarrantedtoaddressanygapsidentified.
C201502838 011 07/15/2016 5.5.5 C201402318 015 03/31/2015 C201402318 193 02/23/2016 VO20 IssuedprocedureforManagementandOversightofSupplemental Personnelincludingimprovementsto(1)definedresponsibilities,(2) assessmentofrisk,and(3)vendoroversightplans.
C201402318 020 01/05/15 Y
4.1.2 4.1.3 4.1.5 VO21 DM09 DevelopandimplementrecurringtrainingforProjectManagement personnelonriskrecognitionandconservativedecisionmaking.
C201402318 060 07/30/15 Y
4.1.2 4.1.3 5.5.2 VO23 ReviseENDC114,ProjectManagement,toprovideguidancein specifyingcontractlanguagewhichwillensuredetailedengineering calculations,qualityrequirementsandstandardsareprovidedforinternal andthirdpartyreview,inaccordancewithrevisedENMA119,Material HandlingProgram,whenspeciallydesignedtemporaryliftassemblesare to be used C201300888 019 11/28/13 N
4.1.3 VO24 ReviseENMA119,torequireadocumentedengineeringresponseto evaluationcriticalliftsifusinganyspeciallydesignedtemporarylifting device,anyliftingdevicethatcannotbeloadtestedperENMA119 criteria,oranyliftingdevicewithoutacertifiedloadratingnameplate rating affixed to it.
C201300888 020 09/30/13 N
4.1.3 AAPKey#
Description CRAction AAPDueDate Sustained Improvement Item(Y/N)
Discussedin 95003Report Section(s)
Samples CA01 EstablishCAPcontentintheANOEmployeeHandbooktoinclude behaviorsforpromptidentificationofconditionsintoCAP.
C201501240 064 04/06/16 Y
5.4.1 5.4.5 CA03 Conductanorganizationalcapacitystudytodetermineandcorrect staffingandproficiencyneeds,includingneedstosupportCAP implementation.EstablishaPeopleHealthCommitteetosupportongoing monitoring and adjustments.
C201502831 021 05/26/16 Y
5.4.1 C201501240 074 06/30/2016 C201501240 075 09/29/2016 C201501240 076 04/28/2016 VO18 ReviseProjectManagementprocedurestoensureprojectsareorganized andmanagedwith(1)effectivesupportbysubjectmatterexpertsand(2) effectivevendorandtechnicaloversight.
4.1.2 4.1.3 DevelopandimplementinitialCAPtraininganddevelopcontinuingCAP trainingforstationemployees,ACE/RCEEvaluators,Responsible Managers(includingCARBandCRG),DepartmentPerformance ImprovementCoordinators,OESpecialistsandPointsofContact,and PerformanceImprovementpersonnel.
Y Identification, Assessment, and Correction of Performance Deficiencies The following actions address improvement in the implementation and oversight of the corrective action program, self-assessment and performance monitoring, the quality of problem evaluations, and the use of operating experience, Entergy will implement the following actions by October 2017:
Page 9 of 29
C201501240 077 06/30/2016 C201501240 078 07/28/2016 C201501240 079 10/27/2016 C201501240 080 09/29/2016 C201501240 081 12/01/2016 HQN2014 00291009 11/19/2015 HQN2014 00291010 11/06/2014 C201402698 010 01/15/2015 C201402698 015 01/29/2015 C201402698 018 07/23/2015 C201402698 020 07/30/2015 C201402698 021 06/11/2015 C201501240 049 08/06/2015 C201501240 061 06/29/2017 C201501240 062 11/17/2016 C201501240 063 11/17/2016 C201501240 035 12/17/2015 C201501284 011 08/14/2015 C201501284 013 05/01/2016 C201501284 014 03/10/2016 C201501284 020 03/31/2016 C201501284 028 07/28/2016 C201500788 003 12/31/2015 5.4.1 5.4.5 5.4.1 5.4.2 5.4.4 5.4.5 CA05 Traininvestigators,managersandPerformanceImprovement(PI)Staffon propercausaltechniques,manageroversightexpectationsand engagement,andconductingqualityreviewsofcompletedcause evaluationsandcorrectiveactions.Establishinitialandrefreshertraining 5.4.1 5.4.4 5.4.5 CA04 Y
N Y
CA06 Implementtraining,benchmarking,processimprovements,and monitoring/feedbacktoimprovetherigor,attentiontodetail,andoverall qualityofOperabilityDeterminationsandFunctionalityAssessments.
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C201501284 012 08/01/2015 C201501284 017 11/15/2015 C201501240 036 09/24/2015 C201502836 025 02/06/2016 CA09 RevisetheCARBprocesstorequirethePerformanceImprovement Managertopresentthestatusoftheconditionreportingprocessusing establishedmetricstotheCARB.
C201501240 034 09/24/15 Y
5.4.1 5.4.4 CA10 ImprovetheperiodicperformancereviewsandoversightofCAPandOE performanceinDepartmentPerformanceReviewMeetings(DPRMs)and APRMs.
C201501240 069 05/19/16 Y
5.4.1 5.4.2 CA11 ReviseENLI102,CorrectiveActionProgram,torequireafocusedself assessmentevery2yearsfocusedprimarilyonwhetherstaffinglevels supporteffectiveCAPimplementationandoversight.
C201501240 065 01/26/16 N
5.4.1 5.4.4 C201502832 028 08/01/2016 C201502832 027 08/01/2016 CA13 EstablishanOEmentortoreviewOEresponsesandprovidecritical feedback.
C201502832 026 12/30/16 Y
5.4.1 5.4.8 CA14 Foraperiodofoneyear,establishCARBoversightofselectedOE responsestoverifyprogramimplementationmeetsCARBstandards.
C201502834 131 09/22/17 N
5.4.1 5.4.8 CA15 RevisetheOEactionsforselectedresponsestorequireaprejobbrief fromtheOEspecialist.Thisbriefshouldincludeexamplesofmissed opportunitiesfrompastOEresponsesandareviewoftheprocedure requirements for a satisfactory OE written response.
C201400259 114 05/28/15 N
5.4.1 5.4.8 CA16 TraineachOEPointofContact(POC)atANOontheirresponsibilitiesand skillsneededtorecognizetheapplicabilityofOE,elevateOEanduse searchtoolstolocateOEforevaluation.
C201400259 115 08/13/15 Y
5.4.1 5.4.8 CA17 ReviseOEProgramproceduretoincludeanannualreviewofthelistof vendorsprovidingsafetyrelatedproducts/servicestoensurenew suppliersareadded.
C201600782 002 07/21/16 N
5.4.1 5.4.8 C201502836 020 03/31/16 C201502836 021 03/31/16 CO03 AlignANOandfleetkeyperformanceindicatorswiththeindustryand establishgoalsthatarechallengingandconsistentwithindustrypractices. C201502836 022 03/31/16 N
5.4.7 DM05 BenchmarkanuclearfacilityoutsidetheEntergyfleetforitsabilityto recognizerisk.Incorporatethelearningsanddevelopariskrecognition trainingplantobedeliveredatANO.
C201502832 043 07/31/16 N
5.5.2 DM12 Conductbenchmarkingofahighperformingstationintheareaof OperationsFocuswithaplanbasedonINPOsPrinciplesforEffective OperationalDecisionMaking.
C201502832 024 08/04/16 N
5.5.2 CO02 ReviseENFAPOM002,ManagementReviewMeetings,toprioritize reviewofNuclearSafetyCulturestatusandRegulatoryperformanceon theOperationalExcellenceManagementReviewMeeting(MRM)agenda.
5.4.7 5.4.1 5.4.8 N
N CA07 5.4.1 5.4.2 5.4.5 CA12 DevelopmetricstoevaluateandmonitorthehealthoftheOEprogram.
N Establish/refinekeyCAPstationandgrouplevelperformanceindicators.
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DM15 PerformabenchmarkonahighperformingstationoutsidetheEntergy FleetonODMIdevelopment,implementation,andeffectivenessreviews.
C201601348 003 08/22/16 N
5.5.2 DM22 BenchmarkoutsidetheEntergyfleettocapturebestpracticesinthe WorkManagementprocessanddevelopimprovementactionsbased upontheresults.
C201503034 026 06/28/16 Y
5.3.3 5.3.7 DM23 HaveapeergroupfromanotherplantperformapeerassistvisitinWork Management.
C201503034 027 07/21/16 N
5.3.3 5.3.7 LF11 CreateTrendingandPerformanceReviewperformancewindowsand aspectstoimprovethereviewofleadershipperformanceintheareasof:
LeadershipFundamentals:(1)VisionandValues,(2)Teamwork,(3)
Accountability,(4)EmployeeEngagement,and(5)ResourceAllocation.
PerformanceImprovement:(1)Issueidentification,evaluationand resolution,(2)Ownershipofproceduresandworkprocesses,(3)Industry participation,(4)Selfassessmentsandbenchmarking,and(5)Operating experience.NuclearSafety:(1)Decisionmaking,and(2)SCWE.
C201502829 022 05/20/16 Y
5.4.6 5.5.1 C201502829 023 05/20/16 C201502831 024 06/14/2016 C201502831 038 04/13/2016 PH09 ConductabenchmarkofthePlantHealthCommitteeandPlantHealth WorkingGroup(PHWG)atarecognizedindustryleaderinidentifyingand addressingequipmentreliabilityissues.Theintentofthisactionisto validatetheactionplanforimprovingourPlantHealthCommitteeand establishing a Plant Health Working Group.
C201503029 008 06/23/16 N
5.3.1 PM06 TheINPOEventReport(IER)ReviewBoardwillreviewallformal OperatingExperience(OE)evaluationsfor12monthsandinitiate correctiveactionforanythatdonotmeetmanagementstandardsfor quality.
C201502834 131 09/22/17 N
5.3.2 PM09 Developmetricsforthenumberofopencraftworkorderfeedback requests.
C201502834 126 08/25/16 N
5.3.2 PM10 ReestablishthePMProgramHealthReportforaperiodofatleast12 months.
C201502834 127 04/20/17 Y
5.3.2 TR02 DefineandincorporateguidanceintheConditionReportscreeningand reviewprocesstopromptdiscussionand/oractionforconditions potentiallywarrantingatrainingsolution.
C201504626 007 03/01/16 Y
5.6 TR03 DefineandincorporatepracticalguidanceinENLI121,Trendingand PerformanceReview,tosupportconsiderationoftrainingasapotential solutionfororganizationalperformanceissues.
C201504626 010 04/21/16 N
5.6 TR04 TrainingManagerprovidespresentation(s)toManagersandDepartment PerformanceImprovementCoordinators(DPICs)ontheuseoftrainingto supportorganizationalperformanceimprovement.
C201504626 006 08/18/16 Y
5.6 OC06 LF14 CreateandissueanANOspecificRecoveryproceduretoalignwithENLI 121,TrendingandPerformanceReviewProcess,andincorporatea simpletooltoanalyzeexternallyidentifiedperformanceissuesboth individuallyandinaggregatetopresentactionabledatatotheAPRM.
N 5.1 5.4.6 5.5.1 Page 12 of 29
TR05 Factortrainingneedsintoresourcesforkeydepartments,includingthe trainingdepartment,toensurethatresourcessupporttrainingfor organizationalperformanceimprovement(thisactionreferstostaffingto supporttrainingbeyondthatnecessaryforaccreditedprograms).
C201504626 009 06/23/16 N
5.6 VO16 BenchmarkanindustryleaderoutsidetheEntergyFleettocapturebest practicesinvendoroversight.
C201502838 012 08/14/16 N
5.5.5 AAPKey#
Description CRAction AAPDueDate Sustained Improvement Item(Y/N)
Discussedin 95003Report Section(s)
Samples DB09 ExperiencedMentorswillbeassignedtotheComponentandPrograms areasfrom7/1/2016through7/1/2017.ThisMentoringeffortwillfocus onbehaviors,qualificationandstandardsoftheANOComponentand Programsareastoensurefullcomplianceandtobuildtheknowledgeand proficiency in these areas.
C201600614 006 09/15/17 N
5.2.2 DB17 AnEngineeringStandardwillbeproducedtoprovidesustainable, consistentguidancetostationengineersintheperformanceoftheir duties.Thisstandardwillincorporatebestpracticesfordeveloping Engineeringproductsbeyondsimpleproceduralcomplianceandensure thatstandardsandexpectationsforperformanceofEngineeringduties are clearly articulated to the workforce C201502833 020 06/30/18 Y
5.2.2 C201600203 006 04/14/2016 C201600203 015 05/13/2016 DB19 ProvideRegulatoryAssurancedepartmentaltrainingondevelopmentof NRCLicenseAmendmentRequests.
C201600203 008 07/28/16 N
5.2.2 5.2.4 DM13 Assignamentor(outsideoftheEntergyFleet)tocoachandmentoreach ShiftManager,emphasizingtheaspectofleadershipinOperational Focus.
C201502832 025 12/30/16 Y
5.5.2 DM14 AssignamentortoreviewandimproveOperationsDecisionMaking Instructions(ODMI)untilsuchtimeasproficiencyisdemonstrated.
C201601348 002 05/28/16 Y
5.5.2 DM16 DevelopandImplementtrainingforkeypersonnelonODMI development,implementation,andeffectivenessreviews.
C201601348 004 02/17/17 Y
5.5.2 C201503034 012 02/04/2016 C201400259 241 03/24/2016 DevelopRoles&Responsibilitiesforthequorumlineparticipantsinthe workmanagementprocess.
5.2.2 5.2.4 N
DB18 RebaselineexpectationsforsupportinginformationforNRCLicense AmendmentRequestsorReliefRequestsbasedonpastRequestsfor Information(RAIs).
Human Performance To improve human performance, leadership behaviors, organizational capacity, procedure quality, standards, and accountability, Entergy will implement the following actions by June 2018:
Page 13 of 29
C201502834 118 09/26/2017 C201502834 121 01/26/2017 C201503034 005 11/12/2015 LF01 Conductleadershipassessmentsfortheseniorleadteam,managersand superintendentsandestablishindividualdevelopmentplanstosupport closingidentifiedgapsinleaderbehaviors.
C201502829 043 03/31/16 N
5.5.1 C201502829 025 04/07/2016 C201502829 026 06/16/2016 C201402318 172 01/21/2016 LF03 Providesupervisorytrainingonconstructiveconversationskills.
C201502829 030 09/29/16 N
5.5.1 5.5.1.3 C201502829 033 01/22/2016 C201502829 038 03/17/2016 201502829 053 08/18/2016 C201502829 057 04/29/2016 C201502829 024 04/15/2016 C201502829 040 07/22/2016 C201502829 034 01/22/2016 C201502829 049 03/16/2016 NF01 ImplementaWhatItLooksLike(WILL)sheetforNuclearProfessional behaviorsbasedonobjectivesinINPO12013,PerformanceObjectives andCriteria.IncludeacontinuedfocusonthefourPrimaryPerformance IssuesidentifiedintheNuclearFundamentalsAreaActionPlan.
ProcedureUseandAdherence ChallengingAssumptionsandDecisionMaking ConservativeBiasandRiskRecognition LowThresholdforReportingIssues WILLsheetsprovidelistingsofthecharacteristicsexpectedtobefound duringobservationofplantactivities.
C201503031 011 04/07/16 N
5.5.3 NF03 DevelopcontentfortheANOEmployeeHandbookthataddresses ProcedureUseandAdherence.
C201504647 013 05/12/16 Y
5.5.3 LF10 Establishandimplementaninterimpairedobservationsprogramfor leaderstocoachleadersonleadershipbehaviors.
5.5.1 5.5.1.3 LF06 BenchmarkanexternalorganizationforLeadershipFundamentalsand developimprovementactionsaswarrantedbasedupontheresults.
5.5.1 LF08 Asaninterimmeasure,establishandimplementexternalcoachingfora sampleofdepartmentandstationperformancereviewmeetingsinthe TrendingandPerformanceReviewprocess.
5.5.1 DM17 5.3.3 5.3.7 5.5.1 5.5.1.3 LF04 Asaninterimaction,establishweeklyleadershipalignmentmeetingsfor supervisorsandabovetoreinforceactionsandbehaviorsneededto achieverecoveryobjectives.
5.5.1 LF02 EstablishandrolloutanANOemployeehandbookwithattributesand behaviorssupportingnuclearsafetyandlongtermstrategic improvement.Thepurposeofthehandbookistocommunicateand reinforcekeyvaluesandbehaviors.
Y N
N N
N Page 14 of 29
NF05 DevelopcontentfortheANOsupervisortrainingthataddresses ProcedureUseandAdherence.
C201504647 015 07/28/16 N
5.5.3 NF06 ReviseENOM126,ManagementandOversightofSupplemental Personnel,toensurethatsupplementalemployeesreceivetheANO EmployeeHandbookandareprovidedaexpectationsforitsuseina discussion by their manager.
C201502829 028 05/21/16 N
5.5.3 NF09 SC08 Developandimplementafieldpresenceinitiativethatpromotesand measuresleaderfieldpresence.Objectiveistodriveandverifyfield presencebyleaderstoengagewithemployeesandreinforcehigh standards.
C201600748 012 05/27/16 Y
5.5.1.2 5.5.3 6.2 C201502829 034 01/22/2016 C201502829 049 03/16/2016 C201502831 021 05/26/2016 C201500991 007 10/16/2015 C201502831 017 11/27/2015 C201502831 020 12/29/2016 C201502831 041 08/25/2016 C201502831 018 01/07/2016 C201502831 019 04/15/2016 OC03 EstablishandimplementanANOIntegratedStrategicWorkforcePlan (ISWP)thatprovidesastrategiclongtermperspectiveoffuturestaffing needswithanexplicitfocusonensuringstaffingissufficienttosupport nuclearsafety.Theworkforceplanningprocesswilllookintothefutureat leastfiveyears,beupdatedannually,andreviewedquarterlybythe APHC C201502831 023 05/19/16 Y
5.1 OC04 EstablishandimplementanAPHCtoplacepriorityonstaffingand retentionissuesthatareimpactingANOemployeesorcouldimpact nuclearsafety.
C201502831 022 06/29/16 Y
5.1 PM13 PerformaresourceallocationstudyofthePMprogramthatidentifies positionsneededtomaintainacontinuouslyimproving(living)PM Program.
C201502834 117 06/30/16 N
5.3.2 PM14 AddressgapsinthePMprogrambaselinestaffinglevelbasedonthe currentlevelsofexperienceinthedepartmentsandatthesite.
C201502834 116 07/29/16 N
5.3.2 C201502834 129 03/31/2017 C201502834 130 09/29/2017 C201503033 010 12/16/2015 C201503033 032 06/01/2016 DevelopandimplementaSiteProcedureWriterGuidebasedon applicableIndustrystandards.
5.5.1.2 5.5.3 N
PM19 RevisethePMproceduretorequirethatcraftworkorderfeedbackis monitoredandincorporatedwithin90daysorModelWorkOrder(MWO) placedinPLANstatus.
5.3.2 OC01 PerformOrganizationalCapacityAssessmentstodeterminestaffing requirementsforkeydepartmentsbasedonexperience,trainingneeds, knowledgemanagementneeds,timingofexpectedretirements, resignationsandreassignments,andtheneedsforasitewithtwo dissimilarunits.
5.1 OC02 AuthorizethehiringofEntergypersonneland/orcontractorpositions identifiedasimmediatestaffingrequirementsbytheANO ComprehensiveRecoveryPlanAPHCduringOrganizationalCapacity Assessmentreviews.
5.1 NF10 Establishandimplementapairedobservationprogram.Thisisacoach thecoachprogramtoimprovethequalityofinteractionsbetween supervisorsandthosetheysupervise.
N N
Y Page 15 of 29
C201503033 011 12/16/2015 C201503033 015 12/16/2015 C201503033 016 12/16/2015 C201503033 017 12/16/2015 C201503033 018 12/16/2015 C201503033 020 06/15/2016 C201503033 021 06/15/2016 C201503033 022 06/15/2016 C201503033 028 02/26/2016 C201503033 014 12/16/2015 C201503033 033 06/01/2016 C201503033 003 12/16/2015 C201503033 004 12/16/2015 C201503033 005 12/16/2015 C201503033 006 12/16/2015 C201503033 007 12/16/2015 C201503033 008 12/16/2015 C201503033 009 12/16/2015 C201503033 012 12/16/2015 PQ04 ConductaProcedureProfessionalsAssociation(PPA)CertificationCourse forselectedplantpersonnel.
C201503033 031 06/01/16 N
5.3.7 5.5.4 PQ05 Riskrankstationproceduresassafetysignificant,important,ornormalto facilitateprocedureupgradeprojectscoping.
C201503033 013 12/16/15 N
5.3.7 5.5.4 C201503033 023 12/30/2016 C201502517 004 09/30/2015 C201503033 019 02/15/2016 N
N 5.3.7 5.5.4 PQ02 DevelopandimplementaWorkOrderInstructionsGuidebasedon applicableindustrystandards.
5.3.7 5.5.4 PQ01 PQ06 UpgradeproceduresclassifiedasSafetySignificant.
5.3.7 5.5.4 N
N PQ03 Performscopingreviewstoassessextentofprocedureandwork instructionqualityissues.
5.3.7 5.5.4 Page 16 of 29
C201503033 024 06/30/2017 C201503033 025 06/30/2017 PQ08 UpgradeproceduresclassifiedasNormal.
C201503033 026 06/30/18 N
5.3.7 5.5.4 PerNote1oftheCAL,reviewasampleof proceduresclassifiedas"normal"riskthathave beenupgradedbyJune2018.Thissampleshould focusonthetypesofprocedureslistedinRG 1.33.
PQ09 UpgradeCritical14ModelWorkOrderswithafrequencyofgreaterthan orequalto2yearsor2refuelingoutages.Includeassociatedprocedures.
C201503033 027 06/30/18 N
5.3.7 5.5.4 PerNote1oftheCAL,reviewasampleofcritical 14"model"workordersthathavebeen upgradedbyJune2018.Thissampleshould focusonworkinstructionsthathasthepotential toaffectsafetyrelatedequipment,asdescribed inRG1.33,section9.A..
2201403507 005 04/29/2016 2201403507 008 04/29/2016 C201500850 021 11/27/2015 C201500850 024 04/29/2016 C201501566 007 06/30/2016 C201501566 008 06/30/2016 C201501566 009 06/30/2016 C201501566 010 06/30/2016 PQ11 Establishperiodicreviewandvalidationofstationprocedures.Thiswill alsosupportasystematicapproachtorevisingstationproceduresnot includedinotheractionstothestandardscontainedinthenewwriters guide.
C201500850 055 03/03/16 N
5.3.7 5.5.4 N
PQ07 UpgradeproceduresclassifiedasImportant.
5.3.7 5.5.4 PQ10 Reviewand/orvalidatestationprocedureswithrespecttogapsinuseof notesandcautions,andensureneededcorrectionsareenteredintothe appropriatestationprocessesforcompletion.
5.3.7 5.5.4 N
Reviewofthisactionwillutilizeasampling strategyduetothelargenumberofprocedures Equipment Reliability and Engineering Programs To improve implementation of processes and programs that ensure key plant equipment remains available, reliable, and capable of meeting the plant design and licensing bases, including resolving specific equipment conditions, Entergy will implement the following actions by June 2018:
Page 17 of 29
AAPKey#
Description CRAction AAPDueDate Sustained Improvement Item(Y/N)
Discussedin 95003Report Section(s)
Samples C201502834 157 12/15/2017 C201502834 160 02/05/2018 C201502834 161 02/05/2018 C201502834 164 04/02/2018 C201502834 165 07/02/2018 C201502834 168 02/05/2018 C201600614 008 06/30/2018 C201502833 028 07/16/2017 C201600614 022 09/28/2017 DB12 Trainingandindustryexposurewillalsobeusedtobuildtheknowledge, proficiencyandstandardswithintheProgramandComponentareasas theownersofeachprogramlistedinDB11willparticipateinatleastone industrymeetingorspecializedtrainingcoursefocusedintheirProgram area.
C201600614 007 10/16/17 N
5.2.2 C201503034 013 03/03/2016 C201503034 014 03/03/2016 C201503034 016 10/30/2016 C201503034 018 10/30/2016 C201503034 022 04/28/2016 C201503034 028 02/17/2016 C201502831 026 12/27/2016 C201400089 034 12/29/2016 C201400089 035 12/29/2016 C201502831 027 12/27/2016 N
N N
N DM20 DevelopandImplementSupplyvsDemandmodelandmetricsto determineandmonitorresourceneedstomeetworkloaddemand.The metricswillbeusedtomeasureresourcedemandandsupplysothat scheduledworkhasthecorrectresourcesassignedtocompletethework DM18 DB11 DB10 DevelopandImplementWorkManagementTrainingforSenior Management,Managers,andeachofidentifiedWorkManagement positionswithrespecttorolesandresponsibilities.
OneBenchmarkoroneSelfAssessmentwillbeconductedinthe followingProgramandComponentareas:(seesamples) 5.2.2 ResolveStandardsPerformanceDeficiencies(SPD)fromtheEngineering ProgramassessmentscompletedduringthePreventiveMaintenance ProgramExtentofConditionreview.
5.2.2 5.3.1 N
5.3.3 5.3.7 5.3.3 5.3.7 PerNote2oftheCAL,reviewthefollowing sampleofactionstoresolveproblems/findings fromselfassessmentsofthefollowingprograms:
- AiroperatedValveProgram
- HeatExchangerProgram
- LargeMotorProgram
- ServiceWaterProgram
- Obsolescence/LongtermAssessed ManagementProgram
- MicrobiologicallyInfluencedCorrosion(MIC)
Program PerNote3oftheCAL,reviewactionstoperform benchmarking/selfassessmentsforthefollowing engineeringprograms:
- RepairandReplacementProgram
- MICProgram
- LargeMotorProgram
- ProbabilisticRiskAssessmentProgram PH01 ForopenSIPDitems,ensureManagementSponsorsandProject Managersareassignedtoverifydatabasecontentisupdated.Thisaction supportseffectivedecisionmakingbyensuringtheaccuracyand completenessofexistingSIPDrecords Page 18 of 29
PH02 PerformareviewoftheSIPDdatabasefrom2007topresenttoidentify PreventiveMaintenanceorEquipmentReliabilityProjectsrelatedto CriticalEquipmentthathavebeencancelledwithoutmitigation strategies.
C201502834 138 12/28/16 N
5.3.1 CRANOC2014 00089036 06/29/2017 CRANOC2014 00089037 06/29/2017 CRANOC2015 02831028 06/27/2017 CRANOC2015 02831029 06/27/2017 CRANOC2015 02831030 06/27/2017 CRANOC2015 02833042 06/29/2017 CRANOC2015 02833043 06/29/2017 CRANOC2014 00089038 07/28/2016 CRANOC2015 02832037 06/23/2016 CRANOC2015 02832039 06/13/2016 C201502831 031 06/27/2017 C201502833 044 06/29/2017 C201503029 006 02/23/2017 C201503029 002 09/10/2015 C201503029 003 09/18/2015 C201503029 004 06/29/2016 C201502831 032 07/26/2017 C201502833 045 07/26/2017 5.3.1 5.3.9.1 5.3.1 N
N PH03 ReviewandupdatethecurrentAging/Obsolescencelist,CriticalSpares list,andEquipmentReliabilityIssuestoidentifyequipmentitemsthat shouldbeaddressedduringthe2017and2018businesscycles.
PH04 ReviewandupdatethecurrentsiteUnitCommitmentListtoidentify OperationsandMaintenance(O&M)andCapitalProjectswhichare requiredtoberesolvedbycompletionofrefuelingoutages1R27and 2R26.
DevelopandImplementaComprehensiveSitePlanforEquipment Reliabilitythatidentifiestheimplementingresources(people,materials, funding,andtime)neededtosupportonlineandoutageUnit CommitmentListitemsthatrequireresolutionbycompletionof1R27 Page 19 of 29
C201402601 007 12/18/2014 C201402601 008 12/18/2014 C201402601 009 12/18/2014 C201502831 034 09/28/2017 C201502833 046 09/30/2017 PH10 DevelopeducationalmaterialsforthePlantHeathprocessincludingSIPD processing.Includeadetailedflowchart,workbook,anddetailed presentationmaterials.Deliver/presentthepresentationtosystems, components,andprogramengineersandtoselectedsupervisory personnel.Havetheworkbookcompletedbypersonnelfollowingthe presentation C201503029 011 08/25/16 N
5.3.1 PH11 DevelopaJobFamiliarizationGuideforPHWGandPlantHealth Committeemembersandalternates.Haveallmembersandalternates completetheguide.
C201503029 012 06/02/16 N
5.3.1 C201503029 013 12/20/2018 2201502879 024 06/30/2016 2201302242 050 11/13/2014 C201400259 130 12/17/2015 C201502832 033 12/01/2016 C201502832 034 03/31/2016 C201502832 035 03/31/2016 4.3.2 5.2.1 5.3.1 5.3.1 PH12 Thefollowinglistcontainsequipmentreliabilityissuesinsystemsor componentsnecessaryforthesafeandreliableoperationoftheunit(s) thatwillberesolvedoverthenexttwounitoperatingcycles.Theintentof thisactionistodemonstrateimprovedequipmentreliabilitybyresolving longstandingequipmentissues.
PH05 q
y p
and2R26.
PH06 ObtainanindependentthirdpartyreviewoftheselectionofSIPDitems thataretargetedontheComprehensiveSitePlanforEquipment Reliabilitytoensurethedecisionsforinclusionandexclusionarealigned withindustrystandardsandexpectationsassociatedwithtimely 5.3.1 N
N N
- Unit1ReactorBuildingCoatingsMargin improvement(CRANO12015200CA12)Fall 2016
- Unit1NI501Detectorreplacement(WO 411197,00406600)Fall2016
- K5DieselFirePumpEngineOverhaul(WO 292330)3Q16
- Unit2InstrumentAirCompressorreplacement (WO402561,00402559)complete
- FireSuppressionSystemReliability improvement(CRANOC2015761CA21)1Q17
- Unit2CCWHeatExchanger(2E28B) replacement(SIPD4203)spring2017
- ServiceWaterandCirculatingWaterChemical TreatmentSystemupgrade(SIPD7970)4Q17
- PerformStartuptransformer#2inspections(CR ANOC20153029CA38)4Q17
- PerformStartupTransformer#3inspections (CRANOC20153029CA35)spring2017
- CompletedesignofUnit1ICSsystemreverse engineeredmodules(CRANOC20153029CA 41)1Q18
- ImplementplannedSPVmitigationand eliminationefforts(CRANOC2016187)spring 2018 Page 20 of 29
C201503029 034 12/20/2018 C201502832 038 03/20/2016 2201302242 022 06/19/2014 2201400707 014 07/28/2016 C201503029 035 07/21/2017 2201400707 032 05/15/2017 PM01 Createasitespecificprocedureforcomponentclassificationthatwill ensureappropriateclassificationofequipmentforPMbaseduponrisk andsafety.
C201502834 111 06/20/16 N
5.3.2 PM02 Createasitespecificpreventivemaintenanceprogramprocedurethat includeslessonslearnedfromthePMFundamentalProblemrootcause relatedtocriticalinputtoPMchanges.
C201502834 102 06/20/16 N
5.3.2 PM04 TransferresponsibilityforPMevaluationsofallMaintenanceRule componentsandcriticalsystemredundancycomponentstoEngineering toensurethatappropriateexpertiseisbroughttobearonthese evaluations.
C201502834 122 06/23/16 N
5.3.2 C201502834 103 05/02/2017 C201502834 104 01/31/2017 C201502834 119 03/31/2017 C201502834 120 04/20/2017 C201502834 124 06/30/2016 C201502834 125 10/20/2016 PM12 ImplementtrainingforallpersonnelwhoarequalifiedtoestablishPM requirements.
C201502834 110 03/31/17 N
5.3.2 PM15 Reviewasampleofcomponentcriticalityclassificationstovalidatethat risksignificantequipmentisclassifiedcorrectly.
C201502834 137 03/29/18 N
5.3.2 C201502834 128 07/07/2017 C201502834 138 12/28/2016 N
N N
N 5.3.2 ThePlanningQualityReviewTeam(PQRT)willperformanenhanced reviewofcriticalWorkOrdersforaminimumof12monthsandfeedback theresultstothePlanningstaff.
PM11 ImplementanewqualificationcardforMaintenancepersonnelwho performPMEvaluations.
5.3.2 PH14 Trackandauditthecompletionofthefollowingequipmentreliability issuesrelatedtotheWhiteFindingandthepotentialforadditional unplannedplanttrips.
4.3.3 5.3.1 PM05 ThePMOversightGroupwillreviewallPMchangerequestsfora minimumof12monthsandinitiatecorrectiveactionforanythatdonot meetmanagementstandardsforquality.
5.3.2 PM18 DevelopmitigationstrategiestoaddresscancelledprojectsintheSite IntegratedPlanningDatabase(SIPD)includingembeddedsubcomponent projects.
5.3.2 5.3.1 N
N PH13 Thefollowinglistcontainsequipmentreliabilityissuesthatarebeing evaluatedbythePlantHealthCommitteeforresolutioncommensurate withtheirpotentialimpactonsafeandreliableoperationoftheunit(s)by December20,2018.Foranyitemsnotresolvedbythatdate,thePlant PM07
- SamplesTBD Page 21 of 29
AAPKey#
Description CRAction AAPDueDate Sustained Improvement Item(Y/N)
Discussedin 95003Report Section(s)
Samples C201502836 018 03/31/2016 C201502836 019 03/31/2016 HQN2014 00291011 12/17/2015 HQN2014 00291012 03/26/2015 HQN2014 00291013 06/25/2015 HQN2014 00291014 07/17/2014 HQN2015 00530003 10/08/2015 CO04 ReviseproceduresthatgovernNuclearOversightPerformance Assessmentstoincludenuclearsafetyculturetrendcodes.Applyrelevant safetyculturetrendcode(s)duringthetrendingprocess.Basedonreport frequency,rollupcodestoprovideaperspectiveonnuclearsafety cultureandincludeinestablishedreportingprocesses.
C201502836 023 03/31/16 N
5.4.7 DM02 EstablishadecisionmakingNuclearSafetyCultureObservationformto includethetopLeaderBehaviorstobedemonstratedandreinforcedat ANOmeetings.Theformshouldincludedecisionmakingpracticesthat emphasizeprudentchoicesoverthosethataresimplyallowable.
C201502832 041 03/24/16 N
5.5.2 DM03 EstablishDecisionMakingandRiskManagementcontentintheANO EmployeeHandbooktoincludebehaviorsformakingeffectivedecisions andappropriatelymanagingriskwiththeexpectationforbothemployees andleaderstousethebookincommunicating,demonstratingand reinforcing appropriate behaviors.
C201502832 018 05/04/16 N
5.5.2 LF05 ProvidesupervisorytrainingonNSCandSCWE.
C201502829 029 06/30/16 Y
5.5.1 NF04 DevelopcontentfortheNSCobservationprocessthataddresses ProcedureUseandAdherence.
C201504647 014 06/24/16 N
5.5.3 PM20 Improvetheperformancereviewprocessforleadershipfundamentals supportiveoflongtermstrategicimprovement.
C201502834 105 06/21/16 5.3.2 C201600748 008 06/10/2016 C201502829 032 02/26/2016 6.2 N
SC02 RevisetheprocedureNuclearSafetyCultureMonitoringtodefinethe roleandresponsibilitiesoftheANONSCManager.
N CO01 ReviseENFAPOM011,CorporateOversightModel,toincludestation NuclearSafetyCultureoutputfromthenuclearsafetyculturemonitoring panelasinputstotheOversightAnalysisMeeting(OAM)andOversight ReviewBoard(ORB).
5.4.7 Safety Culture To improve nuclear safety culture values and behaviors to ensure commitment by leaders and individuals to emphasize safety over competing goals, Entergy will implement the following by December 2016:
Page 22 of 29
SC03 RevisetheprocedureNuclearSafetyCultureMonitoringtoaddNuclear SafetyCultureMonitorOrientationtrainingforNuclearSafetyCulture MonitoringPanel(NSCMP)andSafetyCultureLeadershipTeam(SCLT) members.
C201600748 013 06/10/16 N
6.2 SC04 ConductastructuredoffsitemeetingamongtheANOSeniorLeadership TeamtoalignonwhataStrategicCommitmenttoSafetylookslikeat ANOandtheleaderbehaviorsthatwilldemonstratethatcommitment.
C201600748 007 05/19/16 N
6.2 C201501240 064 04/06/2016 C201502829 025 04/07/2016 C201502829 027 05/21/2016 SC06 Conductmeetingsfacilitatedbymembersofthesitemanagementto rollouttheANOEmployeeHandbooktoANOpersonnelandexpectations foritsuse.
C201502829 026 06/16/16 N
6.2 C201600748 019 05/26/2016 C201501445 099 04/28/2016 C201501445 100 05/05/2016 C201501445 102 06/09/2016 C201501445 103 02/11/2016 C201501445 105 06/16/2016 C201501445 106 02/11/2016 C201501445 107 06/09/2016 C201501445 108 02/18/2016 C201501445 109 03/17/2016 C201501445 110 07/07/2016 C201501445 111 02/11/2016 C201501445 112 06/09/2016 C201501445 116 05/05/2016 SC05 CreateanANOEmployeeHandbookthatincludesNSC,SafetyConscious WorkEnvironment(SCWE)andCAPstandardsandexpectations,and provideorientationandexpectationstoANOpersonnelonthecontents anduseofthishandbookasadailytoolforcommunicating,reinforcing, anddemonstratingNSCandCAPexpectations.
6.2 Y
SC07 Establishasmallgroupmeetingscheduletofacilitatefacetoface interactionbetweenANOseniorleadershipandstationemployees.This activityshouldspanaminimumperiodthroughtheendof2016and includethefollowingattributes:(1)purposeisopendialogueonsafety performancewithemphasisonemployeequestionsandfeedback,and(2) scheduleshouldbecoordinatedtofacilitatebroadexposure,with emphasisonworkersonshiftrotationwhocantroutinelyparticipatein othercommunicationforums.
6.2 N
Page 23 of 29
C201502829 029 06/30/2016 C201502829 030 09/29/2016 C201501445 120 05/31/2016 C201502829 024 04/15/2016 C201600748 010 12/30/2016 C201501709 009 06/01/2016 6.2 SC09 NF07 DevelopandprovidetrainingtoANOleaders,includingsupervisory trainingonNSCandSCWE,constructiveconversationskills.
Y 6.2 SC10 NF08 DevelopandpresenttrainingtoANOworkforcetoincludecasestudies thatillustratetherightpictureofNuclearSafetyCulture.Includewhat itmeanstobeanengagedandthinkingindividualnuclearworkerasper recommendation3.a.ofSignificantOperatingEventReport(SOER)102, Engaged,ThinkingOrganizations.
Y Page 24 of 29
C201501445 044 12/23/2015 C201501445 047 12/23/2015 C201501445 050 12/23/2015 C201501445 053 12/23/2015 C201501445 056 01/14/2016 C201501445 059 01/14/2016 C201501445 062 12/23/2015 C201501445 065 01/14/2016 C201501445 068 12/23/2015 C201501445 132 01/26/2017 C201501445 133 01/26/2017 C201501445 134 01/26/2017 C201501445 135 01/26/2017 C201501445 136 01/26/2017 C201501445 137 01/26/2017 C201501445 138 01/26/2017 C201501445 139 01/26/2017 C201501445 140 01/26/2017 C201501445 008 08/21/2015 C201501445 009 08/21/2015 C201501445 010 08/14/2015 C201501445 018 11/12/2015 C201501445 019 07/28/2016 C201501445 020 02/05/2016 C201501445 021 07/28/2016 Implementprioritygroupspecificactionplanstoaddresssafetyculture issues.
Page 25 of 29
C201501445 023 12/11/2015 C201501445 024 12/10/2015 C201501445 025 12/23/2015 C201501445 026 12/23/2015 C201501445 027 12/11/2015 C201501445 028 12/11/2015 C201501445 029 12/11/2015 C201501445 030 12/11/2015 C201501445 031 12/11/2015 C201501445 032 12/10/2015 C201501445 033 12/10/2015 C201501445 034 12/10/2015 C201501445 036 12/11/2015 C201501445 037 12/11/2015 C201501445 038 12/11/2015 C201501445 039 01/14/2016 C201501445 040 12/18/2015 C201501445 041 01/15/2016 C201501445 045 01/14/2016 C201501445 046 07/29/2016 C201501445 048 01/14/2016 C201501445 049 07/29/2016 C201501445 051 01/14/2016 C201501445 052 07/29/2016 C201501445 054 01/14/2016 SC11 6.2 Y
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C201501445 055 07/29/2016 C201501445 057 01/14/2016 C201501445 058 07/29/2016 C201501445 060 01/14/2016 C201501445 061 07/29/2016 C201501445 063 02/04/2016 C201501445 064 07/29/2016 C201501445 066 01/14/2016 C201501445 067 07/29/2016 C201501445 069 01/15/2016 C201501445 070 07/29/2016 C201501445 071 01/21/2016 C201501445 072 01/07/2016 C201501445 073 01/07/2016 C201501445 074 01/14/2016 C201501445 075 01/14/2016 C201501445 076 04/15/2016 C201501445 077 08/04/2016 C201501445 078 04/07/2016 C201501445 079 04/29/2016 C201501445 080 05/19/2016 C201501445 082 03/30/2016 C201501445 083 01/29/2016 C201501445 084 12/30/2016 C201501445 085 12/21/2016 Page 27 of 29
C201501445 086 06/23/2016 C201501445 088 02/04/2016 C201501445 089 02/25/2016 C201501445 090 03/10/2016 C201501445 093 06/16/2016 C201501445 094 01/13/2016 C201501445 101 06/16/2016 C201501445 104 12/30/2016 C201501445 113 12/30/2016 C201501445 114 06/16/2016 SC14 LF09 CA02 EstablishandimplementaNuclearSafetyCultureObservationprocess includingelementsofLeadersBehaviors,NSC,andSCWE.Theobserver monitorsleaderperformanceonadailybasisandprovidesfeedbackto correct adverse trends in behaviors.
C201502829 031 05/26/16 Y
5.4.1 5.4.4 5.5.1 6.2 C201502836 018 03/31/2016 C201502836 020 03/31/2016 SC15 RaisethepriorityandvisibilityofNSCatthefleetlevelbyrevisingthe CorporateOversightModeltoincludestationNSCoutputfromthe nuclearsafetyculturemonitoringpanelasinputtofleetOversight AnalysisMeetingsandOversightReviewBoards.
6.2 Service Water System Self-Assessment Y
To ensure conditions adverse to quality are identified and resolved, ANO will conduct a focused self-assessment of the Units 1 and 2 service water systems in accordance with station procedures and NRC Inspection Procedure 93810, Service Water System Operational Performance Inspection, by December 2016.
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Average per Quarter 6.17 6.17 Quarter SPDs due 6.17 3Q16 and prior 28 6.17 4Q16 3
6.17 1Q17 1
6.17 2Q17 2
3Q17 2
4Q17 1
Quarter
- of CAs due 1Q16 14 2Q16 42 3Q16 21 4Q16 12 1Q17 2
2Q17 7
3Q17 9
4Q17 1
1Q18 1
2Q18 5
3Q18 0
4Q18 2
0 5
10 15 20 25 30 3Q16and prior 4Q16 1Q17 2Q17 3Q17 4Q17 SignificantPerformanceDeficienciesbyQuarter SPDsdue AverageperQuarter 0
5 10 15 20 25 30 35 40 45 1Q16 2Q16 3Q16 4Q16 1Q17 2Q17 3Q17 4Q17 1Q18 2Q18 3Q18 4Q18
- ofCAsdue Page 29 of 29