ML20023B799
| ML20023B799 | |
| Person / Time | |
|---|---|
| Site: | Calvert Cliffs  |
| Issue date: | 04/27/1983 |
| From: | Tierman J BALTIMORE GAS & ELECTRIC CO. |
| To: | Clark R Office of Nuclear Reactor Regulation |
| References | |
| NUDOCS 8305060396 | |
| Download: ML20023B799 (3) | |
Text
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&- 3 l~1 31il BALTIM O RE GAS AND ELECTRIC CHARLES CENTER P. O. BOX 1475 BALTIMORE, MARYLAND 21203 JOSEPH A. TIERN AN MANAGER NUCLEAR POWER DEPARTMENT April 27,1983 U. S. Nuclear Regulatory Commission Office of Nuclear Reactor Regulation Washington, D. C. 20555 ATTENTION:
Mr. Robert A. Clark, Chief Operating Reactors Branch #3 Division of Licensing
SUBJECT:
Personnel Errors at Calvert Cliffs Nuclear Power Plant Gentlemen:
As discussed in our February 24,1983, meeting at your offices, we are concerned with the apparent increase in personnel error / action related events in late 1982 and early 1983 We will particularly associated with ESFAS, and are taking positive steps to improve.
continue to develop new programs and upgrade existing programs to address this concern. The following areas are addressed in our improvement program:
A.
Awareness / Attitude Programs Two types of programs are being used to increase plant personnel awareness to the concern of excessive personnel error / action related events.
The first type encompasses on site efforts.
Recent discussions between site management, supervisors, and work leaders, placed emphasis on our continuing commitment to identify and correct personnel errors. We are emphasizing a goal of zero personnel Supervisors and work leaders have been cautioned against an attitude of errors.
complacency and tasked with ensuring positive and affirmative attitudes towards improving personnel performance and reducing personnel error / action related events.
The second f acet of this program is the Corporate or offsite efforts. We have iristituted an interdepartmental Quality Circle whose goal is to identify and correct areas where improvements can be made in performing routine activities.
In addition to the Quality Circle program, we are investigating a corporate quality of workmanship approach for identifying areas which could improve the quality of our activities. These programs are broad in scope, but are appropriate to address the 8305060396 830427 DR ADOCK 05000317 PDR
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o Mr. R. A. Clark April 27,1983 Page 2 problem of maintenance and operating events, with a goal of reducing personnel errors.
B.
Training Programs We have a strong commitment and continuing program to improve the quality of training for such varied programs as operations personnel, radiation safety and chemistry personnel, instrument, electrical, and mechanical maintenance personnel, engineers, safety review committee members and emergency response team members.
To support these programs, the training staff has been greatly l
increased. Upgraded instructor materials, such as lesson plans, system descriptions, reference materials, have been developed and construction of extensive training t
facilities, including an on-site plant specific simulator, is now in progress. These programs are based, in part, on job and task analysis, which carefully centers the training on the responsibilities assigned a particular position at the plant.
Additionally, they incorporate significant equipment failures and personnel errors from Calvert Cliffs and other operating reactors.
C.
Reporting / Counseling / Followup in the past, beyond the required Licensee Event Report System, the Plant Superintendent has required detailed investigations on other significant plant events, with the goal of identifying the root cause, and generating recommendations to minimize the probability of and/or prevent recurrence. This program ensures we gain the most benefit from significant plant events.
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Soon after significant plant events, a critique is convened to determine the exact nature and cause of the incident. Following significant plant events involving -
personnel errors / actions, management counseling is held with the personnel involved and their supervisor. The purpose of this counseling is to determine why -
the event occurred, what corrective action is deemed necessary and to raise management visibility and involvement in these events. This, of course, is being tempered to avoid a negative response from plant personnel toward being open about their errors.
Last year, the Operations Unit on-site developed an informal personnel error reporting system. The system requires the responsible individual to explain what occurred and why, and make recommendations to minimize probability of
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recurrence. The results are included in the operator requalification program. This system has recently been expanded to cover maintenance, radiation safety, and chemistry sections as well.
We are also following the INPO pilot study on Human Error reporting. This study may provide improved means to determine the root causes of personnel error and required actions to reduce them.
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Mr. R. A. Clark April 27,1983 Page 3 D.
Data Evaluation We have undertaken a review of personnel error information for trends and root causes. Both the POSRC and OSSRC commenced reviews of personnel error trends about six months ago. To date, this review has not identifed any commonalities among the personnel actions which induced the events. This ongoing program will provides detailed review and overview of personnel error information.
E.
Corrective Actions System Corrective measures will be taken as appropriate to correct the root cause of personnel errors. Other appropriate measures will be implemented to improve problem identification and improve feedback of personnel error / actions to experience training programs.
We are confident the above efforts will improve the identification, reporting, and followup of personnel action / error induced events at Calvert Cliffs and will improvve personnel performance.
All of these program improvements will be reinforced and upgraded if feedback of our operating experience identifies areas requiring additional attention.
Sincerely yours, rb Manager-Nuclear Power 3AT/LES/sjb cc:
Mr. A. E. Lundvall, Jr.
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