ML17229B073

Provides Summary of Open Management Meeting Held on 990308 Re Recent Operator Training Issues.List of Meeting Attendees & Copy of Presentation Handout Encl

ML17229B073
Person / Time
Site:	Saint Lucie
Issue date:	03/18/1999
From:	Christensen H NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION II)
To:	Plunkett T FLORIDA POWER & LIGHT CO.
References
NUDOCS 9903300363
Download: ML17229B073 (46)

Text

March 18, 1999 Florida Power and Light Company ATlN:

Mr. T. F. Plunkett President - Nuclear Division P. O. Box 14000 Juno Beach, FL 33408-0420

SUBJECT:

MEETING

SUMMARY

- ST. LUCIE NUCLEAR STATION (SLNS)

Dear Mr. Plunkett:

This refers to the open Management meeting that was conducted at our request at the Region II Office on March 8, 1999, to discuss recent operator training issues.

A list of attendees and a copy of your presentation handout are enclosed.

It is our opinion that this meeting was beneficial in that your training program assessment was detailed and appeared to address the operator training deficiencies.

In accordance with Section 2.790(a) of the NRC's "Rules of Practice," Part 2, Title.10, Code of Federal Regulations, a copy of this letter and its enclosures willbe placed in the NRC Public Document Room.

Should you have any questions concerning this meeting, please contact us.

Sincerely, Docket Nos. 50-335, 50-389 License Nos. DPR-67, NPF-16 (Original signed by H. O. Christensen)

Harold O. Christensen, Chief Operator Licensing and Human Performance Branch Division of Reactor Safety

Enclosures:

1. List of Attendees

2. Licensee Presentation Handouts

'7'703300363 9"F03fS PDR ADQCK 05000335 V

PDR

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FPLL cc w/encls:

J. A. Stall Vice President St. Lucie Nuclear Plant 6351 South Ocean Drive Jensen Beach, FL 34957 R. G. West Plant General Manager St. Lucie Nuclear Plant 6351 South Ocean Drive Jensen Beach, FL 34957 E. J. Weinkam Licensing Manager St. Lucie Nuclear Plant 6351 South Ocean Drive Jensen Beach, FL 34957 John Gianfrancesco, Manager Administrative Support 8 Special Projects Florida Power 8 Light Company P. O. Box 14000 Juno Beach, FL 33408-0420 Rajiv S. Kundalkar Vice President - Nuclear Engineering Florida Power & Light Company P. O. Box 14000 Juno Beach, FL 33408-0420 M. S. Ross, Attorney Florida Power 8 Light Company P. O. Box 14000 Juno Beach, FL 33408-0420 William A. Passetti Bureau of Radiation Control Department of Health and Rehabilitative Services 2020 Capital Circle SE, Bin ¹C21 Tallahassee, FL 32399-1741 Joe Myers, Director Division of Emergency Preparedness Department of Community Affairs 2740 Centerview Drive Tallahassee, FL 32399-2100 Distribution w/encis: (See page 3)

J. Kammel Radiological Emergency Planning Administrator Department of Public Safety 6000 SE Tower Drive Stuart, FL 34997 Douglas Anderson County Administrator St. Lucie County 2300 Virginia Avenue Ft. Pierce, FL 34982

FP8L Distribution w/encls:

L. Plisco, RII L. Wert, Rll S. Rudisail, Rll W. Gleaves, NRR G. Hopper, Rll PUBLIC NRC Resident Inspector U.S. Nuclear Regulatory Commission P. O. Box 6090 Jensen Beach, FL 34957-2010 OFFICE RII:DRS RII:DRP SIGNATURE f

NAME DATE COPY?

Lwert Hcristensen 3/

/99 YES NO 3/

/99 3/

/99 YES No 3/Ij'99

/

99 YE NO YES NO YES NO 0

IALRECORD CO Y

DOCUMENT NAME: G tDOCUMENRSTLSUM.MGT 3/

/99 YES NO 3/

/99 YES NO

LIST OF ATTENDEES FLORIDA POWER AND LIGHTCOMPANY Thomas Plunkett, President - Nuclear Division Art Stall, Site Vice President, St. Lucie Nuclear Plant Mitchell Ross, Florida Power and Light Company, Licensing Department Maria Lacal, Training Manager, Turkey Point Nuclear Plant Dennis L. Fadden;- Training Manager, St. Lucie Nuclear Plant Gary Hollinger, Licensing Manager, Turkey Point Nuclear Plant C. D. Ladd, Operations Supervisor Larry Rich, Operations Training Supervisor Stephen Lewandowski, Chief, Job Steward U. S. NUCLEAR REGULATORYCOMMISSION Luis Reyes, Regional Administrator Jon Johnson, Deputy Regional Administrator Bruce Mallett, Director, Division of Reactor Safety (DRS)

Leonard Wert, Chief, Reactor Project Branch 3, Division Reactor Project Harold Christensen, Chief, Operator Licensing & Human Performance Branch, (OLHP), DRS Ronald Aiello, Senior Reactor Engineer, OLHP, DRS Richard Baldwin, Senior Reactor Engineer, OLHP, DRS Michael Ernstes, Senior Reactor Engineer, OLHP, DRS George Hopper, Senior Reactor Engineer, OLHP, DRS William Sartor, Senior Radiation Specialist, OLHP, DRS Marvin Sykes, Reactor Engineer, OLHP, DRS Robert Gallo, Chief, Operator Licensing Branch, (OLB), NRR, Via Video Conference Mary Ann Ashely, OLB, NRR, Via Video Conference Enclosure 1

rainin ro ram ssessment

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ttJSMEC Exing,ice IIII A CIlamm, GA c$~ ~Ortle~

I I I ENCLOSURE 2

St. Lucie Plant Training Program Assessment NRC Region II

,.'.lanta, GA.

March 8, 1999

ST. LUCIEPLANT TRAININGPROGRAM ASSESSMENT AGENDA

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Introduction

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Exam History / Performance

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Problem Statement

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Training Performance Assessment

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Root Cause Team Analysis

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Corrective Actions

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Management Oversight Team Operations Performance Closing

V FPL ST. LUCIEPLANT TRAININGPROGRAM ASSESSMENT ORGANIZATION SITE VICE PRESIDENT ArtStal TRAININGMANAGER D. LFaOka OPERATIONS TRAINING SECTION SUPERVISOR L M. Rich PLANT GENERAL MANAGER I

ILWosl I

III OPERATIONS MANAGER L

M. Allen NLO INlllALTRAINING INSTRUCTOR REQUALTRAINING SUPERVISOR EXAMOEVELOPER S RQ/RO INITIALTRAINING SUPERVISOR UCENSEO OPERATOR REQUAL INSTRUCTOR SRO/RO TRAINING INSTRUCTOR

ST. LUCIEPLANT TRAININGPROGRAM ASSESSMENT EXAMHISTORY YEAR 1993 1994 1995 1996 1997 1998 EXAMRESULTS 10/10 11/11 No Exam 4/4 9/9 5/6, 2/9

ST. LUCIEPLANT TRAININGPROGRAM ASSESSMENT COMPANYVS NRC EXAM PERFORMANCE COMPARISON FOR HI C 14

~, Simulator Performance COMPANYEXAM 9 Passed NRC EXAM 9 Passed

~

JPM Performance 9 Passed 8/9 Passed

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Written Examinations 9 Passed 2/9 Passed

0

ST. LUCIEPLANT TRAININGPROGRAM ASSESSMENT PROBLEM STATEMENT

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Only 2 of 9 HLC 14 License Candidates Received Passing Scores on the Nuclear Regulatory Commission Written Examination After Successfully Passing a Company Final Examination.

ST. LUCIEPLA'NT TRAININGPROGRAM ASSESSMENT TRAININGASSESSMENTS

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Cross-functional Self-assessment December 1998

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Independent Root Cause Team February 1999

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INFO Combined Evaluation and Accreditation February 22 thru March 5, 1999

ST. LUCIEPLANT TRAININGPROGRAM ASSESSMENT ROOT CAUSE TEAM

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Team of Industry Personnel Formed to Determine Root Cause and Contributing Factors

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Team Charter:

Review Relevant Training Data and Records Conduct Extensive Interviews Complete Root Cause Analysis

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Findings Presented to FPL Senior Management on February 24, 1999

ST. LUCIEPLANT TRAININGPROGRAM ASSESSMENT.

ROOT CAUSE ANALYSIS

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METHODOLOGY Events and Casual Factors Chart Barrier Analysis Change Analysis Root Cause Evaluation Matrix

ST. LUCIEPLANT TRAININGPROGRAM ASSESSMENT ROOT CAUSE ANALYSIS BARRIER ANALYSIS 16 license candidates start thc HLC 14 training program Only 2 of 9 license candidates passed thc NRC exam

1. TRAINING

2. INSTRUCTOR 3. STUDENT 4 MANAGEMENTPREPARATION

5. EXAM PLAN FEEDBACK PERIODIC ON STUDENT

-EXAM SUPERVISORY and REVIEW PROGRESS SCORES OVFRSIGHT l0

5 ST. LUCIEPLANT TRAININGPROGRAM ASSESSMENT ROOT CAUSE TEAMRESULTS ROOT CAUSKCI

~

Management and Supervisory Oversight and Experience Were Inadequate Contributing Causal Factors Management Expectations Not Clearly Established With Students Lack of Continuity in Supervision of HLC 14 Weak Program Implementation Due to Inexperienced Supervision Weak Training Review Committee and Training Review Board Implementation Academic Standards Not Rigorously Applied Instructor Feedback Not Factored Into Management Decisions Weak Performance on Company Final Exams ll Candidate Screening Not Effectively Implemented

ST. LUCIEPLANT TRAININGPROGRAM ASSESSMENT ROOT CAUSE TEAMRESULTS ROOT CAUSE P2

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Compensatory Measures for Schedule Changes Were Ineffective Contributing Causal Factors Inadequate Training Plan Contributed to Inconsistent Program Implementation Program Implemented in Different Sequence Than Past Classes Less. Time Spent on Systems, Structured Review, and NRC Exam Preparations Schedule Changes Not Adequately Analyzed

ST. LUCIEPLANT TRAININGPROGRAM ASSESSMENT ROOT CAUSE TEAMRESULTS ROOT CAUSE ¹3

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Quality ofAllCompany Exams Was Less Than the NRC exam Contributing Causal Factors Exam Scores on Company Exams Did Not Reveal Knowledge Weaknesse>>

Company Exams Did Not Prepare for NRC Level Exam Inadequate Training Materials Caused Technical Inaccuracies on NRC Exam Questions Inadequate Exam Preparation, Validation and Review Process Several NRC Exam Questions Required Post-exam Comments 13

<r

ST. LUCIEPLANT TRAININGPROGRAM ASSESSMENT CORREnrVE ACTroNS - ROOT CAUSE ~~

Management and Supervisory Oversight-and Experience Were Inadequate.

Enhance Management Oversight

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Independent Training Oversight Team Reporting to President, Nuclear Division

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Daily Training Status Reports to Plant Management

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Bi-weekly Independent Reports to Plant Manager

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Increased Operations Management Observations

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=Dedicated RO in Class Clarify and Reinforce Management Expectations

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Establish and Communicate Expectations to Students at Start of Class Weekly Operations Management Meeting With Class to Solicit Feedback

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Senior Management Meeting With Instructors to Reinforce Expectations on Use of Instructor Feedback 14

ST. LUCIEPLANT TRAININGPROGRAM ASSESSMENT CORRECTIVE ACTIONS - ROOT CAUSE 01 Management and Supervisory Oversight and Experience Were Inadequate Improve Line Management Ownership of operations Training Program

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Establish Training Review Committee for Each Operator Program

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Improve Training Review Committee and Training Review Board Guidelines

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Improve Standardize Training Review Committee Agenda

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Establish Operations-specific Plant Training Advisory Board

ST. LUCIEPLANT TRAININGPROGRAM ASSESSMENT CORRECTIVE ACTIONS - ROOT CAUSE 42 Compensatory Measures for Schedule Changes Were Ineffective Strengthen Training Program Sequence

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Revise Administrative Procedure for Initial Program

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Improve Training Plan Details to Ensure Consistent Implementation Enhance Operations Mentor Program

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Revise Mentor Assignments

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Evaluate Program Effectiveness

ST. LIjCIEPLANT TRAININGPROGRAM ASSESSMENT CORRECTIVE ACTIONS - ROOT CAUSE 43 Quality ofAllCompany Exams Was Less Than the NRC Exam Improve Student Examination Process Include Review Questions on Subsequent Comprehensive Exams

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Schedule NRC-style Exams Throughout Program

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Improve Remediation Guidance Improve Exam Development and Exam Bank

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Improve Exam Question Development, Review and Approval Processes

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Establish Independent Examination Review Team

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Formalize Exam Validation Processes

ST. LUCIEPLANT TRAININGPROGRAM ASSESSMENT CORRECTIVE ACTIONS - ROOT CAUSE 43 Quality ofAllCompany Exams Was Less Than the NRC Exam Enhance Examination Performance Standards

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Establish 85% Rule

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Implement Consistent Performance Standards Improve Training Materials Upgrade System Texts, Lesson Plans, and Test Items

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Revalidate Initial Program Basis, Materials and Configuration

ST. LUCIEPLANT TRAININGPROGRAM ASSESSMENT MANAGEMENTOVERSIGHT TEAM CHARTER Provide an Independent Review of Root Cause Analysis and Corrective Actions

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Monitor the Progress of Corrective Actions and Assess the Effectiveness of Actions Taken

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Assess Generic Impact on Other Training Programs

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Report Directly to the President, Nuclear Division

ST. LUCIEPLANT TRAININGPROGRAM ASSESSMENT MANAGEMENTOVERSIGHT TEAM ACTIVITIES

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Conducted Independent Interviews of Students, Instructors, Line and Training Supervision

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Participated in Independent Root Cause Team Assessment

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Reviewed Corrective Actions Developed in Joint Training, Line and Union-Sessions

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Reviewing Systematic Approach to Training Process Improvements

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Monitor Corrective Action Effectiveness 20

.ST. LUCIEPLANT TRAININGPROGRAM ASSESSMENT MANAGEMENTOVERSIGHT TEAM RECOMMENDATIONSANDACTIONS TAKEN

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Conducted Root Cause Analysis of HLC 14 Exam Performance UtilizingIndependent Peer Experts

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Consolidated Assessment Results and Corrective Actions

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Established Operations Plant Training Advisory Board

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Reviewed and Enhanced HLC 14A Curriculum

ST. LUCIEPLANT OPERATIONS PERFORMANCE OPERATIONS PERFORMANCE 22

ST. LUCIEPLANT OPERA.TIONS PERFORMANCE

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NRC Inspection Report 97-13 Performance Issues Alarm Response Auto Silence Feature of Control Room Annunciators Use of Reference Material Near Control Board Use of Indicators During Reactivity Manipulations Operator Tolerance of Unacceptable Conditions

ST. LUCIEPLANT OPERATIONS PERFORMANCE

~

NRC Inspection Report 98-302 Weaknesses Developing Equipment Clearance Orders Identification of Radiological Posting Requirements Manual Control of S/6 Level Response to Component Cooling Water Leak

C

ST. LUCIEPLANT OPERATIONS PERFORMANCE COMMONTHREADS IN NRC INSPECTION REPORTS

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Control Room Supervisors Not Reinforcing Expectations

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Training Issues

ST. LUCIEPLANT OPERATIONS PERFORMANCE ACTIONS TAKEN:

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Operations Management Increased Observations of Training Programs and Field Activities

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Continuous Reinforcement on Alarm Response, Peer Check, Self-check, and Reactivity Management

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Established "OPS Has the Lead" Theme

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Coached Instructors and Supervisors on Reinforcement of Expectations

FPL ST. LUCIEPLANT OPERATIONS PERFORMANCE ACTIONS TAKEN:

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Operations Supervisor and Training Manager Reinforced Simulator Critique Expectations

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Changed Alarm Timeout to Infinite

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HLC 14 Lessons Learned to Be Incorporated Into License Operator Reaualification Trainin~

27

0

ST. LUCIEPLANT OPERATIONS PERFORMANCE RESULTS NOTED IN RECENT NRC INSPECTION REPORTS

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Control Room Conduct Professional (98-09)

Good Control Room Teamwork (98-09)

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Demonstrated High Level of Control and Awareness (98-09)

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Attentiveness to Annunciators and Response to Changing Conditions (98-09)

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Operating Crew Preparation, Briefing and Performance Were Exemplary Shifting Main Feed to Bypass for Maintenance (98-10)

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Extensive Corrective Actions to Prevent Clearance Problems (98-10)

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Operators Knowledgeable of Tasks (98-11)

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Consistent Use of 3-way Communications (98-11)

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Reactor Startup Was Well Conducted (98-11) 28

ST. LUCIEPLANT CLOSING REMARKS