ML22046A258

Joseph Farley Nuclear Plant (50-348, 50-364) Annual Fatigue Report for 2021

ML22046A258
Person / Time
Site:	Farley
Issue date:	02/15/2022
From:	Harris S Southern Nuclear Operating Co
To:	Document Control Desk, Office of Nuclear Reactor Regulation, Office of Nuclear Security and Incident Response
References
Download: ML22046A258 (18)

Text

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Site Report: (PQS Farley Production) 1/1/2021

- 12/31/2021

-tistoricaI Performance

1. of Waivers Waivers

1. of Fatigue Fatigue

1. of Fatigue Fatigue

1. of Fatigue Fatigue

1. of Fatigue Fatigue nline ssessments

- ssessments ssessments

- Assessments

- ssessments

- ssessments ssessments

- Assessments elfDeclaratio Self-Declaration For Cause For Cause Post Event Post Event Follow-Up Follow-Up 1 R10768073 C

1 :R10848301 0

listorical Performance -

1. of Waivers Waivers of Fatigue Fatigue of Fatigue Fatigue

1. of Fatigue Fatigue

1. of Fatigue Fatigue

)utage ssessments

- Assessments ssessments

- Assessments

- ssessments

- ssessments

- Lssessments

- Assessments Name elf-Declaratioi1Self-Declaration For Cause For Cause Post Event Post Event Follow-Up Follow-Up C

C C

C C

Historical Performance Name of Rule iOions Vithout Vaivers Rule Violations Without Waivers of Exceptions

orceonForc Exceptions Force-on-Force

1. of Exceptions Plant Emergencies Exceptions Plant Emergencies of Exceptions ommon Defense and Security Exceptions

ommon Defense and ecurity of erformance Performance

1 I1_

Violations Iiolation Report

- Facility: PQS Farley Production 2/1/2022 08:56:42 No rows 0

No rows were returned OK Retrieve

[

Save As 1/ 1/2021 []H 112/31/2021 E] [

Online Outage Total Waivers Fatigue Assessments 2

Rule Violations Without I

Waivers TOTA 2

2 Annual FFD Program Performance Report PQS Farley Production

Non-Outage / Outage 2/2 Annual FFD Program Performance Report PQS Farley Production SeIf-Decla:t For CausLPost EveFoHow-Up

1. of Fatigue Assessments Department 0

TOTAL

Self-Declaration and Fatigue Assessment NMP-AD-01 6-001 -FOl SNC Version 2.3 Unit S Page 1 of 4 This assessment is intended to determine vtIther a degdation in an Individuals cognitte aria rnotr tuctidij have occurred due to the lack of rest and where fatigue is identified, establish appropriate controls and conditions ensuring the individual can safely and competently perform assigned duties. individual SHALL provide complete and accurate information necessary to address acute and cumulative fatigue. Prior to completing section 3, the Fatigue Assessor SHALL ensure S-GE-Fatigue Assessor qualification is current In the Learning Management System (LMS).

bays 6

7 8

9 10 11 12 13 Tod.y Date Shift b-Days, N-Nights (12-hr Or 1O.hourshlttS)

N schedule E.Evenlnes, M-Midnl9hts (for 8-hour shills)

1.2.

L1!

Hours fl NQI InCludi shift turnover at beginnIng of l

ii worked shift.

jj j IA

/

34-hour Check the boxes of those days with a break of break at least 34 hours3.935185e-4 days <br />0.00944 hours <br />5.621693e-5 weeks <br />1.2937e-5 months <br /> before shift

Specify the type of work being performed ( Check o)

Q Outage Work ENon.outage Work Have you had a break of at least 10 hours1.157407e-4 days <br />0.00278 hours <br />1.653439e-5 weeks <br />3.805e-6 months <br /> between successive work periods every workday for the past 14 days (or at least 8 hours9.259259e-5 days <br />0.00222 hours <br />1.322751e-5 weeks <br />3.044e-6 months <br /> if your crew or team had a scheduled transition between work schedules or shif)?

tYes fl No f you answered No, describe exceptions:

IF you are a covered worker, have all the required duties youve performed off-site been <30 minutes cumulative.

Yes C No No required duties have been performed off-site How many hours of sleep have you had in the last 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br />?

How many hours of sleep have you averaged each day in the last 9 days?

Describe the work activity you are performing L Ii+/-i-, c Do you feel you can continue to perform this work activity witut oversight?

ces Q No IF you answered No, describe oversight necessary for you to perform this work:

/.

Are you mentally alert?

Yes Q

No Comments:

Warkers Namn (Pri Pit:

A JiL cComanyIDopaflmeiit:

T Date:

I tSIU4/J1 I1ILh,2 I

1fr2 /J /

Completed & Signed by Worker:

Date:l t (2-i Time:

t cs

include description of observed behavior and name of individual who observed condition in comments below.

• lndlvidual who observed the condition of impaired alertness SHALL NOT conduct the fatigue assessment.

Checking this box indicates a formal self-declaration of fatigue.

Preferred action

require a 10-hr break before resuming work.

Enter actions taken in comments below.

Supervisor SHALL

!!Qi perform a fatigue assessment If helshe:

(1) performed or directed the work activity during which the event occurred, or (2) performed a fatigue assessment of the worker wIthin 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br /> before the event occurred, or (3) approved a waiver for workers who have an event while working under waiver.

REQUIRED when a Fatigue Assessment was conducted for caus& or for seif declaration and individual required to return to work with a break <10 hours.

Describe in comments below.

1] Wéiver (3

Assessment CANNOT be conducted more than 4 hours4.62963e-5 days <br />0.00111 hours <br />6.613757e-6 weeks <br />1.522e-6 months <br /> before the individual begins performing covered work under the Waiver.

IF checked, you MUST complete NMP.AD-016-OO1-F02.

individual who evaluated or approved a waiver for covered worker and an event occurs while working under the waiver, SHALL fIQI perform the post-event fatigue assessment.

Supervisor (Priyt nam

2L p

Datp:

I I

Self-Declaration and Fatigue Assessment SNC Unit S NMP-AD-016-OO1-FO1 I Version 2.3 I Page 241 TEl For.Cause*

Ti Self-Declaration Post-Ever Include description and condition report number of event and individuals involvement in comments below.

pmpnyIOepartment:

J V1IIiii IIL1JQJ I 12uk Li Follow-Up CAUTION: Fatigue Assessments and Waivers are infrequently performed tasks and may require assistance of the site subject matter experts (SME) to ensure compliance. (Corporate TE 6O1125 Comments: (Attach additional comments if needed)

(

o iidhe O-z&UuJd üP4 1 CJL O1(3

Self-Declaration and Fatigue Assessment Wexkcrr I

NMP-AD-01 6-001 -FOl Version 2.3 Fatigue Assessment Finding: Check applicable assessment outcome:

EjJ/ Verified in LMS that I am qualified on S-GE-Fatigue Assessor prior to performing fatigue assessment.

Worker does fQ] exhibit impairment due to fatigue at this time and may continue to work without restrictions (NOTE: Worker CANNOT be returned to covered work if removed due to self-declaration of fatigue while performing work under a Waiver)

Worker is exhibiting signs of fatigue, but may continue working with the following restrictions:

EJ Worker is exhibiting impairment and MUST be provided a break of at least 10 hours1.157407e-4 days <br />0.00278 hours <br />1.653439e-5 weeks <br />3.805e-6 months <br /> (Section 4 REQUIRED)

Worker is exhibiting impairment and MUST be removed from duty pending further FFD evaluation (Notify Medical & FFD Services)

Comments:

SNC Unit S Page 3 of 4 I

...Ja.. -..v or story as documentea D)stL.... records, as.....i as Lie work history provided by the individual. Review Sections 1,and 2 and perform a Face-to-Face Assessment.

Fatigue Assessor Print Name STgháftTre

/ L__ 1i7 Time Condition Report (REQUIRED to Track FA)

Results of FatigueAssessment have been provided to the CR #

individual:

Ves LI?t Completed by(

1.

Ensure PO&S Fatigue Tracking Record (FTR) generated for covered worker tracked in PQ&S.

FTR #

LJ N/A 2.

Scan the CR, Fatigue Assessment, & Waiver (if applicable) attach PDF to the FTR record (see instructions in PQ&S Job aids).

Completed by (Corporate TE 601110) 3.

Email PDF to Fleet Security (SNCFMST@southernco.com) for review & record retention Forward a copy cc bdd?upJeted foitn toj Responsible Su&

r listed in Section 2 Completed by:

I.,

Self-Declaration and Fatigue Assessment NMP-AD-016-OO1-FO1 SNC

[

Version 2.3 UnitS Page4of4 eiióW 4 Release fUabillty Tbe ón

étedby Applicable The assessed Individual Is unable to perform work safely due to self-declared or IdentIfied fatigue.

Please read select appropriate boxfQ sign below:

El Plant Supervisor has offered a place to rest before driving home, but I have declined.

El My supervisor has offered to provide a ride home from the plant, but I have declined.

El I have been requested by plant supervision to arrange for someone to drive me home, but I have declined.

El if I insist on driving myself home, I understand that Security WILL contact local law enforcement and inform them that I have been found to be too fatigued to perform my work duties, have been offered a place to rest andfor a ride home, but declined.

NIA (E Section 4 is NI applicable Supervisor SHALL initial here ONLY g1 Workers name (Print)

Workers Signatu Date:

Time:

IMsoLi&SjqntIJrL..

/

Dae:

Time:

- /L/&1 i.//

Comments:

/

Condition Report 10768073

- Security vehicle accident Site:

FARLEY On January 20. 2021 at approximately 0900 a Security Otlcer came in contact with a stationary object (I-Beam) while operating a company vehicle. The incident occurred on River Water Road while Officer was pcrtbrming their duties. The damage is located on the right front bumper of the vehicle and is minimal. The employee did not report incident to Supervision immediately. Shift manager. Security Manager and ED were notilied.

General lnlbnnaiion Status: OPEN Reported By: MDPENDER Name: Jones.Mincatta P Phone: 334-701-8006 EMail: MDPENDERC, SOUTH ERNCO.CO Unit:

Entry Date: 01202021 03:39:23 PM Responsible Individual:

Mode Restraint:

Event Date: 01202021 03:39:00 PM Responsible Manager: SECMGR Operations Review N Required:

Location:

CR Type: HUMI>ERF Tech Spec Equip Related: N Design tag Number:

Priority: 4 Technical Review Required: N Internal Priority: 3 Asset:

System:

Sub System:

Equipment Status:

Deficiency Tag Number:

Immediate Action Taken CR submitted.

&SAFCUL& P1.1 HUCCLK ItFTVs.L ASSEThUM LOCATION DESCRIPTION PRIORITY TYPE IrTIrD Ticket Description Reported Priority Resp EXP Completion Class Applicatior Location Loc Desc Site Status Relationshi Individual 10768248 CAPCO-identified trend:

CR SR PARLEY OPEN RELATED Security incidents I1Nt.

WorkOrder Description Location Description Site Work Type Status Relationship SI Type Description Special Indicator Value Tech Review Required Instructions aae I

of 2

Condition Report Ioolbar 1 hursda. Januar 2. 22

Condition Report 10768073

- Security vehicle accident Site:

FARLEY IXDi

-1.

Event Description Remark Remarks Date 12132 Crew Clock Reset 27A I Potential Integrity/Integrity INPOSC I Nuclear Safity Culture P1. I 2021-01-21 09:47:56.0 L

Record Summary Date Class Created By Type Summary 10768073 Security Lieutenant 01202021 CR MOPENDER WORK Securil Lieutenant On Januaty 20. 2021 at approximately 0900 a Security Officer came in contact with a s1ationar object (I-Beam) while operating a company vehicle. The incident occurred on River Water Road whilc Officer was perlbrming their duties. [he damage is located on the right front bumper of the vehicle and is minimal. The cmpIoec did not report incident to Supervision immediately. Shift manager. Security Manager and ED were notified.

Pace 2

of 2

Condition Rcport

- foolbar Fliursdav. Januan 21. 2021

Self-Declaration and Fatigue Assessment NMP-AD-016-OO1-FO1 SNC VersIon 2.3 IJnitS Page 1 of 4 Plajt:

This assessment Is Intended to determine whether adegradation In an Individuals cognitive and motor functioning have occurred due to the lack of rest and where fatigue Is Identified, establish appropriate controls and conditions ensuring the Individual can safely and competently perform assigned duties. Individual SHALL provide complete and accurate information necessary to address acute and cumulative fatigue. Prior to completing section 3, the Fatigue AsussorjHALL ensure S-GE-Fatigue Assessor qualiflcatlnn is current in the Learning Mane ement System (LMS).

1 Days 1

2 3

4 5

6 7

8 9

10 11 12 13 Todiy Shift D-Days, N.Nlghts (12-hr or lo4iour shifts) schedule E.Evnlngs. MMldnlghts (tot 5-hour shifts)

Hours flf4QIincIud..hIfttumov.ratbegInnlngof

/

worked shift.

(2.

j2.

344our Chick the boxes of those days withe break of break at least 34 hours3.935185e-4 days <br />0.00944 hours <br />5.621693e-5 weeks <br />1.2937e-5 months <br /> before shift Specify the type of work being performed ( Check o,pe)

[1 Outage Work Non-outage Work Have you had a break of at least 10 hours1.157407e-4 days <br />0.00278 hours <br />1.653439e-5 weeks <br />3.805e-6 months <br /> between successive work peilods every workday for the past 14 days (or at least 8 hours9.259259e-5 days <br />0.00222 hours <br />1.322751e-5 weeks <br />3.044e-6 months <br /> If your crew or team had a scheduled transition between work schedules or s)?

J Yes Q No Jf you answered No, describe exceptions:

ffi you are a covered worker, have all the required dulles youve performed off-site been <30 mInutes cumulative.

Q Yes Q No fNIA, No required duties have been performed off-site How many hours of sleep have you had in the last 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br />?

How many hours of sleep have you averaged each day in the last 9 days? s Describe the work activity you are performing:

Do you feel you can continue to perform this work activity without oversight?

[fVes C No IE you answered No, describe oversight necessary for you to perform this work:

Are you mentally alert?

Ø<ies C No Comments:

p Wnrkora Name: (Print)

ConpanyiDepartment:

, L(i47 Date:

I2AIJZI Completed & Signed by Worker:

Date: )2 3 [2I Time: a20 3 7

Self-Declaration and Fatigue Assessment NMP-AD-016-001 -FOl SNC Version 2.3 Unit S Page2of4 tEMf11TrT-rITTT Worker Plant:

CompanylDepartment:

fern.)t.,

ti F&-Cause Q Self-Declaration [ Post-Event U Follow-Up E] Waiver include description of Checking this box Include description and REQUIRED when a Assessment observed behavior Indicates a formal self-condition report number Fatigue Assessment CANNOT be and name of declaration of fatigue, of event and IndMduaVs was conducted for-conducted more than IndMdual who involvement In comments cause or for self-4 hours before the observed condition In Preferred action below.

dedaraiIon and Individual begins comments below, require a 10-hr break Individual required to performing covered before resuming work.

return to work with a work under the break <10 hours.

Waiver.

Enter actions taken In comments below.

Describe in comments IF checked, you below.

complete NMP-AD-016-OO1-F02.

Individual who Supervisor SHALL IndMdual who observed the I perform a fatigue evaluated or condition of assessment if helshe:

approved a waiver Impaired alertness for covered worker SHALLI (1) performed or and an event conduct the fatigue directed the work occurs while assessment.

activity during which working under the the event occurred, or waiver, $HAU. ti2I (2) performed a fatigue perform the post-assessment of the event fatigue worker withIn 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br /> assessment.

before the event occurred, or (3) approved a waiver for workers who have an event while working under waiver.

nntl W,ilvra are infrarni inShi nrrnrmn

• pejJFJON: Fatigue máyrequlre assistance of the site subjctmatter experts (SME) to ensure co jiirn6 (Corporate TE6O1i25)

Comments: (Attach additional comments It needed)

We-A&- t. Je4qs er 4..t 4liiey% P%jC IA..,W...i...

Cr rn4 I%rn

- c.icrislic.

8m.re.C.

i)4t. IV()

4.#-

.1a-C 44

$i.ei.

9.drii /G1C, ccz SupervIsor (Print name)

Signature Date:

Time:

i)/7I/)-q

r Self-Declaration and Fatigue Assessment NMP-AD-016-001-F0j SNC Version 2.3 Unit S Page 3 of 4 Fatigue Assessment Finding: Check applicable assessment outcome:

Verified in LMS that I am qualified on S-GE-Fatigue Assessor prior to performing fatigue

/ assessment.

[Zf Worker does NPI exhibit Impairment due to fatigue at this time and may continue to work without restrictions (NOTE: Worker CANNOT be returned to covered work IF removed due to self-declaration of fatigue while performing work under a Waiver)

U Worker is exhibiting signs of fatigue, but may continue working with the following restrictions:

Q Worker Is exhibiting Impairment and MUST be provided a break of at least 10 hours1.157407e-4 days <br />0.00278 hours <br />1.653439e-5 weeks <br />3.805e-6 months <br /> (Section 4 REQUIRED)

El Worker is exhibiting Impairment and MUST be removed from duty pending further FFD evaluation (Notify Medical & FFD Services)

Comments:

Fatigue Assessor

.I,II4I w&7 Print Name Signature Date Time CondItion Report (REQUIRED to Track FA)

Results of FatigAssessment have been provided to CR #

30 Completed by:

1.

Ensure PQ&S Fatigue Tracking Record (FTR) generated for covered worker tracked in PQ&S.

C N!A 2.

Scan the CR, Fatigue Assessment. & Waiver (If applicable) attach ?DF to the FTR record (see Instnc1lons In PQ&S job aids).

CornrIeted bu (CorporateTE6OlllO) r 3.

EmaIl PDF to Fleet Security (SNCFMST@souttiemco.com) for review & record retention Forward a copy of the comd form to the Responsible Supervisor listed in Section 2 Completed by:

a revie.........ie wor.ceri work history as.....amented byst history provided by the IndIvidual. Review Sections 1 and 2 and perform a Workers Name (Print):

records,s a-to-Face Assessment.

Ii

Self-Declaration and Fatigue Assessment NMP-AD-016-OO1-FO1 SNC VersIon 2.3 UnitS Page4of4 Section 4 Réleasof Liability To becmpltéd lthe Employee and witnessed bySupervisorApplicable The assessed individual is unable to perform work safely due to self-declared or Identified fatigue.

Please read NI2 select appropriate box sign below:

Q Plant Supervisor has offered a place to rest before driving home, but I have declined.

EJ My supervisor has offered to provide a ride home from the plant, but I have declined.

o i have been requested by plant supervision to arrange for someone to drive me home, but I have declined.

O I

I insist on driving myself home, I understand that Security contact local law enforcement and Inform them that I have been found to be too fatigued to perform my work duties, have been offered a place to rest and/or a ride home, but declined.

N/A (IE Section 4 is NQI applicable Supervisor SHALL initial here ONLY R-

)

Workers name (Print)

Workers Slan&ure.

Date:

Time:

f/.2-3Ij ao37 Suisors Name ( Print)

SupeMqrs Signature Date:

Time:

7 Comments:

Condition Report 10848301

- SNC employee operating a company vehicle struck a Site:

FARLEY concrete barrier Reported by x2992, drenfing@southernco.com, 12/31/21 2231, via NMP-GM-002-F0 I during Maximo outage, as follows: SNC employee operating a company vehicle struck a concrete barrier causing minor damage to the vehicle. Location: north side of plant near nitrogen storage area.

General Information Status: CLOSED Reported By: MMLUDLAM Name: Lud.lam,Mandy McLain Phone: 334-661-2886 EMail: MMLUDLAM@SOUTHERNCO.CG Unit:

(:

FFD, Fact Finding, CR generated, Fatigue Assessment, Shift Manager notified, Security Manager notified, Duty Manager notified.

Screening questions answered no due to OPS review already completed on NIVIP-GM-002-FOl (see log entry). mml 0 1/03/22 Entry Date: 0 1/03/2022 05:26:10 PM Responsible Individual:

Mode Restraint:

Event Date: 12/31/2021 06:50:00 PM Responsible Manager: SECMGR Operations Review N Required:

Location:

CR Type: HUMPERF Tech Spec Equip Related: N Design tag Number:

Priority: 4 Technical Review Required: N Internal Priority: 3 Asset:

System:

Sub System:

Equipment Status:

Deficiency Tag Number:

I FT?V ASSETNUM LOCATION DESCRIPTION PRIORITY TYPE I

Ticket Description Reported Priority Resp EXP Completion Class Applicatior Location Loc Desc Site Status Relationshi Individual I ri WorkOrder Description Location Description Site Work Type Status Relationship IT*rT Ji SI Type Description Special Indicator Value Tech Review Required Instructions Page 1

of 4

Condition Report - Toolbar Tuesday, February 01, 2022

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