ML17177A536

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Discusses Dresden Oversight Team Visit on 920623-25. Interviews Conducted & Documentation Reviewed,Positive Initiatives Implemented But Problems Still Evident
ML17177A536
Person / Time
Site: Dresden  Constellation icon.png
Issue date: 07/20/1992
From: Martin T
NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION III)
To: Reed C
COMMONWEALTH EDISON CO.
References
NUDOCS 9207280107
Download: ML17177A536 (9)


Text

July 20, 1992 Docket No. 50-23j*

Docket No. 50-249 Commonwealth.Edison Company ATTN:

Cordell Reed Senior Vice President 1400 Opus Place - Stiite*100 Downers Grove, IL 60515

Dear Mr. Reed:

SUBJECT:

DRESDEN OVERSIGHT TEAM SITE VISIT, JUNE 23-25, 1992

_As you are aware-, Dresden Units 2 and 3.were placed on the NRC

. watch list after the January.1992 NRC senior management' meeting.

As a result of Dresden being placed on the watch list, the Dresden oversight Team*.(DOT) was formed.

The DOT will continue to make periodic visits to Dresden to evaluate* the progress of the efforts to improve performance, to provide feedback to the*

Commonwealth Edison Company (CECo) on the status of the improvement programs, to provide recommendations on the NRC inspection effort at Dresden, and to provide a written periodic written status of CECo's efforts to improve Dresden's performanc~.

The DOT made its third onsit'e visit to Dresden on June 23-25, 1992.

We conduct.ed numerous interviews and reviewed documentation in each of the areas discussed in the attached report.

Many of the DOT issues represent impressions and viewpoints derived primarily from these interviews.

During this third visit the DOT focused on your self assessment efforts and your programs and actions taken to improve

-.performance.. We found that many positive initiatives have been

. implemented, but the effect of most of these has not yet been

. demonstrated.

We also found that your self assessment program was lacking in certain areas.

Problems were still evident with backlogs of work, materiel condition, housekeeping, and work planning.

Once again, the team was pleased with the level of candor in discussions and.interviews with the plant staff.

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July 20, 1992 If you have any questions or comments on this report or other DOT ~ctivities~

  • plea~e contact me at (708) 790-5603.- The next DOT onsite visit has be~n scheduled for Septe~ber 9~11, 1992.

Attachment:

As stated cc w/attachment:

J. M *. Tay 1 or,

  • EDO J. H. Snieiek, DEDR T. E. Murley, NRR C. J: Paperiello, Rill E. G. Greenman, Riii H. J.* Miller, Riii C~ E. Norelius,. Riil W. l. Axelson, Riii *
  • J~ G~ Partlow, ~RR
  • B. A. Boger, NRR J.*A. Zwolinski, NRR
  • R. J. Barrett, NRR
  • E. J. Leeds, NRR M. J. Jordan, Riii C. D. Pederson, Riii S. Stasek, SRI, Fermi D. Galle, Vice President BWR Operations T. Kovach, Nuclear Licensing Manager
t. W. Schroeder, Station Manager DCD/DCB (RIDS)

OC/LFDCB Resident Inspector, LaSalle Dresden, Quad Cities Richard Hubbard J. W. Mccaffrey, Chief, Public Utilities Division

~obert Newmann, Asst. Director State of Illinois*

Licensing Project Manager, NRR State Liai~on Officer -

Riii (jVJ\\

Martin/le 11, {/92. !!!::,

71,6 /92 Riii w~

t..... Greenman

. 0 '1/j J/92 original_ signed by T. 0. Martin, Deputy Director Division of Reactor Safety

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~\\.S..or Barrett 7/n/92 7/i1/92

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REPORT ON THE THIRD VISIT OF THE DRESDEN OVERSIGHT TEAM JUNE 23~25, 1992 I.

Scope and Partic;pants The Dresden Oversight Team {DOT) made its third onsite visit to Dr~sden on June 24-25, 1992.. During this v_isit the DOT focused on the programs and actions taken to improve performance.

The following DOT members participated in this visit:

T. 0. Martin, DOT Chairman R. Barrett E. Leeds M. Jordan

s. Stasek*

II.

Overv;ew and Conclus;ons During this third visit the DOT focused on the programs and a~tions taken t6 improve performance and on the licensee's self assessment efforts. -We found that many positive initiatives had been implemented, but the effect of most of these have not yet been demonstrated.

The licensee's self assessment program was

- lacking ih certain areas.

Problems were *still evident with backlogs of work,

  • materi~l condition, housekeeping, and work planning.

This report identifies a number of specific positive observations and concerns which will be followed in future visits.

The principle observations and

. conclusions follow.

Mater;e1 Cond;tion:

The team noted a slight improvement in_plant housekeeping since the last DOT visit but.would still describe overall plant materiel conditio~'.{housekeeping plus materiel upkeep) as weak.

Problems with reactor feed pump seals conti~ue to have a significant impact on plant operations.

Assignment has been made of a full time materiel condition coord~nator.

LeadersMp:

As acknowledged by the licensee, managing change will. be one of their greatest future cha 11 enges. These changes include the addition of programs

{~ateriel condition improvement, procedure upgrade), new senior managers, new fundam.ental -ways of conducting business {planning and scheduling,- control room communications, shift turnover), and increased scrutiny by entities outside the plant {NRC, INPO, *cECo corporate). All this is occurring in the face of.a plant

_staff that still appears to be mildly skeptical whether new management expectations and progra~.changes will be long lasting.

Positive iteps ~ere takeh in a nu~ber of areas including the assignment of new managers in the areas of maintenance, materiel condition improvement, and procedure upgrade.

In the area of corrective actions, the licensee was in the process of removing the complexity of numerous corrective action systems and replacing them with.a consolidated integrated reporting process.

This was scheduled for implementation in July 1992 and appeared to be on track.

Im~rov~ment was not~d in the oversight and direction of the routine, morning planning meeting.

1 f,.

. * *Self-assessment: The monthly Dresden performance improvement report was weak in

  • several important areas, particularly addressing personnel errors and procedural adherence.

The most recent version of this document for May 1992 showed 1 persorinel erro~ and no procedural adherence problems in the last 3 months. -This specific i~formatioh was based solely on DVRs which ~s clearly too high of a threshold to provide meaningful information. Through DOT review of other plant corrective action systems,

  • several more examples of personnel error. and procedura_l deficiencies were found during this period. The licensee intended to improve this important feedback mechanism.

Communicatfon:

This will be a continuing challenge.

A lot has been done to communicate expectations to the plant staff. There is evidence that the message

  • has been received and understood, but there may not be a complete buy-in oh whether the changes wi 11. be sustained in the long run.

Interdepartmental communications is still an obstacle, and communications from management to staff in providing the direction of new programs and policies will also be a challenge.

Co11111;tment Management: The Dresden Management Action Plan or DMAP is the system f6r tracking action items assigned to vatious plant departments.

Out of 1846

  • total action items in this system, 192 were overdue.
  • Although the DOT found no specific late.items that had an immediate impact on safety, this number seemed high. Also, the DMAP program did not have the provision to assign a priority or an estimate of manpower needed to accomplish tasks.
  • Planning: Some significant positive* changes we.re s*een in this area including a major revision to the daily planning meeting (everyone using a consistent plan) and an i~prdved approath to outage planning (fixing the scope of work well in advance of_ the outage).

These were fundamental improvements and very much in need.

The effect of these improvements will be evaluated in future visits.

Root Cause Determ;natfon for* Dresden Problems:

At the time of this visit, a licensee contractor had completed development of. caus~l factors for the.

performance* problems at Dresden. These factors were going through a validation process that should be done by the end of July 1992. The Plant Manager indicated that the results of this study would be factored into the overall performance improvement efforts at Dresden. -

Similarly, Region III, in response to a

. Commission staff requirements memorandum, independent1y develOped root causes for CECo weaknesses. The DOT saw no benefit in discussing this matter further until the results of the licensee study was finalized and the NRC study was made public and available tri the licensee.

III. Plant Status During the. visit, Units 2 and 3 were operating at approximately 75% power, primarily due to problems with the reactor feed pump seals.

Major periodic maintenance work was underway on the Unit 2/3 emergency diesel generator.

Approximately 17 alarms were actuated for both units. The number of instruments with problem tags did not seem to be abnormally high.

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IV.

Engineering and Technical Support The dedicated contractor effort appears to be on track.

In order to consolidate engineering support activities.and gain efficiency in the use of engineering contrac:tors, CECo *ha-s implemented a program to provide a lead

. primary engineering contractor for each site. For Dresden, the lead contractor is Bechtel.

Bechtel's involvement is being phased in over a period of several years and will eventually achieve about 70% of the contracted engineering effort.

Bechtel has quickly staffed up its new local office with about 200 professionals.

The role of the Tech Staff in plant activities could be enh_anced.

The Technical Staff incl~des a large pool of cap.able, enthusiastic engineers.

D~spite the rel~tively low experience level of niany technical staff personnel, they perform a number of important functions, on both a routine and reactive basis.* A good example of their reactive role was observed in their excellent support of the task force on reactor feed pump seal failures.

However, plant management has identified~ with assistance from INPO and CECo corporate staff, several barriers preventing the technical staff from having a greater impact on the plant *operations and safety.

A major are~ targeted-for improvement relates to management processes.

Expectations need to be better.

communicated to staff, and followed up afterwards. Greater emphasis should be placed on setting priorities for tech staff and on tracking progress on imp6rtant items~ These are areas that plant ~anagement plans to pursue.

The experience level of the technical Staff has bee*n significantly impacted by the inability to retain engineers.

The licensee was aware that to solve this problem a career path for progression within the tech staff was needed so that engineers do not fee 1 the need to move to Operations. or ENC for promotions.

Enhanced job satisfaction and increased efficiency of the system engineers could also be attained through the elimination of some administrative and secondary duties.

Finally, a stronger interface with Operations and Maintenance is needed to enhance the impact of tech staff ori key plant programs and projects.

.One positive move in this direction was the greater participation by tech staff in

.the daily planning meetings.

These challenges will take time to meet.

However, they are necessary to niake better use of tech staff talent and give tech staff a more prominent role in the plant.

V.

Operations and Planning Enh_ancements to operations continue to be made~

The station initiated several new enhancements since the last DOT visit. These include an extensive remodeling of the control room access, incorporation of a 3-day rolling schedule into operation scheduling, establishing the Shift Engineer as the key persori with control over the daily schedule, establishing the use of 3

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uniforms by the reactor operators, and upgrading the carpet in the control room.

The operations staff still ~xpressed a wait-and-see attitude ab~ut whether the new programs and changes would be permanent.

Managing change wilr continue to be a major challenge in operations as well as other areas.

  • Observations *of operations activities showed no abnorma 1 it; es.

Observations of control room activities revealed that the control room was.

properly staffed and lieensed operators were knowledgeable of their panels, plant conditions, and were responsive to plant alarms..

I_mprovements being made in outage planning.

The station is ptitting a.considerable amount of effort into improving their outage planning program.

A Technical Review Board {TRB) was established to identify and prioritize the modifications to be accomplished in upcoming outages.

The modification work scope for the January 1993 unit 2 outage was also frozen,

- a c_onsiderable departure from the previous way of doing business which was to make significant adjustments in outage work scope 1,Jp to the last minute before

. the outage. A group dedicated to outage scheduling was also established. These efforts are recognized as improvements, however, the scheduling of the. myriad of *

  • activities to support the modifications {installation procedure development,
  • materiel proctirement, post modification testing, etc.) is only being generally monitored by the TRB but not rigorously scheduled.

The potential exists for a significant last minute work crunch. The TRB acknowledged the need to establish milestones and. have a better method of. monitoring the progress of planned modificationsi Outage planning and scheduling will b~ reviewed further in th~

  • future.

VI.

Maintenance

. New Maintenance Department Head is focusing on providing *1eadership, improving work process, work planning and redudng the current maintenance backlog.

At the last DOT visit, May 14-16, 1992, a new maintenance department head had just been assigned. Over the past month, he became familiar with the maintenance department and focused on a number of areas to concentrate his efforts to improve departmental performance. His first action was to focus departmental attention on reducing the maintenance backlog on i terns that imp act p 1 ant performance.

Previously, a considerable amount of effort had been expended by the maintenance staff at installing modifications and performing work not directly associated with plant performance~ He also reorganiied the department to {l) improve work flow, {2) provide a complementary structure for better coordination with the work planning organization, and {3) improve reporting assignments to allow the departmental masters {lead foremen) more opportunity to perform their oversight and managerial function.

The new maintenance department head indicated that his focus will continue to be on the flow of work through the maintenance department, coordination with the other site departments, and.work planning.

He int~nds to emphasize activiti~s supporting schedular commitments, that is, ensuriilg that parts, job scope, procedure, work package~ RWP, etc. are available and prepared before equipment 4

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He also intends to make a high priority conducting maintenance activities in a logical, trackable manner, with the best tools and support available to the maintenance staff.

A senior individual from outside Dresden has been assi_gned to oversee the plant materiel condition improvement program.

The licensee assigned a se~ior level individ~al io oversee the plant-materiel condition improvement program.

This person has. previously worked at CECo corporate, INPO, !raidwood, LaSalle, and Quad Cities.

He will report directly to the production superintendent, wh~ch provjdes an appropriate level of senior management oversight. With regard to housekeeping, the upgrade of the condensate pump room and source term reduction activities are positive initiatives. *Plans to strengthen the existing housekeeping improvement program and instill

.accountability and ownership for housekeeping in all plant staff were underway.

In. addition, th~ materiel condition improvement.Program will include the reliability centered maintenance program,* the equipment reliability issues program, a new trending and analysis database. Performance indicators to ~hart equipment performance improv~ment have not.yet been established.

Overall~ these were positive initiatives, but the complexity of the program in terms of the number of departments and individuals involved will present a significant management challenge.

Materiel condition and plant housekeeping were still weak.

The team noted a slight improve~ent in plant housekeeping since the last DdT vi~it but woul~ still describe overall plant materiel cdnditiori (housekeeping plus materiel upkeep) as weak.

Problems with reactor feed pump seals continue to have a significant impact on plant operations.. Outside areas around the power block were fourid to be messy with multiple lay down areas of rusted materiel, bags of trash, several areas of contaminated dirt, and.gear adrift.

A multi-discipnne team. has been formed to resolve the recurrent reactor feed

  • pump seal problems.

The reactor feed. pump seals at Dresden have been a recurrent problem limiting power operations and p 1 ant performance s i nee 1972. The 1 i censee formed a multi-.

discipline reactor feed pump team to try to resolve the longstanding seal problems that have adversely affected pump operation.

The team is led by a senior engineer from ENC who reports directly to the Maintenance department head.

Members of the team. include technical staff, maintenance personnel, vendor representatives and consulta~ts. Thj DOT will review the tea~'s progress over the course of the next several visits.

VIL Procedures l Admfoistrative Controls Several initiative~ were recently implemented at Dresden to cause improvement in this area.. Additionally, several more were under development and were to be i~plemented in the near future.

The following are of particular note..

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Progress is being made in reducing the back.log of procedure revisions.

The Procedure Review Manager's {PRM) initial attempt at prioritizing the.

outstanding procedute chang~s r~sulted in the decision to first complete a large*

  • segment in the operations area that could be finished_ quickly.

The PRM stated

. that safety significance of each change and its effect on the plant was always

. *a major consideration. With this in mind, it was the opinion of the PRM that the backlog could be reduced by approximately 800 within the next several weeks,.

At the time of the teams's visit, there.were 1763 procedures under review in the

. change process which is a reduction -0f nearly 500 from the last visit in May.

In addition, a reduction in temporary procedure changes was noted {from 197 to 179);

The recent assignment of the PRM to assist in reducing the backlog of outstanding procedure changes is considered a prudent action given the prior difficulties noted in _this area.

The goal of quickly reducing the backlog to make the procedure ch~nge program more manageable appears to be reas~nable.

Fi rs.t steps in streamlining the procedure change process has been implemented but the process remains slow.

Since the last DOT visit, the licensee completed a rev1s1on to the procedure change procedure to relieve several bottlenecks and recently started revising several changes using the new process. Initial feedback from those involved was

positive, ho.wever~ more time *is needed to better evaluate. the overall
  • effectiveness of the new process.

Although the process has. been in use for several weeks, the average age of procedure change in review cycle increased from 192 to 223 days.

Th.e licensee indicated this ~as apparently due primarily to several newer changes recently completed.

The DOT wi 11 continue to monitor th i.s area for. the. anticipated reversal of this trend.

The Technical Specification change request to allow further streamlining of the procedure change process was submitted by the licensee, and NRR plans to expedite

,their review. _The licensee, in anticipation of that change, was preparing the draft re~isions to the implementing documents.

The current corrective action programs are significantly splintered with trending capability extremely limited.

At the time of the*team's visit, the licensee utilized many different corrective action programs. Each covered specific activities or aspects of plant operation.

These included, but were not limited to, Deviation reports {DVRs)~ Radiological Occurrence Reports, Discrepancy Records, Nonconformance Reports, Pr.ob l em Analysis Data Sheets, Personnel Injury Reports, Procedure Adherenc.e Deficiency Reports, the neaf miss program, etc.

Many of these systems addressed personnel errors, however, the licensee chose to tra.ck only DVR related personnel errors as a means for measuring improvements in this area.

As a result, many of the personnel errors that occur~ed were not trended in the licensee's monthly performance improvement report.

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I The new corrective action program is nearing implementation On July 28, tha licensee planried to implement the Integrated Reporting Program (IRP) that will attempt to integrate many of the individual corrective action programs discussed above into one program *to centr~ l i ze the correction and

  • tracking of plant problems~* The procedure to be used to accomplish this wa~

found to be very comprehensive, lOng; and complex.* *The licensee indicated they r~cognized the need for doing effective training before program implementation.

The first steps to providethe necessary.training were underway at the time of the DOT visit.

These, so far, have consisted of brief "awareness" sessions conducted with the individual department~~ More in~depth, training was to be

  • provided for tho$e requiring a more *detailed knowledge of the program.

The DOT will further evaluate the IRP and its implementation during future site visits.

VIII. Exit Meeting Ah exit m~~ting with.the license~ was held on June 2~, 1992~ Mr. A~ Bert D~vis, Regjonal Administrator, was in attendance as the:senior NRC representative. Mr.

Dennis Galle, Vice President of BWR Operations; Chuck Schroeder, Plant Manager;

. and other Dresden representatives were present.

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