ML20140B685

From kanterella
Jump to navigation Jump to search
Insp Repts 50-373/97-03 & 50-374/97-03 on 970207-0321. Violations Noted.Major Areas Inspected:Licensee Operations, Maint,Engineering & Plant Support
ML20140B685
Person / Time
Site: LaSalle  Constellation icon.png
Issue date: 05/20/1997
From:
NRC OFFICE OF INSPECTION & ENFORCEMENT (IE REGION III)
To:
Shared Package
ML20140B670 List:
References
50-373-97-03, 50-373-97-3, 50-374-97-03, 50-374-97-3, NUDOCS 9706060291
Download: ML20140B685 (80)


See also: IR 05000373/1997003

Text

{{#Wiki_filter:'

          .
      .
     -
                              U.S. NUCLEAR REGULATORY COMMISSION

3

 -
                                                  REGION lli

i

, Docket Nos: 50-373,'50-374

                 License Nos:         NPF-11, NPF-18                                    '
                                                                                        !

4-

                 Report Nos:          50-373/97-03, 50-374/97-03                        l

.

                                                                                        !
                 Licensee:            Commonwealth Edison Company
                 Facility:            LaSalle County Station, Units 1 and 2
                 Location:            2601 N. 21st Road                                 !
                                      Marseilles, IL 61341
                                                                                        r
                 Dates:               February 7 - March 21,1997                        )
                                                                                        !
                 Inspectors:          M. Huber, Senior Resident inspector
                                      J. Hansen, Resident inspector
                                                                                         l
                                      C. Mathews, Illinois Department of Nuclear Safety  <
                 Approved by:         Marc Dapas, Chief, Projects Branch 2
                                      Division of Reactor Projects
                                                                                         1
                                                                                         i
                                                                                         l
                                                                                         l
                                                                                         l
                                                                                         l
                                                                                        I
                                    ~
        9706060291 970520                                                                l
        PDR  ADOCK 05000373                                                              i
        O                  PDR
  _ _ . _     .- _. . _ . _ _ _                   _ . _ _           . _ _ _ _. _ _ _ .. _ . .. _ _ _ _ _ .
i .
:       .                                                                                                                   i

3  !

                                                             . EXECUTIVE SUMMARY
       -

7 i .-

  • !
                                                          LaSalle County Station, Units 1 and 2

,

            '
                                        NRC inspection Report 50-373/97-03(DRP): 50-374/97-03(DRP)                          {
                                                                                                                             ;
                                                                                                                            i

^ This inspection included aspects of licensee operations, maintenance, engineering, and  !

                plant support. The report covers a six week period of inspection activities conducted by                     l

l the resident staff. I (  ;

                                                                                                                             '
                                                                                                                             ,
                Licensee performance during this inspection period was characterized by human                                j

j- parformance errors, inadequate procedures, missed Technical Specification surveillances, l '

                and additional examples of previously identified problems with performing design changes                     ;

. '

                outside of the modification process. In one instance, licensee management identified                         i
                maintenance process problems in the General Electric SBM (switchboard, miniature) switch                     '

, . replacement project and decided to stop the work to correct the problems. i

                                                                                                                          >

t i Plant Operations

                                                                                                                              j

l l l- * The inspectors identified a violation for failing to notify the NRC of the permanent ,

                                 reassignment of a licensed individual to a position which did not require a license.        j
The inspectors also identified that the status of licenses could not be readily verified j
;                                by the shift manager, informal communications were used to inform site personnel           i
of changes in license status, and lists used to control licenses were inaccurate. No  ;
instances were identified where an operator inappropriately assumed a licensed l

j- position. (Section 01.2) ' 4

                e'              ~ While operators generally followed procedures, the inspectors identified two              I
                                 examples of procedural violations while evaluating emergency diesel generator
                                 testing. One instance invalidated a completed surveillance and required an
additional run of an EDG. In addition, poor procedures caused delays in the EDG

j- testing evolutions observed by the inspectors and unnecessarily challenged 4 operators. (Section'02.1)  !

                *                The inspectors observed the licensee's response to a high lake level which was

, above the flood level analyzed in the Updated Final Safety Analysis Report

                                _ (UFSAR). Plant personnel responded adequately to the event once the problem was -

.

                                 identified. Howeveriseveral conditions contributed to the event including poor
,                                material condition of the lake'make-up and blowdown systems, operator

i complacency regarding operation outside of normal procedure bands, and incorrect '

                                 acceptance criteria in the operator rounds procedure. The problems leading up to

,

                                 the Unusual Event, which resulted from the high lake level, indicated that operators
                                 were still not identifying plant problems and demanding their resolution. Incorrect
.                                acceptance criteria in the operator rounds procedure was considered a violation.
                                 (Section 02.2)

4 4 l 2 i

                                                                                                                               1
                                                                                   e
                                -      -    . - -        _ _ .  -                _       _

'

     ,
                                                                                                     ;
 .
 -     *
             A Technical Specification violation was identified by the inspectors for the failure to
             perform required testing of the 1 A residual heat removal (RHR) pump shutdown           ,
             cooling suction valve,1E12-FOO6A, within the required test interval. Operations         '
             personnel lacked attention to detail when reviewing the surveillance procedures.         l
             (Section O2.3)                                                                           I
       *
             The inspectors observed an operator removing a breaker from service without
             having the required procedure available at the work location. This was an
             additional example of the violation issued in NRC Inspection Report 96018 for
             failing to follow procedures (50-373/97018-02; 50-374/97018-02). The inspection
             also revealed that operators did not know the expectation regarding the use of
             " reference use" procedures. (Section 03.1)
       Maintenance
                                                                                                      i
       *
             The inspectors observed post-maintenance testing for the 1 A EDG. Two equipment          )
             deficiencies were identified by the inspectors and the licensee during the diesel
             testing. Rework of the Jacket water cooling heat exchanger, service water flange
             gasket which had been replaced while the diesel generator was out-of-service,           ,
             resulted from inadequate maintenance practices. In addition, the licensee identified     I
             that inappropriately sized fuses had been installed in the EDG ventilation exhaust       :
             damper control circuitry. (Section M1.1)                                                !
       *     Licensee management stopped work associated with the General Electric SBM
             (switchboard, miniature) switch replacement project. Although this was considered
             an appropriate action, the deficiencies that resulted in the stop work order indicated
             that previously identified weaknesses within the licensee's maintenance processes
             continued to exist. (Section M1.2)
       *     Instances of poor housekeeping were identified by the inspectors during tours of
             high radiation and high contamination areas. Most of the poor housekeeping was
             related to maintenance work practices and not cleaning the area after completing
             work. (Section M2.1)
       *     The inspectors identified a violation regarding work instructions for inspecting the
   1         steam tunnel check dampers that did not contain appropriate qualitative or
             quantitative acceptance criteria. (Section M3.1)
       *     Required surveillanca testing of the Unit 1 RHR pump 1 A discharge high/ low
             pressure switch was not performed within the required time interval because a
             work control scheduler failed to follow the scheduling procecure. The inspectors
             determined that the failure to perform the surveillance testing was a Technical
             Specification violation. (Section M3.2)
       Enaineerina
       *     The licensee reported to the NRC in Licensee Event Report number 96019 that two
             RHR system containment spray isolation valves had not been tested according to
                                                     3
       _ __.     _      .            .. _ . . . -
                                                  . _ . _ _ . _             __ _ . _ . . . . . _ _ _ _ _ . _ _ _ _ _ . . .
 -    .
                                                                                                                              l
                                                                                                                              i
   P.                                                                                                                         !
                                                                                                                              !
                                                                                                                              t
                                                                                                                              f
   -
                    ASME Section XI requirements due to personnel error. The inspectors concluded                             i
                    that the actions taken by the licenses following identification of the missed
                                                                                                                              {
                    surveillance test were appropriate. The inspectors determined that failure to test                        ;
                    the valves was a Technical Specification violation. (Section E1.1)
                                                                                                                              l
             *
                    Two violations were identified by the inspectors regarding the licensee's failure to                      f
                    use the design change process to replace the cooling lake blowdown flow
                                                                          .
                                                                                                                              l
                    instrumentation. In addition, subsequent calibrations of the instrumentation were
                    not performed by the licensee using approved contractors or procedures. The fact                          !
                    that the replacement and calibration of the flow instrumentation should have been
                    performed using appropriate procedures was not recognized by the licensee.                                !
                    (Section E2.1)                                                                                            !
                                                                                                                              1
             *
                    The licensee identified that a modification to the actuation logic for the main control
                                                                                                                              l
                    room atmospheric control system (MCRACS) in 1993 created an unreviewed safety                             l
                    question. The licensee also identified that the modification to the MCRACS
                    actuation logic created a condition where the system would not meet single failure
                    criteria per the design basis described in the UFSAR. Two apparent violations were                        ,
                    identified by the inspectors for the failure to perform an adequate design change.
                    (Section E2.2)-
                                                                                                                             l
             E[gnt Suonort                                                                                                    i
             *      The inspectors toured several high radiation and high contamination areas with the                        !
                    support of radiation protection technicians. The technicians were knowledgeable of
                    the plant and radiation protection practices. (Section R4.1)
                                                                                                                              !
                                                                                                                              ,

I

                                                                                                                              L

k i

                                                                  4
                            .. - . .                            -
                                                                    - . .                       -.                         ,
                                                                                                              i
        .-_                                                                                                   ;
            ,
          -
                                                                                                              l
         -
                                                         Report Details                                       !
                                                                                                              i
                Summarv of Plant Status                                                                        '
                Unit 1 was in a forced outage for the entire inspection period and Unit 2 remained shut
                down for a refueling outage. The licensee continued to keep both units shut down to
                perform design basis configuration reviews and to address equipment and human
                performance problems.
                Exercise of Discretion
                Four violations (or individual examples of violations) described in Sections 01.2, M3.1,
                E1.1, and E2.1 of this report are based upon licensee activities which were identified after
                but occurred prior to the licensee announcing, in December 1996, an extended shutdown
                of the LaSalle County Station. These violations satisfy the appropriate criteria in
                Section Vll.B.2, " Violations identified During Extended Shutdowns or Work Stoppages" of
                the " General Statement of Policy and Procedures for NRC Enforcement Actions"
                (Enforcement Policy), NUREG 1600, and Notices of Violation (NOV) are not being issued
                for these particular violations. The violations described in Sections 01.2 and M3.1 of this
                report were not identified by the licensee and, while the violations described in Sections
                E1.1 and E2.1 were identified by the licensee, the identification was not a result of a       i
                comprehensive program for problem identification and correction that was developed in
                response to the shutdown. However, the other criteria in Section Vll.B.2 of NUREG 1600
                were mat, which allows enforcement discretion to be applied. Specifically, in reference to
                the four violations, enforcement action was not considered necessary to achieve remedial

j action, the violations would not be categorized at Severity Level 1, and the violations were j not willful. In addition, actions specified in Confirmatory Action Letter Rlli-96-008B

~ effectively prevent the licensee from starting up LaSalle County Station without implicit {
NRC approval. j

l 1

                                                                                                              !
1. Operatio.ng

'

                01      Conduct of Operations

3 i 01.1 General Comments (71707)

.                       The inspectors conducted frequent reviews of ongoing plant operations using

[ . Inspection Procedure 71707. Walkdowns were performed in the main controi j room, emergency diesel generator (EDG) rooms, the auxiliary electrical equipment  : ! room (AEER), safety-related ' pump rooms, the reactor building including the drywell, l . the turbine building, and the radwaste facility. The inspectors also observed and j discussed plant status and pending evolutions with shift personnelin the control

                        room.
;

<

1

-

                                                                5
>

! !

  . . .       _
                               . - -              .. -    -
     . . - ~ ~ - . ~ ~                    . ~       . - - - -       . - . . - -      . . - . - . - - . - -   . - . - -.
 *
               ,
                                                                                                                          ,
    ..                                                                                                                    l
                                                                                                                          i
                                                                                                                          !
   -
                     01.2 Ooerations Shift Staffino and Operator Licensina Proaram Weaknesses
                        a.  insoection Scone (71707)                                                                      l

'

                                                                                                                          i

( The inspectors interviewed operators, operation's shift management, and operations  ! j  ? and training staff personnel to assess the adequacy of administrative controls for I

                            licensed operator staffing of shift crews. The inspectors also reviewed procedures            j
                            delineating the controls in place for operator licenses. The inspectors reviewed              !
                            documents including:                                                                          l
                                                                                                                          ;
                                                                                                                          '
                            *      LaSalle Administrative Procedure (LAP) 200-3, " Shift Change," Revision 28
                            *      LAP-2OO-10, "NRC Operator License Active Status Maintenance and
                                   Reactivation," Revision 3
                            *      Administration and Course Management instructions (ACMI) for Licensed
                                   Operator Requalification Program, Revision 11
                        b.  Observations and Findinos                             I
                                                                                                                           i
                            The inspectors identified several weaknesses during the review of shift staffing and          j
                            controls for operator licenses which included:                                                -
                            *      Shift managers could not read lly verify that operators were meeting
                                   administrative and license requirements when the operators assumed shift
                                   duties. While shift management ensured that required shift positions were
                                   manned, the status of the licenses of the operators in those positions could
                                   not readily be verified by shift management. The operations department
                                   timekeepers maintained records of the amount of time that operations
                                   employees worked and were also responsible for determining which
                                   operators met the requirements for maintaining an active license. However,
                                   the timekeepers were not ' required to provide shift management a copy of
                                   the list of active licenses. Without a list of operators with active licenses,
                                    operations shift management could inappropriately place an individual with
                                   an inactive license in a position requiring an active license.
                            *       Informal electronic communication (E-mail) was used to inform the
                                   timekeepers that an operator could not be scheduled for work in a licensed
                                    position due to medical problems or training issues. However, operations              ,
                                                                                                                           '
                                    management was not notified when an operator was no longer qualified to
                                    work in a licensed position. The informal'means of communicating that an
                                    operator could not w'ork in a licensed position added to the possibility that
                                    an individual could be inappropriately assigned to an active position.
                                                                            ,
                             *      One senior reactor operator (SRO) who was licensed on January 22,1997,
                                    was not added to the list of operators who needed to be enrollod in the               l
                                    requalification training program.
                             *      Tl e inspectors identified two problems with the licensee's list of licensed
                                    operators. In one instance, an individual was still listed as a licensed
                                                                                s
                                                                           6                                              1
                                                                                                                          i
                           N                                  _
                                                                  ,                -       .                            ,
 .        .        __       .       ._ - __        _    _ _.        _         __                 _. _
 '
     .
   .
   -
                operator but his license had been terminated by the NRC following receipt of
                a letter dated June 26,1996, requesting license termination. In the second
                instance, on May 23,1996, licensee management decided to relinquish the

, license for an individual and the operator's name was removed from the list

                of licensed operators. However, the licensee did not request termination of
                the license from the NRC. The operator failed the written and operational

, annual requalification examinations in May 1996 and the licensee's j

               Operations Training Review Board, in conjunction with the individual,                  '
               decided the license would no longer be required. The individual did not
               attend requalification training or perform any licensed operator duties
               following the decision. Also, his name was removed from the licensee's
               license tracking system. However, due to new personnel assigned in the
               training department and inadequate guidance in the ACMI for the Licensed
               Operator Requalification Program, the NRC was not notified by the licensee
               within 30 days that his license needed to be terminated, as required by
                10 CFR Part 50 74(a). The failure of the licensee to notify the NRC within
               30 days that a licensed individual had been permanently reassigned from a
               position where his license was required was considered a violation of
                10 CFR Part 50.74(a).
       The licensee initiated the fe" uing corrective actions after the problems were
       identified by the inspectors.
       *       In a letter dated March 5,1997, LaSalle County Nuclear Station personnel               )
               notified the NRC that the individual who failed the written and operational
               requalification examinations would no longer require his license and,
               therefore, the license may be terminated.
       *
               The operations training department was planning to revise the Licensed
               Operator Requalification Program description to address the specific steps
               that need to be taken when a license is voluntarily relinquished or when it is
               terminated for cause. This revision would also address specific
               responsibilities of the licensed operator training staff and contain a check list
               for verifying compliance with operator licensing requirements. The licensee
               plats to complete the revision and conduct an orientation for the department
               administrative assistant and operations training staff by April 21,1997.
       *       The licensee planned to combine the requirements for terminating a license
        "
               due to training issues and the requirements for license termination or                  !
               restriction due to medical reasons into one training department instruction.            l
               The instruction is intended to provide appropriate guidance on required
               activities and responsibilities. The licensee planned to develop the                    !
               department training instruction and conduct an orientation for the                      l
               department administrative assistant and operations training staff by June 23,
                1997.                                                                                 I
       *       Training Department instruction 204, " Trainee Performance Review                       l
               Process," was being revised to assure that the department administrative                !
                                                 7
                                                                                                       l
                                                                                                       i
                                                                                                       i

, _

         ,
           _ _ . . _ . . _ _ _ _ _ _ _ . . . _ _ _ . _ _ _                                      . . _ _ _ _ _ . _ _ _ _ _ . .,
                                                                                                                              o
 -                                                                                                                            ,
       ,
   -
                                                                                                                              l
                                                                                                                            -!
  *
                                                                                                                              !
                                       assistant was informed of pending review boards and to provide direction               ;
                                       regarding the administrative assistant's responsibilities following each board         '
                                       meeting. This revision was scheduled to be completed by April 1,1997.                  l
                                                                                                                              .
                         The inspectors verified that the licensee was following the progress of these items
                        through their established tracking system.
                                                                                                                              ,
             c.          Conclusions
                        While weaknesses were identified with the licensee's administrative controls for                      l
                         licensed operator staffing of shift crews, the inspectors did not identify instances                 ;
                         where an individual with an inactive license inappropriately assumed a shift position
                         requiring an active license. The inspectors reviewed the licensee's corrective
                         actions in response to this issue and consider them adequate.
           02-           Operational Status of Facilities and Equipment
           02.1 Procedural and Ocarator Performance Deficiencies durina Emeroenev Dieue!
                         Generator (EDG) Testina
             a.          Insoection Scone (71707)
                        The inspectors observed post-maintenance and surveillance testing for the 1 A and
                         2A EDGs and reviewed documentation from the most recent surveillance test
                        performed on the O EDG Procedures reviewed by the inspectors included:
                        *
                                       LaSalle Operating Procedure (LOP) DG-02, ." Diesel Generator Startup and
                                       Operation," Revision 22
                        *              LOP-DG-04, " Diesel Generator Special Instructions," Revision 21
                        *
                                       LaSalle Operating Surveillance (LOS) DG-M1, "O Diesel Generator Operability
                                       Test," Revision 32
                        *.             LOS-DG-M2, "1 A (2A) Diesel Generator Operability Test," Revision 34
                        *
                                       LaSalle Maintenance Surveillance (LMS) DG-01, " Main Emergency Diesel
                                       Unit Surveillances," Revision 16
             b.         Observations and Findinas
                        Planned testing of the 1 A EDG was delayed several times during this inspection
                        period due to procedural problems. One of the planned tests, LMS-DG-01, had not
                        been reviewed by engineering or operations personnal until just before the                            j
               ,        scheduled run time. As people were gathering in the control room for the                              i
                        " heightened level of awareness" (HLA) briefing for the control room operators and
                        involved engineering and maintenance personnel to discuss the testing activities,
                        control room operators determined that LMS-DG-01 would need to be revised to
                        address minor changes which had been initiated by the system engineer in the fall
                        of 1996. Other planned tests, including LOS-DG-M2 and LOP-DG-02, had been
                        previously updated to address the changes initiated by the system engineer, but
                        LMS-DG-01 had not been revised and could not be performed as written.                                 l
                                                                                                                              j
                                                                                            ~
                                                                      8
                                                                                                                              I
 ..
       ,
     .
   -
          Operators encountered a delay in performing another planned test of the 1 A EDG
          per LOS-DG-M2 after completing the pre-start checklist for this procedure. A non-
          licensed operator identified that the switch nomenclature in LaSalle Special Test
          (LST) 96 283, " Diesel Generator 1 A Generator / Engine Control Switch (1HS-DG013)
          Replacement Logic and Functional Test," Revision 0, did not accurately reflect the
          labeling on installed switches. The system engineer had used the nomenclature
          from plant electrical schematic diagrams rather than the nomenclature that existed
          in the plant during the development of the LST. Many of the labels in the plant had
          been changed due to a recent label upgrade program which had been completed for
          the 1 A EDG. Operations personnel performing portions of the test in the EDG room
          correctly identified the discrepancy and initiated a. procedure change. The label
          discrepancies increased the chance for error and placed an additional burden on the
          operators to screen the procedures for adequacy.
          In addition, the inspectors identified that the operator performing surveillance
          testing of the 2A EDG on March 3,1997, incorrectly recorded the time that the
          EDG reached its rated load of 2400kw rather than the time that the output breaker
          was closed. Step E.13.12 of LOP-DG-02 requires the operator to make appropriate
          entries in Attachment E, " Diesel Generator Start and Run Log," of LOP-DG 02.
          Section 3 of Attachment E to LOP-DG-02 requires the operator to log the time that
         the output breaker is closed, not the time that the EDG reaches rated load. The
          operator recorded the time that the EDG reached its rated load of 2400kw to
          ensure that Technical Specification requirements for testing the EDG at rated load
         were met. The operator's failure to record the time that the output breaker was
         closed during the 2A EDG testing as required by procedure is a violation of
         Technical Specification 6.2.A.a, as described in the attached Notice of Violation
          (50-373/97003-01a: 50 374/97003-01a). On a different occasion, the inspectors
         observed a different operator using LOP-DG-02 to test the 1 A EDG. The operator
         recorded the time that the output breaker was closed as required by the procedure,
         which indicated that the inappropriate logging practice exhibited by the one
         operator was not a common practice for all operators.
         The inspectors also identified one instance where the O EDG was not operated at
         rated load for greater than or equal to 60 minutes as required by LOS-DG-M1. The -
         stated purpose of LOS-DG-M1 is to demonstrate that the O EDG can be started add
         operated at rated load for at least 60 minutes, although there are no procedural
         steps in LOS-DG-M1 to record the run time at rated load. Step 3.12 of Attachment
         A to LOS-DG-M1 requires the operator to record engine data on Attachment C2 of
         LOS-DG-M1 after the EDG has been loaded for at least (1) one hour .QB reached
         thermal equilibrium (which ever time is greater). The inspectors reviewed the
         results of the surveillance test performed per LOS-DG-M1 on February 27,1997,
         and determined that the EDG was not operated at rated load for greater than or
         equal to 60 minutes as required by the procedure. The EDG was operated at rated
         load for 56 minutes, which invalidated the surveillance test. The failure to operate
         the O EDG for at least one hour at rated load as required by test procedure
         LOS-DG-M1 is considered a violation of Technical Specification 6.2.A.a, as
         described in the attached Notice of Violation (50-373/97003-01b;
         50-374/97003-01b). The licensee reviewed test data for all EDG surveillance tests
                                                   9
 - -               --        -          - . - - - _ -.-- - - - -                              . - -.-.- - ._~ .       .

. .< ,. , .

        .
                                                                                                                        ,
                                                                                                                        i

! l

      -
                               conducted since January 1996 and did not identify any other test where the EDG           .
                             .was not run at rated load for the required time period,                                   j
                       c.      Conclusions
                                                                                                                        f
                               Several problems were encountered by operators when attempting to conduct EDG            l
                               testing. The operators were unnecessarily challenged with procedures which other         !
                               work group: had not recently reviewed for deficiencias prior to the scheduled            ,
                               activities. While the operators normally followed procedures, in two separate            ;
                               instances identified by the inspectors, the operators did not follow procedural
                               requirements and performed steps incorrectly. This resulted in the invalidation of a
                                                                                .
                                                                                                                        l
                               completed surveillance test and an additional run of an EDG.                             i
                                                                                                                        !
                      02.2 - Inadeauste Accentance Criteria Results in an Unusual Event for Hiah Coolina Lake           l
                               5                                                                                        ,
                                                                                                                        ,
                       a.      inspection Scone (71707)
                                                                                                                        [
                               The inspectors observed the licensee's actions following the Unusual Event that
                               resulted from a cooling lake level which was above the level analyzed for flooding in    !
                               the Updated Final Safety Analysis Report (UFSAR). The inspectors reviewed lake
                               level trends, shiftly surveillance data, and discussed the event with plant personnel.   i
                               Documents reviewed included:                                                             ,
                                                                                                                        i
                               *        LOP-WL-04, " Lake Level and Blowdown Flow Control," Revision 11                 ;
                                        LOS-AA-S1, "Shiftly Logs," Revision 56
                                                                                                                        '
                               *
                       b.      Observations and Findinas
                                                                                                                        ;
                               On March 1,1997, a maintenance worker initiated a Problem identification Form
                               (PlF) due to his concerns with cooling lake level being nearly 2 feet greater than the   ,
                               top of the normal level band of 699.5 to 700 feet. On March 11,1997, a second            l
                               PIF initiated by engineering personnel identified that the LaSalle County Station
                               Final Safety Analysis Report (FSAR), Amendment 24, question 010.10, states that
                               the lake level will not exceed 701 feet except during a once in one-thousand-year
                               flood. The PlF also stated that flood protection was provided for elevations up to
                               701 feet to prevent internal plant flooding from the cooling lake should a break
                               occur in water system piping located in the plant, as specified in UFSAR
                               Section 3.11.1.4.2 (interior floods). An Unusual Event was declared by operations
                               management on March 11 due to the lake level being at 701.8 feet. The high lake
                               level placed the units in an unanalyzed condition.
                               Following declaration of the Unusual Event, several compensatory actions were
                               taken by the licensee. The technical support center was staffed by licensee
                               management, operations, and engineering personnel to assist the operations
                               department during the event, the lake discharge valve was repaired and opened to
                               initiate approximately 38,000 gpm blowdown flow, and a root cause investigation
                               was initiated.
                                                                        10
          ~, ,,           -                          -

__. . . . . .- -- - - .. . .- _ - _ _ .

   '
          .
      .
     -
              Several problems which preceded the Unusual Event were identified by the
              inspectors and the licensee including:
              *
                     Incorrect acceptance criteria for maximum lake level existed in LOS-AA-S1.
                     Step F.2 of LOS-AA-S1, required that Attachment C and C-1 to LOS-AA-S1
                     be completed when the plant was in Operational Condition 4, which was
                     applicable at the time of the event. Attachment C-1, "Shiftly Control Room
                     Back Panel Check For Operational Condition 4," Step 2.c, inappropriately
                     used 701.7 feet for the high lake level acceptance criteria. Also, LOP-WL-04
                     did not specify a maximum high level, but indicated that the lake should be
                     maintained between 699.5 and 700 feet and would overflow the spillway at                 !
                     702.5 feet. Although the lake levellimit of 701 feet was discussed in the                i
                     UFSAR and in operational evaluations for flooding completed as recently as               l
                      1995, the 701 foot limit was not incorporated into either of these operations           l
                                                                                                              '
                     procedures. The inspectors considered the failure to incorporate appropriate
                     acceptance criteria into the shift log procedure LOS-AA-S1 an example of a               j
                     violation of 10 CFR Part 50, Appendix B, Criterion V, as described in the                ;
                     attached Notice of Violation (50-373/97003-02a: 50-374/97003-02a).
                                                                                                              1
                                                                                                              1
              *
                     Operations personnel had become complacent with operating outside of the
                                                                                                              '
                     specified operating band in LOP-WL-04 and did not generate a PlF when the                i
                     level could not be maintained within the band. The inspectors reviewed                   l
                     records of the lake level that existed between January 1,1996, and
                     March 1,1997, and determined that operators maintained the lake level
                     above the normal operating level band limit of 700 feet approximately
                     75 percent of the time. The operators had not requested a change to the
                     operating band specified in the procedure or that the cause of the problem
                     be fixed when level could not be maintained in the normal operating band.
              *      Operations personnel accepted the poor material condition of the cooling
                     lake blowdown line discharge valve and the lake makeup system. Operators
                     were reluctant to secure the cooling lake makeup pumps due to concerns
                     with the structuralintegrity of the makeup piping and the knowledge of the
                     amount of work required to restart the pumps. In addition, the blowdown
                     valve frequently required repairs and no one demanded a permanent fix for
                     the valve. Due to hesitancy by operators to secure the running makeup
                     pumps, the lake level continued to increase for 14 days with no expediency
                     being placed on repair of the discharge valve. The valve was repaired and
                     opened within two days following the declaration of the Unusual Event.
              *      Trending of the lake level was not performed by the operations or -
                     engineering department personnel. Trending would have indicated that
                     continuing to run two makeup pumps with the lake discharge valve closed
                     would result in a rapid filling of the lake to the upper limit (701.7 feet)
                     specified in the shift logs procedure. Trending would have provided
                     additional information and may have prompted a decision to take earlier
                     action to prevent the lake level from rising further.
                                                      11
                                            _ _ _ _ _ _ _ _ _ _ _ .
    .
  .
 -
       c.    Conclusions
             The compensatory measures and immediate corrective actions taken after the
             licensee identified that the station was in an unanalyzed condition were good.
             However, several opportunities existed to rectify the situation prior to the event,
             indicating that the operations department personnel were not identifying problems
           . and demanding their resolution.
      02.3 Missed Technical Snecifiestion Surveillance due to Failure to Follow Procedures
       a.    Insoection Scone (71707)
             The inspectors reviewed an instance in which required testing of the 1 A residual
             heat removal (RHR) pump shutdown cooling suction valve,1E12-FOO6A, was not
             performed within the required time interval. The inspectors discussed the issue
             with operations and engineering personnel and reviewed the results of the -
             licensee's investigation and the following procedures:
             *       LOS-RH-Q3, "RHR (LPCI) and.RHR Service Water Valve inservice Test for
                     Cold Shutdown or Refueling Condition," Revision 26
             *       LAP 100-11, "LaSalle County Station General Surveillance Program,"
                     Revision 14
             r       LAP-100-29, " Conduct and Review of Station Surve'illances," Revision 6
       b. Qbservations and Findinas
             On February 28,1997, the licensee identified that required testing of the 1 A RHR
             pump shutdown cooling suction valve,1E12-FOO6A, had not been performed within
             the required frequency. Operators satisfactorily tested the valve on October 6,
              1996, and another test was scheduled for December 23,1996. However, plant
             conditions prevented operators from testing the valve during a partial completion of
             LOS-RH-Q3 on December 23. In addition, operators did not test the valve during a
             second partial performance of LOS-RH-03 on December 29 because the procedure
             step for testing the valve was incorrectly rnarked as "not applicable" (N/A) by the
                   _
             work control center (WCC) SRO. The WCC SRO also incorrectly marked the test
             cover-sheet as a "whole test" completion. The Unit Supervisor reviewing the test
             did not correct the cover sheet to indicate the test was only partially complete.
             The two partially complete surveillance tests performed on December 23 and 29,
              1996, were combined and inappropriately annotated by the operations surveillance
             coordinator to indicate that both tests constituted satisfactory completion of the
             entire test. He did not ensure the untested valve was recorded in the degraded
             equipment log (DEL) as required by LAP-100-29, Section F.9 and LAP-100-11,
             Section 3.a. Recording the valve in the DEL would provide a mechanism to monitor
             the status of the valve and ensure that the valve would be appropriately tested at a
             later date.
             On February 28, the inservice inspection (ISI) trend analyst identified that the 1E12-
             FOO6A valve had been excluded from the tests and that the maximum allowed
                                                               12
-.-

-

       .
     .
    -
               extension of the specified quarterly test interval had been exceeded. The maximum
               allowed extension is defined in Technical Specification 4.0.2 as 25 percent of the
               specified surveillance interval. When the ISI trend coordinator determined that the
               valve was not tested as required, he informed the Shift Manager who took
               appropriate actions. The failure to test the 1 A RHR pump shutdown cooling suction
               valve,1E12-FOO6A, within the required surveillance interval is considered a
               violation of Technical Specification 4.0.5, as described in the attached Notice of
               Violation (50-373/97003-03). Valve 1E12-FOO6A was stoke timed satisfactorily on
               March 29,1997, during a realignment of the RHR system.
          c. Conclusions
               Operations personnel lacked attention to detail during test preparation and did not  I
               fully review the partial surveillance tests to ensure that valve 1E12-FOO6A had been  '
               tested. The errors made by the shift manager and the operations surveillance
               coordinator reflect human performance deficiencies that the licensee has been
               attempting to correct.
         03    Operator Knowledge and Performance
                                                                                                     l
         03.1 Operator Racked Out Breaker Without the Operatina Procedure at the Work               !
                                                                                                    '
               Location
          a.   Insoection Scone (71707)
               The inspectors performed a plant tour on February 11,1997, and observed an
                operator removing the waste treatment facility electrical supply breaker from
                service.
          b.    Observations and Findinas
                During the plant tour, the inspectors identified that an operator removed the waste
                treatment plant feed breaker No. 2 from service without having the procedure with
                him while performing the work. The operator was removing the breaker from            '
                service in accordance with out-of service checklist number 970001407 for a          j
                planned maintenance activity at the waste treatment facility. The governing          '
                procedure, LOP-AP-10, " Racking out a 6900 Volt or 4160 Volt Manually Operated      ;
                Air Circuit Breaker to Test or Disconnect Position," Revision 7, was a " Reference  !
                Use" procedure required to be at the work location by LAP-100-40, " Procedure Use   J
                and Adherence Expectations," Revision 8, Section B.3.2. When questioned by the       l
                inspectors, the operator stated he was not required to have the procedure available
                at the job site and knew how to perform the task.
                The inspectors interviewed other licensed and non-licensed operators regarding
                expectations for reference use procedures. The operators revealed that they did
                not feel they needed to have reference use procedures at the job site. The           I
                operators stated that reference use procedures were available if needed and were
                                                        13
                                                                .   -    -             .          _ _ -
  • '
    ,                                                                                                   l
                                                                                                        l
  -
                                                                                                        l
 -
              not intended to be at the job site. As identified in NRC Inspection Report 96018,
              the licensee management's expectation is that reference use procedures be
              available for operators to use if needed when performing work. The failure of the
              operator to have the procedure available when removing the breaker from service is
              an additional example of a previous violation (50-373/96018-02; 50-374/96018-             1
              02) issued in NRC Inspection Report 96018.                                                )
                                                                                                        l
         c.   Conclusions
              The operators' definition of reference use procedures and their applicability to work     l
              performed in the field demonstrates that some operators lacked an understanding of        i
              licensee management's procedure use expectations. This issue was an example of            l
              a previous violation and although the licensce's corrective actions for procedure          I
              adherence and procedure quality have genera!!y been effective, this example
              indicates that additional management attention is needed in the area of " reference
              use" procedures.                                                                          :
                                                                                                        l
                                               ll. Maintenance                                          l
                                                                                                        l
        M1    Conduct of Maintenance                                                                    l
        M1.1 Eauioment Problems identified Durina EDG Post-Maintenance Testina
         a.   Insoection Scoos (62707)
              The inspectors observed post-maintenance and surveillance testing for the 1 A EDG.
              Procedures reviewed as part of the inspection included:
              *       LOP-DG-02, " Diesel Generator Startup and Operation," Revision 22
              *       LOS-DG-M2, "1 A(2A) Diesel Generator Operability Test," Revision 34
              *       LMS-DG-01, " Main Emergency Diesel Unit Surveillances," Revision 16
         b.   Observations and Findinas
              On February 26,1997, the inspectors observed post-maintenance testing of the 1 A
              EDG. Also, a member of plant management and a member of the licensee's
              Independent Safety Engineering Group were observing the EDG testing. The                  ,
              inspectors and the licensee identified two equipment deficiencies during the diesel       1
              testing. The first deficiency involved a leak on the flange gasket for the service        ,
              water portion of the jacket water cooling heat exchanger. Maintenance personnel           j
              repaired the heat exchanger while the EDG was out-of-service and the jacket water         :
              cooler flange was reinstalled without adequate preparation of the sealing surface.        l
              The lack of an adequate surface preparation resulted in rework to repair the leak.        I
              The second deficiency consisted of a failure of the EDG room ventilation exhaust
              damper which failed closed while the EDG was operating. The EDG room
              ventilation exhaust damper was designed to fail closed and failed to its required
                                                       14                                               l
                                                                                                        i
           .    - -       -.             -        - . .   .   .  ..     .  .                         .     . .
                                                                                                                 .
                                                                                                                !
>
  ,
        ,.
                                                                                                                l
      -                                                                                                         i

.

i
    -
                     position. On February 28,1997, instrument maintenance technicians determined
                     that the ventilation damper failure was due to a short in the wiring to the controller.
                    The technicians also identified that a 1/16 amp fuse was inappropriately installed in       l
;                    a controller for the ventilation system where a 1/10 amp fuse was required. The
                     fuse with the lower amp rating did not fail in service, however, it did indicate that
                    the controls for ensuring the ventilation circuitry remains properly configured was in
                     question. As of March 20,1997, the licensee's investigation had not been

,

'
                    completed and the size of the fuses installed in the remaining EDG ventilation
                    system's control circuitry were being evaluated. The inspectors will evaluate the           j
                    impact of the incorrect fuse size on the EDG ventilation system operability and the-
'
                    status of fuses in the other EDG ventilation control systems.' This is considered an
                    Unresolved item (50-373/97003-05; 50-374/97003-05) pending further review by                !
the inspectors,
             c.     Conclusions
'
                    In general the test was well controlled by the test director and good communication
                    was used within the diesel generator room. Oversight by management and site                 ;
                    quality verification personnel was adequate during the diesel testing. However,

'

                                                                                                                !
                    poor maintenance practices resulted in rework on the jacket water cooling heat

i exchanger. The incorrect fuse in the EDG room ventilation system indicates that a j potential configuration control problem exits. The inspectors will followup on the

                    licensee's efforts to evaluate this issue.                                                  ,

J

                                                                                                                l
           M1.2 Stoo Work Order for SBM (switchboard, miniature) Switch Reofacement Project                    j

i a. Insoection Scone (62707) ,

                    The inspectors reviewed the licensee's activities following licensee management's           !
                    decision to stop work on the General Electric (GE) SBM switch replacement project.
                    The inspection included a review of the licensee's plan to correct the problems
                    which precipitated the stop work order and discussions with management and
                    engineering personnel.
                                                                                                                >

. b. Qbservations and Findinas . On February 8,1997, the Unit 2 Plant Manager suspended the SBM switch

                    replacement project because of deficiencies identified in the procurement of SBM
                    switches, the procedures used to install the switches, and the switch testing
                    procedures. The licensee was replacing approximately 1157 switches located
                    throughout the plant to correct potentially degraded switches and switches that

'

                    have reached the end of their service life. The licensee performed investigations to
                    determine what factors contributed to the problems and to identify improvements             >
                    needed in the procurement, maintenance, and testing of the switches.

l

                    After the licensee identified the root cause for the problems, a plan to address the
                    identified problems was initiated. The plan included guidelines for developing

,

                    maintenance and test procedures, performing maintenance, and conducting testing
                                                            15
  *
      ,
   ..
    -
               of the new SBM switches. The licensea enhanced post-maintenance testing by
               including additional test guidelines, revised maintenance procedures by adding
               clarifying procedural steps, and revised the switch procurement procedures by
               adding additional receipt inspection guidance. The corrective actions implemented
               by the licensee to address deficiencies in the testing procedure were generally
               effective.
         c.    Conclusions
               The inspectors concluded that the license's decision to stop the SBM switch
               replacement project to correct the identified deficiencies in the switch procurement
               process, the maintenance process, and the testing procedures was good. However,
             ' the deficiencies leading to the stop work order indicated that problems continued
               with processes which support , maintenance, including poor procedures and workers
               not meeting or understanding performance objectives.
        M2     Maintenance and Material Condition of Facilities and Equipment
        M2.1 Poor Housekesoina identified in Hioh Radiation Areas
         a.    Insoection Scone (71707)
               Over the course of the inspection period, the inspectors toured several high
               radiation and high contamination areas with the support of radiation protection
               technicians. . Areas toured included the upper and lower radioactive waste tunnels,
               Unit 1 and 2 reactor water cleanup heat exchanger rooms and filter /demineralizer
               valve rooms, and the high level radioactive waste storage area,
         b.    Observations and Findinas
               During the tours, the inspectors identified problems which primarily involved poor
               housekeeping following maintenance, items left in selected work areas included                       ,
               tools, unused or abandoned parts, insulation, catch basins, tubing, and drain hoses.
                      .
                                                                                                                    j
               Equipment problems identified by the inspectors included leaking valves and a                         '
               damaged pipe hanger. The inspectors also identified some personnel safety hazards                    j
               such as the lack of a warning sign or barrier in the upper radioactive waste tunnel                  l
               where the tunnel ends with an elevation change of approximately 75 feet down to                      !
               the lower pipe tunnel. The inspectors informed the licensee of their observations.                 .!
                                                                                                                    I
         c.    Conclusions                                                                                          j
               While housekeeping in areas normally toured by plant management was adequate,                        j
             . the inspectors identified that several high radiation and high contamination areas                   -
               were in poor condition. This was often due to maintenance personnel leaving tools,
               parts, and discarded materialin the work area following completion of work.
                                                                                                                    :
                                                       16                                                           i

E_ u . - . . . . - .

   . _ _ _         _ _ _ _ _ _ .. _ _. _ _ . _ . _ _ _ _ _ . _ _ . _ . _ ._ _

,

  i

j; .,

                                                                                                               f
    ..

,

                                                                                                               '

l' 1 - M3 Maintenance Procedures and Documentation

              M3.1- Inadeounte Accentance Criteria for Steam Tunnel Check Damner Testina

. '

               a.     Insoection Scone (62707)

'~

                     The inspectors reviewed the test methodology and acceptance criteria for steam
  • l
                      tunnel check damper inspections performed by the licensee using Work Request
                      (WR) 960040017, " Inspect 2VRO1YA/B/C, 02YA/B/C, 04YA/B/C, 05YA/B, 08Y
                      thru 14Y DMPR," and discussed the work request and valve testing with
                      engineering personnel.
               b.' ~ Observations and Findinos
                                                                                                               t
                     The inspectcra identified that the licensee was performing inspections of the steam
                     tunnel check dampers, VR08Y, VR09Y, VR10Y, VR11Y, VR12Y, VR13Y, and
                     VR14Y for both Unit 1 and Unit 2, without having established appropriate'                 ;
                     acceptance criteria for determining that the valves were operating properly. A
                     system engineer was conducting the inspections during refueling outages, but he
                    - did not evaluate the condition of the valves against any qualitative or quantitative
                     acceptance criteria.
                                                                                                               t
                     The steam tunnel check dampers are designed to isolate the main steam tunnel
                     from the reactor building in the event of a high energy line break (HELB) in the
                     steam tunnel. The dampers are designed to close as the steam tunnel pressure
                     increases, since the dampers do not have any type of actuator to reposition the
                     valves. The failure of the check dampers during a HELB would result in steam
                     migrating to portions of the plant for which no analysis has been performed to
                     ensure safety equipment would operate in a steam environment. The steam could
                     potentially affect safety system operability.
                     The system engineer used his judgement when assessing the condition of the
                     dampers and recorded the as-found conditions during the routine check damper
                     inspections. Comments regarding the condition of the valves during the latest
                     inspection, documented by the system engineer in the WR on November 8,1996,
                     indicated that the valves moved freely and could close. However, the WR did not
                     contain specific criteria for evaluating the capability of the valves to close.
                     Criterion V, " Instructions, Procedures, and Drawings," to Appendix B of 10 CFR
                     Part 50, requires that activities affecting quality be prescribed by documented
                     procedures or instructions and that, these procedures or instructions include
                     appropriate quantitative or qualitative acceptance criteria for determining that
                     important activities have been satisfactorily accomplished.- The inspectors identified
                     that on November 8,1996, WR No. 96004001, " Inspect 2VRO1YA/B/C,
                     02YA/B/C,04YA/B/C,05YA/B,08Y thru 14Y DMPR," used by the system engineer
                     to inspect the steam tunnel check dampers, VR08Y, VR09Y, VR10Y, VR11Y,
                     VR12Y, VR13Y, and VR14Y for both units, did not contain acceptance criteria for
                     determining that the dampers would operate satisfactorily. The absence of
                     appropriate quantitative or qualitative acceptance criteria in the subject WR is
                                                                              17
                                                                                 __ _    ._           _    - -
                                                                     _ .. _ _ _ _ _ - - - -

-

    .                                                                                                ;
  *
                                                                                                     I
                                                                                                     :
                   ..
                                                                                                     j
 -
              considered an example of a violation of 10 CFR Part 50, Appendix B, Criterion V.       I
              However, this violation is not being cited because it satisfies the criteria in
               Section Vll.B.2 of the NRC's enforcement policy (NUREG-1600).
        c.    Conclusions
                                                                                                     ;
              Although the licensee was periodically inspecting the steam tunnel check dampers,
              the work instructions for performing these inspections did not contain acceptance
              criteria for determining that the dampers would operate satisfactorily. Engineering   -)
              personnel did not recognize that qualitative or quantitative acceptance criteria need
              to be considered for all activities affecting quality.
      M3.2 Missed Technical Soecification Surveillances due to Proaram Weaknesses and                 ,
              Failure to Follow Procedure
        a.    Inspection Scone (61726)
                               ~
             The inspectors reviewed the circumstances surrounding the licensee's failure to         !
              conduct required testing of the RHR pump 1 A discharge high/ low pressure switch
              for Unit I low pressure coolant injection (LPCI) train "A" within the required
             surveillance interval. Documentation reviewed included the licensee's investigation
             results and the following procedures:
             *
                      LAP-100-11, "LaSalle County Station General Surveillance Program,"
                      Revision 14
             *
                      LAP-100-29, " Conduct and Review of Station Surveillances," Revision 6
             *
                      LAP-300-6, "LaSalle County Station Instrument Surveillance Program,"
                      Revision 6
             *
                      LaSalle Instrument Surveillance (LIS) RH 316A, " Unit 1 RHR Pump 1 A
                      Dischsige High/ Low Pressure Functional Test," Revision 3
                                                                                                      .
                                                                                                      l
      ; b. Observations and Findinas
             On February 25,1997, while reviewing scheduled surveillance procedures, the              ;
             WCC SRO identified that surveillance procedure LIS-RH-316A had not been
             completed within the 31-day periodicity required by Technical Specification              ,
             Surveillance Requirement 4.5.1'.a.2.a plus the 25 percent maximum allowable              ;
             extension specified by Technical Specification Surveillance Requirement 4.0.2. The
             surveillance test had last been conducted on December 28,1996. Subsequently,             l
             the Shift Manager was informed by the WCC SRO that the allowable time extension          i
             of the 31-day surveillance interval had expired on February 4,1997. Operators            i
             satisfactorily completed the test on February 25.
             Technical _ Specifications require that the RHR pump 1 A, discharge pressure
             functional test, performed per LIS RH-316A, be completed when the unit is in
             Operational Condition 1,2,3,4, or 5. In addition, the cover sheet for LIS-RH-316A
             states that the test be conducted when the unit is in Operational Condition 1,2,3,
             4, or 5. However, the mode applicability identified in the General Surveil.ance
                                                      18
                                    .
  .     _    .
      .                                                                                                     l

f# 1 l d

    .
                  Instrument (GSIN) and Electronic Work Control System (EWCS) programs was .
                  incorrect. The GSIN and the EWCS programs are used to schedule surveillance
                  testing and neither program listed the subject surveillance test as being applicable in

j

                - Operationa' Condition 4. The incorrect mode applicability on the scheduling sheets

) originating from the GSIN and EWCS programs, contributed to the incorrect i i decision'that the surveillance test was not required. j

. 3
                                                                                                            4
Administrative procedure, LAP-300-6, requires that an Instrument Maintenance
                 Degraded Equipment Log (IM DEL) be maintained for equipment surveillance tests

I

                 which have exceeded the required surveillance interval which includes the

! 25 percent maximum allowable extension, in order to ensure that the surveillance !

                 tests are performed before declaring the associated equipment operable. The IM

.

                 DEL is intended to identify any inoperable equipment ti.at requires a surveillance

!. test before changing the plant's operational condition. In addition, LAP-300-6- ,

                 requires the IM DEL to be reviewed and approved by licensee management, and

i Section E.1 of LAP-100-11 requires that the Shift Engineer and responsible !

                 department supervisor be immediately notified when any Technical Specification
                 surveillance test has not or will not be performed as required. However, in the case -

.

- of the RHR 1 A discharge pressure functional test, the IM DEL was not completed
'
                 by the scheduler until February 8, four days after the allowed surveillance test
                 interval had expired, and the shift engineer or department supervisor were not
                 notified by the scheduler that a Technical Specification required surveillance test
                had not been conducted. Consequently, the management reviews of the IM DEL
                 which were required by the licensee's administrative procedures, were not
                completed. The failure to complete the channel functional test within the required
                surveillance test interval is considered a violation of Technical Specification
                4.5.1.a.2.a, as described in the attached Notice of Violation (50-373/97003-04).
                The subject test was satisfactorily conducted on February 25,1997.
           c. Conclusions
                Actions taken by plant personnel following discovery of the missed surveillance test
                were appropriate. The failure to follow procedures and incorrect mode applicability
                information in the surveillance testing scheduling programs caused the licensee to
                exceed a required surveillance test interval. This is another example of the
                                      ~
                                                                                                            ;
                licensee's failure to cornplete required Technical Specification testing.                 -l
          M8    Miscellaneous Maintenance issues                                                            I
                                                                                                            i
          M8.1 (Closed) LER 50-373 97007: Missed Technical Specification Surveillance on the                3
                High and Low Discharge Pressure Switches for the 1 A RHR Pump Due to                        i
                Procedural and Human Performance Errors. This problem was discussed in
                Section M3.2 and a Notice of Violation was issued. This item is considered closed.          j
                                                                                                            !
                                                                                                            ;
                                                        19
                                                                                                            :
                                                       _ _ _ _ _ _ _ _ _ . _ __ .. _ _ _
    ,
                                                                                                           ,
                                                                                                           i
  -
                                                                                                           i
                                                                                                           i
                                                                                                           ;
 .                                             III. Enaineerina                                            i
                                                                                                           I
      E1   Conduct of Engineering                                                                          +
      E1.1 Massed Technical Soecification Surveillance Due to Personnel Error
       a.  Insocction Scoos (37551. 92903)                                                                 i
                                                                                                           ,
                                                                                                           i
           On January 9,1997, the licensee reported to the NRC in Licensee Event Report                    f
           (LER) 96019 that the Unit 1 RHR system containment spray isolation valves had                   :
           not been tested according to American Society of Mechanical Engineers (ASME)                    )
           Section XI requirements due to personnel error. The inspectors reviewed LER
           96019, " Residual Heat Removal System Containment Spray isolation Valves Not
           Tested According to ASME Section XI Requirements Due to Personal Error,"
           Technical Specification requirements for the associated valve, the requirements of
           the Section XI portion of the ASME Code, and applicable operating procedures.
       b.  Observations and Findinas
           During a review of the LaSalle Station Inservice Test (IST) Program as part of the
           corrective action for LER 374/96-006-00, " Unit 2A and 2B RHR Service Water
           Pumps not tested per ASME Section XI," the licensee identified on December 9,
            1996, that required testing of the Unit 1 and Unit 2 motor-operated containment
           spray isolation valves 1(2) E12-F016A and 1(2) E12-F017A were not included in
           LOS-RH-02, "RHR (LPCI) and RHR Service Water Valve Inservice Test for
           Operating, Startup and Hot Shutdown Conditions." The inspectors reviewed
           completed tests for valves with similar functions and determined that Unit 1 valves,
            1E12-F016B and 1E12-F0178, and Unit 2 valves,2E12-F016A/B and 2E12-
           F017A/B, were tested appropriately.
           Technical Specification 4.6.3.3 requires that "the isolation time of each primary
           containment power operated or automatic isolation valve be determined to be
           within its limit when tested pursuant to Technical Specification 4.0.5." Technical
            Specification Surveillance Requirement 4.0.5 requires implementation of the                   .i
           applicable ASME Section XI code for inservice testing. The applicable code for the               ;
           current 10-year IST interval requires that selected valves be exercised to the                   j
                                                                                                            '
            position required to fulfill their function and that the corresponding valve stroke
           time be measured to the nearest second. The LaSalle County Station Pump and
           Valve inservice Testing Program requires that Unit 1 motor-operated containment
            spray isolation valves 1E12-F016A and 1E12-F017A be tested in the closed         ~
            direction on a quarterly frequency.
                                                                                                          -!
            A system engineer inappropriately revised LOS-RH-02 to test valves 1E12-F016A
            and 1E12-F017A in the open direction following a modification to the valves. The
            valves had been tested satisfactorily in the closed direction on March 5,1996,
            however, subsequent tests stroke timed the valves in the wrong direction due to
            the procedure revision. The valves were tested correctly on October 6,1996. 'The
            failure to stroke test valves 1E12-F016A and 1E12-F017A within the required
                                                        20
                                                                                                 -          !
                                                                                               .
                                                                               -         -~m       e-----
                                                .
  .
                                                                                                 l
_

. surveillance test interval is considered an example of a violation of Technical

         Specification Surveillance Requirement 4.6.3.3. However, this violation is not
         being cited because it satisfies the criteria in Section Vll.B.2 of the NRC's
         enforcement policy (NUREG-1600).
     c.  Conclusions                                                                             ;
                                                                                                 I
         The system engineer did not verify that LOS-RH-02 contained the correct stroke          l
         time requirements when revising the procedure. Consequently, the subject valves
         were tested in the wrong direction. The IST program was being reviewed by the           l
         lST Engineer to verify program requirements were being satisfied. The actions
                                                                                                 I
         taken by the licensee following identification of the failure to test the valves in the I
         required direction were appropriate.
                                                                                                 I
    E2   Engineering Support of Facilities and Equipment                                         ;
    E2.1 Uncualified Contractor Performed Installation and Calibration of Lake Blowdown
         Flow Instrumentation
     a.  Insoection Scoce (62703)
         The licensee identified that an unqualified vendor installed and calibrated the lake
         blowdown line flow instrumentation. The inspectors interviewed cognizant
         personnel and reviewed the licensee's investigation results documented in LAP
         220-5, Attachment B, " Concern Screening Form," dated February 26,1997.
                                                                                                 1
     b.  Observations and Findinns
         On February 12,1997, the licensee identified that an unqua!ified contractor
         calibrated the lake blowdown line instrumentation, OFE-WL-001, in
         September 1995 and December 1996. In addition, the original flow                        I
         instrumentation was replaced by an unqualified vendor. The blowdown line                '
         instrumentation provides indication of the flow rate of water from the cooling lake
         to the river. The instrumentation is also used to monitor discharge flow rates to       l
         ensure that radioactive waste discharges do not exceed 10 CFR Part 20 limits.
          On August 31,1994, the licensee completed a review of the installation of new          i
          flow instrumentation installed that was installed per LST-93-061, " Lake Blowdown      j
          Ultrasonic Flowmeter Special Test Procedure," Revision 1, and controlled with          I
          temporary alteration 1-1018-94. The licensee installed the new flow                    l
          instrumentation because the original instrumentation system was degraded. The          !
          engineering evaluation for this temporary alteration incorrectly concluded that no
          controls were required for procuring the equipment or for its calibration. The
          original lake blowdown flow instrumentation was removed from service and
          replaced with different instrumentation without a design review. The installation of   l
                                                                                                 '
          the new flow instrumentation constituted a design change, however, it was not
          reviewed or approved by the design organization. Criterion 111, " Design Control," of
                                                  21
                                                                                                 i
                                                                                                 I
 . _ . . .    _._.-...-             __.-.y._._         _._ _._ ._.. _ . _ _ . _ _ . - . _ _ _ ._ -
    ..
           ,

.

      .

'

                                                                                                               I

! l l

     -
                        Appendix B to 10 CFR Part 50 requires that measures be established to ensure that      I

l '

                        applicable regulatory requirements and the design basis are correctly translated into  !
                        specifications, drawings, procedures, and instructions. Criterion ill further requires
that design changes be subject to design controls commensurate to those applied

l to the original design and that the changes be approved by the responsible design ,

                                                                                                               '

! organization. On August 31,1994, the lake blowdown flow instrumentation was ! removed from service and replaced with different instrumentation. This design , '

                        change was not subject to design controls commensurate to those ap,nlied to the        !

j original design. Furthermore, the design change was not approved by the ' l

                        responsible design organization because it was performed during a testing activity.    !

l This is considered a violation of 10 CFR Part 50, Appendix B, Criterion Ill. I

                        However, this violation is not being cited because it satisfies the criteria in

l Section Vll.B.2 of the NRC's enforcement policy (NUREG-1600).

                        On February 12,1997, the licensee identified that on two different occasions, the
                        blowdown flow instrumentation was not calibrated with approved plant procedures
                        by contractors on the licensee's list of contractors approved for work on safety-
                        related equipment. The instrumentation was listed in the licensee's Offsite Dose
                        Calculation Manual (ODCM) and used to perform the radioactive waste discharge
                        calculations. Because the instrumentation was listed in the ODCM and used to
                        perform discharge calculations, the licensee's quality assurance program required      ;
                        that approved contractors or vendors be used to procure and calibrate the              I
                        equipment. The licensee's failure to calibrate the blowdown flow instrumentation
                        using approved procedures is considered a violation of 10 CFR Part 50, Appendix B,
                         Criterion V, " Instructions, Procedures, and Drawings," as described in the attached
                         NOV (50-373/97003-02b; 50-374/97003-02b).
                         Upon identifying this issue, engineering personnel performed an operability
                         evaluation of the blowdown flow instrumentation. The evaluation addressed the
                         impact of the potentially improperly calibrated flow instrumentation on the
                         radioactive waste discharges which occurred after the new equipment had been
                         installed.~ The licensee concluded that the flow instrumentation was operable by
                         verifying the original calibration using another qualified, approved vendor. In
                         addition, the licensee's chemistry department reviewed calculations for
                          18 radioactive waste discharges ' performed between December 1996 and                I
                         January 1997. The licensee's calculations verified that the discharges did not
                         exceed allowable release limits.
             c.          Conclusions
                         No radioactive waste discharges which exceeded 10 CFR Part 20 limits occurred
                         while the unqualified flow instrumentation was installed. However, licensee           ]
                          personnel did not recognize that the replacement and calibration of the flow         !
                         instrumentation should have been performed using appropriate processes and            !
                          procedures.                                                                          i
                                                                                                               I
                                                                                                               ;
                                                                             22
                                                                                                 l
                                                                                                 i

-

                                                                                                 !
                                                                                                 1
                                                                                                 ,
 E2.2 Inadeouste Desian Chanae introduces Sinale Failure Vulnerability and Unreviewed
        Safety Question                                                                          i
                                                                                                  !
   a. . Insoection Scone (62703)
                                                                                                  i
        On January 13,1997, the licensee determined that the main control room                   j
        ventilation system radiation monitors were susceptible to a single failure. The           I
        licensee modified the radiation monitoring system in 1993 during which the               I
        initiation logic was changed. The change in the wiring configuration for the
        radiation monitors' initiation logic introduced both a single failure vulnerability and
        an unreviewed safety question. The inspectors reviewed the radiation monitor logic
        drawings, the UFSAR, previous FSAR revisions, and the design change
        documentation used to conduct the modification.
   b.   Observations and Findmgs
        During a review of Technical Specification interpretations for the control room (CR)
 ,
        and auxiliary electric equipment room 1AEER) radiation monitoring system,
        engineering personnel discovered that the radiation monitors were susceptible to a
        single failure. A postulated single failure in the radiation monitoring circuitry could
        have caused the emergency ventilation system not to actuate. This failure,
        concurrent with a design basis accident, could have resulted in a radiation exposure
        to control room personnel greater than the limits specified in 10 CFR Part 50,
        Appendix A, General Design Criteria (GDC) 19.
        The CR and AEER ventilation system wrs designed to supply filtered air to the             j
         respective rooms through a shared emergency ventilation system actuated upon            )
         detection of a high radiation condition at the system air intake. The CR and AEER
         ventilation system consists of two 100 percent capacity ventilation trains with an
         air intake for each train. Four radiation monitors are located at each air intake to
         monitor for a high radiation condition. The radiation monitoring system was
         originally designed to initiate the emergency ventilation system if one of the four      ,
         monitors detected a high radiation condition.
         The licensee had experienced spurious actuations of the radiation monitors and
         therefore decided to modify the system in July 1993. The modification was
         performed per modification M01-0-88-003 A, "MCR [ main control room] HVAC
         [ heating, ventilation, and air conditioning] Intake Radiation Monitors," which was
         approved on May 14,1993. The radiation monitoring system was modified to
         require two monitors to initiate the emergency ventilation system. This                  ;
         modification introduced the potential for a single failure in the logic circuitry which  j
         could have prevented starting the emergency ventilation system following a design
         basis accident.
         In addition to the single failure vulnerability, the licensee determined that the
         modification increased the probability of a failure of equipment important to safety.
         The increased failure probability was due to the increase in the number of radiation
                                                  23

.

  • . ,
      ,

9 i . J !-

    -

i monitors needed to initiate the emergency control room ventilation system from one i

               monitor to two.                                                                            i

! In describing the configuration of the radiation monitors, Section 6.4.4 of the j . UFSAR states that there are four monitors divided into two channels, with j actuation of two-out-of-four monitors required to start the emergency ventilation

system. The UFSAR also states that the emergency ventilation system is designed
               to limit the occupational dose to less than the limits specified in GDC 19 of

-

               Appendix A to 10 CFR Part 50, Appendix A, GDC 19. However, before the

! radiation monitor initiation logic was modified in July 1993, the FSAR, Revision 0, 1- dated April 1984, stated that the four monitors were divided into two channels and

               that any one monitor sensing a high radiation condition would start the emergency
makeup filter train for each air intake. Technical Specification 3.3.7.1, " Radiation

j' Monitoring Instrumentation," requires that two channels of the main control room j'

                radiation monitors be operable during Operational Conditions 1,2,3, and 5, and
                when irradiated fuel is being handled in the secondary containment.

"

               The licensee did not identify during the original design change review that the
                modification would introduce a single failure vulnerability into the system.           .
Criterion ill, " Design Control," to Appendix B of 10 CFR Part 50 requires the

! licensee to ensure that the design basis is correctly translated into specifications, i

                drawings, procedures, and instructions. The failure to correctly translate the design

j basis for the CR and AEER ventilation system radiation monitors into procedures

and instructions associated with a modification to the system in 1993 is considered
an apparent violation of 10 CFR Part 50, Appendix B, Criterion lil, " Design Control"

j (50-373/97003-06; 50-374/97003-06). i j' in addition, the licensee did not identify that the 1993 modification would require i NRC approval because the design change involved an unreviewed safety question. i The licensee's safety evaluation for the modification concluded that no unreviewed j safety question existed and that the ability to meet single failure criteria described j in the FSAR was not affected. The failure to identify that the design change to the j radiation moniters involved an unreviewed safety question is considered an ,

apparent violation of 10 CFR Part 50.59, " Changes, Tests and Experiments"  !
                (50-373/97003-07; 50-374/97003-07).
          c.    Conclusions

l 1 i -

                The safety evaluation completed by the licensee for the 1993 modification of the         I
CR and AEER ventilation system radiation monitors was inadequate. The safety i
                                                                                                         '
                evaluation did not identify that the change to the radiation monitor initiation logic
                circuitry constituted an unreviewed safety question and would also introduce a
                single failure vulnerability into the system.                                            l

'

        ~E8     Miscellaneous Engineering issues .
         E8.1    (Ocen)LER 50-373-96019: Residual heat removal system containment spray
                isolation valves not tested according to ASME Section XI requirements due to             :
                                                         24
                                                                                                          I
   _. .           - __ .._ _ . _ _ _ ._ - - _ _._ _ _ _ _ _ ... _ ._ _ _ _ . _ .___ _ .. _ .. _ _ _
        ..
                ,
._
            .

p 4

           -
                              personnel error. This issue is discussed ir. Section E1.1 of the report. The licensee

i did not identify in the subject LER that Technical Specification Surveillance , '

                              Requiremen'. 4.6.3.3 is applicable. The licensee is further evaluating this issue and      i

i - therefore s.ER 96019 will remain open. ,

                                                                              IV. Plant Suncort
                                                                                                                          I

4 R4 Staff Knowledge and Performance in Radiological Protection and Chemistry

                  R4.2 ' Radiation Protection Technician Performance

f !

a. Insoection Scone (71750)

! l The inspectors toured several high radiation and high contamination areas with the

aupport of radiation protection technicians. Areas toured included the upper and

! '

                              lower radioactive waste tunnels, Unit 1 and 2 reactor water cleanup heat exchanger
                              rooms and filter domineralizer valve rooms, the high level radioactive waste. storage
                              area, and phase separator valve rooms.
                     b.       Observations and Findinas
                              Over the course of the inspection period, the inspectors toured several high
                              radiation and high contamination areas. Radiation protection technicians were
                              assigned to accompany the inspectors as these areas were not normally surveyed.
                            ~ The technicians performed surveys, took samples for lose contamination,
                              transported materials between rooms, and ensured that the requirements of the
                              radiation work permits were met. The inspectors observations of plant conditions
                              during these tours are described in Section M2.1 of this report.
                     c.       Conclusions
                              The technicians accompanying the inspectors were knowledgeable of the plant and
                              radiation protection practices.
                                                                        V. Manaaement Meetinas                           ,
              4
                                                                                                                         !
                   X1          Exit Meeting Summary                                                                      i
                              The inspectors presented the results of their inspection activities to licensee
                               management listed below at an exit meeting on March 20,1997. The licensee
                               acknowledged the findings presented.
                               The inspectors asked the licensee if any materials examined during the inspection
                               should be considered proprietary. No proprietary information was identified.
                                                                                                                         I
                                                                                                                         l
                                                                                                                          l
                                                                                            25                           i
                                                                                                                          i
                                                                                                                          !
                                                                                                    _               -,--
                  . . - ,            .    .            . ..          .._ -    . . - - . . . _ . . - - - . .
  *
       ,
                                                                                                            {
     ~
    *
         X3 Management Meeting Summary                                                                      :

.  !

            On March 17,1997, the licensee and NRC representatives discussed various issues                 ;
            including the licensee's restart plans, the High Intensity Training Program for                 :
            operators, and plans to address human performance deficiencies in a meeting open                i
            to public observation. Attached to this report are the slides used by the licensee in           .
                                                                                                            '
its presentation.

l <

                                                                                                            ,

l '

                                                                                                            i
i
                                                                                                            !
                                                                                                            !

. ,

                                                                                                            '

1 e j *

,
                                                                                                            t

'

                                                                                                            '

$

i
                                                                                                            i
                                                                                                            t
                                                                                                            ,
                                                                                                            i
                                                                                                            !
                                                                                                            :
                                                                                                             ,
                                                                                                              i
                                                                                                             l
                                                                                                              i
                                                                                                             i
                                                    26
    .-         .    -      .                         .                    .    -     . .  . . . _ . . .
 .
         . . ,
   .
                                                                                                        ;
   *

4 PARTIA.L LIST OF PERSONS CONTACTED

                Commonwealth Edison
                         W. Subalusky, Site Vice President
                        *F. Dacimo, F! ant General Manager
                         L. Guthrie, Unit 1 F1 ant Manager
                         S. Smith, Unit 2 Plant Manager
                        'J. Mcdonald, Site Quality Verification / Safety Assessment Manager

! 'A. Javorik,' System Engineering Supervisor j l D. Soone, Health Physics Supervisor i 'P. Barnes, Regulatory Assurance Supervisor

                 * Present at exit meeting on March 20,1997.
                                                                                                        I
                                                INSPECTION PRDCEDURES USED
                 IP 37551      Onsite Engineering '
                 iP 61726      Surveillance Observation
                 IP 62707      Maintenance Observation
                 IP 71707      Plant Operations
                 IP 71750      Plant Support Activities
                 IP 92903      Followup-Engineering
       ,
                                                                                                        I
                                                                                                        l
                                                                27
                                                                                                        i
    .
       --      --      - . .     --              .                . -_ __
                                                                                                ... .
      .
                                                                                                      l
                                                                                                      1
   .
   *
                                ITEMS OPENED, CLOSED, AND DISCUSSED
,
          Open
                                                                                                      I
          50-373/374-97003-01 a     VIO  Operator failure to follow EDG test procedure
          50-373/374-97003-01 b     VIO  Operator failure to follow EDG test procedure
          50-373/374-97003-02a      VIO  Inadequate acceptance criteria in shift log procedure
          50 373/374-97003-02b      VIO  Lake blowdown flow instrumentation calibrated without
                                         procedure
          50-373-97003-03           VIO  Failure to stroke time test RHR shutdown cooling valve
          50-373-97003-04           VIO  Failure to perform RHR dincharge pressure alarm
                                         instrumentation surveillarace test
          50-373!374-97003-05       URI  Review of licensee investigation of EDG ventilation fuse

,

                                         sizing
          50-373/S? v37003-06       eel  Ventilation radiation monitor design basis incorrectly
                                         translated during modification review
          50-373/374 97003-07       eel  Design change implemented witnout required
                                         Commission approval

.

          Discussed or Closed .
,         LER 50-373-97007 Closed        Missed Technical Specification surveillance on the high
                                         and low discharge pressure switches for the 1 A RHR
'
                                         pump due to procedural and human performance errors

'

                                                                                                      l
          LER 50-373-96019 Open          RHR system containment spray inclation valves not             j
                                         tested according to ASME Sectius Xi requirements due          '
                                         to personnel errors

. ! , 4 1 .l \ i i j e d

1
 '
                                                    28
 i
       _             _.                   . _.   _
                                                                    ,
  '
         .
    ..
                                                                      ;
    -
                                     LIST OF ACRONYMS USED            ,
           ACMI   Administration and Course Management instructions   *
           AEER   Auxiliary Electric Equipment Room                   i
           ASME   American Society of Mechanical Engineers

] CR Control Room

           DEL    Degraded Equipment Log                              ]
           DRP    Division of Reactor Projects                        ;
           EDG    Emergency Diesel Generator                          '
           EWCS   Electronic Work Control System
           FSAR   Final Safety Analysis Report

1 GDC General Design Criteria

           GE     General Electric                                    ;
           GPM    Gallons Per Minute
           GSIN   General Surveillance Instrument                      i
           HELB   High Energy Line Break                              I

i HLA Heightened Level of Awareness  !

           HVAC   Heating, Ventilation, and Air Conditioning

i IM DEL Instrument Maintenance Degraded Equipment Log

           IR     inspection Report
           ISI    inservice Inspection
,          IST    Inservice Test                                       1
                                                                       '
>
           LAP    LaSalle Administrative Procedure
           LER    Licensee Event Report

>

           LIS    LaSalle Instrument Surveillance
           LMS    LaSalle Maintenance Surveillance
,
           LPCI   Low Pressure Coolant injection

'

           LOP    LaSalle Operating Procedure
           LOS    LaSalle Operating Surveillance                       ,
           LST    LaSalle Gpecial Test                                i
           MCR    Main Control Room
                                                                       '
           MCRACS Main Control Room Atmospheric Control System         i
           NRC    Nuclear Regulatory Commission
           NSO    Nuclear Station Operator
           NOV    Notice of Violation                                  :
           ODCM   Offsite Dose Calculation Manual
           PIF    Problem Identification Form
           PDR    NRC Public Document Room
           PMT    Post-Maintenance Test
           RHR    Residual Heat Removal                                l
           RP     Radiation Protection
           SBM    Switchboard, Miniature
           SOV    Site Quality Verification
           SRO    Senior Reactor Operator
           UFSAR  Updated Final Safety Analysis Report
                                                   29
   .
 .
*
     URI Unresolved item
     VIO Violation
     WCC Work Control Center
     WR  Work Request             ;
                                .
                                   I
                                   I
                                   1
                                   I
                                   l
                                  t
                                   !
                                  i
                                   1
                                   !
                                   l
                                   1
                             30
                                        _ _ _ _ _ _ _ _

i

          .
              . . .
        .   .       .b

i

                                                      LaSalle County Station
                                      Perfonnance Review Meeting

i

                                                            March 17,1997

l ' j Mel Leach, NRC Opening Remarks i l Bill Subalusky introduction } LaSalle County Site Vice President i ! Fred Dacimo Human Performance and

                                                                             Restart Plan Overview
.
Dave Farr Restart Plan 1.18,

l Unit 2 Operations Manager Operator High Intensity

                                                                             Training                            :
i

'

                       Bill Subalusky                                        NextMeeting/Critque
                       Mel Leach                                             Closing Remarks
                                                          -
                                                        .
                                                                                                           - -
                                                                                          February 21,1997     I
    * ,
  ,
 . _ _ . . . . . .          .-...---- ~. - - - ...               . . . . . _ . . - ~ . -                 - . - - -     -               . . ~ . - - - -

i .

                        '

! l l - ! I , I i

                          i

! !

                                                                                               <

' M

                                                                                          Q
                                                                                          %

!  % i

                      -
                                                                                          %

! ! i

                                                                                         M
                                                                                         %

'

                                                                                         D
                                                                                         h.                                                              1

.

                                                                                         e                                                               ;

i ,

                                                                                         D                                                               ,
                                                                                                                                                         i
                    E
                   .c
                    -
                   8~
 _,                                                . , . _ . . . - _ . - .               . , . . . - - ,         . , ,   . _ . , . . .         .-      ,
           .                _.      __            _       _                                _       - _
 -
      .                                                                                                ;
    -
                                                                                                       ;
                                                                                                       l
   -
                                                                                                       .
                                                                                                       l
                                                                                                       l
                          Simplified Restart Plan Flowchart                              -

t 4

                                                 LCNS
                                             Restart Plan
        ,___________--------~~>                                 '
        j                               - Safe Plant Operation  '                 'NPUTS
                                                                                  '
        l
        l
        {        Emergent
        ;          issues                         -
        !
        ,
                                                   V
                                 Management Review Committee
        .______________________
                                            - Work Scope       4 -----
                                                               4i              ,'
                                                                               '
                                                                      l
                                                                     l        i
                                                                     .        ,
                                                   V                 l                                  .
                                                                              ,l                        l
                                        Internal Assessments         !        -
                                                                                                       )
                                                                              .
                                                                     .r       ,
                                                                                                       1
                                          -Une Organization    -J             l
                                                -SQV                         l
                                    -Performance Indicators                 l
                                                                            l                          4
                                                                                                       '
                                                                            l
                                                                            .
                                                  V                         l
                                                                            l
                                        External Assessments                l
                                                                            i
                                                               ~ ~ ~ ~ ~ ~ '
                                       -Extemally Led Review
                                         -INPO, NRO. Other                               V
                                                      *
                                                    1                                Long Term
                                                                                  improvement Plan
                                                  V
                                  Implement Successful Restart
                                                 and
                                 Resume Full Power Operation
                                                                                                       i
                                                 Page1
                    _ . -       _ _ _ _ - . _ - _ _ _ _ _ _ _ _ . _ . _ _ _
  .
             *

i ,

     .

i s

    .

'

                                o                 a           m             co       a           c.n           a              s      co     -

i

                  4/3/96          '

l j 4/15/96

                                  !                 l
                                                    i
                                                                l
                                                                '
                                                                             !
                                                                                                   .
                                                                                                   '
                                                                                                                              '
                                                                                                                                              h
                                                                                                                !                             t
                               +l:                 '            '                      .

,

                              :                                                                                  :                            %
                                                                                                                >                                   1
                              +                                                                                                               %

! 5/13/96 * j

                5/28/96 :l:
                             .
                              1:
                                 H
                                                               .
                                                                            .
                                                                                      -
                                                                                      ,
                                                                                                     ,
                                                                                                               .
                                                                                                               I
                                                                                                               .
                                                                                                                                           km
                                                                                                               '

! .

                7/22/96 ++                        .
                                                  .           .
                                                                                     I                                              I         M

I

                                 H
                                                                                                                                    i         %.
                                                                                                                                              D
                             -
                                                              ,

i 1 l

                 8/8/96 .+
                             +
                                                                               .         _.
                                                                                                 >            >
                                                                                                                   -
                                                                                                                   -                    T
                                                                                                                                        1    g**
                                                                                                                                l
                                                                                                                                        g
                8/30/96     +!-
                            -
                                                                           .                                                            M   %
                                                                                                                                        %
.
H
                                                                                                                                            %
                           -
                                                                                                                            .
                                                                                                                                        94
                9/14/96 ?                       '
                                                                                                                                        "
                                                                                                                                        gg D

i i

          :s                s-
                                                                                                              <

j . .

                                                                                     . Q^m
                9/26/96 +-
                                  ~
                                                            :
                                                                          '
                                                                                    l
                                                                                              '
                                                                                                                                        T   E
                                               .            ,             .
                                                                                                            .!            .-                %
                           .     .              .
                                                                          -
                                                                                    !
                                                                                              i
                                                                                              ;                          ,              %   m
                                                            '            .                                                .
                                                                                                                                        %   es
                10/4/96 : :                    -
                                                                                              '        s!                :
               10/29/06 ++
                          +                   1
                                              :                                                        b
                                                                                                        L
                                                                                                                         '              Q
                                                                                                                                        N  t
                                                                                                                                             T.
                          +
                                              ,                                    ,                        .
                                                                                                                         ;              og
               11/13/96 +
                                              -
                                              ;
                                                           l             '
                                                                                   l
                                                                                   '
                                                                                              :        t                 :
                                                                                                                                        o g
                          .     .
                                                           ;
                                                                                             l                          l
                                                                                                                        1
                                                                                                                                        @  %
                                                                                                                                           Ce
                                                                                                                                                    ,
                                              ;
               11/26/96 :;                    ;                                    l
                                                                                                           i
                                                                                                                                           N        l
                          .                   ,
                                                                                   :
                                                                                                          '
                                                                                                                                  1        y
               12/27/96 :l:                  l           l             l         :          .                          :          l g,     g        I
                          .s                                                                                                          s
                                            ,
                                            '
                                                         ,             ,
                                                                       '
                                                                                 ,
                                                                                            .            .             .
                                                                                                                                  i        %
                                                                                                         ,'
                 2/7/97 ++
                          _H
                                            i
                                            i
                                                         .
                                                         1
                                                         i            i
                                                                                 ,
                                                                                 -
                                                                                 i
                                                                                            l
                                                                                            .
                                                                                            I            i
                                                                                                                     g:
                                                                                                                     \i
                                                                                                                                  l _E
                                                                                                                                  I
                                                                                                                                           b
                                                                                                                                           g
        g
       li
                                                                                                                                      O    k
       .c
                                                                                                                                      3    %
                                                                                                                                           %
                                                                                                                                                 .,
               - - _ - - -            - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -                                          ---- . - ---------
 :
i

l M Introduction

 ,

j e Recentlyjoined the LaSalle Team i ! e Member of the ISA Team l - Overall Corporate Perspective } - LaSalle Specific Perspective !

                                                                                                                 e   Endorse Findings of ISA
,

'

                                                                                                                 e  Commitment to Change

t

                                                                                                                         - Proper Safety Culture

! 4

                                                                                                                 e  All Hands Meeting
                                                                                                                                                                                                                   -
                                                                                                                                                                                                                                       -
      -

!

                                                                                                                                                                                                2
                                                                                                                                                                                                                                         March 17,1997
             .                      .
   .
   ..--..m--      - ...    ,,,m-.~,                                            .,,--,.m..---,.,_,..-...m..--,._,-,-,..----,....,.m-.       . . . .-  %,.-                   .- ,-..,e,---..w.-,,..,,--,,--.-im,.,,   , - , , , , . . _
     a      1,jt              :!1!i   i!iij}li;!iI! 111       !iiit   :: 4i1 l'1!
                   .

.

       .
                     '

_ , - _ * , _ . .- _. * _ . .

                                                                           M

. _ . .. . _ _ _ _- _ _ _ _ _ _ _

                                                                    E

_

                                                        M

_ _ ._ . .' . . _ , .

                          ,
                                                        a           x

_ _ . ,

                        ,
                                                        n           p
                                                                    e

,

_

__ _ . .

                                                        a
                                                        g           c

.

                 3
                                                            o       t
                                                        e

_

                                                            f       a

_. _ . .

                                                                    t

_. _ _

                                                        m           i
                                                        e           o

. - '

                                                                    n

_ . . , ,

                                                        n
                                                        t           s

.. . - . - ._ ,

,

. ,

- -
   .
   .

,- . _

             M
             a
             r
             c
             h
             1
            ,7
             1
             9
             9
             7

- .

  -  i
                                    *      'I             <

i ! ! , M Our Expectations of Management i ! . We will operate our plants on the basis of ! ,

                                  conservative decision making;

! e We will listen to our employees and communicate I openly and honestly with them; i i .

                            e    We will improve the materiel condition of our
                                 plants;

! l . We will continuously practice critical self- l assessment (we will be our own worst critics); and ! I e We will take ownership and accountability for the { present and future of this organization. -

                                                                                                                                                 -
                                                                                                                                      .
                                                                                                                                                                                                        -
                                                                                                                                                                                      .
                                                                                                                                                                                                          ;
                                                                                                                                                                                                                                   March 17,1997
              * .

,, i

 ,-,..,m.-..,     .,---m. .   , , . , . . . . . . - . , , , . . , , . . - . _ _ , . _ _ _ , . , _ . . _ , _ _ . . _ _ . ~ , _ , , . .   - _ . . . _ . - _ , _ _ _ _ _ _ _ _ _ . _ . . . . . - . , - - .     . . - ~ - , . - , - - , - - . . . . - . . - -
                                                                                                                            -                                 -

1 ! i t l lIl Number One Priority i ! !: l

                                                                                       e                  We will operate LaSalle in a safe and

! conservative manner, i.e. we will operate safely j or not at all;

!

i !.

                                                                                      e                  Never will anyone doubt or be concerned about
                                                                                                        decisions made at "2:00 a.m. on a Sunday

l morning"; ! l l l e if we fail, it will be on economics - not on I performance.... ! l 1 - !. U ! .

                                                                                                                                                                March 17,1997
  . . _ - . . . _ , __....______... ____.... _ ,__..__. ,__-..--_~_ ...- .__... _ . _ ~.. _. ., . . . . ~ - _ _ _                         , _ . . _ , - - _ _

. l ! l <

                                       M Demand Effective Communication

l ,

                                                                         e Up / Down / Laterally

i j

                                                                         e Fundamental Job Skill

! 4

i ! I

f

i

l

..

                                                                  g                                                             ..
           .
                                                                                                                                                          :: -
                                                                                                                                                               March 17,1997

l J, - - ,

  , , . . - - . . _ , . . . - . . - . , , . - - - - . , - - , _ ,  -_.,.__..,-,,-----,.__-,_,......__...~....-,,___--....,_,_.m
                                                                       -
                                                                                                                                   . _ _ _
                                                                                                                                           m, _ . - ,..r.

!

I ,

       lll               Accountability

! ! l e " Insufficient reinforcement of' l

management expectations, follow-up and

i !

-
             use of day - to- day accountability

1 l contribute to short falls in LaSalle's-

i  ;

             performance." - From ISA Team
 '                        . , , ,
                                  7
                                                                                              March 17,1997
                                           . ,,_,._,, _ . - - - , . . _ . - . . - . . - , , -               -
             - --                ------- - - -                       -               -- -             _        -

i i i

l l

                              M                                                                               Expectations

i ! ! e Hold yourself and your peers accountable

} } j - I will hold each of you accountable

                                                               e               Individuals at all levels - Executive, Managers,
Supervisors, and Workers

i l ) - Take responsibility for their actions and are ! I

                                                                                    committed to improving their performance

! ! - i

                                                                                                                       ~
     ,
                                                                                                                                                                         -
                        -
                                                                                                                                    .
                                                                                                                                                                                                                    March 17,1997
                  *                            *

, .

 ,v-   v. ,- ,      m.-me.-,,,,----              .y .,,,y.,y , . . , ,_, m _ ,.-    ,.,,y , ,,y,_,,,.,,,_my,,      ,,.   .,,,r, ..m,,-,,,,,,, ,,.,_,m..,,,.. y., %,,, .,,.%%., ,,w,w,.--y,#ew.wwv-ve-y..y,..,-,,-,.           ,_y, . , .,

l

i

     M                   We Are the Team

j e We set the standards, in our communication,

            and in our actions, that we expect others to

l

            follow

i !

          e We are the team ofindividuals who will take

]

this plant forward into world-class status

I ! l l l. h EEc5

                                 ,

L March 17,1997

   '  .
 .

I

       - - - - -    -  - - - - - - - - -     - - - - - - - -
                                                                        -     _

l

i

     M                                     Self-Assessment

l

            e     Critical Self-Assessment is expected of
                  all;

i

       e When you stop learning from your

i mistakes or stop learning how to improve

- you stop adding value;

i i ! i

       e We need to self-identify on our own

l issues; if INPO or NRC finds these issues j before we do, we've failed!

                                                   '
                                         -
                                           .                 -
                                                                        -
                                                               . .
                                                                   March 17,1997
   ' *

i , 1

                                                                              -           - - - - - - - - -                                  ---            ---                                -             .

! ! )

                                      M                                                                       Self-Assessment

i

                                                                         e  Use the corrective action process to

l . l ensure we are never cited for the same ! thing twice.

-

i

e We will learn from our mistakes and

. l implement effective corrective actions to ' l drive a stake through the heart of the ! problem. 1 i

                                                                           y                                                                                                                                                                       ~

l. 4,

                                                                                                                                                                                                                                                                              um. ,w

p. - ,

                                                                                                                                                                                                                                                                                     ,
                                                 -
 . . . . . - . . . . . . . _ - . _ . . _ , , - . _ . . - . _ . , . , _ _        . _ _ , _                   , _ . , _ . . _ _ , _ _ . . . . . . . . . _ _ _ _ , . _ . _ _ _ _ . _ . . . _ _ _ . . _ , _ . _ _ _ . . _ . . . . , _ _ . . , - , . . ~ ~ , - . - - _ _ , . - _
 ,
 ;
i
l                               M                                                       Immediate Challenge
i

lr e Stay Focused on the Fundamentals i ! j .

                                                                                - Conservative Decision Making

! j 1

                                                                               - Leadership

! j

.
                                                                              - Accountability and Ownership

1

! i t

                                                                             - Self-Assessment

l !

                                                                            - Materiel Condition

i

                                                                                                                                                   .
                                                                                                                                                                              .
         '

l 12

                                                                                                                                                                                                                                                                      March 17,1997
                     +

l. . !

   , . . . . . , _ . . _ _ , . , - ,   . . - . . . . . . _ , . _ , . . . . , . - , , _ . _ , _ . , _ - - , _ - , -
                                          -            .
                                                                                                                   _ _ - . _ . _ _ _ . , _ _ _ _ _ - , _ . . , _ - - _ _ ,
                                                                                                                                                 -
                                                                                                                                                                                . - - , , _ _ _ . _ _ _ _ _ _ . . . . _ , . . . . . . - . , _ . . . - , . - - , - . - - -

i ! ! ! ,

                                                 _          .    .
                                                                          Our Performance in

j Day-to-Day Operation

' l e We follow our procedures , i b ! e We utilize STAR {Stop, Think, Act, l Review? \. l e We have a Questioning Attitude 4 i

                                                                 e We demand resolution ofissues
                                                                                                          -                                                                                 -
                                                                                                                                                    , .
                                                                                                                                                                                                                                                  March 17,1997
                      *                     .
.
 . _ _ - . _ - . - _ ___ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ .              _ _ _ _ _ _ _ _ _ . _ _ _ _ _ _ _ _ - . . _ _ _ _ _ _ _ . . . _ - . _ . - . _ _ _ _ . _ _ _ _ _ . . _ _ _ _ . _ _ . . . _ _ _ . _ . . . , , , _ . . . _ _ . _ . , .
                          -

i !

'                                          '

, . . .

                                             j
                                                                                 Management Sets the                                                                                                         '

\ i

                                                                                 Standards in the Field

i i e Worker performance in the field is a~ direct l reflection of you and your standards and . i workers take their cue from what they perceive j management wants ! -

                                               e          They reflectyour:

l - Attitude towards procedure compliance

                                                          - Philosophy of critical assessment
- Philosophy of standards on materiel condition

l - Beliefin ownership and doing thejob right the

                                                                 first time
                    h E li c E
                                                                                                                       14
                                                                                                                                                                                                               '
                                                                                                                                                                                              Mach 17,1997
     .
               .        .
  ~+, , , w ,,- ,-, ,.---,_,v--..,......        . , _ - .    ___.%,---_,.,_,,-m.   . . . . ._ ,, ... m _,,,,,_.,.,.,, _ ,,,,, _ ,.,_ ,,, . , _ _ ,,,.,,,.,.e%,.,--e-,,,,,,,,__.,,,,-,.,.._,-,              ,
         - - -    -       .     _ --

!

!

i !

               li      Station Direction:

3

i 1 !

                    e Safe, Uneventful Start-up
                                                                                                      ,

l e Safe, Long Uneventful Run

                                       4
                                                                                                      .

! 3 i

                    e World Class Performance

i i ! .

                                                                                                      '

. l

     -                        .

! 4

                                                                                        March 17,1997
   .   + e

l

 ,                                   _  - . - - - - - - - . . . - _ - - . _ _ _
                                                                                .------,n,_--N
                          -                                   _         -                                                             -         -

!

                  M Each Individual's                                                                                                             Contribution

\

                                                      Must Be:
                                                         .                                                                                                                                                                .

I

                                      1)                   Strict Procedural Adherence

l 2) Strong Use of Self-Checking Program i '

                                                           i, STAR)

! . l 1

                                     3)                    Questioning Attitude

j 4) Demand Resolution of issues

c o u n miics i
         ~
a
                                                                                                                                                                                                        ..,e ,7 .      ,
       .        .     .
 ~~r,,,--,---.s    w-,- ,v----r,-,,,,-,-,,,--,,,n.-.,,,-        ,   , . , _ , , _ , , . - , , . , , , , , , , - , - , , , _ , , , _ _   _ _ ,
                                                                                                                                              -
                                                                                                                                                   _ __n,,n_ _ _. ,,,,. _ ,,,,,.~ ,-,, - e, ,,+~,w~~~-.-~~-ow--erw=,--
;    ,
           .
 i
     ~
.

1 \ i '

 ,
                  I

\ ! !

               %'
               a

'

   '
               M

.

               m

i. M

               %e
               w

' * h

               a

! i

               3
               O

\ M 1 \ t

               e%
               %
               z
               N
               N
             ,
               &
               M
       5
       4
       9
                    \
                    l
i

l l

                           M50-Day Performance Measures                                                                                                         .
                                                                               End date: 4/2/97
                                                                 1. Station Event Free Clock
                                                                                      *

l average time between events -increasing

                                                                                                   # of resets - decreasing

4 1l i

                                                               2. Human Performance PlFs -Trending Down
.
                                                                                                 significant vs. non-significant

I

                                                             3. Procedure Adh'e rence PlFs -Trending Down

! I ! !

                                                                                                                         ..
   '
                                                                                                                      18
                                                                                                                                            March 17,1997
                *
. ,
  .-_...__---._,.._.,__.._,._._.___._____._.,_____.-___________..____________.__._____,_.__.___,___..._,,,....4.,,---                         - _ . , , _ , . .
:
l'

l;

1
                50-Day Performance Measures
              i
                End date: 4/2/97
         ^ ^

l ! j 4. Procedure Quality PlFs -Increasing l 5. Correlate Depart Clock Resets

! !

             6.   All Individuals Can State Station

! Direction and How Each Can ! Contribute i ! .

             1.   Successful Visits By Outside

. Individuals

                              .
   '                                                  .
                                    19
                                                      Much 17,1997

'

, . .

I

! l M 50-Day Performance Measures l End date: 4/2/97 1 j e All individuals can state Station Direction and j how each can contribute ! '

l - Survey conducted March 13,1997

i .

                                                                                                                                     Station Direction

] 90% provided correct responses

!

                                                                                                                                     Individuals Contribution
90% provided correct response
                                                                                                                                                                                                                                                      '

i I \- ,

                                                                                                                                                                                                          .
                                                                                                                                                                                                                       March 17,1997
                                                                                                                                                                                                                                                      ,
 .+                                       .
  - . . . _ . . . . . - _ . . _ _ _ . . _ _ . _ . . . _ . . _ . _ . . , _ _ _ _ _ . _ _ . , _ _ _ _ _ _ . . _ _ _ , . _ . . . _ _ . . _ . _ _ _ _ _ _ _ _ _ . _ _ _ . _ . _ _ _ _ _ _ _ . . , . _ _ . _ .
                                                                                                                                       -                             -                                      , . . . . , . . . . , _ . , _ _ , . . - ,
                                                                                                                                                                                                                             .
           .--------..--a.,ar------nxaw~..- --~~-~~~-.a.mmea    .- .s a a m + -n-a s -a. u n a m e s.sa -.a.--n -a m-
   8
         e

i ! . i ! !li

   *

'

1

                                                                                                                      k

t

                                                             m

, M

                                                             M
                                                             O

.

                                                             g                                                        >
                                                                                                                      \
                                                                                                                      i
                                                             h~
                                                             4

, 1 i 1 i i i s i ,

!     5
! a

! -

       4
       -
      a~
 ,

1

                                                                                                                         -
                                              '
                                            ...J          LaSalle Restart Plan
                                                 e   An Accountability Tool
                                                 e   5 Primary Strategies
                                                 e  Specific Performance Requirements
                                                e   Corresponding Performance Indicators
                                                   -
                                                        Windows based format
                                                   -
                                                        Benchmarked based on Industry (Under
                                                        Development)
                                         h Eic5
                                                                                                              March 17,1997
       .                    m             ,

---.--=.-,---_~~-,_.-------a_,-a,,..,,--- .-~~.-,--,~~,w-. -,w,--,mm- - wm-~,----- -.m.---w

             - - _-                              -                                                       -            ..

. ! l

i i .,

                                                   .
                                                     a         LaSalle Restart Plan

l i

                                                       e   Internal LaSalle assessment of completed
                                                           activities

l l e Independent evaluation of Restart Plan j effectiveness

                                                            - Use of external and internal management
                                                            - Focus of Performance Indicators and

! . effectiveness of completed tasks

                                                      e    Action Plan 1.1B -Improved Operator

!

                                                           Performance

l l

                                  hM
                                                                                                             23
                                                                                                                         March 17.1997

I- . . 1

 --______.._____..__._-.__._-._...___.___.m.___                     . , _ _ . . _ _ _ . _ _ _ _
                                                                                                - _ _ ,.. ..._._... .
      . - -      . - - - - - -                  - ...-.--         . - -_.--.._.-.- - - .             . _ -- _

, , . e i '

  -                                                                                                               l
.                                                                                                                 l

! ! - 1 {. i { o a m a m 4

                                                          A     o         s              m e 8
_.

, .

                 January               o

i '

                                   -
                                                                                                  %

.

                February                                                                          O

.

                                           a
                                                                                                  y

,

                                   -                                                              %

i N ! March

                                                                                                  m.
                                                                                                  O

l

                                                                                                  Q
                                   -
                                                                                                  %
                        April
                                                                                                  M

! -

                                                                                                 %

l i

                         May                                                                     h,

i

!
                       June
                                                                                                O
            2
                                                                                                Q
                                 -
                                                                                                D

j July

                                                                                                o.
                                                                                                M

f

                                                                                               Q
                                 -

1 '

                 August                                                                         N
                                                                                               %
                                 -
              September                                                                        %
                                                                                               N
                                -                                                              D.
                                                                                               Q
                                                                                               %
                October                                                                        N
                                                                                               O
                                -
                                                                                               %
              November
                               .
                                                                                               -
                                                                                               M.
      e       December                                                                         %
     g                                                                                         M
     -z
     -
                               -                            '
                                                                                               %
      N
                                                                                                              ._.
     _ _ _ . . _ _          . . . _ . _ - _ _ - . - . _ _ _ - - . -                                - - - - - - - - -
   '

4 .  ; 4.  ! ll * i i ! -

                                                                      Number of Activities
                                                                          M          u     A                  m
                                              o                     o"    o          o     o                  o

i o o o o o f j 2/7/97

- l
                                                                                                                            ,
                                            ~

l 2/21/97 l ! 3/7/97 '

                                            -

i ! 3/21/97 ' I i -

                    h     4/4/97 '
                    E
                    -
                                           '
                                                                                                                            1
                    >   4/18/97 '
                                                                                                                            1
                                                                                                                            '

i S. -

                    e     5/2/97 ~                                                                                       N* -

l -  % 1 ,

                        5/16/97 '
                                                                                                                     n k

4 .

                                                                                                                     m%.
          g             5/30/97 '
                                                                                                                     %
6/13/97
                                         -
                                          :                                                                          Q, Q=
                                                                                                                         %
                    0  6/27/97 ~
                   >                                                                     \
                                                                                                                     >%  M
                                         -

i o .

g 7/11/97
                                        _                                                                            Q
                   CT.
                   (D                   .
                   -   7/25/97
                                                       yy
                                                                                                                         h
                   w-
                         8/8/97 '
                                        -
                                                             :
                                                                                                                         g
                                                                                             \
                   k   8/22/97 '
                                       '
                                                     {Ey
                                                      a
                         9/5/97 '                     EIT                                      k
                                       .              oe
                                                      E
                       9/19/97 ~
                                                     4k
                                                     n
                                                     :f
                       10/3/97 '                     *
      g                                                                                          i
      .                               .
      4
      .
                                                                               . _ .
                                      ;I,}1                l :!f i;              ifiI;!!l.!              l!..li;{                 !11!,.
       rj
       4
             i:       l-ii

. .

           -

-

                         -

~ _.

           .

- _ - _ .

,

.- . .,- . _. - - -

                                                                                                                            .
,
                                                                                                                                         -

. _

                                                                          ego;"oE                                           .

_ - _ _

                                                                                                                          .

+ - j

                                                          1         2 3 4       5             6 7
                                                                                                                  1
                                                          0         0 0 0                           8   9         0

.

                                  m
                                  Y
                                                      n   0         0 0
                                                                      -
                                                                        0
                                                                        -
                                                                                0
                                                                                0
                                                                                -
                                                                                              0
                                                                                              0
                                                                                              -
                                                                                                0
                                                                                                0
                                                                                                -
                                                                                                    0
                                                                                                    0
                                                                                                    -
                                                                                                        0
                                                                                                        0
                                                                                                                  0
                                                                                                                  0

.

                                                                                -
                                  E

. . .

                                                                                              -

.

                                  A  g&                                                           7
                                  R
  -

.. . 2 5

  .
  .
                                  A                                                               6
  .
  .                               C                 ,
                                  T
                                                                                                                                C
    -
                                  U  g8                                                     5

. . A 1

                                                                                                                                o

. L 2 m. .

                                                    ,

w . . . m g8 8 l - M 1

                                                                                                                                l

m m

.-
                                  O
                                  N                ,
                                                                                                      3
                                                                                                                        1
                                                                                                                        9       e

. . . . .

                                 T
                                 H
                                 A
                                 C
                                       ,E               2
                                                        7                     _
                                                                                                                       S
                                                                                                                       t
                                                                                                                        9
                                                                                                                        7       c
                                                                                                                                t

. .

                                 T                ,                                                                    a
                                                                                                                       t        i

_

                                 U
                                 A
                                                                                                                       i
                                                                                                                       o
                                                                                                                       n        v
                                L
                                      aS -                                                                                      e
                                                        1

_ _,

                                                        6
                                                                                                                       G
                                                 ,                                                                     o

.

                                                                                                                       a
                                                                                                                       i
                                                                                                                                R

, . .

                                      2N                                     _
                                                                                                                        =
                                                                                                                       4
                                                                                                                                a

w

                                                                                                                       8
                                3                ,                                                                     9

_ Y

                                .R    $

.- - -

                    2
                    6           R
                                O
                                                                             _.
                                                                                                                      W
                                                                                                                      A         d
                                                                                                                                i
                                                                                                                                a
                                                 ,

m %

                                L
                                L                                                                                     N

. I

                                                                                                                      O

w-

                                N    s#                                     _.                                        2

- .

*
                                G
                                A
                                                                                                                     0
                                                                                                                     0
                                                                                                                                t
                                                                                                                                i
                                                                                                                                o
                                                ,

w

  e                             V                                                                                    0

% E (

                                    a8
                           .
                                R                                                                                   p

_ -

.
_
_

,=

                                A
                                G
                                E               ,.
                                                                            _.                                       e
                                                                                                                     r
                                                                                                                     u
                                                                                                                     n
                                                                                                                                n

e

     -
                                  - ,i                                _                                              i
                                                                                                                     t
                                 *
                                                                                                                                E

_ _ _.

                                                                                                                    )
.
                                  -                                                                                 G
                                                                                                                               px

_

                               Y               ,                                                                    o

,

   +                           T                                                                                    a
                               D                                                                                    l
                                                                                                _

_.

                               A    <?                                     _.
                                                                                                                    2
                                                                                                                      =
                               C
                                                                                                                                o
                                                                                                                    1

_ _

                               T              ,
                                                                                                                    5
                               U
                               A
                               L    m&                                     _.                                                   s
                                              ,
                                                                                                                                u
                              1
                               :    OE                                     _                                                    r
                                                                                                                                e
                              9              ,
                              9
                              7
                                                                                                _
                              S
                              t
                                    zB                                    _.
                              a
                             ti
                             o              ,
                  M          n
                 a
                 c           G      o8
                 h           o                                            __
                 1           a
                             l
                ,
                 7                          ,
                 1
                 9
                 9
                 7
  _                            - - - - - - - - - - ------ _ -                                  - - - - .                  - - - _ - - - -                                - - - - - - - - - - - - - - - - - - - -                                                 ---

,

 i

i

t

1

!
;                                                                                                                                         ContaminatedAreas
l                                                                                                                                                                                                              % of Plant

4

                                                                                                                                                                                                                                                                                                                                                         I
                                                                20

' "

l                                                               18
                                                                 8
                                                                               '"M u.2

!

                                                                14
                                                                                         \\b

]' ig4

                                                                12

,

                                                                                                         \                                                                                                                                                                                                      -+-Target

! h.: -o- Actual

                                                                                                                                               8

i 6  % ,. _ _ ,

,                                                                                                                                                                                                                    . .           ,..
                                                                                                                                                                                                                                                   4,        7
                                                              -
                                                                 4
2
..ee : 1.s2

i e

                                                                 0
                                                                                                                                                                                                                                                                                                                                                         '

i i i i i i i i i i i i !

                                                                        J                  F              M            A                         M               J                                               J         A                   S               O          N                      D
i
                                                                                                                     '
        .
,
                                                                                                                                                                                                                    28
,.
                                                                                                                                                                                                                                                                                                                          March 17,1997
                .  ,
    .,---,,,,y*   , , - , , , , .~~,,-.3,--,                       ,e,,-,,,mw-w..,w-,-v-                     .my,-..                      ....   .-   - ,,,,...~-.,...,- - .                                             ..m.--,        -_.-,..-,-.--._v_,-m         _.--,_.--...--.--...,,,,.,.~,,--w-.,~m--*-              , . , , - - - . . ~ , . - .
1l                                                   $ 1
                       li!ll                             jll! }               l!il1i1l}1               !       i
     .

_ .

                                                                                                         y
   .
                                                            Z YE o 3         N8Em
                                                                                           1
                                                     2     4     6           8
                                                                                               1     1
            h
                                            0        0     0                               0   2     4
                                                                 0           0                 0     0

.

                               @3                                                                  1
                                                                                                   2
                                                                                                   2
                              788                                                        s
                                                                                         2
                             O$8               0
                                                                                                            L

. Ml 78 8

                             E48
                                          ,
                                                 1
                                                  2
                                                  2
                                                   3
                                                                 -
                                                                     6
                                                                     1
                                                                                                            a
                                                                                                            S

-

                   p
                     m
                     O
                             2A8
                             4i8
                                          ,E
                                               0                 E
                                                                                                            a
                                                                                                            l
                     e                         0                                                            l

_

_
              '
                     n
                             2k8
                                         ,
                                          ,
                                                                 E     6
                                                                       3                                    e
                                                                       6
                             7$8                                 E
                                                                                                          pO
                                                 2                     3
                                         ,
                                                 2
                              i8                                 E 36
                    M                           1
                                                1
                    C
                                                                                                            e
            ~                            ,
                                                                         6
            ~
                    o       <I8                1
                                                                 I       6                              F
                    m
                  p
                   e
                    l
                             m68
                                        ,
                                                                             7
                                                                             6
                                                                                                        e   r
                   t
                   e
                    d
                                        ,
                                               1
                                                                                                       b
                                                                                                       r    a
                             OS8                                             7
                                                                                                       u    t
                                                                                                            o
                                              0                              8                                   .
                                              0
_
                           z$8
                                       ,
                                                                                                       a
                                                                                                       r
                           o$8
                                       ,
                                              0
                                                                          6
                                                                                                       y    r
                  e                            1
                                                                          8
                                                                                                       1
                                                                                                            W
                   l                   ,
                   d                                                     6
                  e
                  n
                             ,8k               1                         7                             9
                                                                                                       9
                                                                                                            o
                                              0
                  t                   ,
                  i
                                                                           6                                     -

_ f

                  i
                  e        a4D                1                            9                           7
                                     ,"

.

                  d
                           2Ak                                                                              r

. . k^5

                                     ,
                                                                                                            k
                                                                                                            A-
                                     ,
                         2ha
                  G
                                     ,
                                                                                                            r
          .       O
                  A
                          7$m                                                                    t
                                                                                                  S
                                                                                                  a
                                                                                                  t         o
                                                                                                            u
                                    ,
                                                                                                  i
                  L          im                                                                  o
                                                                                                 n
                                                                                                 Y
                                                                                                           n
                                    ,
                                                                                                 e
                l        <kt                                                                     a
                                                                                                 r-
                                                                                                 E
                                                                                                           d
                                    ,
                         mku                                                                     n

.

                          Osa
                                   ,
                                                                                                 d
                                                                                                 G
                                                                                                 o
                                                                                                 a
                                                                                                          s

. l

                                   ,
                        zsa                                                                      3
                                                                                                   =
                                                                                                 3
       M                          ,
       a
       c
        r               o$a
       h
       1                          ,
       ,7
       1
       9
       9
       7
                           '                                       r                         I            .
  - - . _ _ _ _ _ - - - _ _ _ _ _ - _ - _ . -                            _
                                                                                                                 - . - ..                                 - . ~ . . . . - .                          . - - -                   _ - . - - _ . . . - .    _ ~ . - . . -
                    *
                                              *

1 I l

                   -

1 4 !

                                                                                                                                                                                                                                                                      !

!

4

i - l

                                                                                                                                                      ACTMTIES

k l i e

                                                                                              -s           -s         u u                   u        u s                     s       a        e        a a                   n mu

e

                                                                                 o            o    u o                           u          o        ui       o             u         o       u        o           u        o
                                                                                                                                                                                                                                                a
                                                                                              o            o o o o o o o                                                             o        o                                                 o

4

2W qo o o o o o o o o o o o oo oo oo oo o o
                                                                                               ,P

l 6-Nov . h

                                                                                                                                                                                                        '

!

                                                                                              l                                  l                            i              i                                              .         t

a l i I i I

                                                                                                                                                     !                      !
                                                                            O                 I
                                                                                                                      '
                                                                                                                                  '
                                                                                                                                            I        '        l                               t
                                                                                                                                                                                              '
                                                                                                                                                                                                                    i                4

t ' '  !

                                                                                                          1           i          i          -
                                                                                                                                                                                                                    '       ;
                                                         20 Nov                                            '
                                                                                                                      i                              :        !,                     '                 I
                                                                                                                                                                                                                                     I'
                                                                       .
                                                                                                                                                                            -

!

                                                                                   $                     l
                                                                                                          i
                                                                                                                      l          i                  !
                                                                                                                                                    !
                                                                                                                                                             '
                                                                                                                                                              !
                                                                                                                                                                                    l                 '
                                                                                                                                                                                                       i            i
                                                                                                                                                                                                                            ,        l               D

! '

                                                                                                                      i                    i                               i         i
                                                                                                                                                                                                      '
                                                                                                                                                                                                                                     .
                                                                                                                                                                                                                                                     %

l

                                                                                                         !!                     i
                                                                                                                                           !
                                                                                                                                                   '
                                                                                                                                                    !                     !         l       i                     !                 !                D.
                                                                                                                                                             I                      *       l

j 18-Dec ' i

                                                                                           h
                                                                                 -
                                                                     .
                                                                                                                                ,
                                                                                                                                                             l
                                                                                                                     ,
                                                                                                                                                                                                                  8
                                                                                                                                                                                                      l
                                                                                 !h,                                                                                                        .
                                                                                                         ,
                                                                                                                                                                                                                           ;        ,
                                                                                                                     '
                                                                                                                                                                                                                                                     N
                                                                                                                                '         ;

i ' ' '

                                                                                                                                                                                                                          '
                                                                                                                                                             l
                                                                                 -
                                                                                                                                         .         6        i             i                 l
                                                           1 Jan                                                                                                                                                          ,
                                                                                                                                                                                            .
                                                                                                                                                                                                                                    ,
                                                                                 .                       .                                                                                  '
                                                                     .
                                                                                '
                                                                                             i                                                    t         i                       i
                                                                                            ?
                                                                                                                                                  i                       !                                       '
                                                                                                                    ,
                                                                                                                                                            !                                         I                   .

4 .

                                                                               ;            ,
                                                                                                  o.                i                    i
                                                                                                                                         -                               i         .
                                                                                                                                                   .
                                                                                                                                                                                           '

j 15 Jan . j gd i

                                                                                                                                          '
                                                                                                                                                 !                       -
                                                                                                                                                                          i                                                        *
                                                                                                                                                                                                                                   ,

! -

                                                                                                        ,                                        ,          !

! '

                                                                               '            '                                                               l
                                                 rl29-Jan                                                                                                                i
                                                 ;; :l
                                                                    .                                   !
                                                                                                              (                                  l         ;
                                                                                                                                                                                  '
                                                        (12#eb.
                                                                                           '
                                                                                                       !
                                                                                                        .
                                                                                                                 k'                              l                      i
                                                                                                                                                                                 l
                                                                                                                                                                                                               '
                                                                               ,
                                                                                                                   !b                            !         .                      i                 >          i
                                                   E                          !            !           l           i \1                 '
                                                                                                                                                 i         ,                     i        i
                                                                                                                                                                                                                '
                                                   o                                      l            l                  0                                '
                                                                                                                                                                        .        !
                                                                                                                                                                                          '
                                                                                                                                                                                                    t
                                                                                                      !
                                                   Q26feb .                  i
                                                                              i
                                                                                          !
                                                                                          i            .
                                                                                                                  i
                                                                                                                                 q
                                                                                                                                        I
                                                                                                                                                l'
                                                                                                                                                i
                                                                                                                                                                       !i        !
                                                                                                                                                                                i'
                                                                                                                                                                                                   .          I
                                                                                                                                                                                                                                                     h
                                                                             r                                                                                                                                                   t
                                                                                          i                                                     '
                                                  O""4                                    t
                                                                                                       l
                                                                                                                  ,
                                                                                                                              l
                                                                                                                              i
                                                                                                                                        I
                                                                                                                                                ;         {                                        *          i                  '
                                                                              ,                                                                           ,
                                                                                                                                                                       ,                           i          i         ,
                                                                                                                                                                                                                                                                       l
                                    $                             '
                                                                                                                                    O!
                                                       ,
                                                                             ;
                                                                                         ;
                                                                                          ,
                                                                                                     f.           i
                                                                                                                              i                {.        j
                                                                                                                                                         .
                                                                                                                                                                       j
                                                                                                                                                                               ;
                                                                                                                                                                                .
                                                                                                                                                                                        ;                    j          ,        ,
                                                                                                                                                                                                                                           .
                                                                                                                                                                                                                                              l
                                                                                                                                                                                                                                                     Q                l
                                                l !26-Mar .
                                                  6
                                                   I
                                                                                         i
                                                                                                      ,
                                                                                                                 ,                             i         !             i
                                                                                                                                                                               '
                                                                                                                                                                                        i                    '
                                                                                                                                                                                                                       I
                                                                                                                                                                                                                                          :c
                                                                                                                                                                                                                                                     h
                                                                                                                                                                                                                                                     %
                                                                                         !' l
                                                                                                                 1           .                           ;
                                                  i        "-                                                   :                     :
                                                                                                                                               .                                                  -
                                                                                                                                                                                                  ;
                                                                                                                                                                                                                       .                                              '
                                                                                                                                                                                                                                                                       i
                                                                                                      ,
                                                                                                                                                         j                                                                                n
                                                  I                                      l
                                                                                                                                              {
                                                                                                                                                                      !l.
                                                                                                                                                                      i
                                                                                                                                                                                        !
                                                                                                                                                                                        t
                                                                                                                                                                                                             i
                                                                                                                                                                                                             {
                                                                                                                                                                                                                      ,
                                                                                                                                                                                                                                          :
                                                                                                                                                                                                                                             '       %
                                                                                                                                                                                                                                                     L
                                                         23J.pf .
                                                                                         f          ;                       i         '
                                                                                                                                                                      !        l                 .           [                               :
                                                                            '
                                                                                                    i                                                                                                                                     "
                                                  g 7-May .                                         i
                                                                                                                                              ,
                                                                                                                                                                     !'
                                                                                                               i            I                 I
                                                  m                                                 I          i            i
                                                                                                                                     ,
                                                                                                                                              i                      :
                                                  F                                                             '                                                                                                     i
                                                                                                                                     '
                                                                                        !                                   !
                                                                                                                                                                                                                                                     N
                                                                                                                                              '
                                                  b1-uey .
                                                                                                               '
                                                                                                                                                                     {
                                                                                        i                                   '
                                                                                                                                     ,
                                                                                                                                                                                                i                                         n          N
                                                lg   i
                                                                                        I                      l           1
                                                                                                                           ,
                                                                                                                                     e                                                          '
                                                                                                                                                                                                                                                     %
                                                LJ                                                                                                                                                                                        n
                                                          4 Jun .
                                                                                                                           }                                                                    l
                                                                                                                                                                                                                                            :
                                                                                                                                                                                                                                          v
                                                         184un.                                                                                                                                                                                      %
                                                                                                                                                                                                                                        n
                                                                                                                                                                                                                                                     h
                                                           24ul .
                                                                                                                                                                                                                                         "
                                                                                                                                                                                                                                        ll
                                                                                                                                                                                                                                                     4.
                                                         164ul .
                                                                                                                                                                                                                                        x
                                                                                                                                                                                                                                        n
                                                                                                                                                                                                                                                     g
'                                                                                                                                                                                                                                       . :
                                                         304ul .
                                                                                                                                                                                                                                        H
                           E
                           !
                          .~
                                                     iuus                             I                                   !                                        '
                                                                                                                                                                                                                                        ::
                           .a
 e
 !                         "
 1
                                                                                                                                                                                                               ,

! a

                                                                                                                                                                                                               e
             [[[                                  LaSalle Outage Power Block

l i

                                                   Materiel Condition Backlog
                                                                                                                                                                                                               i

i j 3000

                                                                                                                                                                                                               t

i 2500 . . _ . . - ..._ ___ .. .

                                                                                                                                                                                                               "
                                                                                                                                                ..
            .E
            3  2000.
            L                                                                                                                                               = = = - = - . _ . - - - -
                                                                                                                            1701
                                                                                         1591                                                                                                                  ~
                    _
                      8                            8                              8      8                           8        8                      5                    8
                      4                            6                               &     6                           s                               e                    2
                                                   $                              $      O                           $                               A                    @

i !

                                                                                                                                                                                                                l
   *
                                                                                              30

l March 17,1997 I

- . ,

>_ -~~___.__._-___ _ _ _ _ _ _ , . . _ _ - _ _ . . . _ _ _ _ _ _ . _ . _ _ _ _ _ _ , _ . _

                                                                                                                                 . . , _ . . _ _ _ _   _
                                                                                                                                                         _ _ _ . , , - . _         . . . . . - . - , _ . _ - -
                                                       - --                      --              -                   - --
                                                                                                                                                                                                  l
                           .   ..a
                                                              LaSalle Non-Outage Power Block
                                                                            Materiel Condition Backlog
                                                                                                                                                                                                  "
                                           3500                                                                                                                                  3359
                                          3000-
                                                                                                                                                          2592
                                          2500-                                                                                     2332               M
                           y                                                                                                                                                                      i
                             5                                                                                                 2077                                                               i
                          '                                     2                                                         1938
                                         2000-
                          o

l $ 1456 1493 1561

                            g             1500

!  % !. )

                         '
                                         1000.

l I 500. ! ,

                                                   n
                                                              8               8       8            8                      8     8    8                 8   5                       5

, I $ i I 6 s s $ ,i 4

l

                                                              2               '                    <                      m     O    z                 o                           w

, ! !

          '
                                                                                                                           31
                                                                                                                                                                                    March 17,1997
       -             . ,                                                                                                                                                                          .
 --w--------,-.ww---           __________.a---.=m~...m      ,     _ _ _ _ _ _       _      __ __        __-m.---.-em.                  __+,w.m.-.%ww.w
                                                                                                                                                 -            evwwww w.w w.wwwr yw -
 . . .         _ _            . _   _
                                                      - - - - - - - - - - - - -                                                     --
                                                                                                                                                      --
               *
1

I i - i l !

                                                                                                                                _
                                  o   8             $        $              $   $      $                     o 8
                       May-96
                                                                                                                            h *

!

                                                                                                                            2
                        Jun-96
                                                                                                                            n

! , Jul-96

                                                                                                                            4
                                                                                                                            D
                                                                                                                                  D
                                                                                                                                  Q                        <

!

                                                                                                                                  k

! i

                       Aug-96                                                                                               k
                                                                                                                            %
                                                                                                                            %
                                                                                                                            %

! Sept 96 N

             I
                                                                                                                                  w

' Oct-96 l

                                                                                                                                  D

!

                                                                                                                                  o
                       Nov-96                                                                                                     %
                                                                                                                           %
                       Dec-96                                                                                              Q      %
                                                                                                                           g      Q
                                                                                                                                  M

l Jan-97

                                                                                                                                  g

i M l

                                                                                                                           g
                       Feb-97
                                                                                                                           N
!                                                                                                                          Q
                                                                                                                           %

i i

                                                                                                                           rA
                                                                                                                 .

'

           5

i a l 3

           !
         .         . .                  . , _ . , .                ._            . . . . - _ _ - . - _ _ _ _       - - - .             . _ _ . - . . . - .
                        _ _ . _ _ , . _       __ _ _ _ _ _ _ _ - - - - - - - - - - - -              -
    .

l . I -

i

  .

! . !

                      o
                             m
                             o
                                        $
                                        o
                                          $
                                          o
                                                 $
                                                 o
                                                              $
                                                              o
                                                                            $
                                                                            o
                                                                                       $
                                                                                       o
                                                                                         $
                                                                                         o
                                                                                              D
                                                                                              %
                      .      .          ,
                                            ,    .             .            .          .      M
                                                                                                I
             May-96

.

                                                                                              k~.
                                                                                                  %   I

j

Jun-96  % C
                                                                                              %
                                                                                              n       ,

I Jul-96 D k=

*
             Aug-96
                                                                                                  M
                                                                                              %
                                                                                                  D
                                                                                                       -
                                                                                              N
                                                                                                      !

i Sept 96

                                                                                              D
                                                                                              N
                                                                                                      '

!

         8                                                                                    D

l  % Q l- Oct-96

                                                                                                  o   :
                                                                                                       .
                                                                                              N   M
             Nov-96
                                                                                              %   =

I  % 4

                                                                                              "
             Dec-96                                                                               M

i D N M

i Jan-97

                                                                                              0   %
                                                                                             '%   Q

! Feb-97

                                                                                           ,

!

                                                                                              e
                                                                                              M

l

e

! I -i

      E

' , I

                                                                            ;l:4l                      i,
      1:!        A i;!;;            j!     t i!1iji! j.i i l:!l,                                Ilil -
 -i

. - _- .

               .

. _ .

       =

_ _ _ , - . . _ . .

  .
                                                                                            [
                                                                                            [
                                       1     2                   3 4 5 6          7
                                  0    0     0                   0 0 0 0          0
                                       .     -                   - . _ .

_ _ _ _

 _
                         sk8 E

_ _

 _
 _
                                ,
                                                                                              5

_ ,$8 E 0

                                                                                              D

_

                                ,

_ _

                          '$8                                                            Pa
                                                                                         ry

_ _

                         <I8 E
                                .
                                                                                         oP
                                                                                         c e
                                                                                         e
                                                                                         dr

_

                               ,
                         w} 8                                                            uo
                                                                                         r r
                                                                                         e m

_ _ _ _

             =                 .
                                                                                         Aa

_ _

                         oS8

_ _

                               .                                                         dn

_

                                                                                         hc
                                                                                         e

_ .

                         z$8
                                                                                              e
                                                                                         r
                                                                                         e
                                                                                         nM
                              .

_- _. o88 _ . _

 _
                                                                                         c a  e

_ .

 _
                              .
                                         '
                                                                                         e s
                         ,$5
                                                                                              u

_ . r

 .
  _
                         a$5
                                                                                              e
                                                                                              s
 -
    _                         .
  _

,

  _
  -
 -         .

. _

 .
          .
          ,
           .
          .
           ,
          ,

.- ,

           ,
 _
   .
                                                                         'i         !,
                                                                                       .
 ... -.-,_                    . -    _ . - - . -             . _ _ _ _
                                                                          __-..._.-                                      -
                                                                                                                                 - . - - - -
           -
                 ,

l ! .

-

i I !

                                                                                                                                             l
                                                                                                                               -
                                                                                                                                             !

! 1 i

                                                 o
                                                           m
                                                           o
                                                                             5
                                                                             o
                                                                                              $
                                                                                              o
                                                                                                $
                                                                                                o
                                                                                                          s'
                                                                                                          o
                                                                                                                                             i
                                                                              .               . .

l '

                             May-96 l
                                             '
                                                                                                                              w

{

                              Jun-96
                                                                                                                             D
                                                l
                                                                                                                                             I
                               Jul-96
                                                                                                                             a               -
                                                                                                                                             l

j '

                             Aug-96
                                             ~
                                                                                                                       o@
                                                                                                                       O                     ,
                                            '
                                                                                                                       %                     !
                                                                                                                       4                     l
                             Sept 96
                                                                                                                       D

' D  %

                                           -
                                                                                                                       D   g

l

                                  t-SS
                                           -
                                                                                                                       Qg
                                                                                                                       =
                             Nov-96                                                                                    N
                                                                                                                           m

, N

                                                                                                                       N
                             Dec-96
                                                                                                                           N

l

                                                                                                                           Q
                                          '
                                                                                                                           %
               .
                             Jan-97
                                                                                                                           R
                                                                                                                           M

i j - -

                                                                                                                           D

1

                                                                                                                           @

i Feb-97 i

I
             E
a
4

1 - '

             $

i i _ _ _ _ . _ . . . .- , . _ _ . . . _ _ _ _ _ _ . _ .

  - -     +__.Aap-._s. 4.4 s._.e.e.a.. maw..a. awe s .4. a.e4 a_ _a _a....m.a
                                                                         -    m, e s .a- . e a.h.4a.m.44 + w w-m*.w h.4 g.g. s m 4 se # s a._s  -   4mam m e-    44
                                                                                                                                                                    -
                                                                                                                                                                      e
        i

! - ! j i

      .    5

.

          1

' a '

                                                                                                                                                                              ,

l i I kN ! ! A ! ! !

                                                                                                                                                              k
                                                                                                                                               e                              i

l

                                                                                                                                               E~g

/ '

                                                                                                                                                                              z

i

                                                                                                                                                              a               l

! ~S

                                                                                                                                               Y
                                                                                                                                               4              ~*
                                                                                                                                                                              '
                                                                                                                                                                              '

/ MO  ; / 1

                                                                                                                                               Mk
                                                                                                                                               4'             %

l . ! .6

                                %.

l 5% ! l

                                5p
                               E4

l: ! 4

                                                                                                                                                                        .,,..
                   - - - - - - - - - - -                                - - - -              _ -         - - - - - - - - -                              - - - -
,
i

! i l M Operator Performance

                                         *
                                                        Operator Knowledge has Degraded over time

j -

                                                             Tech Specs

I - Theory

                                                        - General Topics

l j *

                                                      High failure rate on "as found" evaluations

.

                                         *

l 4

                                                      In-the-field performance significantly declining
                                                        - Sixteen (16) of the 1996 Event Free Clock Resets

j attributed to Operations Activities i ! l l l

                                                                                                 -
                                                                                                                           .
                                                                                                                                                                .

j. .

                                                                                                   .
                                                                                                     -
                                                                                                                                                                                                                                        -

i- . .

  .~-...m.-..+-+--                       - -www...---..       .,... -..,        -,....,,,,,m           -._.-                 m.- .,i.. .....,.v-..-.m.m,,.        .---,-, , - - - . , , , , , - - , - ~ , - , -me-,,,,--,,,.~.-,,--,-+-   --*=*..,*--,.ev, .. 4-e,..-, . -,3.,,
                                                                                                                                          -                                                                          -

! i 1 ! l l i

                                    [[ High Intensity Training (HIT)

! l

                                                                                    Module                                                                                                                                                                                                            '

l 1

Was developed to

l Provide knowledge and skills to improve operator

performance.

!, Allow a screening mechanism to identify: l i

                                                                                               - Technical competence / ability deficiencies

j - Behavior / attitude problems 4 , 4 ! i

                                                                                                                                                                                                                                                                                                      w

i ! i

                                                                                                   .
        -

,

                                                                                                                .
                                                                                                                                                                 .
                                                                                                                                                                                                         .

4

     -                -                    .
 _. . . . . . , _ . , _ , _ , . . _ . . , . _ . , . . . . - _ . . . - _ . . . - , _ , . - . .               _ , _ . ~ . . _ _ _ _ . . . . . . _ , , , _ . , _ . . , _ _ _ . . , . _ . , . _ ~ . _ , . _ , . . . . . _ _ . . _ . _ , . . . . _ _ . _ , , , - - , . _ - . - . . - - - - - . , _ . _ .
                                                                                                                                                                                                                                                                                                    -

<

                                                                            *
J

't l 1

                    MLicensed Operator Modules

i

I
 t
                                         Week #1
                                                                                                               '

4

                                         Monday                               Tuesday                         : Wednesday                        . Thursday .                              ' Friday -         ISainidap;     -.
                                                                                                                                                                                                                                            Sunday?    .

1

                                                                  *
                                          Industrial                          Industrial                          Industrial                          Classroom                                                    Classroom

) Operations Operations Operations a[IMidM6fM5j6A5YEndi!E

                                                                                                                                                                                      $$                                 &
                                                              .. 2                                                                   ...,                                          @$$$$$$j[$$jjg               Simulator Drills
                                         Week #2
 .
                              (             -                    y
                                                                                                                                                                                              .                                             -
                                                                                                                                                                                                                                                x        -M"***
                                         Monday
                                                                                                                                                                                                                       ,   .
                                                                                                                                                                                          IFridayj               iSatufdayF
                                                                                                                                                                                    '

i, .

                                                                          . Tuesday 1 jl p Wednesday .                             .
                                                                                                                                                    Thursday;..            .                           . ..
                                                                                                                                                                                                                                z.
                                                                                                                                                                                                                                          ! Sun.dafj
                                                                                                                                                                                                                                                  . ..
                                                                                                                                                                                                                                                         '
                                                                                                      . . li
                                                                                                    '                                                                                    '
                                                                                                         *

) -

                                                                                                                                                          _ , __                ,. _.
                                                                                                                                                                                                                :4           {yn g-

i Classroom Classroom Classroom 3Mi&TEImExa " Classroom Classroom

I
,
                                               &                                  &                                  &                                                    :p
                                                                                                                                                                                                &                        &
                                                                                                                                           $$
                                                                                                                                          .NE
                                                                                                                                               -^ ' NT'      ; ns-.... Simulator Drills
                                                                                                                                                             J

4

                                   Simulator Drills                   Simulator Drills                        Simulator Drills                                                                                  Simulator Drills
i

i ! '

                                         Week #3
                                                                                                         ,
                             r                                                                                                                                                                                                        -
                                                                                                                                                                                                                                                              ',

i Monday Tuesday . ' Wednesday LThursdaf(. ( Friday 1 Saturdays j: ;Sundayi

                                                                                                                                                        .                                                                          ..
                                                                                                                                                                                                                                                    4

i

                                                                 +                                       ,
                                                                                                                                                                                                                                                     -

. Classroom Classroom Classroom _ ,:Fina! Exam /- ' l ! & & &

                                                                                                                                                                              '

l Simulator Drills Simulator Drills Simulator Drills ' JZx'-7', :/s -:';

                                                                                                                                              d2
                                                                                                                                                             ^' '
                                                                                                                                                                           I[ d)

I ! ! !

.
                                                                                                           .
                                                                                                                                                                                                              .
                                                                                                                                                                      .

i *

                                                                                                                                                                                                   .
                                                                                                                                                                                                                                        O

, b

        *
                  4     g

t

   --w,w-w-w ,- w   w,, ,*w,    ..,-,.,e      ..-,-...w,
                                                 -
                                                           -e-,,    -,w,~,,       ,,ww.-,-..es,..w-,,                 -,.,,,,w---m         ,,   w-,,,       ,ww,--,,,-,m-                         ,,wym,.,,v_
                                                                                                                                                                                                     ,

!

!
4
        [[ Classroom Topics
    ^

l i

*
            AC & DC Distribution

i !

          *
            Abnormal Operating Procedure (LOA) Review

l

          *
            STA Roles & Responsibilities

I -

            LGA Bases Review

i !

         *
            Out of Service Writing and Approval

!

         -
            Ventilation Systems Review

4

*
            Heater Drain System Review

i

         -
            Pump Theory
         *
            Reactor / Nuclear Theory

I

         *
            Tech Specs

l i

         *
            Plant Modifications
                                 .
                                            .
                                                  .
                    ,
- . .
                                                .

a !

  .

,- , i

1                                                                                                                                                                                                                                                                                         .
                                                                                                                                                                                                                                                                                          '

! i i i 4 4

                                    .-      - - .
                          ~

\; . . . .i

                                                     :
                                                                             on- icensed O[nerator Modules

i i i. .

Week #1

!

Monday Tuesday Wednesday; t Thursday ' Friday . Saturday; d. i. Sunday 1

1

1
                                                                                                                                                                                                                   I.
;                                                     Industrial                                Industrial                                 Industrial                               Classroom           Classroom
                                                                                                                                                                                                                                                            ,

i

                                                     Operations                                Operations                                 Operations                                                        &

3 , in-Plant OJT

                                                                                                                                                                                                                                                              3

i ! Week #2 ? ,.

                                                                                                                                                                                                                                                                                          ,
                                                                                                         -
                                                                                                                              ,         .
                                                                                                                                                  .                          -
                                                     Monday
                                                                                                                                                              .
                                                                                                                                                                                                                                                             ,

J ' Tuesday- T . Wednesday 1 . Thursday ' i j i Friday . iSaturday; {Sundayy- :1

                                                                                                                  ;           3
                                                                                                                                                                                        ~
                                                                                                                                                                                                   3                                 - -             .
!                                                                                            ,
                                                                                                                                                                                                                    .;
                                          }                                                                                                                                                                               -
                                                                                                                                                                                                                                           ,   s. 9
Classroom Classroom Classroom Fire Brigade Classroom

j & & & Training & , [ In-Plant OJT In-Plant OJT In-Plant OJT In-Plant OJT

                                                                                                                                                                                                                                                           ~

, t i i Week #3 '

                                         '

, hionday. Tuesday . I Wednesday JThursday . ~5'riday R 55I[irdayl; jSdnday

j                                                                                                                                                                                                                           ' a -. -
                                                                                                 . . , .
                                                                                        .
                                                                                            -mmn                 , .           . . . .            . . .          ..
                                                                                                                                                                           . . . .n.nm,w. . .  . .mg
                                                                                                                                                                                                                >
                                                                                                                                                                                                                                        :v   -
:                                                   Classroom                       gRadwaste
                                                                                       T                    J                ynnnwnwdw-s=sWritten                                      Exarn,sw
I                                                                                                                            typ              kthroup g -
                                                            &                       iPQQ$4SMI f                                                                                       $5MMM
I
                                                  Ir.-Plant OJT                     eWNWM$$Nhgh                                             E$nddh ;$$j@ildsM5WM           MW
i
                                        ,
                                                                                      dsEbd$3N9hM{PE?$5                                          ' isb        yhdNNEiEWif A
1
:

1 E

:                                                                       :
                                                                                  -
                                                                                                                                                                                                          e
                                                                      '

f* . -

                                                                                                                                                                                                      '. ,
k
i -            =                ,
4
  . _ _ . _ . . , _ . _ _ _ _ . . . _ . _ _ _ _ _ , , _ _ , , . _ _ - . _ . . _ _ _ _ _ _ _ _ _ _ _ , . _ _ - . _ _ . _ _ . _ , _ _ _ _ . _ . . _ _ _ . _ , _ . _ . _ . _ , _ _ - .
                                                                                                                                                    -
                                                                                                                                                                                                                                                    - , - - . _ , . . . . , - , , , , , .
                 .                                            .
!
;                                                                                                                                                                                                                                                                .
!
l

b ! 1

                                           [           l J Classroom andIn-Plant Topics

i , j *

                                                                               Operator Rounds Expectations
                                                              *
                                                                              Pump Theory
                                                              *

l Air Operated Valve Theory

l

                                                              *
                                                                              OOS placement and restoration

.

                                                             *

j ,

                                                                             Rad Practices
                                                                                                                                                                                                                                                                 l'
                                                             *

! HVS Breaker Operations , 4

                                                                            DC Crosstie Operations
                                                            *

{ 4

                                                                            Radwaste Systems Operations

!

                                                                                                                                                                                                                                                                l
                                                                                                                                                                                                                                                                ;

!

                                                                                                                                                                                                        - ,

l. _

                                                                                                                                                       '
                                                                                                                                                                                                        .

I , ! !- . . !

  _ . . _ _ _ . - _ . . . . _ _ _ . - - _ . _ . , - _ . _ - , - - _ . . . . _ . , , - . - - , _ _ _ . _ . . . . . _ _ _ _ _ _ . . . _ _ . . . _ _ _ . . _ _ . _ _ . _ _ . _ _ _ _ . _ _ . . _ . . . . .     . . . . . . . , - ~ . - _ _ _ _ . - - - , _ _ . - _
                                          --    _-

i j i l 1

         MEvaluation Process

, '

            Consists of:
              Mid-term and final written examinations

l . .

              Mid-term and final in-the-plant evaluations for NLOs

l

              Mid-term and final simulator evaluations

'

            Performance Review Committee

I Meets following each exam sequence to:

! - Review exam results

l - Evaluate for continued participation

i - Determine Remediation Requirements j , ! ,

                        .
                                                   ,     ,
     *

1 ' * 4 ,

   =
                                                                                                                                                                         -- -
                                                                                                                                                                                     '
1

,

                [          [[Results to Date

i i

j Crew 5 and Crew 6 have completed Industrial l Operations Training I Student Feedback has been positive l - Risk minimization case studies ! - Self assessment i i , l Crew 5 mid-term written exams successful

                                                                                                                                                                                     '
                                                           Crew average score was 88%

l

                                                          Fundamentals average was 82%
                                                                                                                                                                                     '

l Lowest score was 80% . i- \ . .

    . . - _ - - . . - . . . . - . - . . - - , . - - - . _ _ _ - _ . . - - . - . . - . - . - - . . - . _ . . . . - . - - , _ - - - . . . - . - . - . . .- ,.. .-,.- - . -      --. .-

,

l i i ! '

                .   . . .
                  ^

l .

                    . . , i Results to Date, continued
                          -

l

! \ i

                            Mid-term simulator examinations were NOT

i i

                            successfully completed for Crew 5.

' Crew failed to meet management Expectations and

                              Standards.

s

                               - Communications                                                                                                    '

l - Log keeping , j - Adherence to procedures

{ - Annunciator response i

                                                                                                                                                  *

1 l 4 - )

-
  *

j . -

                                                                                                                                                 .
                                                                                                                   ~
                                                                                                                                            ,g;; ,

?,. .

. ,.

! n.....-..,._.__..__._..,__..-_....__.___.__..________.- _ _ . . _ _ . _ - _ _ . _ . . _ _ _ _ _ . _ _ _ . - _ - . - - . . _ . . . . - - .

                          -               -

i

! 1 l

          [[ J.lResults to Date, continued

. i

             Significant weakness identified with 3 individuals

j Two SROs 4

- Command and Control Problems
                                                                                             i

! One RO ! j - Communications i

                   - Control Panel Awareness
                                                                                             .

l.

                   - Logkeeping

l Licenses suspended

.
                  One SRO will drop his license

-

                 Remaining SRO & RO suspended from licensed duties

,

Crew Suspended from licensed-duties

c - )*

                              ,             .
                                                                                             i

i ..

  '
    . ,  ,,
       . ,
                                                                   , _ . . _ . . . . . , _ .

i

          .
            . ..

l >

       ; . . > Next Steps

i ! !

                 Do extensive failures have generic implications?

l i The Performance Review Committee recommended: j - Remaining 5 crews screened on ara accelerated basis j

                   Accelerated Screening to begin 3/21 and complete by 4/2

j HIT will continue following the evaluation process 4 l

) ! ! !

  (
 ,
    k' AY
        'm.                  _ _ _ . . . _ _ . _ _ _ _ . - _ . . . , . . . _ . - - - - - - - -

}}