ML20059D184
| ML20059D184 | |
| Person / Time | |
|---|---|
| Site: | Diablo Canyon  |
| Issue date: | 08/23/1993 |
| From: | AFFILIATION NOT ASSIGNED |
| To: | |
| References | |
| OLA-2-I-MFP-178, NUDOCS 9401070052 | |
| Download: ML20059D184 (26) | |
Text
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0:2er Acus l-l~If $ /G V L Reprter MAINTENANCE PERSONNEL QUALIFICATIONS' MANAGEMENT
SUMMARY
i The recent INPO accreditation renewal evaluation and past QC surveillance reports have revealed several concerns with the implementation of the personnel qualification programs. These programs cover the following sections: Mechanical Maintenance, Electrical Maintenance, Instruments and Controls, Chemistry, and Radiation Protection.
The root cause has been determined to be due to the complexity of the Personnel Qualification programs. These programs made it difficult to consistently implement the qualification requirements. These complex programs have caused Foremen to assign tasks which required qualifications to personnel who have not met these qualifications.
Contributory causes include inconsistencies in program requirements, inconsistent interpretation of program requirements and the magnitude of-the ' administrative overhead' necessary to initially document all the affected personnel's qualifications.
Corrective actions include simplification of the Qualification Matrix, splitting of the Mechanical and Electrical Maintenance training procedures, development of a complete and functional' PIMS module, appoint section coordinators for each section, issuance of an Administrative Procedure on personnel qualifications.
91NCRWP\\91TRN044.PGD Page 1 of 26 9401070052 930823 PDR ADOCK 05000275 0
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NCR DCO-91-TP un44 September 26, 1991 MAINTENANCE PERSONNEL QUALIFICATIONS I.
Elant Conditions Modes and power of operation are not applicable to this condition.
II.
Description of Event A.
Event:
Recent INPO evaluation and QC surveillances revealed concerns with the implementation of the maintenance personnel qualifications program.
Maintenance personnel who have not met their_ qualification requirements are being assigned by their. foreman to perform tasks unsupervised by qualified ' personnel.
B.
Inoperable Structures, Components, or Systems that Contributed to the Event:
l None.
C.
Dates and Approximate Times for Major Occurrences:
)
Not applicable.
D.,
Other Systems or Secondary Functions Affected:
None.
E.
Method of Discovery:
This condition was noted by the recent INPO evaluation and i
several QC surveillance reports.
)
l
-1 F.
Operators Actions:
None required.
G.
Safety System Responses:
}
None required.
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u-NCR DCO-91-TR-N044 September 26, 1991 III.
Cause of the Event l
A.
Immediate Cause:
The required qualifications of maintenance personnel'are in many cases not rigidly defined and, for particular tasks, t
have been interpreted differently by different people.
B.
Determination of Cause:
1.
Human Factors:
a.
Communications:
Auditing / Maintenance groups opinions differ in regard to maintenance personnel qualifications.
l b.
Procedures:
Is there a lack of or inadequacy of procedural requirements?
There is a lack of adequate procedural requirements as evidenced by:
1.
the complexity of the program.
2.
not enough details in the matrix.
3.
no documentation when qualified workers performed work with unqualified personnel.
4 c.
Training:
Is the personnel qualification documentation adequate?
No, as indicated in the body the NCR.
There is a lack of personnel qualification documentation.
d.
Human Factors:
Do foremen and maintenance personnel clearly understand the personnel qualification requirements?
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's.
NCR DCO-91-TR-N044 i
September 26, 1991 Foremen do not agree on the task Qualification Matrix.
The qualification matrix :
update is untimely.
Maintenance personnel who.
have not met their qualification requirements are being assigned to perform tasks. unsupervised by qualified. personnel.
e.
Management System:.
Could the work versus qualification be tied directly to.the workers assigned to the work and at the completion of the work?
No, as indicated in the body'the NCR.
I 2.
Equipment / Material:
a.
Material Degradation:
N/A b.
Design:-
N/A' c.
-Installation:
'N/A I
d.
Manufacturing:
N/A 1
j e.
. Preventive Maintenance:
N/A i
f.
Testing:
.N/A g.
End-of-life failure:
N/A C.
Root Cause:
l The Personnel Qualification program was-too difficult-to consistently implement.
1 D.
Contributory Causes:
1 Foremen have assigned tasks, which require qualifications, to personnel who have not met the' required qualification.
Due to the complexity of the qualification program,.there is insufficient training, qualifications and resources..
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NCR DCO-91-TR-N044 ~
l September 26, 1991 IV.
Analysis of the Event A.
Safety Analysis:
j The condition described in this NCR does not address equipment being put in service that is defective, inoperable or out-of-tolerance but rather maintenance. personnel qualifications for performing 'a particular task. : Post-maintenance and post-modification testing ensure'the functionality of_ equipment'regardless what the qualification of the maintenance personnel who performed.the work. -Thus,
~
l the health and safety of the _public' were not adversely -
affected by this condition.
B.
Reportability:
1 1.
Reviewed under QAP-15 B and determined to be non-conforming in accordance with Section~2.1.8.
t 2.
Reviewed under 10 CFR 50.72 and 10 CFR 50.73 per NUREG 1022 and determined not to be reportable.
3.
This problem does not require a 10 CFR 21 report..
4.
This problem does not require reporting via an INP0 Nuclear Network entry.
i 5.
Reviewed under 10 CFR 50.9 and determined.to be not l
reportable since this event does not have a.significant implication for. public ' health. and safety. or. common defense and security.
.1 6.
Reviewed under the. criteria of AP C-22 for i.: quiring the issue and approval of a JC0 and' determined that no JC0 is required.
V.
Corrective Actions j
A.
Immediate Corrective Actions:
l None required.
1 l
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NCR DCO-91-TR-N044 September 26,.1991 B.
Investigative Actions:
1.
Training Department to distribute'the performance analysis questionnaires to Maintenance, Radiation Protection and Chemistry department managers..
RESPONSIBILITY: Tim Martin DEPARTMENT:
. Training Tracking AR:
AO.5 071, AE # 01 Outage related? No' JC0 related?
No NRC commitment? No CMD commitment? No STATUS:
COMPLETE 2.
Maintenance, Radiation Protection and' Chemistry department managers to complete the performance analysis interviews on personnel training and
-l qualifications.
RESPONSIBILITY: Dave Askins DEPARTMENT:
Training Tracking AR:.
A0228071, AE # 02.
Outage related? No i
JC0 related?
No-NRC commitment? No.
l CMD commitment? No STATUS:
COMPLETE 3.
QC to provide completed QC.surveillances on Maintenance, Radiation Protection'and Chemistry personnel qualifications.
RESPONSIBILITY: Al Jorgensen DEPARTMENT:
Quality Control Tracking AR:
A0228071, AE # 03 Outage related?. No 4
JCO.related?
No NRC commitment? No CMD commitment?' No STATUS:
COMPLETE 4.
QA to complete compilation of internal and external
'l commitments and findings on Maintenance, Radiation Protection and Chemistry personnel qualifications.
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NCR DCO-91-TR-N044 September 26, 1991 l
RESPONSIBILITY:
L.J. Stifter DEPARTMENT:
Quality Assurance Tracking AR:
A0228071, AE # 04 Outage related? No JC0 related?
No NRC comitment? No CMD comitment? No l
i STATUS:
COMPLETE 5.
Regulatory Compliance to research and provide NRC findings on the issue of maintenance non-qualified workers.
RESPONSIBILITY:
Paul Dahan l
DEPARTMENT:
Regulatory Compliance Tracking AR:
- A0228071, AE # 05 Outage related? No JC0 related?
No l
NRC comitment? No CMD comitment? No STATUS:
COMPLETE 6.
Training will work with Electrical, I&C and Mechanical maintenance to develop a flow chart of the work order process to investigate the feasibility of providing task qualification requirements on an electronic database (PIMS) available for each work order.
RESPONSIBILITY:
J. Ekman DEPARTMENT:
Training Tracking AR:
A0228071, AE # 06 Outage related? No JC0 related?
No NRC comitment? No CMD comitment? No STATUS:
COMPLETE 7.
Electrical, Mechanical an I&C training senior instructors, to meet with J. Ekman to resolve any differences in the application of training and tasks.
RESPONSIBILITY:
J. Ekman DEPARTMENT:
Training Tracking AR:
A0228071, AE # 07 Outage related? No JC0 related?
No NRC comitment? No CMD comitment No STATUS:
COMPLETE 91NCRWP\\91TRN044.PGD Page 7 of 26
NCR DCO-91-TR-N044 l
September 26, 1991-8.
Maintenance Department Managers and Work Planning Center representatives to get together to agree on a concept to change the work orders.. database to incorporate the qualification codes.
RESPONSIBILITY:
J. Nystrom DEPARTMENT:
Training Tracking AR:-
A0228071, AE # 08 Outage related? No JC0 related?
No NRC commitment? No CMD commitment? No STATUS:
COMPLETE C.
Corrective Actions to prevent recurrence:
1.
Simplify the qualification matrix used by the T&M group Foremen.
l RESPONSIBILITY:
Dale Clifton DEPARTMENT:
~ Training Tracking AR:
A0228071, AE # 09 l
Outage Releted?
No l
JC0 Related?
No NRC Connitment?
No l
CMD Commitment?
No STATUS:
COMPLETE.
2.
Split Mechanical Maintenance and Electrical Maintenancs training procedures and the training of personnel for!
each discipline.
RESPONSIBILITY:
Dale Clifton i
DEPARTMENT:
Training Tracking AR:
A0228071, AE # 10 Outage Related?
No JC0 Related?
No NRC Commitment?
No CMD Commitment?
No l
STATUS:
COMPLETE.
i 3.
Revise the maintenance supervisor training program to include the qualification matrix material. Revise lesson KMS 170LE to reflect the objectives covering how to determine an individual's qualifications using paper matrix and PIMS.
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NCR DCO-91-TR-N044
. September 26, 1991-RESPONSIBILITY:
Ken Kaminski DEPARTMENT:
Training.
Tracking AR:,
'A0228071-AE f 11 Outage Related?. No -
l JC0 Related?
No
=
NRC Commitment?
No -
CMD Commitment?
No STATUS:
COMPLETE.
4.
Develop a PIMs module-(complete!and: functional) for Mechanical Maintenance, Electrical Maintenance,-and:
l I&C Maintenance-sections.
RESPONSIBILITY:
R. Green /J. Marks DEPARTMENT:
Computer Engineering-Tracking AR:
f.A0228071, AE # 12 Outage helated? No JC0 Related?
No NRC Commitment? No.
STATUS:'
COMPLETE.
5.
Appoint Section Coordinators for each of the following sections: -MM,-EM, I&C, RP, and CHEM.
RESPONSIBILITY:
Dale Clifton DEPARTMENT:
Training.-
Tracking AR:
A0228071, AE # 13 Outage'Related?.
No JC0 Related?
No NRC Commitments? No.
~
STATUS:
COMPLETE.
6.
Develop and issue:an Administrative Procedt /e on personnel qualifications to' provide application of qualifications by all training T&M groups.-
RESPONSIBILITY:
Dale Clifton DEPARTMENT:
Training Tracking AR:
A0228071, AE # 14 Outage Related?
No l
JC0 Related?-
No NRC Commitments? No l
STATUS:
COMPLETE.
I
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.Page' 9 of 26
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'o.. I NCR DCO-91-TR-N044' i
September 26, 1991-i 5
7.
Develop' written instructions.for application of the -
+
programs by. discipline senior instructors.-(Training groups - MM, EM,-I&C, Chemistry, RP).-
RESPONSIBILITY:
Dale'Clifton DEPARTMENT:
' Training Tracking AR:
A0228071,:AE f.15 3 Outage Related?
No JC0 Related? -
No i
NRC Commitments? No STATUS:
COMPLETE.
- 8..
Present and document written instructions on the-application of qualification programs;to'plantLsection-personnel, both management and union..
RESPONSIBILITY:
Dale Clifton DEPARTMENT:
Training Tracking AR:
A0228071,-. AE'# 16 Outage Related?
No JC0 Related?
-No NRC Commitments? No STATUS:
' COMPLETE._
9.
Issue a letter from the Plant Manager stating the-expectations of the. qualification program and process.
RESPONSIBILITY:
Tim Martin DEPARTMENT:
Training-
, Tracking'AR:
A0228071, 'AE #117-j Outage Related?.
No --
,1 JC0 Related?
No NRC Commitments? No-STATUS:
COMPLETE.
- 10. Complete the review of the individual qualification checklist records during the conversion process to verify I
that all entries are current and correct. (Chemistry Qualifications)
RESPONSIBILITY:
Jerry Boots DEPARTMENT:
Chemistry
'l Tracking AR:
A0228071, -AE # 18 Outage Related:
No JC0 Related?
No NRC Commitments? No CMD Commitments? No STATUS:
COMPLETE.
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NCRDCO-91-TR-N044)
September-26,:1991
- 11. Complete the review of the' individual qualification checklist records to verify that all entries are -
current and correct. '(Radiation Protection qualifications.)
t RESPONSIBILITY:
Russ Gray DEPARTMENT:
Radiation: Protection i
Tracking AR:
A0228071,.AE #:19 Outage Related?
No~
JC0 Related?
No NRC Commitment?
No JC0 Commiitment?
No
' NRC Cosmiitment?
No CMD commitaent?
No STATUS:
COMPLETE.
- 12. Establish a process for converting two previous' RP.
qualification records to the new qualification record.
1 RESPONSIBILITY:
Keith Bieze DEPARTMENT:
Training-Outage Related?
~A0228071, AE-# 20 JC0 Related?
No NRC Commiitment?
No CMD Commitaent?
~No STATUS:
' COMPLETE.
- 13. Complete conversion of the existing RP qualifications records to the new qualification. records.
^
RESPONSIBILITY:
Keith Beize1 DEPARTMENT:
Training-Tracking AR:
A0228071, AE # 21 Outage Related?
No-JC0 Related?
No NRC Commitments? No CMD Commitaents?- No STATUS:
COMPLETE.
- 14. Develop a hierarchy of tasks / requirements for Chemistry and Radiation Protection qualifications required for PIMS entry to be used by CE for PIMS module development.
RESPONSIBILITY:
K. Bieze/R. Snyder-DEPARTMENT:
Training Tracking AR:
.A0228071, AE # 22 -
Outage Related?
No
.l 91NCRWP\\91TRN044.PGD Page 11 of 26-J
NCR DCO-91-TR-N044-September 26, 1991 JC0 Related?
No NRC Commitment?
No CMD Commitment?
No STATUS:
COMPLETE.
- 15. Complete modification and entry of qualifications -for Chemistry and Radiation Protection sections into PIMS (PIMS module complete and functional).
RESPONSIBILITY:
R. Green /J. Marks DEPARTMENT:
Computer Engineering Tracking AR:
- A0228071, AE # 23 Outage Related?
No JC0 Related?
No NRC Commitment?
No CMD Commitment?
No STATUS:
COMPLETE.
D.
Prudent Actions 1.
For P.M EM and I&C, complete the basic qualification requirements for all incumbents who were working in the section prior 01/01/88.
RESPONSIBILITY: Maintenarce Section Directors.
DEPARTMENT:
MM, EM II: '
i 2.
Complete Job Coverage qualifications for eligible incumbents who were working in the RP sectior,' prior to 01/01/88.
RESPONSIBILITY:
Russ Gray DEPARTMENT:
Radiation Protection.
3.
Complete Job Coverage qualifications for eligible incumbents who were working in the Chemistry section prior to 01/01/88.
RESPONSIBILITY:
Jerry Boots DEPARTMENT:.
Chemistry VI.
Additional Information A.
Failed Components:
N/A.
91NCRWP\\91TRN044.PGD Page 12 of 26
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. September 26, 1991--
B.
Previous Similar Events:
No previous nonconformances have been issued on unqualified-maintenance personnel performing tasks on safety related -
equipment.
C.
-Operating Experience Review:
1.
NPRDS:
Not applicable.
2.
NRC Information Notices, Bulletins, Generic
- Letters:
There were no bulletins,: generic letters or information.
notices discussing maintenance personnel qualifications. However, there were a number of inspeccion reports and a notice of vio:2 tion, as noted in reference 1, that cited' inadequate qualifications of C&RP technicians-system engineers and welders.
I 3.
None.
D.
Trend C6de:
Responsible Department: Training; Cause Code: 'B5, others.-
Program to complex.
~
E.,
Corrective Action Tracking:
The tracking action request.is A0228071..
I l
F.
Footnotes and Special Comments:
i The following additional perceived contributory causes were l
brought up by various maintenance ~ departments asL11sted:
.1 1.
The maintenance personnel. qualifications :for'all' tasks are not proceduralized.-
2.
Having a qualified individuals assist a maintenance worker-in a:particular-phase.of a task-is..not:
l l
required to be documented such that it is l
auditable at a later-date.
I i-3.
No incentive for^ maintenance personnel to maintain' task-qualification.
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.1 NCR DCO-91-TR-N044 l
^
l' September 26,.1991 4.
Some maintenance personnel clearly qualified by experience do not have that qualification recorded.
5.
Various contributory;causes as) outlined.below by1 mechanical, electrical and I&C disciplines:-.
j a.
NECHANICAL l
1.
Lack of 9e dedicated to; training due.to outages (refueling or forced), vacations, sick leaves, etc.
I 11.
Upgraded foremen are not.. aware.of training and qualifications requirements. (Applies
.also to. Electrical).
4 j!
iii.
Foremen not faitilful in reviewing their personnel; qualification matrix prior to.
assigning. work.
i v.-
Too many individuals ~ identified tasks when program was structured.- (Applies:also to 'RP and Chemistry).
-v.
QC lacks understanding'of.what tasks need--
personnel qualification.
vi.
Foremen dolnot know where to put hold points in work packa'ges.for' evaluation tasks.
^
i-vii.
Unqualified workers" signing off. steps:in work packages, when working.with qualified journeymen.
viii.
No notification process for qualification of on-the-job training.
b.
' ELECTRICAL 1.
Too much foremen time required to implement.
the personnel qualification program, ii.
Complexity. of prerequisites.
iii.
Personnel challenge. tests.to satisfy the qualification requirements.
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j NCR DCO-91-TR-N044 September 26, 1991 iv.
Qualification Matrix needs to be auditable (Applies also'to RP and Chemistry).
v.
Needs for more qualified on-the-job training evaluators.
vi.
Needs for QC to recognize that training qualification program overlaps.
c.
I&C i.
Lack of training coordinator.
(Applies to all l
disciplines) l ii.
Lack of Training Administration procedure, current versus future revision.
G.
References:
1.
2.
TRG's agendas.
3.
Survellance's reports.
4.
QCS 91-0053 AR's Tracking.
5.
Statement adding Radiation Protection to 044 TRG on maintenance quals.
6.
Suggested corrective actions.
7.
Training Qualification Matrix.
8.
Performance analysis format and flow charts.
H.
TRG Meeting Minutes:
1.
On April 11, 1991, the TRG convened and considered f
the following:
a.
Each item contained in the NCR write up was reviewed.
b.
A critique of the Maintenance department training was conducted. -Each Maintenance department representative was given the opportunity to express what is missing in the personnel training 91NCRWP\\91TRN044.PGD Page 15 of 26
)
NCR DCO-91-TR-N044 September 26,;1991 and qualification. program for-its own discipline.
Following.are the critiques by1 discipline. These are listed under F.5.a,b,c.-
c.
The next TRG to reconvene'onlMay 7; 1991.-
1 2.
The TRG chairman changed the meeting from.May 7, to May 1( and the TRG members were' notified.
- 3...
On hay 14, 1991, theTRGreconvened.at[10:00amPDTin
~
room 425 of the administration building to discuss.
progress on investigative actions..C&RP have their; personnel qualifications well defined and will-'not be involved further with this NCR.
The scope will bel limited to the Electrical.. I&C and Mechanical (E,.: I&C '
and M) maintenance departments.
The agenda-for the May 14,.1991 TRG was: discussed. The investigative actions results were described._ The' qualification questionnaires.were completed by E, I&C' and M and returned to Training.. The qualification-matrix the three departments currently use vary among-themselves and'are based on the departments: perceived-functional needs. Training willl structure.their lesson plans on what the departments:requestibut believes'that.
standardizing the. way task qualification' are identified -
and. recorded would. benefit both foremen and work planners.
I The definition' of " qualification" for:many: tasks is not; hard-and fast. The perception.between the foreman,-the work planner and the QC inspector as to what
. qualification a~ worker needs for a particular task is-i sometimes at a. variance.- Alsolin' question is the qualifications ' required of a QC' inspector to. enable his checking'the maintenance worker's task successful completion.
In order for the program of qualifying maintenance-workers to be successful it.must come from the foremen and workers. They must "own" the program.
It wasifelt-that our current program burdens the maintenance: worker.
with a thick work package when the reading level-of thel worker actually turning the wrench may be pre-high school but as'long as signoffs are in the right; place the program.is satisfied.. On the other' hand, many
. workers.are eminently' qualified hT experience but may not have " tested out" out on. particular task and thus L
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L NCR DCO-91-TR-N044-
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- September 26, 1991 I
are not' formally qualified,' if they perform a task 1
without being " qualified" the' program has been violated even-if the hardware is! perfectly fine.
It was proposed that a PIMS module be developed that.
could be used by Training and Work Planning and the-maintenance foremen that would have all of the qualifications required.for particular tasks and the i
L qualifications each worker currently has such that the foreman, on reviewing the upcoming tasks, can compile a list of those individuals who are qualified to perform that task with a few key strokes.at his workstation.
The reason.for this maintenance worker qualification i
program is.the PG&E commitment to maintain an INP0 accredited training program, there is no particular.
regulation or PG&E commitment to the NLC for this program.
INPO will be sending an accreditation renewal team to Diablo Canyon in August:1991.. Between now and l
then Training believes program-enhancements may be i
required.
Training.wants each maintenance-discipline _to provide a training coordinator who will maintain a' qualification matrix and who will identify to. Training precisely what training their discipline personnel require. Training y
will develop the lesson plans and present the training but believes the disciplines should be. responsible for?
what their pecple need to know..
Training will work'with E,-I&C and M maintenance'to develop a flow chart of the work order process to-assist Computer Engineering in'their:evabation of how they can develop 'a controlling module.
'The TRG will reconvene on Monday,. June 3, 1991 at 10:00 am PDT. The flow chart ~will be presented at that time.
The Electrical, ~ I&C, Mechanical _-and Work Planning Managers will be invited.
4.
The TRG reconvened on June 3,-1991 at'10iOO AM PDT in room 604. The meeting was conducted in accordance with the attached agenda.
Paul Dahan provided a copy of the Management SummaryLof--
l the TRG meeting for May 14,'1991. This material was reviewed by the members and comments were.provided..
91NCRWP\\91TRN044.PGD Page 17 of 26
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d NCR DCO-91 TR-N044-September 26,_1991 The meeting opened with a statement from the chairman, "Several comments were made about'the minutes from the May 14 meeting, and a corrected copy was'sent'in to-have the corrections made but<they have yet to~be completed. " The agenda.for June 3, 1991 was presented.
AGENDA ITEM 1..
Official document:"on of the root cause. The chairman f
presented the following information:
I l
Maintenance _ personnel who _have not met their qualification requirements are being assigned to perform tasks unsupervised _by qualified personnel.
This assignment is' performed by the individual foreman.
Contributing Factors:
o.
The program is to complex i
o Not enough-details >in the matrix o
Matrix-Qualifications-did-not meet.the PIM's entry o
When qualified workers performed work with unqualified personnel.: there was no documentation o
Auditing groups / Maintenance groups opinions differ.
in ' regard-to maintenance personnel qualifications l
The following items were-brought up later during the meeting:
o Ultimately update of the Qualification matrix o
Foreman not agreeing on the task qualification within a given work order. The TRG members-discussed this issue for 29-30 minutes.
Additional wording of the root 'cause was written on_the board by the chairman. After.
no agreement was' reached there'was a'short-discussion on the actual definition of a; root cause. The chairman and the TRG' members-did agree that the statement -
originally written by the chairman was the-real problem and the actual wording of the root cause would be determined ~at a later date.
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i NCR DCO-91-TR-N044-i September 26,.1991.
)
Examples of wording:
1.
Complete implementation 'of task ~ qualifications did-not occur in a' timely' fashion because of.the.
complexity of the qualification system.
i 2.
Qualification ma'trix was not effectively l
implemented.
QUESTIONS DURING THE DISCUSSION:
Do we have the information we need to determine the l
root cause?
l l
Are there any nonconformance problems associated with i
the assignment of non-qualified workers?.
I These questions were answered ~above.-
PRESENTATIONS:
AGENDA ITEN 2.
Jim Ekman presented a flow chart developed with Harry l
Phillips. The flow chart sequenced the activities-of a '
work order and an electronic search for personnel which' i
would be qualified.to perform each. work activity.
'l l
Ekman provided an example' process; involving an:
J adjustment of the' switch on a valve. performed by:
electrical maintenance.
The process'was discussed by the TRG members-and questions were directed to'Ekman.-
AGENDA ITEM 3 l
Bob Green presented how qualification records; l
appear in PIMS.- Bob showed how the screens-would.
be modified to accomplish the electronic.
' interface between the work order and the
- i training.
i
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f NCR DCO-91-TR-N044
- September 26, 1991; ASSIGNMENTS:
i 1.
Jim.Ekman.to meet with'thel senior instructors-toJ
- resolve any. differences in the application: of-training task.
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2.
J. Nystrom to schedule.a reeting with maintenance i
department managers'to agree:on the' concept to change the work. order. database to incorporate qualification codes..
3.
Paul Dahan was assigned'to. correct the TRG minutes' for all meetings, and send the-corrections out' for-review before the next scheduled meeting. However,
.it was-agreed that since they.are Paul's regular duties, no AE will be assigned to him.
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NEXT. TRG TO RECONVENE ON 06-25-91 9 10:00 AM.'
4.
THE TRG WAS RESCHEDULED TO JULY 9.'.1991 i
5.
On July 9.- 1991 at 10:00 AM the TRG reconvened and considered the;following:
A summary and~ update.of the previous meetings was' presented to reacquaint the members to the
~
history. process, Land ~ status ofithis TRG.
1 A.. At the first_TRG meeting:'
1.
An Agenda:was sent to the'TRG members with' actions.to be completed by and presented at-the first meeting. -
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2.
A Review of the NCR was conducted with the l
TRG members.
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3.
The Department Managers critiqued the Personnel.
i Qualification process and discussed the problems l
associated with:it.. (See attachment #1)-
4.
A Review of-the Performance AnalysisLdevelopedL by the Training department was conducted.
This performance analysis was~createdLtoLdetermine.
the knowledge'and understanding of the l
qualification program by the departments involved.
(See. attachment #2) '
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o NCR DCO-91-TR-N044 i
September 26, 1991 i;.
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This performance analysis is. composed of:
a.
10 questions about the qual. program, each question have preferred answers ~.
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- b..
Flow chart of the qual. process c.
Example WO was developed for each discipline,land" foreman were to select the. qualifications required and determine. qualifications 'of workers l
i 5.
This Performance Analysi; was given to the.
maintenance section directors to determine'and-i document the specific problems with' the qualification program...
B.
At the second TRG meeting:-
l 1.
A review and summary of the Performance Analysis was i
conducted and the results.were as foliows:
a.
Qualification tasks are not. hard fast.
(
.b.
The perceptions of required qualifications differ between foreman and departments.
j c.
The Qualification Matrix is different from department to department.
j d.
. Departments must own their respective training programs-e.
Workers are qualified by~ experience but-not'on paper.
2.
After some di::cussion the following Root cause.. was.
agreed by the TRG:
The qualification program was to difficult to i
constantly implement..
3.
Questions,. Suggestions, and proposed corrective actions Questions:
a.
Did PG&E commit to the NRC for'an accredited program on personnel qualifications?
b.
Did PG&E committed to INPO for an accredited-program on personnel qualification? '
j c.
Why do we have required' qualifications?
d.
Is there a way the WO coul_d tie back through _
PIMS to the qualifications of workers?-
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. NCR - DCO-91 -TR-N044 JSeptember 26,.1991 Suggestions'and corrective actions
- a. - Develop a flow. chart and determineLif a.
connection can be made between the W0 and.the' worker's quali fication ' program. _
- b..
Have-a department-training coordinator within each department to update the qualification.
matrix and identify the training requirem.nts.
C.
At the third TRG meeting:-
1.
'The TRG Meeting Minutes were reviewed.
2.
An' unsuccessful attempt was made to. finalize the wording of the root cause. The final root.cause determination was' moved.to,thelnext.TRG meeting.
3.
A Flow chart was presented, (see attachment #3).
4.
The suggested WO. screen. modifications were rrviewed..
5.
Tae.importance to' finalize.the wording of the Root.
fause by the TRG was stressed.. Determination,Ewording, and documented root cause-statements need to be addressed.
6.
The following information on the. Root Cause.was-presented by the TRG'chairmani a.
Root'cause ' industry definitions,lfrom INPO Training,J(see attachment #4).<
b.
Root cause. definition and root'cause determination ~per NPAP.C-26, (See attachment,#5).
7.
The root cause ' definitions and attachments #1, #6, and
- 7 were reviewed by the-TRG.
These' attachments were copied directly from'DCO-91-TR-N044. The TRG" reviewed this material' and agreed.upon the' following:
a.
ROOT CAUSE STATEMENT'TO BE:-
THE QUALIFICATION PROGRAM WAS TO DIFFICULT TO CONSISTENTLY IMPLEMENT.
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- o NCR DCO-91-TR-N044 September 26, 1991 l
b.
CONTRIBUTORY CAUSE STATEMENT:
FOREMEN HAVE ASSIGNED TASKS, WHICH REQUIRE QUALIFICATIONS, TO PERSONNEL WHO-HAVE NOT MET THE REQUIRED QUALIFICATION DUE TO THE COMPLEXITY 0F THE QUALIFICATION PROGRAM THERE IS INSUFFICIENT TRAINING, QUALIFICATIONS AND RESOURCES.
The TRG members reviewed the attachments 1, 6, 7, and compared that information to the two statements above. They agreed to drop item b.iii and item c.ii on attachment #1 and item 5 on j
attachment 6.
8.
The TRG agreed that the importance of the qualification j
process was not stressed enough and did not receive the i
sufficient attention in the years 1980 and 1990. The latter part of 1990 and 1991 have shown significant improvement and understanding of the program by upper management and supervision. The importance has been stressed and has drawn the needed attention from director to director.
9.
A TRG member questioned the findings listed in the latest surveillance.
The member requested a revision to the surveillance.
It is believed the NCR would not exist if the surveillance is revised. A QC member 4
stated: AR's have been written for over 2 months based on the surveillance.
None of these AR's have been answered.
Should these AR's be answered with some i
basis for corrective actions, QC will evaluate the information and determine if the surveillance needs to be revised.
It was agreed that these actions are to be completed outside the TRG.
If the surveillance requires revision, these issues would be addressed at that. time.
- 10. The corrective actions were brain stormed by the TRG.
Each corrective action is to be evaluated against the root cause and contributory statements.
There is no action to be taken on these corrective actions at this time.
With the exception of the actions on PIMS to be completed by Computer Engineering, to allow the review of qualifications and training.
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NCR DCO-91-TR-N044 September 26,-.1991, l
Below is the list of suggested corrective actions that-have been agreed upon:
't
- o Simplifying the q'ualification' matrix;.
o Splitting mechanical.' and ~ electrical training. procedures.and training personnel.:
o Revising the maintenance: supervisor.
training; program to inc1 de the-9 qualification. matrix material.
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- o Establishment of. section training.
coordinators..
o. Departmental. instructions: on how to use' the qualification program.-
o The work order process connected.to the qualification program has.been placed on hold:
until further data can be gathered.
o _Each section to complete the basic; qualification requirements.:
identified by the TRG-as.the most. important issues to be reviewed 1
- 11. Actions to be taken:
o Evaluate the corrective action suggestions and determine effectiveness.
o CE is to develop:a schedule.and 'present this information~.to the' Chairman.
This schedule shall include the. target completion _ dates for/the
' development, input, and' testing of the PIM's l
system before Aug 5.
- 12. THE NEXT TRG MEETING IS' SCHEDULED TO' RECON'VENE ON 1
AUGUST. 13, 1991.
6.
The TRG meeting date has been changed:from August. 13, 1991.
q to August 15, 1991 at 1:00 PM.
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NCR DC0-91-TR-N044 September 26, 1991~
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7.
The TRG met on August 15, 1991, and associated the.
identified corrective actions to each of the root' and-contributory causes for each department as noted in-the.
above minutes. The TRG discussed thel problems associated i
with~ first line supervision implementation of the training requirements..The TRG concluded'that this TRG is limited to-procedural controls'and progranaatic functions associated '
with personnel qualification training.. Limiting the scope-is determined prudent due to. overlapping. responsibilities, authorities and other PG&E' programs regarding' union j
management interaction that are not within the TRG's control.
-l The TRG discussed the problems and potential-solutions i
associated composite work.and composite work groups to.
assure that qualified personnel are working each job and n
appropriate signatures are recorded. The TRG chairman will prepare a review of the applicable' procedural requirements.
t regarding signature authority and responsibilities for the next TRG to help correct possible misconceptions and support a consistent implementation policy. '(Refer to-JDTownsend Letter re:
Signature authority:and responsibility...
The TRG will reconvene September 3,'1991.
8.
The TRG meeting date has been changed from September 3, 1991 to September 26, 1991 at 2:30 PM.
9.
The TRG reconvened on September 26, 1991 and considered the following:
l a.
Reviewed the suggested corrective actions'and revised j
l them to make them corrective' actions to prevent recurrence.
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b.
15 corrective actions were reviewed and issued of which 5 were completed.
c.
4 Prudent actions.
I d.
Radiation Protection and Chemistry to get together and determine if the individual.
checklists are correct and each sign off ~is appropriate.
i NCR to go to PSRC within two weeks from the TRG.
NCR to be closed by 01/31/92.
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A NCR DCO a'-TR-NOA4
' 'i September 26,-1991-I.
Remarks.
' i None.
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. Attachments:.
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